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1996-443 ...--===.1 . _ _ CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 24 19 96 This is to certify that work requested to be done as shown by Permit No. 96443_ has been completed. This structure may be used as a SEPTIC ALTERATION Location 204 SEELEY RD. __- Owner LECCE, LUIGI & CHRISTINE By Order of Town Board TAX HAP NO. 16 . -1- 28 TOWN OF QUEENSBURY _______ _S:)AP<-- Alrk'li. Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY 96443 TAX MAP NO. 16. -1-28 No. WARREN COUNTY, NEW YORK LECCE. LUIGI & CHRISTINE PERMISSION is hereby granted to 204 SEELEY RD. OWNER of property located at Street,Road or Ave. SEPTIC ALTERATION in the Town of Queensbury,To Construct or place a 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 1131 MOHEGAN RD. NISKAYUNA. NY 12309 2. CONTRACTOR or BUILDERS Name QUEENSBURY SEWER 3. CONTRACTOR or BUILDER'S Address JAY SWEET MOBILE PHONE#744-0028 0 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) SEPTIC ( )Wood Frame ( ) Masonry ( 1 Steel ( I 7. PLANS and Specifications SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS No. 8. Proposed Use SEPTIC ALTERATION 25 July 22 98 $ PERMIT FEE PAID—THIS PERMIT EXPIRES 19 (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.) 22 July 96 Dated at the Town of Queensbury this Da 4 19 SIGNED BY for the Town of Queensbury Building and Z I ctor Application for SEPTIC DISPOSAL. PERMIT O • STAMP RECEIVED O Location of property ,r installation: f`e a J'- pT'j Owner's Name 0 LA I C C 'It !'1'N MltER p Owner's Mailing Address: S. E-: Li VO, a c' trl. r rEF. pm') ......„, Z Installer's Name: Phone #: g ZY 1' , tizi Number of bedrooms (if residential): 3 ` !c '`C Total daily flow (residential -compute 0 150 gal. per bedroom): "topography: ( 1 flat (VI Rolling I I Steep Slope % of Slope Soil Nature: ( Sand WI Loam I I Clay I Other /Depth: Ground Water: at what depth? feet Bedrock or Impervious Material: at what depth? feet Percolation'Pest: [-I Not Required I I Required/Rate 5- min. per inch Domestic Water Supply: I I Municipal I I Well ( A Other L.4.4.4,_ 6.;,--i-t ,e. If domestic water supply is a WELL: water supply from any septic absorption is feet PROPOSED SYSTEM: Septic tank?/ er-0-13 gal, (minimum size: 1.000 gal.) ). 'tile Field: each trench G 0 feet. / total system length tcetf R i,.,, Seepage Pit(s): number of / size each: - ft. x ft. re- Size of stone to be used: # / depth or thickness feet. HOLDING TANK SYS'IEM: (if required) Number of tanks: - Size of each: gal. Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Code oldie Town of' Queensbury, any permit Or a p prot'al granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an a ppliccurt, shall be void. 1 have read the regulations with respect to this application and agree to abide by these and all requirements o f the Town o f Qucenshury Sanitary Sewage Disposal Ordinance. r Signature ofres ronsib"e person: c � 1 Date: 7.---1 1 i 5' -' A. (f ' ,(-1 (518) 761-8256 TOWN OF QUEENSBURYla BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 4 - ali) t INSPECTOR'S REPORT: ARR / DEPAR IN 44 t REQUEST FOR INSPECTION RECEIVED: NAME ,11-06 LOCATION 1E11401‘ #4"?6 DATE lim PERMIT I ~ 44r TYPE OF STRUCTURE: ZS, ,4i0.. RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM , REINFORCEMENT IN PLACE _ THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING _ PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS _ BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM IR INFILTRATION BARRIER EATING ROUGH-IN �j_ INSULATION: r�ik�l L FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R / ,... - WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- _ Pg©e /2 0 61.)\ _ ®i 5-r OK --1-, - uc-f k ' z_R TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name jeee•& Location _ Z%� MD Date 76 4 6 Permit # #? SOIL TYPE: Sand-(;Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIE Total Length Length of e' t ench �� 443- Depth of tr the Size of s n '7, / SEEPAGE TS: Nu ber- Size - f . x ft. Ston size PIP 6: Si ea �� B g. to Tank ank to Dist. B x 2242 6) Dist. Box to Field/P' Openings Sealed? s No Partial LOCATION/SEPARATION • Foundation to Tank 0 feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan go No LOCATION OF SYSTEM ON, PROPER (circle one) , ,, Front - Rear - Left Sid: - Right Side Middle Front - e Rear COMMENTS: Stocr6 — pouo 5r,cr,oAI— O(c 1- t&c. A U 7 cf/Y SYSTEM USE APPROVED: YES NO ,30 Arrived: //' Departed: miry 10 Building Inspector TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name tette- Location - e4e„ Date 7/746 Permit # 9- L-13 SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total L ngth Length of each trench Depth of trenches Size of stone ` SEEPAGE PITS: Number- Stone size PIPING: Siz Ty e Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No tial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot P1 an Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: ( , - � � ,c,� i G,ne- � 6 SYSTEM USE APPROVED: YES NO Arrived: trtXr Departed: Building Inspector