2008-005 TOWN OF QUEENSBURY
wors
742 Ba Road ue nsbu NY 12804-5902 518 61-
y Q e ry, ( )7 $201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20080005 Date Issued: Wednesday, September 15, 2010
This is to certify that work requested to be done as shown by Permit Number P20080005
has been completed.
Tax Map Number: 523400-308-006-0001-061-000-0000
Location: PETRIE Ln
Owner: SAMUEL & VIOLA WAHNON
Applicant: SAMUEL & VIOLA WAHNON
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 r- awP
property owner of the responsibility for compliance with Site Plan, �y+
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
I 00 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
•
BUILDING PERMIT
Permit Number: P20080005 Application Number. A20080005
Tax Map No: 523400-308-006-0001-061-000-0000
Permission is hereby granted to: SAMUEL&VIOLA WAHNON
For property located at: PETRIE Ln
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: SAMUEL&VIOLA WAHNON
39 SARATOGA ROAD Septic Alteration Residential
GANSEVOORT,NY 12831 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-005
septic alteration lots 12 & 14
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,January 17, 2009
(If a longer period is requited,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 To o ensb 04T r ia January 17, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Permit— Septic Disposal System
Town Of Qneensbttry 742 Bay!toad Queen.sbuty,NI 12804 (518) 761-8256
1. OWNER INFORMATION:
( Office Use
Location of installation: 1/I `— 17-4/ 1 I21 .k -116141-('
File Permit No.
Tax Map No. ) J / tlJ /, J n
Owner's Name: 54� Vim'Akkeic------- Foe Paid �r
Address: i 6(--r 411 _ dbortrif /0,‘r
2. ••INSTALLER'S NAME : ))242,1L2-
$-04— Ytt it PHONE NO. (qg5 2 O 1
3, RESIDENCE INFORMATION: (circle year of dwelling, indicate ii bedroom(s) and multiply II of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of I3odroo,Ls x Computation = Total Daily Flow
1980 or older x 150 gnl/bdrm
1980- 1991 x 130 gal/bdrm =
1991 —present (p x 110 gal/bdrrn = 6 6°
Garbage Grinder Installed yes / no
Spa or Whirlpool Installed yes / no
•
4. PARCEL INFORMATION: (circle applicable information & indicate measurements) •
•. •KCn12hy titto__ .0 wilud.Wntrt_. _u.vsft.ock vt'.)!t,Pet_vly.us_M.atc.ti.,il_ _I)` Wnter.Stq►I►1y
'jot vanrl (a what depth in what tlr/►th
Ito ling c n ____feet _______ji!ei we
Steep slope clay AA � if well; water supply
__%slope other /u Ict ?di 11--- front atty.srptic-system
depth: absorption Is fl.
other
Percolation Test: o be completed by licensed pro fesslonal engineer or architect)
!tale; minute per Inch
5, PROPOSED SYSTEM: For Net' Construction: All individual sewage disposal systems must be designed by n licensed
professional engineer or architect (unless installed in a Pluming Maid approved subdivision), Add 250 gallons to the site
of the septic (sink and leach field for each Online.(kinder, Spa or Whit!pool Tub. , s.
Septic Tank: / gallon aria. size 1,UUUgal) <`1V tsZilit-1)•-- e
P 8 (
Field: each trench It/ -" ft. Total System Length: 2-2 ft. 1�>� f J�e►.l l
Seepage Pit(s): number of size (Teach: fl, by ft."
Size of Stone to bo timed: // ___�—_� / depth or thtcknex.�,__..._._._....___luet
Bed System Size: x
Alternative System: length and/or size
6, HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
i
4 -f [ /A_Spc le)L-..„,,..
• Septic Inspection Report
Office No. (518)761-8256 Oahe Ins -0''':;.- -.:
Queensbury Building&Code Enforcement Arrive: \ O • V-- a-part: 1 '- ar ar ( �'/
742 Bay Rd., Queensbury, NY 12804 Inspector's Initla� 1 ''
NAME: Ik k l c,t,--- �j / rr NO.:
J L>(� .J
LOCATION: h I?f , �'/r,rz.;., SPECT ON: - 10--10
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam/Clay
Type of Water: Municipal/Well Water `
-�
Waterline separation distance ft.
Eye /..-I -� j
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 i N
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits 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 Left Side Right Side Middle Front Middle Rear
System Use Sta s:
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report03 2910.doc
t Y /O 74n.ch7
• Septic Inspection Report
v
Office No. (518) 761-8256 Date Ins on .- - .: ,_
Queensbury Building&Code Enforcement Arrive: , % i•, •-part: way
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: 1 �t 08,...2.. .ors),-
MIT NO.:
LOCATION: /2 f k- t ./"._ NSPECT ON:
RECHECK:
qc.- Comments and/or diagram
Soil Type: San m lay �� �^�
Type of Wa : Munici ell Water S/1 )...--r-
Waterline separa ;stance it, ft. 36 i_ 0 6 72—
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length 1 ft.
Length of each trench
Depth of trenches --
Size of Stone h 1 7 ��"
Seepage Pits: Number 'c)E \ E,�
Size: __._,_�.x �-t
-
Stone Size:— _ lJ k C) \ t; \ L k
Piping r�(.7 (. 4.11/4/ Size Type _ �t 'cc)\-=•_�
Building to ta -\-- xNPtl
Si Tank to Distribution Box R\\ -)cA-k
Q*' Distribution Box to Field/ ' ‘‘ S JL. �- L�� 1�
\' Opening Sealed: Y/ N •. . i'�1 '3 Y�"
End Cap ri L . IN
Inlet/Outiet Pipes&Baffles —Y
Location/Separations t>3-"\„ D . -
Foundation to tank y\t-\ ,
Foundation to absorption _ ft.
Separation of Pits _ ft.
Conforms as per Plot Plan _Y_N
Engineer Report and As-Built Y N
Location of System on Prope :
Front R-• Left Sid: RI.h.. \\,
Middle Fro ; Middle Rear V+
m s: o
Approved
Partial Approved and needs to be • ed, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
GRADE SURFACE
„4 DESIGN DATA: TOWARDS THE SWALE
DESIGN FLOW = 700 GPD'FOR TWO UNITS W/THREE BEDROOMS EA, (6 BR TOTAL)
NEW STANDARD FIXTURES, (1.6 GPF&3 GPM MAX.)
AN ELGIN SYSTEM IS PROPOSED AS A SUBSTITUTION TO PREVIOU' Y APPROVED
SEEPAGE PITS —_____-__.
1-5 MINUTE PERCOLATION RATE W/APP RATE OF 1.7 G/SF o
(28) 843 ELGIN MATS REQ'D,'(4) ROWS OF 7
8 OUTLET DBOX W/ SPEED LEVELERS
1750 GALL DC TANK
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TOWN QUEE7SBURY
f y � �1- siiie�Mu C£ } ,' �l�v 10, w �MIN � iwx / i _
--13'-6"--r 13'-6"-
LOTS ORIGINA
CALCULATE Al
AND SIZE SHI
2 BR DOUBLE - p CONSTRUCT SWALE RAIN INTENSII
WIDE MOBILE -J BETWEEN DOUBLE ADDITIONAL A
HOME WIDE HOMES,GRADE 1960 SF
in SURFACE TO SWALE TIME = 1 HR
I / RUNOFF: 2"A
STORAGE CAF
70' 70' TIME FOR FUI
FOR Al2"DE
1-•-c-12'
o APPENDIX 75A
28' 28' TREATMENT AR
ro
I I -i\ n 1 —1 ' TREATMENT AR
SEPTIC TANK T
PARKINGI24'X20' % / PARKING 24'X20' \A
_ / Z
Irm I I I Im
55.00' I Lr 114 I I Lou( 1
LSHUT OFF SHUT OFF
ACCESS ROAD B
PLAN - DOUBLE WIDE LOT
SCALE 1"= 20'