1999-290 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 28. . 19 99
99290
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
49 HEINRICK CIRCLE - —�
Location
RI SHEL,, SCOTT & MARGARET
Owner
TAX MAP NO. 90. -4-117 By Order of Town Board
OWN 0 QU PS f—• .
Director of Building & Code 'Enforcement' '
BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No 99290
TAX MAP NO. 90. -4-117 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to RISHEL, SCOTT & MARGARET
OWNER of property located at 49 HEINRICK CIRCLE 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. OWNERS Address is
49 HEINRICK CIRCLE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
SANITARY SEWER .
3. CONTRACTOR or BUILDERS Address
DAN DRELLOS PO BOX 224
GLENS FALLS NY 12801
4. ARCHITECTS Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X) SEPTIC
( )Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and.Specifications -
SE$,ISIC. ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION
$ 25 2001
PERMIT FEE PAID —THIS PERMIT EXPIRES May 28 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.)
28 May 19 1999
Dated at the Town of Queensbury this - Day of
SIGNED BY _ 1, for the Town of Queensbury
Building and Zoning Inspector
Application for SEPTIC DISPOSAL PERMIT
9929.0 _ L- \
Town of Queensbury 9 0 4 117 i1acg)Dept
•
of Community De, RISHEL,. SCOTT & MARGARET Permit No.
B„iming&Codes Of6cd 49 HEINRICK CIRCLE
rvo
742 Bay Road SEPTIC'ALTERATION Fee Paid $
Queansbury, NY 12804 L
•
Location of property for installation: / / / �Z�GC_- CriccREC E i N i
Property Owner's Name: ,./)( 0 T l JG4 e/L- MAY 2 7 1 G P 9
/� TO�OF QUEE�k�,BURY
Property Own 's Mailing Address: LI , �rN�I L Ct Min— ap CODE
Installer's Name: A/V / 4 �(tu Ph-- Phone # `7 9 2 7,z S7
.. :.
- _.. :..,Number of-bedrooms (if residential): 3 Total daily flow: 7 <5.-°
(residential -compute @ 150 gal./bdrm.)
Topography: , mom, steep slope % of slope •
• • Soil Nature: sand, loam, clay, other /depth:
• •
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet
Percolation test: not required, required (rate min. per inch]
Domestic water supply: j municipal, well, other
'. • • If domestic water supply is a WELL, water supply from any sepdc absorption is feet. •
•
• PROPOSED SYSTEM
:Septic tank)flat gallon (minimum.size: 1,000 gal.)
Tile field: 'each trench Co feet / Total system length: �a feet
•
Seepage pit(s): number of ii/A' , / size each: ft. by ft. •
•
Size of stone to be used: # / depth or thickness . / feet
•
•
HOLDING TANK SYSTEM:. (if required)
Number of tanks: Size of each: gallons
&la=system and associated electrical work to be inspected by a cestiSed agency.) •
=``` r-For'goy5;paotec ion, please note that pursuant to Section 136-29 of the Coda of the Town of Queecsbury, any permit or
_s�
`` appoval:`granted which is based won or is granted in Mimeo upon any matl misrepresentation or failureto make a
"':.meta fact or circumstance/mown by or on behalf of an applicant;shall be' xl.
I have read`tile regulations with respect to this application and to abide by these and all requires of the Town of
Queenabury'Sanitary Sewage Disposal •........
•
Signature of responsible person: a/c -k Date: e2-9/YY
TOWN OF QUEENSBURY
BUILDING. CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name — &I 5ge-c
Locati on ik/, /Cie G2C- ,
Date S Permit # ` 9- '7o
SOIL TYP : Sand-L m-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch_
TYPE OF SYSTEM:
ABSORPTION\ FIELD: Total Length /0)
Length of each tr nc i) .`-Q
Depth of trenche
Size of stone -
SEEPAGE PITS:\ N ber=
Size - '�. f . xi ft.
Stone size \
PIPING: Size Type
Bldg. to Tank 24 57y.t,-CD
Tank. to Dist. Bo 9 it . D; ,2 - S-
Dist. Box to Fig d/' ',1 N U
Openings Sealed No Par ial
LOCATION/SEPARA I0
Foundation to T nk feet
Foundation to A sorption 1-W- feet
Separation of P is _ feet
Conforms as per Plot Plan gia No
LOCATION OF SYSTEM ON PROPER
(circle '.tee, s.
Front - Rea - Left Side - Right Side
Middle ront - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: Y S NO
Arrived: ,
Departed: (;gyp 131
Building Inspector •
IV
a s
G El -A s to a
rOPev`-tr1l 5° ' l r
'�
0
J
J
RI\-1C)
ba
MAY 26
1989
TOWN OF QUEENSBURY
BUILDING AND CODE
TON OF `tiEENSBURY BUILDING OE-- ""ENT
TOWN OFQUEENS UR'.
Bas4-d on our limited examination, ' ,� T.
compua ce wall cur Mani tnea►► DEEDING ' 0 ;
not be construed as indicating
plans and specifications are in full REVIEWED B - / _..
compliance with the code, DATE
"I have seen or observed, or believe I saw evidence of,
all objects such as houses, wells, trees, fences, etc.,
_ shown on this docu. • t. I also represent that I have
perso ally measur; • I istan . et forth on the diagram." •
/2--__:744,
SIG ° W R' DATE
l