98-381 Certificate of COMP I ;PL"ce
'Gown of Queensbury
Warren County, New York
July 16 98
I Date
98381
PertnitNo.
This is to certify that work requested to be done as shaven by
has been completed.
SEPTIC ALTERATION
'Phis stnkcture may be used as a �_---�- - ---- _�
30 HILAND DRIVE
Location
DELAHOYD r RAYMOND
TAX MAP NO . 5 4 . - 4 - 1 By order Town Board
TOWN OF QL3E:ENSBURY �._...
Directs a Bu�l �ing ode Enforcement
Wa
BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No . 9$ 381
TAX MAP NO . 54 . - 4 - 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DELAHO
OWNER of property located at 30 HILAND DRIME Street, Road or Ave.
in the Town of Oueensbury, To Construct or place a SEPTIC At rt*1+F'AnTT[3N
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. OwNERS Address is
ANNETTE R . D . # 1 HILAND DR .
QUEENSHURYr NY 12804
2. CONTRACTOR or SUiLt?ERS NOms
CONDON SEPTIC & DRAIN SERVICE
3. CONTRACTOR or BUILDERS Address
4. ARCHITECTS Name
5, ARCHITECTS Address
6. TYPE of Construction — (Please indicate by XI SEPTIC
l l wood Frame f l Masonry f l steel i f
7. PLANS and Specificstiont
SEPT:&P ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed use
SEPTIC ALTERATION
25 July 1 2000
S PERMIT FEE PAID — THIS PERMIT EXPIRES fg
(if a longer period is required an aPPlirastbn for an extenslon must b* made to the Building and Zoning inspector of the
town of Oueensburr b*fore the *xpirstion date.) 1 $
1 ,?sty
�s
Dated at the Town of Queenstlury this Dav of_
SIGNED By € f for the Town of 4ueensbury
Buitdinii a 2a trtapedar
}Application for SEPTIC D SPCjSAL PERMIT
i. r
Town of Queensbury FPermito.
Dept_ of Community Development Building & Codes Office $
742 Bay Road
Quecnsbury, NY 12804
Location of property for installation: S 4 )Z A I11 D
Property Owner's Name: " ' " 7~ �- �� ,'�? � �•' '' ��r •JUN 3 D 19%
property Owner's Mailing Address: a ► .� f r[/1� +
Installer' s Name: Illcld $ - r hone #
Number of bedrooms (if residential) : Total daily flow: 2>0
(residential - compute a 150E gal.lbdrm.)
Topography: flat,
rolling, steep slope % of slope
Soil Nature: sand, loath, clay, other / depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth feet
Percolation test: not requir required [ rate min.. per inch ]
Domestic water supply: - p w efl, order
If domestic water supply is a WELL, water supply from any septic absorption is /UCH feet.
PROPOSED SYSTEM..
41 .�7
SAptic tank: gallon (minimum size: l ,OC}l7 gal.)
TileL 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
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
Alarm system and associated electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Section. 13&29 of tbue Code of the Town of Qneeasbury, any 'permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or fsRure to make a
material fact or cirmnnstance known. by or on behalf of an applicant, shall be Void.
I have read the regulations with rwWect to this application and agree to abide by these and all regnirements of the Town of
Queensbury Sanitary Sewage Disposal C wdinanoe.
SP y Date: • 1`" - r�r�__
Signature of responsible person* '��
RESIDENTIAL. FINAL INSPECTION REPORT
Office No. (518) 761-8256 Date inspection request received;
Building & Code Enforcement
Dept. of Community Development Arrive amlpra Depart
Inspector's Ini
Town of Queensbury
742 Bay Road
Queensbury, New fork 12804
PERMIT #
NAME - DATE —
LOCATI0N
TYPE OF STRUCTURE
NIA YES NO CONQVI
Chimney Heightr7I Vent/Direct Vent Location
Fresh Air Intake
Plumb vent through roof
Roof Complete
Exterior Finish Complete
InteriorlExteiior Railings 30" to 36"
Exterior handrails, balconies, landing 18 in. or more
interior Handrails stairs Both sides 3 or more risers
Grade 21% away from foundation
8" clearance to sill plate
Gras valve shut-off exposedlregulator 18" above grade -
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
FurnacefHot Water Heater operating
Relief Valve(s) installed
I-Ieadroom, 6 ft- 6 in. on stairs
Basement stairs, 6 fll. 4 in.
I landrail exterior stairs both sides more than 3 risers
interior privacyltai"doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors-
every level
every t�rirrxe'rr5
outside every Bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire doorldoor closer
Garage fireproofing
Garage penetrations sealed.
Furnace in separate room protected (in garage)
Light ventilation per room_.
Safety glazing 18" or less from floor
Final Electrical
Site P1anlVariance required
Final Survey Plot Plan
As Built Septic system layout required
Okay to issue CIC (Certif. of Compliance)
()kav to issue temp- CIO (Certif. of Occupancy)
Okay to issue permanent CIO (Certif of Occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Offtce No. (Sl$) 761-8256
Date inspection request received'
Building Bc Code Enforcement _ PM
Dept of Community Development Arrive
Irvpspe�tosD s Initials G
Town of Queensbury
742 Bay Road
Queensbury, New York 12MM
NAhrLElCr PERMIT #
DATE
LOCATION
TYPE OF STRUCTURE .�
NIA YES NO CO f--
Chimney Heigbtl"B" VentMireet Vent Location
Fresh Air Intake
plumb Vent through roof
Roof Complete
n/Exterior Finish Complete
loterior/Exterior Railings 30" to 36"
Exterior Handrails, balconies, landing 18 in, or more
Interior 1lrundrails stairs both sides 3 or more risers
Grade 2°/a away from foundation
8" clearance to sill plate
Gas Valve shut-off exposed1regulator 18" above grader ... -...
Gas Furnace shut-Off witVM 30 feet or within lute of site
oil Furnace shut-Off at trance to cc
Furnace/Hot Water Her opera
Relief Valve(s) installed
1leadre+om, 6 ft. 6 in_ on stairs
Basement stairs, 6 ft. 4 in
Handrail exterior stairs bo sides more than 3 risers
Interior privacy/true/doo in entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior 1•hmdrails 13alconiesll-,ending 18 in. or more
Railing across window in stairwells
smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage Cireproofmg
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per room
safety glazing 18" or less floor
Final Electrical 2'
Site Plan/Variance required
F i Survey Plot flan
As Built 'Septic Svste I layout required ,r / A PWArle
Okay to issue C/C (Certif. of C:omphancc:) �+ L
C?kay to issue temp. C/o (Certif. of occupancy) �(�6yr w� �" � i C�
Okav to issue permanent C/O (Certif_ of Occupancy)
I
l TOM OF QUEENSBURYn.
BUILDING & CODE ENFORCEMENT 42
742 Bay Road
ueensbary NY I2804
(sis) 761-8256
1 SEPTIC DISPOSAL SYSTE SPECTION ,•
Name h o
Locationv� + "
Date ermmi t # gel
SOIL TYP San - Lo - Clay-
Results of Percolat on Test-
( if applicable ) Rat -Minute/ 1 ch
TYPE OF SYSTEM:
ABSORPTION FIELD: To al Len h
Length of each trenc
Depth of trenchImbe
Size of stone
SEEPAGE PITS : r-
Size - ft . x ft .
Stone size
PIPING: izeType'
Bldg . to Tanis tp
Tank to Dist . foxy
Dist . Box to Field/ u At
Openings Sealed ? Y No Partial
LOCATION/SEPARATI
Foundation to Tank feet
Foundation to an
tion feet
Separation O?` Pits
Conforms as per PI t Plan Yes
LOCATION OF Sy
ON PROPER
( circle one )
Front - Rear - ft Side Rid t Side
Middle Front - i ddl e bear
COMMENTS :
SYSTEM USE APPROVED YES
Arrived: �
Departed:
-
Bui7ding Inspector �'—
79
litCj�
01
1
Lao CA p
(k35' 4�
JUL 11
„j have
Jul 964ty^ shown tl Qb1ech s� ,ill , or beti
d! this dccurn� $° welts, t " eenc�
p I a� en
V/ felt