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2015-015 �11h TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 �� Q rY, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20150015 Date Issued: Thursday, June 25, 2015 This is to certify that work requested to be done as shown by Permit Number P20150015 has been completed. Tax Map Number: 523400-295-014-0002-016-000-0000 Location: 47 MT. VIEW Ln Owner: D.E. LINKENS, LLC Applicant: D.E. LINKENS, LLC This structure may be occupied as a: Septic Alteration Residential By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the /1 5t. property owner of the responsibility for compliance with Site Plan, /� 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. TOWN OF QUEENSBURY eea, 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 FON Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150015 Application Number: A20150015 Tax Map No: 523400-295-014-0002-016-000-0000 Permission is hereby granted to: D.E. LINKENS, LLC For property located at: 47 MT. VIEW Ln 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: D.E. LINKENS, LLC 38 JACKSON Ave Septic Alteration Residential SO. GLENS FALLS NY 12803-0000 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency NICK DAIGLE 11 SUGAR PINE Rd OUEENSBURY,NY 12804 Plans&Specifications 2015-015 Res. Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,January 20,2016 (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 Toweensbu T d ,January 20,2015 SIGNED BY { c :w for the Town of Queensbury. Director of Building&Code Enforcement ► SEPTIC DISPOSAL PERMIT 1\ ffiT.U'.'.DATE � J •F•lvlapi `Z i y TAX MAP ID 0`7 l • l ' oI"�LO `ern it No� OF •: ..,►�r� PeriQ' - LDS LOCATION OF INSTALLATION •• . APPLICANT rn PHONE/E-MAIL �/ ADDRESS / 7 / c k ,', 7 J 3 d f1 J I J L N INSTALLER/BUILDER: PHONE/E-MAIL ADDRESS: • �✓ ` L ^ �` S L lc 6 OWNER Address f/ 7 04,7 1\-) CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: NI C IL '12): PHONE 796— 6Z/ RESIDENCE INFORMATION Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older 1.5b LI 5 Garbage grinder installed Y ✓I 1/� 1981-1991 Spa or Hot Tub installed Y ✓N 1992-Present PARCEL INFORMATION q q fy- & Topography Flat rolling Steep slope %slope Soil Nature 2�Sand Loam Clay Other Groundwater At what depth? Bedrock/Impervious Material At what depth? Domestic Water Supply r 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 engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank Size gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub) System Type Absorption field with#2 stone Total length 7 ftQ' ft.; Each trench wx Et3D 1OCPC 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 in reliance upon any material representation or failure to make a material fact or circumstance know by or on behalf of an applicant, shall be void. I have read the regulations and agree to abide by these and all req ireme is of the Town of Queensbury Sanitary Sewage Disposal Ordi Print Name: S L j 1� Date: // Z.C./ 1 3 Signature: '— - , , Date: Town of Queensbury Building&Codes Septic Disposal Permit July 2014 Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Septic Inspection Report Inspection request received: Name: Lz_,+A.F Inspected on: ea— Location: —Location: —1 M o f -c Jit EZ Arrive: v 7 . 4120 Permit No.: — 0 \' Inspector's Initials: Co "T''ts andlor dia•ram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: _Y N End Cap _Y N Inlet/Outlet Pipes&Baffles Y Manholes 12"or less below grade N [provide extension collar if Yes] Y N Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y N ETU Maintenance Contract provided Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Stat : Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report /0 Septic Inspection Report Office No. (518) 761-8256 Date Inspon -. .- -iv .: �t � d � Queensbury Building &Code Enforcement Arrive: 9 EZ) \'-Zt3 am� 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial AV- NAME: yLtrl P NO.: I —015 LOCATION: Lf 7 frif e 14 et.) I. SPECT ON: I' r0/ 1 C 7 I RECHECK: Comments and/or diagram Soil Ty. y:,:,_ .am/ Clay Type of Water: unicipa - ater `"g c. AT-4 AT-4re5;) Waterlin- --.. . ton distance ft. ROk_Well separation distance ft. Other wells: ft. 1/ C(40 Well Casing Length 50' + / - Y N N/A [150'to well required if NO] � �. Absorption Field: Total length �� ` P g Length of each trench �f t J h�% ft. - .5 2 JE)1/4 -1---E5> Depth of trenches ft. �ii ft. Size of Stone, Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank 4 Tank to Distribution Box N 60c-1 y� Distribution Box to Field/ Pit hp�3 y ro 4- Opening Sealed: N End Cap Y/ \X t C C Inlet/Outlet Pipes&Baffles Manholes 12"or less below grade Y N [provide extension collar if Yes] Location/ Separations Foundation to tank 10 ft. Foundation to absorption ftfr Separation of Conforms as per P . Plan Engineer Report a r. As-Buil Y_ N t-111--\ ETU Maintena•ce Co - _Y_ N •rovided Location of System on Property: Front Rear Left Side Right Side Middle Front _-P4idtife Rear System Use Status: pproved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Reportj03 29 10.doc