98-619 CERTIFICKrE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY . NEW YORK
Da te_ (fin t nber 2 19 .. q
98618
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 2 CRESTWOOD DR .
Owner MEEHL . DARRELL & By Order of Town Board
TAX. MAP NO , 76 . - 2 - 1 . 2 TO_WNN OF QU NSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSSURY
VALUE $
TAX MAP NO . 76 . - 2 - 1 " 2 WARREN COUNTY, NEW YQRK
PERMISSION is hereby granted to
Street. Road or Ave.
OWNER of property
located at 2 CRES
in the Town of Queensbury. To Construct ar place a
n in accordance to application
nd
at the above location together
with plot plans and other information hereto filed a
own of Queensbury Building and zoning Ordinance.
approved above
in compliance nlianas with the T
t. OWNE 'S Address i
R s
ROSEMARIE 2 CRESTWOOD DR ,
QUEENSBURYr NY 12804
2. CONTRACT003 or BUIt aE" Plants
I . B . S . SEPTIC
3. CONTRACTOR or BUILDERS Address
2 LOWER WARREN STREET
QUEENSBURYr NY 12804
4. ARCµITECT"S Name
5. ARCHITECT'S Address
$. TYPE of Constructwn — (Please Indicsta by Xi SEPTIC
l i Wood Frame I I Masanry 4 I Steel i 1
7. PLANS and gpecificstions
SEPW,,TC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
t3. Propiosed use
SEPTIC ALTERATION
cya caper 3 2000
25EXPIRES
tS
pERh1I17 FEE PAID - THIS PERMIT to the 8uildkV and Zonirw in$Pector Of the
mum
tlf a lor4w Period is ry before the gWiration date 1plicot ion I or an wtenriort
sown of clueer►sbu*Y 3 October 11998
19
Dated at the Town of Queensbury this
pay of
1. for the Town of Queensbury
SIGNED BY uiWlne and 2onirq Irapeeter
• A iication for SEPTIC DISP'O►SAL PERMIT'
pP
Town of (�yeensbury FFee
a.
'Dept. of Community Development
Building & Codes Office $�^
742 Bay Road
Queeusbury, NY 12804
far installation: r f C�'' Jam.
Location of property � � l
Property owner's Name: f
Property Owner's Mailing Address:
Installer' s Name:
�- r Phone #
Number of bedrooms (if residential): - Total daily flow:
(residential. - com lbdrm.)
Topography: rolling,
steep slope 90 of slope
Soil Nature: sand, loam, clay, other I depth:
Ground water: at what depthy(Ai: feet ! Bedrock or Impervious Material: at what depth? feet
Percolation test: not required,
required E rate min. per inch ]
well, other
zrnunicipaLDomestic water supply:
watersupply
If domestic water supply is a WELL, from any septic absorption is feet.
PROPOSED SYSTEM Ay
Septic tank-/4&.0_ gallon (,mt�inimum size: I ,Q00 -)
Tile field: each trench �---__^'
f ,I feet ! Total system length: t'.' ' ` feet
Seepage pit(s): number of ! size each. ft. by ft.
I dearth or thickness Size of stone to be used: #
feet
Y
HOLDING TANK. SYSTEM: (if required)
Number of tanks: Size of each: gallons��
11
Alrnm system aood associated electrical work to be inspected by s y-
For your protection. please note that pursusnxt to Section 136-29 of the Code of the Town. of Qoemsb►rotY, any p or
approval granted. which is based upon. or vs granted M reliance upon any material miser or faure to makes a
material fact or ciorcumstance known by or on behalf of an applicant, aball be void.
I have read the regulations with respect to this
spdiTtLonand. agree to abide by and all requirements of the Town of
Queensbury Sanitary sewage Disposal Ik
• Date:
Signature of responsible person
1 0
T01&l OF QUEEKSBURY is
SUILDING & CODE ENFORCEMENT
742 Say Vtoad
NY I�$04
Queen,sbury
(518) 761-8256 ,
SEPTIC DISPOSAL SYSTEW INSPECTION
Name
Location _ C�?
Date — r
Pe rn it #_
SOIL TYP San oam- Clay-
Percalatian Test-
Rsults o f applicable) Rate-minute/ Inch
e ��4
TYPE OF SYSTEM: To Len
ABSORPTION FIELD ` h l
Length of a ch tr
Depth of tre h
Size of stone
SEEPAGE PI f t . x f t .
size - -- e
Stone s ze _ Six y'P
PIPING:
Bldg , to Sank
Tank to Dist . Box � t
Dist . Sox to Field/�' gyp ar sa {
ppeni ngs Sealed?
Ye
LOCATION/SEPARATION eet
Foundation to Tank feet
Foundation to Absorption et
Separation o
Pits oesNo
an
Conforms as per Plot P pROPERTY -
LOCATIt�t YSTEM ON
( circle Rear Left Side - Right Side
Front Middle 'Rear
Middle F
C{ iTS
SYSTEM USE APPROVED =
tyr-S)
NO
edo
Arriv
Departed:
Sui ding Inspector
1M►�! Ln
live
t
, R jing
j0 HMO yt
! S1
wa"t
Lv vti�(