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95-162 CERTIFICATE OF COMPLIANCE, TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 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 Location Owner By Order of Town Board TOWN OF QUETNSBURY Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY 95162 TAX MAP NO. 27. -2-5. 2 No. WARREN COUNTY, NEW YORK HUBBELL, NEAL P. PERMISSION is hereby granted to 88 RIDGE RD. OWNER of property located at Street, Road or Ave. SEPTIC ALTERATION in the Town of Queensbury,To Construct or place a 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 STAR RT. BOX 88 RIDGE RD. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name CRANDALL, CHRIS 3. CONTRACTOR or BUILDER'S Address 0 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) SEPTIC ( 1 Wood Frame ( )Masonry ( 1 Steel 1 7. PLANS and Specifications SEPTI°•ALTERATION AS PER PLOT PLAN SPEICIFATIONS 8. Proposed Use SEPTIC ALTERATION $ 25 97 PERMIT FEE PAID —THIS PERMIT EXPIRES April 9 19 (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 20 Da •o April 19 95 SIGNED BY for the Town of Queensbury Building and Zon` Inspector {At, 'i.Lation for 1— SEPTIC DISPOSAL PERMIT, STAMP RECEIVED Location of property for installation: / � /�� ���// I'IRMI'I'NUMBER Owner's Name: , `�' //,,Address: $7-g Fr ie,/ ���-i Ob�/ N. Y 9 5 ` l & a Installer's Name: • 1. Aetet 40/1/ ‘&C FEE PAID 5, ©° Phone #: ( ) 793 _. o1/3 ( Number of bedrooms (if residential): Total daily flow (residential -compute (4) 150 gal. per bedroom): ` .S.-0 Topography: E 1 l it I Rolling I Steep Slope %i, of Slope Soil Nature: I Sand Ftrloam Clay I Other /Depth: [ RECrVEDGround Water: at what depth? (A./4 tt11 wJ1 feet APR 171995 it Bedrock or Impervious Material: at what depth? feet TOWN OF OUEENSBURY BUILDING AND CODE Percolation Test: I I Not Required rRequired/Rate 6 min. per inch Donietic Water Supply: ( Municipal JWell I I Other If domestic water supply is a WEll. water supply from any septic absorption is / / 2-- feet PROPOSED SYSTEM: Septic tank: ! aOC) gal. (minimum size: 1.000 gal.) 'file Field: each trench v O feet. / total system length e)-a feet. Seepage Pit(s): number of / size each: ft. x .'"" ft. Size of stone to be used: # / depth or thickness / feet. HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gal. Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 o f the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall he void. I have read the regulations witli respect to this application and agree to abide by these and all requirements of the ?'own o f Queensbury Sanitary Sewage Disposal Ordinance. -Sienature o f responsible person: !Z Date: / :,_ • • PLOT PLAN SEPTIC SYSTEM Notice: The following statement must be "stamped" on your plot plan. This sheet of paper may be used for purposes of drawing your plot plan. After drawing such plot plan, please read the statement and sign it. If you choose to use other paper for your plot plan, the office will stamp those plans for your signature . "I have seen or observed, or believe I saw evidence of, all objects such as houses, wells, trees, fences, etc., shown on this document. I also represent that I have person ly easured the distances set forth on the diagram." SI ATURE DA E VV p l , (. TOWN OF QUEENSBURY ir P 1L 01a BUILDING & CODE ENFORCEMEN 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name )4(.441c=1 1 , Iv E Location ) 10 ?(.. , k) gc) Datei-i -P-65 Permit # l 'JIG'd SOIL TYPE: Sand Loam Clay- Results of Percolation Test- (if applicable) Rate-Nyinute/Inch TYPE OF SYSTEM: ABSORPTION'fIELD: Total Length 323 Length of each tren 60 Depth of trenches ! „2-31 Size of stone ' 2— SEEPAGE PITS: Number- Size - ft x t. Stone size PIPING: Size Ty ! Bldg. to Tank ejh i'4, Tank to Dist. Box y/i -��1�/ Dist. Box to F'i el d/P -,, �i Openings Sealed? Yes No Partial LOCATION/SEPARATI . Foundation to Tank 9O feet Foundation to Absorption 0 feet Separation of Pits I, eet Conforms as per Plot Plan No LOCATION OF SYSTEM ON PROPERTY: (circle Front - Rear ' Left Side - Right Side Middle - Middle Rear COMMENTS: 4-10e,- ,Ailip/44- SYSTEM USE APPROVED: NO Arrived: /TIP) Departed: /1 i70 Building In ector t ,-,,„.„ 1,- .1 16,....., ......" ,.„- , .....\ _ ) i 0.- ... ......I — I . cj 1 i ..............___. ...,_ _........ ! , i Cr• . i 1 ' . f . ... ...,........J, 1\ I c' I 1 C/1 1 N./ : I. I . • =4- 1/2 , I f-4 i „ ..,, . I ' I , ...., ( \\ , -....... . • r, <7 /Z4S V 1 ! 7A , 6k" I ",, ti (:.', fr.•., ...,,, • trs 0 I TOWN Or Qufitf,J51.14./PY ...e.... t., „.... ft? -.e.,.... f.'" . , ! -r ;3 . c.F.. REVIEWED BY ,• Ii (.4 4 eeit i 1