The URL can be used to link to this page

2002-456 � ` TOWN OF QUEENSBURY IF 742 Ba Road, ueensbu ,NY 12804-5902 518 761-8201 �� Y Q n' � ) Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20020456 Date Issued: Monday, June 17, 2002 This is to certify that work requested to be done as shown by Permit Number P20020456 has been completed. Tax Map Number: 523400-239-016-0001-029-000-0000 Location: 2824 STATE ROUTE 9L Owner: DARCY HARDING Applicant: DARCY HARDING This structure may be occupied as a: By Order of Town Board Septic Alteration Residential TOWN OF QUEENSBURY Director of Building&Code Enforcement TOWN OF QUEENSBURY O 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020456 Application Number: A20020456 Tax Map No: 523400-239-016-0001-029-000-0000 Permission is hereby granted to: DARCY HARDING For property located at: 2824 STATE ROUTE 9L • in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: DARCY HARDING 60 OLD NISKAYUNA Rd Total Alteration Residential Total Value LOUDONVILLE,NY 12110-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2002-456 SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONZX $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 07,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the f Quee u ; r. ay,June 07,2002 SIGNED BY for the Town of Queensbury. Director of Building&Co e Enforcement Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: _. _. ---.•••- - , Office Use Location of installation: 2 L Gt,'u n b�'r ' I I File Permit No. d Tax Map No. / / , Fee Paid Owner's Name: 'JCh ►►n Address: tcC 'id `�}�C�y ,�::; l�tl L0cdi&nv, L. N 1121i 2. INSTALLER'S NAME : AP 1 e � t c.Q.0, PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s)and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No.of Bedrooms x Computation = Total Daily Flow C980 or older.: 3 x 150 gal/bdrm = 1980—1 91 x 130 gal/bdrm = 1991—present x 110 gal/bdrm = Garbage Grinder Installed yes_ Spa or Whirlpool Installed yes_ / 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) ••h Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply dirite sand at what depth at what depth municipal 'oiling ,- feet 7' feet ell Steep slope ay ifwell;water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: /4(' minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. ,Septic Tank:/—2 gallon(min. size 1,000 gal) l �•le Field': eac trench �2.) f. Total System Length: ' ‘S. ) ft Seepage Pit(s): number of size of each: ft by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each:--gallons /TOTAL Capr.city: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) 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 Disposal Ordinance. ,� - S gn re o responsibl e person Date COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL,-, Permit Permit No. pCert. N e 79088 Cut-in Card No Owner Ain"2d, 6 Location s<�Lc /� i� /p 7 i y Installation Consisting of. t7U t f' 34-0u f C'Gr /�2liL. 5....019/1/2eZi Installed By. ..:.....z�� Y� -- Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of mak' inspections at any time, and if its rules are violated,the Company shall have the right to rev et s c ificate. Date 6`/ 7-0 INSPECTOR Member N.F.P.A.,I.A.E.I. 044 !fij,e„,,.Th (y),..15L-A— 3(0/—.0 51 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 4411 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name oi^ce -M,,,,c6,7 Location a , Rk / - Date billyeiD.._ Permit # C - 6, SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank s7,,H� 1-+�` - - Li0 Tank to By?. • , a+ "c.„4 Dist. Box to Field/' ' r „ 41 Openings Sealed? N. 'artia 177-4. 111 Foundation to Tank gj feet 0_, Foundation to Absorpti n � r, feet Separation of Pits -t Conforms as per Plot P an o LOCATION OF SYSTEM ON ROPERTY (circle ,_._.__.._._...__ . Fran - LefttS dd< Right-- YSide Middle r iddle ear COMMENTS: A L L- Off. ZJ S `-k e e1 ELA 06?Ec v Ep / D-z____- SYSTEM USE APPROVED: idifi i , i i Arrived: t Depa � i 4 /041111111 ui].rng Inspec •r r' (� o ,qr� TOWN OF QUEEIfSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518)761-8256 4' SEPTIC DISPOSAL SYSTEM INSPECTION _i Name _ Location AAF�-i(�L ��k07" D Date 1 —q -{'7 Permit #__ DLLtiC SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench 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 .� c COMMENTS: 6L�� E� vE T\ �� ►�� c5 C Ex-) `� t=�b�►� SYSTEM USE APPROVED: YES C.-. _,..- Arri v Depa - ed: �'ta. L p ;Jr ding spec •o,