Loading...
98-694 �.. • • Certificate of Compliance Town of Queensbury Warren County,New York February 29, 2000 Date 98694 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 302 CLEVERDALE RD. Location Owner LIVINGSTON, DOUGLAS & TAX MAP NO. 13 . -3-14 By Order Town Board TO QUEENSB9J Y e/-,x " Director of Building Code Enforcement - - ._ BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY Na 98694 TAX MAP NO. 13. —3-14 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to LIVINGSTON. DQIIGLAS st OWNER of property located at 302 CLEVERDALE YD Street.Road or Ave. in the Town of Oueensbury,To Construct or place a SEPTIC AT.TII.PATIC)N 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 SUSAN 5340 BALFOR DR. VIRGINIA BEACH, FL 23464 2. CONTRACTOR or BUILDERS Name ROULIER, CHARLES 3. CONTRACTOR or BUILDERS Address CLEVERDALE, NY 0 4. ARCHITECT'S Name 6. ARCHITECTS Address 6. TYPE of Construction—(Please indicate by X) SEPTIC 1 1 Wood Frame ( I Masonry ( )Steel ( ) 7. PLANS and Specifications SEPVC ALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION 25 October 29 2000 $ PERMIT FEE PAID—THIS PERMIT EXPIRES 19 Of 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.) 29 October 1998 Dated at the Town of Oueensbury this sy of 19 SIGNED BY '- ` K.)42 — for the Town of Oueensbury Building and Zoning Inspector Application for SEPTIC DISPOSAL PERMIT Town of Queensbury C&ing Dept. of Community Development Permit No. Building &Codes Office a 742 Bay Road Fee Paid $ r Queensbury, NY 12804 l. Location of property for instalii?on G l..e.-g lei. 4' Property Owner's Name: ,De yy 4.5 .sys�a�+ ���,i.�,f s�, 6•Awl ma /Seam‹. Property Owner's Mailing Address: •s"-3 j/o ,,o'.c.i .V,.,... 1 f. ,,.q „03 VC y . ).c. Installer's Name: ., • , :, Phone # e 4--e-3 e'y y Number of bedrooms (if residential): .3 Total daily flow: �J a (residential - compute @ 150 gal./bdrm.) ' Topography: flat, rolling, steep slope _..3 % of slope Soil Nature: sand, )l loam, clay, /9'.xec ther I depth: Ground water: at what depth?N'•-" eet / Bedrock or Impervious Material: at what depth?' feet Percolation test: not required, Y required [rate 73.4, min. per inch Domestic water supply: municipal, well, other -. .,, e, If domestic water supply is a WELL, water supply from any septic absorption is — feet. . PROPOSED SYSTEM Septic tank. ..b gallon (minimum size: 1,000 gal.) Tile field: each trench .sir feet / Total system length: —'— feet Seepage pit(s): number of / size each: - ft.by ft. Size of stone to be used: # / depth or tiziclmess feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons .- jAlarm system and associated electrical Rork 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 appivval 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. Signature of responsible personl Date: //y,0 c:)_P '• TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name v U Location Date l )--I S C((Permi t # C _( 4R SOIL TYPE: 4Sand-Loam-Clay- Results of ' -rcolation - (if applicabl -) Rate nute/Inc TYPE OF SYSTa ABSORPTION FI I Total Length Length of - .ch tr- . h Depth o trenches Size 4 stone SEWAGE PITS: Number- S��ze - 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 :— Front - Rear Left Side - Right Side Middle • : - Middle Rear COMMENTS: Gf LA( Silcue 7 SYSTEM USE APPROVED: YES NO Arrived: /' O Departed: WI Buildi ng Inspector TOWN OF QUEENSBURY /`/_74- BUILDING & CODE ENFORCEMENT 742 Bay Road DA1) Queensbury NY 12804i (518) 761-8256 SEPTIC DISPOSA SYST M INSPECTION Live) *.— z Name 2 //14,62. 1� �. Location Date P--( - Permit # 91'0c/ SOIL TYPE: San,-Loan lay- Results of 'ercolation - •t- (if applicab e) Rate- 'e/Inch TYPE OF SYST - ABSORPTION FIELi. To . ength Q2/O Length of each tre Depth of trenches /-2 Size of stone SEEPAGE PITS: N ber- Size - f . x ft. Stone size PIPING: Size Type Bldg. to Tank Q?" ' fb_ Tank to Dist. Box Dist. Box to Field/P Sib Openings Sealed? Ur No Partial LOCATION/SEPARATION : Foundation to Tank D feet Foundation to Absorption 2 0 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: irk Soka),/ retfistei fie Auld . 0,/%1 d i SYSTEM USE APPROVED: YES NO' Arrived: A3o Departed: Building Inspector TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name iLft4{ Location L- a attee4 Date /2// Y Permit # 19 .6gY SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/In h TYPE OF SYSTEM: ABSORPTION FIELD: Total Lengt Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size .� PIPING: ize Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Y-s • Partial LOCATION/SEPARATIONS Foundation to Tank feet Foundation to Abso stion feet Separation of Pit- feet Conforms as per P of Plan es No LOCATION OF SYS M ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front Middle Rear COMMENTS: SYSTEM USE APPROVED: YES NO Arrived: /i 3d Departed: Build Inspector TOWN OF QUEENSBURY i/i) BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name //711, Location CAku:A r� Permit # 6 %0 f' 9‘E-0)Lf Date �` SOIL TYPE: Sand-Loam-Clay- Results If Percolation Test- (if appl cable) Rate-Mi - nch TYPE OF 'YSTEM: ABSORPTI1 FIELD: •tal Lengt Length of -ach t'-nch Depth of tre , -s 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: (c).- jiy, 4,4) SYSTEM USE APPROVED: YES 6i3 Arrived: `'2 Departed: Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name - 14 )I I(10 -0 - Location - .(, 'fir Date it 1/ Permit # 3-Vi`i 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: ize ype Bldg. to ank Tank to Di Bo Dist. Box to Openings Seale ? Yes No Partial LOCATION/SEP TITS: Foundation t Tank feet Foundation Absorption _ feet Separation of Pits feet Conforms as per Plot P1 an Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: "i9z 4.4 4,4 Ciro c*-3 Co/1/7 Cae- /e1J' % - SYSTEM USE APPROVED: YES Arrived: 9 27.,) Departed: @1- Builthng Inspector ector TOWN OF QUEENSBURY /0AW' BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name v t Locatio Date Ig- - g Permit # 449 SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYST I : ABSORPTION F LD: Total Length Length of eac trench Depth of trenc -s Size of stone44111. SEEPAGE PITS: : - Size - ft. x 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 P1 an Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: p 4 \ ( A/ 41-`1 SYSTEM USE APPROVED: YES 0 Arrived: Departed: 7 l 7.1 Building Inspector .41 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name I,-.Iv\, 6i.)1-()1�� Location (-302_, CLE)ED4LE PP Date Permit # 9 -r$94 SOIL TYPE: Sand-Loam-Clay- Results of Percolat•on T- t- (if applicable) Ra 'e-Min to/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tot. Length Length o each t : ' - Depth of trenc e • Size of stone SEEPAGE PITS: umber- Size - t. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to ield/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: SYSTEM USE APPROVED . YES NO Arrived: it!°:://) Depart- , it Aor id " lding n•f' tor Li .,. .... , ,......, . . ... ..r.- -...). , rc . I 1/42 .. ( , . ,., ,.......,0,,, . c., a - . 7 ...,7"- "...4>. 'G...) r AIL) .-. . I , I . . (4.: 1 \ I 12- 0 ...--** — ? I q kole, _ um _ 37, _ ._; ---c)---At..0% 6-x ...._ -;,:i . .....„ Vlo\e4; .--)(- . (CA () , . / I i..,3 t) i ,,, .--,..., <2 i i E1 i ...,, . 1,--)c/c, 1 '' .--- -4 ____. 1 ,,•,c'c ie, ___.....-- ) i .. I 0 2 1 0 O‘P I me A fi'e 1 el // ... e s . /4......--.ea AI 4. ,, ... "------e-,. FEB 2 8 2000 NAME: DATE: IN OUT - JOB NAME& LOCATION: TRUCK JOB DESCRIPTION: 450 DOZER 850 DOZER BACKHOE TRACKHOE PAYLOADER FORD TRACTOR YORK RAKE MATERIALS: GRADER CHIPPER LABOR TOTAL JOB NAME& LOCATION: TRUCK JOB DESCRIPTION: 450 DOZER 850 DOZER BACKHOE TRACKHOE PAYLOADER FORDTRACTOR YORK RAKE GRADER MATERIALS: CHIPPER LABOR TOTAL ` JOB NAME & LOCATION: TRUCK JOB DESCRIPTION: 450 DOZER 850 DOZER BACKHOE TRACKHOE PAYLOADER FORD TRACTOR YORK RAKE MATERIALS:,, .. GRADER CHIPPER a, LABOR TOTAL CRANDALL EXCAVATING, INC. TOTAL HRS. OE , ` OULIER, INC. _ (518)65e- . / f. RS _[ BOX 301,CLEVERDALE,N.Y.12820 J1. i �n/d. i 'l.��jCr- - 6l IBC 4." _ � C? 62— 9 I n 4 TO,t P OF Qt N;;tE RY 011ILDI,IG DEPARTMtehlJ �...c_ y _I�I. , Based on ostr tilt .�exam yatiori, `� 0 cemphance wlth e r commtnts shall- `'� 4 V not he construed a.Indica ngi the F o� v plans and sp'eclt,. Ions er�in full CCr it !fctGu with t ' CURB, It 400 .11 :E \..) 47/ \ ' $%:; ,' N.i N-- . _ Ill I 1 ,i, . if , ., T " T I7° I 4t 1 i tat /1%o'' - 1 j si , F l I.'. IS 1 \ k\e"'N ...\ * \ [ ,�. dto Q , _ _ V zoo. 7.,,z „5- ! /,,,,-- - !Y' G j' ,J 1t Y tLi�