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2000-007 { CERTIFICATE OF COMPLIANCE ._TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK date January, 12 . 2000 jj t4 r MGM This is to certify that work requested to be done as shown by Permit No. has been completed. SEPTIC ALTERATION This structure ma be used as a 283 C RINTH RD. — Location Owner TAX MAP NO. 127 . -8-23 By Order of Town Board . TOWN OF QUEENSBURY Director of Building & Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 VALUE $ 0 20@0@07 .TAX MAP NO. 12 7 . -8-2 3 Building Permit No. . Permission is hereby granted to JOHNSON, THOMAS & LAUREL 283 CORINTH RD. Owner of property located at in the Town of Queensbury, SEPTIC ALTERATION Qu ury,to construct or place a at the above location in accordance to 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. 2e66Af1 RD. QUEENSBURY, NY 12804 Contractor or Builder's Name: I .B. S. SEPTIC Contractor or Builder's Address: 2 LOWER WARREN STREET_ QUEENSBURY, NY 12804 Electrical Inspection Agency: Type of Construction: SEPTIC Plans and Specifications: Proposed Use: SEPTIC ALTERATION 25 January 5 2002 $ PERMIT FEE P�—THIS PERMIT EXPIRES (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 the Town of Queensbury5 this Day of January 2000 SIGNED BY JeA for the Town of Queensbury Co orcement Officer Application for SEPTIC DISPOSAL PERMIT To;,n of Queensbury RECEIVED Permit No. Dept of Community Development Bu:1dmg &Codes Office JAN 0 5 2000 742 Day Road Fee Paid Quee sbury, IvY 12804 OP O'U`ENi'33URY BUILDiNG Location of property for installation: �/) r r�A•i! � �^ Property Owner's Name: "10 •'` 5 Property Owner's Mailing Address: 11,'.v / 4 1 (3) Installer's Name: 1), % Phone ;r ��—�1� Y Number of bedrooms (if residential): Total daily flow: �� (residential - compute @ 150 gal./bdrm.) Topography: (� t?at, rolling, steep slope I of slope Soil Nature: sand, loam, clay, other /depth: Ground water: at*,,ct depths y/q feet / B e�-ock or Impervious Nfaterii: at w4at depth? ! feet Percolation test/Vk not require_, re uired [rate min. per inch j Domestic water supply: municipal, well, other H domestic water suvoly is a WELL, water s7-=ly uorri any septid absorption is feet. PROPOSED SYSTEM Septic tank./L011 gallon (n ini„urn size: LOGO sal.) Tile field: each tench feet I Total system Iength: feet Seepage pit(s): number of � I size each: . fL by fL Size of stone to be used: _ / de-oth or thickness f feet H OLDR 1G TANK SYSTEM: (if required) Number of tow-: Size of each a noas Alarm system and associated electrical work- to be aspected by a certrned agency. For-,c;r protection, please note that pursuant to Section 136-29 of the Code of the Town of Qoeewbury, any pew or arp----v l -armed which is based won or is guanted in reH=ca t on asy mzterial roisrepresec'n or failure to mike a mate: I .`a.• or cir urnstance 1-noan by or oa behalf of on applicaz;t, shall be Void. I have ._.ad the regulations with respect to this avplic 'on and a_o•-ee to abide by these and all:D�mrexnents of the Town of Que,e-.s�u-,y Sanitary Sewage Disposal Ordnance. Sij a~,re of responsible person: Date: TOWN OF QUEENSBURY BUILDING_& CODE ENFORCEMENT 742 Bay Road Queensbury NY 12864 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location M1 Date 11ate t J� �l..o�—' NCO 7 SOIL TY Sand Results of Perc Tes - (if applicable) nut /InchTYPE OF SYSTEM: ABSORPTION FIEL Le gthLength of each ' Depth of trench 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/ it Openings Sealed? Yes No . .Far tial LOCATION/SEPARATIO Foundation to Tank feet Foundation to Abso ption 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 - Mi dd Rear COMMENTS- SYSTEM USE APPRO NO Arriv Dep ted- Bui] i n' n pector TOM OF QUEENSBURY BUILDING & CODE ENFORCEMENT '142 Bay Road Queensbury NY 12804 w (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location D a t __S 1Permit # (��(�� SOIL TYP San - am-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTIOW FIELD: Tot 1 kength Length of a ch `trenc 7 Depth of tr% hes Size of stone SEEPAGE PITS: N Size - ft. x ft. Stone s�"zF �7 �. �� L PIPING: Size Type Bldg. to Tank C+�tS�tt Tank to Dist. Box No . Dist. Box to Field testa �� Openings Sealed? es No . ,Partd1 LOCATION/SEPARATIO S: Foundation to Tank 'r feet Foundation to Abso ption �L;i +: feet . Separation of Pit �,�-� feet.. Conforms as per P of Plan Yes No LOCATION OF :CYST M ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle F n - Middle Rear COMMENTS: - i SYSTEM.USE APPROVED: YES, NOy Arrived: Depart g sp t S 01/12/2000 12:32 7983213 „ IBS PAGE 02 REC j A N 1 TOWN OF SUILDIN a 5 � i 1 1j - ESE NEW ■ ■p ■■■■ ■■■OM IrMOMB ■■ B■■ �■ �ME M'NONE■■■ ■■■EME■ j'■■ ■■■■ OM■■u■ ■, 1. , ., ■ ■ S■■my ■ ■■■■■� mME��■0� = C ■.H.....EM■■.EEM■n MOMMEMEM MOOM., , a. _ , , , � ■■OM■ ■■■ MOMS■■ ■uOM ■ r SOS■■■ MOMIMMOSSOM■■■ N■■■■■ ��■■■■■MEMH ■■H■■■■■■N■■ EMS M OEM ■ M MOM ■H■ ■ ME■u■■ ■ . .■■ ■EMSM■MEMO .■ E■E■M■■HHOMMN MEMEMEEM 0 EMS No on Euu■ ■H „ ' SOMA OM MEMO■ 1• 1 z •i • , - ■ MOM MHEM ■■ / ■ - ■ 9 IO ■ ■ M WNW■BE■ d ■H■H■■■■� ® ■■ av /,r ■MM■MS"'uMui■i'E'u a ■�■nu ■ 0 3 u■ ■� '■v�O■■■"■ H■ ■H ■ ■■■■■■■ ■■ ■ UMMEM M"'M SH■■�0 SWE NOOK■■■■OMvn0u'EMMOMMOM ■® uH■■ �� O■Momm� ■■O■O■■ ■■■■ SSOHH■ ■M■H■■■M■■■■E MEMNOME mom ME M ME EMMEME MEN ME 0 ON NEI �M mcom M MOMMEM ■■.■■ ME ■■ ■■EMEMME MEM HM EOM■E■ HH■■ H■ MH E■■O ■E■ ■■■WM ■EME OMS ■ ONE NONE MEMMEMEMOM WOMEN Ems M■■OMEH■somm�E■ u ■ ■■ESE■■MEN WEmom ■ ME■■SMN■■ M�■N SEE ' ��■■■H 'H■ ■ ■■■■EMS �■■'■■■■■■OM OMME ■S ■ ■OM ■■■ ■ ME SE■ ■■■OMOM ■ MEN ■■■ ■■ OM OEM 0 ME SEEM O ■N■ SOME ■■ EOMOM OM ME ■ ■■ �■■ �O ■OMB �ms ■■■ MS■sonS oti. 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