Loading...
1992-233 r x CERTIFICATE "Jo COMPLIANkiiPli TOWN OF QUEENSGURY WARREN COUNTY, NE'W YORK Date -" — 92--233 -- T'�'tits�certify that w k requested to be done as shown by Permit NO- has been cornpleted. �Mls st"�Tl]crure may be occupied as A Sept i c Alteration yU 4 ll er She, Owner Asta Orsini Bey ©rder Town Beard -raver+ OF QUEENSBURY "Director of Bldg. & Code Enforcement x BUILDING PERMIT � TOWN OF QUEENSBURY Na. 92-233 WARREN) COUNTY, NEW YORK PERMISSION is hereby granted to Asta Orsini +� OWNER of property located at 204 Upper Sher�an Street, Road or Awe_ in the Town of Oueensbury. To Construct or place a $ieRti C Al tare ion o CA 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. �• r 1. OWNER'S Address is to e+ Pr $allle 2_ CONTRACTOR or BUI LVER'S Narne Sanitary Sewer c -o 3_ CONTRACTOR or BUILOER'S Address to f6 [ARCHITECT*S Name ilf ITECT'S Address of Construction — (Please indicate by 7(l fd ( I wood Frame I I Masonry 11 Steel 11 d et �. O 7. PLANS and Specifications Septic Alteration to include : No- 1000 Gal . Tank with 2 seepage pits each 10 ' x 4 ' using #3 stone 2 ' thickness as per ,plot plan specifications and application B. Proposed use Septic Alteration $ 25oOO PERMIT FEE PAID — THIS PERMIT EXPIRES Ma]I 14 , 19 94 (1f 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 t 14th D' May 19 92 SIGNED BY for the Town of Queensbury wilding and Z rra I nspector TOWN OF QUEENSBURY IPPL I CATI On FOR SEPTIC DISPOSAL PERMIT DATE : `--' LOCATION OF PROPERTY FOR INSTALLATION J9 02 Owner ' s Name : _ 04s,r & CODE DEPT. Address • Installer ' s Name : Telephone : Number of bedrooms ( residential only ) _ Total daily flow ( compute @ 150 gal per bedroom ) J Topography : Circle one : Tat Rolling Steep Slope S of Slope Soil Nature : Circle one : Sand Loam Clay Other /Depth : Ground Water : At what depth? Feet Bedrock or Impervious Material : At what depth ? Feet Percolation test : Circle one : np�equire required Rate - Min . Per Inch Domestic water supply : Circle one : y nicipa Well Other If domestic water supply is a we Separation : Water supply from any septic absorption feet . PROPOSED SYSTEM : Septic Tank L �` gal . ( minimum size : 1 ,000 gal ) TILE FIELD : Each Trench feet/Total system length feet SEEPAGE PIT S ) : Number of /Size each C7..... feet by..� _f eet ^y Size of stone to be used #y 5� /Depth or Thickness Gam---- feet �rrrr.yr,�ryr,k,r,tsr w�+rsntk�+e�+�r�t,k�yr wr,r BOLDING TANK SYSTEM IF REQUIRED NO . of Tanks Size of Each Gal . *Alarm system and associated electrical work to be inspected by an approv agency. e reverse side of this sheet and agree to abide byhave read those and all �requi requirements of lation on h the Town of Queensbury Sanitary Sewage Disposal Ordinance . SIGNATURE OF RESPONSIBLE PERSON : � DATE : ' ? t ■ SasCCAG Sreces Inspections .* A , all Applicationa for septic system insta;lacioers alteration or repairs as required by the Town of Queensbury Sanitary Uwage Ordinance , shall be subsicced to the building Department at least 24 hours before start of construction and Ah411 include a plot plan shoving ; t . ) Cho proposed location of cha sysces 2 . ) location and distance Co lac lines 3 . ) location and distance to structures 4 . ) location and distance co any water supply 5 . ) size and dimensions of all cankss distribution box** , cite fields anUlor drywalls $ • No system shall be covered before Inspection and approval by the building Inspuctor , Failure to comply with this requirement may rw: oult in the uncovering of chd system by Cho installer and a flan of up to 1250 . 00 . C - An approved copy of cha plot plan shall be available on Cho construction acice . Failure to produce slid plot plan at Circe of inspection may rusulc In an immaediace work stoppage , D6 Should unforeseen problems during canstruccion prevent proper inscalla— cione aicaration or rop:rir of an approved system. a now proposal tease bu submitted Co cha Quo 4nsbury Building Department before further c: o�tixtruction . 'down of Qua#nsbury BU I LD T HC and CODES DEPARTHENT BAY and Haviland Roads Que4nuburys New York 12804 Xi niirkx 4 r- 4 � TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 745-4447 BUILDING IKSPECTOR' S REPORT FIRAL INSPECTION REQUEST FOR INSPECTION RECEIVED =NA19E L TION r DATE' + PERNITaI ? 333 TYPE OF STRUCTURE G- Y RECHECK FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICALSEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATI B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/ TEPS AI INGS _ RELIEF VALVES FURNACE/NUT W ER O ER "' ING BASEMENT INSULATI /DUCTWORK INTERIOR TRIM/PRIV CY ODORS FINISH FLOORS : BATH/KITCHEN W E TIGHT OTHER FLOORS EE BLE OTHER FLOORS ARPE D STAIR CLEARAN /RAILI S HANDICAPPED CESS SMOKE DETECT RS BATHROOM FA S/WHOLEH USE NS _. ALL PLUMBING FIXTURES OPER ING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SPAREATION FIRE/DEMISE WALLS OUMPSTER SITE PLAN/V IAN E RE UIREMENT FINAL ELECTRICAL OK TO ISSUE C/O dR C/C COMMENTS : ARRIVE DEPART II V' f cc�� �./ou.n o/ Quee4ns6ury BUILDING and ZONING DEPARTMENT Bay and Hauiland Road, R.D. 1 Box 98 Oueensbury, New York 128W SEPTIC DISPOSAL. SYSTEM (INSPECTION NAME _ L.fr Sig f - Uf LOCATION I e Y 1 G DATE // / 5 PERMIT NOo _ -3 sOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: r Absorption Meld , tot �- n ! - Length of each ch Depth of tr es Size of asrel _ SEEPAGE PITS{Nu_mber size- 44 fto X to ft Gravel size PIPING : k 'Type Bldg . to tank Tank to dist . box VDist. box to fielOpenings sealed? O Partial LOCATION/SEPARA ONS : ti Foundation to k fto ; [ A ) Foundation to absorption ft .V -.{41Q Absorption t lot lime ft � Separation pits Y, ft. LOCATION OFjSYSTEM ON PROPERTY (circle one) Front Re - Left side - Right side - COMMENTS : SYSTEM USE APPROVED O Building In ector 01/86 and vl f OWN OF OUEENSBUH . b RECEIVED F MAY 13 1992 BLDG. & CODE DEPT, z 3 [�k�j�. � i { V A I 4�;+'tl F 's Z `.w� E E f -'. S S U R Y REVIEWL + BY . DATE /'