1991-848 r ,
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ,,(l,44M,t✓.�.GA //99
36\ —L3
This is to certify that work requested to be done as shown by Permit No. 91 8 .1
has been completed.
This structure may be occupied as a Septic Alteration
' fl1 Sitwrynotn �
Location few, 119C". TLA11411 ow. R
Owner Carl Grasso
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-848
WARREN COUNTY, NEW YORK O
PERMISSION is hereby granted to Carl Grasso
OWNER of property located at Taylor 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
RD#6 Box 196A, Taylor Rd
Queensbury, NY 12804
2. CONTRACTOR or BUILDER'S Name rn
O
Sanitary Sewer
c)
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
O
5. ARCHITECT'S Address
N
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( ) n
7. PLANS and Specifications
CD
No. Septic Alteration to include: 200' of tile Field using #2 stone, 1'
Thickness as per plot plan specifications and application
8. Proposed Use
Septic Alteration
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 10, 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 rlat D f De ber 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning In ctor
472/ —./ TOWN OF QUEENSBURY 1
t /�' 02 APPLICATION FOR SEPTIC DISPiaL PERfIr Ikv ,: .
-
up r219 9( 91991
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LOCATION OF PROPERTY FOR INSTA LATION t,. .
.,,fJ-,. (A aiU �.
Owner's Name:, ``4 0 4,- '�
Address:R 1.1 1, Bei.Z /.6, rt_ /o
Installer's Name: (1A,c, i 7- , .L'_u� Telephone: 7 9,..) - 7,)s--.7
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) gi-D
Topography: Circle one: • Rolling Steep Slope % of.Slope
Soil Nature: Circle one: 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: Municipal Well Other
If domestic water supply is a wel .
Separation: Water supply from any septic absorption feet.
(&( 7- / Pc )
PROPOSED SYSTEM: Septic Tank I O o cD gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench 613 feet/Total system length O 13 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #. /Depth or Thickness / feet
, **********,fir************,ant***
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 PERSON:_. G,t,c.Cs(, ., DATE: /' '9-?,
C
- .m
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 co the Building Department at lease 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system
2.) location and distance co lot lines
3.) location _and distance to_ scructures __
4.) location and distance co any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields and/or drywalls
B. Nu 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 co produce said plot plan at time of inspection may
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted co the Queensbury Building Department before further
construction.
•
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
_ _ Quesnsbury_,-_New York_ 12804-_ _ __ — _ _
R..marks: :.
/430
. own o f QueentuCty_
BUILDING and ZONING DEPARTMENT,
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION '
NAME CD K'a CC()I C CoA
LOCATION v,; C v Q�
DATE / ,,� / // PERMIT NO. Ci/'#4 R
SOIL TYPE -(an - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length �P1a
Length of each trench 5
Depth of trenches 3.97/
Size of gravel
SEEPAGE PITS4Number of) ' / -
Size- ft. X ft. I
Gravel size -
PIPING: Sli�z� Tgpe
Bldg. to tank: Tile
Tank to dist. box Ij n
Dist. box to field~ pit )r r j/Cj
Openings sealed? YES NO Partial
LOCATION/SEPARATION :
Foundation to tank ft.
Foundation to absorp Lon ) ft.
Absorption to lot lice 3) ft.
Separation of pits , ft.
LOCATION a SYSTEM tN PRIPERTY(circle one)
Front Left side Right side -
COMMENTS:
SYSTEM USE APPROVED tip NO
.10
Bui ing In ector
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