98-768 CER rIFICATE 010 COMPLIANCE
TOWN Or QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 15 1998
98768
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 98 COOLIDGE AVE *
Owner MEATH , RICHARD & KATHLEEN
TAX MAP NO 114 . - 13 - 10 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building A Code Enforcement
BUILDING PERMIT
VALUE $ TOWN OF QUEENSBURY , Q 98768
TAX MAP NO . 114 . - 13 - 10 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MEATH , RICHARD & KATHLEEN
OWNER of property located at 98 COOLIDGE AVE . Street. Road or Ave.
in the Town of Oueensbury. 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 Oueensbury Building and zoning Ordinance.
t. OWNEWS Address is
98 COOLIDGE AVE .
QUEENSBURY , NY 12804
2. CONTRACTOR or BLM UM R V Name
CONDON SEPTIC & DRAIN SERVICE
3L CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Narrm
fi. ARCHITECT'S Address
6. TYPE of construction — IPtease indicate by X1 SEPTIC
11 Wood Frame 1 1 Masonry 11 Steel I l
7. PLANS and Specifkstions
SEI?t=C ALTERATION AS PER PLOT PLAN SPECIFICATIONS
B Proproaed Use
SEPTIC ALTERATION
25 December 14 2000
S PERMIT FEE PAID - THIS PERMIT EXPIRES , 19
it a longer period is requiredpplilc ion 11 or ma xtenden must be made to ttw fun gec
ding and Zonk* intw of the
�d ti
•own+ of C]usensbufV i daee l
19 9 8
14 December
Dated at the Town of +Queensbury this Day of 19
SIGNED By for the Town of Queensbury
$uUding and Nl trtsptsoter
- 10
M ATH 11R . - KAT SPOSA-TL PERMIT
MEATH . RICHARI7 & I{AT13LlaEN
98 COOL, IDGE AVE ,
SEPTIC ALTERATION
ascp� cat 0..ommunicy uevelopment Permit No.
Building & Codes Office
242 Bay Road Fee Paid S
Que-easbury, NY 11804
Location of property for installation: 6 coo j t —
Property Owner's Name: �}I� l� Cep 7 ///
!'__. .
Property Owner's Mailing Address: L IN ,., _ . Z,4G '�-f��d/5 ►5 v r y /
Insta.Ler's Name: , 9 `rw?� F. Phone # �� L
Number of bedrooms (if residential): Total daily flow: 30
(residential - compute a 150 gal./bdrm.)
Tnpo phv: flat: ro tLng, steep slope % of slope
Soil. Nature: sand, loam, clay, other I depth:
Ground water: at what depth A feet / Bedrock or Impervious Material: at what deptio feet
Percolation test: not required, reel ire.d [ rate min. per inch ]
Domestic water supply: X. mum cipai, well, osier
If domestic ware: supply is a WTEL.L, water supply from aYSy septic absorption is feet.
PROPOSED SYS�T�Pp:'4 q k p
Septic tanSl""'- J gallon (m'+nimurn s== 1,000 ga.)
Tile field: each trench Z3 feet / Total systram length: AP ~�So feet
Seepage pit(s): number of / size each: . ft_ by &
Size of stone to be used: depth or thickness tom" feet
OLDIING TANK SYSTEM: (if rewired)
Number of tanks: Size or" each: eaIlans
,42arm system and associated electrical work to be inspected by it ocrt76ed agency.
For yat= protection, please note that pursuaat to Section 136-29 of the Code of tho Towa of Qoeewbutty, any wit or
appraysl g armed which is based srpaQ or is gated m reliancoxu a np aaxcrial mama yr fTure to ma l,a a
material fiaoct or circlz stsr known by or on behalf of an appLicaor, shall be vo cL
I bava +d the reguladons with respect to this application and agree to abide by these and all ragcpreaxrats of the Town of
C2u6a s`,0=, ' Sanirauy Sewage Disposal C vdb3aaca.
Signa..=e of responsible person: _ � 4 " '�r / r
- --~- TOWN OF QUEEKSBURY
BUILDING A CODE ENFORCEMENT
531 Day Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
NameE.fi/Location / C=c
Date Z / Permi # /t' {�
SOIL TYPE • and- Loam- a
Results o ercolati0 Test-
( if applicable } Rate inute/ Inch
TYPE OF SYSTEM:
ABSORPTION FIELD : T al Length. _
Length of each tren J J
Depth of trenched
Size of stone
SEEPAGE PITS : um r-
Size - fto x fto
Stone size —
PIPING : S ' yj e
Bldg . to Tank
Tank to Dist . Box
Dist . Box to Field/P
Openings Sealed ? Yes 57!N:o Partial ,
LOCATION{SEPARATION , .
Foundation to Tank feet
Foundation to Absorption feet
Separation o; Pits feet
Conforms as per Plot Plan a No
LOCATION OF SYSTEM ON PROPER
Front - QKea Left Side(
ide - Right Side
Middle Front - Middle tea
COMMENTS :
F
SYSTEM USE APPROVED : YES No
Arrived :
Departed :
Building Inspector
�c {�AAD Fa duets . e4 7)NA6v sf,QP�C 1x�
qg Coof t'I � AVE 7? . ;LIS r9 PAIV X06 7?rf- 2 -5 �
TOWN OF OU BNB RY '
BUILDING &
REVIEWEDBy
DATE
auw on rwr WW en*v;kk
� MT&ftdl
note oor ued as MM"IN
j i4
IV66L,)
f 1 have sen or
I or all object such as houses, wells tree; Md �
shown ree
on this document, I also re resw
LlF'Fsanally measured the distances ghat t base
brth on N diagram
."
__ _� DATE