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1991-352 l� - L sri t, CERTIFICATE OF COMPLIANCE .. TOWN OF QUEENSBURY WARREN COUNTY, NEW 'YORK Date Q 1 A M 1 '7 19 21 This is to certify that work requested to be done as shown by Permit No. 91452 has been completed. This structure may be occupied as a Septic Alteration LocationCop of Illinois & Central Ave Owner Barbara tiallanev By Order Town Board TOWN OF QUEENSBURY 7L Director of Bldg. & Co a Enforcement BUILDING PERMIT • TOWN OF QUEENSBURY • No. 91-352 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Barbara Nat l aney Iv OWNER of property located at Cor Illinois & Central Ave 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. •C 1. OWNER'S Address is CL 7 Indiana Avenue a 2. CONTRACTOR or BUILDER'S Name John fiallaney V7 CD •p e+ 3. CONTRACTOR or BUILDER'S Address �• ei• CD 4. ARCHITECT'S Name , 0 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( I Masonry ( ) Steel ( 7. PLANS and Specifications Septic Alteration to include: No. 1000 gal tank with 135' of Tile Field using # 3 Stone 8. Proposed Use Septic Alteration $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 28, 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 _28th Day of / /" May 19 91 SIGNED BY for the Town of Queensbury Building and Zoningrinspector TOWN CF UEENUPY RECEIVE® SB `� j TOWN OF QUEENSBURY Q APPLICATION FOR SEPTIC DISPOlhyPERMLI Permitidt # t 5A v�- BLDG. & CODE DEPT. Date: 3-0/5 / Reviewed By LOCATION OF PROPERTY FOR INSTALLATION: (o(we tEll r)o�Se 6 i s )„I -A Owner' s Name: &102cy .(Yw\pglC_y Owner' s Mailing Address: `� 1_nd(Anlr7 f enue Installer' s Name: ZToY-r) rv>0A\c:rvP_IA Phone #: Number of bedrooms (if residential ) : 712-44?75 ✓� S' Total daily flow (residential-compute @ 150 gal . per bedroom) : 3L0 4A// Topography-Circle One:-.at j Rolling Steep Slope % of Slope Soil Nature-Circle One: an _) Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: CMunicipa)] Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank ( Y2 - gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench /$ feet//Total System Length feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # ,3 / Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified 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 T O\ 1$'n P' QUEENSBURY Q U 1 p FVA URECOF uvri SLE a � C rc ie DATE: 3- a REVIEWED B DATE Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1) the proposed location of the system 2) location and distance to lot lines 3) location and distance to structures, 4) location and distance to any water supply 5) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of 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 time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcemr Department 531 Bay Road Queensbury NY 12804 Remarks: ` _locun o/ 2ueenjtur, BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME Nk/t 11_11;:t , 1 Icw II GY�I LOCAT I ON r i { J I - I(Q/kr DATE �� /3 PERMIT NO. 7 / '359 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch • TYPE of SYSTEM: �. Absorption field, total/length , / 3 �* Length of each trench • /.4 5 Depth of trenches %(1 ' Size of gravel_ SEEPAGE PITS{Number © )-- Size- 10 X fft. Grave-1 size , PIPING: \ ,;1 Size Type Bldg. to tank \ ;.,•+7+! .-) S L/ Tank to dist. box -) ; •� C Dist. box to field/per., 4-1 Openings sealed?, (YES NO Partial LOCATION/SEPARATIONS: :r \\ Foundation td tank; ft.) Foundation to absorption ft.L.0 Absorption ,to lot line ft\ Separation/of pits \ /,J//";�ft. LOCATION OF SYSTEM ONq,PROPERTY(circle one) ' . Front - Rear - Left si.°de r Right side COMMENTS: A.itA tbf/7 • SYSTEM USE APPROVED YES DO • Building Inspector • 01/86 and vl 7).R 0(..-7cRi-V OCI-3 TOC-e — -'- . TOWN OF QUEENSBURY RECEIVED - - • _ . MAY 28 1991 BLDG. & CODE DEPT. . .,, r,cp , ,---) i , %;V ......-- 1, \ ci ,.. _11,---0- • e--17 up *V. • . '<—.--163 6 i - l.,...,. •••••%. 1 . G'''.›, 6'-> We' I Ii --\ _... -'-..\.. ..I ....- I •...., 24( . . 1 , • . . 1--,--.(. \ I 1 -. . / 11 if c r