Loading...
1991-276 si6Nom.mm, CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY . WARREN COUNTY, NEW YORK Date -Flay 20 19 91 This is to certify that work requested to be done as shown by Permit No. 91-276 has been completed. Septic Alteration This structure may be occupied as a :364 nation No. Shore Glen Lake,, Glen Laie Rd Owner Nancy Choppa By Order Town Board TOWN OF QUEENSBURY • , Director of Bldg. & Code Enforcement • 2, ••• . • 4. • • • • BUILDING PERMIT TOWN OF QUEENSBURY No. 91-275 WARREN COUNTY, NEW YORK CO PERMISSION is hereby granted to Nancy Choppa OWNER of property located at No. Shore Glen Lake, Glen Lake Rd 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 0 P,..ti Box 1737 RR#1 Lake George, NY 12845 2. CONTRACTOR or BUILDER'S Name Clear Construction o V) O 3. CONTRACTOR or BUILDER'S Address ro fD 7 4. ARCHITECT'S Name fD V1 5. ARCHITECT'S Address e* 6. TYPE of Construction— (Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7 7. PLANS and Specifications_ Septic lteration to include: No. 1,000Gal Tank as per plot plan specifications ande:application 8. Proposed Use Septic Alteration $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES flay 7, 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 7th Day)Df flay 19 91 SIGNED BY for the Town of Queensbury Building and Zorj ng Inspector i TOWN OF QUP��E� �NS�UN aiVAny APPLIC,ATIOU FOR SEPTIC DISPOSAL PIT MAY 91991 02.,6 DATE: 5" 6 , -t 1 LOCATION OF PROPERTY FOR INSTALLATION (�© �e 6BL rnlLft �'! Owner' s Name: !v . W , G i0.P4 Address: R0oc)C r7j 4 I L-ACrz ..0 a - utl / /264s Installer's Name: C.L C-ej/yS('P-unGU(4elephone: Number of bedrooms (residential only). 5 - - Total daily flow (compute @ 150 gal per bedroom) /fsO 674 L Topography: Circle one: Flat (Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loamell Other /Depth: Ground Water: At what depth? r O " Feet Bedrock or Impervious Material : At what depth? N A Feet Percolation test: Circle one: not required required Rate - Min. Per Inch Domestic water supply: Circle one: Municipal CIO Other If rlmmagtir water eiinn1v ic_a we11_• - Separation: Water supply from p 1c a rption feet. PROPOSED SYSTEM: Septic ank ( c ga --(minimum size: 1,000 gal ) oep IJA)) TILE FIELD: Each Trench /To al system length let-r -eet SEEPAGE PIT(S): Number of _ d /Size each feet by feet Size of stone to be used it.- /4 /Depth or Thickness feet ********,r****************** 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. SIGNATURE OF RESPONSIBLE PERSO : DATE: 7 .9 • • Sepal S ace■ Inspections-: A. All applications for septic system installation, alteration or repair, as required by the Town of Qusensbury 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 the tyer. a 2.) locicion and distance to lot lines 3.) location and distance co scructuris 4.) location and distance co any water supply 5.) size and dimensions of all tanks, distribution boxes, cile fields anJ/or drywalls B. Nu system shall be covered before. inspection and approval by the uuilcling Inspuctor. Failure to comply with this requirement may ruault in the uncovering of the system by the installer and a fine of up -co $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure co produce said plot plan at ciao of inspection nay rusult in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installs- cion; of--dn_apptovsd-14ystaa. =.i few-propOsAl 9WO • - bu submiccad •co the Quaunsbury Building Department before further construction. • Town of Queenabury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 kern rks: :. �_Jown o ueen / • • • Q9burt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D..1 Box 98 • Gueensbury, New York 12801 SEPTIC DISPOSAL SYSTEMT INSPECTION NAME LA4/ A aG2 -el.} LOCATION 41(._e DATE .�/57 % / PERMIT !NO. —��27 SOIL TYPE - Sand - Loam - Clay - ' Percolation Test Required? YES./- NO Percolation rate - Min/Inch _ TYPE of SYSTEM: Absorption field, total'#length Length of each trench Depth of trenches Size of gravel A ;f SEEPAGE PITS{Number of) Size- ft. X ft. 4 Gravel size s� PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit 7 • Openings sealed? YES No Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption _ 1ft. Absorption to lot line 1 1ft. Separation of pitst. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left sidi - Righ side - COMMENTS: l 17074_, , w geil4 SYSTEM USE APPROVE►ip NO Bui ing Inspec r 01/86 and vl • • Jocun o� Queniur 1( BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME (i ) LOCATIONNO SOye, Gb DATE PERMIT NO. 9( -06 1/3CSOIL TY - Sand - Loam - Clay - • Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: • Absorption field, total length Length of each ';trench Depth of trenches ' • Size of gravel SEEPAGE PITS4Number of) Size- ft. X ' . ft. Gravel size PIPING: `\ Size Type Bldg. to tank . Tank to dist. box Dist. box to field/pit Openings sealed? YES \ NO ,a` Partial LOCATION/SEPARATIONS: : Foundation to tank ' ft. Foundation to absorption . A ft. Absorption to lot line ft. . Separation of pits \ft. • LOCATION OF SYSTEM ON PROERTYcircle one) Front - Rear - Left side/- Rigii't side - COMMENTS: {I /1� ` :�C�/f/fL / /9( oc .. a • • • SYSTEM USE APPROVED YES 0 4 / B )( ding I pector 01/86 and vl awn o Queen it ur• BUILDING and ZONING DEPARTMENT 7y /v Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC ))DISPOSAL SYSTEM INSPECTION NAME C I.. GtO. `JL a LOCAT I oNlo - x -„.._-__ • DATE. )' I / �, / PERMIT NO. qi/-2-7(.0 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES F,' NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length'' Length of each trench ' Depth of trenches Size of gravel'_ SEEPAGE PITS-fNumber of) ' ';' Size- ft. X ft. Gravel size :. PIPING: Siz'e Type Bldg. to tank Tank to dist. box Dist. box to field/pit ij Openings sealed? Y•ES :, NO Partial LOCATION/SEPARATIONS: Foundation to tank ;! ft. Foundation to absorption _ ft. Absorption to,.i'lot line ft. Separation of'' pits ft. LOCATION OF/SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS:.( • r, ' 4 / • 77, SYSTEM USE APPROVED YES NO Building Inspector 01/86 and vl TOWN OF QUEEN:BURY PECPIVFD . . MAY 91991 BLDG. & CODE DEPT. 2I 1-i . ,wa i / • p S�# `^ .i 1t=1, \ \ • _ 1, Re:\i•;,..,. ••,:';..',.. :s• , ' ‘,,, \ . fi i 0)1. ' 1 iv-` . I . • / IIIRT tic— _ ` a-off - i 0 1 , 1 . ",� \ 1 �� 1 S t O i1t . s �e .� � / 1� -�a-• v _ \ v`Ay • e? , • 1i j \ ,o� '�Yli 4 C Pt'p �,, \ �.�� . Axe„O 1,.:/ 61, 3 1-1''''' ''' '`I . -, , ,.i. 4Y . . . .5cA-Le. - tl =-2-)0 _ ! „.....v . __ • 4 _ . 1 •