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99-715
CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 19 19 99 99715 This is to certify that work requested to be done as shown by Permit No. has been completed. SEPTIC ALTERATION This structure may be used as a 47 HELEN DR. • Location CURREN', WALTER & CAROLYN • • Owner TAX MAP NO, 90. -4-80 By Order of Town Board • TOWN OF QUEENSBURY • Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No. 99715 TAX MAP NO. 90 . -4-80 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CURREN, WALTER & CAROLYN OWNER of property located at 47 HELEN DR. 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 47 HELEN DRIVE QUEENSBURY, N.Y. 12804 2. CONTRACTOR or BUILDERS Name SANITARY SEWER 3. CONTRACTOR or BUILDER'S Address DAN DRELLOS PO BOX 224 GLENS FALLS NY .12801 4. ARCHITECT'S Name 5. ARCHITECTS Address 6. TYPE of Construction—(Please indicate by X) SEPTIC ( )Wood Frame ( 1 Masonry ( 1 Steel ( 1 7. PLANS end Specifications SEPTC ALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION 25 November 18 2001 S PERMIT FEE PAID —THIS PERMIT EXPIRES 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 Oueensbury before the expiration date.) 18 November 1999 Dated at the Town of Queensbury this Day of 19 SIGNED BY �v_ ` � .�_, for the Town of Queensbury ing and Zoning Inspector i' l• • : : .1:,'"11'. ; • '•... i;,., .;1,11 ' ,.. ..:-..—, I'' 1,:il- - u,i... ;,'::i :',L. ,. .. . . •. . . . . . . .-r for : .. .SEPTIC,DISPOSAL PERMIT ,i ; i,, ,., , .,,,„1.„,• ,,, .. ,, , ...E:" . ,,•1 I , ,,,,I,,, ;0,0,,,,,,, ,J„, , , , . . . ,,,,,.,.„1„,,,„ „,, ,,,,,,,,,,,,, _..„1„.,„.,, . . . minii ..... ,) +,0wno,m4p- 30uv • ,2,,,,,,,.-,,,-, - , ,-.• ,.-.. . • . . : i'ii:•:•lifi:iliieliC•Okidittinityteisiel4itit - :• ' '' . Permit No.9q- , ..,, -,... ,,.....„,..„,„..4,,,•,, • •••,•„„...„,,,,,,,, ,...:, . ,;••„•,,..„,.... .r.,....,. .„ :„••_..:: -,,,,:•....., •, ..,,,,,.....„.•,..„„),,,,„,,,..Butli.ilrg:4Codeif'arid i.,..,;..., • .. •,„-,..--,:.:/:• • r-- CC__ • • '.. :-•-t. ''•'! . I's, :if tr-F.'".:'C..:..!.:, Fee Iii•lititii,,41;itall-:-.,;. "...f7,i...,.;-:',.,,,:-...,;.'-,:7."'.,":".,":-.: • . ..„.:.-..-. Paid $2,77? ---", 13,LI.!: 1;•''H 1:1't '.'(),'11,;I''1'•,;','•Hi ...°•.' '1'.1.1 :':' :••• '-'-:,:1';.:;"';''.'1.;''.;: . '11'1'•1 I i 1. 11 •}. :,'•11': ?I.Queensbuqi:NY mso4- . • , •i'i•.,••,•1,- ,- I,.;ii,•,- 1.1,- . , Ir..- ., . . ,.... • • •• ,. 1•11•.,,, , •:, r, .,. ; :• .y••. h., . -- • ' ,,, •• :,•:1,•,',!!:ly;', - '-',.•-•1: '':'• d., '11 „/ ,,, nFr,t7:1\itt.) • •il •• '1,, •,icLocation n.i9f property for installation: / 7 ••et..-'eA-/ "Dgi Gt-- t ' — -— ,..,•••-,I• . . 1,i:.,.111;.'. . ., ..I ... i... 1 . . ',,..•.i, . , , , , .,.. _ • NOV 1 8 1999 ,I..., ,-..,,!!,,I.,ii• ,,, ;! ..Prerty Owner's Name: /./(--' fr."(,-/ Oc.J i 2-_ p_ e A-I '• .;'. Y.,, 1 ..••iT:i...1,:Ir.,: i 1 , i. ,...•:I, „ ... ,,i;,: r.,,;.,,,., 1! ..• ,,. . •- -. -11..: .1 • .. .11.11: ir ,1 li ',.Ptoetty Own 's Mailing Address: . , 4--Af fi . . . •. . • 1.--1. - - . .1,,,,,;- ;•,! ;.1; , ••,,,,. '..•.•, • •....•,...11.p,,h1,,,.. • •11;dr.,, ..,•;,11,1 ;I : : . T Bt_jitgaO't.t4 OF =......ERY :iv., 11, ,: •iiiii!idoi-i.is. il i 11.,i •••:,iiii11:11 net!SINarne:' fricif /T-49- ',:_-:-( IZ tiV -/t....- • Phone # -792,-7 2,r 7 • • . ..-. •••:; 1, I;.,,,,, Il F;ii, ,,. -., .i1,- ,, , ,,•,., 14,,,,,*,, y, : ,, ,•,. ,,.., ,...i . ... ,...1„._ ,ii .•,..•:1„,:,„ :, •,, . „., ,.•.„,i.. ., :. ..• .••••:, ii• -,,, ..•...,,,:.J,,„•.;-•,••• ,,:,,,,,,,...,.,,.• • ,.,.., ,• - . . . . . 11111•--,.• •-.,.,.1. i,, , ,,, ,,, 17;oftb;Orooms.:(if.r Total daily flow: °'`-5--5.. . . • . . . . 11.7 Iliil'IPIigr0 0 ri,i4.i,liLiikiccNtm.r- -:::'-:::.. •-• • :, - • '-',..,-;'..:' -.... '1:'''::: il'''' ,l'i• 0,i 1.',.',1).''.i-.`: .'":1".',•": i,riiii.:i.i'::•i-•• i.:• . ' . (residential -compute @ 150 gal./bdrm.) -;.;,. : ..,,•••,. ,. - ...••••••.,...,, . .., ..', •, -. .4,1, Hr.. • .....••..', ' ,.ii. '•Y'l I l'-irlifi'l i;.1i,' .i.11.-31,.1 il , • ,i( . •,,,'..!: .•1.;1r•,,,tilv II r11'1:*rii l'Op,ograpny: •flat, .rolling • steep slope % of slope • _ ,. _ , ihil .',. .,,,,,,4•!.;.;',.;.,q't",,, il,',•.....:,i,,,. ........., . .,... . - .:•!.','," :. •...t,;•,...1,1'.:,,..,... ! !,,,,-;,I....i.,J...,,,,,,,...,,-.„„1,.... ..... i --' .,.....4;, .• ;i; ,..,.,,-....1,,,,..•:.;,•,.[, ,.•..;"1 1,1,,....,;•,,....-... ..',...., • .,•:„..,,,____.,,,..-:,•• ' . . • • ... . ..•..,-„,..„.1,,.., .i ; ,,,,-;.,,,,,,,„1,,:,,,,,-,,I,., CAMle.a t,Tr: :' .sand, ••, .; ..:••.•- :'.ili.i.1.;,4 1 1•,;. iiIPII',:;Ii.:,P.;.f•!'(.4.,*,H;t1,0:rftc.:fl .tt"e!..•' • ''': :,.-"•..•••••194mt." clay, other/depth: . . ••I,,..,; ,,-.,:,1,111, 4,1,,,,I,,,or.,..1,,,,,.. .... ., . • ,-.•.4,; i..• •,..,r,,,,,,,,.,,, .,I,, ,,,,..1H,d,,,,,I..,;,,A... ,• - . .. . ,,•• • • ,:,,....,..„ ,...., ,......,, i...;..„...,.1,:. •.,,,,..„-.:..!.!,..,,,,,,,,,,,,,.; ..,..water .. ... . .. ....., • . .• . . . . -,,,,......!.,.,.,.,',,,,,,,!,,i,... : at what depth?:-... •••• et / Bedrock or Impervious Material: at what depth? feet ':.:' ''' • !.;••,o,,, I ;,...,..r, ,...: • ,,,. ., • .. „ . - ........ • ...,...•,,,,, 4. ,„ .,, iv- . . „. ,, .,.,...,•1,,, 1,...,..,.,,, ,H,,2.•;.,i, ••• f• • . ' - . . • ;,..:•-•"ii-.• •ii ., i.1',...,',I,•, Percolanon,test. ,. ..not required, „ . • , . i , i:„; .,Ili,,,..,..,,,,i,„1, 1.. . ... .......... , . .',......._. required [rate , min• Per inch 1 . . . .',•.:( Ilrii :4::4 Li, s'Pr 0•Iiir.:1-4c,",i:i.i.,.i.i,:- ••••• . .-:. ....-„,.. (...... :..,i,.. •i•i,:1,i •...:•.••i.c.,iii ii•i.i.i.e:•:.,,I• li,i,.c0..,..,.-..ii.p-,,;1,1,,.qi„, . . ,,..,-,...._. ,,...-... . -!. ,•.:;•. . •,.t.,. ..,,,:,I i• 'i.i',"..5:•!1-1,d It':: :i •••.,,AD'Oilialio water supply• mumcapal well, other . . .. •. . . :.., J,,, ,liy,-.1-4,';',1:.,,,,! ;',, '..';r.'1:-..i.....7.4,i4'--ii '-•-,'.:-. .' . ' ' — ' .•'•• ' ' — - . . ...,...,,, ,,i,. '.:-,.:1,4,.,,!1:.,,!..,';:... ••••, .:!...!..r1}-ii,-;',.,,,:li.,1, 11•'. .: .....•,',',, : : ' - • • . ...... ..',':',,''i •''... ,.ii(•;'''';',r,b(d',.,i."..I.I.fdaiiiearier liiiteratiPply is a WELL,.water supply from any septic absorption is feet. . , .... . -,. Y,1-'•',; •,. .f.-, ,,,,,. • ••• . . ..,. .. .....:I,,,,;..,,i•-•...',,-,11 ., ....!;);(,;',....,,,,,r;4::.;,!:- •.-,..,,,,,_-- :._... , , . .. . ,.• ,I, ,., i,A...,, ?,...a,.. i '',.-•. ',''. ,, . •:••••.-, . 'PROPOSED:SYSTEM .- .. .. . ...• . . ,,-...,..,,,•:.,!. -. • •,,,...:114,1.;if(•Pi ,I..;.',iL.0;1.,J11).•41k,.;'',,,.., • ;•• • • gieetr-:liti 6I : • . . ti...i,.....1•0,1, ..--.1.,,ili:iiiif:!.•t,,ii.,.,,-;1.,,!".•,. .,i!..i!.l';,,','..•;..'V,;,1'i,''.,,.':.,..:,..:. II',1,..-••.4,;,1:•,'',,.i,i,.,r Se-,!pt i.m...t.•.'..a.,...n ic:'-/00?- ,gt•ll.o..'i'.;..'.':.',,,_-•(..'•'---'T,"...',q-.••.i-••;..••„•i.•r.tn- size 1,000 gal)1 , 1 • ... . ... , ., ,.:,,.. ,-, ,,...;„...1,,,J,,,. .,•,} ,"...,.,-.J;',1,!!•-...,,•-• .. •-... • • .. , ;-., ,.' : .............,---,;,:..•dih.,,• , i,-..; .,:i::;,,,!••,c,,,,•' ..i., H., •... -„. •.. •,-,...,. I, .., ,,,,,,i;!,`NI:',,,ii,'''1 ...".';', •r;:,,';',,,,r...r,,,r;...7 t.P"field:'4.each wench fu/fr7... .„-feet / Total system length: ' feet • . •,,.., ., 1.; ';.:,,,i,„,,,,0••,,.:! .! ,.:,.-,:,. .,..,...,, ,I.;,:,'',....,.. ,4;:;•., . .. ••..... •r -" . '':',.•:,..,i`...ill.,,a, •,.1i i ,i'!; •]..',•„,..;.:..,i'r:.;',.1:',,i'.1.,,,.,, ',.'..,...-...,,,......., . • . . • ;.''.•'1.1. A.:,,,i.01.i SeePage:pit(s): •number Of,'.:.:..... / / size each: /D ft. by // ' ft. • . . •,,, .',1..:, .i. c•;;I,i,!--•;,i.!,..i,,1:-.• , i:..:•,,i'l..•;,,,,..,.,1.i.,•'•:,... . .... , .. • • ,,,.... .,„!.,• , ,,, ',,,..,.1.1,..4,1M', ;- ••••,. ...i,1),.1.:11.1,:l.:',.. ,.'..?; -...-. • --. • '''.'.,':',"J....,..... ,,. •.,.,,,} ,•11,11i,H,,,•.;:.. ....,,c•..`,, - ';......:'Ic',!S17A..":''i•itfir,be used. ilfte:';' : ' • . ,.,,,.••.;i1..,, •!,1 t, i.•••i..i[41'.! •,!. •,•;•),;:,..,:',,,.,••:, .......••• 'stone'..... :: ;:::: .,. . / depth or tmr,Irni-v; . 2.--- feet IP:i'...9., ,r1u,,,i, ,....!,•,..-1,40...,,,,,,c,,,,,),,,. „.,..„.....,, ..,.. .. ... • . • ,,.1'.-. .41:::::'' 1-11,•!...!ii:!:•••;1.:!',1‘ . •'• • '• . :• : ,I . • :•;:':":,'i: •f.::!';',;••••••',6'1 :• :,• 'il••.1:,.;Vk,.. 1 ::.i., ' • . i'•'"'''' I.. .i'!1;-;t4", ;• r!; i . :',•„:“,!:',;.•;.1:!;,,,::".' ....., • - •ii;:.?.• i' ,i'?,1,!i,i:),),Id,•,!,V,;,!:',11'.1:0:6,`,:.'d:i••4::r;i:,!":.; ::•. ' •• .. •,. . , : ) , ,.?1!' .; 'HOLDING.TANIC SYSTEM:. (if required) . :1.4,i;;,,,,...,....:.-, ;:„ .. 1,,,',E:•,,.,,,,..,•,, .,:•• •• . ..... ... ..- .: .:1 ..., •••,...,..,..:4-1,•••; ••: i., .;!•,:y.:.i!,..,•,,!.:, ; .• .......; • • - . •• . ,•!,..',!;,• . .'!.:.••..'''„ii.,;:.!'''e,..1..! .,• '...,.:.;: i..1!;:';itninber of tanks: .• ......,,.... Size of each: .gallons • • • . . , ,,••••,,•:: , -',.',..:'.•,,,!,,;.•ii.::',..,... ...• •• • : .. - _.. __ ...__........_... • . • 1 . • • P'''''''• '. •,•1-Y,0.-V•!.',1•:;1' i.f. ;,:.,. .k1,,,,- ',... ' 131,141°1844 asa°ciatedel°°trwal/;°13C t°b°112°Pected bf a c°115fied age°°Y' , ' !,.-. q''.. ..ir.: -:Y0-,:d;.,-,V,t'41:',..,.; P:'-'1441-,i,.-.),1,,-...---,:-,•-•.- - .. . .,,,,,--,;.-. . , tO?Sectiou-1.36-29 of the Code of the To of Queenshery, say permit or !,;IT:'".,;:1174 1.7",.; . ....;,4.•'.•..4.•;„ • :::' ': • . -11Poil-or is rntedlackrthzico upon any material' =areprosentation or fail,to make a spallz • at4iiialf fact or circumstance=Imam&-by or onlbeilike of an'applicant;&hall be wiz!. ;'..i'•"::lii‘i,....il , ,:i.•,:.•;;',,.:i..i,Ji,F.- ,....)......,", ..-„..., • -, LA ,..-J....,•:..17,,.:4.1d,..,,,".: •.-7-....[0:.,..141.,.,,... •... • :......,.. ; • •,• • , •i''..4'.:•!.Y'''+'.• ,..-... , .b"FK,•,:.",.... ;...'...„:'...,:•-•.. • 1.- .'..,,,:-•.•:4, . . : •.. H.,. thesel :1' Inive readobirsirdith-,--,-...1 to- ;i6iappticatica .... . . ,_ to abide ., and all requirements' of the Town of ,.-.. , i ,,;.i.,i,;,*;..,[1.v,... [...1--;•41,,,.. .•i; ... :.,...:, .).,...,, ., -.....,. . ,i '..i.i.".-';g: emsoury"oaentary"Sewago••• ••• ' • •.•" .'.1:••[,' . . .. . •‘: ''•11- ' ••.:::,''''?'''''''011'11 ::: ill i.:,:ij.Mt i'jl; •';'-:.'•'-:•'''.—!.. •;:'.'.. •'. s' . .. ..-... . • . • , , ,' • 1+;,, IY.';;;;;.,!:: lj,•r:;j,.: i..,,,i;1%,•.',.,,•••;;,,.. :•• -.,.,:. „,.. ' . I i ; '•...J.I OS':•• . . 1r0 •tespo . ..: .„L., ignaturer, f nsible person: •. #., ' q , , -t..., Date: 0 7/479 ' •'1 0 ....V ; '', : . 4-.1 ',•- ., .• , . 3SO \V3O TOWN OF QUEENSBURY BUILDING. b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ) EU b Location � '� Qm _ ' -CJ Date—VI 1—VD 9f:!Permi t # peoD1o� SOIL TYPE: Sand-Loam-Clay- a1ai-� 3 Results of Percolati ► Test- (if applicable) Rat.- °\inute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: otal ,Length Length of each tre ch Depth of trenches Size of stone SEEPAGE PITS: um;ler- Size - ft. x ft. Stone size ._ PIPING: '' Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIO S: Foundation to Tank feet Foundation to Abso tion feet Separation of Pits feet Conforms as per Plo Plan Yes No LOCATION OF SYSTE ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: SYSTEM USE APPROVED: ^YES NO Arrived: E Depar/tedd• ,t y. / Building I sector F coPY 99- 715 - NO V fi 1999 TOWN OF Q1EENSBURY BUILDING DEP ENT 7 l° ' 6- Based on our knotted examination complia once%ti h our comments shall // coot be the i/°`�` 'fans and specifications l -re" 24 / 9r "I have seen or observed, or believe I saw evidence of,all objects such as houses, wells,trees,fences, etc., TOWN OWN OF QUEEN' URY s own this docume al o represe t that I have Pcrs7 iall measured t anc forth on the diagram." BUILDING & % ' PT REVIEWED BY ,/ �.._r �� -%. SIGNA E DATE DATE ..._ .. .• Airgim�. _. .