1991-259 J
•
NONNIONEY.
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 6, 19 91
This is to certify that work requested to be done as shown by Permit No. 91-259
has been completed.
This structure may be occupied as a
Septic Alteration
Location95 Lower Dix Avenue
Owner Sondra Murray
By Order Town Board
TOWN OF QUEENSBU3.Y
Director of Bldg. do Code Enforcement
BUILDING PERMIT X
TOWN OF QUEENSBURY
No. 91-259 0
WARREN COUNTY, NEW YORK F,
PERMISSION is hereby granted to Sondra Murray •r
w
OWNER of property located at 95 Lower Dix Avenue Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Septic Alteration
at the above location in accordance to application together with plot plans and other information hereto filed and a
9
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. a
1. OWNER'S Address is (I)
Same a
-1
2. CONTRACTOR or BUILDER'S Name CJ1
Ronald Dufour 0
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3. CONTRACTOR or BUILDER'S Address C9
X
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4. ARCHITECT'S Name
N
fD
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5. ARCHITECT'S Address ..i
ei•
fD
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6. TYPE of Construction—(Please indicate by X) 0
0
( 1 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Septic Alteration to include: 1,000 Gal TAnk with 175' of Tile Field
using #2 stone 1 x 2 Thickness
x
8. Proposed Use
Septic Alteration
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 6, 19 93
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 6th Day of May 19 91
SIGNED BY for the Town of Queensbury
Building and Z f►<(rig Inspector
.I
Aft:
TOWN OF QUEEN WAY QUEENSBURY 1
air."Irt-i APPLICATIOfi FOR SEPTIC DISPOSAL PDIilIVEIVED
• DATE: }PA/L � / a_ MAY 11991
LOCATION OF PROPERTY FOR INSTALLATION 1 ii//t. 2 01-1--Niak- & aft ///,
Owner's Name: $0.I/A A y(iA RA ' 5c\1, Cx
Address: i_fi..W,fl/X• AVM. E0/vS1.7 11!) r X r_2�a k,,)
/
Installer' s Name: fO�/AL.,2 ,9l//D A' Telephon - .
e: 7g3-J.2g'f
7els — /4.9 Y
Number of bedrooms (residential only) 1-We (am)
Total daily flow (compute @ 150 gal per bedroom) 3�2 €j,4L
- Topography: Circle one: Flat Rolling Steep Slope c of Slop_
Soil Nature: Circle one: • d oa , Clay Other /Depth:.
Ground Water: At what depth? i D Feet {
Bedrock or Impervious Material : At what depth? Feet
Percolation test: Circle one: not required 7.eguire74)
Rate - Min. Per Inch
Domestic water supply: Circle one: 4gnicip. Well Other
If domestic water supply is a. well :
Separation:. Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank l/�D1T gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench , p a j feet/Total system length Aer74 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used it:. „Z /Depth or Thickness i, X , feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electrical work to be inspected by an approved
agency.
I have read the regulation on the reverse ,side of this sheet and agree to abide
by these and all requirements of the Town of Queensbury Sanitary Sewage- Disposal ,
Ordinance.
tfSIGNATURE OF RESPONSIBLE PERSON: oz:1--(-itv ATE: ",/ /ff/----)k
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•
feeti S stem Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted co the Building Department at Isaac 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of cha system
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance co any water supply
5.) size and dimensions of all tanks, distribution boxes,
cilee fields and/or drywalls
B. Nu system shall be covered before inspection and approval by the
Building Inspuctor. Failure to comply with this requireemenc may
result in the uncovering of the system by the installer and a fine
uf up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at cams of inspection may
rusult in an immeediace work stoppage. ,
D. Should unforeseen problems during construction prevent proper installa—
cion, alteration or rup..ir of an approved system, a new proposal must
bu submitted co the Queensbury building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Naviland Roads
Queeensbury, New York 12804
Remarks:
awn4-,t/
of• ueenibur,,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 4./F1idit g. f.1 /2h_e/ti�t ,
LOCATION 9 >//t(, i& % Ar.
DATE�.h 3 / 9./ PERMIT NO. 9/ -q,/
SOIL TYPE - Sand - Loam - Clay - •
Percolation Test Required? Y.ES - NO
Percolation rate - Min/Inch ,'
TYPE of SYSTEM: i
Absorption field, total length /",0„ I----
Length of each trench 5 Z 7- i (9:Y5
Depth of trenches 2:i'° r • /
Size of gravel li L— r{
SEEPAGE PITS{Number of) ' ,, .?
Size- . X ,r
Gray size ,4---- //
PI ING: Sizes jType
r
Bldg. to tank • E k:`S r:=��6
Tank to dist. box _ i-1 /',poi c--
Dist. box to field/p' _,1L4r� PLOD
Openings sealed? ES) :6NP Partial
LOCATION/SEPARATIONS:,...
Foundation to tank r)a ' ' )6ft.
Foundation to absorption;' _ =�5 ft.�}-
Absorption to lot line / 1'0 ft.—
Separation of pits ii 1N/'9-ft.
LOCATION 0 SYSTEM ONj;PROPERTY(circle one)
Front - a - Left side Right side -
COMMENTS: a
Co Ark -i c 11 s i/A- 4.S IA 1I'�r;Gl =S
+ Al �l1�J & `II✓ /fit° r.
1': ,
a?t
G
,%
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SYSTEM USE APPROVED E NO
1
/ B ilding ns 'ector
01/86 and vl
sown o/ .Queenibur y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME `/ DZ
LOCATION 95 /a•A'0 r"1 PC/_
DATE ,`j/2_/ V PERMIT NO. 97//-Ata
SOIL TYPE -_ - Loam - Clay -
Percolation Te Required? YES - NO
Percolation rate - Min/Inch _ {`
if
TYPE of SYSTEM: / / 1
Absorption field, totalp length
Length of each trefich e F
Depth of trenchs 4 -3 /
Size of gravel ; )-t.
SEEPAGE PITS*Numberof)
Size- ft. X ft.
Gravel size F, /
PIPING: >, Size Type
Bldg. to tank �;' /d Pfrt
Tank to dist. box � file
Dist. box to field/p �E:'jq. / fjy&
Openings sealed? ES1 NO Partial
LOCATION/SEPARATI NS:
Foundation to tank ' 1 6.9ft.
Foundation to absorptionk 0 ft.
Absorption to lot line (Oft.
Separation oil' pits ft.
LOCATION • SYSTEM ON PROPS' - e one)
Front - - Left side l Right side
COMMENTS:
g
SYSTEM USE APPROVED 0 NO
B ding Insp tor
01/86 and vl
..awn of Queeniur1
BUILDING and ZONING-DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
DATE/ " / /7 PERMIT NO. 1121t
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required?i: YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: •
Absorption field, total` ti
Length of each tr
Depth of tr es " / .
Size raveI_ F _
SEEPAGE PITS{Nof) ,
Size- %-ft. X \ ft. •
Gravel size , %3
PIPING: ,Size pe
Bldg. to tank ? 6��
Tank to dist. box
Dist. box to field/"" p�d--
Openings sealed? 'YES NO Partial
4,!
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption
Absorption to lot line ate--ft.„
Separation of Apits
LOCATION • , STEM ON' PROPERTY(circle one)
Front Left side Right side -
COMMENT .
SYSTEM USE APPROVED YES O
•
Bu` ding nsp ctor •
01/86 and vl •
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RECEIVED
AQJ.! "FP <� I
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1.....-��� r MAY 31991
BLDG. & CODE DEPT.
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