2005-705 TOWN OF QUEENSBURY
742 BayRoad,Queensbury, 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20050705 Date Issued: Friday, September 02, 2005
This is to certify that work requested to be done as shown by Permit Number P20050705
has been completed.
Tax Map Number: 523400-240-000-0001-011-000-0000
Location: 2383 RIDGE Rd
Owner: RONALD & KATHLEEN GOODSPEED
Applicant: RONALD & KATHLEEN GOODSPEED
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 (-- 41/P /1/
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
Fos 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050705 Application Number: A20050705
Tax Map No: 523400-240-000-0001-011-000-0000
Permission is hereby granted to: RONALD & KATHLEEN GOODSPEED
For property located at: 2383 RIDGE Rd
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: RONALD &KATHLEEN GOODSPF
2383 RIDGE Rd Septic Alteration Residential
QUEENSBURY, NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-705
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 01, 2006
(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 To uee ury h;' s�.. , September 01, 2005
SIGNED BY ( \ for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Permit— Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION:
j /�� Office Use
2�C! 9�C�
Location of installation: e , cI 'e /v..
2i/0/ / / /2 7'/3 T- File Permit No.aJ�-7Q
Tax Map No.
��� /Fee Paid C C O
Owner's Name: A'a...-.&heet..." 71-leyd/e/A4 eeP- J
Address: 2... ?4 4 'eei , ' - /��i� r '7q/` _ V /��, -.- (t
2. INSTALLER'S NAME : QC.)( .2P NE"ePHO NO. �j �Cf/ J S p
p
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(s) and multiply #of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow 0
1980 or older C x 150 gal/bdrm = o 0J
1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes / no X
Spa or Hot Tub Installed yes / no ,)c Ai I f Y. 9 Zii 05
4. PARCEL INFORMATION: (circle applicable information& indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Flat sand at what depth at what depth municipal
Rolling loam feet feet well
Steep slope clay if well; water supply
_%slope other from any septic-system
depth: absorption is it
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. 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). Add 250 gallons to the size
of the septic tank and ld for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: /2L C1 gallon (min. size 1,000 gal.) T
J .
Tile Field: each trench / d,ft. Total System Length: (Po ft )4e��
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length andor 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.
7. SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON(please read)
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.
Signature of responsible person Date
Town of Queensbury
Sewers and Sewage Disposal Chapter
Appendix C
ABSORPTION FIELD
SEPARATION REQUIREMENTS
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Appendix C
ABSORPTION FIELD
SEPARATION REQUIREMENTS
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Septic Inspection Report
Office No.(518)761-8256 Date InspeRti99.request received:
Queensbury Building&Code Enforcement Arrive: IV t am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: '7)l1.—
NAME: GAL e-Pn �-� PERMIT NO.: `s/LOCATION:
�3g3 O INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
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 vat Sc1�
Tank to Distribution Box
Distribution Box to Field/Pit _ _
Opening Sealed: Y/N/Partial
End Cape
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
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use paws:
le Approved
Partial Approved and needs to be re-inspected,please call the Building& Codes Office
Disapproved
Last revised 1/6/05
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: 1,t>S- am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Insp tor's Initials:
NAME: PERMIT NO.: (300 "' _- —
LOCATION: INSPECT ON: 9 --/ -
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance _ ft.
Other wells: ft.
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 Boxy le �€1�
Distribution Box to Field/Pit JC h/�L /C yo �� Y A
Opening Sealed: Y/N/Partial 1
End Caps �'� j
Location/Separations "` `� - ""
Foundation to tank _ ft. � , 1,t.r%Al
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 Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Status:
Approved
yPartial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Last revised 1/6/05
TI..._...
Septic Inspection Report
Office No.(518)761-8256 Date Ins.ection re. - eived:
Queensbury Building&Code Enforcement Arrive: ), a ►epart: ,
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi.' - /
/
,
NAME: _c,�pp l . . IT NO.: r ty`_
LOCATION: ?_, / 1 '1 SPELT ON: 3 a
RECHECK: C1
r
Comments and/oriiagram
Soil Type: Sand/Loam/Clay ,
Type of Water: Municipal/Well Water /.4''
Waterline separation distance ft.
Well separation distance _ ft. `, t
Other wells: ft. �,�°
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 D
Building to tank \
✓^
Tank to Distribution Box
Distribution Box to Field/Pit
Sealed: Y/N/Partial
/
End Ca s
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
Location of System on Property:
Front Rear Left 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
Last revised 1/6/05
pi IA\ {/j
/
i
Septic Inspection Report 7
Office No. (518)761-8256 Date Inspectio,i request received: K---7°N) /
Queensbury Building&Code Enforcement Arrive: 3;/,) am/ m. Depart: amlpn
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ' ‘ .
NAME: 02
PERMIT NO.:
LOCATION: 2 3 3 5e_. d2 INSPECT ON: 2 c 0 RECHECK:
_ r _. Comments and/or diagram
Soil Typ • and' oam/Clay
Type of a er: Municipal/Well Water
Waterline separation distance 4- ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length 86 ft.
Length of each trench t f(-.J co ft. /44,, ,
Depth of trenches ft.
Size of Stone
Seepage Pits: Number tiin�
Size: x
Stone Size:
Piping Size Type
Building to tank _ f Az- ray �l f
Tank to Distribution Box '1* .'�� I°Yj) U�%I 4A s,L L
Distribution Box t• ield/Pit y,' Ma. h ,
Opening Sealed•V /Partial —
/ /
End Caps — S/�.lr ,SAthrs (Tf ;,�
/
Location I Separations fiA ''`4 F 6 4"
Foundation to tank ft.
Foundation to absorption ft. 5-ro/v� a /
_ i f P`1 �¢�
Separation of Pits ft. /2(1:N f
Conforms as per Plot Plan N
Engineer Report and As-Built _Y N h - � l � L
Sum.i cr J� C)t'r.xrtT`
Location of System on Property:
A f9 ' ( �"d Pr—
Front ear Left 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
Last revised 1/6/05
13l618
OS - ?O
RESOLUTION APPROVING SEWAGE DISPOSAL VARIANCE
APPLICATION OF RONALD AND KATHLEEN GOODSPEED
BOARD OF HEALTH RESOLUTION NO.: 19,2004
INTRODUCED BY: Mr.Roger Boor
WHO MOVED ITS ADOPTION
SECONDED BY: Mr. Tim Brewer
WHEREAS, Ronald and Kathleen Goodspeed filed an application for variances from
provisions of the Town of Queensbury On-Site Sewage Disposal Ordinance, such application
requesting that the Local Board of Health allow a leach field to be located 83' from their well and
75' from a stream instead of the required 100' setbacks on property located at 2383 Ridge Road,
Queensbury, and
WHEREAS, the Town Clerk's Office published the Notice of Public Hearing in the Town's
official newspaper and the Local Board of Health conducted a public hearing concerning the
variance request on August 16th,2004, and
WHEREAS, the Town Clerk advises that property owners within 500 feet of the subject
property have been duly notified,
NOW, THEREFORE,BE IT
RESOLVED,that
a) due to the nature of the variances, it is felt that the variances would not be materially
detrimental to the purposes and objectives of this Ordinance or to other adjoining
properties or otherwise conflict with the purpose and objectives of any plan or policy of
the Town of Queensbury; and
b) the Local Board of Health finds that the granting of the variances is necessary for the
reasonable use of the land and that the variances granted are the minimum variances
which would alleviate the specific unnecessary hardship found by the Local Board of
Health to affect the applicants; and
BE IT FURTHER,
RESOLVED, that the Town of Queensbury Local Board of Health hereby approves Ronald
and Kathleen Goodspeed's application for variances from the Sewage Disposal Ordinance to locate
a leach field 83' from their well and 75' from a stream instead of the required 100' setbacks on
property located at 2383 Ridge Road, Queensbury and bearing Tax Map No.'s: 240-1-12 and 240-
1-13 provided that:
1. the new septic disposal field require that fill be imported to construct the system and
fill material be specified and placed to meet Eljen typical requirements;
2. the slope across the system does not exceed the specified maximum; and
3. periodic testing be conducted to assure that drinking water standards are met and
will continue to be met.
Duly adopted this 16th day of August,2004 by the following vote:
AYES : Mr. Turner,Mr. Strough,Mr. Brewer,Mr. Stec,Mr. Boor
NOES : None
ABSENT: None
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