92-183 .r
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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY; NEW YORK
Date e�/1 C.G F of 19 22
This is to certify-that work requested to be done as shown by Permit No. 92-183
has been completed.
This structure may be occupied as a
Septic Alteration
Location rJohn Street
Owner David Bureau
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. Lti Code Enforcement
BUILDING PERMIT X
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TOWN OF QUEENSBURY
No, 92-183 c
WARREN COUNTY, NEW YORK 1.2
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PERMISSION is hereby granted to Dave Bureau
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OWNER of property located at John Street Street,Road or Ave.
kc
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 W
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is C
Same c
• e
cD
2. CONTRACTOR or BUI LDER'S Name
Tim Barber
Nu-Tech
CW
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name e+
M
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No, Septic Alteration As per plot plan specifications and application
8. Proposed Use
Septic Alteration
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 27, 1994
(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 thi t f April 19 92
SIGNED BY c for the Town of Queensbury
Building and Z mg Inspector
q T'.GFGUEENS 4 V C" H, PACE 02
04/'23/:92. 13:24 ' 5187454474 '`' "
:APB
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,. APPLICATION
SEPTIC DISPOSAL, pERNi ITa'w¢ 8cP
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Date. I, _
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F I STAL TI ON
PROPERTY
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Phone _
- s Name:'
.a.� ; '
=umber::,of bedrooms,(i f resi dtnti a1 )
- ute` @ 10 a1 per bedroom)
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:Total;::::oai1y flovi (residen0a.�. comp 9
f 510
Rollin Stee .'S1 op. P
c1e Orie. 11 F.l�t
e the
w Loa
Cia Other;::: -- p
rc1e One: Sand 1. Y`
Soi Nature Ci-
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'J G�.Ground f Water-At What De th _
Feet 1 y -
iti'
1J- De --
�A What:
- t�.r:�..a1. �: p
- ervious Mo
- tick` or Im _
'r e_ _�B p
cl�:tR to
M i n P er I n ch
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- - �: aired:-°�� -- -
rc e:Qne.: Ns Re
.tio Test Ci 1 _ q r.
er°co1Ya n
W 1 Other
nCircle`. One: 'Municip e1
Domes
Water Supply
r. u. l i s ..w
If domestic wate s pp, Y:
- - - or-'tion' feet
u' 1 from. air septic,.abs P:. r
y: `'Separation. . stater s pp..Y
.5
a OO ga
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-VROPOSED si z e: 1 )
`-um 9
6 al
Minimum' ";
f'i c� Tan 9
:�L e n t
fe
et,
t'
eni:
a 1� s _o D
r ch'f
y
_ Each T en
- �yF•i el d.
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y
f t.
5'
a ch.
f t• X
r
T
10
e Pit s Number ...
f t
r: jhi ckn:ess ee
Size:^of. S.4one to be used'
s
etl Depth :or- _:� .
fie lL
€.' HOLDING •TANK SYSTEM IF --REQUIRED
5 Si`ze�of Each Gal
of Tank
a
certified
1a s st and associated ) ter .: o _:be. inspectod�T
I'^ have read the regulation on the reverse side of. thi s' sheet and agree to .abide
by -these and all �eguirements of the Town of Queen,sbury Sanitary Sewage Disposal
Ordinance.
umTUt� OF RESPONSIBLE PERM
B��E n4�2
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FROM DESIGN TO FINISH QUALITY IS BUILT IN
NU-TECH CONSTRUCTION COMPANY
GENERAL CONTRACTOR
POURED FOUNDATIONS P.O.BOX 4323
COMPLETE BUILDING QUEENSBURY,N.Y. 12804
CUSTOM TILE WORK 518-792-7622
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FROM DESIGN TO FINISH QUALITY IS BUILT IN
NU-TECH CONSTRUCTION COMPANY
GENERAL CONTRACTOR
POURED FOUNDATIONS P.O. BOX 4323
COMPLETE BUILDING B` �:.',� QUEENSBURY,N.Y. 12804
CUSTOM TILE WORK "' 518-792-7622
APR-2 y j99
BUILDING & CODE DepT.
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Jown o/ QUeenJLry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSALSYSTEM INSPECTION
NAME _
LOCAT ION
DATE /OTC PERMIT NO. 3
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total len
Length of each tre
Depth of c es '
S' gravel_ _
SEEPAGE PITS*Number of)
Size- ft. X _ ft.
Gravel size
PIPING: "'Size F� Type
Bldg. to tank , v' PUL—
Tank to dist. box e--
Dist. box to field/
Openings sealed? ES NO Partial
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LOCATION/SEPARATIONS: C.
Foundation to tank �` ft.
Foundation to absorption , ft
Absorption to lot lirie ft.
Separation of pits �f
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
/I
SYSTEM USE APPROVED Y ANOB i din
01/86 and vl