Loading...
92-183 .r er - as i . 1 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 a TOWN OF QUEENSBURY No, 92-183 c WARREN COUNTY, NEW YORK 1.2 Iv I PERMISSION is hereby granted to Dave Bureau o� 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 0 3. CONTRACTOR or BUILDER'S Address V1 CD 4. ARCHITECT'S Name e+ M a 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 :r TOwN OF. QU NSBU.Rv7: . ;����' ,. APPLICATION SEPTIC DISPOSAL, pERNi ITa'w¢ 8cP we B e ie d R +� Date. I, _ - - Q F I STAL TI ON PROPERTY DR. N !,A - OF QRE AT IO N A v 'iri d^ s�rN am � ;. - J - r r ss: `v?y :A e dd- - i in Mai 9 i h�rN g S Phone _ - s Name:' .a.� ; ' =umber::,of bedrooms,(i f resi dtnti a1 ) - ute` @ 10 a1 per bedroom) S :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- 1' ` Q T - . : '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 e - - �: 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 l -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. .1,e,' 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 i 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 II i S t� X I� /� �� 1+ � )J zL ,� C�' ��., ICE �(y C"rvwA c'J a-� T,. !V IWSbm 1 -�>t4w s,ee- PIA 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. �Q W rs x to ,J t `X�S�;�1 �ttUC �-V•� ram/� / �F �1X �li�ltur�.1 � r z �lbP b viE IC E 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 d 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