Loading...
93-591 *1 CEr,TIFICATE OF COMPLIANCE TOWN OF QUEENSURY WARREN COUNTY, ' 1W Y001( Date 19 9 This is to certify that work requested to be done as shown by Permit No. 93-591 has been completed. This structure may be used as a septic system Location Seelve Road Owner Peter Johnson 13-3-24 By Order of Town Board TOWN OF QUEENSBURY • / Director of Building & Code Enforcement ' x BUILDING PERMIT ro TOWN OF QUEENSBURY N® 93-591 WARREN COUNTY, NEW YORK N w PERMISSION is hereby granted to PETER JOHNSON i' FA OWNER of property located at Seelye Road, Cleverdale Street, Road or Ave. 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 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. rn 0 1. OWNER'S Address is 1512 N Beecham Dr Ambler PA 19002 17J 0 rl- 0 2. CONTRACTOR or BUILDER'S Name ri 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name (� N (D N n 5. ARCHITECT'S Address cn 6. TYPE of Construction—(Please indicate by X) (D (D ( )Wood Frame ( 1 Masonry ( )Steel ( ) �C 7. PLANS and Specifications Septic alteration-engineered system to include 1250 gallon No. septic tank with absorption bed as per plot plan, speci- fications and application and in compliance with Town 8. Proposed Use Board Resolution. Septic system. o rr- N- 25 . 00 $ PERMIT FEE PAID—THIS PERMIT EXPIRES November 15 95 19 (If a longerperiod is required an application for an extension must be made to the Buildingand Zoning q PP inspector of the town of Queensbury before the expiration date.) (p Di Dated at the Town of Queensbury this 15 Day of 19 93 f H. SIGNED BY a, for the Town of Queensbury Building an Zoning n ctor I Oitaelliftit, TOWN OF QUEENSBUbb�� Z7292230 7 leAry APPLICATIOn FOR SEPTIC DISPOSAL ARMIT \c3 SEP MO DATE: of , Icr 3 fri ReCelVed CI; ,; oral.f - LOCATION OF PROPERTY FOR INSTALLATION eta C� — ,`E _jt % :-- �� r Owner's Name: ob + L. L vU- .; 1 .tiq?Ir 1 Address:26 nsulfa ... iv�j l .*(zemb,Aa.A ,y\.v. t2vt, t5,12)„0 , a,,, lic'z ii- 6 Installer s Name: pad" 3E4t0-eci Telephone: / 1 o Number of bedrooms (residential only) 73 Qx.15fino4 J u' ' r cf � 100 Total daily flow (compute @ IMFgal per bedroom) 4co crib'," feat Topography: Circle one: Flat ollin Steep Slope % of Slope 1 Soil Nature: Circle one: ilITO . Loam Clay Other /Depth: Ground Water: At what depth? RofpvicoodiarAFeet Bedrock or Impervious Material : At what depth? e®l. etvCC ur1 e VQc Feet Percolation test: Circle one: not required retire Rate - 19 Min. Per Inch Domestic water supply: Circle one: Municipal Well Other e. t t L- If domestic water supply is a well : Separation: Water supply from any septic absorption (C feet. Q k,e4 PROPOSED SYSTEM: Septic Tank It2.50 qal .,, (minimum size: 1,000 gal ) ,l 2 �L,�/�Q / & W BED See, � ctc, e ct i mow/ TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used #. 2, /Depth or Thickness 1.7 as ***************************** HOLDING TANK SYSTEM IF REQUIRED L) /A 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 PERSO . ''��' DATE: 2cC - -A_ ig - Cl ;1, ��-1 4 Mg £ ,,,- tOlitittC)OR System Inspections: A. All app t4tione for septic system installation. alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted co 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 distanc'eco structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywalls B. No system shall be covered before" inspection and approval by the Building 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 say result in an immediate work stoppage. D. Should unforeseen problems ,dur.ing 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 kenwrks: ,. TOWN OF QUEENSBURY BUILDING .& U DE ENFORCEMENT z 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Av7.01, —. Name 9 € e / Location f/e.( dg/ Date /�/ /l/"!/ Permit # 7,5; S9/ SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? legs No Partial LOCATION/SEPARATIONS:_ Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM;-ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: ,' �oV6D\L--l v?-Ef fir, -- c Q___i k 'vPi-k-am, ?\. SYSTEM USE APPROVED- 411110111W.1. Arrived: \c v1=7 Departed: Buildi spe cto COMMONWEALTH ELECTRICAL - -- Main®Rice H Elwyn CTRICAI,INSPECTION SERVICE,545 M wyn Terrace _ Manheim,P ERVICE'INC. AL CEO d `ICATE ELECT IaPP Panel Bc>ard ELECTRICAL APPROVAL No... Owner.... cert. ® 3 3 3 4 7 Cut-in Card No....... • —s Occupant...... f° Location....0 te-z ©........... .. ..... ...... ... .. ... ... .. .. .. Installation .� `L Consisting of...�3G�ZCf�—'� ... • a:.LC���1 ........................................ . The conditions folio issued is cancelled:— This .. .. ..................... . wing governed the ' "'.•••••••This certificate only issuance of this Lic• #........ erti..........revi....... the introduction Y covers the certificate inspection, n of additional electrical e and any certificate nrs equipment equipment and ' Previously Inspectors of this Company or alterations, installation conditions rules violated,the pant shall application as f n shall be of date, U Date are /ol� Company shall have the riprt to revokee of making Promptly made fon - right to g inspec .! hi er 'fie' /s at any time, . INSPECTORand if its Member N.F............. P.A.,1•A.E.I•,:..... TOWN OF QUEENSBURY p,x,BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPT C D SPOSAL SYSTEM INSPECTION Name t eht Location (;QP,dJL_r$((Le Date qht/Qy Permit # 3-5 4 / SOIL TYPE: Sand- oam-Cl ay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Lengt iz Length of each trench Depth of trenches Size of stone 3 SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Typerxa Bldg. to Tank o. a4i �f Tank to c-CWi a- '1-{ ti Qxv D rst:-BSA to Field/P 1 I !-t L-t qi 44,) t'` peni ngs Sealed? Yes o Partial , LOCATION/SEPA' TIO : Foundation to Tank feet F. • ..ti on to Absorption feet ation of Pits;, feet ,,, erns as per Pi of Plan Yeses No b LOCATION OF SYSTEM OW PROPERTY: (circle one) Front - 'ea Left Side Right Sid Middle Front,. Middle Rear COMMENTS- i = t .� \©Z Tt4 a SYSTEM USE APPROVED: YES Arrived: '3: Departed: ui ding nspe