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2002-941 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CEIRT IFICA"'10E OF COMPLIANCE Permit Number: P20020941 Date Issued: Wednesday,November 13, 2002 This is to certify that work requested to be done as shown by Permit Number P20020941 has been completed. Tax Map Number;, 523400-301.012.0002-014-000-0000 Location: 24 COLONIAL; Ct Owner: EUGENE&PATRICIA SLAVIN Applicant: EUGENE&PATRICIA SLAVIN 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 i 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 I Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020941 Application Number: I 0020941 Tax Map No: 523400-301-012-0002-014-000-0000 Permission is hereby granted to: F,TJGENE&PATRICIA SLAVIN For property located at: 24 COLONIAL Ct I in the Town of Queensbury,to consttuc`t'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: EUGENE&PATRICIA SLAVIN 24 COLONIAL Ct Septic Alteration Residential Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name f Address Electrical Inspection Agency SANITARY SF.WF,R SF,RVTCF Plans&Specifications 2002-941 r Residential septic alteration per plot plan and specifications. $25.00 PERMIT FEE PAID_-THIS PERMIT EXPIRES: Wednesday,November 12,2003 (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 elate.) Dated at the To ueens rya a November 12,.2002 g 4 SIGNED BY for the Town of Queensbury. 4 Director of Building&Code Enforcement 518 ..745.:4437 .r?. I LE .No.638 04/02 02 AM 11 :25 I D:'TOWN OF, QIJEENSWRY FAX:518'745 4437 - , PAGE 1 Application for Pemait Sepuo Dinnima 'I�`( t8sm�I K Tatyn.of.Queensbzsry T4?Bay Road Qu"fisbury, 1. OWNER INFORMATION. Location'ofinstallation• t. v � - ''j v�` 2002 OiriceTJse . File Ponnit No Tax Map No. / / TOWffi N FR ' / owner':lvamce,• y e 2 BUILD N .......................... Address:..(? 2. INSTALLER'S NAME PHONE NO jqZ-7t-S-1 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroorn(s) and multiply#of bedrooms with applicable gallons per bedroom!to equal total�dailyfiow) Year of House* `Na of Bedro6Mj 2j r.2=ulatwu � Total Ilaily Flaw 19$0 or older x 150 gallbdrm 1980—1991 x 130 gal/bdrm ! 1991 —present x 110 gal/bdrm R Garbage grinder Installed yes 1 no Spa or Whirlpool Installod you , / no ! 4. PARCEL INFORMATION: (oiraole applicable information do indicate measurements)' at a at what depth at what de th r: b*,.rpHon o tng m ,_feet cc Steep slope -,clay atar supply eslope other septtc�rystarn depth: is ft. other percolation Test: (To be completed by licensed professional engineer or architect) _ Rate: minute per inch i. PROp'oSED SYSTEM; ror K=Cogstruction: All individual sew ago disposnl systems must be designed by a licensed professional engineer or architect(unless installed in a-Planning Boazd appsoved sabdivision). Add 230 'gallons k-the size of the septic tactic and leach field for each Qarbago Clot der.Spa or Whirlpool Tub. Septic Tank: ( gallon(min. size 1,000 gal.) ! Tilo Field: each trench.,__ t: Total System Length: fl Seepage Pit(s): ' number of size ofeaeh: / __Ift. by O�T Size of Stone to be used: # _ depth or thickness 2= _feet Bad System Size: ' x Alternative System: length and/or size 6. HOLDINQ TANK SYSTEM: (if required) Number of tanks;' / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical wont must bo iwipectad by a Towl approved electrioai inspoctioa agency. 7. SioNATURE da INFORMATION FOR RESPONSIBLE PERSON(please read) -For your protection,please note that pursuant to Section 1361 29 ofthe Code ofthe Town of Queenslaury,any perztdt or approval grarzted wh ch.is based upon or is granted in roliauco upon.arty material misrepresentation or failure to mnko a material act or vircumstnace known by or on behalf of an applicant, shall be void. I have:r dthe gulations with romp is uppliqPdon and agree to abide bythese and all requirom of e•Town of Quo wage Disposal fOndinsuce. t3i p � Onto roof re* r 1 i WI V i 4 �0 'M. 0 0 D N (A :1 p, ~rt �� M-J, D (D ! -+I �p 14 M M rt 0 0S A. Q >:1(+ 74 M3 M NZ(D r+lLl Crn C C" cD 0 M > zom O -j C+tD cu a w C+ 1 ,� pp fl. 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