1999-682 -V ---.
-
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Noverntber 12 1999 1
. 99682
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
16 NEWCOIMB ST.
Location V
-HAY, RITA & PRATT,
Owner
TICK VIM NO. 130. -1-15 . 2 By Order of Town Board
- �)). TOWN OF SBURY
//C '
Director-of Building & Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 99682
TAX MAP NO. 130. -1-15 . 2
Permission is hereby granted to HAY, R I TA & PRATT,
Owner of property located at 16 NEWCOMB ST.
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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
CHRISTOPHER 383 CORINTH RD.
QUEENSBURY, NY 12804
Contractor or Builder's Name:
HAY, HAROLD
Contractor or Builder's Address:
• Electrical Inspection Agency:
Type of Construction:
SEPTIC
Plans and Specifications:
SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SEPTIC ALTERATION
$ 25 PERMIT FEE PAID—THIS PERMIT EXPIRES November 1 2001
(If a longer period is required,an application for an extension must be made to the Code Enforcement
Officer of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 1 Day of November 1999
SIGNED BY � �1c� for the Town of Queensbury
Code Enforcement Officer
• Application for SEPTIC DISPOSAL PERMIT
Town of QueensburyC)9ept_ of Community Development Permit No.
•
Building &Codes Office ��/
]w \\\
742 Bay Road Fee Paid S S od
Qaeersbury, NY 12804 '
. L _ 1
/�i
Location of property for installtion: I e ,J(n)r ,(
, ' --
Property Owner's Name: cR � TG C -
Property Owner's Mailing Address: I try llv, (-�3"/,i, 3Nd\re
Installer's Name: \A ` I Phone # -76 / - 020 '3 -7
•
Number of bedrooms (if residential): Total daily flow: ��
(residential -compute @ 150 gal./bdrm.)
Topography: flat, rolling, steep slope % of slope
- Soil Nature: (sand, loam, clay, other /depth:
Ground water: at what depth? , feet / Bedrock or Impervious Matena.1: at what depth? feet
Percolation test: not recuired, required [ate min. per inch 1
Domestic water supply: Vunicipal, well, other
If domestic water supply is a ViT-TT , water supply from any septic absorptcn is feet.
• PROPOSED SYSTEM
•
Septic tank- JIB gallon (minimum size: 1,C00 gal.)
Tile field: each trench a� feet / To.l system Iength: Lo V
Seepage pit(s): number of / size each: ft. by NOl��Q 1 1999
TOWN OF QthEENS URY
Size of stone to be used: # / death or iclmess Ie UILDING At••1.D CODE
1-OLDll\TG TANK SYSTEM: (if rwired)
Number of tanks: : Size of each: a lens
Islam system and associated eIectrical work to be isTected by a certified arc c.
For your protection, please rote that pursu.nt to Section 136-29 of the Code of the Town of Q ee sbrz f, any remit or
approval wed which is based upon or is granted in reliance L:L� a✓y rn-tPrialnr:srepres ., ,. or hu'ure to.:ske a
material fact or circumstance known by or ca behalf of an applic , a-all be void.
• I have read the regulations with respect to this application and aggr a to abide by these and all:ecire:net:ts of the Town of
Queens y Sanitary Sewage
Disposal ---‘ca.
Sig:a^rre of responsiblePersod it G Date: V�W
-; .
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT .•
531 Bay Road :
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location /' ' tie, :.
Date /A 1 Permit # ')\\
SOIL TYPE: Sand-Loam-Clay-
Results of Percolat'on Test-
(if applicable) Ra --M nute/Inch
TYPE OF SYST ' :
ABSORPTION FI LD: otal Length I?
Length of eac tr-nch O ar
Depth of trenc -. 2--
Size of stone
SEEPAGE PITS: umber-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tan e/`' . ,SZY
Tank to Dist . Box ' yF 50
Dist. Box to Field/P V( :Mk
Openings Sea ed? e' No Partial
LOCATION/SEP RATIONS:
Foundation to Tank /6 feet
Foundation to Absorption 30 fee.t
Separation of Pits feet
Conforms as per Plot Plan No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear .- Left Side - ig t Sid
Middle Front - Middle Rear
COMMENTS:
Cacao- ;,v,h )7 re`-
SYSTEM USE APPROVED:' YES ' C/;1
Arrived: /ü'zi
Departed:
Building Inspector
.,-- .VV\
TOWN . i- UEENSBURY J
BUILDING & CODE ENFORCEMENT --
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name (:;?1\A-e, \--\k&
LocationV Q NSA) orriNA SA
Date \ \-1,PA Permit # - )
SOIL TYPE: Sand-Loam-Cla
Results of Percolation est-
(if applicable) Rate-Mi ute/Inc
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Lengt 6
Length of each trench .46
Depth of trenches —-- —
Size of stone 2-
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank gam:,k_
Tank to Dist. Box yft
Dist. Box to Fi el d/Pi � !,' j
Openings Sealed? i es No Partial
LOCATION/SEPARATIO S:
Foundation to Tan feet
Foundation to Abs rption 30 feet
Separation of Pi s feet
Conforms as per 'lot Plan ( Yeses No
LOCATION OF SYST M ON PROPERTI`:f
(circle one) - --
id Front - Rear - Left Side - eight Se
Middle Front Middle Rear
COMMENTS:
SYSTEM USE APPROVED: 411.
NO
Arrived: 41/0
Departed:
/,4
Building Inspector
f , pl
• • HAY SEPTIC SYSTEM ,c : ;
•
130.-1-11 130.-2-2
h
h: ;::
n or observed, or believe I sa 'ouch as houses, wells etc.,
shown on this .• ., - • '
' i
. also represent that I have
Ana ly measured the distances set forth on the diagram."
iv—ii 1 % r r /7 / e/ 130.-
130 •" � SURE �-�, _ '
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................................................
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• 130.-1-15.1 _ _ _ '
. . . .—.'''..-- - --A.. - ,--/--174 A, -- Ilf/_ „,,,
130.-1-17
130.71-16.1
/ �1 , \------------------, /
SCALE: One Inch =50 feet
N
s
Produced by the Town of Queensbury, NY, Building Department
11/01/1999
TOWN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name R f-f-A N,A`-?
Location 1a OF 17rn-R AT-
Date 11 3-99 Permit # qq-60
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trenc
Depth of trenches
Size of sto e
SEEPAGE PIT • NumifillI
Size - . x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Bo
Dist. Box to Fi d/Pit
Openings Sealed. Yes No Partial
LOCATION/SEPA IONS:
Foundation to ank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as er Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle on
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
1)31LL- ►'-IoDi q �E ► C III
Tb 3 —cop L_I t3E LOC
E►JD -c—d
LEO6 }� 0 � � TD-1 fl�
1--EF61 HELD
SYSTEM USE APPROVED: YES NO
Arrived: : IC)
Departed:
it ng Ins c
(:) .0 3-)
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Q1 \ 1 '
Location 1 kO N e,, fas rb Sy
Date rb-)0S-9() Permit #
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 trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank -
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
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 .ide
Middl-e—Fron - '14. e .
0
SYSTEM USE APPROVED: YES NO
Arrived: M:770
Departed:
ding Inspect°
HAY SEPTIC SYSTEM
130.-1-11 130.-2-2
"I have '•en or observed, or believe I sa • , ,
all object, such as houses, wells
shown on this -Aga. etc.,
also represenv. t that I have
mna ly measured the distances set forth on the diagram."
/�� !//�.' 3 130.-
130, , r ��6a7 �i
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130.-1-15.1 e J ENE ii'( ,
DAT .,i�
--r---_
130.-1-17
130.;-1-16.1
n
SCALE: One Inch =50 feet
N
. B
Produced by the Town of Queensbury, NY, Building Department
11/01/1999