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2003-006 t TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20030006 Date Issued: Monday, January 13, 2003 This is to certify that work requested to be done as shown by Permit Number P20030006 has been completed. Tax Map Number: 523400-297-020-0001-002-000-0000 Location: 340 QUEENSBURY Ave Owner: AIRRON INDUSTRIAL CORP. Applicant: AIRRON INDUSTRIAL CORP. This structure may be occupied as a: By Order of Town Board Septic Alteration Residential TOWN OF QUEENSBURY )j W d5q�— Director of Building&tode E orcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030006 Application Number: A20030006 Tax Map No: 523400-297-020-0001-002-000-0000 Permission is hereby granted to: AIRRON INDUNTRIAL CORP. For property located at: 340 QUEENSBURY Ave in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: AIRRON INDUSTRIAL CORP. PO BOX 225 Septic Alteration Residential Total Value GLENS FALLS,NY 12801 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2003-006 SEPTIC ALTERATION AS PER APPLICATION $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,January 14,2004 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at, e n of ensbury; Monday,January 13,2003 SIGNED BY C . �° for the Town of Queensbury. Director of Building Code Enforcement Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: 02 6 File Permit N Tax Map No. / / IT Paia _ Owner's Name: E� t....!..,.u..__....................:................................. ................................: Address: r , V JG� X - aZ W AI 0 . 2003 /� ( TO OF OLIEE-N i 2. INSTALLER'S NAME : � V�L '�(t � VVU�j!ILDING r�,�P ,O KO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older �� x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = Garbage Grinder Installed yes_ / no Spa or Hot Tub Installed yes_ / no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal Rolling loam feet feet well Steep slope clay if well; water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch r .5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a lic nsed professional engineer or architect(unless installed in a Planning Board approved subdivision). 250 "allons tot a ize of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: l gallon (min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed.System Size: x Alternative System: length and/or size 6: HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval 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. Al ignature of responsible person Date 1 V?uD AAA Septic Inspection Report Office No. (518) 761-8256 Date Inspec ;on request received: • Queensbury Building&Code Enforcement Arrive: ?� am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspectorfs Initials: NAME: G ` .PERMIT NO.: e9OO LOCATION: v INSPECT ON: N 3—d7, RECHECK: C Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation dista ft. Well separation distance ft. Other wells: ) ft. Absorption Field: Total le �fi ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partia Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan Y N Location of System on Property: From ear eft Ski& Right Side Middle Front Middle Rear System Use Status: Approved �—Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved BPC Make Map Page 1 of 4 APA � � a< �aksct,mS Ptantxel.; � � 1 © .i4w,LVall-ds; r t c < yA v �n wironn#31 �� tv2 �� Area. 4 �CC(P © Fatoa4s .: �4<r{vc 3psy aR o Qn}'�tAai�."yi vfi c,� ®_.ZaniAg ybz5}�9� ot�r�r$ aid ` , :r t�6q IY�4n_ (• "LUO� ;........ 2r Yi ��q{�{3�jt 'BUR 0Y•i„5 # '� ;ttl 6n yt, - 4�7 kt��M11`��•'/ , YC 's« xt h } lu a° S F zM SS (fziQ F.. lit A,fi{ k kp; �,� fiTtr } ;y 3,10au� Sr1 �'<g":ttea p1.'a pp�td''^,i�aCo " goo-? �5 �2 `ohs.. a of P�7aF v� Zb bo�z�s Y Airron Industrial Corp Property Parcel#29702000010020000000 (NEWSBL) P.O.Box 225, Glens Falls, NY- 12801 {= Town Of Queensbug Tax parcel ID: 29702000010020000000 742 day Road Pacel Address Name:County Line Rd Parcel Address Number: 340-366 Queensbury, NY. Parcel Abutters/Building Permit Checklist Prepared by T/O Queensbury Date: Thursday, January 09, 2003 BUILD11"AIG & CODES D T. DATE The Town of Queensbury does not warrant the correctness or accuracy of this data, or assume any responsibility for any explicit or implied uses. << pen or observed, or believe 1 satin e d etc havnce e s i all objects s��ch as hoQntsl alslosrepresent that i 'naveV . j Shown on this docum all measrored the distances set Tortl"i on the diagrar�." personally n http://gby2svr/gis/MAKEREPORTtest.AS SIGNATURE 1/9/03