2003-479 TOWNEE
aF QU N.SBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761.8201
Community Development-Building&Codes (518)761.8256
CERTIFICATE CIF COMPLIANCE
Permit Number: P20030479 Date Issued: Thursday, June 26,'2003
This is to certify that work requested to be done as shown by Permit Number P20030479.
.has been-completed,
Tax Map Number: 523400-296.009.0002-058-000-0000
Location: 7 OAKWOOD Dr
Owner: NORMAN&MARY ENHORNING
Applicant: NORMAN&MARY ENHORNING
This structure may be occupied as a:
By Order of Town Board
Septic Alteration Residential TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building.&Codes (518)761-8256
BUILDING PERMIT ,
Permit Number: P20030479 Application Number: A20030479
Tax Map No: 523400-296-009-0002-058-000-0000
Permission is hereby granted to; NORMAN&MARY ENHORNING
t
For-property located at: 7 OAKWOOD Dr
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. Tune of Construction Value
Owner Address: NORMAN&MARY ENHORNING Septic Alteration Residential
7 OAKWOOD Dr Total value
QUEENSBURY,NY. 12804
Contractor or Builder's Name j Address Electrical Inspection Agency
I.B.S. SEPTIC
yt
2 LOWER WARREN STREET
OUEENSBURY.NY '
Plans&Specifications
2003-479
SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 26,-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 the own Que bu" AT y,June 269 2003
'� E for the Town of Queensbury.
SIGNED BY Q may
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:
0'f-f-ic,e,-U,* s*e*** ............
installation:Location of install -hl
Zt�lit rt1 r �]
Tax Map No. File Permit No.
Fee Paid X/atn I
Owner's Name: Z
Address: Z4 :-.11 1........................ ............ ............ ...................... ..........
2. INSTALLER'S NAME -t'Y PHONE NO.
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/bdrm1980- 1991 x 130 gal/bdrm
1991 -present x 110 gal/bdrm
Garbage Grinder Installed yes no CEIVED
U I NI 2
Spa or Hot Tub Installed 5-yes— no 2003
J
4., PARCEL INFORMATION: TOWN OF QUEENSBURY
, (circle applicable information&indicate measurements) g!gLCLE_
Maphy ature Ground Water Bedrock or1mi)ervious Material Domestic Water Supply
Flat son
S4 nkr at wh t depth at what depth municipal
cling k_lwa�m X?4jeet -7_ _Y�eet well
Steep slope Clay
slope other if well; water supply
depth: from any Septic-system
absorption is -.ft-
Percolation Test: (To be completed by licensed professional engineer or architect) other
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or Architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: A&ZLgallon(min. size 1,000 gal.)
Tile Field: each trench ft. Total System Length:
Seepage Pit(s): number If--I 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.
STg-nature of r�'e-sP_o_n_sib'_Tepers-o--ff- Date
Septic Inspection Report
Office No.(518)761-8256 Date Inspection request received-
Queensbury Building& Code Enforcement Arfive: anddg&ar� U 7tAvbm
742 Bay Rd., Queensbuty,NY 12804 Inspector's Initials: ;0
NAME: PERMIT NO.:
LOCATION: INSPECT ON:
RECHECK:
Comments-and/or diagram
Soil TXpe Sa Clay
Type of Wat6- Municipa)/Well Water
Waterline sep' ante ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x /0—
Stone Size:
Piping Si Type
Building to tank bJZ -5 5
Tank to
Distribution BoV—tk\Field Pit
Opening Sealed[ Y I NI Partial
Location/Separations
Foundation to tank 10,ft
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan :YY-7—N
Location of System on Property:
Front ear eft ide Right Side
Middle Front Middle Rear
System Use Statu
!%pprovedd
Partial Approved and needs to be re-inspected,please call the*Building&Codes Office
Di gapproved
L:\StieHemingway\Building.Codes,lnspection.FORMS\Septic Inspection keport.doc January 28,2003
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all Objects such as houses, wells,
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