1991-473 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date e.ef.—/,t,t /0 19 11/
•
91-473
This is to certify that work requested to, 'tbe done as shown by Permit No.
• has been completed.
This structure may be occupied as a Seciptlie Al tortieon
Location 15 Heinrick Street
Howard Crannell
Owner
By Order Town Board
• TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
. .
,;: .
BUILDING PERMIT
TOWN OF QUEENSBURY No 91-473
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Howard R. Crannell to
k i inrc Street
OWNER of property located at 15 HeStreet, Road or Ave.
Septic Alteration
in the Town of Queensbury,To Construct or place a p
at the above location in accordance to application together with plot plans and other information hereto filed and =
fD
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNE S Address is =
same a
a
2. CONTRACTOR or BUILDER'S Name ~'
tJt
Condon's SepticCD
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name y
e+
.d.
5. ARCHITECT'S Address
0
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) __ _
7. PLANS and Specifications
Septic Alteration to include:
No. 2 seepage pits each 6' x 8' using 03 Stone, 2' Thickness as per
plot plan specifications and application
8. Proposed Use
Septic Alteration
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 3, 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 3rd Day of July 19 91
SIGNED BY `'•(" - & for the Town of Queensbury
Building and Zonirig'I nspector
/ TOWN OF QUEENSBURY
OlVes APPLICATIOU FOR SEPTIC DISPOSAL PERMIT
DATE: 7 - l -. 7/ TOWN OF QUEENSBURY
RECEIVED
LOCATION OF PROPERTY FOR INSTALLATION IS He 'fiZ/&l C k1 St
Owner' s Name: 1-42 cc.9,414 'r7) 91
Address: /,� HEf/l/? (CPC Sf r BL®G. & Qp®E ®EPT.
Installer's Name: GiV bnii) s �FpLic Telephone: 2S/2.,
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) V C°
Topography: Circle one: Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? NA Feet
Bedrock or Impervious Material : At what depth? /,/4 Feet
Percolation test: Circle one: Clot require) required
Rate - Min. Per Inch
Domestic water supply: Circle one: unicipal Well Other
If domestic water supply is a_ well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic TankiBO° 6 to gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of /Size each c feet
by g feet
Size of stone to be used #: /Depth or Thickness �f
feet
***************************** l 0 a syQ,v
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electrical Mork 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 PERSON:?d/ ( ii.d —- • DATE: '7-1 —9/
Seotic System Inspections:
A. All applications for septic system installation. alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance. shall
be submicced •co the Building Department ac 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 drywalls
B. No system shall be covered before inspection And approval by the
Building Inspuctor. Failure to comply with this requirement may
ruatuit in the uncovering of cha 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 time of inspectioa may
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installs—
cion. alteration or repair of an approved system. a new proposal must
bu submitted co the Quuunsbury Building Department before further
construction.
•
. Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Nay/land Roads
Queensbury, New York 12804
I omarks:
•
•
1 --
t •
_loom o/ Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road; R.D. 1 Box 98
Oueensbury; New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME C'l\CCA'N'CN ej, rn, -0_
LOCATION 17) pre-s ,t `f-4
DATE 7 / PERMIT NO. O ) — L� 7 3
SOIL TYPE i . - 'Loam - Clay -
Percolation Test Required? YES
Percolation rate Min/Inch
TYPE of SYSTEM:
Absorption field,jtotal length
Length of each trench
Depth of trenches •
Size of gravel 1
SEEPAGE PITS{Numbr of) '/
Size- ft. X i,. ft. /
Gravel size
PIPING: Size"
y e
Bldg. to tank i
Tank to dist. box
Dist. box to field/pit
• Openings sealed? XES NO Partial
LOCATION/SEFARATIOI S:k
Foundation to tank 1 ft.
Foundation to absorpt'ion 80 ft.
. Absorption to loft lined ft.
Separation 'of pits eft.
LOCATION OF SYSTEM ON 0ROPERTY(circle one)
Fran - Rear /Left side - Right side -
Ct ENTS:
f •
•
SYSTEM USE APPROVED YES NO
Bui ing Inspec or
01/86 and vl •
HowAAD A. CMAllifv614 Conipo ruts ceptCc, -v :Plofiu
I s Heliv AtfcK s• -r- 793-14 3 Co 1 .v-i,:.- gAbili T Aci - 79S--gY•va-
GueEn/sGui-y iv y i)40 y 0146013 /Cc9 I/S f/.. 'Y 1.1--e-C1
TOWN OF OUEENSBURY
RECEIVED
JUL 1 1991
BLDG. & CODE DEPT.
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3 B3),Q 61444e
T•WN . C71: QUEEN STUPY
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