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88-916
r--- CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date February 1 19 90 This is to certify that work requested to be done as shown by Permit No. 88-916 has been completed. This structure may be occupied as a Sewage Alteration rotation Bldg. E - Canterbury Woods Owner Ed Grahl Certificate of Compliance issued upon letters By Order Town Board n eceived from engineers and inspections made TOWN OF QUEENSBURY by the Town of Queensbury Building Department. Director of Bldg. be Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 88-916 WARREN COUNTY, NEW YORK C' PERMISSION is hereby granted to Ed Grahl OWNER of property located at Bldg.E Canterbury Woods Street, Road or Ave. in the Town of Queensbury,To Construct or place a Sewage 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 c/o Viking Enterprises XXX P.O. 422 c� Englewood, New Jersey 07631 2. CONTRACTOR or BUILDER'S Name Lx— CrJ Breton Excavating a' 3. CONTRACTOR or BUILDER'S Address 15 Michael Road South Glens Falls, New York 12803 4. ARCHITECT'S Name 0 5. ARCHITECT'S Address C G rt 6. TYPE of Construction—(Please indicate by X) p w co 1 1 Wood Frame ( ►Masonry ( )Steel ( bd a 7. PLANS and Specifications Oro t=i No. 3200 gal tank, 3300 sq.ft. tile field as per taNKXNIKK,specifications, and application submitted. 8. Proposed Use Sewage alteration cn CD va m $ 35.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 12 19 90rt (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.) Dated at the Town of Queensbury this 12th Day of December 19 88 SIGNED BY for the Town of Queensbury Building and Zoning n ctor TOWN OF QULE•NSPURY APPLICATION FOR _t f5�- TOWN OF QUEENSBURY >= RECEIVED '"`-'_> SEPTIC DISPOSAL PERMIT allP / Hp DEC 8 1988 0_1 - (VBLDG. & CODE DEPT. DATE 1 1 2 i43B LOCATION OF PROPERTY FOR INSTALLATION C, re1e_r Woos 6L04 e Owner's Name: e7 6 H L- Telephone: 201 S 7 I 43c/3 Address: G/v VI -irJG &Ni.iZP2.t5 5 PO, 6O)(4-2'2 cL -vvzoo© N3 676 3/ Installer's Name: S i-oN E(CAVPnPG Telephone: 13i 6 `19'3-%80 Number of bedrooms (residential only) i 4 Total daily flow (compute @ 150 gal per bedroom) 2100 Topography: Circle one: Flat Eci gl Steep Slope % of Slope Soil Nature: Circle one Sand) am Clay Other_ /Depth: Feet Ground Water: At what depth? 1-'2 Feet Bedrock or Impervious Material: At what depth? 2 3 Feet Percolation test: Circle one: not requirecCrequirc: rate _ Im n. inch. SL L tiD (40 Domestic water supply: circle one(Municipa1 Well Other If domestic water supply is a well: pP'Avu,6iG 5 Separation: Water supply from septic absorption feet °'- PE-noc11-5 OF fiy STE vi PROPOSED SYSTEM: Septic Tank 32OQ gaL. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet/Total system 53®CO 36? feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # /Depth or Thickness feet ************************* 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 $ani "-ry Se Dispos:,, •rdinance. SIGNATURE OF RESPONSIBLE PERSON /ei DATE: 1/ �, ; A.'/ S i C=t F OVER Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required .by. ;the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to 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. C. 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 installa— tion, 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 and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 Remarks: (-] _loom of Queen3tury ZONING BUILDING and Z DEPARTMENTO R.D. 1 Box 98 �---><- -- Bay and Haviland Noad,ew York 12801 pueensbury, SYSTEM INSPECTION SEPTIC DISPOSAL NAME_ P\AFI., ,s 0., n LOCATION - 7 / DATE lir:a PERMIT NO. 7 tP SOIL TYPE - Sand - Loam - Clay Percolation ------ Test Required? YES - NO rate - Min/Inch Percolation TYPE of SYSTEM: total length Absorption field,trench Length of each Depth of trenches Size of gravel_ SEEPAGE PITS4N'umber of) X _� t. Size- � ft. Type Gravel size Size PIPING: Bldg. to tank Tank to dist. box Dist. box to field/YES NO partial Openings sealed? LOCATION/SEPARATIONS: ft. Foundation to tank to absorption �_ft. Foundation to lot line ----ft. ft. Absorption one) Separation of pits ON PROPER Y(circle LOCATION OF SYSTEM - Right side - Front - Rear - Left side C NTS: V &tidit1.16 Apiyaavvredrilifri „op _ 1, T° ccc 1S 1,-477 0.4)( r efts ' Al)P t�l ��n� �t � _ APPROVED S USE ' ��p SYSTEM �� Building 'inspector 01/86 and vl 11.1111101111.1.11111.1.11.1...— -- awn of Queen3Lu1i BUILDING and ZONING R D RTBMoEX 98T Bay and Haviland Road, Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME_ e h} i r°~-•a_ 130 g2- , ;("00 1Ctic' LOCATION -) O J4/1/_ PERMIT NO. DATE j- —— i SOIL TYPE - Sand - Loam - gay - Percolation Test Required3 YES - NO Percolation rate - Min/I7ph - / TYPE of SYSTEM:Absorption field, tot length Length of each trenc Depth of trenches Size of gravel_ SEEPAGE PITS4141mbe ft) Size- ft' X - Gravel size Size ype PIPING: Bldg. to tack Tank to dist' ox Dist. box to field/pit NO Partial Openings sea ? YES ARATNS: ft. LOCATION/SE o tangy Foundation to abso tion ft.f Foundation to lot li e Absorptio ft. Separatio of pits ROPE TY(circle one) LOCATION OF SYSTEM ON - Right side - Front - :tear - Left side COMMENTp: , 0(, a!1 Imo - _ MI �L rid Alfa To _ v1\i 14 ,Al .- e.,(t T-1,1„,k-TAfir' �3 P-At to ( • ,A-Afi SYSTEM USE APPROVED YE , NO 1 Building InsPe or 01/86 and vl Jown of QueeniLi BUILDING and ZONING DEPARTMENTBcX 01 98 Bay and Haviland Road, R.D. Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION - NAME • CCU 71 LOCATION DATE '_ PERMIT NO. � — SOIL TYPE - Sand - Loam - Clay - _______ Percolation Test Required? YES - NO Percolation rate - Min/Inch _ TYPE of SYSTEM:Absorption field, total le gth Length of each trench Depth of trenches Size of gravel — SEEPAGE PITS4Number oft —" Size- ft. X - �"� t Gravel size Size Type PIPING: Bldg. to tank Tank to dist. box _— Dist. box to field/YES NO Partial Openings sealed? LOCATION/SEPARATIONS: ft. Foundation to tank Foundation to %'absorption .— fftt. Absorption to lot line - -ft. Separation of pits one) LOCATION OF SYSTEM ON PROPERTY(circle Front - Rear - Left side - Right side — CpMMENTS: ef i i , 5 /0 gib‘ 's ``" • it SYSTEM USE APPROVED YES .P;NO / 111,41, Building Inspector 01/86 and vl .Town of Queen3lurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTIO ,be, /r/'z -7 ' „,/ NAME �.D LOCATION `''- DATE /T—/__ PERMIT NO. .L SOIL TYPE — Sand - Loam - Clay - ,__ _ Percolation Test Required? YES - NO Percolation rate - Min/Inch _ TYPE of SYST Absorption fie. , total length Length of each t ench Depth of trenches _ ___— Size of gravel_ SEEPAGE PITS4Number`Pf) _ Size- ft. X ____It. Gravel size '' ize Type PIPING: Bldg. to tank _— Tank to dist. box _ Dist. box to field/pit NO Partial Openings sealed?� YES ' \ LOCATION/SEPARATIONS: \l f t. Foundation to'tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits LOCATION OF SYSTEM ON PROPERTYicircle one) Front - Rear�- Left side - Rig t side - COMMENTS: t �/ I— i .: 5p aa Lk {1 () / \ SYSTEM USE APPROVED YES j , r Bu g Inspector 01/86 and vl