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SEP-0207-2018 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: SEP-0207-2018 Date Issued: Friday, May 4, 2018 This is to certify that work requested to be done as shown by Permit Number SEP-0207-2018 has been completed. Tax Map Number: 303.20-2-13 Location: 65 BOULEVARD Owner: Tree Care by Stan Hunt Applicant: Tree Care by Stan Hunt 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 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. �� S TOWN OF QUEENSBURY ii , idi. ' 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 ,, Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: SEP-0207-2018 Tax Map No: 303.20-2-13 Permission is hereby granted to: Nims Outdoor Services Inc. For property located at: 65 BOULEVARD 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: Jimmy Hunt Septic Disposal-Residential • $0.00 Owner Address: Total Value $0.00 Contractor or Builder's Name/Address Electrical Inspection Agency Nims Outdoor Services Inc. 1546B State Route 196 Fort Edward,NY 12828 r Plans&Specifications Residential Septic Alteration $ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,May 1,2019 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the ex4piration date.) Dated at the To of Que sb T.e;d./ b. 1,2018 / 1:SIGNED BY: 'l; \, for the Town of Queensbury. Director of Building&Code Enforcement i SEPTIC DISPOSAL PERMIT APPLICATION Office Use only --_-., 742 Bay Road,Queensbury,NY 12804 Tome of Queensbury P:518-761.8250 www.queensburv.net Permit#: r • 0 2_0 1- -2.-.0 16 Tax Map ID#: 3O.�i,cS()---(9— Permit Fee:$ 1-5 ; Invoice#: 8 • Project Location: (05 ttje a.r-mil aurpnsh,r/AN Septic Variance? Yes 1✓ No Primary Owner(s) lee gre y cf an / I//- - 1 �_____ Mailing Address 5 J7 � a: J 130alevarei aide-fib-bury N I�/ ie9804 M_11 1 $ i_,co Phone & Emar)40 / (- /8- �9.9-(Jo0- i /�(-iv rns&nhc s5er"v'Ieeg.(°0onl �. I co I 1 Installer/Builder i cv i:t �3 Mailing Address /5-;/49 deft-. R /'7 le , kt,it acy P, NY / 8,98 i I cr, c 1 Phone & Email � �'-�- /13- 7H7-599IICM yr►s&pim soorvi es.00� 0 �?- IO�1 Engineer 14 1 rout I ' I s g nn2ilino nCldreSS — = -�_ -- —4 -----�_ - Phone & Email N/,4 Contact Person for Building&Code Compliance: Chas /V ms Phone: 5/8-,9,39- 5-0 j RESIDENCE INFORMATION: Year Built Gallons #of bedrooms X gallons per =total daily flow per day bedroom Garbage Grinder Yes (moo 1980 or older 150 3 Installed? (circle one) 1981-1991 130 -- Spa or Hot Tub Yes (No — Installed? (circle one) i 1992-Present 110 PARCEL INFORMATION: Topography X Flat Rolling Steep Slope %Slope Soil Nature X Sand Loam Clay Other Groundwater At what depth? Bedrock/Impervious material At what depth? Domestic Water Supply X.Municipal _Well (if well, water supply from any septic system absorption is_ft.) Percolation Test Rate: per minute per inch (test to be completed by licensed engineer/architect) „.t PROPOSED SYSTEM FOR NEW CONSTRUCTION: -Tank size IMO gallons (rain.size 1,000gallons,adci 250 gallons for each garbage cylinder or spa/hot tub System Absorption field with#2 stone Total length-95C) _ ft.; Each Trench; -ft. Seepage Pit with#3 stone How many: 0 ;Size: N i 4 Alternative System Bed or other type: n{ 1 Holding Tank System Total required capacity? ippp© ;tank size,1joOO ;#of tanks I 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 and approved. The installed system must match the septic 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 known 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. --- .0 //r PRINT NAME: /1"--rI' A)// `� _,i4e 9 V ( DATE: '00 �/ j SIGNATURE: kt____.\\Sta.141AAA DATE: - l` r Town of Queensbury Building&Code Enforcement Revised March 2018 Page 1 of 1 FILE COPY 4***101111111111111 Fitt d ` f. h' TOWN OF QU S �' R BUILDING & 'O, ', a .-7 I Reviewed B • Lei Date: IL1I1 ,-,-2: r77: ,,,,,,,:,,,,, , . ,. , ,, __dr_ if s x ,,,,,,,„.,,, ,„..".-..„..„ - _ ,,, . " � ...,,,,, ,„ . , . ,. ,... . ... -, -. - -# . , .. „. . , iiiiiP' ',!--::: _ ,,, -' ,.. iiit„,,,,,,., - ,,,t _ ' ,....,.. . , ,, . .. .A. Ak ''Y - ,,.. . 4 s. . _ . _.... . _•... / -..... i - z x 40 '`d ,- ,/ / q II LD IA 0 0 cn 4 ? h•.: ::: ' APR 2 ;R ., BUILD 2 tla& CODE-.‘, .' ccw O W M Google Earth 303.20-2-13 SEP-0207-2018 Tree Care by Stan Hunt 65 Boulevard Residential Septic Alteration :rosoft/Windows/INetCache/Content.Outlook/X... 4/30/2018