2000-487 ----------------------
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
C/C Number: +C20000490 C/C Date: Wednesday, July 19, 2000
Application Number: A20000516
Permit Number: 20000487
This is to certify that work requested to be done as shown by Permit Number P20000487
has been completed.
This structure may be used as a Septic Alteration Residential
Tax Map Number: 523400- 130-000-0002-022-000-0000
Location: 11 NEWCOMB St
Owner: CAROL & NICHOLAS LIAPES
der of T Boatd
TO �� SU
Director of Building & Code Enforcement
"I'CfWN OF +QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building Esc Codes (518) 761L-8256
BUIEIIING PER.MIT
Permit Number: P20000487 Application Number: A20000516
Tax Nlap No: 523400- 130-000-0002-022-000-0000
Permission is hereby granted to: CAROL & NICHOLAS LIAPES
Owner of property located at: I 1 NEWCOMB St
in the Town of Queensbury, to construct or place a Septic Alteration Residential
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.
k
Owner Address: CAROL & NICHOLAS LIAPES
11 NEWCOMB St
QUEENSBURY, NY 12804
Contractor or Builder's Name / Address Electrical Inspection Agency
SANITARY SEWER
DAN DRELLOS
PO BOX 224
GLENS FALLS NY
Type of Construction: Septic Alteration Residential Value : $
Plans & :specifications
$25.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, July 19, 2002
(Ifa 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 dame.)
Dated at the Town of Queensbury; 'VV nesdayj,ply 19, 2000
SIGNED BYPRPRPIPPR �i , r `' a• ,+' � for the Town of Queensbury,
Director of Building & Code Enforcement
AllIlllicatiolt fux• vcl'lllit — St; ptic Disposal Systolll
Tolvll qfQuvelt.vbmy 7.121191YBoad lQueellshni.i; Nl' 12804 (518) 761-8256
1. OWNER INFORMATION:
Location of 1laslallatiolls PVC( car �c� I r Aurric�e use
Tax Mn,f No. / I+iCu I'allttit TJcrC.J`�i'+� �-�"�--
v
C7wnor's Nauru; All IL, ifA7Ga r �v_ - l7co Paid
Addroxs: J ........................................
) r.r ry � J
2. INSTALLER'S NAM13 �1 c }rr viG VIJO 'JE NP .?- i" ?
3. RESIDENCE INFORMATION: (rirc10JPCe??P ofdwalliltl;, Indjewe 11 LNrlrr inn(i) and rnulliWyjjy r)� Ale
bech"Ar r+•s with applicable grfllorf,v Per herlruryin to equal ItAoi tlrrily JlrfSl 20d0
r of 10 so• 0 of I3edtvothts x .�,.011lPll�,:{�lalt �= .�I"lllillIF
I980 or oldor IF I
x 150 g illbdi n
1980 — 1991 x 130 I;allb(1rrll
1991 -- Ilresoltt x 110 gallbdl nl =
Garbage Grinder Installed yes ! 110 `
Spa or Whirlpool Installed yes I 320
d. PARCEL INFORMIATION: (circCa nlrlrCicnblt+ irrful rrdntioad Rt Illdlt rryla Itlen RlllarFFCltiS}
rnr/IFv 5 as:sdttr ,� C:ryuncl W.til4r E3cr'Iroc;k ctl InFC�cruiyus i'+✓1�laf igl ._I]c�itt 1�,,",�t�t��;r�l,+tly
l�7trr rtrrtt t►! w/rdr/ clrrl+rlr tr! tr+litrl th•lrrlr +++rrrricll.rtrf
Zvllirf,l; e,t� �.Ii'ef ,/ic'r )tr/!
steept slope clay 1f well; +vrrlcr sryyly!},
i6 slope other
depth: rlirylrt arty vv1mc-v)slc#rrr
d absullNlurf 1s ft.
Percolation 'rest: ('1'a lie c`alfrplerer! Gy l+cerr.secJ Jrlrrfirsslvlfal other
Clr,�fltet°r• fyr tfr•c:lrlrl.�crf �. ..��
Rafe: • Illhude pelf inch
5. PROPOSED SYSTEM: Cor Nell Collstructivic All Individual Sc{Vs'lge dislx)sal s)'SleE115 nitlSl be designed by a licensed
IxofcssioullI citgiucer or nrchilect (unlcsc ins(;lllcd In n ltlantlillg BuMd ;lltl)rmoed subdivision). Add 251) gailuns lit the size
of Ihv septic hank and Ielich field for elicit C:rlbage ", Under, Sim or WhilC["I Ffilb,
Se}ftie 1'aulc: C�IJ O gollon (iffrrf. size 1, 000 girl.,) y
Tilts Field: each fr•errclf Syst.cnF Lcllt;rlF : ff,
Sor,fagv Pil(s): rrrrrf)Ger vf,, _ size gj'etrch ff. lyy. �r7,
Sizo orstouo to ba u 111 sed. y -� / clul,rlf or rlrid:Allexs
Ded System Size: x
Alternative System: length ontf/vrsize
G. HOLDING TANK SYSTEM: (if required)
Number of tanks. I Size of eadc gallons I 'I'O'l"AL Calnicity: gallons
!Yore; Alarm System nod associated electrical work must be iusimcted by a Town al)l)ioved
electrical hisl)ectiolt agency.
7. SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (,)lease read)
For your protection, planso note that lftflsitnnt to Section C 36-29 of Clio Code oCtlie, Town
ofQk1ce11sb%11y, nny permit or npprovnl l;rnttted which is Unseal dq)ou or is grnntecl in
lotinotcn dlpon nosy ntntorial rnisrepdesortintiors or 01i III ln 1tt tunka n dot-tcrint thct or
cloctlllistarlca knuNw, by ur ell behllfurni, nl,plicstnt, sboill be void!.
I hnvo tentt ilia rinutolntiorts %vilIt Foslrec-t. to this rllrillienlivld nndl ngroo to rrltitlu by lhnso nrld roll
redluiraroden a 7`otvn of Quacnsbdrty S:itliwily So+vngo Disposni Oadtillnnce.
/ VV
ure of reap
top sib a person
TOIM OF QUEENSBURY
BUILIjING & CODE ENFORCEMENT
'742 Bay Road
Queensbury NY 12804
- (518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
f, y Location
P e rm i t
SOIL TYPE: 9Lq - C7ay-
Results of Perc lation st-
( if applicable ) Rate- Min to/ Inch
TYPE OF SYSTEM:
ABSORPTION FIEL Total Le 9k
Length of each rench 5
Depth of trench
Size of stone o
SEEPAGE PITS : N ber-
Size - _ ft x ft .
Stone size
PIPING : iz ype
TankBldg to Sank °t �
Tanis to Dist . Sox
Dist . Sox to Field/ w dl
Openings Sealed ? Y N a�rtaa�
LOC'.ATI ON/SEPARATI
Foundation to Tank feet
Foundation to Absorptio feet
Separation of Pits et
Conforms as per Plot Plan Yes No
LOCATI F SYSTEM ON PROP
i( circl n
Front - Rear Left Side - R ht Side
Middle - Middle Rear
COMMENTS :
SYSTEM USE APPROVED : YES No
Arrived
Departed : rr f
c.1
Building Inspector
i
f
"f have seem or observed, or believe 1 saw evidence of,
all objects such as houses, wells, trees, fences, etc.,
CS
shown on this document. l also represent that ! have
personall r asUred the distances set forth on the dtg7tdin1"
�fl 1 L. � J• / ._. .,._ I r
SIGNATURE DAI L L11
Ca
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FLU
j 06
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