2005-514 FF
TOWN OF QUEENSBURY },
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20050514 Date Issued: Tuesday, July 12, 2005
This is to certify that work requested to be done as shown by Permit Number P20050514
has been completed.
Tax Map Number: 523400-309-007-0003-008-000-0000
Location: 161 SHERMAN Ave
Owner: MICHAEL & CATHERINE MELUCCI
Applicant: MICHAEL & CATHERINE MELUCCI
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 Enforcement
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: P20050514 Application Number: A20050514
Tax Map No: 523400-309-007-0003-008-000-0000
Permission is hereby granted to: MICHAF,I,& CATI FRESVF.MF.I,I TCCI
For property located at: 161 SHERMAN Ave
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: MICHAEL & CATHERINE MELUC
161 SHERMAN Ave Septic Alteration Residential
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
SANITARY SEVER
DAN DRELLOS
PO BOX 224
GLENS FALLS NY
Plans&Specifications
A2005-514
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, July 11, 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 4of ens ;� *-,-nly 11, 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 3097-3
1. OWNER INFORMATION: .............. ..........
Office Use
Location of installation: "4�A__,4A
File Permit N erm 0.
Tax Map No.
I Fee Paid
Owner's Name: ............................................................ ..............
Address: J(10 e
2. INSTALLER'S NAME 1 �tk/ Xjf�w PHONE NO. III — 7_46-7
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
1980 or older x 150 gal/bdrm =
1980- 1991 x 130 gal/bdrm =
1991 -present x 110 gal/bdrm = CLIFF V E D
Garbage Grinder Installed yes no ?005
Spa or Hot Tub Installed yes no
TOWN
BUILDING ,-��0 100DE
4. PARCEL INFORMATION: (circle applicable information& indicate measureme-777T
Too plaphy Soil Nature Ground Water Bedrock or Imi)ervious Material Domestic Water Supply
la and at what depth at what depth munlcl a/j
-ro-7ling oam, —feet feet
Steep slope clay if well, water supply
Yo 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 leach field for each Garbage Grinder,Spa or Whirlpool Tub.
,F,Y I-rrlAl(-;>
Septic Tank: 10 DJ gallon (min. size 1,000 gal.)
Tile Field: each trench Total System Length:
Seepage Pit(s): number of )V 1A size of each: _ft. by_ft.
Size of Stone to be used: # tJLA- depth or thickness feet
Bed System Size: X
Alternative System: length andl'or size /0
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. k
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.
Si na ure of re'spoksilt;ke person bate'
i
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511
June 30, 2005
Project#49171
Mr. Jay Sweet
Queensbury Septic
PO Box 4283
Bay Road
Lake George,NY 12845
Re: Replacement Septic System
Melucci Residence— 161 Sherman Avenue, 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 Melucci at 161 Sherman Avenue in Queensbury. As per
our conversation of June 30, 2005 you informed us that the resident is replacing his existing
absorption field and will maintain the existing septic tank, which is approximately 24 inches
below grade.
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 350 square feet of absorptive area. We agree that the proposed 10
ft wide by 40 ft long absorption bed with 2 — 35 foot long laterals, which will provide 400 sf of
absorptive area, meets the above mentioned requirements. Also, due to the depth of the existing
septic tank; which will result in the laterals being approximately 36 inches below grade, we
request that when you excavate for the absorption bed you dig a deep test hole to verify that there
are no boundary conditions. Please notify us when you are ready for us to inspect the deep test
hole.
Please call me if you have any questions.
Sincere ,
L C��
Thomas R. Center Jr., PE
Septic Inspection Report
Office No. (518)761-8256 Date Inspection re est re iv %� d
Queensbury Building&Code Enforcement Arrive: m/ art: pin
742 Bay Rd.,Queensbury,NY 12804 Inspector's Init 1
NAME: ; RMIT NO.:
LOCATION: — f'/`, a. SPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sa a
T of Wate Well Water
Waterline separation distance
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length k' °ft. j��
Length of each trench
P1210fl-
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 L
Opening Sealed. Y /Partial
End Caps
Location/Separations
Foundation to tank ft. �'� Lk�►w L :j4�L� ��� � �
Foundation to absorption ft. T C-C)
Separation of Pits
Conforms as per Plot Plan Y N
[_Engineer Report and As-Built Y N
Location of System on Pr
Front Rear eft Si fight Side
Mid e Front iddle Rear
System Use St tus•
Approved
Partial Approved and needs to be re-inspected,please call the Building& Codes Office
Disapproved
Last revised 1/6/05
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