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1999-142 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 12 19 99 99142 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 location 73 ASSEMBLY PT. RD. --' Owner DAVIDSON, JAMES & -' • TAX MAP NO. 6 . -1-10 By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No. 99142 TAX MAP NO. 6. —1-10 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to DAVIDSON. JAMES & OWNER of property located at 73 ASSEMBLY PT. RD. 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. OWNERS Address is ROSEMARY 16 NORTHUP DR. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDERS Name 3. CONTRACTOR or BUILDERS Address 4. ARCHITECT'S Name 5. ARCHITECTS Address 6. TYPE of Construction—(Please indicate by X) SEPTIC 1 I Wood Frame ( 1 Masonry ( )Steel 1 I 7. PLANS and Specifications SEPZ1t ALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION $ 25 PERMIT FEE PAID —THIS PERMIT EXPIRES April 19 2001 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.) Dated at the Town of Queensbury this 19 4ay of Apr i 1 19 1999 SIGNED BY t%.'� �• \,-h for the Town of Queensbury Building and Zoning Inspector 02/07/1996 21:00 5187454437 DEFT OF COMM DEVEL PAGE 02 Application for SEPTIC DISPOSAL PERMIT 99142 6. -1-10 r.t M Town of Quea DAVIDSON, JAMES & Permit No. L /u 4--- Dept, of Corn 73 ASSEMBLY PT. RD. Building &C( SEPTIC ALTERATION 742 Bay Road Fee Paid 5 • Queensbury, N. ____ __-_ _ — - Location of property for installation; 73 Assembly Point Road Property Owner's Name: James and Rosemary Davidson ")q . -10 Property Owner's Mailing Address: 16 Northup Drive, Queensbury, NY 12804 APR 1 6 1999 UVYiv ,)F QUEENSBUF Installer's Name: Shone # BUILDING AND COPS • - Number of bedrooms (if residential): 3 Total daily flow: 330 (see plans) (residential -compute Il8xgal./bdrrn,) 110 (Water saver fixtures) Topotrraphy: flat, rolling, steep slope % of slope • Soil Nature: sand, loam, clay, other/depth: Ground water; at what.depth? . feet / Bedrock or Impervious Material: at what depth? feet Percolation test: ,.._not required, required f rate lain. per inch] Domestic water supply: municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. • PROPOSED SYSTEM (See plans)• Septic tank gallon (minimum size:.: 1,000 gat.) Tile field: each trench feet / Total syam length: feet Seepage pit(s): number of / size each; ft,by ft. Size of stone to be used: # / depth or thickness feet . HOLDING TANK SYSTEM: (if required) Number of tads: • Size of each: gallons Alarm spstcm and associated electrical work to be mspetted by a certified agmcf. ,For you •protection, please note that pursuant to Section 136-29 of the Code of the Town of Qooensbury, any permit or approval granted which is based upon or is granted in reliance ti any material raiszepreeen or allure to make a ma..ter:al fact or circumstance known by or oa behalf of an appiiccat, • • void. I have read the regulations with respoct to this pp.c.:•. and agree /ij . ._ and all requirements of the Town of Queensbury Saoit�• ' Sewage Disposal e •:. / ' /�Ab I Signature of responsible person: l,,//� Date: 4 J(3/q 4 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. / Main Office 176 Doe Run Road-Manheim,PA 17545 /�� MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL �/0? anel Board No ``�� Cert. N2 64573 Cut-in Card No Iwner �..1p7 1 0 SO ,�+� ocation.Q f4 /1—S t S U t 6 6 "7 fr/ S istallation Consisting of EZLf / /2 / Z /S 0a kirk-0 istalled By �� � �/�-- Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is mcelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the itroduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making ilia";ions at any time, and if its Iles are violated,the Company shall have the right to v e this c e. ` v✓)ate & — - F / INSPECTOR i Member N.F.P.A.,I.A E.I. TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name pR\l%f3 Location '� � � �� flD Date Permit # q�— SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: T' .1 Length Length of each tre ch Depth o trenches Size of tone SEEPAGE P S: N be - Size f ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. .ox Dist. Box to F eld/Pit Openings Sealed? Yes No Partial LOCATION/SEP. ' .TIONS: Foundation t'i Tank feet Foundation t 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: c\u 0 V\\. 33 F1 u'��1� �-cC . p \� SYSTEM USE APPROVED: YES NO Arrived• a* Depa ed: wilding s c or i uwn tit QUEENSBURY \ l-1 BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 1280� ;`1`_r (518) 761-8256 >� v L SEPTIC DISPOSAL SYSTEM INSPECTION Name ti Location D Date ti—lb-- 6 Permit # SOIL TYP . . . L.am-Clay- Results of Percolati Test- (if appl 'cable) Rat -Mi ute/Inch TYPE OF STEM: ABSORPTI FIELD: otal ength ` Length of e ch t ench Depth of tre h / � �� Size of stone / (0 SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Ta , v E.tibv1c-1,►�To yF! {4C� © (� Tank to lei 4 , y,� �tc7__ Zvi D4 �F• - l: •t Openings S aled? e JW• artia LOCATION/SEPARATII ' : Foundation to Tank go feet Foundation to Absorption .,, S ► ee Separation of Pits • 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: OF.-- N5'.\\ �. 1 ADD .`c) N•?'s�AT\®t— IEIA") __PIVI-A-vE5A---- 71_ SYSTEM USE APPROVED: YES NO Arrived: . ® "(p Fig i Departed: _argil;, r ai—: 'V. ng : or JUL-12-1999 11 :07 AM CRANDALL EXC 518 793 0431 �t: i" f� -_ __ -. - --' i �. } g t, k 1 fi Yt '� . 'a d `f v • � t li �_ {7 ' ` 'r • J 4 } • \ r• r j/ / , , ,..- 1 , 1 \\--- co CrII r�7 1. 0 s .."--)---Z 0 o f RJ f\- VI