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HomeMy WebLinkAbout17923_1_001_179-2-15_12_NELSON_NA ,. .� > 7 �a ;� �z.s�� -- �7� � � �� � r��u�E" � � � i' �l City of .Saratoga Springs Building Department [518] 587-3550 INSPECTOR REPORT � c� ( -.� ) Job Site r�`"1�,.,�,-,-��,.� �4.,T1:,-.�.�a'Z3' Permit �6 t t�.Cf �°'� File �� ! 1� �/ ,.�-� Footings Foundation Insulation �^^` before before Roughg Rough g before S�ic�, Other Final Concrete Backfill Framin Plumbin 1 .� Sheefrock H �1�� �• . r.��- ., _ ,_� . t ,�^� � 4* � �..� t� +r.�� � }-i�.r,.� > ��'.s t _,Z:� ��> L-.i/'..c..�'Y?-L.`�`'� t_ r.�`'�.,i?:�.`Z f�3.�--` . t ��:.��'.:"�!y xi i� ;`�.i�-5 `:—�"j c�1:�..) '! '� i � C�t'se'� !t�}"1..,:� S , �"��� v�-- ;��.r—�^7. C,_ �'�.��,�.� j ? �.4:"�,'e_'i"'i(�'�t ���T ee5'� �"'..�z:���_� ` t�..�..�t���� �.fZ..,:^X.;� Qe � "-�,�'� ��..,• �^1.,�'"11..� /d�r�'�✓''J�P.%�� ,r�-- E�f 1i t�-�`s"� � � � �t"�.`t �`�1`r'tx" 1,.�.-Y ' `;'�;�" C�i 1� �L_t'C C'�� /'� t=;�...`! L�..�~p t I j��t,,s' - � � ; " >. ....- ; a..r";d_%i r eti��.: d`�t,.:.�1"-'�iL i f'�L t�.i) � � - � =_�;;•. , , � i � i <,, Passed Reinspection Failed Required Stop Work Inspection date � � ��, `� �� � !V�' � Inspector � � ��.�- , , , 0 � � �� � Ten Eyck Se tic Tank Ser ' 669 ROCK CITY RD.-BALLST� SPA, NEW YORK 12020- 518 885-7���� ��q �` �/� � - -- — - °3"o�+n � c�ce,l�a Mana,w �S �!/�� �k��, �vi'z �L Z �e�� i�.. ►,�e I S�,� /3 ut• �����" Sara.tt9yQ• S�%►ny s /�o Pfr';�y C.:r.� � — — — — ` � _. _ � � _„ _ ,_ _ ._ _ 1 �� � zS� I �� ���� � �. �2) GO' ��-h.�ls 6 ' o;c, ' I t � _ � � 1� I �- z t '-� �--- ��� --� �/ .� � � �Ncw �i�o� y, 5�T, ��� � � � I � �/ � V ��� y �� ' (�� � ( i o t ( "` � Q � � �.2 !3/J,P�ij�HonSe. � � � I I � - I ( o t � � � t �,� � .�"� p�' � Ne-1 s o ,�v A v e n v � � �/%��'� -- � r � . _ ,�. F � r � `Seruing Sarntoga County Ouer 30 Years' Cleaning ■ Installation ■ Renair ■ Drywells ■ Drainfieids ■ Inspections � " �� . APPLICATION FOR PERMIT FpR INSTALLATION OF A PRIVATE SEWAGE DIg�L gyST�y ��� �Z"�c� '_' _' 1 �P• No. City Halllag���rtment, Department of Public Safety �'7�� � o9a Springs, New YorS� 12866 - (slg) 587-3550 FILE NO. FOR OFFICE L1SE OIVI,y APPLICATION DATE y3 Q� P�IT �BER `7 Zz� Y N SOIL DISTqRBp1VCE ACTIVITy PERMIT PERMIT DATE � Y ` rJ — FLOpp HA2ARD DEVELOPMENT PERMIT OONDITIONS Y N D.E.C, pE�IT Y r1 STATE HEALTH•DEPARTMENT Pq2MIT Y _.._. N ,.._ OTHER Application is hereby m� to the Building I� installation of a private sewage dis ��tor for the issuance of a property in the City of Sarat �sal system (includi Permit for the of the City of Sarat °ga Springs, pursuant to Chaptern97�ArticleeITI, ofathe1Code all a °ga Springs. The owner, applicant, and contractor agree to compl with pplicable State and Local Regulations and this application, and will allow �'dinances, and all conditions expressed on a11 ins Y inspections. The. following regulations shal�l lso applYnter the premises for the required A• This application must be filled in completely and submitted to B. The application must be accom 1. A plot plan, to scale, sh�il� bY' the Building Inspector. nq: lot configuration and dimensions; all buildin s or structures on the lot and their distances to one another and to includinq a detailed' sketch and description of the pro s 9 location of and distance to an the lot lines; ar�d etc. on this site or on contigu us X 1 e� and p° � SeWage disposal system; . ProPosed wells� any waterways, ponds, 2• A Permit fee of $30; ma ke c heck 3• Proof of the contractor's liab 1 ltY linsurancey sf �ratoga Spri less that y'ng limits so,f liability not a� $1,OOO,ppp, with the Cft as n Pecif i contractor's protective lia ilit Aailtional Insured"; pR liability no� less than $500,Opp each o curreceab�th for �• pr�f of an owner's a�9e� end with the Cit as �� �°li�Y S��ifying limits of 4. Results of Y N�a Insured". i1Y injury and property percolation tests and deep hole tests. �• Construction of the ., D. An Proposed system shall not commence � � y deviation from the approved plan must prior to subject to the sar,ie . - bc3 authorized ��lt issuance. E- The Building I� Nr"i�°u��e established for the examinationyog the originalIp an. pector is authorized to ins g Aector, and in any event, the Pe�t the work at a _= Work is rea Permit applicant shall notify the Build Stage of construction, , backfilled�, � for final inspe�tion and ng Ins nspection of the s stem sha�ll be -� u�erg�ound P�ctor when the notification to the Buildfng I�Y � �ade Within forty-efght�ho�sCofepro or F. In accordance with Section g� � tor of the need for ins per sewage dis " ll� the owner shall o ��tion. City, p°�1 facilities in a sanita Perate and maintain the private ti'Y manner at all .times, at no expense to the �• In accordance with Section 97 _ this propertY� a direct connection�shalluch time as.a applicable Cit P�lic sewer becomes available to filled with su t ble smateri aihlan a � �ae .to the public sewer fn .compliance with private sewage disposal system shall be abandoned and J�B SI� � � ccordance with generally accepted �. rU �, practices. NUPMBER OF BEDROpIyS- � SYSTE(y Op,ST -�-�I1, �'' ' GARBAGE DISPOSpI, _ ygg �'i� NO y(' �� i 0. � • ADDRESS � Q_�1.C S _ PHONE (S/� ) �'X�I��.�3Z SIGNATURg Su � . �. APPLICANT DATE ��4� h , h , � ��S --_.��A ' PHONE � /Y ) � -�- ..)"Y�7 Ci � • c�l1�n. �. � Z�9 SIGNATURE �— . � DATE ��, L Z Y � �ONTRACTOR e.n � .:,.. � ADDRF.Sg PHONE ( S/Y ) ��S' � SIGNATCJRE � �j . • . — � •2 y ' DATE �a�v ENGINEER °' ADDRESS. LICENSE � PHONE ( � -. n� � I� � � • Ten Eyck Septic Tank Service 669 ROCK CITY RD.- BALLSTON SPA, NEW YORK 12020- 518 885-7324 ��GGe���'G� rrlbr'IQ.C� /d2 /��/S�9 �- rj�rutr� S't11'k�- �Q.6�J� ��Ori��i� , p- - - - - _ � � �, � ,_ .� .� ��,t���- ► : � 1�,+ i ' � i � �3) y0' /atco+�IS� (�� o.e. � I ��Do+�, � __ � N� �-h�le � O;s74 aoy+ r � Neu� ;eoo�. f ' �0�� s ,�j� s.r. I � W a� f ��v I V I � � I �� I .��072� . c � � � • i � I I � � � � I � 3\�� , , 3 � � � ^� � � � v I /1/e%c�r! r�v� �7 e�-� � _ _ �::�_� , :/%';;� _ , � .Y /..��... � ��..: ' _ ;�V • O` (' I `Seruing Saratoga Cour:ty Ouer 30 Years' Cleaning_ ■_,Insta�lation ■ Repair � 4Jdryyv�l�S � prainfields ■ InspeGtions ! �`� �� o ������n�n������n�n���������n�n�����n�n�n������������n�.r���������������n��n�n�� a 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 S NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET � NEW YORK, NY 10038 � 5 CERTIFIES THAT 5 5 5 5 Upon the application of upon premises owned by 5 5 5 5 ALTONE ELECTRIC/D. DAVENPORT CECILIA MONACO 5 5 400 LANG ST 12 NELSON AVE � 5 �r_,�FtvFT�nv, �,�Y ,���R, ��.�;;Tc;��, r���� ���;� 5 5 5 5 Located at 12 NELSON AVE SARATOGA, NY 12871 � S 5 5 Application Number: 1021545 Certificate Number: 1021545 S S 5 5 Section: Block: Lot: Building Permit: BDC: A636 S 5 5 5 Described as a Residential occupan�y,wherein the premises electrical system consisting of 5 5 electrical devices and wiring,described below, located in/on the premises at: � 5 Basement,Outside, 5 5 5 S5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 found to be in compliance therewith on the 28th Day of September,2001. 5 5 5 Name � Rate Ratin� Circuit Tvne � 5 Wiring and Devices � Receptacle 1 0 GFCI S SReceptacle 1 0 General Purpose 5 c��-��:�:. 5 5 1 Phase 3W Service Rating 200 Amperes � Service Disconnect: 1 200 cb � 5 Meters: 1 S 5 5 5 5 5 5 5 5 5 5 5 5 5 Sea, 5 5 5 5 � of � 5 5 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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