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1999-031 Certificate of • Compliance • Town of Queensbury Warren County,New York • February 12 99 Date 3091 1 D 99031 This is to certify that work requested to be done as shown by Permit No. • has been completed. SEPTIC ALTERATION This structure may be used as a 28 RICHARDSON ST. Location RUGGIERO, GEORGE & ME Owner — TAX ItI n NO. 13,1 . -6-10 By Order Town Board TO .--0F QUEENSB • Director.of Building Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No. 99031 TAX MAP NO. 134. -6-10 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to RUGGIERO, GEORGE & MAE OWNER of property located at 28 RICHARDSON ST. Street, Road or Ave. in the Town of Queensbury,To Construct or place a SEPTIC ALTERATION at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 28 RICHARDSON ST. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name I.B. S. SEPTIC 3. CONTRACTOR or BUILDER'S Address 2 LOWER WARREN STREET QUEENSBURY,. NY 12804 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) SEPTIC ( )Wood Frame ( )Masonry ( I Steel 1 ) 7. PLANS and Specifications. SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION 25 February 11 2001 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (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.) 11 February 1999 Dated at the Town of Queensbury this Day of 19 _ SIGNED BY for the Town of Queensbury Building and Zoning Inspector Application for SEPTIC DISPOSAL PERMIT Town of Queensbu y 100- (M Dept. of Community Development Er E 1 Yy E Permit No. 1 Building &Codes Office 742 Bay Road Fee Paid Sc) G� Queensbury, NY 12804 *FEB 1 0 7999 TOWN OF EENS URY. Location of property for installation: U l S/ Property Owner's Name: R c- yc, lac r a- Property Owner's Mailing Address: ( Jo 1 5'F Installer's Name: ,J. Phone # T) ?f- El 9 0V • Number of bedrooms (if residential): Total daily flow: (residential - compute @ 150 gal./bdrm.) Topography: Kflat, rolling, steep slope % of slope Soil Nature: (sand, loam, clay, other /depth:• _ Ground water: at what depth?lc/( feet / Bedrock or Impervious Material: at what depth? feet Percolation test:/" not ren ed, recuired [rate min. per inch] Dome ( mu nicipal,water supply: well, other If domestic water supply is a WFT.L, water supply from any septic absorption is feet. • PROPOSED SYSTEM Septic tank/600 gallon (minimum size: 1,000.g_l.) Tile field: each trench feet / Total system Iength: feet Seepage pit(s): number of / size each: . ft. by a ft. Size of stone to be used: # 3 / depth or thickness ( feet • E OLDLNG TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system and associated electrical work.to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Cede of the Town of Qoeec.sbcu}', any permit or au nuval granted which is based upon or is granted is reliance an 'r rial misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, aha11 be void. I have .d the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queen:==' Sanitary Sewage Disposal Ordinance. Signa:.:re of responsible person: � Date: l 99 TOWN OF QUEENSBURY BUILDING- 8 CODE ENFORCEMENT - 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION . Name 7RVC.9G LR1) Location ke-:-K (RJ© O,) Date '�- �'; Sct Permit # )� 6'•( SOIL TYPE: Sand-Loam-Clay • Results o` Percolation Test- (if applicable) Rate-Minute/ Inch TYPE OF S TEM: • ABSORPTION FIELD: Total Leng h Length of :ach trench Depth of tenches Size of sto e- SEEPAGE PITS Number- o Z Size - ;61:i ft. x f4 ft. Stone size *3 PIPING: Size Type Bldg. to Tank Tank to Dist. Bo - Dist. Box to Fi el . Pif Openings Sealed? ,D No Partial LOCATION/SEPARATIO •• : Foundation to Tank feet Foundation to Abs' rp 'on feet • Separation of Pis eet Conforms as per 'lot Pl :n AO No LOCATION OF SY, EM ON PIPER (circle • -- • Front - 'ear ' Left Side Right Side Middle Fro - '1 .• - tear COMMENTS: SYSTEM USE APPROVED: (;) NO Arrived: �� Departed: - • Building Inspector /Z.' D TOM OF QUEENSBURY - BUILDING & CODE ENFORCEMENT 531 Bay Road. Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name j U12 r4 Location � U(1G 7oo&L f Date ' Z) j Permit # 63 SOIL TYPE: Sand ' oam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/I ch TYPE OF S- .TEP1: ABSORPTION FIELD: Total Length Length of -.ch trench Depth of tr nches Size of ston- SEEPAGE MS: Number- I or '. - Size - ft. x 'r ft. Stone size _ -77 PIPING: • Size Type Bldg. to Tank Tank to Dist. Bop JO Dist. Box to Fie d/'it 0 14 Openings Sealed? Yes No Partial LOCATION/SEPARATI..1 : Foundation to Tan feet Foundation to Ab-orition feet Separation of Pi s }eet Conforms as per Plot 'Ian a No . LOCATION OF SY'TEM ON 'ROPERTY: (circle one) Front - Rear . Left Sid: = Right Side Middle Front - Middle Re:r COMMENTS: w, Rfl4 .-- . I Pr PC- C . l< a �� L J <_. .n, 2�'-� r.; hise , �� SYSTEM USE APPROVED: YES NO, Arrived: i V-- • 7'i Departed: Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name1 C Art v Location ec-kr-II- Si- Date 0270A5 Pe i ' : (n631 SOIL TYPE: Sand Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELr: Total Length Length of each t ench Depth of trenches Size of stone SEEPAGE PITS: Numser- Size - ft. fr. Stone size PIPING: Siz- Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorptio feet Separation of Pits feet Conforms as per Plot Ilan Yes No LOCATION OF SYSTEM 0 PROPERP: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: 4/-/AIL -Arrin AttiJA.. G4 (4') Inva6 • SCL t 4'0 1L `' CI�Je Grrl c� dr✓),f dVe'- kke. SYSTEM USE .PPROVED: YES NO Arrived: Jig(' Departed: BuildingInspector nspector • TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name ri(} Location • Date y Permit # SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total th Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Numrer- Size - \ ft x ftl. Stone size PIPING: \ Size Type Bldg. to Tan Tank to Dist. B. Dist. Box to Feld/Pit Openings Seale ? 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