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2000-814
TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 7G1-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE OF COMPLIANCE Permit Number: P20000814 Date Issued: Monday, October 23, 2000 This is to certify that work requested to be done as shown by Permit Number P20000814 has been completed. Tax Map Number: 5234 0 5-00-0001- 09-01 =0000 Location, 30 BONNER Dr Owner: TERESA REDDEN This structure may be used as a: Septic Alteration Residential By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code enfimtent r TOWN OF QUEEN' SBUR.,Y" 742 Bay Road, Queensbun', NY 12804-5902 (SIS) 7G1-8201 Community Development - Building & Codes (518) 761-8256 113UILDING PERMIT Permit Number: P20000814 Application Nurnber: A20000814 Tax Map No: 5 23 400-0 75-000-000 1-009-0 1 0-0000 Permission is hereby granted to: TERESA REDDEN For proper"F located at: 30 BO'NNER Dr in the Town of Queensbury, to construct or place 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_ Type of Construction Value Owner Address: TERESA REDDEN Septic Alteration Residential 30 BONNER Dr . , QUEENSBURY, NY 12804 Total value Contractor or Builder's Name / Address Electrical Inspection Agency SIGNORELL.I & SON PLUMBING Plans & Specificati ns 2000-814 SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS $25.00 PERMIT FEE PAIL] - THIS PERMIT EXPIRES: Saturday, October 19, 2002 (If a longer period is required, an application for an extension roust be made to the code Enforcement Officer Dated at the To of Q ensb , Thu s a October 19, 2000 STGNED B'� �LT"/ for the Tc3wn of Queensbury, Director of Building & Code E.n€otcement Application for SEPTIC DISPOSAL PERMIT Taws of QueensCommunity b i Permit No 'dam Dept. of Coty Clevelapment Building & Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 � Location of property for installation: ' t�� 'c�L" �'. J ' �GJ `�' RECEIVED Property Owner's Name: Hie 4 I' f + ci ly' C= �-� OCT 1 8 2000 Owner's Mailing Address: i I: rid A '��% !% TOWN OF ©UEENSBURY Property8 _ fll BUJI/ ,+_ r%�_ CODE Installer's Name: /�"1 iI t rd/r'it` /('f Phone # / '` �fr l`` Number of bedrooms (if residential): Total daily flow: ksand, (residential - compute 150 gal,lixirm.) Topography: at, rolling, steep slope of slope Soil Nature: loam, clay, other 1 depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet Percolation test: not rewired, required. [ rate miss. per inch ] Domestic water supply: rnurtici well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank gallon (minimum size: 1,000 pal.) Tile field: each trench feet I Total system length: feet Seepage pit(s): number of I size each: ft. by fL Site of stone wise used: # -�- - - I depth or thickness � feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system and associated alectricasl work to be mapected by a certified agency. For your protection, please note that puratumt to Section 136-29 of the Cade of the Town of Quisembury, zuy i or approval granted which is based upon or is gtaated in reliance upon any material n or fitlure to rn a zmaterial fact or circwmataxice .known by or on behalf of an applicant, sball be void.. I have read, the regulations with :expect to this application and agree to abide by theca and all requir � of the Town of (,Qoeeosburp Saaiiaty sewage Disposal Or e- 01/ Signature of responsible person: ti Date: /� i TOM OF''QUEENSBURY BUILDING_&, CODE ENFORCEMENT 742 Say Road Queensbury NY_ 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date �.' U r� ,( �f Permit # SOIL TYKE: Sand- oam- Clay- Results of Percolation Test- ( if applicable ) Rate- Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total L -4h Length of each tr ch 4 Depth of trenches Size of stone — SEEPAGE PITS : Num er- ,' Size - ft , ft . Stone size Bldg . to Tank Tank to Dist . Sox "' �„� Dist . Box to Field/P ' Openings Sealed ? Yes o art� a LOCATION/SEPARATION:., Foundation to Tank 1 -- / feet Foundation to Absorption f f f feet Separation of Pits feet Conforms as per Plot Pl an '�- �e [ LOCATION OF SYSTEM ON PROPERTY: 7 ( circle a Front -' Rea - Left Side _ Right Side Middle Front - Middle Rear COMMENTS : SYSTEM USE APPROVED: YES) NO Arrived : - - � Dep a r•ted : "tc Sui ding nspector TOWN OF QUEEMSBURY BUILDING & CODE ENFORCEMENT 742 Bay Read Queensbury NY _ I2804 (518) 761-8256 SEPTIC DISPOSAL .SYSTEM INSPECTION Name ` Location C Date �� t # SOIL TYP SanO Loam-Clay- Resul is of Percolation Test- ( if applicable ) Rate- Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD : Tot Len th Length of each trench Depth of trenches Size of stone _ SEEPAGE PITS : Kumber Size - ft . x ft . Stone size PIPING : k4izerpe Bldg . to TankTank to Ilist . BoxDist , Box -tc� /PiOpenings Sealed ? a o Partial LOCATION/SEPARATION Foundation to Tank feet Foundation to Absorption feet Separation of Pits + feet Conforms as per Plot Plan es No LOCATION OF SYSTEM ON PROPER . ( circle Front - ear Left Sido - Right Side Middle Fron - Middle Rear COMMENTS : ,f^ SYSTEM USE APPROVED :. YES NO Arrived : Departed : ? l '"" Building Ins actor 4e bi o L itf�fr� •J �s 4 �'M V i "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 re pr ent that I have person�all , ensure the distant set forth on the diagram." Slo TORE DATE < � I I LJ TOWIN OF QUEE URY S' $ > C TI v u u . o C BUILDING m D4 REVIEWED BY '` DATE ° lax ! + _/ rd