1999-111 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY"
WARREN COUNTY, NEW YORK
Date Apr 1, 21 19 99
This is to certify that work requested to be done as shown by. Permi.t No.
has been completed.
SEPTIC ALTERATION
• .'This structure may be used as a
33 OAKWOOD DR. --._
Location
HOGAN, DANIEI., &. CATHY —
Owner
TAX MAP NO. 66 . -1-3 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ .0 No. 99111
TAX MAP NO. 66. —1-3 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HOGAN, DANIEL & CATHY
OWNER of property located at 33 OAKWOOD DR. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a SRPTT( ATTERATION
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 -
33 OAKWOOD DR.
QUEENSBURY,. NY . 12804
2. CONTRACTOR or BUILDERS Name
CONDON SEPTIC & DRAIN.. SERVICE
3. CONTRACTOR or BUILDERS Address
4.'ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
SEPTIC. .
( )Wood Frame ( )Masonry ( 1 Steel ( 1
7. PLANS and Specifications.
SEPTIC ALTERATION •AS_. PER PLOT PLAN SPECIFICATIONS
8. Proposed Use.
SEPTIC ALTERATION
... April 8. 2001
$ 2.5 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 Oueensbury before the expiration date.)
8 :: April 1999
Dated at the Town of Queensbury this -• Day.of 19.
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
1
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury + l
Dept. of Community Development Permit No.\CI.— lI C
Building &Codes Office �1 742 Bay Road Fee Paid S.,I
Queensbury, NY 12804 if
,4Y i s .. S '.r
ED
Location of property for installation: 3.. .
APR 0 8 1999
Property Owner's Name: -pf,/f/ `�/ 241 a iv
TOWN OF QUEENSBURY
Property Owner's Mailing Address: 3.� Q74 tootra cY BUILDING AND CODE
Installer's Name. (J c/�d c 04- C 009-r bt Phone # 79/-es-V L
. Number of bedrooms (if residential).) Total daily flow: - 6
(residential - compute @ 150 gal./bdrrn.)
Topography: ) flat, rolling, steep slope % of slope
• Soil Nature: X sand, loam, clay, other /depth:
Ground water: at what depth? --feet / Bedrock or Impervious. Material: at what depth feet
Percolation test: not require , required [rate min, per inch j
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet. •
PROPOSED SYSTEM
Septic tankEkl$ ;anon (minimum size: 1,000 gal.)
Tile field: each trench feet / Tomi system length: 3o a feet
Seepage pit(s): number of / slze each: . ft.by ft.
Size of stone to be used: # 2.-- / depth or thickness feet
•
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
Alarm system and associated electrical work to be mspac-ted by a certified a8mcy.J
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Qo ecsbury, any permit or
al pruval granted which is based upon or is granted in reliance upon any material misrepresentrtion or failure to make a
material fact or circumstance known by or on behalf of an applicant, chair be mod.
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.
Signature of responsible person: (/ Date: '1��
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name V)f)0‘ ( _
Location 2;3 OpelkZ `) —
Date Ll —Zt j Permit # CSR-/
SOIL TYR�San. oam_ -1-ay-
Resul is of Percolation Test-
(if applicable) Rate-Minute/In h
TYPE OF SYSTEM:
ABSORPTION FIELI : Total Length
Length of each t ench
Depth of trenche. /
Size of stone /
SEEPAGE PITS: Nu ber- /
Size - ft. x / ft.
Stone size �-
PIPING: / Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Fiel Pit
Openings Sealed? es No Partial
LOCATION/SEPARAT, ONS:
Foundation to nk feet
. Foundation to/ bsorption feet
Separation o Pits _ et
Conforms as per Plot Plan Ye
LOCATION 0 SYSTEM ON P"OP
(circle o e)
Front - ear - Left Side - Right Side
Middle ront - Middle Re.r
COMME S:
f- \- -7t . \' 1/4) a—
SYSTEM USE APPROVED:
Arrived:
Departed- -
ui I i ng nsp c or
L/
3)/ II Ho ( ary aef.v s --S F .ti. ( st,E4 v!c €
7q� . I17Y w
Q c�l°£ir/_c2ory ivy r y (/6/1) ld 7y '/ c l)-fo
3b
6o
9`S
c 6 ,
coo 1
e
c�
4,
iwrf
"c"- -3 0 W D 6 �(�� 6 5 10 r rJ c r£f-f
TOWN OF QUEENSBURY ;ir
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Y\ J
Location
Date 1 1 1 Permit # 19—///
SOIL TYP . and- am-Clay-
Results of Percolat' Test-
(if applicable) R to-Mi ute/Inch
TYPE OF SYSTEM:
AB ORPTION FIE : Total Length --'
Leng of each trench
Depth o -rn es l7 t-3%�,
Size of stone
SEEPAGE, PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tar k
Tank to Di s . Box - _- -- Li% __'C' -
Dist. Box td Field/Pit • rc - r=:---
Openings Sealed? No Partial
LOCATION/SEPARATI
Foundation to Tank pi:44-� feet
Foundation to Absorption 2-1- feet
Separation of Pits _ feet
Conforms as per Plot Plan Yew
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear ' ' .ht Side
Middle Front - :. - •ear
COMMENTS:
SYSTEM USE APPROVED: YES NO
Arrived- ' --
Depar/ 40r—
' ,:ui1 rP'g Ir - f tor
TA iv HCGAnJ
33 0,9KwOc) lok I 1 i- 6/ZA/v r A0 E- - 7&-es- 2--
79'). 117Y w
aopfNs3c}Y ru,y 6iteys Falls iv,Y ilsw
M
- U.A.
ilk;1-
* ER/mu
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
APR 0 8 Ifl W compliance with our comments shall
C c not be construed as indicating the
TOWN OF QUEENSBURY plans and specifications are in full
BUILDING AND CODE compliance with the code.
76
So '
l
1 .-. N w
5-0 I
TOWN OF N } S.
SE ��G i�N ft o � BUILDI G & . '� o
. EPT.
90 REVIEW BY 4 f/ /
7D EKtS-r� 01— I DATE lie ilk.:- •
•
"I have seen or observed, or believe I saw evidence of,
all objects such as houses, wells,trees,fences, etc.,
shown on this document. I also represent that I have
personally measured the distances set forth on the diagram."
.T;1).(// 0/ 14e1;%, 6)7- e--Ri-
SIGNATURE DATE
•13 0Ak'u10Od o F wtNcrCsf R . Alnis Ind elL -5'1&