97-453 CERTIFICATE OF COMPLIANCE
TOWN 'OF QUEENSBURY.
•
WARREN COUNTY, NEW YORK
Date Au-aunt 14 19 91
gt3
97453
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 483 QUAKER RD.
Owner GARVEY, J, PETER III ,
TAX ��A � �. . — _ By Order of Town Board
2 TOWN OF QU N URY
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 97453
TAX MAP NO. 109 . —3-13. 2 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to GARVEY, J. PETER III .
OWNER of property located at 483 QUAKER RD. 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.
1. OWNER'S Address is
MARC & SEAN 483 QUAKER RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
CRANDALL, CHRIS
3. CONTRACTOR or BUILDERS Address
R.D. #1 , BOX 1376
LAKE GEORGE , NEW YORK 12845
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
SEPTIC
( )Wood Frame ( 1 Masonry ( I Steel ( )
7. PLANS and Specifications
SEPTPC4• ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION
35 August 11 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 11 Day of August 19 97
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
Application.for SEPTIC DISPOSAL PERMIT
Town of Queensbury -_
Depi of Community Development Permit No. 77- �3
Building &Codes Office AUG 0 8 1997 {
742 Bay Road Fee Paid $ c3fal
Queensbury, NY 12804 i ? �' ".r � ;
Location of property for installation: a li h
Property Owner's Name: Q 'aii ' /k‘ W 'q a /
Property Owner's Mailing Address: 1 V
Installer's Name: Ci4J/ . F- - Phone # 793-CV f
Number of bedrooms (if residential): Total daily flow:
(residential - compute @ 150 gal./bdrm.)
Topography: flat, rolling, steep slope 90 of slope
Soil Nature: sand, ( loam, clay, oth=/depth: y
Ground water: at what depth? feet / Bedrock or Impervicus Material: at what depth? = feet
Percolation test: V- not required, required [rate min. per inch ]
Domestic water supply: municipal, well, c•.rer
If domestic water supply is a WELL, water supply from any serdc absorption is '— feet.
PROPOSED SYSTEM
Septic tank r 0'00 gallon (minimum size: 1,000 gal.)
/Tile field: each trench 7 b feet / Total system i gth: V 0 feet
Seepage pit(s): number.of / size each: — ft. by ft.
Size of stone to be used: # -`Z / depth or thickness. 1 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 136-29 of the Code of sae Town of Qaeensbury, any permit or
approval granted which is based upon or is granted in reliance upon any materiel 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
Queensbury Switary Sewage Disposal
Signature of responsible person: i�2/ 4�C1 Date: GT lV /2
.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT .
531 Bay Road:
Queensbury NY 12804 , •
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
•
Name (7.4,A
•
Location I �; „
Date 211, Permit # 97 ,5C
SOIL TYPE: Sand-Loam-Clay-
Results of Percolatio Test-
(if applicable) Rate to/Inch
TYPE OF SYSTEM:
ABSORPTION FIE: To . ength
Length of each
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 Side •
Middle Front - Middle Rear.
COMMENTS:
/r� ••�� ,r
SYSTEM USE APPROVED:- . YES NO,
Arrived: //-'1-U
Departed: 0
\/,4
Building Inspector
TOWN OF QUEENSBURY
/6tO.
BUILDING & CODE ENFORCEMENT
742 Bay Road ,/t ,
Queensbury NY 12804 7 '
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name G-0\,-\Nse) ))0) YNS WOO-)
Location 2-4 ? 3 .,
Date %--1 u -cf/ Permit #9,9- 5.
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: -r
ABSORPTION FIELD: Total Length WO
Length of each trench
Dep of ren hes 5{4c '
0"Size s one 2„--
SEEPAGE : Number-
Size - _ ft. x ft.
Stone size _
PIPING: ip Type
Bldg. to Ta k
Tank to Dist Box Box
Dist. Box to Field/Pi ' ,a ,57/417
Openings Sealed? No Partial
LOCATION/SEPARATIONS: - `
Foundation to Tank 1C'e h feet
Foundation to Absorption AO feet
Separation of Pits feet
Conforms as per Plot Plan 410 No
LOCATION OF SYSTEM ON PROPER
(circle
Front - - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: 0 NO
Arrived: 4/u t)
Departed:
Building Inspector
�v\C\Y\ c\13O
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT ME...10742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location
Date -- Permit #
SOIL TYPE: Sand-Loam-Clay- --(-
Results of Percolation est
(if applicable) Ra e- nut /Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: tal Le gth
Length of each tr ch /
Depth of trench
Size of stone
SEEPAGE PIT . Num r-
Size - ft. x ft.
Stone s
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 Side
Middle Front - Middle Rear
COMMENTS:
OEtk
SYSTEM USE APPROVED: YES NO
Arrive
Depar ed:
uilding I or
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hour,,wells, trees, fetter ekes -
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p esent that I h ;:
AUG 0 8 1997 personally m• -tired the dist,, es set forth on the diagram."
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