2002-091 TOWN OF QUEENSBURY
row742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20020091 Date Issued: Wednesday, February 13, 2002
This is to certify that work requested to be done as shown by Permit Number P20020091
has been completed.
Tax Map Number: 523400-279-019-0001-020-000-0000
Location: 52 JENKINSVILLE Rd
Owner: PAUL &ESTELLA REDINGTON
Applicant: PAUL &ESTELLA REDINGTON
This structure may be occupied as a:
By Order of Town Board
Septic Alteration Residential TOWN OF QUEENSBURY
rateisit4A4
Director of Building& Code Enforcement
TOWN OF QUEENSBURY
Floc 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020091 Application Number: A20020091
Tax Map No: 523400-279-019-0001-020-000-0000
Permission is hereby granted to: PAUL & ESTELLA REDINGTON
For property located at: 52 JENKINSVILLE Rd
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 Value
Owner Address: PAUL & ESTELLA REDINGTON Septic Alteration Residential
52 JENKINSVILLE Rd p
QUEENSBURY,NY 12804 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
I.B.S. SEPTIC
2 LOWER WARREN STREET
QUEENSBURY,NY
Plans & Specifications
2002-091
SEPTIC ALTERATION AS PER APPLICATION
$25.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Monday,February 10,2003
(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 expiration date.)
Dated at the To n of een ry• S i a , February 10,2002
SIGNED BY 'V 4 for the Town of Queensbury.
Director of Building&Code nforcement
t Application for Permit- Septic Disposal System
Town of Queeiisbii;y 742 Bay Road Queei:shtiiy,NY 12804 (.5113) 761-8256
1. OWNER INFORMATION:
Office Use
Location of installation: -----Te ,,,. (c
File Permit No •o c2 — 07/
Tax Map No. / /
�.. ?4, Fee PaidOwner's Name: 5 / c (& ,�` � 7 tt/`
Address: 4-5.d Tic A? /{ g*
e (c
2 INSTALLER'S NAME : 0, c c qv, C PHONE NO. /t- k-/9 V
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate II bedroom() and multiply II of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Ye r of House: No. of Bedroot is x Cot» utation = Total Dai
Ply/ED
. 1980 or older x 150 bal/bdrn i = 0 O FEB 0 7 2002
1980— 1991 x 130 gal/bdrm
• 1 r i� = TOWN OFO` lt UR
1991 present x 11 U t,a/bci � 1-,
•
Garbage Grinder Installed yes / no
Spa or Whirlpool installed yes / no )•"
4. PARCEL INFORMATION: (circle applicable information &indicate measurements)
..... - ra ii ,g' ` ur_e__._.._...•Qr_Qutid Water Bedrock or Impervious Material Domestic Water Supply
Mat diV
xiAdepth at What depth1 , ja4paI
ling in filet /1 , eet wall
Steep slope clay ' well; water supply
%slope other from any septic-system
depth: absorption is XI 0 Ji.
other
Percolation t: (To be completed by licensed professional engineer or architect)
. Rate minute per inch
.
5. PROPOSED SYSTEM: For New Constniction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: .i / gallon(min. size 1,000 gal)
Tile Field: each trench 3 0 fl. Total System Length: S.. ,11.
Seepage Pit(s): number of size(leach: ft. by ii.
Size of Stone to be used: tt __ c;) / depth or thickness_ _feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
• / Size of each: gallons /TOTAL Capacity: gallons
Number of tanks:
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SI
GNATURE &INFORMATION FOR RESPONSIBLE PERSON (please read)
rotection please note that pursuant to Section 136-29 of the Code of the Town
For your p �of Queensbury,any permit or approval granted which is based upon or is granted in
reliance uponmaterial misrepresentation or failure to make a material fact or
any
circumstance known by or on behalf of an applicant, shall be void.
I have react the regulations respect i with ect to this application and agree to abide by these and all
1 a
re uirements of the Town of Queensbury Sanitary Sewage Disposal osal Ordinance.
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FEB 0 7 2062
TOWN OF QUEENSBURY
BUILDINCI AND CODE ,
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SIGNATURE DATE
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location ...5.L.ME,..\yototi)
Date Permit # 2/x2,--091
SOIL TYPECiirIE92m-Clay-
Results of Percolation Test-
(if applicable) Rate-Min e/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Le gth V3z1 ...
Length of each trench
Depth of trenches i
...„. ,..
Size of stone 4, _
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank _________
Tank to Dist. Box 0pm ,
Dist. Box to Fie d/Pit t, 1,3 . 6 i PF.
Openings Sealed? Yes o Partia
LOCATION/SEPARATIONS:
Foundation to Tank VD feet
Foundation to Absorption .......222> feet
Separation of Pits 7
Conforms as per Plot Pla es;; o
LOCATION OF SYSTEM ON RIPER Y:
(circle one)
Front - Rear Left Side t Right Side
Middle Front - Mid. e Rear
COMMENTS:
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SYSTEM.USE APPROVED: N
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Del .rted: 16Apb,
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