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2014-240 ,e TOWN OF QUEENSBURY Fors 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20140240 Date Issued: Tuesday, June 24, 2014 This is to certify that work requested to be done as shown by Permit Number P20140240 has been completed. Tax Map Number: 523400-301-012-0001-010-000-0000 Location: 3 HEINRICK Cir Owner: BRIAN & KAREN BAROSI Applicant: BRIAN & KAREN BAROSI 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 l D,p 4 v/ 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 FOTO 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140240 Application Number: A20140240 Tax Map No: 523400-301-012-0001-010-000-0000 Permission is hereby granted to: BRIAN & KAREN BAROSI For property located at: 3 HEINRICK Cir 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: BRIAN & KAREN BAROSI Septic Alteration Residential 3 HEINRICK Cir QUEENSBURY,NY 12804 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency SANITARY SEWER GEORGE DRELLOS 792-7257 PO BOX 224 GLENS FALLS NY Plans&Specifications 2014-240 Res. Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 19, 2015 (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 Quee bury; gThu a a• June 19,2014 SIGNED BY �Gj_ for the Town of Queensbury. Director of Building& Code Enforcement Office Use Only Town of Queensbu y.Building & Codes_ _ Received: 161 Lr. (l f \y a SEPTIC DISPOSAL PERMIT' E !& A permit must be obtained before beginning construction TOWN OF QUEENSBURY Applicant: /7q� ga 40.41 BUILDING & CODESInstaller/Builder crefrivi ifriy Lei jc,o4cc Address: 3 /-/e i e"Ri c/c /rc lr Address /b. Zor- 2ZY 6/PN1 /;-// 4-)" /210, Phone: Phone fif-7/?-7Lc7 ad 796-3760 Owner: Location of Installation r ,r'e,>.-.cic% ev > % Address: Phone j� ,/ Contact Person for Building&Code Compliance: 470,e-- 1O - a Day Phone: 71 7760 Residence Information: Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow 1980 or older x 150 = Garbage Grinder installed? 1981-1991 x 130 = Spa or Hot Tub Installed? 1992—Present 3 x 110 = 330 Parcel Information: n Topography 1k1 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 ft.) Percolation Test Rate- per minute per inch(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 4760 gallon(minimum size 1,000 gallons),add 250 gallons to size of septic tank for each garbage grinder,spa or whirlpool tub System Type: Absorption Field(with#2 stone) Total length ft. Each trench X a e Pit S)(with#3 stone) How many? Size? Alternative System Bed or other type? /.SX 30 olding Tank System Total required capacity? Tank size? #of tanks? NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form on Town website; 2) Effective as of March 23, 2006 Septic System-As Built Plot Plan: The Building Department will no longer allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file. There will be no exceptions. 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 Sanitary Sewage Disposal Ordinance.�e Print Name: l 9 / /`Ll dJ Date: Signature: C//, .ter-V-- Date: Town of Queensbury Building 8 Codes Septic Disposal Permit 518-761-8256 RPS Property Description Report Page 1 of 3 Fn or Queensbury Ncw York 301.12-1-10 * 3 Heinrick Cir ® Parcel Information: El Parcel [Location Acres 'Property Class School District 'Ward 301.12-1-10 3 Heinrick Cir 0.64 1210 - 1 Family Res Queensbury Un.fr.sd (WARD 3 e Owner Information: p Owner Owner Address P.O.1Box Owner Address Line 3 Brian Barosi 3 Heinrick Cir Queensbury NY 12804 Karen Barosi 3 Heinrick Cir Queensbury NY 12804 $2014 Assessment Values: (Previous Assessments) O Parcel ssessed Land Assessed TotalUniform Full Market Value Value alue 301.12-1- 33,300.00 164,200.00 82.00% 200,200.00 10 ❑D Images: Cl f a_fir`? yam:*.. r :i 4 a --„,-41. i , Image Date: 6/24/2013 ® Sales Information: O SaleSale Net Sale Book Page Sale Cond. Arms Tot. Value Prior Dat Price Price Type Code Len. TOS Owne http://www.queensbury.net/parcelsearch/RPS_INFO2.ASP?printkey=301.12-1-10 6/17/2014 RPS Property Description Report Page 3 of 3 V Special District Information: O Special District Units Taxable (EM001-Emergency medical 0 164,200.00 0007-Fire protection 0 164,200.00 LB001-Crandall library dst 0 164,200.00 WT013-Queensbury water 0 164,200.00 *Exemption Information: El Exemption Amount Term Year Own Pct 41854-STAR B 24600 0 0 E Permit Information: CI Permit Number Permit Date Permit Use Cost Estimate [P20030495 07-10-03 Deck 3,500.00 P4300 Single Family Dwelling 0.00 The information in the ® RPS database is maintained by the Town of Queensbury Assessors Office The information provided on this website is for GENERAL REFERENCE PURPOSES ONLY and should not be relied upon in lieu of referring to officially adopted Town Codes,Local Laws or other documents available in Town Hall. http://www.queensbury.net/parcelsearch/RPS INFO2.ASP?printkey=301.12-1-10 6/17/2014 Town of Queensbury GIS Viewer Page 1 of 2 Buffer Tool Parcel Results: More Info ' Clear �'yi FID 973 5(' �M" • tr PIN 3D3012000101000t _ ! t.' , AM 6 . NEWNUMBER 1301.12-1-10 1 �'+f4 '' ti GISACRES 0.543376 i' PRINT_KEY J 301.12-1-10 Q Municipal Boundaries AREA 123669.4671728619. ` 41 PERIMETER 1703.095079583747 Si ' 1♦j Q Town BND '�, a, ' ©Roads PARCEL ID {301.12.1.10 Q PARCADRNUM r 3 t Queensbury Parcels PARCADRNAM I Neinrick Cir . \ ♦�• 'f ❑Election Districts �'cP^' ❑ Subdivisions OWNER1 BRIAN BAR0SI �� ❑Zoning Districts OWNER2 I = ` • – ❑Sewerlines 1 sr -. 4'1 ir ` ✓ +Y ❑Waterlines s . •: l' r ❑Waterbodies 74:7 - ' / ]i • ! ❑Strums J 1 ; ❑ Flood Zones �}sj.— ..f _� CI – I nor!::: . 1 /� ❑critical Environmental Areas 1 lj❑ Mapped DEC Wetlands � , .. + li r 0 Mapped APA Wetlands _•,-. A r ❑NWI Wetlands �r - ❑✓ 2008 Orthophotos x 4.1/24 15 Ill _ 60ft http://toggis.queensbury.net/webmap/workingwebappapri12012TestPage.html?pid=301.12-1-10 6/17/2014 Town of Queensbury Building & Code Enforcement < hu �y /A 30 Office No. (518) 761-8256 U Septic Inspection Report Inspection request received: Name: iSOJtot ..LJ Inspected on: (o—/Q--1 Y ii Location: 3 He L 4pJ Arrive: I ' , a.m./p.m. Permit No.: / 9-at Inspector's Initials: _ ,L,1 Comments andlor diagram Soil Type: an Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance Well separation distance Other wells: ' /. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absorption Field: Total length C8C ft. I b f,cmt) Sf Length of each trench ft.t- g/J Jif) // �t Depth of trenches -2%i ft. Size of Stone 42s, Seepage Pits. Number Size- kj V x Stone Size Piping Size Type Building to tank {.`-VS7n1 Tank to Distribution Boxi' Distribution Box to Field/Pit k`c �� ` -Sorz__A ys- Opening Sealed. J N End Cap ec�� °E Inlet/Outlet Pipes&Baffles 1/ N f�l� Manholes 12"or less below grade Y [provide extension collar if Yes] Y N Location I Separations � Foundation to tank ft. eT Ci --k- 4- -- ra-c-sto. Foundation to absorption ft. Separation of Pits / ft. Conforms as per PI. OPY_N Engineer Report and •s-Built __Y N ETU Maintenance Contract provided Y N Location stem on Pro.: : Fron Rear Le '.e Right Side Middle Front Middle Rear S stem Use Sta s: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report ( 1 q I11 eccr'o S \ . \ . . \id ri 5 1 . \., ..-c rc ' , Li :LL--1- • , 5 // -.. n S Qom box 3 hie;rrit. le O(rc / e ,e,,,...,,, I aro s : J caaTlC PLAT PLAN yQ. I / p /�� n, I HAVE SEEN OR OBSERVED ALL CES,OBJECTSETC N �{1J (/ SUCH AS HOUSEpo�UMENT TREES, FENCES, PERSONALLY ".- sl y O SHOWN 0 S DIAGRAM. N W U MEAS.'/ —ORT W as d 6'-16 /ri �� w c9 SIGNATU•E DATE kL4 � d jr::::1 \ \o\ �St ���, A\0 TOWN of QIJE _ 1,, / F„ ( - �` BUILDING & (`,00;� r' ��': �` Reviewed B,, :,, �� ------- Date:I - Date: ��.�I� �` 1 I r • •� 0 A _�0 1 i1/4 --5, , .4 c` 0 Yll4tos- N. 3 e( fdr1tl / 'c Q( C/e CENTER PROJECT SERVICES kip Phone 73 Sheridan Street, Glens Falls,NY 12801 Phone-518-796-2515 June 13, 2014 Project# 189 George Drellos Sanitary Sewer Services Luzerne Road Queensbury,NY 12804 Re: Proposed Replacement Septic Brian Barosi—3 Heinrick Circle. Queensbury, NY Dear George: At your request we have reviewed your proposed replacement septic system design of the existing 3 bedroom house at 3 Heinrick Circle in Queensbury. As per our conversation the residence has an existing failed septic system. We have reviewed the proposed replacement septic system design and we agree that a standard absorption bed is acceptable. Based upon a design flow rate of 330 GPD and a percolation rate of 1 to 5 minutes, you will need 347 square feet of absorptive area. We recommend using a 15 ft wide by 30 ft long absorption bed with 3 — 25 foot long laterals, which will provide 450 sf of absorptive area. The absorption bed can be constructed with the existing 1,000 gallon septic tank, new distribution box, and 4 inch diameter perforated pipe and stone. Please feel free to contact me at 796-2515 if you have any questions and that you for your assistance with this request. S-474-14./C Sincerely, Thomas R. Center Jr, P.E.