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2002-426 TOWN OF QUEE,NSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes,(518)761.8256 CERTIFICATE OF COMPLIANCE Permit Number: P20020426 Date Issued: L Thursday,June 06,'2002 This is to certify that work requested to be done as shown by Permit Number P20020426 has been completed. Tax Map Number: 523400-302.017-0002.040.000-0000 Location: 35 HIDDEN HICKS Dr Owner.. CEESTOPHER&BRENDA BESWICK Applicant: CHRISTOPHER&BRENDA BESWICK I This structure may be occupied as a: . By Order of Town Board Septic Alteration Residential TOWN OF QUEENSBURY Nectoi of Burbling&Code Enforcement 41 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT - Permit Number: P20020426 Application Number: A20020426 Tax Map No: 523400-302-017-0002=040-000-0000 Permission is hereby granted to: CHRISTOPHFR &BRF,NDA BF,SWiCK For property located at: 35 HIDDEN HILLS 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. Type of Construction Value Owner Address: CHRISTOPHER&BRENDA BESWI 35 HIDDEN HILLS Dr Septic Alteration Residential Total Value QUEENSBURY,.NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency I.B.S. SF,PTTC 2 LOWER WARREN STREET 0I7FRNSBURY.NY Plans&Specifications 2002-426 SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS $25.06' PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 29,2003 (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 th' ow f;Qu a sb ednesday,May 29,2002 for the Town of Queensbury. SIGNED BY � Q urY. Director of Building&Code Enforcement Application for Permit—.Septic Disposal System � Town of Queensbttly 742 Bay Road Queensbury,NY 12804 (518) 761-8256 �. OWNER INFORMATION: ...............:................:..... Location'.of installation: /O�mcc Uaic f r, l� Fite Permit I�io lc.� (/1 Tax Mop.IVia.' / ! � - lj-- Owner's Name: L�t ,^r jar (`/�, Fee Paid .t ........................._............................................*VN ........._.................. .................. 2. INSTALLER'S NAME l l (�f� C ( klj�PH©NE NO: 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroo-'(s)and multiply H bedrooms with applicable gallons per bedroom to equal total dailyfloYear of House: No of Bedrooms x Compu►ation = Total Dail Flowy TOli;r� 13 19$0 or older x 150 gaVbdrnr 51� 1980— 1991 x 130 gal/bdrm = - 199I--present x 110,gai/bdrm = Garbage Grinder.Installed yes ! no Spa or Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information 8c indicate measurements) tlt_C9 Q.l;Qtlttca rt �atQ.4�. I3_9S1.roGk vr�z»pory�4t!$ Mtti4Qris1� D _ at4r_S�Iritli.11' cad at wh at I'p/h rr fh t►44 at rp auettcalutl of lent L �`eel et Steep slope clay - if tvell; water supJ ty _3o slope, other from any septic-systent depth: absdrption is s other Percolation Test: - (To-be completed by licensed prt fcssional engineer or archlieco Rote: i minute per Inch f i 5. PROPOSED SYSTEM: For New Construction:. All individual-sewage disposal systems must be designed by a licensed prot'essional engineer or.architect(unless installed in a Planning Board approved subdivision). Add 250 gal lolls to toe.si/.c of the scplic lank and leach field for cic/h Uarbage Vrinder,Spa or Whirlpool Tub. Septic Tank: gallon (min. size 1,000 gal.) Tile Field: each trench61-- lt. Total System Length: -4k& _ —1l• Seepage`Pit(s): ' number'of size of--each: fi'. by fl. Size of Stolle to be used: /1 __� / de/nth rir ttttktrc.re �_� _—_�Jiet 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 Notet 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-liat pursuant to Section 136-29 ofthe Code of the Town of Qubensbury, any permit or approval granted which is based upon or is granted in reliaoco sport any ntntorial misrepresentation or failure to mako n material fact or 'circumstance known by or on behalrofan applicant, shall be void. I stave read the roguintions with-respect to this application and-agree to abide by those and all requirements of the Town ofQueensbury Sanitary wage Disposal Ordinance. " Sig ure of responsi a person Date �C7? ►/r+ c `n '� rC� d —Im � cncnvscnt� rr� V1 d r z C30 M 0 0 010 (+ . 0M.46(D M fx Lv 0 P w o. 0 >`fit0) :3 :3 > 3 0 774 m� (D 13 M v+(Q 0 M c (- (D 0) M � as V} a I C 0 0 %s X J N (A 0 G 0 :300; :3 ;3aV) (A -J. -� (D Mc+ c+ < -h N � (D 11 In M (D cf w a 6 0 I m 00 OQ 0 .0 0 m;-im 0 LA 7 01 f0 0 -'h Z (D cF 0 Ca �1 .h J 0 0 117 Q 0. \ 2 (D 0) 0) 0 (A Ml 2 ct ,, -< -J, �+ 10 I P m m 0 U) `.,. I a) "n to jx .:3 (D ir+ Z m 44 0 Q J1 (D (D (D Ct 0. (D (D M ;J, A (D tD (+ ti, � Q RED F-RIED MAY 2 4 2002 7,0"NMC-F�;1w-,Z-:,zNE16URy no L3 IcUISB1YTOMN CQN1Bui-AlcbG DEPAaTMEMT Based on our limited examination, compliance-Mth our comments shall not be construed as indicating the plans and specifications are in full compliance �.Qh the code TOWN OF: L-.w.NUSURY - BUILDING & D T y l REVIEWED 13 I f%v DATE r i