BOTH-000319-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000319-2015 Date Issued: Friday,November 13, 2015
This is to certify that work requested to be done as shown by Permit Number BOTH-000319-2015
has been completed.
Tax Map Number: 309.6-1-58
Location: 20 HARRIS ST
Owner: Melvin Cowles
Applicant: Morning Star Septic
This structure may be occupied as a: Residential Septic Alteration
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the n
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000319-2015
Tax Map No: 309.6-1-58
Permission is hereby granted to: Morning Star Septic
For property located at: 20 HARRIS ST
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Melvin Cowles Septic Disposal $0.00
Owner Address: 20 HARRIS ST Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Morning Star Septic
107 Jewell RD
Gansevoort,NY 12831
Plans&Specifications
Residential Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,November 6,2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensburybeforethe/y�xpirattiion date.)
Dated at the To f Quee ry { / // T r vember 12,2015
SIGNED BY: (wM.'XI/ /d for the Town of Queensbury.
Director of Building&Code Enforcement
BOTH 000 319-2015
SEPTIC DISPOSAL PERMIT Melvin J. Cowles
20 Harris Street
DA TE l- 17�- ( s Residential Septic Alteration
TAxMAP ID �O / •l(/ -� y✓a Permit No. WTD 5H_du1a- -
n Permit Fee1 n✓u�Le... *99
LOCATION OFINSTALLATION _ d� 1'>v✓+A� ST Qi...aa.,,, Approvals:
ii
APPLICANT / t':N�A'i.v(� STtN- PHONE/E-M - _... - j
ADDRESS c� o s% cn �1. = NOV 12 2015 U
INSTALLER/BUILbER: % S PHONE/E-M IL '3 SCj'r EENSBURY
�f(7'! '^
ADDRESS: Ltl7 -'G[AInELL
OWNER - Vol- ( M>'a>,//I J CAW�� PHONE/E-MAIL 339 -Aal M111
Address p'o Ho,v,iro 5T Q ,u.y-
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE, '
RESIDENCE INFORMATION
Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow
1980 or older 3 / s-o y s p Garbage grinder installed _Y �6 N
1981-1991 Spa or Hot Tub installed Y A N
1992-Present
PARCEL INFORMATION
Topography _Y,Flat rolling _Steep slope _%slope
Soil Nature -.6,Sand _Loam _Clay _Other
Groundwater At what depth? 6 r -!-
Bedrock/Impervious Material At what depth?
Domestic Water Supply -4 Municipal _Well(if well,water supply from any septic system absorption is_ft.)
Percolation Test Rale: per minute per inch(test to be completed by licensed engineering/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size /saa gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub)
System Type Absorption field with#2 stone Total length /BO ft.;Each trench G o" x_e
Seepage Pit with#3 stone How many: -;size
Alternative System Bed or other type?
Holding Tank System Total required capacity? Tank size #of tanks
Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical Inspection agency;2)We will no longer
allow systems to be covered until such time as an As-Built plan is received&approved. The Installed system must match the septic system
layout on file-no exceptions.
DECLARATION: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or
failure to make a material fact or circumstance know by or on behalf of an applicant,shall be void. I have read the regulations and
agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Print Name: Ona v Ar',- s Date: d- I% -!r
Signature: Date:
6
Town of Queensbury Building&Codes Principal Structure Application July 2014
518-793-2290
Fax# 3-2115
498
' Aj4 E-mail:morningstarseptic@hotmhotmail.com
www.morningstarseptic.com
lwCt`Mllf'�TM� �� RYICiEI
Date: 107 Jewel Road,Gansevoort, NY 12831
TO: f1F� CM
FILE COPY
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SEPTIC PLOT PLAN
I SEEN OR OBSERVED ALL OBJECTS Date:
SUCHA S HOUSES, WELLS,TREES, FENCES, ETC
SHOV ON THIS DOCUMENT.I HAVE PERSO ALLY
MEAS EtT NGESCFf(3 T 'i M
SIGN TURE _ DATE
VG�
BOTH 000 319-2015
Melvin es
20 Harris Street
Residential Septic Alteration
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518-793-2290
A Fax 3-2115
I�u `i 9'] � E-mail: momingstarseptic@holmhotmail.com
www.morningstarseptic.com
SPTIC SERVICE
Date: I 107 Jewel Road,Gansevoort, NY 12831
TO:
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