91-752 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date '" GD 1 erxite . 119 /
This is to certify that work requested to be done as shown by Permit No. 91-752
has been completed.
This structure may be occupied as a Septic Alteration
Location Box 8 Ridge Rd
Owner Vincent Spero
By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY x
No. 91-752 z
WARREN COUNTY, NEW YORK a
PERMISSION is hereby granted to Vincent Spero v,
OWNER of property located at Box 8 Ridge Rd Street,Road or Ave.
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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
Vf
Same
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2. CONTRACTOR or BUILDER'S Name
Bill Condon's Septic Service
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
G.
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5. ARCHITECT'S Address fD
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( )Masonry ( )Steel ( )
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7. PLANS and Specifications
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No. Septic Alteration to include: 300' of Tile field using #2 stone
1' Thickness as per plot plan specifications and application c+
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8. Proposed Use a
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Septic Alteration c
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 23, 19 93
(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 th" of October 19 91
SIGNED BY for the Town of Queensbury
Building a oning Inspector
4 �f / TOWN OF QUEENSBURY � 25:21
`� APPLICATIOq
� � FOR SEPTIC DISPOSAL PERMIT
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DATE: — 22 - 5
LOCATION OF PROPERTY FOR INSTALLATION &)( IQ 'D ' E fi-P
Owner's Name: Vi/IlE �v f R )f,,
Address: 2. 0 y g RIDGE kb
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Installer' s Name: CONbora SF/0 t; . Telephone: 7f,9-
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) 6 0
Topography: Circle one: 41, Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loa Clay Other /Depth:
Ground Water: At what depth? N`//' Feet
Bedrock or Impervious Material : At what depth? /1 Feet
Percolation test: Circle one: not required required
Rate - Min. Per Inch
Domestic water supply: Circle one: Municipal - Other
If domestic water supply is a well :
Separation: Water supply from any septic absorption MO feet.
PROPOSED SYSTEM: Septic Tank/pv6' 14,L C'D�l0 g 1. (minimum size: 1,000 gal )
TILE FIELD: Each Trench ,fd feet/Total system length 200 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used # `d>. /Depth or Thickness /' feet
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HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electrical work to be inspected by an approved
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: CW� DATE: �� 1j
Seeds SYstem Inspections:
A. All applications for septic sysces installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance. shall
be submitted co the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of cho system
2.) location and distance co lot lines
3.) location and discance co structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes.
cile fields ant/or drywalls
B. Nu system shall be covered before inspection and approval by the
�uiid ing Inspuctor. Failure to comply with this requirement may
result in chit uncovering of the system by the installer and a fine
ult up co $250.00.
C. An approved copy of the plot plan shall be available on the construction
*ice. Failure co produce said plot plan at time of inspection may
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper inscalla-
cion, alteration or repair of an approved system, a new proposal must
bu submitted co the Qis unsbury Building Department before further
t:otlscruction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Hay and Haviland Roads
Queensbury, New York 12804
kumdrks:
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BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME \- 01 VI\ n C.AN.
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LOCATION C_
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DATE !/ / PERMIT NO. Cl
SOIL TYPE - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, otal length 3trt7
Length of each tre ch , p
Depth of trenches ';r
Size of gravel_ _
SEEPAGE PITS-fNumb of)
Size- ,v ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank S€L 11 '
Tank to dist. box y " 54-p
Dist. box to field/ it L
Openings sealed? if yES NO Partial
'
LOCATION/SEPARATONS;
Foundation to :nk 14D ft.
Foundation to :bsorption 36, ft.
Absorption t. lot line ✓9`t.
Separation . pits ft.
LOCATION : aSYSTEM ON PROPERTY(circle one)
Front amp_ Left side - Right side -
COMMEN
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SYSTEM USE APPROVED Y
Buil ing Inspec r
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