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2002-026 TOWN OF QUEENSBURY tiv742 BayRoad, eensb NY 12804-5902 (518) 1- 201 A� Qu '� 76 8 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20020026 Date Issued: Wednesday, January 16, 2008 This is to certify that work requested to be done as shown by Permit Number P20020026 has=been completed. Tax Map Number. 523400-239-012-0002-037-000-0000 Location: 33 HOLLY Ln Owner. BRIAN HOGAN Applicant BRIAN HOGAN N 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 f Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020026 Application Number: A20020026 Tax Map No: 523400-239-012-0002-037-000-0000 Permission is hereby granted to: BRTAN HOGAN For property located at: 33 HOLLY 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: BRIAN HOGAN 34 HOLLY Ln Septic Alteration Residential Total Value LAKE GEORGE,NY 12845-0000 Biljheti.f Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-026 SEPTIC ALTERATION FOR 33 AND 34 HOLLY LANE AS PER APPLICATION $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,January 11,2004 (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 T n of Que sbury; F,iday,January 11,2002 SIGNED BY e for the Town of Queensbury. Director of Build&Co:e Enforcement TOWN OF QUEENSBURY - 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020026 Application Number: A20020026 Tax Map No: 523400-239-012-0002-037-000-0000 Permission is hereby granted to: BRIAN HOGAN For property located at: 33 HOLLY 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: BRIAN HOGAN Septic Alteration Residential 34 HOLLY Ln Total Value LAKE GEORGE,NY 12845-0000 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2002-026 SEPTIC ALTERATION FOR 33 AND 34 HOLLY LANE AS PER APPLICATION $25.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,January 11,2003 (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 T f Quee bury; Friday,January 11,2002 SIGNED BY for the Town of Queensbury. Director of Buildin C e Enforcement Application for Permit—Septic Disposal System Town of Oueensbury 742 Bay Road Oueensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: 3 3(3 1 t c( LD r (- 'Il n� /`1 File Permit N t _ ( /A(.0 Tax Map No.U 9 / I?_— -rt 7 ���0, Fee Paid Owner's Name: S i\ps rlA rl Address: 34 +w44 A V_ 1 2. INSTALLER'S NAME : /M4 PHONE NO. 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 = AgGr 1980— 1991 x 130 gal/bdrm = `` x 110 al/bdrm = 710 41// 4 b� iL 1991 —present 7g Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sa d at what depth at whfrt depth municipal Rollin loa 3-- feet r' 11' feet wel Steep slope c ay if well; water supply slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: /Z-- 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. T'e`trq w f Po v. -ritFfipk)4 / Septic Tank: gallon (min. sink 1,000 gal) ,O// ti.,vr,../ PPt L 'cite —� 5 ( rE- 1-', w �r i Tile Field: each trenches ft. Total System ength: /- ft. - 2:76 21:5E,LS- Seepage Pit(s): number of size of each: ft. by .ft• Size of Stone to be used: # / depth or thickness 1 feet Bed System Size: x / 1/1\() 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. _____....._...., n -r T w R A mii wr V( D 1?RCDCINc rrn.F PPR SON(nlease read) Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/prr� Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: /� NAME: PERMIT NO.: —026 LOCATION: INSPECT ON: /—f ' 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 r o S-€. 0 Seepage Pits: Number l/ Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field / Pit Opening Sealed: Y/ N/ Partial End Cap Inlet/Outlet Pipes&Baffles _Y 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 Location of System on Property: Front Rear Left Side Right Side Middle Fro t Middle Rear S stem Use tus: • Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 • Septic Inspection Report Office No. (518)761-8256 l Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pn Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: Ci •NAME: &� - PERMIT NO.: 2-p LOCATION: 6c:..._/ INSPECT ON: /7i G RECHECK: • Comments and/or diagram Soil Type: Sand/Loam/Cl -4c—c._ .12 Type of Water: Municipal Well Water ` Z)t Waterline separation distance / ft. �(L- --D 0-4--)c / Well separation distance ft. Other wells: ft. Absorption Field: Total length _2- ft. Length of each trench � ft. Depth of trenches Z ft. • Size of Stone -iP 2 Seepage Pits: Number Size: x Stone Size: - • Piping Size Type • • Building to tank Tank to Distribution Box Distribution Box to Field/Pit !�G`' Sc.: 0 Opening Sealed: Y/N/Partial • Location/Separations Foundation to tank ft. Foundation to absorption Gam`pC/f-Aj ft. Separation of Pits ft. Conforms as per Plot Plan Y N Location of System on Property: Front ' Left Side Right Side Middle Front Middle Rear System Use Status: proved Partial Approved and needs to be re-inspected,please call the Building&Codes Office . Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 . 411->f-E-Rti • Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: (21.3 0--3_, Queensbury Building&Code Enforcement Arrive: am/pm) )e art: J/ 1�— iri/pm 742 Bay Rd.,Queensbury,NY 1280 Inspector's Initials: l NAME: PERMIT NO.: t,V C ,^ � LOCATION: 1 4//if,2,4, INSPECT ON: 0 RECHECK: • Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. f'A L .6t Well separation distance ft. Other.wells: ft. F/ &L.17 . Absorption Field: Total length _ ft. Length of each trench ft. • ! ` • —2 Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x r'W" Stone Size: /-7 r./1( c�'L- #-/ Piping Size Type 6.1i-Z.• Building to tank ,Uv0C( �"� U v1��L — ��� • Prn Tank to- ' ox Z� u�,v1 p -�Aa .°*1t, n B ox to Field/-Pit D-r,,c- 2 0 !1' V?— Opening Sealed: Y/N/Partial Location/Separations • Foundation to tank _ ft. Foundation to absorption ft. • Separation of Pits ft. Conforms as per Plot Plan Y N /(1(6-6'D r/A/A-I— 6(4-6 • Location of System on Property: k6.4t,,o'' p6 d NC-C Front Rear Left-Side Right Side 7 -7-- 7/5 l.0 . • Middle Front Middle Rear . System Use Status: '" pproved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved. • L:1SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 LI • Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: ,' ) Queensbury Building& Code Enforcement Arrive: ann(p Depart: ..I m/pm 742 Bay Rd., Queensbury,NY 12804. Inspector's Initials: 7-/' NAME: Cry(' N., q. PERMIT NO.: CA — C) of (.4) LOCATION: ar-r INSPECT ON: �- �— RECHECK: • Comments and/or diagram Soil Type: Sand/Loam/Clay ‘1 Type of Water: Municipal/Well Water � �L /j• Waterline separation distance ft. Well separation distance ft. O Vke 0`/� ,p _ b ,?) Other wells: ft. V ~ ��\ 1 Absorption Field: Total length ft. kc- C),l Length of each trench ft. Depth of trendhes ft. Size of Stone Seepage Pits: Number /U G D j C L� Size: Stone Size: CL:-)) Piping Size Type Building to tank p� LC 1 Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank _ ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear S stem Use Status° pproved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: /7 3 Queensbury Building&Code Enforcement Arrive: am/imgcr.Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT NO.: ( ) LOCATION: INSPECT ON: //— c:?z/--O.3 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 0 ft. Depth of trenches ft. Size of Stone /A)C(7r Seepage Pits: Number A4r Pt y'2 Size: x P. vice'- t, ©lam Stone Size: • Piping Size Type Building to tank Tank to Distribution Box r C( ')C) Distribution Box to Field/Pit Opening Sealed: Y/N/Partial C`—'b S i O N C L Location/Separations • Foundation to tank ft. Foundation to absorption ft. • Separation of Pits ft. Conforms as per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side . Middle Front Middle Rear System Use Status: / proved artial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 • Septic Inspection Report ,4 r(SV Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m Degart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: (n � NAME: \\-- 0 PERMITVVNO.: • OQ (1• LOCATION: 33 U1L-7..,,jO,,m-N-p INSPECT ON: — — RECHECK: WO- > • Comments and/or diagram Soil Type: and/Loam/ lay Type of Wate . ipal/Well ate Waterline separation distance t?i'k/ ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft._ It A' _ � Length of each trench ' ft. ,' TJ'&� PA-Rc6-Lrt Depth of trenches ft. Size of Stone w_--�Z.-) Seepage Pits: Number Size: x Stone Size: • Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit . ki-N '5G1, "2-0 • Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption giz_pel ,/ft. Separation of Pits _ / ft. Conforms as per Plot Plan ✓' Y N Location of System on Property: 14P I _ ic. • 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Absorption Field LA S NIF L.D. MacCOUN L.A. SNOPE (606 d 790�� IRON ROD 100, Iron Rod Set FOUND E ' .� T WELL LINE *. .,,,, 3..... <-WATER LINE 1 3 6 2 ' .�, i 3 ' , .� t 1 E b' o H " J 4 01 N I IWater Line(Lake Water) PVC WASTE DRYWE 100, vim? r .2 12. 5 t r_ q r C M f*a]:120�, O Q �. NEVV WELL 0 �'aJf Q r. M Q I z Absorption Field = 2"Buried Conduit A r • J 34 Holly Lane y \ CATV,FIBER AND TELEPHONE tfo i p 5 Laterals at 55' D J'+ t^; Q 32.5 ZL w w 33 v 46 2=kS 2:3.2' V) 100, 00 MD WASTE K? UZ m ° C 8 011 a CWASTE d w 04 38.01 co Absorption Field • 4j ''"•�. 1 3 0 - 3 1 �» 1 33 Holly Lane .; 5 Laterals at 55' IRON PIPE IRON PIPE }f� FOUND sit d.Y ww�l w■� ,f •r,, .� F M Y D '"�\,x� :kt ! LANDS N/F D.G. P.A. BLAI5 D (1219 d 96) 0 ARemove topsoil to expose 6"minimum of foundation. Grade to provide drainage away from building Iron Itod. } ,� Set 7.3' .3' 5" dia metal shedl CAPPED IRON ROD post shed FOUND Absorption Field Design(Each Parcel) I Assume 4 bedrooms w/Perc.Rate of 1"/12Min f Assume 1.6G Flush Toilets and 3GPM Showerhead ' Design Flow=4brx 110GPD/BR Design Flow=440GPD , Absorption Rate=0.8GPD/SF PN Absorption Area=440GPD/0.8GPD/SF Absorption Area=550SF 0 ft. 12 ft. 20 ft. 40 ft. r- Mitchell Al Drive Avenue Absorption Trench Design dig" Mitchell Drive 33t134 HOIIy Lail@ Trench Length=550SF/2SF/LF 12303ectady,NYPlot Plan and Buried Utility Locations Trench Length=275LF or &Softuwm Ph:(518)377-4057 5 Laterals @ 55' C�/ / Fx:(518)377-3673 1"=20' Rev. 12/26/2Q03 Drawn By:Brian T.Hogan w•nnv.NESSNetworks.com WCZL 7' (JJ/TH D /.L/ 50 fT /( IV 70 SEPT/C T/IAVK 14C6E S TO ! I G e `ODE {V/Th Co�E2 IAIAO GLADE 141,4LL L7/1TUeBEO 1-inrly- ez,-oz1vcA f/N/.fif/ED GPADE ' V TU GeADE I .1U,PF.4lE TO O•?/G%t/.QL ('ONO/T/drU. /,� * „ M/V 4 101/C rDe X C� X4 - ..;•:,::. 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(CROSS SECTION � 3 'M/N LONG/TUD/.VAL J'ECT/ON � 6"max' �_ ' I O I NOT FOR /2"13AJE O F S�,VD _ -�- If�11P-9f cif; 96.S- 9G.O =/ii= /%/ii=/ii- /EX JT/ G OR PEA STO/VF i/i_//..��,,i_ /r / /YG• FRDE C41, CMTRl J TION TyPic,�L sECTroNs 2 D/s T•,PlL30Tl0/V 23OX /^) ;,, - J ?•r�:. _ N T. s. , -C71DPI/ TH,�DUG/-� F/EL.D �107Tj • it/ TE • , .1PACE AZuoePT/ON T,6EWCyE,f 6 ,h/,V. O. C. 4 ,4L L P,e,E-CA,f T C'ONC',eE TE � - JLOPE PERFO/Ph'TE1� P//qf ///6 " �/,1�.S' T� W/� T,�Q .DE,.S /G/�/ D/ST,C13UT/O,V ,C3OXeJ By f"O�T M/LLEe CO/t�1,oA/(/y - Do NOT/.v-rr,4LL /,V WET ,fool- . Ole EQt/,4 L ,1/DEJ /7N0 QOTTOM GlF T�E/t/C.1/BEFORE,/XAC/NG G CAMEL, j] / q 1v No TQE,vCN BOTTOM TO 8E LE/�EL AND Z4 " i ,4//,�U/V Up/tJry v � 1'C'FIL E n/o,vE O PA w v BJ F W C,4P E 03 OF L-AT-EZALS Town Of Queens,bUry lNSTi4LL TIZE�t(CNE'S P9�ALLCL 7t� DarE 2 /Z • OZ 1&0rren Coin I !1/ n(Iu1 C�Or,L C//ECKED ay _ 2 12 vZ N 12G�rSE� 5Y5-feM TO �8-Sa�PTip�( t�CNC N P.0.30Y 220, 12CIRCLE 14VENUE, AICRr1.1 C,eFE�, NEW yaRx JAZ-1-T z OF 2 0 N _ 'y •.•'' `` isj e 3 L � �12✓�hQth .\,Ilo . •• -• ,`. LAKi3 C,HORCJB'"tS[A1V1,�'�`',�" t� ti �e. Isl>slrid. ••�' .. . STAT$• CAMFGAO1J D s ,s l .r 111 1111 _ ^Ao � � •� 4 - �+."J ;A y,�,' �I .�+ ; th a(' 1�z A I I' > 0'.",• I. ti (11 NI 1\'Y( RI: \I( l i I I\'I nl l'AIZ1T11 N I lr / ADIRONDACK PARK AGENCY t P�POAOS ED 4'"P VC JOR 35(02 S/M/L r4R)li Ovzx 'f Via, t r7 it xti,ems, {4" ;. Y 'n.. �' ",•q .� I'(1 lily 99.R(Illte Sr. AT 14'/fT /�//il/ SL ORE. Ra) frock.New fork 1:07' 8 2o/�oSL D i e 5 o �A�L 0 Al S__,0T 0 S• s y T Y. i 511z1 991-411CU I A\ I�IRI R'11-393h © P20AOSE0 4-"PVC SDR 35 (' ,e S/M/�A2�EFFL(/ENT SfN�E� / f �� k.� � Sr H ��� w r ♦i t AT /B /FT M11V Sz OPE of its'L O .20POSED EFFLUENT P0AIP P JI• Ntl\'e•rllhcr �()- 2l)(11 �sn. � •� ..o � ,�`�r� ''"" � s` ,+` '�„ r � ��,� �'' •_-�� ' z +> � ,• '� , �, -�� + � I � lames F.. Ilutchins. PI: k'�?•\J `y i 2 1*" Y'v"Si l J ,: t /t / l 3 P.0. Box 220 12 ('II-cic Ave. •'• '��` .. 5 � ern •t North ('reek. NY 128i , i.f<y` +t•ryz. .L , t x �, i �4 � s `� rat �- r f:Y tia rill a 4 k4 �m�! / •1, R1:. '2UO1-02-1•4. 1 loset!ood. town (40LI enshur`' 239 .12-� _,7 l ( II:'2. P20PO.SEOb t •t �>tl l r�.i•R 4 •�• \�' tt '••11i I) ill 1111: CentloJt' r fi a �', "' ,•.� c ► AQ�SOPT/oN F/CLO _� PQinrf � � t�"'/� i ,, •J d .� f 1 of Novcrllhcl 21 on Assc•mblti Point. 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Y t�yl,,, i 1� 1; Fq• •.��. - - AOaO� i:' �` ._ .1 i r s ' ' III it 1 cai! !•1' of flutht r assistance- ' I Ica. c << PROPOSED 4"colic S02 35�O2S'/M�LA2 a Co �r > D�• bWq t a rf's1• / � K . ;, _.•, t�l ..?i; {>' :IID �o .! Syr. - _ _ .SO L/D f/EAD E2S A r /L3 �FT M/N SL 610E #ra yo-x � _ .. 3 ��•.� t#Ia1}dl� •� °•-t'/"t W •11 � y"" F y0G ``b I/U .a . JL A _ -7 , � `•-� , .+s F X �l7�,'. .: ' r. 1 - ': '�--- t:' rt• S.fl > �J• f�^ .oaf a�)� •!„o � ,t.. - 7V /C A 4- BOT/-� SYST"C-J(-i S .ramer.', ..:, rk,� . .yr�n r•... r;, �"; _ C ) _ -1.���1 A.J y0(flt , �,f'fir ��:i: 1 tr "J�;4��" 3';.r 1 at;x 'fYL`_� ,t i��t�L`' '&ti�t 1 .-'� \..1.• ,�t•'� \\ .- a Slllcelel\' - t P . ;ty * ° i:1 '+k �,7+.i�•'� r eaI ,1 ••. "- , �� TIV {'Cj' YJ � <t�i�a' " 4, ' f 1. J•.. v ': ,i b'1. v'�y.. r'A•c. •rZ .i' !•k' f;�'� �[A rf,r s •Fp vrn ANr 7 R A Ir c. 1 •:- '� , '" - � Y`.ti}':.fir- .11•:."jt. tf 77. �#4 , > A N FOPO.SEO D/1T,e/l3ur�oN l3O� PtQoViOE f Y�� .A`, /•.S y}.y y AI' __1tt i. 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