98-081 CERTIFICATE I'E OF COMPLIANC.L4
TOWN or QUEENSBURY
WARREN COUNTY. NEW YORK
Date March Z g 19 _ 98
This is to certify that wcirk requested to be done as shown by Permit No ,
has been completed .
This structure may be used as a SEPTIC ALTERATION
Location 16 SWEETBRIAR LANE
Owner MAPES . HAROLD & ROZANN
By Order of Town Board
TAX MAP NO . 8 0 . - 1 - 2 5 . 5 7 /(7Wh1:YF
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE S 0 TOWN OF QUEEN56URY NO. 98081
TAX MAP NO . 80 . - 1 - 25 . 57 WARREN COUNTY, NEW YORK
PERMi5510N is hereby granted to MAPES r HAROLD & ROZANN
OWNER of property Located at 1 +6 SWEETERIAR LANE Street, Road or Ave.
atthe Town of Ctation in a To Construct a 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. 0VffR401WHRIAR LANE
QUEENSHURY , NY 12804
2. CONTRACTOR or SUI LDERS Name
CONDON SEPTIC & DRAIN SERVICE
3. CONTRACTOR or BUILDERS Address
4. ARCHITECTS Name
S. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by XI SEPTIC
L I Wood Frame I l uAnsonry ( i Steek ( I
T_ PLANS and SPecifications
SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
No.
a. Proposed Use
SEPTIC ALTERATION
25 March 18 2000
PERMIT FEE PAID - THIS PERMIT EXPIRES 19
S Iif a lorger period is required on application for an extension muse tie made to the Building and Zoning inspector of the
town of QueenatovrY bof are the expiration date M8rC11 19
Dated at the Town of Queertsbury this
Dsy of 19
1 - for the Town of Queenstwry
SIGNED BY
Building and Zoning j rA Peeax
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury QI 1
Dept. of Community Development Permit No. 1
Building & Codes office
742 Bay Road Fee Paid < O
Queensbury, NY 12804
Location of property for installation: . o R*Q (CeX t-1)
l)
Property owner's Name: Amok-� ''4 '4Q�C.y�'lyy E /� �s �� 1 7 19%
' WceEfB+R £R I�—r�Ir.' � TUW PG rE8.NQ;MMY
Property owner s Mailing Address: f �o
Installer's Name:06 ItJC]( a %, ,1�rQAijoy -r ccl` Phone # L
Number of bedrooms (if residential): _ 'total daily flow: _� E
(residential - compute (W 150 gal.lbdrrn .)
'topography: flat, rolling, steep slope % of sloe
Soil Nature: sand, loam, clay, other 1 depth:
Ground water: at what depth? AIAfeet J Bedrock or Impervious Material: at what depth? _ feet
Percolation test: f 1IIZ not required, required f rate min. per inch ]
Domestic water supply: municip well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tarik: J p D gallon (rrimi mum size: 1 ,000 gal.)
Tile field: each trench p feet / Total system length: aP-66e* feet
Seepage pit(s): number of / size each: ft. by ft.
Size of stone to be used: # �� --- ! depth or thickness f feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
Alarm system and associated electrical wrark to be inspected by a certified agency.
For your protection, please note that Puraueuvt to section 136-29 of the Code of the Town of Qtreembury, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or fadure to make a
material fact or circumstance known by or on behalf of an applicant, shall be void.
I have readd the regulations with respect to this application and agree to abide by these and all requirements of the Town of
Queensbury Sanitary sewage Disposal Clydinance.
Signature of responsible person: oa /kl Date: s "'/ 7 `
1=11VAL IIwSPmGT1c3ra Fi PiatFiT
MCQ01L1= / MCMMULA&PI
Town of Queensbury
Building. & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 7 61 -8256
ARRIVE:rX1,LVr7)DEPART: � " NSF
DATE INSPEC7710N REQUEST RECEIV D- k
NAME: ^�
LOCATION: _ u6Q6 p
DATE: �!X PERMIT #
M0131LIZ Jff*b= MOMKIFLAR HOME
FOOTINGS FOUNDATION - BACKFIS..t. _ FRAMING
c� t � — NIA YES Na
foundation support, pier spac�
permanuf. .. .. .. I... , . . ., ». .. .. .. .
2o anchoring per
water line shut,off
sewer line support a feet
5. heating crossover (dbl 'de) /
6* dryer vented outside . ..,. —
71 skirting ventilated —S. hot water relief valve piping utside
9. deck, patches, steps, railing . ,
lo, furnace. hot water operatutg
11 , fire proofing , .» .. .. . . . . .. .. ..
garage
12, door closers . .. . . . .. .. .. . . . .. . . .. .. ..
1 . plumbing fixture .. . . . .. .. .. —
foundation insulation (if a 1.).S. smoke detectors —
16r final electrical .. .. .». .. .. . .. ... .. . . ..
17 variance required .. ....... .. .. .. .. .. ..
18, data plate okay .. .... . .. .. .. .. .. . . . .. *
19. mobile HUD seal okay . .. .. . .. .. .. ..
Model # Serial #
Manufacturer
Date of Manufacturer
OKAY TO ISSUE CIO SCEs NO {�
Comments: � 't� C�q cuC� 1 t 1
F AV) 1
TOWN OF QUEENSBURY
BUILDII#G A CODE adRCQIF]1T
Road
742 Bay Road
Queensbury NY 12804 Lof
(519) 761-9256
SEPTIC DISPOSAL SYSTEM INSPECTION
N ame ���
Location
Hate
SOIL TYPE : San4- LoanAlay~
Results of Percolation Test-
( if applicable ) Rate-Minute/ Inch ,
TYPE OF SYSTEM:
ABSORPTION FIELD' Total Len t>
Length of each re h E 'S
Depth of rent e
Size of st e
SEEPAGE PITS . umb r-
Size - t . ft .
Stone size
PIPING: ize
Bldg . to Ta �
Tank to Dist . Sox *�
Dist . Box to Field/ "
Openings Sealed ? Yes No artza
To
LOCATIONSEPARATION w
feet
Foundation to Tank feet
Foundation to Absorption et
Separation of Pits
Conforms as per Plot Plan es No
LOCATION OF SYSTEM ON PROPER
We
one )
Rear - Left Side - Right SideFront - Middle Rear
COMMENTS :
s
SYSTEM USE APPROVED: YE NO
_%
Arrived :
Departed :
ur7drng nspector
"ih ��JDX� �t' / r7AFS 'trup 5C L � ' ijK � � f
7
4,1 have seen or observed, or bII11 M 0
W Qt3EEh1SBl1RY BgILDIRG DUARWEW
all obiects such as houses, wak WK%Mike CBased on out 5MAed exsmi .
shown on this document I dWt#�1 WHO comphaneew+o+ our comeshas
as
personally measured thedi�WM106401b l rat be C`"�i°� indicabnej
pans and s�ci�catians ate in tj
�mPliance wp the code.
awn
TO N OF Q19EEM BUIRY
y
RE
OPIVED
OR 17 08
o L
l a �7
�- FILE COPY