BOTH-000145-2016 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-000145-2016 Date Issued: Monday, March 26, 2018
This is to certify that work requested to be done as shown by Permit Number BOTH-000145-2016
has been completed.
Tax Map Number: 303.16-1-1.2
Location: 361 DIX AVE
Owner: Thomas Burke
Applicant: North Star Donut Group
This structure may be occupied as a: Commercial Septic Alt.
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the 4
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
d
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000145-2016
Tax Map No: 303.16-1-1.2
Permission is hereby granted to: North Star Donut Group,IBS Septic
For property located at: 361 DIX 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
Tyne of Construction
Owner Name: Thomas Burke Septic Disposal $0.00
Owner Address: 361 Dix AVE Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
IBS Septic
2 WARREN ST
Glens Falls,NY 12801
Plans&Specifications
Commercial Septic Alt.
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,March 13,2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queen--bury before t expir tiokrj .
Dated at the To n of Qu n b ry rch 18,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL APP Office Use Only
eceived
DATE: Q Map ID
TAX MAP ID: 1 201 rmit No. V'1�dU�'� `�ot
rmit Fee
ZONE:
Bt 1LQ1NG
APPLICANT f �` �� 6r,,10 PHONE/E-MAIL
ADDRESS d 9 r— ^ A/`� o f 6
INSTALLER/ S S CErr
l u HONE/E-MAIL
BUILDER iT�0 L�, r
OWNER r �-
ADDRESS Q 6'
CONTACT PERSON FO BUILDIN &CODE COMPLIANCE:
PHONE/E-MAIL 6 M
RESIDENCE INFORMATION
Year Built #of bedrooms X gallons per bedroom =total Daily flow
1980 or older Garbage grinder installed Yes No
1981-1991 Spa or Hot Tub installed Yes No
1992-Present
PARCEL INFORMATION
Topography Flat rolling Steep slope %Slope
Soil Nature Sand Loam Clay Other
Groundwater At what depth:
Bedrock/Impervious material At what depth:
Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is_fl.)
Percolation Test Rate: per minute per inch(test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank size 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 ft.;Each Trench
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 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 Quepnsbury Sanitary Sewage Disposal Ordinance.
PRINT NAME: ..�r V (� C C DATE: d a G
SIGNATURE: DATE: _� 4
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
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1111 MAR 2 6 2018 1)
TOVVN OF ILDING OUEENSDBURY
BU &COES
•:;;•:
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f:•?,....• COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. ..
Matti Office 176 Doe Run Road-Manhelm,PA 17545
1VIUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL . .1
.i,.;...; .. . Permit No. Ccrt, NI2 4 2 3 7 4 Cut in Card No. :.,.
Owner 0er., oQ,,i.t..7-...5
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f'..• . •t; .. Location ,.5 .I.)/X
: Installation Consisting of
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Installed By.. ,...Z.43 .5 :,,,vie 44, -c. /9.e2 /ti— Lie No .
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,•ii.: : *: The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
. :.. •:e: This cenificati: only covers the electrical equipment and installation conditions as of date. Upon the ••
;;;.t... ", ,i • introduction of additional equipment or alterations,application shall he promptly made for inspection. ..
Inspectors of this Company shall have the privilege of making inspections at any time, and if
rules are violated.the Company shall have the rightto revoke this certificate.
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EXIST. PUMP STATION No.1 DESCRIPTION DATE
REVISIONS
COi,JNECT EXISTING �ORCE MAIN
TO NEW NO�?WECO .FILTER TANK EXIST. GREASE TRAP
SYSTEM ( -- -
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PUMP FROM PUMP STATION TO NORWEWCO ELJEN -IN-DRAIN .UNIT (TYP.) � O
TANK AT FIELD GRAVITY FROM NORWECO — TOPSOIL AND SEED 6" MTPJ. W .
TO D-BOX I
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-- - - REMOVE AND REPLACE 3'-0"f PER DESIGN ill ' "CK �
OF EXISTING FILL AT (now
_I (, „ APPROVED FILL �•. STABILIZED FILL �- w V,
EXIST SEPTIC TANK DISPOSAL FIEL AT EACH ELJIN BED �2" MIN `I 2MIN I � � W 0
C ��� ro1 (SPREAD IN 6" LAYERS) zZUo
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NEW ORWECO 750 GAL. -. - ¢
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PER Y SYSTE TANK
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SPECIFIED SAND.'',NQ'
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�—ORIGINAL GRADE: REMOVE TOP SOIL & SETSYSTEM BASE BELOW ORIGINAL GRADE D z or � a 0z 0
1 ° p � � T Od- A02
CARBON FILTER ABOVE ID BED E�.rTII-� ;� F Q
GRADE AT VENT END i N.T.S. o - o
W Q0 V) >U-W
I �* a.� Nv ooE - .
VENT AT ENDS
WORK IS TO BE AS SHOWN &
NOTED AND IN ACCORDANCE
WITH MANUFACTURER'S
RECOMMENDATIONS, TRADE
ASSOCIATION PUBLISHED
RECOMMENDATIONS AND
GENERALLY ACCEPTED LOCAL
PLOT PLAN CONSTRUCTION INDUSTRY
A PRACTICES.
1" = 20'-0"
ALTERNATE REMOVABLE INSPECTION COVER AERATOR MOUNTING CASTING F0-o
INLET WITH AND CAST-IN-PLACE RECEIVING FLANGE
LOCATION CAST-IN-PLACE COVER W?TH FRESH AIR VENT
HANDLE ASSEMBLYBio-KINETIC SYSTEM LOCKING LUGS
/� fcGENE /0LANITA Y I�!OTL : APPROVED SEALANT OR EXTEPIDED AERATION SOLVENT 1�JELDGENE AL. OTE SEALING DEVICE CHAMBER CONNECIIOPI �
THERE ARE NO WELLS EXISTING WITHIN 100 FEET OF THE BOUNDARY THE BEST DESIGNED AND INSTALLED SEPTIC TANK SYSTEM WILL EVENTUALLY FAIL r--'-1--------i r-------- ------ r--------:�
TO FUNCTION PROPERLY WITHOUT PERIODIC MAINTENANCE.
: OF THIS LOT EXCEPT AS SHOWN. A4� III I III) -#
THERE SHALL BE NO DEVIATION FROM THESE PLANS DURING CONSTRUCTION INADEQUATE SEPTIC TANK MAINIENANGE CAN RESULT IN CLOGGING OF THE TANK AND SEWAGE El I
BACKUP INTO HOME AND OR SEWAGE OVERFLOW ONTO 0 I I I Oar'°j 1r I - a L- —�+ : C�
WITHOUT PRIOR APPROVAL OF THE ARCHITECT, THE DEPARTMENT / GR UNU SURFACE. FAILURE TO PERIODICALLY I -_ I I _ I I I �J .
OF HEALTH, AND THE TOWN OF QUEENSBURY BUILDING DEPARTMENT. GLEAN SEPTIC TANK COMMONLY RESULTS IN CLOGGING OF SOIL SURROUNDING THE ABSORPTION FIELD � ^� � ,,�. ,��� �_ � _, � � 0 0 Q C
BY OVERFLOWING SOLIDS NOT REMOVED BY SEPTIC TANK. Au" '�° A
THE MATERIALS AND SPECIFICATIONS NOTED ON THE PLANS MU.S f BE UTILIZED �� Q r '
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UNLESS ALTERNATES ARE ACCEPTED AND APPROVED IN WRITING''BY TI•IIS DESIGN IS INTENDED TO PROVIDE SUBSURFACE SEWAGE DISPOSAL FOR THIS LOT ONLY. NO ��,;� I ��, ��,' u ��� - - Q 0
THE ARCHITECT
ADDITIONS INVOLVING LIVING OR SLEEPING AREAS MAY BE ADDED TO THIS HOUSE WITHOUT THE APPROVAL i i i i i .-�`% L .
OF THE BOARD OF HEALTH AND REDESIGN OF THE SUBSURFACE DISPOSAL SYSTEM. THE SEAL AND SIGNATURE I ti I I I �`. , I DlAMETEI� EFFLUEPIT 0 4_
ON THIS PLAN SPECIFICALLY EXCLUDES CERTIFICATION FOR EXPANSION OR REPLACEMENT. 4 DIAMETER INLET ; ' I ,, ,® ' �,
FOLLOW ALL MANUFACTURERS INSTRUCTIONS FOR COMPONENT INSTALLATION I I I I ��. I LIME
UNLESS OTHERWISE DIRECTED BY THE ARCHITECT. LINE
NO GARBAGE GRINDERS ALLOWED UNLESS INSTALLED AS INITIAL CONSTRUCTION OF THE HOUSE, AND �
THE SEPTIC TANK SIZE IS INCREASED BY A MINIMUM OF 250 GALLONS _ ------ - -------------- --- --^^-= \ E,110-KINE'IIC? SYSTEM
INSPECTIONS OF SANITARY FACILITY CONSTRUCTION SHALL BE CONDUCTED 11, MOUNTING
BY THE ARCHITECT PRIOR TO BACK FILLING PIPES, TANKS, WELL,I-SEALS ETC. �, PRETREATMENT CHAMBE � CAS`fING AMID � p u
NO SUMP PUMP, CONDENSATION LINES WATER SOFTENER, SPAS, HOT TUBS OR WHIRLPOOLS SHALL i - ❑ ❑
NO ROOF, FLOOR, FOOTING, COOLING WATER, BACK WASH DRAIN;:f ETC. SHALL BE BE DRAINED INTO SYSTEM. ❑ COVER GASKETED +°
FINAL CLARIFICATION 'OWI I OF QUE I1S°
CONNECTED TO THE SEWAGE TREATMENT SYSTEM AND ALL DISCt1ARGES SHALL BE OBSERVE WATER CONSERVATIVE PRACTICES. ALTERNATE INLET CHAMBER DISCHARGE -� � , � U '
DIRECTED AWAY FROM TREATMENT AREA. LOCATION FLANGE
BUILL ING & OCHE �.. 1 _
PLAN VIEW
SEPTIC TANKS SHALL BE INSPECTED ANNUALLY TO DETERMINE SCUM AND SLUDGE ACCUMULATION BY Revie%ied >.
NO VEHICULAR PARKING OR TRAFFIC SHALL BE ALLOWED ON AN PORTION OF THE NORWECO FRESH AIR VENT OPTIONAL BLUE CRYSTAL? SINGULAIR? TANK OUTLET �I �YVD
SEWAGE TREATMENT SYSTEM CONTRACTOR IS REQUESTED TO INSTALL SAFETY FENCE THE HOMEOWNER OR A QUALIFIED SEPTAGE HAULER. THE AMOUNT OF BUILD UP NOTED AT EACH ASSEMBLY COUPLING Date: . � � ' �
INSPECTION SHALL BE RECORDED AND MAINTAINED IN A RECORD BOOK. THE TANK SHALL BE PUMPED CIILURINA110N
AROUND T>fE PERIMETER OF THE SEPTIC AREA T'0 ELIMINATE TRAFFIC OR PARKING IN THIS AREA. WHENEVER THE BOTTOM OF THE SCUM LAYER IS VVITFIIN THREE INCHED OF THE BOTTOM OF THE OUTLET ? SYSTEM TO 4" DIAMETER EFFLUENT LINE
BAFFLE OR SANITARY TEE. SINGULAIR AERATOR
UPON COMPLETION OF THE INSTALLATION OF THE SANITARY SYSIEP�9, AND INSPECTION BY SEE NOTE ? ? t�
THE ARCHITECT, AN AS--BUILT PLAN SHALL BE PREPARED BY TI-jE ARCHITECT MOST TANKS SHOULD BE PUMPED EVERY TWO OR THREE YEARS ( OPTIONAL BIO-NEUTRALIZER' BIO-KINETIC' SYSTEM DISCHARGE
A CERTIFICATION OF THE INSTALLATION ALONG WITH THE AS-BUILT PLAN SHALL 1) DECHLORINATION UL I AIL (�
BE SUBMITTED TO THE TOWN OF QUEENSBURY BUILDING DEPARTtitENT PRIOR TO AERATOR MOUNTING SYSTEM
ISSUANCE OF A CERTIFICATE OF OCCUPANCY. CASTING B10-KINETIC' .SYSTEM MOUNTING__
YIfi•TEN SEPTIC TANK IS PUMPED, THE SEPTIC TANK, BAFFLES/TEES HOUSE SEWER CONNECTION AND TANK CASTING AND COVER �
OUTLET PIPE SHALL BE INSPECTED. BAFFLES/TEES THAT HAVE DETERIORATED AND NO LONGER PERFORM UNDERGROUND POWER SUPPLY 610-KINE t1C SYSTEM
ENTRANCE MOUPI-fl�lG
AS DESIGNED MUST BE REPLACED. CRACKED OR BROKEN LINES MUST BE REPAIRED OR REPLACED. �• s. °�� ►�
(SEE AERATOR MOUNTING AND °��s e CASTING
IT______T ,r______r,
INSTALLATION DETAIL DWG.
I ANY COMPANY EMPLOYED TO CLEAN AND SERVICE THE SEPTIC TANK AND SYSTEM MUST BEA BIO-KINCT4C? SYSTEM LOCKING ��, I I I I
} rl I I I
CONSTRUCTION
® h LUGS ------ ��� ------+,
�.!OI�JTt t I��.TII� (N ���<TI ON NOTES:�'T��, BEING PUMPEDOUT.
HAULER. SEPTIC TANKS SHOULD NOT BE WASHED OR DISINFECTED AFTER APPROVED SEALANT OR
a
SEALING DEVICE —❑ '
THE ARCHITECT SHALL OBSERVE SYSTEM INSTALLATION; CERTIFY '11 IAT SEPTIC TANK ADDITIVES SHALL NOT BE USED IN THE SEPTIC SYSTEM. ADDITIVES ARE UNNECESSARY FOR THE °�� >R „ i i i i � VM't'
��aiair/ii��iarai�aiiaii
THE CONSTRUCTION FOLLOWED THE APPROVED PLAN; FURNISH API! AS-BUILT" PLAN TO PROPER OPERATION OF T}IE HOUSEHOLD SYSTEMS AND MAY CAUSE THE SLUDGE AND SCUM IN THE SEPTIC SOLVENT YIELD _ - — ----�
TANK TO BE DISCHARGED INTO IHE ABSORPTION FIELD RESULTING IN PREMATURE FAILURE. [] °' a 's CONNECTION
THE TOWN OF QUEENSBURY. —
K ro °• i �r- 1 i.�
PERIODIC OBSERVATION OF SANITARY FACILITY CONSTRUCTION S>I�=LL BE CONDUCTED BY DO NOT DISPOSE OF EXCESS HOUSEHOLD GREASE AND FAT DOWN THE DRAINS - - e 4' DIAME'I ER EFFLUENT "�_ �'
TT-IE ARCHITECT
1. PRIOR TO SITE DEVELOPMENT LINE ❑ i �' I I i i
WHENEVER SEPTIC TANKS ARE TO BE ABANDONED (I.E.VYI-IEN PUBLIC SEWERS ARE INSTALLED TO HANDLE
2. DURING PERCOLATION TESTING OF THE STABALIZED FILL (SYSJEM IN FILL ONLY) HOUSEHOLD WASTES) THE `TAPIt{S SMALL BE REMOVED OR PUMPED OUT AND REFILLED WITH SOIL -- -- -- '� - °'Q —❑ i�`' i i i
3. PRIOR TO BACKFILLING PIPES, TANKS PITS V'JELL SEALS ETC. TO PREVENT FUTURE CAVE-INS. ° - o. CASTING
\�
4. AFTER FINAL GRADING AND SEEDING a
DO NOT POUR OR DUMP EXCESS CHEMICAL CLEANERS IN THE SINKS OR TOILETS. E7 °t ❑ < GIZUOVE
�r a ❑
TYPICAL
NO VEHICULAR PARKING OR TRAFFIC SHALL BE ALLOWED ON ANY PORTION OF SEWAGE DISPOSAL AREA ° ° \ SINGULAIR? BIO-KINE TIC?
DO NOT DISCHARGE ROOF DRAINS ONTO GROUND NEAR SEPTIC SYSTEM OR ALLOW THE DISCHARGE SYSTEM
e 1- - I DISCHARGE I 60° \== __� 6U° I
FROM ROOF DRAINS TO GO OVER THE LEACH FIELD 7_ v 60° (SEE DETAIL) ' __=J' -.r.•aa, mt. . ,
L— -----
°.o°° a °• '°'._.oe.Q a %"°°.°° a "° .°s a PS °° ;M1 �? f -----�- CAD FILE NAME
THE SUBSURFACE DISPOSAL FIELD IS DESIGNED FOR DOMESTIC WASTE WATER ONLY PRETREATMENT � E110-KINE fIG
❑-- I SYSTEM ACRD\IBS\DIX AVE D-D\C-1
THE SEPTIC FIELD IS DESIGNED BASED ON THE PROJECTED FLOW RATES ANY USE OF THE BUILDINGS THAT HAS A CHAMBER ❑— SCALE
GREATER DISCHARGE OF WASTEWATER FLUE THAN DESIGNED WILL REQUIRE REDESIGN OF THE I ❑ AS NOTED
SUBSURFACE DISPOSAL SYSTEM. I;INAL CLARIFICATION
CAST-IN-PLACE CHAMBER DRAWN BY
SUBMERGED TRANSFER AERATION OUTLET END
PORT CHAMBER TRANSFER vltvv
PORT I DRAWING TITLE
1310-STATIC? SLUDGE �I®'fE: TOTAL SYSTEM CAPACITY: 1,600
EXTENDED AERATION SECTION A-A RETURN GALLONS
RATED CAPACITY: 750
CHAMBER G ONS SPI*.ill AY PLAN
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OR tC�SRv Al w
SUCH S wOus s o�� DETAILS
SHAWN qr IIS WW ll.S, 1FI��S SEN . ;
C ,gyp
hl� , " rNY DIST°N"c Srnry i�Av p � ;:. , F SECTIONS
rH�NTHISDI :
CIA E
DRAWING No.
MAR 17 2016 �� 70��� �#�
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NO QUEENSBURY s� z
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BUILDING CODES