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2000-234 Certificate of C 0 m%^ lain ce pi Town of Queensbury Warren County,New York Date Anri 1 26. 2000 2000234 This is to certify t at warn requeste to be done as s.hown by Permit No, has been coqleted, This structure may be used as a T.�LAT Tl.PAT ON Location 33 CROWNWOOD LANE Owner TAX MAP NO, 8 . -6-16 By Order Town Board OF QUEE 5Y Director ofMiding& Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 0 Building Permit No. 2000234 TAX MAP NO. 82 . -6-16 MURPHY, JANET L. Permission is hereby granted to 33 CROWNWOOD LANE Owner of property located at SEPTIC ALTERATION in the Town of Queensbury,to construct or place a at the above location in accordance to 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. We'61WftOD LANE QUEENSBURY, NY 12804 Contractor or Builder's Name: SANITARY SEWER Contractor or Builder's Address: DAN DRELLOS PO BOX 224 GLENS FALLS NY ' 12801 Electrical Inspection Agency: Type of Construction: SEPTIC .. Plans and Specifications: SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SEPTIC ALTERATION 25 April 25 2002 $ PERMIT FEE PAID-THIS PERMIT EXPIRES (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.) 25 April 2000 Dated at the Town of Queensbury this Pay of SIGNED HY�W—., for the Town of Queensbury Code Enforcement Officer V1411F Vv rl 1 Id-00 1 V-I UWIV LT- 6IUttFq,:,ZUXT P'WX;tDV6 f47 444-r PIRUt I Application for Permit—1111"tic 01spooill(System I b%vn of Queenvh&.#y JP42A4yAtxrjdQmeenxbut:K NY 12804 ($1.1)761-8256 I OWNER INFORMATION- ........... i ofte Use L,ocation of installation33 File Permit R No Ll 10 Tax Map No _/_ / � Fee Paid Owner's Name: ...................................... Address:33 Qei�ac_uw—i,.p Lo r> 0 2. INSTALLER'S NAME : �e­ PKONZ NO.7 2_,2-r 7 3, RESIDENCE INFORMATION: (circla)var of dwelling.indicate#bedroom(i)and multiply Of* bedrix)ftv with applicable gallons per bedroom to oquol total dodyfla-) .Xnr of Hauw_ Na, (/So - r. y 1990 of older 150 B&Vbdnn 1080-1901 x 130 get/bdrin 1991-present x I 10 g*Vbdtm APR 2 5 2000 Garbage Grinder Installed yes T- r-- - Spa or Whirlpool Indalle.d .yps Ry d 4. PARCEL TNF0RMAT1bk (oircl*applicable infoMation&indicate messulomMIS) astic W d=k or IM arvioup hj&jAjAI atfs Slmnlv v Saud at what depth at what depth Wam feel Strol,'001M I clay warve.vuliply skipe other I firom any sept'-wVrom depth, absorption U.. - other Percolation Teat: Rare: minute per Inch S. PROPOSED SYSTEM: FarNevv;QmLjjSjM: All individual towage disposal system Mat be dcxivddby 0 licensed prokisional mil0vicer or arck0bg(unless irjudlW tn a Plaradrij;BOV4 appw*4 oUbdivislcm). Add 250 sallons to the 0.6 of the septic"and leach field for each Carbap Grinder,Spa or Whirlpool Tub. Septic Tank!I 0.0�0 000 hpal.) .galAm(min vise I TileFivid- eavhtremh Seepage Pit(s): number of -'rize Vf 004ph 11 by Size of Statts to be used- #­140 depth or thick"esir,... feel Bed System Size: -IV. Alternative System length onwor size 6 HOLDING TANK SYSTEM: (if 1equrrsd) N%unbereftanks:_ I Size of sack:._pj1cm /TOTAL, Capasay:_V490 Nale., Alarm System and associated electrical work must be inspected by a Tvwh.sppovdd electrical inspection agency. 7, SfONATURE &INFORMATION FOX RESPONSIBLE hRSON(please read) Fa.i your prcuction,please note that pursuant to Section 136-29 of she Code of the Town of QueansbloM,enypermil or approval ilreintecl which is based upon of is gaffed illnliitpca reli'spee up ". -'"I`ii�rixl miarepresentatiower failure to make&material foot OT o'n'any circumstance known by or an behalf of an*jipilcant'shall be void, I bar Ift-d Qh# gulgicne with respect;to this application and akree to abide by these and all requirer efts or a Tow of Queapakury Sanitary Sewage Disposal Ordinance. of 1*4 an — U�We of r*4 pir /OF r it 4J4J4J0 ro z (f In4? � c�-' 4; 00 V ��� ` 4 N 4J W C 4- 1•. ' '� m Ix w w 1 f � A I�cwg LW a � 0 Ca w6ij �C# ro 1 rI 4J 0 or ho� J �� , ` - 0 pro ' W �l 0�0 '°) t X FZ 4- , C v)'J tL W (U W '� oo t` Q Apt 014, 0 W c U LL I 'r Q� a W 'roCN �� Y ra0 'z M (0 V) Q) S.. D w rCq �W 0jix,., � pqC r A I (3 "` 'P 4J M (D f- ,r- V) U1 C C C'� V� 4-� +n a N Q X e 0 0 0 11 lW�y Q u� 00 1 P �!+�y"� }IL�� 0 4. ottI�` r0i CO 0 ►U)ME �tf�t�l y''11" U)pfr A� ( ! �+ 11 11 J E 0 W a� ro v ,� roWa va �x � f � UW w > Opm 0 It I .0 - (0 0 or- >-Q M�! � Wi W W of W or. tom' O") P— it or— 0.0 0 0 0 0 0 U� � or 0 V)V) $oo 1 i� a .� © v) viui (naMwa0N1L.L.0 �al �. U ioo c 4A ry TOWN OF QUEENSBIIRY I3fJt!"llr'G DEPARTMENT 2000,2 3 4- ., 8 2•.—6—•16"; Based on our limited examination, MURPHY JANET,L. compliancewith our comments shall 3 3 CROWNWOOD LANE :.s, not be construed as indicating the ! "SEPTIC At;TERATIi}N plans and specifications are in fall - - compliance Ath the code. ,� • APR 2 5 2000 x E'JiLC> 4 I A 4Q�b �,,i�iLT2c�v�ft� TOWN OF � E NSB ,Y REVIEWED BY i, DATE �. ' 8 � " � a '2 qr' C:r o CD Cn C' ca m in 0 0 25 o Z Cn Cr Q oco CCD A, Q C . CD N CD CS �� �139 - D o m � OR ? � �ooa � � C-) CD oCOCD < o '� r' o.: Tt w"q CJr �; :dti „iRY CD I kLG AN—D G — E cv ri BUILC� a � Q CD , CD 0 rn as Q c' Ga � 1