98-221 CERTIFICATE 010 C[]MT'L LANCE
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Date May 6 19 98
98221
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 26 SWEETBRTAR LANE
Owner pECA , MARGARET _
By Order of Town Board
TAX MAP NO , so . -- 1 - 25 . 44 TOWN OF Q EENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE S 0 TOWN OF QUEENSBUR.Y 98221
TAX MAP NO . 80 . - 1 - 25 . 44WARRiEN COUNTY, 'NEW YORK
PERMISSION is hereby granted to PECA , MARGARET
OWNER of property located at 26 SWEETBRIAR LAM Street, Road or Ave.
in the Town of ameensbury, To Construct or piace a _ SEPTIC ALTERMION
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 Oueensbury Building and Zoning Ordinance.
t. OWNER'S Address is
26 SWEETBRIAR LANE
QrUEENSBURYr NY 12804
2. CONTRACTOR or BUI L06R'S Flame
CONDON SEPTIC & DRAIN SERVICE
3. CONTRACTOR or BUILDER'S Address
C ARCHITECT'S Name
S. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X1 SEPTIC
I I Wood Frame i I Masonry f i Steel f f
7, PLANS and Specifications
SEj?dTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
S. Proposed Use
SEPTIC ALTERATION
25 May 6 2000
S PERMIT FEE PAID - THIS PERMIT EXPIRES i9
fit a longer period is required on application for an extenelon minas be mode to the tdunding and Zoning inspector of the
town of Ck eensbuty before the expiration dafa.i
6 May 19
Dated at the Town of aueensbury this Day of 0 19
SIGNED BY for the Town of Oueensbury
Building and toning 1
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury
Dept. of Community Development Permit No.
Building & Codes office
�b
742 Bay Road
Queensbury, NY 12904 Fee Paid
Location of property for installation: �- (c cupe42 I rj. +
Property Owner's Name:
S
Property Owner's Mailing Address:
Installer's Name: l f�Jt)./,.n,� �-f`r y�- d�.i Phone #
Number of bedrooms (if residential): Total daily flaw:
(residential. - compute Qo 150 gal.lbdrm.)
Topography: flat, rolling steep slope of slope
Soil Nature: sand, loam, clay, other I depth:
Ground water: at what depth 0 feet J Bedrock or .Impervious Material: at what depth,60 feet
Percolation test: not rewired, required [ rate min. per inch ]
Domestic water supply: municipal, well, other y
If domestic water supply is a WELL, water supply from any septic absorption feet. i
PROPOSED SYSTEM f� ccy � ,� L{ MAY C1 5 .'c�
Septic tank: Mg0vallon (minim7urn size: 1 ,t7[)[} gal.)
Tile field: each trench feet / Total system length: +Q 0 feet
Seepage pit(s): number of J size each: ft. by ft.
Size of stone to be used. # J depth or thickness +"{ feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
Alarm system and associated electrical work to be inspBcted bl a certified agency.
For your protection, Please note that pursuant to Section 136-29 of the Code of the Town of Queensbury. any Hermit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a
material fact or circumstance known by or on behalf of an applicant, shall be void_
I have read the regulations with respect to this application and agree to abide by these and all regcur3ennents of the Town of
Queembuiry Sanitary Sewage Disposal Ordinance.
Signature of responsible person: ��r — � Date: .-�
" TOWN OF QUEENSBURY
BUILDING S CODE ENFORCEMENT
742 Bay Road TJ
Queensbury NY 12W4
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name M6r:V=f4_r ar=
Location 4P& hrc,f"c;�Date
-:;w ride Permit #__ -�
SOIL TYPE . Sand- Loam-Clay-
Resul is of Percol at! on TLenth
( if applicable ) Rate-Minh
TYPE OF SYSTEM:
ABSORPTION FIELD : tal
Length of each tren
Depth of trenches
Size of stone
SEEPAGE PITS : Number-
Size - ft , x ft ,
Stone size
PIPING : Site yne
Bldg . to 'lank
Tank to Dist . Box
Dist , Box to Field/ t . t
Openings Sealed ? artia
LOCATION/SEPARATIONS ;
Foundation to Tank AE eet
Foundation to Absorption feet
Separation of Pits _ feet
Conforms as per Plot Plan es No
LOCATION OF SYSTEM ON PROPERT�
( circle one
Front Left Side
Middle Front - Middle Rear'
COMMENTS :
SYSTEM USE APPROVED : YE��. -�!O
Arrived -
Depart
u7 ding Inspector
nd� >W
(VQJ
LU
W
All I Id, K bekye I saw evidence of,
t tft fNCp
# that I um
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fit
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