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96-544 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date September 19 19 96 96544 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 11°7 MANNIS RD> Location WARD, RICHARD & JOYCE Owner TAX MAP NO. 40. -1-44 By Order of Town Board T WN OF QUEENSBURY Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY 96544 TAX MAP NO. 40. -1-44 No. WARREN COUNTY, NEW YORK WARD, RICHARD & JOYCE PERMISSION is hereby granted to 117 MANNIS RD. OWNER of property located at 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 MANNIS RD. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name MORNING STAR 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) SEPTIC ( )Wood Frame ( )Masonry ( )Steel ( 7. PLANS and Specifications SEPC ALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION 25 September 4 98 $ 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 Queensbury before the expiration date.) 4 September 96 Dated at the Town of Queensbury t of 19 SIGNED BY for the Town of Queensbury Building and ning Inspector Application for SEPTIC DISPOSAL PERMIT O • i % STAMP RICE1VIi1) Z Location uC properly Cur installation: ���� O Owner's Name 7 p Wr fi' AAt 'I:ItMIT NUMI11?R - (c)Owner's Mailing Address: 7/7 G0 GA ` "L)/ / pi FEE PAID i) Installer's Name: $ r Phone #: erj Number of bedrooms (if residential): Total daily flow (residential -compute 0 I5(l gal. per bedroom)� 13V C Topography: I I Flat ( tolling I I Steep Slope % of Slope Soil Nature: Sand I Loam Clay [1 Other /Depth: 1t Ground Water: at what depth? /� feet k- F E Bedrock or Impervious Material: at what depth? feet tP9 6 Percolation Test: [ f Not Required Itec uitcd/Kale t fihtc0N ` vc; ...— Domestic Water Supply: ( I Municipal 4 Well J , Other If domestic water supply is a WELL: water supply from any septic absorption is / "• feet PROPOSED SYSTEM: Septic tank: /DDp gal, (minimum size: 1.000 gal.) 'lilt Field: each trench If feet. / total system length feet. Seepage Pit(s): number of ��— / size each: 0 ft. x ft. • Size of stone to be used: # / depth or thickness_ feet. IiOL.DING 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 of the Code of the Town of Queensbury, any permit or approvo!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 a fan applicant, shall be void. 1 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 Disposal Ordinance. Signature of responsib'e person: "- ?',t tlietAz., Date: %''" ' -- 76 1111 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804(518) 761-8256 ARRIVE: DEPART: IN`• 411" FINAL INSPECTION REPORT - RESID: L DATE INSPECTION REQUEST RECEIVED: NAME LOCATION (� Gl 1r Yv'1J1--F +- 1-.� c DATE t 1 $ `i, U PERMIT # 9O-S4'-1 TYPE OF S RUCTURE n R DQ FOOTINGS FOUNDATION BACKFILL _ FRAMING _ ROUGH PLUMBING SEPTIC _ INSULATION _ FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A `YES NO CHIMNEY HEIGHT/B VENT/f(EIGHT Y PLUMBING VENT 4( ROOFING :////// EXTERIOR FINISH DECK/PORCH/STEPS/RAI N S / RELIEF VALVES ✓// FURNACE/HOT WAT OPERATING J INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS _ SMOKE DETECTORS BATHROOM FANS - PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C A 5 P $ hL MRT\(KA TObiN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name ( ',iJeO /49-RD Location 44N,,t//S 4 Date /. Permit # SOIL TYPE. Sand-Loam-Clay- Results of 'ercolation Test- (if applica.le) Rate-Minute/In h TYPE OF SYS. M: ABSORPTION F &. LD: Total Lengt Length of eac trench Depth of tren es Size of stone SEEPAGE PITS: umber- Size - t. x ft. Stone size PIPING: •ize Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/'it Openings Sealed? e No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorpt • feet Separation of Pits _ feet Conforms as per Plot Pla Yes No LOCATION OF SYSTEM I PRO' RTY: (circle one) Front - Rear - Lef Side - Bight Side Middle Front - Middle Rear \ COMMENTS: oK v P3 f/9/Z SYSTEM USE APPROVED: 1(9NO Arrived: -ii) Departed: Building Inspector & 29 TOWN CF QUEENSBURY /-1 BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name \-k.)aA,C9 2 ,- Location \\q Date — Permi t # jp-5111-( SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION F ELD: Tota Length Length of eac trenc Depth of trenc es Size of stone SEEPAGE PITS: ber- Size - 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/SEPA' TICBS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan -- Yes No LOCATION OF SYSTEM Or PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: A4.4K14ti - ©K tL"G- riA)16 c&c. 1 RN44- AcPrPkov.44_ t).(1) 60pci{b a Ft26- Om°NRt�R�T�K5 oo-t cl 793- ZS 1 SYSTEM USE APPROVED: YES NO Arrived: 04) Departed: :t r- -JP-eJ Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Wri210 Location (1' 4 4/l5 /2O Date 2// Z Permit # SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Min a/Inch TYPE OF SYSTEM: ABSORPTION FIEL1- Tota Length Length of each t -nc Depth of trenches Size of stone SEEPAGE PITS: N b.r- Size - f . x ft. Stone size PIPING: Size Type Bldg. to T. Tank to ['1st. Box 14i st. : .x to Field '" MVP Openings Sealed? 0 No Partia LOCATION/SEPARATION . 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: IA\1c)1-(A'4- SYSTEM USE APPROVED: YES Arrived: , t' Departed: Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name ,Qkr Location 1.1,1U1 A.)4.5l 5 720 Date 47//Z—(% Permit # cdt".� SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Min e/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total ength Length of each nch Depth of trenches Size of stone SEEPAGE PITS: Numbe - Size - ft. ft. Stone size PIPING: Size Type Bldg. to Tank ank to Dist. B VO x i st. Box to F. el ./P Openings Sealed? No Part al LOCATION/SEPARATION . 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: '�A (� ( A L /00-r ge,40f) SYSTEM USE APPROVED: YES (libr)t Arrived: /7 Departed: //: 1` _ Building Inspector ( TON CF QUEENSBURY BUILDING & CODE ENFORCEMENT ) 531 Bay Road �) Queensbury NY 12804 518-745-4447 /` SEPTIC DISPOSAL SYSTEM INSPECTION / Name VO �. Location Date--I c7r L Permit # (3L SOIL TYPE: 111pLoam-ClaylP Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: To ;1 Length Length of each tr:n' Depth of trenches Size of stone SEEPAGE HT.,. ; umb_r- Size - ft. x ft. Stone siz- PIPING: Size Typ e Bldg o Tank / A Tank to Dist. Box MC' Dist. Box to Field/P. - `' Openings Sealed? No Partial LOCATION/SEPAR ';IMS: Foundation to Tank /S ' feet Foundation to Absorption Alegil feet Separation of Pits 41; feet Conforms as per Plot Plan 40, No LOCATION OF SYSTEM OK PROPERT . (ci rci - Front Rea - Left Side - Right Side Middle rout - Prick e Rear COMMENTS- • CAti- SYSTEM USE APPROVED: YES NO Arrived: /O- 35 Departed: 4245 Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name 61440 Location 4 /41/5 t3`(L Date Permit # /2,vivie) SOIL TYPE: San'-Loam lay- Results of Perc,lat' .n Test- (if applicable) C e-Minute/Inch TYPE OF SYSTEM' ABSORPTION LD: ` otal Length Length of each tren0 Depth of trenches Size of stone SEEPAGE PITS: Number- 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/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: ��i ►� (7)odT" SYSTEM USE APPROVED: YES I O Arrived: (: :7) Departed: Building Inspector f� 1 ;.w. �RE E A, � �` ', : ,. = t ' SEP 041996 * Z .0 , R r�' a . {,y tie i;tc5 y, ."i C i ,� _ i TOUVN CY-' uEti,v.?b'11RY� k. F _ -'+rr �t,i:EL ,r �r 3 y l� ' BUILDING AND CODE `1 ', ` . , « - eh < s' . "; "' - —%, a� :a .. - _ 1 I _ _ - R04� \4.1; •.• ----. 1 _— --- —. • ..---- - 7.0 t Ai RE ,.. t lit- 0,, fro I SEP 4 1996 ///1 •w` / Ihave mn or ebu 0�I ellt�w �o P. , Bo 9 V{N bu 0„ il!ebjlOMt such a house , � •," ,�I C _ _ — P % Ps 0 t ay�put '�P� 106181111/i SO dillillOWAIRONSI ea Rit - ik.7•„ \ 22 • 1 2� w SIGNATUREc J . • l00 Cm GERALD L. �` 2D0 , L 3 64 .) c «r ' 1. n pA,, RICHA RD M. 4' OYCE O. • • 1 , r, , !`a' / it t Cc„ (' r 'Ln2tS Viifif Er -) , WAR R .� ... __-.• a".s2:: —:n. - I- Of. 8� m "f f`M t t : -1w4 L478KP37l. /L497.10548..� .^� t �`.. tom ' �.. ;;s -( � ACRES. 1... �;. tg, GAL • 1`4NK .. t'J-"t39K sr -———7 o ,Zi „ll ‹-es- c. ', N77-46 �P{ -- ., 33' _ �—S 7' �46-5%W 93.67�--- , - '•- , S 7733_05W 60. -,. - -- sip _. -- --- .........._____ .,pf sip LnifivA/� /ed. - - - — - - — — - - -� - --- n