1991-866 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date - December 31„ 19 91
This is to certify that work requested to be done as shown by Permit No. 91-866
has been completed.
This structure may be occupied as a Septic Alteration
Location 7 Vista Court
Owner Michael Letizia
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 91-866 �°
WARREN COUNTY, NEW YORK o
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PERMISSION is hereby granted to Michael Letizia
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OWNER of property located at 7 Vista Court Street, Road or Ave. o)
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. r
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1. OWNER'S Address is N
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Same
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2. CONTRACTOR or BUI LDER'S Name 0
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Sanitary SEWER
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3. CONTRACTOR or BUILDER'S Address -+.
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4. ARCHITECT'S Name en+
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) y
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( )Wood Frame ( ) Masonry ( ) Steel ( ) (1)
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7. PLANS and Specifications p
No. Septic Alteration to include: 2 seepage pits each 8' 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 fecember 27, 19 92
(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 2 th Day of December 19 91.4,,, /
SIGNED BY , for the Town of Queensbury
Buildingand Zoning Inspector
OF QUEENS
�1+► TOWN OF QUEENSBURY REC ERFED
APPLICATION FOR SEPTIC DISPOSAL PERMIT_
►��_ 27..1991 _
J �. CODE DEPT.
OF PROPS TY FOR �� —
LOCATION INSTALLATION 7 ���?Y� T—
Owner's Name: /CI ,4-&(-- G ,-r/ 2 G, -
Address: 7 Vi 74- C
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Installer's Name: /}/✓/ j, vz, Ls.,r__,/ Telephone: 7,a - 70k 7
Number of bedrooms (residential only) 1 .
Total daily flow (compute @ 150 gal per bedroom) 2/5-0
Topography: Circle one: Fla- - Rolling Steep- Slope % of Slope
Soil Nature: Circle one: San Loam Clay Other /Depth:
Ground Water: At what depth? Feet
Bedrock or Impervious Material : At what depth? Feet
Percolation test: Circle one: , it required required
Rate - Min. Per Inch •
Domestic water supply: Circle one: unicipal Well Other
If domestic water supply is a we
Separation: Water supply from any septic absorption feet.
(EV
PROPOSED SYSTEM: Septic Tank 10 O gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length feet
SEEPPAE PIT(S): Number of /Size each feet
by d` feet
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 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: DATE: / a 7 ` /J
1
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 co structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields andior drywells
B. Nu system shall be covered before inspection and approval by the
iuilding 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 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
Queensbury, New York 12804
humarks: :.
/60, /1(:_r_tV
awn oo QueenJbur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box"98
Queensbury, New York 12801
SEPTIC DISPOSALnL SYSTEM JCil LINSPECTION
NAME ��GVV 2-Y l 74A
LOCATION V I`s- Cam, k,
DATE /� /.,; % PERMIT NO. tf— (PCr2 '
SOIL TYPE - :ano - oam - Clay -
" Percolation est •equired? YES - NO
Percolation rate Min/Inc
TYPE of SYSTEM: _
Absorption field, ota length _---
Length of each tre c
Depth of trenches '
Size of gravel' ` - _
SEEPAGE PITS{N ;- of) ' 02 ,
Size- g ft: ' ft. ,i-d-
Gravel size i. •
PIPING: - Size Type
Bldg. to -nk r ,-4-
Tank to o'ist. box ; y g.,R -3 g
Dist. ..x to field, c '-'
Open'. gs sealed?it YE NO Partial
L• ATION/SEPARATIO S:
Foundation to tan •/ Ey.5 f' ft.
Foundation to absorption /S ft. C .k.)
Absorption to lot line to ft.
Separation of pits as ft.
LOCATION OF SYSTEM ON PROPERTY(c' one)
Front - Rear - Left side - fight side.
COMMENTS:
1
II
SYSTEM USE APPROVED NO
Bu ding Inspector
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