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96-164 CERTIFICATE OF COMPLIANCE TOWN OF OUEENSBURY WARREN COUNTY, NEW YORK Date June 20 19 97 96164 This is tv certify that work requested to be done as shown by Permit No. has been completed. SEPTIC ALTERATION This structure may be used as a PULVER ROAD Location Owner SERBAL1K, JOHN • By Order of Town Board TAX MAP NO. _18, -1-19 TOWN OF QUEENSBURY • Director of Building & Coe Enforcement ' It is strongly recommended that owner pump Holding Tank empty prior to c1d weather to prevent freezing of liquid in tank causing damage to Holding Tank. , , , -BUILDING ,'' PERMIT VALUE' - $ e. TOWN . OF QUEENSBURY TAX MAP NOL: . 18 -1-19 No. 96164 WARREN COUNTY, NEWYORK PERMISSION is hereby granted to SERBALIK. JOHN OWNER of property located at ' ' PULVER. ROAD P P ty' Street,Road or Ave. in the Town of Queensbury,To Construct or place a SEPTIC ALTERATION I 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 . 44 -NORTH MAIN ST: MECHANICVILLE, NY 12118 2. CONTRACTOR or BUILDERS Name . • 3. CONTRACTOR or BUILDER'S.Address 4. ARCHITECT'S Name . 5. ARCHITECTS Address - 6. TYPE of Construction—(Please indicate by X) . SEPTIC ( )Wood Frame ( )'Masonry ( )Steel ( ) 7. PLANS and Specifications SEPTIOO.ALTERATION.- AS PER PLOT PLAN SPECIFICATIONS 8: Proposed Use " SEPTIC- ALTERATION:, $ PERMIT FEE PAID'—THIS PERMIT EXPIRES . • May 2 19 98 (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` -' ' _==.. Day of May 19 96 SIGNED BY for the Town of Queensbury Building and Zoning'Inspector r, , Application for SEPTIC DISPOSAL=:I :RMIT1 0 I_ H` Ct.? . 11 . • STAMP RECEIVED APR 2 5 1 96 O Location of property for-installation: ?,i/ver v�i�Cd� TOWN•,.,„ ;,L.:- _:: ':' I BUILDING;AND e....ULLE 9 Owner's Nam': PERMIT NUMBER Owner's Mailing Address: 5 3 0_ -96 `/‘ V • rri ,4 wc,J''ti&/ d' FEE PAID Installer's Name: :5,11V- , �f)(-yp Phone #: UZS Number of bedrooms (if residential): 2- N 'Total daily now (residential -coin pule O.) 150 gal. per bedroom): �� Topography: r]flat • gi Rolling ni Steep Slope °b of Slope Soil Nature:. n Sand. • Loam • 1 Clay . I '),I Other/ter4"4Depth: • Ground Water: at what depth? Ph,. feet Bedrock or Impervious Material: at what depth? feet • Percolation,•l•est: W Nol Required 11 Requited/Rate. min. perinch Domestic Water Supply: = Municipal 1 ] Well Other laic_ If domestic water supply is a WI;i..L: water supply from any septic absorption is feet • PROPOSED SYS1.EM: Septic tank: 3606 gal. (minimum size: 1,000 gal.) 'tile Field: each trench / ,'/ Teet. / total system length feet. • Seepage Pit(s): number of s" / ' size each: ft. x ft. _ , .-±LA.:._ , --. - . . . . :, , . . . Size of stone to he used: , # a / depth or thickness feet. • HOLDING TANK SYSTEM: (if required)" - Number of tanks: c .1--- Size of each: 3006 gal. ' Alarm system and associated electrical work to be inspected by a certified agency. • For your protection, jrle ase note that pursuant to Section 136-29-o f the Code of the Town of • Queinsbury, any permit or a pproval granted which is based upon or is granted in reliance upon •. • ,any material misrepresentation or failure to ma/ce a material fret or circuntslance known by or on- 'behalf ofan 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 o f responsib�e person: ,� ,� �- Date: L,�j �(, 40 TOWN OF QUEENSBURY 1/! BUILDING& CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name �GIQ� GI Location 4L.I/6/e . Date �,Zd 4, Permit # f" SOIL TYPE: Sand-Loam-Clay- Results of Perc. . ion Test- (if applicable) ' . --Minute/Inch TYPE OF SY'!EM: , ABSORPTION LD •tal Length Length of each . 4-i ' h Depth of trenche, Size of stone., SEEPAGE PITS: Nu ber- 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: 'DA r p SYSTEM USE APPROVED: YES NO Arrived: 5� Departed: -5- /' /Sf Building Inspector._ TOWN OF QUEENSBURY I" A Zh BUILDIN6: CODE ENFORCEMENT. 742 Bay Road Queensbury NY 12804 (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION 1 r--, Name se,„Ao0A, Icsi4_,,„n Location (RAn/"RA Date(c 2O 7 Permit # 9 --Hoy SOIL TYPE: Sand-Loam-Clay- Results of Percolat •n Test- (if appli •ble) ''ate- iinute/Inch TYPE OF SYS Mk ABSORPTION FI • I: Total Length Length of each t • e h Depth of. trenches Size of stone SEEPAGE PITS: Nu 'er- 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 ---g- es No LOCATION OF SYSTEM ON PROPER (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: /% ,v // i/// S u ,',eft G y E1 Xuk SYSTEM USE APPROVED: 411:01NO ived: ..21501 • • TOWN OF QUEENSBURY . BUILDING b CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name 6 Ee-Ctu,1�Locati on ^- \)vt_\)-FP _ Date .6\14101 . Permit # -{(Q 164 SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applic. .le) Rate-Minute/I h TYPE.0' ABSORPT LD: Total Length Length cc each trench Depth of trenches Size of stone SEEPAGE PITS: Numbe, Size - ft. ft. Stone size PIPING: • Size Type Bldg. to Tank Tank to Dist. :.•x Dist. Box to F eld/Pit Openings Seal d? Yes No Partial LOCATION/SEP•RATIONS: Foundation -o Tank feet Foundation o Absorption feet - Separation of Pits _ feet Conforms s per Plot P1 an Yes No LOCATION IF SYSTEM ON PROPERTY: (circle •ne) Front - Rear - Left' Side - Right Side Middle ' ront - Middle- Rear COMMENTS: 6P0V / PETS P E -M-Okt� ' 10 `-'P11....L�I L of Ott E V13t--M :D • bc-DeOE) QA u W-L 5$ O GE_ 10EEM S No Fog TOWN OF QUEENSBURY .Ia BUILDING & CODE ENFORCEMENT: 531 Bay Road. Queensbury N.Y 12804 518=745-4447 SEPTIC DISPOSAL SYSTEM-INSPECTION :• Name d'- � ` ;' • Location j Date. T Permit #�l; - SOIL TYPE: Sand-Loam-Clay- Results of Percolat'on Test- '. ' (if appl'icab -) Rare-M note/Inch ' TYPE OF SYST ABSORPTION FIELI. o .1 Length ___ _ Length of each tr: nch Depth of trenches : Size of stone SEEPAGE PITS: Nu her- . , 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: /Z 0.41i rhcVCSct/:•o4 • . 1.f ff bC ..(44,1. • TOWN- OF QUEENSBURY • - BUILDING & CODE ENFORCEMENT' • 531 Bay,Road. - • Queensbury NY. 12804 • ,. • 518-7454447 , • . SEPTIC DISPOSAL SYSTEM INSPECTION' • Name • 59,,r44411<- 4 t/E� p Location , /e.0 : . . Date C/4147 Permit #g9±,1: SOIL TYPE: Sand-Loam--Clay- - Results of Percolation Test- (if applicable) Rate-Minute%Inch`` TYPE OF SYSTEM: ABSORPTION FIELD: . Total Length Length of each tre . Depth of trenches - Size of stone SEEPAGE PITS: - ' Size - ft1 ft. Stone size I. . 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: l./0sr16(--- Yevtir aeg6Cr • COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 357 Elwyn Terrace — Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPRO/Vtp 9- Panel Board No. Cert. 4 3 2 J® Cut-tntn6Ld No. Owner / S U/7/34-e I Occupant Location Pao v /� �J�f L� ,e 0 C�'�t-te c Installation Consisting of. czo 02 Pam e 5 sew/ O/LiL,!C/ Installed By 0` frig/2_, Lic.# 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 making i, pectio sat any time,and if its rules are violated,the om any shall have the right to revoke th'.c/'Ica �� . 'Date ‘ - INSPECTOR ... Member N.F.P.A.,I.A.E.I. - TOWN OF QUEENSBURY BUILDING 8 CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name r It_ Location \, i' Jc 0 Date 5-7 Permit # Al- l( - SOIL TYPE: San Loam-Clay- , Results of Percolation Tot- (if applicable) ate-Mi ite/Inch TYPE OF SYSTEM: ABSORPTION FIELD: ` TotaA ' Length Length of each tr nch/ Depth of trenches :. Size of stone 1 SEEPAGE PITS: Num�er- Size - f.ic ft. Stone size PIPING: 1 Size Type Bldg. to Tank Tank to Dist. pox Dist. Box to field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation . o Tank feet Foundation to Absorpti 'n _ feet Separatio of Pits feet Conforms as per Plot Plan Yes No LOCATIONOF SYSTEM ON P�OPERTY: (circl one) Front Rear - Left'Side '`- Right Side Middl Front - Middle Rear COMM TS: k, 7:3/ 1-0144-a4; \IM-ki CAAN4WV__ •1 o ,6C_I-AF__ __V .\ % ., 7 Do ZE-C vP �Tc`� - SYSTEM USE APPROVED: YES, � N�1 �C1*h.! Arriv Depar " , ilding I s- for TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 5 rf 4/r'1 Location Oie� Date y ? Permit # 16 -ld SOIL TYPE: Sand-Loam-Clay j 11\ Results of PercolWon Tes1t- (if applicable) fatee-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 COMMENTS: - Xi/6W IgArp, +hi Pere5e41� q/ 4a✓J o� �G�Z y11 ad bird/4 40_4 SYSTEM USE APPROVED: YES NO Arrived: A!) Departed: Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Thl e_,Y'\43 Gk\1' Location Ou0)032A cOG ) Date —) —9 7 Permit # SOIL TYPE: Sand-Loa -Clay- Results of Percolat on T - (if applicable) Rat:-„ nute/Inch TYPE OF SYSTEM: ABSORPTION FIELD Tital Length Length of eac trennh 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 LOCATIv OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: (1)-7/._ qe.a.-4-.‘ of Cf _15d / C ej /2,-70/(4, SYSTEM USE APPROVED: YES Arrived: id,1C Departed: 9h- Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION , Name %4 /h!,(k Location Pt_V ,e0 - . Date IC B J Permit # ? , ""'/ lki SOIL TYPE: Sand-Loam-Clay- Results of Perco ion Test- (if applicable) te-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 P1 an Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: pp tot j uI C M"Ld- - 1-0T kr 0 y t�2 056 SYSTEM USE APPROVED: YES 0 Arrived: /12.: 449 Departed: -' Building Inspector TOi OF QUEEP1SBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury MY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name -nB&G/l( Location /'CJ[_ /&tee - Date 6.2 Permit # SOIL TYPE: San.-Lo.• ay- Results of clation est- (if app icable) Fate-Mi ute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: .tal 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/SEPA' +TIONS: 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: eq—u- ►,v,-� /� 6A06 5 u ►PRd��rOt v 6 A /JO TRosafAs ' i sk t 3 l r fr t SYSTEM USE APPROVED: YES 6;) Arrived: /'O Cv Departed: lb --GQ Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location f" ?,L y I_ . Date M/41,7 - Permit # Ig f5 SOIL TYPE: Sand-Loam-Cly- Results of Percolat;.n Test- (if applicable) '.t:-Minute/Inc.h TYPE OF SYS ABSORPTION FIELD: , To •al 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 - Middl Rear COMMENTS: i .0(5)( a oc . 10 A- ,L 1P6 01� ' .it /0 ('ALL. d-1,6`T.• 6A0Lowto TA-01( ti-bAm-. TAR ��� . SYSTEM USE APPROVED: YES 4 Arrived: Z :.® Departed: Building Inspector . TONN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name X-R/3A'L ll< Location C, Date it/Gb/c0 Permit # SOIL TYPE: Sand-Loam-Clay- Results of Perco . ion Test- (if applicable Rat -Minute/Inch TYPE OF SYS Ac : ABSORPTI" FIELD: To a1 Length Length of each trenc 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 P1 an Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: SYSTEM USE APPROVED: YES NI Arrived: /2%'ak) Departed: 'z 7 v c)21 Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name ; 54c( l� Location PoLt1&R Date Permit' # 96---/t// SOIL TYPE: Sand-Loam-Clay- Results of Percola ,i► Test- (if applicable) '. r-Minute/Inch TYPE OF SYS ABSORP FIELD: Trtal Length _ Length of each trenc' 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: ,AcL�VNc, i;yob< loAc-4-c-Pv2-66 SYSTEM USE APPROVED: YES NO Arrived: Departed: g �/c 4e/ Building Inspector (518) 761-8256 TOWN OF QUEENSBURY "` BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 ,,E INSPECTOR'S REPORT: ARR 3' DEPART INT'1�.6/ REQUEST FOR INSPECT ON RECEIVED: NAME ‘16/ J LI LOCATION V/ - FJ DATE 0/. 7 PERMIT A 96 /v TYPE OF STRUCTURE: RECHECK { APPROVED_ N/A YES NO FOOTINGS/PIERS • MONOLITHIC POUR ,Alt REINFORC ••' •T IN PLA 1 THE CONTRACTOR IS RES'ONSIBLE FOR PROVIDING PROTE TION F•OM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING _ JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- _ WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- • # /✓t (9>6- A6 MOP /V Of /A- Arl I // res� �� /� r-je_ F 4CPY7 S /z 0< C. retie - TOWN OF QUEENSBURY BUILDING 8 CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name R6/11'Ll47 Location F LIWA L4 Date 2/144__ Permit SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) . `•ate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: ota Length Length of each tren h Depth of trenches Size of stone A SEEPAGE PITS: Nu ,. - - Size - f 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: SCre' Cc�ccv 1 v g61-4k) 50WlP ° r SYSTEM USE APPROVED: YES (;_li-;) Arrived: Departed: Building Inspector • TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name 0f4 r4/i Location iCta Date 2_ 6 Permit # 1"/ SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Len th 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? 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:/J 4741 yy . /0 4asvitta SYSTEM USE APPROVED: YES NO Arrived: 3l/Y Departed: c /J Building Ins for (518) 761-8256 TOWN OF QUEENSBURY r'.` BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 a/ 7 4( j `�e,.�s INSPECTOR'S REPORT: ARR�/r•�'9EPAR7I� JJIN REQUEST FOR I SPECCT6/9-1- IION�RECEIVED: NAME 6.��-�'J/7 ` ('K LOCATION (676 19 Vl.v�k J�--0 ��DATE 6j'Z1 PERMIT # /'(�J -A / TYPE OF STRUCTURE: HdL&3l1JG 14 � 1t f iAPPRR CHECK OVED`\ e N/A Y NO FOOTINGS/PIERS (76I 1 I L 1/t MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN REINFORCEMENT IN PIE FOUNDATION DAMPPROOFIN _ __ __ ___ BACKFILL APPROVAL PLUMBING VENT VENTS IN PL C ROUGH PLUMBING PLUMBING UNDER S • FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING _ JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- _ FOUNDATION WALLS EXTERIOR R- _ FLOORS R- WALLS R- _ CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- • • C`,kL -- Few IJJALc, cif lEs . c EFOgle 6oQ k'O6 CU/�C� 1E TOWN OF QUEENSBURY W� BUILDING & CODE ENFORCEMENT -N 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC D SPOSAL SYSTEM INSPECTION J TA144; <-F12c5 N a �cJr iC� Location Pt'-( -e1 Date 42.1 Permit # SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM:,, ABSORPTION FIELD: Total Length Length of eacfi trench Depth of trenches ' ,. Size of stone`' SEEPAGE PITS Number- Size - ft. x ft. Stone size }' PIPING: .jJ 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 LOCATIOW OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: 2_-*'/ 1. 25 j Pi- 6 RCc-t-t-d< e SYSTEM USE APPROVED: YES NO Arrived: 1/4-2- Departed:Departed: // - Building Intpector I _ �-" � • C•IrT Ro t_ tQtr ►1E'1 Y to NAult -- Sc►�o •moo►--r-eM Ra-44wm KT i , Salo T^%JW. 14 I64t LAV.i 6 4 t G.Mi T Se«D ice,F 1 R! YK LA.&W 1� frr.7�u i } -row*) " 1 � 5 �-• � � PV� y� IN 1 V GotTAG Kto ue►IT Gou�P TYrE Ai-3 " # � M►/RtstT 4:s[ xl> S 14U T 64 t G 14 ►tip/ACSIET-OPwaRIPS � LKV�E.I_ MRRtL�aY s �►a+►plA. t1ViLt Tvt s"A %J � Ee�=atO1D � s */e $r[►tu3-lFunws- Z`l''�. 1 / � vwt-vt (fa."sE�e;Et•SEo� L SO U S 1%6 tf- -r.^ W. I_K I L1w►o y�EVt►- �Vaz L ct�J►C(-. �i � J!4t.A�RrI 5'iSTr=r1 '�a__GaeZS-!,4�. REc1bv V.L 01 t Y C � A t"wl lti. P"S- T :!"t J-Y 5 ` L M � �Ew!►4R PY+t i i X CrIm,CRAkt4 J1-T IC- 1 _ I i k6o-]E SOU RCE: QQEIE N�S by MLY CoDf SEw Ert5 xyv Scw>•►c.E fl15 Pc�SssL � l7G-l� L XKE- v i • �RaJ RIPE N � i � S c-r Wm E . COOPER 1 i 'Ilk ARCHITECT A 42 DIVISION STREET Ci AMSTERDAM , N . Y. 12010 w� ( 518 ) 842 - 3 17 1 t v4� t APR 3 1996 J U N N 5EP t5A.Lk V, L X KE. CorLO R..GE..s t4-Y. If 41 -3 cod CA►►, S t~PTt C I�0l-01kaG 'TNwV.- ►l�OIU'4 �- 5tfPRF6bJ Mt1.&Aft. C&IJ [01y7"1tltt1�,. 517E FILE COPY E. CODa �� DRA APP. SCALE • REVi510Ng SHEET NO. TOWN OF QUEE BURY 69�CO BUILDING CO DEPT. SQdNo. �o OF ��� O F2 REVIEWED BY DATE J013 NO. DATE s 1►►Fltt1„ tt,Llllc. �G l *.- I _ . f RauS Iz" w•.Y 30 91., MAOHOLIE `� �. .� - '►^vu r+ir3M•e► CAL WNT90L LavttL F>,p KcuRX 5 w t7CM Ter -rA.urC '' rF r RI�C►10Q: -SNuT •PP &-WW[I Ll414T" r�", � . ,S/t.CJi ©ltitV tTCµSNdT etrF GARAGE REAR wAt_t_- l 2" PdG F1t_L pttAE FOO _ 4AOo['RRUNGS / i 1 2"o.c TING LOT OUT FRO" . . r // '� , • • � '/�. LEv[L V►vYL W/►TF_aA2ooR Llti si FLo/.,-T Swi t-TcK 8 O0. K o PPE25 / Loct\TIorJS O o V nw^c�S � Fl.00tL TO "TAd1L F •. t.SvCL LtcHt" ikS RoVS 12 'OC_ _ ~� s/s,ROD / b Fes. A r - I �� Ruins Iz'bc- . , -�-� Q14 ` 1 SixCTtOA1 _ 2 Pv� M I4'Pvc- FILL PIPS y bJG }I MOv+e (,t7Htt PovA. FORtC NgiJ I To PU►tP `ap+ 2" va scHua,�. I Fvca-T,b..14: - cu-t OUT b _h _y t• c[ a A v -_-IL- s t �. j +kT R•pS r2"u�, FR41.ti R o Glt. L Jul. �tV.gG � 4 A•wwY J E- C -T 10N 5Kit To Wm E . COOPER i ARCHITECT E 4 2 D I V I S I O N S T R E E T GAR GE. AMSTERDAM . N . Y. 12010 i ( 518 ) 8 4 2 - 3 1 7 1 `� 3a N !!�E2pkLIK I S rt rcl,c, v I la<al.ca�aa p �e 3000 t. tit_ SEPTIC o HOLD tNG TAtJK- A c*sa v a. G tZo u ry o WT&P460 Mtt.LIM Gw Cowtm3luL 3� vFUT 41A oPtt.J PLAN i E. OO.o (� 9 I?RA N A SCALE t"n tC' 4 PAtZ-c LA l. Rt-VISIONS SHEET NO TO P P L A-, SITE PUKIJ r. 4lA4�.9c. 5 c ql-F-: ��z = I�,p S CAL.E! t .I O' �S@ d N 0. OF �E�N of 2 DATE A NO