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2002-489 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number, P20020489 Date Issued: Tuesday,July 09, 2002 . This is to certify that work requested to be done as shown by Permit Number P20020489 has been completed. Tax Map Number: 523400-301-013-0001-019-000-0000 Location: 19 LESTER Dr Owner: GARRY&LOIS LA MORA Applicant: GARRY&LOIS LA MORA 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: P20020489 Application Number: A20020489 Tax Map No: 523400-301-013-0001-019-000-0000 Permission is Hereby granted to: (TARRY&LOTS LA ORA For property located at: 19 LESTER 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. Tyke of Construction Value Owner Address: GARRY&LOIS LA MORA 19 LESTER Dr Septic Alteration Residential Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-489 SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 17,2003 (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 the Town of Qu nsbu • o korceme 7,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code E Application foi-Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ..._..........................._...:.........................------............._...---•--......................_._.., Office Use Location of installation: File Permit Ni;ZZt "� S Tax Map No. { / Fee Paid } Owner's Name: ; Address: 2. INSTALLER'S NAME : 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/bdrm. = � ECEIVED 1980— 1991 x 130 gal/bdrm = 1991 —present . x 110 gal/bdrm = �d 2002 Garbage Grinder. Tic's!vN OF QUEENSBURY Installed yes / no X ??UILDING AND CODE Spa or Whirlpool Installed yes— / no 1'' 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) To ra h" -S ture -Ground Water Bedrock or Impervious Material Domestic Waterl SLipply 'Flat sand at what depth at what depth municip Z aping oam feet feet Steep slope clay i well;water irply Yo slope other from any septic-system depth: absorption is ft. other 1 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 Garba a or Whirlpool Tub. r Septic Tank: '_gallon (min. A e 1,000 gal.) ! Tile Field: each trench - .��/ft. Total System Length: Seepage Pits}: number of size of each: �ft. by ft. Size of Stone to be used: # '2* / depth or thickness feet Bed System Size: x Alternative System: length andlor 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. 14-1 Signer re of responsible person Date 3 5 2 n t r�ttt POND l"/V-Ll- itr TIATF'R- _ Iksu�� G �E , 2ryzy" ItoVsl- G E n�t � ralvl� 1t '" 5c t x!c, /L1- t.tt:,Tuumt r tit r t m"K 71 . _...1-----'"_ -------- � .� ice__ ......, • r?rj 7. SIGNATURE &INFORMATION FOR FESPUN5usl.r-rr-r o,,tti u,—--_.....� �� � � � "�1'"'�fi} U}� 'i� I"° Q C7 �Cp `Cy Va G� V� U?�t"� �•� V1 C7 P" Z ntD J aT0 N mNti "hN jq ct pi n m rt n � 2 cD > -j ct °q 2 tD --J s �i pi rF �9 0 o tD a , (Q tD 0 (t V) m�h o « ' 'Q cn o C V? "R Z to , 0 o o .,, fi o "S Xa 0 0 0 0 '�, X 4 N It N P' r+ w Ai © H H -h 0 0 y �+ (AN i "� ..�o'b 0 �G! ID .4(D o "h 0 r -J.cT D 0 fi o rt o I : 0 w @ ct V ro X rD 00 cp -�� � r� ci m C J � ; r+ ! 0 I 'Z (D ' o a 0m " C o000 3 :3 A 0r�+ (+ H a z @ (D (D a m t -+� 100 ft . 15 ft 40 ft 13 15f RECEIVED 05 ft JUL Q 12002 TANK 15 ft 1000 p TOWN OF QUEEI*J B RY p 25 ft BUIL QlNg AND CODE 20 deck 150 ft HOUSE driveway ROAD ].ester drive BUILDING REVIEWED 8Y DATE � ro 4J4J4-) 0 4) cU 'r QJ N Q)z Zi w ( C , 4- � 4- tip , I W q ►� � a a f� Ie U I U144 0) m01; 4J N C (0 Q) 0 � U o u, M� 'r r 'r� r 0 r�+ 'U W. z z �' W r' W 1"° 0 E �r0 0U 0) d fir' M A y b 0 rora a E °a Ox0ars 4- ,o Cm ono .J r- a „ i. 0 0 � .fir W C 0Pa. W .0 p C wU�, , I 0 04J 01 Z4- 0 wN- lo. rtA 'r c s a w z U II L. cu cu I ! a U. rd a C C 4.) 0 010 V 0 c10.00 roV) 0 o VvW A 4- U � �" 4J4JW a) � 'r � 0I~ CCro0Ca0 W ' m { W O 'r0 �,14- N4 N 0 x 0 0 0 0G� S" N of tr 0 0 'r- 'r >r (A 2 - s tly i M 0 4 0LIWIt" 0 04-W ;A +� V0000) -P4J �P 0 I 'r 4J (1. r 00 I U +J C M ro it ro � W r" v m +� r ro X4j -C 4 0) , t'r �- u "0 S- 0 U -Pr� `+ 0 rd (D wool :3 W00)-Pa+1a) ZWSl 4� citCC (04- �. c '0 w U 4-) H (A4- FLU) C CLNW N 0L '0 C V) 01 Q :3 :3 CLCU 'r t? r � V1 � IA Ri 0 Ri 0 4) 'r � M 0 0'r W CIO 0 0 0) 00 U S 'r 0 )w � Crul""diJ � N� N � O. lYrI-' L10wJU. lLNU ••IIL � " M II 0 n3 -n, C" 007 m "g00V1U? 0 > r z I tD �# 0-4. 1 0 00 tD 0 Q Oro -+, 0 -J Fri C+ Wl rl-j.fD (D co*c "i'+D 0 a 0 W to 0. 0 n:1bcCn (D (AaO. '� 0NMWOZL4T -hN H c+ 0 B .r Q, : >-h 0) :1 :3 >:3 0 MO M Z (D T(D r+cQ 0 M r M su tD �a 0) wA? w c+ 0 M0 OUOti0 Js H � op :3 :3 :3 to cn -J. -� m H C+ o -h ' , M M 0 '+1 m +D (+ 0 a �a I (D to 0) l 1 � � H 0 r -J- 70 -jm0 z m � a c n � mto z C+ :r0 o � � � � , x m r� j, � � c� + � �n � � m 0 Z Z 7G Q. -a cn .� -is ,� 0 `n to Ch 0 `1 P� 3 z N Of It �► o � / Y p (D (D M (D 17 V r IkQV . rTANK ------------- �.� RECOVE6 00 �iC��t JUN 3 2002 b Kid-. � TOWN OF crILOINGNaNse� . 30 RY ' /Cr AM,J„ deck COpE SDR 35- 6ROV�. � c `o " �NI� HOUSE THI FLAN TO E O l - �. P �.�� SITE AT LL TIMES FOR HIE DURATION OF ONSTRUCTION driveway MN 0,C=i iEENSBURY 13;1044 DEr ARNEIV Based on our HMAW exarniretiorr, ROAD comoiance with our comments shall riot be construed as indi the fester drive plans and specifications are in fug a3;npiiance;tidth the code. TOWN OAFjEOENI .1 RY "I have seen or observed, or believe I saw' evidence of, B �LbING all ut=lects such 3S houses: ,,m�ells, trees, ' nces, etc., shown on this dJcun ant. ! _tiso represe=�t t�iut I have REVIEWED 8Y personally melasured }he =iiistances set forth on the diagram." DATE G —)A,e Z, SIGNATURE TE