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2013-257 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20130257 Date Issued: Tuesday, July 22, 2014 This is to certify that work requested to be done as shown by Permit Number P20130257 has been completed. Tax Map Number: 523400-309-007-0003-004-000-0000 Location: 2 AMES PI Owner: JAMES J MONAHAN Applicant: JAMES J MONAHAN 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 fj property owner of the responsibility for compliance with Site Plan, )"J/� Variance, or other issues and conditions as a result of approvals by the Director of Building&Code nforce ent Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130257 Application Number: A20130257 Tax Map No: 523400-309-007-0003-004-000-0000 Permission is hereby granted to: JAMES J MONAHAN For property located at: 2 AMES PI 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: JAMES J MONAHAN KARLIE HAIL Septic Alteration Residential 2 AMES PI Total value QUEENSBURY NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency SANITARY SEWER DAN DRELLOS PO BOX 224 GLENS FALLS NY Plans&Specifications 2013-257 SEPTIC residential alteration < $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 11,2014 (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 Tow of Qu sbu ,June 11,2013 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Community Development Office '� ` � 2013 Town of Queensbury - 742 Bay Road - Queensbury, New York -12804 Office Use Only _ eIy TAX MAP NO. s 3 PERMIT NO. (5� PERMIT FEE—", L APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: 7q,/r,eS INSTALLER: SAIV A-!'� Se-weld SC r-01 Ce ADDRESS: Z erne S AAC Y ADDRESS: ��`/ L<7Z['//rte' 2� r✓`�/5 PHONE NOS. S'EZ PHONE NOS. C ` Z - '12-S7 p LOCATION OF INSTALLATION: A C-P RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS Gallons per bedroom GARBAGE GRINDER 1980 or older X 150 = INSTALLED? 1981-1991 X 130 = SPA OR HOT TUB 1992-present X 110 INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCKIIMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL X WELL (If well:water supply from any septic system absorption is: ft) ✓ PERCOLATION TEST: RATE ISSr- PER MIINUTE PER INCH Impi] (Test to be completed by a licensed professional engineer or architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE:/U7� GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: ❑ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each trench X ❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation 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 with respect to this application and agree to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sa Sew a Disposal r mance. codesno nueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION www.gueensbury.net Signature of Person Responsible Date NYS-Real Property System Subject Property Inventory Summary RPS030IV04/1-001 County of Warren For Current Year File 2013 Date:6/11/2013 Town of Queensbury Parcel ID:309.7-3-4 Sheet 1 of 1 SWIS Code-523400 Active Parcel Information -Parcel Land Size- — -------- - - ---- - --- File Maintenance Info-- -- Curr Owner: Monahan James J Acct#: Front: 0.00 Acres: 0.45 Created: 11/20/1984 Location: 2Ames PI School Cd: 520500 Glens Falls City C; Depth: 0.00 Sq Ft: 0 Modified: 05/01/2013 03:03 PM Queensbury, NY 12804Roll Sect: 1 Taxable RSIS: ---Gri - - - - - - - - Prop Class: 220 2 Family Res [East Coordinates14147 North: 1631857 ll By: ASSESSMENT' Site Site No: 1 Nbad Cd: 162 OldSubdv,Rs,Ru Site Desire: 2 Typical DC Entry Type: 1 Inter inspec Economic Obs: 0 Site Type: R Residential Sewer Type: 2 Private Nbad Type: 2 Suburban Zoning Cd: NR Neigh Res Data Mailer: No Prop Class: 220 2 Family Res Water Supply: 3 Comm/public Nbad Rating: 2 Average Last Phy Insp: 05/01/2013 Route No: Utilities: 4 Gas&elec Road Type: 3 Improved Reappraisal: 03/09/2009 Residential Building Information — ---- --- -- - - - - -- - - - - - - Bldg Style: 02 Raised ranch No.Bath: 2 Fuel Type: 2 Natural Ga Grade Adjust: 0 Area in Sq.Ft. - No.Stories: 1.0 No.Half: 1 Central Air: No Pct Good: 0 1stStory: 1,868 Fin Bsmnt: 528 Ext Wall Mtrl: 01 Wood Bath Qual: 3 Normal Bsmt Type: 4 Full Func Obs: 0 2nd Story: 0 Unfin 112: 0 Act Yr Bit: 1974 No.Bdrms: 3 Bsmt Gar Cap: 0 Addl Story: 0 Unfin 3/4: 0 Eff Yr Bit: 2000 No.Rooms: 7 Overall Cond: 3 Normal 1/2 Story: 0 Unfin Rm: 0 Yr Remodel: No.Fireplcs: 0 Ext Cond: 3 Normal 3/4 Story: 0 Unfin Ovr Gar: 0 No.Kitchen: 2 Firepic Type: Int Cond: 3 Normal Over Garage: 0 SFLA: 2,396 Kitchen Qual: 3 Normal Heat Type: 3 Hot wtr/stm Constr Grade: C Average Fin Attic: 0 Fin Rec Rm: 0 Land Breakdowns Land Soil Wtrfrt Depth Infl Infl Infl Infl Land Unit Dim Type Front Depth Acres Sq Ft Rating Type Factor Pct Cd 1 Cd 2 Cd 3 Value Price Code 01 Primary 115.00 170.00 0.00 0 0 70 2 24203 210.461 Additional Improvements Structure Measure SQFT Overall Act Eff Yr Pct Func Sry Unit Bid Bid Code Code Diml Dim2 MISC Qty Grd Cond Yr Built Gd Obs Life RCN RCNLD No. No. Sec LS1 Swimming Pool,Metal Vinyl Dollars 5,000.00 .00 .00 1.00 C Norm 1974 0 0 0 18181 143630 0 0 FC1 Shed,Wood Or Machinery Dimension 10.00 10.00 .00 1.00 C Norm 2000 0 0 0 1629 1564 0 0 RP5 Porch, Upper Deck Dimension 10.00 20.00 .00 1.00 C Norm 2000 0 0 0 3394 3258 0 0 Town of,Queensbury Building &Code Enforcement Office No. (518)761-8256 Septic Inspection Report Inspection request received: Name: Q+_ Inspected on: Location: ,� me—S Q CSG Arrive: `- A.I P.M. Permit No.: l�� vZ �� Inspector's Initials: Co nts and/or dia ram Soil Type: Sand/Loam I 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_N Manholes 12"or less below grade _Y—N [provide extension collar if Yes] _Y_N i Y S &sti ;'i' tits Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _N Engineer Report and As-Built Y_N ETU Maintenance Contract provided _Y N Location of System on roe : Vtat Left Side Right Side Middle Front Middle Rear System roved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report le i Septic Inspection Report Office No. (518) 761-8256 Date Inspection r st Queensbury Building &Code Enforcement Arrive: '• p "-� am�"�� 742 Bay Rd., Queensbury, NY 12804 Inspector's Initi NAME: , RMIT NO.: LOCATION: /Tyi) e' INSPECT ON: �� > i RECHECK: Comments and/or diagram Soil Ty am Clay „,I�� r,,�_ �A. I-�'� T of Water: M U-Water C (�.aC '1� ,K Waterline separation distance Well separation distance �` • ft. (r �� Other wells: ft. Well Casing Length 50' +/ - Y N N/A 150'to well required if NO Absorption Field: Total length Length of each trench ft- Depth t.De th of trenches ft. Size of StoneZ 1 Seepage Pits: Number Size: —x — Stone Size: Piping Size Type Building to tank Tank to Distribution Box 72 Distribution Box to Field Pit ?2 t D SQ�35�E Opening Sealed: Y N End Ca _ _N Inlet/Outlet Pipes&Baffles N Manholes 12”or less below grade _N [provide extension collar if Yes Y N Location/ Separations Foundation to tank Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _ _ Engineer Report and As-Built _Y—N h ETU Maintenance Contract Y_N provided Location of System on Property: Front Reareft Side Right Side Middle Front Middle Rear System Use Status* Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\13uilding Codes Forms\Inspection Forms\Septic Inspection Report 03 2910.doc 0010 too oo 1p ov 00 .01 WO vola to Pat do lo -VO6 S"N\oll go "W—.-SM ov, as AO -pod S ovial P, IMA 1 0 1911010 AOO P �-a OL -SVAL ve";�� a Z' looms an 3x wvwoao -Till V41; os 114 �t ��4-'Iwnc , VA 3L Sy0 WRQ'jS\N -ap 00 A Soto WA Los t.-..08 IOV6 ?9*114 vOL s4og h Tto wr. oop OON 'ANL �a OW iWg S-4 ""koas —0 . -A WA-3 29a 0 % -vow' -Z 0, OR wwg'�Is SAO %lips, 418D aw :Ao . 0.1 lot,"IS ta OLIS7�9 Fto p 600 V4 to Tilorp SIkA %A w 0 '01�0 00W YX o o(V 14 'n V, o vs Lo"00 ow I 'wo 30 MM tkk oavlaloft V,;;�431 Svao �t4s map. , RM gv'�w ol% X4 -V"Atk