2014-279 TOWN OF QUEENSBURY
AFli742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140279 Application Number: A20140279
Tax Map No: 523400-301-008-0001-001-000-0000
Permission is hereby granted to: RICHARD & BARBARA ZUCCARO JR
For property located at 56 HELEN 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: RICHARD & BARBARA ZUCCARO Septic Alteration Residential
56 HELEN Dr
Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-279
Res. Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 02,2015
(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 f Quee bury61
I :e t ••S l 02,2014
Ar
SIGNED BY - for the Town of Queensbury.
Director of Building&Code Enforcement
OW, TOWN OF QUEENSBURY
417 742 Bay Road,Qucensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140279 Date Issued: Tuesday, July 15, 2014
This is to certify that work requested to be done as shown by Permit Number P20140279
has been completed.
Tax Map Number: 523400-301-008-0001-001-000-0000
Location: 56 HELEN Dr
Owner: RICHARD & BARBARA ZUCCARO JR
Applicant: RICHARD & BARBARA ZUCCARO JR
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 (---- fil4
property owner of the responsibility for compliance with Site Plan, a,,
Variance, or other issues and conditions as a result of approvals by the Director of Building& Code nforccmcnt
Planning Board or Zoning Board of Appeals.
Office Use Only
Town of Queensbury Building & Codes Received:
SEPTIC DISPOSAL PERMIT Tax Map ID: 91 . - 1 - I
Permit No..
A permit must be obtained before beginning construction Permit Fee: $ 1 L', 'C
Approvals:
k'. / JUL 02 2014fApplicant: ICA ,ct C C a ^O Installer/Builder Sfr ' 4-A-r��f e J eritf< -
Address: S"6 /-1e l& .,/ Df ire Address A . go Y-d 2 2 't
D114-eewS Q`'1/4),. ..%).) /4-/!r /V /24err/
Phone: Phone 792--72 r7
Owner: licit 7 4 Cc a tG Location of Installation Sl //e-' A"/
Address:
Phone //�� � ////
Contact Person for Building&Code Compliance: O i y.F_ b7`�LIJ-/ Day Phone: 7 -376iv
Residence Information: r�//
Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow
1980 or older x 150 = Garbage Grinder installed? Az)
1981-1991 x 130 = Spa or Hot Tub Installed? /1-'0
1992-Present 7 x 110 = y 4/0
Parcel Information: �/
Topography X Flat Rolling Steep Slope %Slope
Soil Nature Sand Loam Clay _Other
Groundwater At what depth? ,v4
Bedrock/Impervious Material At what depth? N/'
Domestic Water Supply Y. Municipal...... Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate- 1 - S 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 /2-'- 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
See age Pit(S)(with#3 stone) How many? Size?
Alternative S— yst m Bed or other type? 2// 2 5
Holding Tan 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.
Print Name: (3 re-c`� Date: V
Signature: �— �z Date: /
Town of Queensbury Building&Codes Septic Disposal Permit 518-761-8256
/DSC Tib 1l : 3,o
Septic Inspection Report
Office No. (518)761-8256 Date Ins•- •on . -1 -•:
Queensbury Building &Code Enforcement Arrive: - Opt I' aim
742 Bay Rd., Queensbury, NY 12804 Inspector's Initia p tI
NAME: P •�IT NO.: I ir/ 7
LOCATION: g(c. t I'. .PECT ON: 7/Ic/i q
RECHECK: /
Comments and/or diagram
Soil Type. - -- .:m/ Clay
Type of Wateri -II Water
Waterline separation distance _ 1 E 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
Depth of trenches ; ft.
Size of Stone Z
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Ty
Building to tank � - t3 L
Tank to Distribution Box
Distribution Box to Field/ Pit f 4-11` hD(2--j6 Tp \-k A—3 i ' -
Opening Sealed: ✓Y—N
End Cap —>
Inlet/Outlet Pipes&Baffles N
Manholes 12"or less below grade N
[provide extension collar if Yes] Y, N
Location/ Separations
Foundation to tank V ft.
Foundation to absorption ' k ft.
Separation of Pits l ft.
Conforms as per Plot Plan , ✓Y N
Engineer Report and As-Built : Y N
ETU Maintenance Contract _Y N
provided
Location of System on Property:
Front R r Left Side Right Side Middle Fron Middle Rear
S stem Use S s:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Buliding Codes Forms\Inspection Forms\Septic Inspection Report 03 29 10.doc
SEPTIC PLOT PLAN
I HAVE SEEN OR OBSERVED ALL OBJECTS
SUCH AS HOUSES, WELLS, TREES, FENCES, ETC
SHOWN 0 IS DOCUMENT.I HAVE PERSONALLY
MEASU 5LIQ_E SET F T THIS DIAGRAM.
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SIGNATURE DATE
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CENTER PROJECT
SERVICES - j
73 Sheridan Street, Glens Falls,NY 12801 .J
Phone-518-796-2515
June 25, 2014
Project# 190
George Drellos
Sanitary Sewer Services
Luzern Road
Queensbury,NY 12804
Re: Proposed Replacement Septic
Rich Zuccaro—56 Helen Drive, Queensbury,NY
Dear George:
At your request we have reviewed your proposed replacement septic system design of the
existing 4 bedroom house at 56 Helen Drive 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 440 GPD and a percolation rate of
1 to 5 minutes, you will need 463 square feet of absorptive area. We recommend using a 20 ft
wide by 25 ft long absorption bed with 4 — 20 foot long laterals, which will provide 500 sf of
absorptive area. The absorption bed can be constructed with the existing 1,250 gallon septic tank,
new distribution box, and 4 inch diameter perforated pipe and stone. The replacement system has
been designed to accommodate a future additional bedroom as long as all fixtures are upgraded
to water saving devices.
Please feel free to contact me at 796-2515 if you have any questions and that you for your
assistance with this request.
Sincerely,
Thomas R. Cent- r, P.E.