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BOTH-000258-2015 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761.8201 — Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000258-2015 Date Issued: Wednesday,November 4, 2015 This is to certify that work requested to be done as shown by Permit Number BOTH-000258-2015 has been completed. Tax Map Number: 309.6-1-25 Location: 10 ALTA AVE Owner: Tyrone Bapp Applicant: Tyrone Bapp This structure may be occupied as a: Legacy BP 2015-278 Residential Septic System(complete failure) By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the Q)J property owner of the responsibility for compliance with Site Plan, �d Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. Amk TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 qW Community Development- Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: BOTH-000258-2015 Tax Map No: 309.6-1-25 REVISED Permission is hereby granted to: Steve Degnan For property located at: 10 ALTA AVE In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Type of Construction Owner Name: Tyrone Bapp Septic Disposal $0.00 Owner Address: 160 SUNNYSIDE RD Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Affordable Plumbing and Heating Plans&Specifications Legacy BP 2015-278 Residential Septic System(complete failure) PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 29,2016 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town obury; T//� /f/J Mot y,J e 29,2015 SIGNED BY: `( yjk' '{] for the Town of Queensbury. Director of Building&Code nforcement TOWN OFQ UEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 iF010 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150278 Application Number: A20150278 . Tax Map No: 523400-309-006-0001-025-000-0000 Permission is hereby granted to: TYRONE BAPP SR For property located at: 10 ALTA Ave in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: TYRONE BAPP SR 160 SUNNYSIDE Rd Septic Alteration Residential QUEENSBURY, NY 12804-0000 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency STEVE DEGNAN AFFORDABLE PLUMBING& HEATING NY 12804-0000 Plans&Specifications BP 2015-278 Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 29, 2016 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To o eens 4 'o;?. , une 29,2015 SIGNED BY ` for the Town of Queensbury. Director of Building&Code Enforcement it > - At-c-, 0� F IL ,_ - AA0A,SEPTIC DISPOSAL APPLICATION '-r�, Office Use Only / // / tris 14 Received 'I�'/'l� DATE: W , ' ._i� I S A °c 1 Tax Map ID 309. - - -a 5 . TAX MAP ID: 3 '6 t, - l - Dc 6 44?.... /9n� 36 Permit No. Ar Ma INELNE �'` Permit Fee O ZONE: APPLICANT iy`y`' 6 ne erl,Q 1 .SG PHONE/E-MAIL ADDRESS /a( CiI,C.,Y,bi c s -e . .51&'°-M Owl 3( •Li ,iiCL� ^h JUN 2•6 2015 • INSTALLER/ bf rl�, a e �'� PHONE/E-MAIL - BUILDER �Iu.I D f ft'a�'' . Sclere- D•elAein • ,SIaj94z,-2,227 TGvvigor.:,luL F' OWNER 1 r0 Ae 60.P - - . .. t (s6 ADDRESS 0 SCJ A n y ,S iSe Rd CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: 5 f'e P j\ 0-Q CJr1 GA PHONE/E-MAIL 5/F, y9 4.r7,2,E, A. RESIDENCE INFORMATION 16 aL . 4-eiw4._.....___, Year Built #of bedrooms X gallons per bedroom =total Daily flow ort '/ 1980 older / ��,^�� OD �� Garbage grinder installed Yes Y No 1 1981-1991 Spa or Hot Tub installed _Yes ✓No 1992-Present PARCEL INFORMATION Topography Flat rolling Steep slope %Slope Soil Nature \7 Sand Loam Clay Other - Groundwater At what depth: 6 ' Bedrock/Impervious material At what depth: /t-' /,- ' Domestic Water Supply `I Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate: per minute per inch(test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank size JCI( gallons(min.size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub System Absorption field with#2 stone Total length :Z60 i ft.;Each Trench 6 Seepage Pit with#3 stone How many: ;Size Alternative System Bed or other type: Holding Tank System Total required capacity? Tank size #of tanks Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will no longer allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the septic system layout on file—no exceptions. • Declaration: Any permit or approval granted which is based upon or is granted inrelianceupon any material representation 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 and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. PRINT NAME: _f yicoit) £ 6 (3 fC• DATE.. • - • SIGNATURE: o Al6 it % ' DATE: • Town of Queensbury Building&Codes Principal Structure Application Revised September 2014 - ' I ' I I I I I I { I +y-- h---; _a__,b E IL&I 'tom cp)--:V� '& i�.il �i 2 6 2b15' �� --i, t T ll QvCCN4t I 4— BUILDING el C9DES A 3 r- C../ Q, , u j 1 TOWN OF QUEENSBUR BUILDING DEPARTMEN Based • our limited examination,•ompliance with ou comments shall not be e.nstrued as indicati g the plans and sppecifica:ons are in full «4 silence with the Buildin• Codes of New Y• State. )--- c; ' _ lel ' fr,., g. ':; tAc l TOWN OIUEENSBURY ,r) / v y^) BUILDING & • • I . a •'T. SEPTIC PLOT PLAN 1 �jc Reviewed By: -!- I HAVE SEEN OR OBSERVED ALL OBJECTS '12L� �'� Date: SUCH AS HOUSES, WELLS, TREES, FENCES, ETC (�' SHOWN ON THIS DOCUMENT.I HAVE PERSONALLY 7 _./ FILE COPY MEASUREDH,j E DISTAN SET FORTH ON THIS DIAGRAM. c_ SIGNAT . URE DATE Tyrone Bapp, Sr. BP 2015-278 10 Alta Avenue (corner of Columbia) Residential Septic Alteration INSPECTION WORKSHEET (SEP-000698-2015) BOTH-000258-2015Permit Management Case Number:Case Module: Failed Inspection Date:Inspection Status: John O'BrienSeptic Inspector:Inspection Type: 309.6-1-25 Job Address:Parcel Number: 10 Alta Ave Queensbury, NY 12804 Contact TypeCompany NameName ApplicantTyrone Bapp ContractorAffordable Plumbing and HeatingSteve Degnan Granted PermissionAffordable Plumbing and HeatingSteve Degnan Primary OwnerTyrone Bapp Checklist ItemPassedComments Building Inspector NotesFalse Soil Type: SandTrue ETU Maintenance Contract providedFalse Size of StoneTrue#2 stone Building to TankTrue1000 gal tank at mobile home [Provide extension collar if Yes]FalseProvide extension collars at tank Tank to Distribution BoxFalseProvide distribution box with speed levelers Opening Sealed:False End CapTrue Absorbtion Fields: Total LengthFalsePartial inspection for 150 ft of stone and pipe Foundation to TankFalse Engineer Report and As-BuiltFalse Location of system on propertyFalse Manholes 12 or less below gradeFalse Type of Water: Municipal / Well WaterTrue Locations / SeparationsFalse Depth of TrenchesFalse3ft Separation of PitsFalse Length of Each TrenchFalse50ft System Use StatusFalse Partial inspection only 3 lines are in , clean debris out of trenches, provide paper and or filter fabric. Call for recheck Conforms as per Plot PlanFalse Distribution box to Field / PitFalse Foundation to AbsorptionFalse InletOutlet Pipes & BafflesFalse January 29, 2021Page 1 of 1 INSPECTION WORKSHEET (SEP-001939-2015) BOTH-000258-2015Permit Management Case Number:Case Module: Partial Pass Inspection Date:Inspection Status: Charles DyerSeptic Inspector:Inspection Type: 309.6-1-25 Job Address:Parcel Number: 10 Alta Ave Queensbury, NY 12804 Contact TypeCompany NameName ApplicantTyrone Bapp ContractorAffordable Plumbing and HeatingSteve Degnan Granted PermissionAffordable Plumbing and HeatingSteve Degnan Primary OwnerTyrone Bapp Checklist ItemPassedComments Building Inspector NotesFalse Soil Type: SandTrue ETU Maintenance Contract providedFalse Size of StoneTrue#2 stone Building to TankTrue1000 gal tank at mobile home [Provide extension collar if Yes]FalseProvide extension collars at tank Tank to Distribution BoxFalseProvide distribution box with speed levelers Opening Sealed:False End CapTrue Absorbtion Fields: Total LengthFalsePartial inspection for 150 ft of stone and pipe Foundation to TankFalse Engineer Report and As-BuiltFalse Location of system on propertyFalse Manholes 12 or less below gradeFalse Type of Water: Municipal / Well WaterTrue Locations / SeparationsFalse Depth of TrenchesFalse3ft Separation of PitsFalse Length of Each TrenchFalse50ft System Use StatusFalse Partial inspection only 3 lines are in , clean debris out of trenches, provide paper and or filter fabric. Call for recheck Conforms as per Plot PlanFalse Distribution box to Field / PitFalse Foundation to AbsorptionFalse InletOutlet Pipes & BafflesFalse January 29, 2021Page 1 of 1 INSPECTION WORKSHEET (SEP-000095-2016) BOTH-000258-2015Permit Management Case Number:Case Module: 01/08/2016Passed Inspection Date:Inspection Status: John O'BrienSeptic Inspector:Inspection Type: 309.6-1-25 Job Address:Parcel Number: 10 Alta Ave Queensbury, NY 12804 Contact TypeCompany NameName ApplicantTyrone Bapp ContractorAffordable Plumbing and HeatingSteve Degnan Granted PermissionAffordable Plumbing and HeatingSteve Degnan Primary OwnerTyrone Bapp Checklist ItemPassedComments Building Inspector NotesFalse Soil Type: SandTrue Size of StoneTrue#2 stone Building to TankTrue1000 gal tank at mobile home [Provide extension collar if Yes]TrueProvide extension collars at tank Tank to Distribution BoxTrue Opening Sealed:True End CapTrue Absorbtion Fields: Total LengthTrue Partial inspection for 150 ft of stone and pipe 1/8/16-Absorption field complete 200' installed! Foundation to TankTrue5' from MH Location of system on propertyTrue Manholes 12 or less below gradeTrue Type of Water: Municipal / Well WaterTrue Locations / SeparationsTrue Depth of TrenchesTrue3ft Length of Each TrenchTrue50ft System Use StatusTrue Partial inspection only 3 lines are in , clean debris out of trenches, provide paper and or filter fabric. Call for recheck 1/8/16-Septic system is now complete. Conforms as per Plot PlanTrue Distribution box to Field / PitTrue Foundation to AbsorptionTrue10' from MH InletOutlet Pipes & BafflesTrue January 29, 2021Page 1 of 1