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1999-365 .. s 44 CERTIFICATE OF COMPLIANCE TOWN .OF QUEENSBURY WARREN COUNTY, NEW YORK Date" June 22 19 99 993G5 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 Location 20 SYCAMORE DR DAVIS, 'PETER & ,'LEISHA:' Owner. • TAX .MAP NO.. 90. -8-102 By Order of Town Board • TOWN OFQUEENSBURY Director of. .Building & Code, Enforcement' • • BUILDING_ ?PERMIT 01 VALUE $ 0- .. .TOWN OF QUEENSBURY No. 99365 TAX MAP NO. 90. -8-102 WAR V COUNTY, NE1Y1ORK. iil • • PERMISSION is hereby grantedlo • DAVIS,. PETER & LEISHA OWNER of property located at 20 SYCAMORE DR. 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. OWNER'S Address is 20 SYCAMORE DR. • 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 ( I Wood Frame ( 1 Masonry _( )Steel .( 1 7. PLANS and Specifications SEPTICAOLTERATION AS PER PLOT PLAN. SPECIFICATIONS • 8. Proposed Use SEPTIC ALTERATION • 25 June 21 2001 $ 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 Queensbury before the expiration date.) 21 June 1999 Dated at the Town of Queensb_ur this Day of 19 SIGNED BY ct for the Town of Queensbury Building and Zoning nspeor Application for SEPTIC DISPOSAL PERMIT I .‘ • Town of Queensbury n .;I•mit No. ()Lt.. (9.S Dept. of Community Devel! gni &Codes Office 9 9 3 6 5 90. -8-102 ' 742 Bay Road DAVIS, PETER & LEISHA 1:e Paid Q"e'nsbur7, NY 12804 2 0 SYCAMORE DR. SEPTIC ALTERATION • Location of property for installation: 2/0 V.zt itA)/2._( 2k. - Property Owner's Name: ?Oise- 0,4 v/f RFCEIVED Property Ownerp Mailing Address: E-- JUN 1 8 1999 _ Phone # -P..IttfLDGITC2j-61CIAND 70DUERY Installer's Name: c/4 /711'11-1• Cl(- . -I Number of.bedrooms (if residential): Total daily flow: (residential -compute @ 150 gal./bdrm.) Topography: .1 flat, _rolling, _ 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 I Domestic water supply: OL,municipal, well, other •. If domestic water supply is a WELL, water supply from any septic absorption is . feet. • • PROPOSED SYSTEM • Septic tank 9g°gallon (minimum.size: 1,000 gal.) Tile field: each trench_i0frfeet / Total system length: ' feet Seepage pit(s): number of / size each: IQ- ft. by g ft. • Size of stone to be used: # 3 / depth or thickness . 2--- feet • • HOLDING TANK SYSTEM: (if required) . Number of tanks: Size of each: gallons la sYstem and associated electrical vrork to be inspected by a catiiraed agency.) • • :Formour -protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbtuy, any permit or . . ,:i•-„,\t„„;,appio,:ffrsd granted winch ni based!von or is granted ha reliance upon any mateais113212113paiedati031 or San to make a mtnaL fact or ciicumataiace imown by or on behalf of an applicant;shall be void. I have mad the regulations With resPect ' " and to abide these and all requirements 4 the Town of Queenabury Sanitaty Sewage ' Signature of responsible person: Date: 6//1/9 9 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761=8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location . "cP op —. _ Date �� z�-\ t6\ Permit SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test (if applicable) Rate-Ninut:/I ,ch TYPE OF SYSTEM: ABSORPTION FIELD: Total,Le gth Length of each trench Depth of trenches 111111111 Size of stone \— SEEPAGE PITS: Number- Eimpr Size - ft. .x i ft. Stone size PIPING:. . S ze Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes , o Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side Right Side Middle Front - Middle Rear . COMMENTS: A-t_A-N�� OF c.is l ekt-ok6u5 Sc-ce SYSTEM USE APPROVED: YES NO Arrived: Departed: e1 Building Inspector. iu TOWN OF QUEENSBURY i � 20 BUILDING & CODE ENFORCEMENT I 742 Bay Road cipt -3(159 Queensbury NY 12804 RECEIVE (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION JUN 1 8 1g99 TOWN OF QUEENSBURY NameQ BUILDING AND CODE • Location c7. SA_ f Q bserved, or believe I saw evidence of, s houses, wells, trees, fences, etc., Date (6-- ,_.,2 -9q Permit # rumen . Iso.re resent that I have r9 th d. tan forth on the diagram." SOIL TYPE: and Loam-Cla - Results of Percolation TesIII (if applicable) Rate-! in a/Inch N T E A TYPE OF SYSTEM: . ABSORPTION FIELD: T. al Length Length of each trenfh Depth of trenches Size of stone SEEPAGE PIT: Nu •er- 2 Size - ft x /, D ft. Stone size • PIPING: _Size Type `' Bldg. to Tank t6/5 T/e,-'-e_. Tank to Dist. Box 4 " e0 110 c. Dist. Box to Field/' . . " Openings Sealed? 41110 No Partial L I LOCATION/SEPARATIO . j Foundation to Tank , feet — o o T. Foundation to Absorption L© feet Separation of Pits eet k Conforms as per Plot Plan ' No v. i•y LOCATION OF SYSTEM ON PROPER . - -OS J (circle 0-.-- Front - Rea - •ef• Side ' Right Side —Air Middle Front - Mi. ' - 'ear a4'` COMMENTS: 'FART\ 'u—— p K___ _1 b ,r- C_e. TerN K ) "FL T. . • • C.d1,.).. C-C-5- re 2_= Pcr -Tl� — lAi vm $ SYSTEM USE APPROVED: YES ((i) J r Arrived: Trib Departed: Building Inspector \s/ i 1