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2001-081 _ TOWN OF QUEENSBURY ` � 742 BayRoad, Queensbury, 12804-5902 (518) 761-8201 ��� Q �Y� Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20010081 Date Issued: Wednesday, April 25, 2001 This is to certify that work requested to be done as shown by Permit Number P20010081 has been completed. Tax Map Number: 523400-001-000-0001-008-000-0000 Location: 27 ANTIGUA Rd Owner: CRAIG BROWN Applicant: CRAIG BROWN This structure may be occupied as a: By Order of Town Board Septic Alteration Commercial TOWN OF QUEENSBURY 4 Director of Building&Code Enforcement i0ek TORN OF QUEENSBURY ` � 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010081 Application Number. A20010081 Tax Map No: 523400-001-000-0001-008-000-0000 Permission is hereby granted to: CRAIG BROWN. For property located at: 27 ANTIGUA Rd 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 QueensburyZoning Ordinance. Type of Construction Value Owner Address: CRAIG BROWN Septic Alteration Commercial 27 ANTIGUA Rd Total Value LAKE GEORGE,NY 12845 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications BP 2001-081 Septic Alteration- Commercial for 3 bedroom unit at 27 Antigua Road 1,500 gallon tank as per plot plan and specifications S35.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,March 01,2003 (If a longer period is required, an application for an extension must be made to the code Enforcement . Officer . Dated at the Town Qu nsb hur. 'a i March 01, 2001 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Application for Permit—Septic Disposal System _ Town of Queensbuty 742 Bay Road Queensbury,NY 12804 (518) 761-8256 ' - - 1. OWNER INFORMATION: _ Location of installation: 7 rwti�f ' kd _.,--F-----,72,_ Office Use / f/ File Pe it No./ Tax Map No. /t/ / U er--6 .9 F ►ly.n. 1 Fee Paid .Owner's Name: 1 Address: A{ iO L P Ik 6Vate, 2. INSTALLER'S NAME : OrihNtIGLI 1 /`L 4/ ` poptIrfiNal 1 —0 V-Yi 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedmoso r '.� #at bedrooms with applicable gallons per bedroo tpjhe{ iNht,(y.I ei Up) Year of House: No. of Bedrooms x Computation = Total Daily Flow / 1980 or older x 150 gal/bdrm = C4 1-1tI1Vtef 1980- 1991 x 130 gal/bdrm = 1991 -present 3 x 110 gal/bdrm = 336 Garbage Grinder Installed yes` / no C/ Spa or Whirlpool Installed yes / no (/ 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography ,'1 Ngture Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sari, S_ s��4c- at what depth at what depth municipal Rollings%e . `1 ' �6w� feet feet we Steep slope -- a if well; water supply _%slope other _. 6..., ( j,,.� from any septic-system depth: 6 A. �'�kl ito, absorption is / 6 Oft. ( ,,,� other Percolation Test: (To be completed by licensed professional engineer or architect) 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: /06 gallon (min. size 1,000 gal) Tile Field: each trench ft. Total System Length: t. Seepage Pit(s): number of (' size of each: P.-ft. by /1 fl. 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. V (1/3/1/w pc ,13,,,,_ F-4 . ,9---f--/ 60 / Signatu}e of responsible person Date lrC �� c A'''' ° . \ TOWN OFF QUE'Ev4SBURY �e.--- BUILDINGS CODE ENFORCEMEN 742 Bay Road Queensbury NY 12804 • (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION ( ;,7f) `art Name 04 Location _ 944 KC Date el. 5 Permit # Q OOI 1Z. SOIL TYPE: and-Loam-Clay- Results of Percolatio- est- (if applicable) Rate Min a/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tital Le gth Length of each tren( h Depth of trenches Size of sty e SEEPAGE PI ,: : Numb: r Size - 421k ft. _ ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pt 1IA c► Openings Sealed? es No Partial LOCATION/SEPARATION": Foundation to Tank feet Foundation to Abso ption feet Separation of Pit '��iP feet Conforms as per P of Plan No LOCATION OF SYST +1 ON PROPER le one) Front - Rear - Left Side - Right Side e Front Middle Rear COMMENTS: 7\i SYSTEM USE APPROVED: YES NO Arrived: ' Ai Departed: IF, /f l YeQ-_ Building Inspector 1 (\Ci TOd OF QUEENSBURY . BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 $SEPTIC DISPOSAL SYSTEM INSPECTION ,,j1-.),C Name °� �---> Location Date / Permit # —0 E1 SOIL TYPE: Sand-Loam-Clay- Results of Percolat on est- Airs (if applicable) Rat--Min to/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tital L ngth Length of each tren h Depth of trenches Size of stone — SEEPAGE PITS: Numb. Size - ,/ft. ft. Stone size PIPING: I Size Type Bldg. to Tan 4/" Pic Tank to Dist. Box Dist. Box to Field Pit Openings Sealed? Yes No Partial LOCATION/SEPARATI, S: 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 - Le t Side - Right Side Middle Front - Middle Rear COMMENTS: • (/)Zt -/A SYSTEM USE APPROVED: YES dW Arrived: /33 Departed: Building Inspector CRAIG F.BROWN Fib 'V 27 Antigua Road NIAR 0 1 Lake George,NY 12845 001 U '(518)668-2556 TOWN OF �D��2�S� �C11LD1f�G�PdD G ANTIGUA MAIN HOUSE SYSTEM: Five bedroom house with 1.6 Gal. flush toilets and low flow fixtures=550 Gal.per day of flow. Inc. rate 1"per 4 min. 1.2 application rate. 550 1.2=458.33 sq. ft of drywall needed. (Absorptive Area for Cylinder= 1 DH) OR 3.14 X diameter X height=absorption area. 3.15 X 8(depth)X 11 (width)=277.20 absorption area 2 pits X 277.20=554.40 Total absorption area ANTIGUA 3 bedroom unit system: Three bedroom unit with 1.6 Gal. flush toilets and low flow fixtures=330 Gal. per day of flow. 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