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98-137 CLIP TIF ICATE OF COMPLIANCE TOWN OF QUE 'ENSOURY WARREN COUNTY , NEW YORK Oa le Apr ,1 1 1Qfi 19 98137 This is to certify that work requested to be clone as shown by Permit No . has been completed . This structure may be used as a SEPTIC ALTERATION Location 32 MT . VIEW LANE Owner GEREAi3 . WILLIAM & LISA By Order of Town Board TAX MAP NO . 82 . - 2 - 12 . 2 TOWN OF QUEENSBURY Director of Building A Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF +QIUEENSBURY No. 98137 TAX MAP NO , 82 . - 2 - 12 . 2 WARREN COUNTY, NEW YORK PERM is hereby granted to GER11 W11111111 ILLIAM & LISA dyNIVER of property located at 32 MT a VIEW LANE Street, Road or Ave. in the Town of dueensbury, To Construct or place a SEPTIC ALTERAT ION at the above location in accordance to aPPlic;ation 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 Addness it 32 MT . VIEW LANE QUEENSBURYr My 12804 2, CONTRACTOR or 13UILDERIS Name MC GUINNr sRUCE g. CONTRACTOR or BUILDERS Address 4. ARCHITECTS Name 5, ARCHITECT'S Address B. TYPE of Construction — 171005e indicate by x) SEPTIC { I wood Frame I # lufaearwy I ) Steel f # 7. PLANS and SpeCifiat One SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS B. Proposed Use SEPTIC ALTERATION 25 April 10 2000 PERMIT FEE PAID — THIS PERMIT EXPIRES • 19 $ of she (If a longer period is required an appiication for an extension i*+�rst ben*ada to the Building and Zoning inspacear town of Chmw bury before the expiration date.)10 Apr 1 19 Gated at the Town of ©ueensbury this Day of 19 for the Town of Clueensbury SIGNED BY ildkw end Z ning lemmpeetor Application for SEPTIC DISPOSAL P'ERTNUT / Towct of Queeasbury f j Permit No. Dept. of Ccmmuaity Development Pe - - / Building & Codes Office CIO 742 Bay Road Fee Paid �Qt =sbury. NY 12804 1,ocation of property for installation: - y`�^M'r L] e } l_e� [ , �'N"� Property Owaer's Name: L' L"J wi L 3 C-N as r Property Owner's Mailing Address: ►A4-i UJ`&� LaA e • �c +�rustr�rw�y !�. ' t4xyo `f Installer's Name: w. t e Wl (} „' ti. Phone # Number of bedrooms (if residential): �} Total dativ flow: Topo,=pny: V 'filar, rolling, stems slope o of slope . a Sou" Nance: ✓sand, Iea=, c'av, oti` ! depth: APR- 0 I Ground water at what cept't". feat I Be ocs or L-=ze^rcrs Nfaserarlio ip . PP rcoLYt�©r1 test: �`-• noc rtcu.ired, r�:ui::-�'.' C rszz min. ioe' In= '�. . � . . _ -•^". l_7ornes—Ec water sut mly: li CQLLeS�C VJ^rtC; 5iSDS:LV LS a 'W'7..L, Wa*� s'+.ti Ivor r C+.+�. asY se=vac abSOrotic E is Iert.. PROPOSED SYSTEM Septic tan (rninimryrn S'sZe: ? , � 32l.) Tie field: each trench fee: t Tote ,:tee= '.e rrh: See,vage git(s): aumbe_• or _ / size each: fL by ft. Saxe or stone = be used: [ I deroch or t'oic 1 a-I? � feet H0L.DLV0 TA..:NK SYSTF.Nf: (if required) Number of taroks: Size or =cam i7ons Okla= system and associated e'{ecrs-.cai vm)rk to be i:=+ b. s certified agency. Fcr your prctecr=4 -nu please note that pursues= to se o-,., 136-?9 of she Code ott' :!m* Town of Qncembmry, any perms or ... a�ttyvai g;'�ted which is based cxFx�n or is granted ha t .:�...r..e u-c= = +' or fa$=e tra makes a -, Lrjs �''Aa fact or C7-.rC1=nSta=ca known by or an bebalf of an er�g3ieas. s;;aiE be lilmc I have read the eegulatiaew with respect to this acpiica6on and ag7w.%6 to abir a b+ � and all ,nq ir== =t3 cc" tho "town of rsbc rs s =its y Sewage Disposal G} + Date; TOWN OF QUEENSSURY BUILDING N CODE ENFORCEMENT 742 Say Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name _ i ► t t _�9 --4 � --- - Location Date Permit # SOIL E • an _ -Clay- Results f Percolation Test- ( if applicable ) Rate-Minute/In TYPE OF ASSORPTI YSTEELD : Total Leng Length of each trench Depth of t enches Size of st e SEEPAGE PIT Number- ft , Size - ft . x Stone size Size ype PIPING: Bldg . to Tank + 4 Tank to Dist . B Dist . Box to Fie /P Openings Sealed ? o artia LOCATION/SEPARATI feet Foundation to Tan feet Foundation to Abs Lion Separation of Pi ---ems feet et Conforms as per lot l an NO LOCATION OF SYS ON ROPERTY : ( circle one ) Front - Rear - Left Side Right Side Middle Fronts COWENTS : SYSTEM USE APPROVED : c7:7-�_ r Arrived: • Dep a ng n c r ted, . TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date �7 GS Permit #� 1 SOIL TYPE : and- Loa Clay~ Results o Percolation Test- ( if appli able ) Rate-M nute/ Inch TYPE OF S STEM: + ABSORPTI FIELD : Total Length Length of each trench Depth of Tenches Size of st ne SEEPAGE PI N r- Size - Stone size Size YPe PIPING : Bldg . to Tan Tank to Dist . Sox �; Dist . Box to eld/Pi artia Openings Seale ? es LOCATION/SEPARA ION a feet Foundation to Ta k feet Foundation to Ab tion _ feet Separation of Pit t Conforms as per PI t pQROPER; �V LOCATION OF SYS l ( circle one) _ Right Side j Front - Rear - L ft 9 Middle Fro COMMENTS : ti3 Q- t-k 0 i I SYSTEM USE APPROVED : YES <Z7 ND Arrived . , `& f 0 :. � Depart . in p c or TOWN OF QUEEKSBURY BUILDING A CODE ENFORCEMENT 742 Say Road Queensbury NY 12804 (5L8) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name —�a�1 ttL► AM ��Q � Location r:Say, rJtE� l ta. Date rm i t # �- SOIL TYPE: and- Loam- ay-� Results a Percolation est- ( if appli able ) Rate-Mi ute/ Inch TYPE OF STEM: ASSORPTI FIELD : Total Lengt Length o each trench Depth of trenches Size of s one SEEPAGE P TS : Number _ Size - f t . x ft. Stone size PIPING: Size Type Bldg . to Ta Tank to Dist Bo Dist . Box to ie Pit Openings Seale . Yes lo arti a LOCATION/SEPA OHS : Foundation to T k feet Foundation t rp ti on feet Separation f it feet ConforTns a p r Pl t Plan Yes No LOCATION STEM PROPERTY : { circle o e Front - R - Left We - Right Side Middle Fro t - Middle ear COMENTS : SYSTEM USE APPROVED : YES C1 Arrived : :. { Departed - i BU7 [� ng nspec w 6 OCAIA TOWN OF QUEENSBURY �'^.� BUILDING 8 CODE ENFORCEMENT G � Vo 742 Bay Road Queensbury NY 12804 (518) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION Name lsS1►.•Yti►�1e-!1� ►---4= ,�k l�r Location � - Date Permit SOIL TYPE: Sand Loam- Clay- Results of Per olation Test- ( if applicable Rate- Minute/ nch TYPE OF SYST ABSORPTION FIE D : Total Leng h Length of each trench Depth of trenc es Size of stone SEEPAGE PITS : umber- Size - f x ft . Stone size PIPING: ize ype Bldg . to Tank Tank to Dist . Box Dist . Box to 'Field/ ` t Openings Sealed ? No Partial LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorp io feet Separation of Pits feet Conforms as per P1 P1 a Yes No LOCATION OF SYSTEM ON PRO RTY: ( circle one ) Front - dear - L t Side - ight Side Middle Front - M ddle Rear COMMENTS : tq - " L "� - SYSTEM USE APPROVED : YES NO Arrived :. Dep a '- B l ding r i r C.�C7b f