92-321 C -Wr"IFICKrE OF COMPLIANCE
TOWN OF QUEENSOURY
WARREN COUNTY, NEW YORK
Date iZ 19
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This is to certify that work requested to be done as shown by Permit No.92_321 _
has been completed.
This structure may be used as a Septic Alteration
Location 80 Blain Street
Owner Savino ®'Angelico _
By Order of Town Board
TOWN OF QUEENSBURY
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Director of Building & Code Enforcement
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BUILDING PERMIT
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TOWN OF QUEENSBURY No 92_321
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Savino D'Angelico
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OWNER of property located at 80 Main Street Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Septic Alteration v
at the above location in accordance to application together with plot plans and other information hereto filed and a
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. cA
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1. OWNER'S Address is
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Same °
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2. CONTRACTOR or BUILDER'S Name
Condon's Septic & Drain °
798-8542
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name C/Y
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel
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7. PLANS and Specifications w
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No Septic Alteration to include: 200' of Tile Field using #2 stone
1' Thickness as per plot plan specifications and application
8. Proposed Use
Septic Alteration
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 9, 19 93
(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 this D y of June 1992
SIGNED BY for the Town of Queensbury
Building and Zoni n ctor
TOWN OF QUEENSBURY 1
J 3 , — S APPLICATION FOR �CI �SIT '9
DATE: �� - JUN 8 1992
LOCATION OF PROPERTY FOR INSTALLATION 4(,l
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Owner's Name: . I/� �j��,FAC< t (, Li
Address: an
Installer' s Name:CXL ! m)"5 ilt 4/Iu Telephone: 71'k-STYL
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) ]B
Topography: Circle one: lat Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? Feet
Bedrock or Impervious Material : At what depth? N Feet
Percolation test: Circle one: not required required
Rate - Min. Per Inch
Domestic water supply: Circle one: Municipal Well Other
If domestic water supply is a well :
Separation: Water supply 'from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank 4y( L1 gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench ,f-C) feet/Total system length 2-06 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used . /Depth or Thickness a feet
HOLDING TANK SYSTEM IF REQUIRED
NO. of, Tanks Size of Each Gal .
*Alaru systm and associated electrical Mork to be inspected by an approved
agency-
-- - - - - - - - - - - - - - - - -
I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
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SIGNATURE OF RESPONSIBLE PERSON: 6.'' r",L, DATE: A, - �—
septic System Inspections:. a
A. All applicatioes for septic system installation, alceracion or.-repair, •,
as required by the Town of Queensbury Sanitary Sevae 'Ordfnanci', 'shall
be submitted co;_che Building Department at least 24 hours before start
of construction and shall include a plot plan shoving:
1.) the proposed location of cho sysce■
2.) locacion' and distance to loc lines
3.) location and distance to structures
4.) location and di-scance co any water supply,"'--
size and dimensions of all canks, distribution boxes,
cile fields and/or drywells
B. Nu system shall be covered before inspection and approval by the
uuilding Inspuccor. Failure to comply with this taquiremenc may
rwsulc in the uncoverinb of c,ht system by the installer and a fine
of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure cc producd said ploc plan-tt"-tiae of inspection may -
resulc in an immddiate work stoppage.
D. Should unforeseen problems during construction prevent proper installs—
cion, alcaracion or repair of an approved system, a new proposal must
bu submitted cc the Quag nsbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPAAZ'MW
Bay and Haviland Roads
Quadnsbury, Maw York 12804
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Vill
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BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME �• \'� "f' Ci� 11� CO
LOCATION L �.CL.V\r\ ;Ly
DATE_/ r PERMIT NO. ,� 3 9 I
SOIL TYPE �Sand�- Loam - Clay -
Percolation Test Required? YES NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length ZZO
Length of each trench ��
Depth of trenches ' ?,=
Size of gravel_ .0-7` _
SEEPAGE PITS{Number of)
Size- ft. x t.
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Gravel size {
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PIPING: Sized ---Type
Bldg. to tank (S , f t/
Tank to dist. box P V
Dist. box to field/mitt f my C__
Openings sealed? V
NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft. 4i 7
Foundation to absor tio°n ft� P10 .
Absorption to lot Ane ft.
Separation of pits/ ft.
LOCATIO SYSTE ON PROPERTY(circle one)
Front - 6ear Lft s 3e� Right side -
COMMENTS:
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SYSTEM USE APPROVED ES O
Bui ding InspIctor
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