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2014-153 TOWN OF QUEENSBURY "Os 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20140153 Date Issued: Thursday, May 08, 2014 This is to certify that work requested to be done as shown by Permit Number P20140153 has been completed. Tax Map Number: 523400-295-015-0001-050-000-0000 Location: 31 LYNNFIELD Dr Owner: DANIEL & CHRISTINA YOUNG Applicant: DANIEL & CHRISTINA YOUNG 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 kg-- property owner of the responsibility for compliance with Site Plan, rV Variance, or other issues and conditions as a result of approvals by the Director of Building Si Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY ` s 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140153 Application Number: A20140153 Tax Map No: 523400-295-015-0001-050-000-0000 Permission is hereby granted to: DANIEL& CHRISTINA YOUNG For property located at 31 LYNNFIELD Dr 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: DANIEL&CHRISTINA YOUNG 31 LYNNFIELD Dr Septic Alteration Residential QUEENSBURY NY 12804-0000 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2014-153 • Res. Septc Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 01,2015 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer --=—of-the.Townmf-Queertsburybefir `theexpiration ate.)--- _ __ . . -_._—.. . _. Dated at the To of Qu sb _ T L ay O1,2014 SIGNED BY . \ for the Town of Queensbury. Director of Building&Code Enforcement Community Development Office I D Town of Queensbury • 742 Bay Road • Queensbur , V Yo 121 2014 Office Use Only I,_ TOWN OFNQ�UEENS URY TAX MAP NO. ,..)q5.15-1-SD PERMIT NO. 1 7 '/ b UERpMFT� C� y rG� 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: //7NI e( �/0C//'/p�i7 '\ INSTALLER: �J�7/✓/ Je.✓�t /J ADDRESS: II 7�y ft/tl ev.0 {//2 ADDRESS:a- 4,yp 22 y 44--cf PHONE NOS. O g3 - �y U1 //9:21 JJJ PHONE NOS./--r0/� /_ /Z 7 2f7 LOCATION OF INSTALLATION: AQ 4K o�M 11,��(!N L I i c a , RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW • BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older 3 X 150 = 47.5-0 INSTALLED? .11•2 1981-1991 X 130 = SPA OR HOT TUB 1992-present X 110 INSTALLED? d PARCEL INFORMATION: ,� / TOPOGRAPHY: FLAT ROLLING Ix STEEP SLOPE %SLOPE / SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER AT WHAT DEPTH? • BEDROCK/IMPERVIOUS MATERIAL AT WHAT/ DEPTH? .1 DOMESTIC WATER SUPLY: MUNICIPAL x WELL (If well:water supply from any septic system absorption is: ft) / PERCOLATION TEST: RATE IS art/IF PER MIINUTE PER INCH[mpg] (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:fin 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: OtitABSORPTION FIELD(WITH NO.2 STONE) Total length &D12ft. Each trench 3 CI X L/ ❑SEEPAGE PIT(S NO.3 STONE) How many? Size? ❑ALTERNATIVE M Bed or other type? ❑HOLDING NK 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 e regulations with respect to this application and agree to abide se and all requirements of the Town o Zurnsbury QUESTIONS? CALL 761-8256 OR EMAIL Sa ' ew r Ce. ty! codesqueensburv.net � '�'- • ` D �� VISIT OUR WEBSITE FOR MORE INFORMATION Signatur of Person Responsible D to www.queensbury.net Town of Queensbury Building & Code Enforcement (,csSok fl 3a Office No. (518) 761-8256 Septic Inspection Report Inspection request received:: Name: Dair) Qc.' n2 Inspected on: 5— - — Location: /1/4- r7 A Arrive: 2 a.m./p.m. Permit No.: / <I—) 6 3 Inspector's Initials: Arra% Comments and/or diagram MSoil Type: '/L lay Type of Wa EVIticival-PWell Water Waterline separation distance 1 ft. Well separation distance Other wells: Well Casing Length 50'+/- P --- Vit N NIA [150'to well required if NO] Absorption Field: Total length 26D ft. Length of each trench SC-) ft. Depth of trenches 2 ft. Size of Stone In Seepage Pits: Number Size Stone Size: g--PT� Piping Size Type ,' p Building to tank . Z 64 Ly[ / � -e Tank to Distribution Box 4,c Distribution Box to Field!Pit A'r Opening Sealed: / N End Cap ✓Y/ N Inlet/Outlet Pipes&Baffles �1' N Manholes 12"or less below grade Y N [provide extension collar if Yes] Y N Location/Separations Foundation to tank R.---" ft. ft Foundation to absorption 21 .—ft. a� V Separation of Pits —A--1-A tt- Conforms as per Plot Plan Y N Engineer Report aniQs-Built N ETU Maintenance Contract provided _Y_N Location of S stem-.n Pros- Front W 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 P wv e wJ APR 3 © 2014 6 P 1<9-1, 3 ! Ih • FJ e - 'e NCP BUILDING& COB S 64 ca•A SEPTI P OT PI at I H&j SEEN OR OBSERVED ALL OBJECTS- Z ' j SUCH AS HOU LLS, TREES, FENCES, ETC n, SHOWN 0 �CUMENT.I HAVE PERSONALLY `^ - EAS ._ISaw' . •RTHO M zz „SI 'IGN' URE N DATE l /n r c i I c L. Q :2. Fp i% In• E JJ ii - I i I i l 1 G/a - { P 1 y ; f 1 cat { TOWN OF QUErN33 P� , i 1 BUILDING & JU �,' Q _ i Reviewed Bye / [ f i i I 1