Loading...
92-379 CERTIFICATE OF cQM PLIANd1 TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date de& 19 92 This is to certify that work requested to be done as shown by Permit No. 92-379 has been completed. This structure may be used as a Septic Alteration Location 572 Bay Road Owner Kevin Maxam By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code Enforcement BUILDING PERMIT x TOWN OF QUEENSBURY No. 92-379 • '-}... WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Kevin Maxon OWNER of property located at 572 Bay Road Street,Road or Ave. in the Town of Queensbury,To Construct or place a Septic Alterationtal at the above location in accordance to application together with plot plans and other information hereto filed and B approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. PC 1. OWNER'S Address is Same 2. CONTRACTOR or BUI LDER'S Name t71 Queensbury Sewer w co 3. CONTRACTOR or BUILDER'S Address << M. 4. ARCHITECT'S Name V1 tD rt. 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) Q ( 1 Wood Frame ( ) Masonry ( )Steel ( ) mai 1111 7. PLANS and Specifications No. Septic Alteration to include: 240' of TIle Field, using #2 stone 12' Thickness as per plot plan specifications and application 8. Proposed Use Septic Alteration $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 25, 19 94 (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 Queensb ay of June 19 92 SIGNED BY � % l for the Town of Queensbury Building Zoning Inspector 01.21, pi(if 44SPYTOWN OF QUEENSBURY �\ APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # 9 Fee Paid ,G'7.) Date: 42-.5% / Z Reviewed By Li —1 3 LOCATION OF PROPERTY FOR INSTALLATION: S'7 't_ D Owner's Name: k/e L?/ A.) /(4a xat ni Owner' s Mailing Address: 7 2 ) ,X Installer' s Name: Otke p C,. ;,,;c-r- Phone #: 7f,. ‘)/2 Number of bedrooms (if residential ): Total daily flow (residential-compute @ 150 gal . per bedroom): VS-6 Topography-Circle One: : Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand] Loam Clay Other /Dept 4� Ground Water-At What Depth? Feet $2 Ttreet% i Bedrock or Impervious Material-At What Depth? Feet st % wN Percolation Test-Circle One: equire equired/Rate Min. Per �g+o <L1016a4 Domestic Water Supply-Circle One: Municipal 401 Other If domestic water supply is a well - Separation: Water supply from any septic absorption ///0-7) feet PROPOSED SYSTEM: Septic Tank /'6-t v gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 4 b feet//Total System Length 2 C/ o feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # 2- / Depth or Thickness / Z // feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size\of Each 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. SIGNATURE OF RESPONSIBLE PERSON: \—/IrA/FF DATE: 2 S- YZ1:1-1 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 1--. -m shall be covered before inspection and approval by the Building Failure to comply with this requirement may result in the *covers t; of the system by the installer and a fine of up to $250.00. 4 C. 1t, ;r prov-y, copy of the plot plan shall be available on the construction ‘.„1 Fail, re to produce said plot plan at time of inspection may result pr4mec 'ate work stoppage. 4.7 P.94 Should unforeseen problems during construction prevent proper installation, : llt rAi on 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: , \\Pin Jouin o/ Queensburey BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME Y-,;?.\i'l � c\ ` k LOCATION 5 DATE C fI / %''ERMIT NO. 9 J- _37`? SOIL TYPE ,• - Loam - Clay - Percolatio est Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length ©'k1/2'O Length of each trench 4;2) Depth of trenches 4,021 Size of graver , SEEPAGE PITS4Number of) Size- ft. X ft. Gravel size PIPING: 'ze 'Tye /�� Bldg. to tank jet Tank to dist. box f` pd../C. Dist. box to field/ ' 5 -29 Openings sealed? E , NO Partial LOCATION/SEPARATIONS: Foundation to tank 67),,,j0t ft. Foundation to absor ion 2rt ; ft. Absorption to lot ine /c\ ft. Separation of pit LOCATION OF SYST ON PROPERTYcircle one) Front - ea - Ltft side - Right side - COMMENTS: Vo Sa 10 SYSTEM USE APPROVED , NO Bui1 ing Inspector 01/86 and vl \, 4' --?'X-11.,,Ot-- ir F 4 ■ `ip '- ) '*' ' _ . a A r • m 'Nog,44.4. ase�`2fft0l6 ! r 0f - rrn, J r2r^ii, 4— , oko, ... f\\. o 1 _ /o ©0 ] c) .<____ 71 $ - -y, e -e "/ / . ^ ^ �t- • \ f114 c „i 0 ; \ . . J© /