98-212 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Mav 5 1998
This is to certify that work requested to be done as shown by Permit No.98212
has, been completed.
This structure may be used as a SEPTIC ALTERATION
Location 92 SWEET RD.
Owner WELCHER, GERALD Et
TAX MAP NO. 64. -1-7 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 0 No. 98212
TAX MAP NO. 64. —1-7 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to WELCHER, GERALD &
OWNER of property located at 92 SWEET RD. Street,Road or Ave.
in the Town of Oueensbury,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.
I. OWNER'S Address is
GERALDINE 92 SWEET RD.
QUEENSBURY, NY 12804 .
2. CONTRACTOR or BUILDERS Name
SANITARY SEWER
3. CONTRACTOR or BUILDERS Address
DAN DRELLOS _ PO.-BOX., 224_.
GLENS FALLS NY 12801
4. ARCHITECT'S Name
•
6. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
. SEPTIC..
( 1 Wood Frame ( )Masonry ( )Steel . ( I
7. PLANS and Specifications
SEPTIC ALTERATION AS. PER.. PLOT. PLAN.. SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION
2.5 May-. 5 2000
$ 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.)
5 .. May .. 19
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building end Zoning Imps
Application for SEPT DISPQSAL PERMIT
PP F
Town of Queensbury Permit No.
/` Dept. of Community Development MAY Q 4.•199$
r
Building&Codes Office 'M4O,. �:742 Bay Road TOc ; .,'E obt, Y: Fee Paid $
Queensbury, NY 12804 BUILDING ILDINr.,i-` AND
J
Location of property for installation: L e / `
Property Owner's Name: an.„.,
Property Own 's Mailing Address: 9 2.-- 'v v (2-cc- JO
Installer's Name: _ N l 7714.11 Phone # 7 9 2- —71 J 7
7 46-"C"--
Number of bedrooms (if residential): Total daily flow: /115.�
(residential -compute @ 150 gal./bdrm.)
Topography: eflat, rolling, steep slope 7 of slope
• Soil Nature: ig sand, loam, clay, other /depth:
•
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet
Percolation test: k not required, required [rate min. per inch I
Domestic water supply: , municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tanlc IOC gallon (minimum size: 1,000 gal.)
Tile field: each trench feet / Total system length: ' feet
Seepage pit(s): number of / / size each: /I® ft. by ft. '
Size of stone to be used: # 3 / depth or thickness Z— 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 Queensbn y, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or future to make a
material fact or circumstance known by or on behalf of an applicant;shall be void.
I have read the regulations with m act to this ' tion and to abide by these and all requirememta of the Town of
Queenabury Sanitary Sewage Disp sal q o. /®®
Signature of responsible person: x /(k,_ Date: " T9
MAY (, 4 /998
TOWN OF QUE:Fr, URY TOIrviiv cip ..,,,,,,. „_::, .,•E-Lny
BUILDNG Bulaiimc- CODE
/ i 4....
REVIENAf ED B "dei /14/1/
\ DATE AIM
7)74 u-'4L_
i 4x141
1 J L \
.2. 3_ r•(?... -I;
(-) "--
•
crh
I C
loii — Cr cl)
= 0.4- Grit
i Ci9 (D
• w
\ 4 % ___••••• 0, 2 z
1 1 ..• .., 4/2 SP.
LS ?4
Z .
)
8 ...... g.::
wire
,__..
rrl
•=%=- P
4
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT jLLfaD
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ��P/ra C WP_L(ll)"U V
Location _ C Cjp4
Date L. g Permit # C U
SOIL TYP Sand-) oam-Clay-
Results of 'ercolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF YSTEM:
TI FIELD: Total Length
Length of each t nch
Depth of trenches
Size of stone
SEEPAGE P S: Numb -
Size - ft x ft
Stone size
PIPING; Size Type
Bldg. to " -i n
Tank-t ist. Box --- -Dist. Box to Fi el 50,e 15
Openings Sealed? Yes ' No Partial
LOCATION/SEPARATI •
Foundation to Tank /0 feet
Foundation to Absorption D feet
Separation of Pits Iliporet
Conforms as per Plot Plan No
L�. , ON OF SYSTEM ON PROPER
ci c e one)
Fron ' - Rear - Left Side - Right Side
'idle Front - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: YES NO
.
Arrived: I, s , '
Departed: -4j
Building Inspector