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historical information . . .__ - .___.-- r..•.�--o = 1--_ CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 3 - 19 9 9612 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be used as a SEPTIC ALTERATION . Location LAKE PARKWAY' f ' __.--� .--.of a c Owner BiRNLY , ARTHUR & ALLISON Fini By Order of Town Board o 2 o TAX HAP NO . 9 . - 1 - 14 TOWN OF QUEENSBURY Isi ' I- c : r 3rrr -- U' i Director of Building & Code Enforcement BUILDING PERMIT VALUE $ e TOWN OF QUEENSBURY No. 96125 TAX MAP NO. 9. -1-14 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to BIRNEY, ARTHUR & ALLISON LAKE PARKWAY OWNER of property located at 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 4846 VAN NESS, N.W. WASHINGTON, DC 20016 2. CONTRACTOR or BUILDER'S Name GRANT, DAVE 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by Xl SEPTIC ( I Wood Frame I I Masonry I Steel I I 7. PLANS and Specifications SEPTIC"-ALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION ,3‘ 0 Ct2174'16KIA $ 25 PERMIT FEE PAID —THIS PERMIT EXPIRES April 16 19 98 (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 I Dated at the Town of Queensbury this 16 Day of April 19 96 1 ' SIGNED BY 1 0 for the Town of Queensbury uilding and Zoning Inspector i I fk 9 it 0 „I . r • • 1 ©IN■IIIIIMI■ MIIIIER■■ - ■■ ■ll ■■■■■■■■■ I ■■■■■■11111111111•11111.11111■■= �il � ���ii.�■ 1111011111111111111111111•1111111111111101111111111111111 ■■■■ ■■:■���..�■■■■ I! ■■I N■■ara - ■■■■■■■■■■■■ m ■ ■U■I■ ■■■■■■■■■■■■ngEra ■■■■1 ■11■■11■I■■I ■■■■■■■■■■■■■■■■■■■■■11■■11■■11■1■■1■ ■■■■■■■■■■■■■■■■■■■■■11■■11■■11■I■■1■ ■■■MINI■■■■Iri■■ N■1■■■■■11■■11■■1 ■•111111■ ■■■■■■■■■■■IIMIN N1■■■■11■■11■■1 ■1611 ■ 11■■■■■■■■■■■■■ MM■■■11■■1I■■11■i■■1■ ■■■Iti cINAP■■■E■■i■■■■■■11■■1111■11■1■■1■ • IFIN■■ %P ■MO■■■■■■MO■/■/11111■■■■1■ .u■ ■ 21H■■■■■■■■■rr■■■■■■■■1 ■■■■■■■111111■■■11111■■r111MP III■■■■■■■■■■■1 ■■■■■■■■MMIE ■■r MINEM■■■■■■■■■ ■■■■■■■1■■0■v■ ■►EIMME3■■■■■■■■■1 ■■■■■■■I■■■■■■■■ ■111MA®■■■■■■■■1 ■■■■■■I■ I ■ � i.U■■■■■■■■I -` ■■■■■■■I■■1M ° v■■ = -■mm ■■■■■■■ ■■■■■■■1■■■■■■■i imam ■■■■■ ■I ■■■■■■■:■■ ' ERIE ■�■■ I ■■■■■■■■I■ ■■■■■■■■I■■■■1■ ; i ■■■■■ I 1111111111111M1 ■■■■■■■■■ ■■ I ■■■■■■■■■■■ ! ■■1 r ■■■■■■■■■■■■■■■■■■■11 i ■■■■■■■■I ■■■■■■■■■■■■■■■■■■■■ ciN ■■■■■1■ ■■■11!�1■■■■■■'. . , 11■■■I■■■■iiI■■■■■■■■■1■ '■ivi Ei■■a7ms:;r ■i■■■■■ 1111111111111111111111 ■1■P141■■MIS "'FORK ! I■■■■■ ' ■■■ ■I �■i■■ ■ t-id- °Ah! 1 .i uo - ■■■■■N■■■1■ I I ■ 11111111EIMEMEMZ=Mirrlommimunimmam ■■�i� lqiE01111111E11111111111MIIIII I i ■I ■11■ffMM : , .;.1■U11■■■■■■■■■U,MEEMORIIIIMI 1111111114514111111111111111Mlini ■ 11111161emmullflEMIIIMMitn.,,111111.11111111111111111111111 r ni,i,l;<<,t;(,,, < r SEPTIC DISPOSAL PERMIT O SEAM' ltl;(•1?1vt91) 7 (' v. - l - PO I o ation of property lot instnihition: Lake Par kule1, ASSct. Pi- O Owner's Nnnu• _ r+ ur _ A %rnc�t �1°ItMI l NltAt111 It y8y1. Jon /1/rt55 SF. Ai.IV Owner's htnilinl; Address: __ ►.4.J4 ,i n -to n a--D-C• cZ O t3 I(p 1`L1/1 tri t3 t 1,11W. t'AII) Installer's Name: DClk/G_ Gran* Phone #: 4 L8- ` 8.68 — v) Cri LiNumber of Itcdronnts (if residential)• ��t o Total tinily flow (i csidenli:tl -compute (tit I50 gal. pet bedroom): Co 'Iigtogtnphy: `k'i lot (__J Rolling [—II Sleeps Slope ^.t.of Slope Soil Nature: [—[ Stunt 1'7"# I*tint I--I ('My r) Other /Depth: (bound Wale: nl wbnt depth./ N/14`"01. G tole feet Ilictock or Impelvitnis M:rlctinl: :it what depth? IAtaf°wtt feel Pereolnlion less: -Not I(ctpiitell f [ Requited/hale • . psi inch Domestic Water Supply: 171 Al ' -ipal I-1 Well IEgj. Other IG kt, If domestic water supply is a WI?1.1: water supply from any septic nbsurplion is . lees EtE1� P E If I'RUI'USI?1) Sl'SI I,h1: +nn 41......e...ni..vi k ' ohly - ( �EJ►6�/(� Septic lank: /a SQ p!al. (minimum sire: I.11110 gal.) • (Q1Z41* 'tile Field: cads rench -16- Ices. / 1u1n) system length 7-5-/ feel. Sccpngc l'il(s): 'mintier of / size each: ft. >t It. Size of stone in be used: A Z— / depth or thickness _feel. I101.UINO TANK SYSI FM: (if requited) ) Number of tnnks: Sire of each: gal. Alarm system and associated electrical work to be inspected by n certified agent.v. For your protiv•liun, please note that pur.uttint hr firs lion /36-29 of the Code of the 7'ott-n of Qnrensbnry, any pt'rnrit or a/r prat•al granted which is hosed tr poi or is panted in sehrrnee n pun any ntatella!misrepresentation or pilule to make a material f,c-t or circumstance known hr or on behalf of an alrplieont, .chill he void. I have rear/the regulations n•itlr respect nr this alrpliettion and agree to abide by these and all regoitements of the Toren rr f Ooeen.cbur y.Snnitat y Sewage Disposal Ordinance. / Signature of r.•spon.cilr'e person; p"- �t-�-¢• Date: 4 /5- 94 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name &A7,1Y6 T Location j5( 1• I' Date 0-2, � Permit # 1_5 SOIL TYPE: Sand Loam Clay- Results of Percolation Test- (if applicable) Rate-Mi ute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each t ench Depth of trenches Size of stone SEEPAGE PITS: Num, Size - ft. ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Fiel :/Pit Openings Sealed? Yes No Partial LOCATION/SEPARIONS: Foundation to ank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPER : (circle one) Front - Rear - Left Side - Righ Side Middle Front - Middle Rear COMMENTS: l0l f=Pvrik. .4hiveL-Ll ICI G- /c /0 r' " `' /o L c4-04 ocA-004) E-C SYSTEM USE APPROVED: 6,1 NO Arrived: d Departed: 1 /9 Building Inspector TOWN OF QUEENSBURY BUILDING S CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name V))% Location 1_ M./E PRRKt►JA� Date (c1-11419(0 Permit # 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 nk Tank to D st. Box Dist. Bo to Field/Pit Openings Sealed? Yes No Partial LOCATION SEPARATIONS: Foundatibn 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: tkik � Cc0 ToV t\ tJ�� LE C \ F ELD - i PEE_ 1 biTt U_E t C7 , fl� � t SYSTEM USE APPROVED: YES N0� Arriv Dep rt Building p for // ,r-dv1;t-A;),1_42) t TOWN OF QUEENSBURY y�,Q BUILDING & CODE ENFORCEMENT c 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name66A,1,1\N.Q,L,,,,,J4)- 1111)\, Location Alle 'al'i .itAdial, Dat- 40 ^]— 1i�, Z Permi t #1 -i:A_ SOIL TYPE: Sand l. ' Clay- Results of Percolation Test- (if applicable) Rate-Mi ute/Inch TYPE OF SYSTEM: , ABSORPTION FIELD: Tota Length 2=0 2. -Length of each trench '35 t" Depth of trenches Size of stone SEEPAGE PITS: ';umbe Size - f , . x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Fiel ./Pit • Openings Sealed? Yes No artial LOCATION/SEPARA IO S: Foundation to 'ank feet Foundation to 'Absorption feet Separation of Pits _ feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM Of' PROPERTY: (circle ne) Front - Rear - eft Side Right Side Middle Front - COMMEN : (‘'N' .-k-k h LC o V, 1 a CA o vc 2 SYSTEM USE APPROVED: YES NO Arrived: /- /?> • Departed: 7770 ,i 2 L Building Inspector TOWN OF QUEENSBURY BUILDIIG E CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name /Jl e.-' r ()NIL\ Location044ke_.-tRIA.\-MA.M.-4-1 Date Permit ermi t #9(0 /� f SOIL TYPE: Sand-E oa Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: t ABSORPTION FIELD: Total Lengtf}- -2`, j Length of each tren h . -- Depth of trenches 'L Size of stone V. SEEPAGE PITS: Num-.er- Size - ft x ft. Stone size PIPING: ;izp ype Bldg. to Tank p Tank to Dist. : ox Dist. Box tc , i •ld/P . _ Q r Openings Se. ed. Yes o partial LOCATION/S r, A . I OIS: 'L Foundatio to :rk 0 1 \ feet Foundati .n to A' sorption --.0 feet Separa on of Pi s _ Meet Confo s as per P of Plan ar, No LOCA OP OF SYS Or PROPERTmlw (cir le one) Fro t - Rear - L - Right Side Miidle Fro-±t - Y✓;c. ea r 1 NTS: SYSTEM USE APPROVED: NO Arrived: /9 , . Departed: „ 134) Building Inspector OFTOWN Cr Ql1tENSBUR.Y BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location DateG - a,2 (f,Permit SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applica,le) Rate-Minute/Inch TYPE OF SYS EM: ABSORPTION • IELD: Total Length Length of ea h trench Depth of tre ches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size ype Bldg. to Tank 4 o ' D Tank to Ditt. Box —a Dist. Box tc Fiel ., .. 111) Openings Sealed? ety No ' 1 LOCATIONI/SEPA' . on Foundation to ank /5 feet Foundation to Absorption , feet Separation of Pits / feet Conforms as per Plot Plan Op No LOCATION, OF SYSTEM oily PROPER (circle one) Front - Rear - Le t Sid- - Right Side Middle Fro-'t - ear COMMENTS: 'A RY 14 L . LIO .Rvi,,N 40tise `(v `(4 N V- - n(� 'faA) K -1' D - P)c - 7L( SYSTEM USE APPRO VED: YES• NO Arrived: li. Yj Departed: /I; .5-05" Building Inspector