2005-311 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERT IFICATE OF COMPLIANCE
Permit Number: P20050311 Date Issued: Thursday, May 12, 2005
This is to certify that work requested to be done as shown by Permit Number P20050311
has been completed.
Tax Map Number: 523400-302-014-0001-065-000-0000
Location: 5 SPRUCE Ct
Owner: MICHAEL ROMEO
Applicant: MICHAEL ROMEO
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
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 tnforceZent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20050311 Application Number: A20050311
Tax Map No: 523400-302-014-0001-065-000-0000
Permission is hereby granted to: MICHAEL ROMF,O
For property located at: 5 SPRUCE Ct
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. Tyne of Construction Value
Owner Address: MICHAEL ROMEO
5 SPRUCE Ct Septic Alteration Residential
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
SANITARY SEWER
DAN DRELLOS
PO BOX 224
GLENS FALLS NY
Plans&Specifications
2005-311
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, May 12, 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 Town of Queensbury; Thursday, May 12, 2005
SIGNED BY for the Town of Queensbury.
irector of Buildin Co nforcement
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
......................................................................................................................................
.
Office Use
Location of installation: 2 v c ✓�'
File Permit No. 0 — 311
Tax Map No.
Owner's Name: /"t ( : Fee Paid
—r---- .......................................................................................................................................
Address: r v C_.•i
2. INSTALLER'S NAME : AU PHONE NO. 7 f'4 _VcS_i'
3. RESIDENCE INFORMATION: (circle yea(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
1980 or older x 150 gal/bdrm =
1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes_ / no
Spa or Hot Tub Installed yes i / no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
ToDoeraDhv So' ature Ground Water Bedrock or impervious Material Do Water Supply
te at sand at what depth at what depth inunici al
lnz7g feet feet well
Steep slope clay if well; water supply
r%slope other from any septic-system
depth: absorption is ft.
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 leac�field for each Garbage Grinder,Spa or Whirlpool Tub.
E4 "S rl.j6)
Septic Tank: ' 03 gallon (min. size 1,000 gal.) " "
RECLj
Tile Field: each trench ft. Total System Length: ft.
MAY
Seepage Pit(s): number of size of each: ft. by t.
WNOF
Size of Stone to be used: # / depth or thickness feet BUILDING +:'� CODE
Bed System Size: o 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.
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
requiremen f the Town of sbury Sanitary Sewage Disposal Ordinance.
S4gifature of respo ible person Date
S.
ow'tt 'of Queella nti•v
5rwta•s asttl Setvti�;t: I)i.�j>ts�al t.Itsti�lt•t•
Appendix C.
fiI:PARA'I'IUN IL1�C�I.IIItI hII�.N'I`;;
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7, SIGNATURE &INFORMATION FOR-Mil'O Nbw1.rw rza..ovL, u„000-a--,, '
I
Septic Inspection Report
P P P
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m part: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: -IFJ
NAME: PERMIT NO.:
LOCATION: 1 INSPECT ON:
RECHECK:
Comments and/or diagram
Soil T e Sa la
Type of Water: unicipal Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
-Absorption Field: Total length ft. p 4 fA-5
-Length of each trench C
_
Depth of trenches / ft.
Size of StoneZ
-Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank l N
Tank to Distribution Box
Distribution Box to Field/Pit 1 /Z
Opening Sealed: Y/N/Partial Nt75 r ��
End Caps
Location/Separations
Foundation to tank
Foundation to absorption N
Separation of Pits ft.
Conforms as per Plot Plan VY N
En ineer Report and As-Built Y N
Locatio ystem on Property:
Fron Rear Left Side Right Side
Middle Front Middle Rear
System Use Sta
7
Approved
Partial Approved and needs to be re-inspected,please call the Building& Codes Office
Disapproved
Last revised 1/6/05
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511
May 5, 2005
Project 4 49163
Mr. Jay Sweet
Queensbury Septic
PO Box 4283
Bay Road
Lake George,NY 12845
Re: Replacement Septic System
Romeo Residence - 5 Spruce Court, Queensbury,NY
Dear Jay:
At your request we have reviewed your proposed replacement septic system design at the site of
the existing 3 bedroom house of Mike Romeo at 5 Spruce Court in Queensbury. As per our
conversation of May 4,2005 you informed us that the residence has two existing septic systems.
One system serves two bedrooms and consists of a septic tank and leach field to the rear of the
residence and the second system serves one bedroom and consists of a septic tank and a failed
drywell along the side of the residence.
We have reviewed the proposed replacement septic system design for the failed drywell and we
agree that a standard absorption bed is acceptable. Based upon a design flow rate of 220 GPD
and a percolation rate of 1 to 5 minutes, you will need 232 square feet of absorptive area. We
recommend using 20 ft wide by 15 ft long absorption bed, which will provide 300 sf of
absorptive area.
Please call me if you have any questions.
Sincerely,
Thomas R. Center Jr., P
� .
--
fly
WILDING&
REVIEWED BY ` .
DATE
MAY x 1 .
JWN OF QUF,; 1,1 ;
BUILDING_ .
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