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98-062 CERTIFICATE OF COMPLiANCL, TOWN Or- QUEENSBURY WARREN CaUtITY , NEW YORK 19 ------- $ b` I IG ~I ' PCI 98062 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 52 BOULEVARD - -- Owner HILLY JOHN & SPRAGUEBy Order of Town Hoard TAX MAP NO . 111 . - 4 - 1 4 - TOWN OF QUEEN SBURY �..r...""". ___---Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF +QUEEN58URY No. 98062 TAX MAP NO . 111 . - 4 - 14 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to HILL , JOHN & SPRAGUE OWNER of property located at 52 BOULEVARD Street. Road or Ave_ in the Town of Oueensbury, 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. t. OWNER'S Address is PAULA 52 BOULEVARD QUEENSBURYr NY 12804 2. CONTRACTOR or Bf ILOER'S Name I . B . S . SEPTIC a. coN a G �BPI )"Mdds' REET QUEENSBURY , NY 12804 4. ARCIMTECT'S Name S. ARCHITECT'S Address 6. TYPE of Construction — IPlease indicate by Xi SEPTIC I I Wood Frame f I Masonry I I Steal i t 7. PLANS end Specifications SEPTIC ALTERATION AS PER. PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION 25 March 6 2000 S PERMIT FEE PAID — THIS PERMIT EXPIRES 19 flf a longer period is required an application for an extension mvef be made to the Building and Zoning inspector of the town of Oueenstwry bafora the expiration date.} 6 Ma.rah 19 Dated at the Town of Queensbur ythis dray of {g SIGNED 8Y t \ lG 4� � [ L }, for the Town of Queensbury Suildtngand Zoning Ir1413a01M Application for SEPTIC DISPOSA.L P'ERMIT Town of Queensbury �i ,. �I V� n Dept of Community Development E *` Permit NoBuilding & Codes Office MAR 05 742 Bay Road Fee Paid Q e,*=sbur:.r, lvFY 12304 TOV%iN ;0F Ili ;EE�+ SE�C FAY BUILDING AND CODE Location of property for installation: Property Owner's N=e: LSI., .- IL I' / Property owner's Mailiing Address: ��#_..L ,ric-. CL-L. a -e 6 - / Ins rrl Installer's Nae• ! 7� - t a Phone �,/ 2ctL� f Nuin:ber of bedrooms (is residendal) : Total dz2v flow: (residczti�d - corn to cat 150 gal./bdrm.) T000ggraphy: itat, roflina, stems slope of stage Soil Nan:re: _ saz d, loam, c'av, o ! degrh: Ground water: at what deodh? +'t.eeet / Bed:cck or I=oerrc*s Ntate:~.z: at what de=h? _ fe# Fe==iation test: not req `T 'td, requi:*41..:' rzte Min. per inch I Domestic w8tw sucoly." xmunici7a,, 'r domestic wale: suppiv is a 'EMI L, w-amr sL=iv *"E orn ='�v" see=c absorrcca is fee:. PROPOS= SYS7== f Sepd.c tax ' flt3 �aLoa (tai 11=L= size: ? ,CCU g='_) Tile fi td: each trench O feet I TCMl sv-=em ' grj2: feet Se=page pit(s): aumbe: of / sip' -'.a: !'t., by e Size of stone to be used: m I death or thic OT Di*+G T*A'N+i£ SYSTE.Nf: (if required) Number of Ln Size ©f z cb g'�ons ! s r s Y. system sari associated *Lac- r;.ca[ wilt to be =MTNN=mdbr s cwrdEed agrncy Fc your rrocecruv, please Hots tbat pursuer[ to Sectirart 336-25 of ebe Cor' r' �+Q a Town ofeQSbtuy, any perm[ or vs1 gr3=e which is based upon or is grarmted as reA� ZXPC= =17 srBYr*aer=Lrua or falLtm = tasks a rr.a-'K�31 fac: or c-c"�,�r �-�* ]crows try or as belsa.Lf of tea. sr l.ic�. sbaEl be sr I eve :_ad tl:a regula=^as Wuh respect to [lain app ' and ate+ b abide b+ -.!i o and all "`s ri muients of the Town of .r Sanitary ,sawuge 1>Lq?osa1 Ch%l aace Date: r S : e o r rson: TOWN OF QUEEKSBURY 1 `r BUILDING E CODE ENFORCEMENT 742 Bay Road Queensaury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name f 'moo//e Location �c�- [C { AVbate � fp `f � � P e rm i t #� f���-- SOIL TYPE: Sand- Loam-Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Length Length of each trench Depth of trenche Size of stone —� SEEPAGE PITS : Num r- _ Size - ftm x ft . Stone size PIPING : Size ype Bldg . to Tank Ta k to Dist , ox C st . Brix to ' el 7 penings Sea ed ? Yes o artaa LOCATION/SE RAT S : 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 : SYSTEM USE APPROVED : YES NO Arrived : Departed Building Inspector TOWN OF QSIEENSBURY ,y Bu DING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ^rt [� Location cam- i Date permit #I9 SAIL !t;p oam- Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEMS: ABSORPTION IELD: T tal Lenathi Length of e h tre c Depth of tre he Size of stone SEEPAGE PITS : b Size - ft . ft . Stone size _ PIPING: „�' �f Bldg . to Tank b T Tank to Dist . Box '` Dist . Sox to Field/Pit Openings Sealed ? Yes o Partial LOCATION/SEPARATIONS : Foundation to Tank l - feet Foundation to Absorption feet Separation of 'Pits feet Conforms as per Plot Plan es No LOCATION OF SYSTEM ON PROPER ( circl Front4kReay - Left Side - Right Side Middle F nt - Middle Rear COMMENTS 4 oo SYSTEM USE APPROVED : YES NQ Arrived :Departed : Building Inspector TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 say Road Queensbury NY 12604 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ( C L Location Date Permi t e SOIL TYPE: Sandkte-M ay- l �� c ' Results of PercTest- ( if applicable ) nute/ InchTYPE OF SYSTEM: ABSORPTION FIELLength Length of each Depth of tren es Size of stone SEEPAGE PITS : Number- Size - ft , x ft . Stone size PIPING : Size ype Bldg . to Tank Tank to Dist . Box Dist . Box to Field/Pit Openings Sealed? Yes Na a 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 : vc, lam'• . 1 ¢ '7�� �- SYSTEM USE APPROVED} YES Arrived: Oep a rted : Building Inspector 1, TOWN OF QUEENS B[lllflfHg al on our s E1�T ] to Plans and s the am to d � � OW 0 IF Il w cl OF Fo t, d CA� t FLEE COPY � r . �3 �- F 4 , r'7 'e r� 'j .. c . . -