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92-511 "4 , • '" - ' •L'N. CERTIFICATE OF COMPLIANCE TOWN. OF OUEENSBURY WARREN COUNTY. NEW YORK Date August 21 • 19 92. • This to certify 'that work requested to be done as shown by Permit No. qp...511 has been completed. ' This structure may be used as a septic system Location 237. Fifth Street Ext. , Owner . RobnAldWolfe By Order of Town Board TOWN OF QUEENSBURY Director of Building A Code Enforcement . . - RIWW.1.11 CRWR.I. 5 .nr•-•.nr-ww•-• ••••nn. (( • s3 _,/(f T - 'ENSBURY APPLICATI 14 'i �h tOSAL 'PERMIT Permit # rst/ Fee Paid lc ° AUG 2 01992 Date: "-: q-c _ :Reviewed By QOM LOCATION OF PROPERTY FOR I ''*''"LLA DEPT.?7 �� 7 �'7t�<•�l gy ' Owner's Name: R©ne.1.d &4Lfe_ Owner's Mailing Address: 2 37-. jt „fir-cet Eiet cMy. Installer' s Name: 1 Ur7yt_ )j-ci1i Phone #: 79. 81/517/ Number of bedrooms. (if residential ): 2, Total daily flow (residential-compute @ 150 gal . per. bedroom): 300 Topography-Circle One: Or Rolling Steep Slope % of Slope Soil Nature-Circle One: imp, Loam Clay Other /Depth: Ground Water-At What Depth? ``7 0 . Feet Bedrock or Impervious Material-At What Depth? "9 Feet Percolation Test-Circle One: 41ot Require Required/Rate ' Min. Per Inch Domestic Water Supply-Circle One: icip? Well Other If domestic water supply is a well - . Separation: Water supply from any septic absorption 1P.09 feet PROPOSED SYSTEM: Septic Tank . ,/000 gal . (Minimum size: 1,000 gal ..) Tile Field: Each Trench feet//Total System Length feet Seepage Pit(s) : Number -of J / Size each: . 'T ft. x /O ft. Size of Stone to be used: # / Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size Hof:Each 17113 Gal . Alarm system and associated electrical work to be inspected by a certified '` 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. f/ SIGNATURE OF RESPONSIBLE PERSON: e �--- yC %'�? DATE: ...,/ -y 2 ;, • • • t Septic System Inspections: A. All applications for septic system installation, alteration or repair, as requirddi by, the' Town of Queensbury Sanitary Sewage Ordinance, shall be subm;itted Ab 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 distance to structures 4) location and distance to any water supply 5) 'size and dimensions of all tanks, distribution boxes, tile fields and/or drywells 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. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan 'at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, 'alteration or repair ,of an approved system, a new proposal must be submitted ; to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcement Department • 531 Bay Road Queensbury NY 12804 • Remarks: • _ T,rarr •a.zn .•n^.."+P9':��:,.dear..+ns4nm9r'rs'rxr. .+:11.Ver eirk,�2,sr..iourtnp'M't•:.7,4,R<!1.....is - •••- •`-M• wn+t++rwwhnvs*�.s>w!.++c-.'4u.waaai:ro+eea+ow�"�wnn'..=u.la�'zr..o:r v..:s.r�axr:,wr��•.-,�,••Lrvswn.mm�roaran�+a:r 'Y v..,m+Ks1. "PR .�-a..+• '.`� .c..""s,,•�„oypyevn¢Lh4E,-. / - p '+.- ,.,.., bf•+W4cs 'ivaY.LruY1G.12M1x}rM'IuvxW' j t' fti� fFa .` ,.., 141 J li. I i { 1 fir' a� :a.x % Ajt ti • +i ?�5S cwnagar wr:Jr::A c.:7+�.•..war>t. r l� a c h..nu r. Sit" '`"t -" .. id ,. - � . 4 . i � � 0csa �: i. • . . . \ - i p,,z,{;;' ��\„ , , ` 1 ..tr ,-.•-,-.:....,;.e.7s..sr..ow.:..:tbsr..-4.4..-R:�_.?:s.,aawcUsd.e. ra:.ii5:' 4":.:a1rib:R '+r::aweL ti 1 1,:.•:7iartYa.:rfjm]4� li I . • ,,•. • . TOWN OF QUEENSBURY 1. ri • BUILDING CO j'S DEPT. • REVIEWED BY , , DATE g R. Z---_ F, .{KFprr_ii'Cta" .•,nvevra,o,rv,+q•a.xivm .e.se.+oeo..iur..- ..K�+m+..o.,,.m.- .. ... ^.rt<yry.+n.,:F: c: ..,�.ra,v-.w.+;a.�o.r:,+aa.:...:,.....,-... /m,—., .'",--An .. .. .. . �CVa,,,,,'.-•,nM1h^.'.:H?,,,,,4li,i-,,,, ,`,vM:.,,,,,ly'i,,,,.<C:.TITMYd'S,„,o,„T4F.^KM Nru. .- :ir!:,WN,....(IMJ.......-i..rotr.a}_.e-..L_.JRN,,,,:.„V+sr !.,...r+'ie✓✓wM.") b .n..nw,.. ,m+.,W.K..«-i'hV,t.+tVnpn:.^ave++✓w✓lnaa>.sCti1bHY.'.'�+1`Y,u,?�ctic]trvw:C.Afa,b.sawitiv:.ranr:.v<,.+iCpyxfFM+'_.4�v"ti�a fj ��.y J3 (f p y .a., v wx ..,.-w.nrv...eswn. «z.na'>.-.say-w.aa,.v..V+.a-••«...sn • .�.-.•.N•.�,r. - +�..wb«.:•.�"�' 3 7 $jA i; 1` ,ta. �''�' , BUILDING PERMIT X TOWN OF QUEENSBURY No92-51111.5 o WARREN COUNTY, NEW YORK - f r PERMISSION is hereby granted to RONALD WOLFE OWNER of property located at 237 Fifth St Ext Street, Road or Ave. in the Town of Queensbury,To Construct or place a Septic alteration m at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. - O a 1. OWNER'S Address is Cs same • 2. CONTRACTOR or BUI LDER'S Name Ivan Bell c.) CPI c$ 3. CONTRACTOR or BUILDER'S Address m' cn c+ 'S CD fD ct• 4. ARCHITECT'S Name m x 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( 1 Masonry ( )Steel ( ) 7. PLANS and Specifications No.Septic alteration including one 8x10 seepage pit with #3 stone 8. Proposed Use cn Septic system `* a $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 21 993 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ct town of Queensbury before the expiration date.) o' Dated at the Town of Queensbury this 21st Day of August 192 SIGNED BY for the Town of Queensbury Building and Zoning Inspe or ' 10)97 . _awn o1 Queen i urcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 7/4,C2_. LOCATION ?3 7 o. Voe 4./ DATE 600 9%PERMIT NO. 9?-- ./ SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches ' Size of gravel 9 SEEPAGE PITS4Number of) 0 Size- ft. X /6 ft. 1 / Gravel size , -t i / PIPING: Size Type Bldg. to tank 4 Tank to dist. box if Dist. box to field/pit -1 / Openings sealed? YES \NO /Partial LOCATION/SEPARATIONS: i Foundation to tank a ft. pj_: Foundation to absorptio ft. 9(�'(—' ' Absorption to lot line \ ft. Rm./ Separation of pits / It ft. LOCATION 0 SYST ON OPEFLTY(circle one) Front - Rem - Le side`) Rig A1i J ht side - COMMENTS: 6G 5rb, t C TA Ali ewv&Y- BAtPf 1' ,9 j A/W. l S 0,11 0 I _ SYSTEM USE APPROVED YE N Building Inspec or 01/86 and vl