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97-626 _ --- - _ a�... .. CERTIFICATE OF COMPLIANCE FIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date ootohpr~ 2 1 9 �7 This is to certify that work requested to be done as shown by Permit No. 97626 has been completed. This structure may be used as a .t;F1Ii' ALTERATION Location 2.41) , RIDGE RD. Owner . AHLKE , PETER By Order of Town Board I F4AI NO 2 I - I °7 TOWN OF QUEENSBURY Director of Building & Code Enforcement BUILDING i'.PERMIT TOWN OF QUEENSBURY VALUE $ 0 No. 97626 TAX HAP NO. 21. -1-27 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to SAHLKE. PETER OWNER of property located at 2356 RIDGE RD_ 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 2356 RIDGE RD. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDERS Name QUEENSBURY SEWER 3. CONTRACTOR or BUILDER'S Address JAY SWEET 0 4. ARCHITECT'S Name 5. ARCHITECTS Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( I Masonry ( I Steel ( I 7. PLANS and Specifications SEPT7'C ALTERATION AS .PER .PLOT PLAN -SB Ifl CA iH . 8. Proposed Use .;7, SEPTIC- ALTIRATIOlh,,;,u. i � = HS tRMIY..ExPtREs 1 _ Gotober-.32_ :.. . ,<< 99 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueensbury before the expiration date.) a_ October . „/ 97 Dated at the Town of Queensbury thisay o'er SIGNED BY a-= � for the Town of Queensbury Building and Zoning Inspector Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Permit No.9 7-(0) k,o, Dept. of Community Development Building &Codes Office C" 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: 1) 0)(* 4 3,g. Property Owner's Name: _fe.L,1--r‘.., r _c7tf- ic OCT 2 2 1997 rovvk „ ;JFiy Property Owner's Mailing Address: BULDI,Nu Ls:,.‘ODE Installer's Namk314e_e_Ait - E-tiev Phone # 711- -2 3C y Number of bedrooms (if residential): Total daily flow: (residential - compute @ 150 gal./bdrm.) Topography: ( flat, rolling, steep slope % of slope Soil Nature: X sand, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? C..'feet Percolation test: X not required, required [rate min. per inch I Domestic water supply: municipal, X well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank/e d gallon (minimum size: 1,000 gal.) Tile field: each trench it. V feet / Total system length: / 3 2 feet Seepage pit(s): number of / size each: ft. by ft. Size of stone to be used: # / depth or thickness /0 feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons (Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of 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 be void_ I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage I':..: Signature of responsible person: A Date: _76# — .2 Z- « ` TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 4,j2N\I. ke, Pie Location 422 3 S v lIA ey, (Cd Date/0 - 3'-°17 Permit #q--7 - (pc)-(19 SOIL Tr - .Loam-Clay- Res is o 'ercolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: � �.... / ABSORPTION FI D: ota , Le g Length of each re h 1 �, Depth of trenche Size of stone SEEPAGE PITS: Numb Size - ft. c ft. Stone size PIPING: Si a ype Bldg. to Tank Tank to Dist. Box ;";;r&2; g.- 1)r �l" Dist. Box to Field/P. n Openings Sealed? 40$ No Partial LOCATION/SEPARATION . Foundation to Tank ea feet Foundation to Absorption 75feet Separation of Pits 0-7 eet Conforms as per Plot Plan No LOCATION OF SYSTEM ON PROPE'� e one) 'ont Rear - Left Side - Right Side e Front - Middle Rear COMMENTS: SYSTEM USE APPROVED: (::;:) NO Arrived: 4-0 0 , �l_ Departed: l Building Inspector / ""/ee 'V G Je t TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name �'�A/4_ Location 23q,‘Ve4jyi Date /b / Permit # "" SOIL TYPE: Sand-Loam-Clay- 1 � ClO Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total gth Length of each t,Pench Depth of trench s Size of stone SEEPAGE PITS: Numbe - Size - ft. ft. Stone size PIPING: — Size ype Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation 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: ©,,,¢Y Ll� ar' { 6� 5��rH�tef SYSTEM USE APPROVED: YES NO Arrived: -3;,25 Departed: Buildinginspector p or 0 oz. J _ OCT 2 2 --.;----? (4 o 7\\ sk %., a 0 F QIU:1-,frillRY BUILDINGI)EPARTME all NT / ?--/ 4 -7 lta,,ed on ow Minted examma ion, compltance wIth our commen s sh _____ not be construed as indlcating the ..„,-, 1 n plans and specdtcations are'n full ... t. compliance with the code. i 7 7-6. --- : 1--, 0 0..../ • /1 \ OC1 ) 4 2 19Hi lovoi,,cl• _:..,.:_,,.,. iug,t -,...s... ‘'a CI) -9 '"-R----, . BUILDN',::: ...-.0.-----.......,--..-----,:„.::.--.-.....--,.......... 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