Loading...
98-020 C .rI`I IC h`1` 01i, CC)1V�.F�. IANCE44 TOWN OF QUEENSBURY WARREN COUNTY , NEW YC7RK U a t e 3 attuay a 9 19 --- -$ . 98020 This is to certify that work requested to be done as shown by Permit No . has been completed . SEPTIC ALTERATIONThis structure may be used as a Location 12 PINE WOO© HOLLOW RD , RAYMOND v MARY & JEFFREY (]weer _.---.----- By Order of Town Board TAX MAP NO . 90 . - 5 - 12 TOWN OF E BURY __ Director of Building & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBUR.Y No. 98020 VALUE $ TAX 14AP NO . 90 . - S - 12 WARREN COUNTY, NEW YC]#�tK PERMISSION is hereby granted to Sxreet. Road or Ave_ OWNER of prraperty located at 12 PI in the Town of Oueensburl To Construct or place a at the above location in accordance to application together with plot plans attid other information hereto filed a nd approved and in compliance with the Town of flueenstiu+Y Building crud Zoning Ordinance. If. OWNEROS Addrast is 12 pINEWOOD HOLLOW RD & QUEENSSURY , NY 12804 2. CONTRACTOR or BIIII QER'S Name CONDON SEPTIC St DRAIN 'SERVICE 3. CONTRACTOR or SUlttDER'8 Addrep 4, ARCHITECT'S Name S. ARCHMCTOS Address $, TYPE of Construction — IPlaese indicate by X1 SEPTIC l I Wood Frarne I I Masonry i t Steei t 1 7. PLANS and gpieciflcaxions ©N AS PER PLOT PLAN SPECIFICATIONS SagTIC ALTERATI a. Proposed Use SEPTIC ALTERATION ,January 27 2000 25 PERMIT PEE PAiO , 18 - THIS PERMIT EXPIRES or Of the ,If a kwear pariod is m4uired an application for an estlanaion "tut! be rude to tf►a BuShcrrp and Zoning inspect to+w% of Oueand>wry before On estpAration date.l January 19 27 19 Dated at the Town of +Queensbury this day of for the Town of Queensbury SIGNED BY 9pikllrti and 2enirq InspeCmr H -~ �plication for rS.EiPTIC V .,�►.��'�' O S.�. L PER I _raculiiaie of l>rtol+vrCy�I'.,r inxt.:+l4alinrs: t r N f iclov cl tYr►�/o w r C��. Lxws:er's Nun '' ' s+; ;s 197f7 kAY1"0'ftfd 11 14 :.R 4V[- NUNt111iR C_?wncr's Mailing Address: !! 'dot GLIGr[3 N ! > (1/fQfL! I'4� 1A _ installer's Narric; AJC6 W 'S� �� III #: 27t=�J Numlicr or i*cdrtxxtiis or residential -& �0 "fatal daily Clow (reside"tiat - cetuxlxtric Cr 150 Sell. per badrtstxnt ) : ' bpograptxy- � flat Rolling �] Stcellp Slope °'n of Slope Soil Nature: Ex Sand [Ain its Tay 01lscr rllCUtlx- -�-�• _ Groursd Water: at wlxai Jclith7 --�— rect ' RECEIVED IM WIA� 13adrock or I ill perviOUS Material : at wEa st dcptlx7 ft:ct JAW 27 Wpat4SMUR Ntst Rexc tired © ILvtluiretvRate Y Xbl CODE� Pc rctxEatitsst `Pest: i tSU Dt)tsscstic Water Stilrl.lp CX Muttic.ilrnl © Well Geiser If doll]cstic water sul,tiiy is It WI-U .- water supi,ly rrcirn Illy septic a[istirixtim is rcet r[torosl. lu SYS11" t1 : Sclrtic tasxk f�d [ gat, (s1►It�,j�1►llUin sixes: la(MO gal.) Tile Mcld: each trellds __dad rcct_ / Iutal system Icngth _feet. Seepage Pit(s); nutul>er or / size each: ft.,Iz ft. Size of Stolle to tic xncd: # � ! depth or thicknexs + rect I1C31 1JINU •i"ANKSySIi3M: (irrccluired) Nunxber of tanks• Sias for crich: Boll- Alarm system rend ossocirrred electrical lrrrrk to be itlspecred by er certified agency. x 1'rsr your prntrs:rrt2rr, plrrr,sr. #,(jeer thtrt rsrrrsrerrrtt ter Secrirare 136- 29 ofIfie CoWe ofthe 7*&ts-it srf arty perertir or a ppnomoesl grrrreted which :s based trpnre or isgrer tt rrred ire relirrrrcr upo Qrree rxslrury, arty rnalerierlInLyrr. (*¢esentarioft or fitilrrre to eureka a rrrrrrrrirtl firer urCirGurrrsExrrrce krrorvrx by or nrr Ile/rrrrfrtf0Ft rrpp tic isnr, sha11be void. I1ratse read title regrrralivirs tvith respect to rleis cmpp tic rtliois jet iIrl agree to ahielr by r/eese oral tell rrrlrrrrrrrterers a jthr. 'l'utvrt of(lrrerrrt.thrrrY .rrterirur;• Sext•aer,�e IJrsp[rserl CJrtlirrrrnCe. Sirrrarrrre ojrespnrt.siL "r prrsar : Jerre: TOWN OF CODE 51]ILDING & CODE EfladRCEMENT i '742. Say QueensburY fly 12804 { (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION 1 Name � 1 l Location Date "' Permit #, SOIL TYP Sa - Loam- Clay- Resul is of Percolation Test- ( if appli ble) Rate-Minuteflnch f TYPE OF S 7EM: ASSORPTIoN IEL. Tota Length Length of ea h renchti Depth of tren e Size of stone -------� SEEPAGE PITS _-rat o— Size - ft . x � Stone size i Bldg . PIPING : B .l d Tank „ Tank to Di st . Sox .s .,, ! Dist . Sox to Field arti a openings Sealed? � Ye"� } LOCATIONISEPARATION feet Foundation to Tank feet Foundation to Absorption feet ? Separation of Pits a No Conforms as per Plot Plan LOCATI YSfEM ON PROPER ( circle ) _ Left Side - Right Side Front Middle Front - Middle Rear CoWENTS i 3 i SYSTEM uSE APPRO�Q * YES NO Arrived: C-- Departed : } Building insp�•�•• 1 I "1 bars aim or obary w bWbn ! saw Wdm� Ok a y all abWft sash ssMom wdhr bow ►601» shwm an *As dOcumel. 1 dw r"sprassat IMR 1 � personaihtee C�40r nissa�wr� tlN dbl sat tsrtlr p! lhrr dire-" BASE PLOT PLAN SEPTIC SYSTEM Notice : The following statement roust bee " stamped" on your plot plan . This sheet of paper may be used for purposes of drawing your plot plan . After drawing such glot plan , ,please read the statement and sign it . If you choose to use other paper for your plot plan , the office will stamp those plans for your signature . Rpp �, f ,,. ECEI `V EL) JAN E? TCf'+JVN or Q?Es.NBOURV 1 gV� ND 9 9*" 5 `9 .a *a - --s loco o IV C 1 - £ 'f t, TOWN OF OUMNSOM KW.V NG Dr a tt=- t S -t ~ �4 'a BouW en ow tintNo lrge hutipe .0001 Wmpbonca with ow torments s rod be +aondueed n indir Plans and 1 111% Now are inego r RRla compUnce with the codL g0 �a stro w Oft i�iw�. sir WN IN �I Mae 3C]'�y� � __.': �:' lerson_aft itwwwd #ha M� m No ." REYt� � ✓ 'x SIGNATURE DATE