1990-251 • • .4 •v,
.•
''CERTIFICATE OF• COMPLIANCE
TOWN OF QUFENSBURY
WARREN COUNTY, NEW YORK
• Date May 9 1990
•
This is to certify that ork r quested t be done as shown by Permit No. 90-251
has been completed.
sewage alteration
This structure may be occupied as a
•Location fiR Helen Drive
Owner Donald Sokol
By, Order Town Board.
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
s,
BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 90-251
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DONALD SOKOL rn
OWNER of property located at 38 Helen Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage 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. p
1. OWNER'S Address is 0
r
same
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2. CONTRACTOR or BUILDER'S Name •
Condon's Septic & Drain Service
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name es.
CD
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications CCI
No. Sewage alteartion to include 2—Seepage pits 8'x8' with #3 stone at 2 ft. crq
(I)
depth as per specifications and application. .A,
8. Proposed Use
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Sewage alteration
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$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 3 19 90
(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 d Da May 1990
SIGNED BY ,(� - for the Town of Queensbury
Building and Zoni g Inspector
1
• •• • I •.'4 ►`LI1.4.44JUl.'ll I
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����= APPLICATION FOR #
SEPTIC DISPOSAL PERMIT 6/C:
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`OW'N OF QUEEENSBuM
DATE �
L i�CCF9L`r!
MAY 03. 1990
LOCATION OF PROPERTY FOR INSTALLATION 2 H gL Li
Owner's Name611/aid 'o K®h Telephone: 773 'i 7 3 V
Address:3 E /I L a,t) cD4
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Installer's Name:03496P S -t..G'',D -//0 c Telephone: 7f r"1S . 7 L
Number of bedrooms (residential only)
Total daily flow (compute Cd 150 gal per bedroom) `l‘10
Topography: Circle one: ' Rolling Steep Slope % of Slope
Soil Nature: Circle one Sand .Loam Clay Other /Depth: Feet
Ground Water: At what depth? NA Feet
Bedrock or Impervious Material: At what depth? /0- Feet
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Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle one: Municipal Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank./v00 04 t--gal. (minimum size: 1.000 gal.) 0
TILE F ��Each Trench feet/Total system length feet /.
SEEPAGE PIT(S): Number of 7, / Size each 6 feet by ? feet
Size of stone to be used #2 /Depth or Thickness feet
*************************
I have read the regulation on the reverse side-of this sheet and agree to abide by these
and all requirements of the Town of Queensbur Sa itary Sewa isposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: '
DATE: 5-- -d '
OVER
I
•
Septic System' Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted co the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system •
2.) .location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields and/or drywells
B. No system shall be covered before inspection and approval by the
Building Inspector. Failure to comply with this requirement may
result in the uncovering of the system by the installer and a fine
of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure co produce said plot plan at time of inspection may
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
. tion, alteration or repair of an approved system, a new'proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads '
'Queensbury, New York 12804
•
h,:nuirks:
•
own 01 Queeni ur y
BUILDING and ZONING DEPARTMENT _
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New Yor 12801 cites
� � pSE TIC DIPOSAL SYSTEM. INSPECTIO
NAM :,
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LOCATION Q t a1* LJa,Q
DATE '�/C/r� aPERMIT NO. `,� I
SOIL TYPE - Sang - Loam - Clay -
Percolation Tesi Required? YES. - NO
Percolation rat - Min/Inch -
TYPE of SYSTEM: i
Absorption field, total length
Length of each tench l
Depth of trenched 1 -
Size of gravel y
SEEPAGE PI S4NuMler 4) 7�
Size- t. X < _It. .7- 2,-
Gravel size 3i
PIPING: � r Si e Type
Bldg. to tank rfL/�-
Tank to dist. box / P/4/-
Dist. box to field t t., /'t/'
Openings sealed? ; ES NO Partial
LOCATION/SEPARATIONS: tD �f
Foundation to tan& c� X'4G'/ft.
' Foundation to absorption L.Aft.
Absorption to lot line -1 ft.
Separation of pits ft.
LOCATION • SYST _ N-RROPERTY(circle one)
Front4410 -left side - Right side. -
COMMENT
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SYSTEM USE APPROV D v N
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Bu &ding°Inspector
01/86 and vl
DON SOKOL �7mil..`173 (/ C'ufv.' o,N SE -ttc `D 6 )1vS`c
u sem5 u a FCkugra//S � V 1 )-(-0 /
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OVA OF OUEENSBURY
i4 i EIVE v �0
60.
MATSS 1990 fig
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BLDG. & CODE DEPT.
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