The URL can be used to link to this page

98-254 CIITIFICATE OF COMPLIANCE TOWN OF QUEENSBUR'Y WARREN COUNTY . NEW YORK Ua to 19 oQ 98254 This is to certify that work requested to be done as shown by Permit No . has been completed . This structure may be used as a SEPTIC ALTERATION Location 955 STATE ROUTE 149 Owner RYAN , GEORGE TAX MAP NO . 27 . - 1 - 28 . 1 By Order of Town Board TOWN OF QUEENSBURY ____�f_cam.--••:=''='__�`=� l � -- _�`_ � _ Director of Building R Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBUR,Y No. _ 90Z54 TAX MAP NO . 27 * — 1 - 28 . 1 WARREN COUNTY* NEW YORK PERMISSION is hereby granted to RYAN r GEORGE OWNER of property located at 3260 STATE ROUTE 149 Street, Road or Ave. 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 Town of Queensbury Building and Zoning Ordinance_ '- M'% *s �.OUTE 149 LAKE GEORGE , NY 12845 2. CONTRACTOR or BUILDERS Name RYAN , GEORGE 3-psi.qTl 'K9jfh"rfi6 est LAKE GEORGE , NY 12845 R l:l7i icy.:+ a Cti an S. ARCHITECT'S Address 6. TYPE or construction -- (Please indicate by X} SEPTIC I } wood Franw C I "asonry I I Steel I I 7. PLANS and Specifiptions SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS No. r!. Yropoa6d V" SEPTIC ALTERATION g May 15 2000 S PERMIT FEE PAID -- THIS PERMIT EXPIRES , tg llf a longer pe+Iod is required an application for an extanaien must be nude to the Building and Zoning inspector of the town of CTueensbury before eha expiration date.} 15 May 19 Dated at the Town of Queensbury this Day of 19 SIGNED BY for the Town of Queensbury Building and Zo Application for SEPTIC DISPOSAL PERMIT Town of Queensbury G Permit No, Dept. of Community Development _ Building & Codes Office -2 742 Bay Road Fee Paid $ 7 Queensbury, NY 12804 f Location of property for installation: , 0 T-, Property 01 Name: Property Owner's Mailing Address: Installer's Name: ; /��4 A.) Phone Number of bedrooms (if residential) : Total daily flow: 2jd� (residential - compute Q 150 gal./bdrm.) Topography: t, raUing, steep slope % of slope Soil Nature: 2!and, loam, clay, other / depth.: Ground water: at what depth? feet I Bedrock or Impervious Material: at what depth? ____ feet Percolation test: not required, required [ rate min. per inch - Domestic water supply: municipal, ✓ well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank:fd?-D gallon (minimum size: 1 ,000 ,gal.) Tile field: each trench feet I Total system length: .�� feet Seepage pit(s) : number of / size each: ft. by ft, Size of stone to be used. # depth or thickness feet i HOLDING TANK SYSTEM: (if required) MAY 15 Number of tanks: Size of each: gallons -.� *y Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursatant 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 requirements of the Town of Quac sbury Sanitary Sewage Disposal /45 Signature of responsible person: Date: � _ Toren OF QUEEKSBURY CE"ENT BIfILDIN6 A2C'8Y �� Queensbury NY 12W4 ON SEPTIC DISPOSAL SYSTM INSPEGTI f1 ame - Locati on Permit # --�-- Date SOIL TYPE: Sand- �-aam-Cl ay- Resin is of Percal ation Test- ( if applicable) ate-Minot Inch_�� TYPE Of SYST04: Ta Length _�-- ABSORPTION each tre �+ Length of Depth of trenche Size of stone SEEPAGE PITS : Number- f t . x �,�-___-� f t . size - �, �--- yp e Stone size PIPING: Tank Bldg . to �-- Tank to Dist . Box �- --- - Dist . BOX to F i el d/P Nyp arti a Openings Sealed?R o o Tank feet feet LOCATION/SEP --� Foundation Absorption � -- feet Foundation to No Separation on of Pi Plot at Plan - ~�S Confor +s as P� ON PROPERT'�' � LOCATION OF SYSTEM ( circle _ Left Side - Ri t Side gh F ronMi } Rear _ Middle Rear COMM4ENTS C) YES No SYSTEM USE AppVtOV = Arrived= Departed: Du�+ d� ng nspect°'r TOW OF 4UEENSBURY BUILDING A CODE ENaOdRCE�T M--�_.--- 742 Bay lRoNY 12804 Queens'hury (51S) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Le Locati op Date �7Y P rmit SOIL E: and- Loa Clay- Tes Results of Per co atio inute Inch ( if applicable) Rate- TYPE OF SYSTEM: if h ABSORPTION FIELD : jpta Ler -- -�- Length of each trenchf Depth of trenches Size of stone SEEPAGE PITS: f`"o be ft. Size - L �--- Stone size i ze or orype PIPING: Bldg . to Tank Tank. to Dist . Box Dist . Box to Field/Pqt ti Ye openings Sealed? I LOCATION/SEPARATI Foundation to Tank feet Foundation to Abs rp ion feet Separation Of Pi Plan No Conforms as per l pROPERT LOCATION OF SYS ON ide Frnt( circle L t Side - Rig Front - Rear Mi ddl e ddl a Rear CoWENTS : . ! C_ Ltc i YES O SYSTEM USE APPROVED: Arrived : Departed : .J Bui ding nspector i TOWN OF QUEEKSBURY ,BUILDING a CODE ENFORCEP"T Bay Road QueensbUry NY 12804 (s,$) -161-825e SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Permit # Date SOIL TYPE: Sand- Loam-Clay- Resin is of Percolation Test� Rate°Minute/ lncb�------ ( if applicable) TYPE OF SYSTEM ABSORPTIONFIELD : Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS : tw ft . x Size - �-----� Stone size ___--- Si e yp e PIPING:Bldg , to Tank Tank to Dist . 56% No art� a Dist . Box to Fiel openings Sealed? Y LOCATION/SEPARATIONS : feet Foundation to Tank - -- feet Foundation to Absorpt on - ----- feet Separation of Pits Plan Yes No Conforms as per Plot PROPERTY : LOCATION OF SYSTEM t Side ( circle one ) - Left Side - Right Front - Rear - Middle Rear Middle Front COMMENTS : D: YES SYSTEM USE APPROVE ' Arrived: ,-'- Departed : Bui ding nspect,or i , TOWN OF QUEEMSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISP TEM INSPECTION Name Location jeT� `f q Date l Permi t # 3 SOIL TYPE: Sand- Loam-Clay-Results of ercol ation Test ( if appli le ) Rate-Minut Inch TYPE OF SYS ABSORPTION ELD : Total Le gth Length of ea h trench Depth of tre hes Size of stone SEEPAGE PITS : Number- Size - fto x ft - Stone size PIPING : Size Type Bldg . to Tank Tank to Dist . Bo Dist . Box to Fi el / t openings Sealed ? Yes No P arti a LOCATION/SEPARATI S : Foundation to Tan feet Foundation to Ab o tion feet Separation of P ' s feet Conforms as pe Plot l an des No LOCATION OF SY TEM ON ROPERTY: ( circle one ) Front - Rear - Left Sid - Right Side Middle Fron - Middle Re r COMMENTS : SYSTEM USE APPROVED : YES N Arrived : r ` Departed : 3 .' or � ~ ",J,4�,r�C, Bui ding Inspector TOWN OFQUEENSBURY BUILDING DEPARTMENT �Qt1GS J_ Qv�f1St�� Ge� 1 c lib, ' nC_' Based on our limited examination, compliance with our comments shag SAY 15 not be construed as indicating the f plans and specifications are in full '1 Ord Marianne M. MctDugt ,Llc!,; compliance with the code. 1979 i�� iron pipe - "E �o�ncl irc�n pipe- I, Fax nd ®p Almon or observed,or be I1W 1 Fi L "� has houses,wells, , „ t 1 also rem ) � docu . w ( �x urea[:e distances setfSft an ft m." Uu. r i IGM URE Rly D E p-r-h 0 ATE _ 5 / 4- � Uj�cprogE — - _ iron-pin - �+1 j el - Clvi�e,\ \ iroft piYl O to d oc-qulrec_l bL) w Y$ t w s 84 3S 3p W 27 ''-X +,n"'ftl e,<.. �. n '., - -,,5= _'Srt ry r,`.'.a"'.'d' pwny?'.. ,§ '''°`.' " t 7 '' rat'. ,:�`� �+ ,3 Ft�rrrt: M2,trkd r . �. .., _ _