1999-383 CERTIFICATE OF COMPLIANCE
•
,TOWN OF QUEENSBURY
WARREN COUNTY, 'NEW YORK.
Date October 5 19 99
99383
This is to certify that work requested to be done as shownby.Permit No..
has been completed.
SEPTIC ALTERATION
• . This structure may be used as a
7 BOSS RD
Location
DWYER, PAUL & NANCY ., ' . .
Owner •
• TAX MAP. NO.‘ 14 2.-1-19:: By'Order' of Town Board
TOWN OF QUEENSBURY, . •
_ Director of Buil�din &
. , . r i ,. g Code Enforcement ,
BUILDING PERMIT
TOWN OF QUEENSBURY
,VALUE $ : 0 . . No. 99383
TAX MAP NO. 142 . —1-19 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DWYER, PAUL & NANCY
OWNER of property located at 7 BOSS RD. 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
7 BOSS RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
CRANDALL, CHRIS
3. CONTRACTOR or BUILDERS Address
R.D. #1 , BOX 1376
LAKE GEORGE, NEW YORK 12845
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4. ARCHITECTS Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
SEPTIC -
( 1 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
SEPTTC ALTERATION AS- PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION
. June. 24 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.)
24. June. - 1999 .
Dated at the Town of Queensbury this Day of 19
SIGNED BY ` f� for the Town of Queensbury
Building and Zoning Inspector
r�� Application _for_SEPTIC DISPOSAL PERMIT
tie, f
y.. Town of Queensbury
Dept. of Comm
D unity Development JUN 2 3 1999 Permit No.
Building &Codes.Office:: =: ►��
742 Bay Road _: V :_ .~ . TOWN OF OUEEP JSBURY Fee Paid S
Queensbury, NY^-12804 [3UILDi►\9G AND CODE
__
Location of property for installation: 7 (3)ç S 4,p
Property Owner's Name: R d Li--I?JS�
AJwProperty Owner's Mailing Address: 7 a (lP ?S C I,y /�� 1 22 (76
I i �7q
Installer's Name: drv(rl s (vGfv1 a// -g�(,Cf- IA 1cp Phone # G L 3-0 y3 '
•
Number of bedrooms (if residential): 3 Total daily flow: 14SQ 9 i l
(residential -compute @ 150 gal. i .)
Topo phy: I flat, rolling, en ste slaw % of sloae
• Soil Nan /e: sand, loam clay, ' e- i de^*: _
WV li^To ' °Ground water: at what de l? LZ / ccs Cr r ,:cus Material: at wha::iepi^_ r.r:
Percolation test: net re:used, re u_-e [ per itch 1
Domestic water suvpIv V municipal, wed, oce:
If domestic water supply is a WELL, water su lv from any se do absarpdcn is aeet. ( V-
PROPOSED SYSTEM �
Septic tank- 1 1 gallon1,
CCO(minimum size: S='T.)
Tile field: each tens .30 feet / l
Seepage pit(s): number of / size each: . y
I rt.Si`e o Stone to be used: a, / der-,. cr ,mac=e i/$ -1/ fee:
F-=OLDE\FG TANK SYSTEM: (if re uired) AVA—
Number of tam: : Size of each.: o rocs
AIarm system and associated electrical worts to be inspected by a certified agency.,
I
For yots protection, please rote that pursuant to Section 136-29 of the Code of the Town of Qoeembvry, any permit or
approval graeeed winch is based tenon or is granted in reliance upon any material m srepiese atcn or Slurs to make a
material fact or circumstance kco n by or on behalf of an applicant, s:- be void.
I have read the regulations:with respect to this application and agree to abide by these and all reger.emew of the Town of
Queensbury Sanitary Sewage Disposal • .
Signature of responsible person: _ ' C'tat i 61
Date:
- 5-ci 3 1401)
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location -7 8n R--)ad
�
Date 101 -5- Permit # `?j&
SOIL TYP : San - - ay-
Results of Percol tion ' est-
(if applicable) R to-Mi ute/Inch
TYPE OF`,SYSTEM:
ABSORPTION-FIELD: To Length 7t4O±
Length of each-t-r- ch - 30111�
Depth of trenches Z r L0E 4
Size of stone
SEEPAGE PITS: Nu ber-
Size - _ ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank 4L Q
Tank to Dist. Box L01 e �
Dist. Box to Field/ it ' 73( VO
Openings Sealed? es No Partial
LOCATION/SEPARATI .
Foundation to Tank feet
Foundation to Absorption �t feet
Separation of Pits feet
Conforms as per Plot Plan e No
LOCATION OF SYSTEM ON PROPERT .
(circle one
Front ear Sid Right Side
Middl - Mi P Rear
COMMENTS:
SYSTEM USE APPROVED: YE
Arrive
Dep .
Building In:oector