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2003-345 1 ' l` TOWN OF QUEENSBURY . 742 Bay Road,Queensbury,NY 128M902 (518)761.8201 Community Development-Building&Codes (518)761.8256 PLI CERTIFIC.,ATE VA"Fe ICOM ANut Permit Number. P20030345 Date Issued: Wednesday, February 28,2007 This is to certify that work requested to be done as shown by Permit Number P20030345 has been completed. Tax Map Number. 523400-266-003-0001-011-000-0000 Location: 977 STATE ROUTE 149 Owner; STEWARTS ICE CREAM CO INC .Applicant: STEWARTS ICE CREAM CO INC This structure maybe occupied as a: Septic Alteration Commercial By Order of Town Board TOWN OF QUEENSBURX 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: P20030345 Application Number. A20030345 Tax Map No: 523400-266-003-0001-011-000-0000 Permission is hereby granted to: STP-WARTS ICE CREAM CO INC For property located at; 3258 STATE ROUTE 149 -zlsq77 7 [3f �5/30/03 in the Town of Queensbuiry,to construct or place -hod4n+ 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: STEWARTS ICE CREAM CO INC Septic Alteration Commercial PO BOX 435 Total Value SARTOGA-SPRINGS;.NY,12866 Contractor or Builder's Name Address Electrical Inspection Agency Plans&Specifications 2003-345 SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS $35.00 PERNUT FEE PAID-THIS PERMIT EXPIRES: Sunday, May 30, 2004 (If a longer period is required,an application foram extension must be made to the code Enforcement Officer of the Town of Queensbuty before the expiration date.) Dated at the To of b i 3% 2003 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,ATY 12804 (518) 761-8256 1. OWNER INFORMATION: ...............­..................1­1­........................ ...................................... Office Use Location of installation: ;2 (P File Permit NTS Tax Map No. Fee Paid Owner's Name: A3-g,4,r:S 5 A/"!r Y 9 ................................................... Address: 42d, -3 Cx q 35' ill 10 A J C-6 UP 2. INSTALLER'S NAME PHONE NO. 5VI-J Z4/ ;e ZY 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 !eZ 1980 or older x 150 gal/bdrm = 3 1980- 1991 x 130 gal/bdrm = 1991 -present x 110 gal/bdrm = Garbage Grinder Installed yes no Spa or Hot Tub Installed yes no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Too graphy So' Nature Ground Water Bedrock or lWervious Material Domestic Water Sum3ly Flat -6-vwx- at what depth at what depth municipal Rolling '70—am feet feet well Steep slope clay if well;water supply %slope other from any septic-system depth: absorption is ft. other Percolation Test: -(To be comp leted by licehsedj -engineer-or archit -t)- rofi�ssiona; Rate: Pli-'14fA4.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. Septic Tank: /0 00 gallon(min. size 1,000 gal.) q Tile Field: each trench 60 fit. Total System Length: fl, Seepage Pit(s): number size of each: ft. by_ft. Size of Stone to be used: # orl- depth or thickness feet Bed System Size: x Alternative System: /t,4± length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: - / Size of each: �4 gallons 1 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 t regulations with respect to this application and agree to abide by these and all recjui lre=k- f the Town of Queensbury Sanitary Sewage Disposal Ordinance. Eye 5-- Z -7-0_3 ignatuo')of responsible person Date . . '1'c�tiv:t "af <Zt:c;c+>Ii;tl�tt:i•y . . . � /1'I.�.�;t)It.x'•'I'IC)Z`l;I�'I I�I.,I.) POND 1^ILiL iN t1,(►TF.'f�- ..—•-��� "" � "�/WGL tc'ra•t 1ZouSE tam ' , �;yea*y, tt•:>usa= G . .. ,' G_ ,ice''• . _._.� r vaY�,c C I i. .� .�". SG'f•tlC. ��. ttcthL� ?. SIGNA'rURC &INFOIWATION FOR t �,rtl au�L �+�--+•,�+�„crr.. ..,...:; Septic Inspection Report Office No. (518) 761-8256 Date In"gr Queensbury Building&Code Enforcement Arrive: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspect;� �� �NAME: �Ll�.... �LOCATION: �j-7-7 J q. "' 11:i 5T-_ RECHECK: Comments and/or diagram Soil Type: Sand Loam _Clay Type of Water: Municipal/Well Water Waterline separation distance • Well separation distance ft• other wells: ``' • Absorption Field: Total lenqthft• Length of each trench • Depth of trenches • Size of Stone Seepage Pits: Number Size: x Stone Size; Piping Size T Building to tank Tank to Distribution Box Distribution Box to Field Pit l Opening Sealed: Y N Partial End Ca Inlet/outiet Pipes&Baffles Y N Location/ Separations Foundation to tank Foundation to absorption ft• Separation of Pits • Conforms as r Plot PI N Engineer Re rt and -Built Y N Location of System on operty: Front Rear Left Side Right Side f Middle Front Middle Rear S stem Use s: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 LANDS OF A FyMaiIE SIG. L.370 P.524 / L-379 R505 21 it !" too.6s RON WE FOUND 0.4 FROM COM1ER -o.-_�,� S82'21' „ .93 07 E 265.48' 100.78 101.34 t00. W73 :':::' 100.48 IRON PIPE COUNTRY FOUND CLUB . . . . . . 9Z42 s92�� SIGN ®9&35 90.10e --- �1L2� �- 90.02 92.53 � RETENT�oN ` \ M57 90.54 I , .I "-"o�� 3,t3 _'- �90.45 0&21 •. .,..... ++ m 97.47 m 9s.67 1.505 \\ . . . . . .. . . . (75,7a.24 �.FT,) m 96.02 \\ ® 99.94 \\ 100.63 10341 \\ r------------------ \�\ t! �Ir---__�------_------ \\ l(M9i - ----�...If -i ------------------ \\\ / I �t F . . 96.E r,a-91.43 9&6 67 . . r 96.85 *104,73 103 1 9L . .. . . .. . ... . . . . .. . . . LANDS OF N82'21'07"4y ' . .;. ; '! :.....:. ........� # . . . . . . , . . . . 9..7. ,.... .99.42. . . .': ....�• '9�i4. . . . : > 99.66 pj . . . . . . . . . . . . .' '. i�. . . . . . .. . . . , . . . . . . . 140,24'' CAPPED WAN S. W,>~ J(M IRON PM :..'.':.'. .'.'.'.'.'.' f. . .' .':. :':':':':'.':':': :'.':'. :':':':':'. . 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Ift : :: . : : : . ....... .....'. .....:... . ... _ . . . . . . .. . . . .. ............................. ,;...; ' . 2 . . ��► ./. . . . .. . . . .. . . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . .. . . .. . . . . . . . . .. . . .. . . . . .. . . . . . _ 07.34• . .. .. . .'. . . . . .'..'.' .'.'•'.".'•'•','.'••.'.'• _ 96 . .. . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . _ . . . . . . . . .. . . . . .. . . . .' :':': .............. . ..... .. ........ ..'. . . . . . .. :'. . . . .. . ...:. "• . V . ... .. ... ... .. .. . .. . ... . ... . . .:•:.. ..: . . ............ . . .. .... : • GAPPED IRON PIN ..a+. .. .." -:.: .:_ :':':','f,: . :.':': :':': :': O IRON PIPE �6• 96 20 . . .• . _ 9b93 I 0.n O ANECE POINT I. DEEP REFERENCE: MAPELINE DRISCOIL TO STEWART'S ICE CREAM COMPANY, INC., DATED JI�IE 16, 1989 AND FILED IN THE WARREN 6i9LJNTY CLERK'S OFFICE IN LIt3MR 155 OF DEEDS 0 0 0 0-0 CHAIN-LINK FENCE AT PAOf 225, t is • WELL 2. WARREN COUNTY rAX MAP ID.## 2(06,05-1-11. 95P7 ® SEWER MANHOLE 3, SL)15 CT TO ANY RIGHTS--OF-WAY ANP/OR EASEMENTS OF RECORD. 1% SEWER VALVE 4. HIGHWAY 1501 ARE SHOWN AS PER DEED DESCRIPTION AND ARE APPROXIMATE. ■ CATCH 15A6IN RIGHTS OF THE PUBLIC IN AND TO ANY LANDS LYING WITHIN THE bO� OF ROU17ES 9L ANP 149 ARE EXCEPTED ANP RESERVED. -- - ---'� OVERHEAP UTILITIES 5. ELEVATIONS SHOWN HEREON HAVE SEEN GALCI.!_ATED WITH RESPECT TO AN AS5(,MED � -� 6UY WIRE VERTICAL DATLM, I xk 1_16HTPOLE �CO3 EDGE OF WOODED AREAS gEms URY - - 282 GF'N• r WE UVArM r Tn NYs ROUTE 149 - gKEN6"Y, NY oo DATE REVISIONS PRAYM AY. GP 37063 �� AlVoi 11I SYWM AS-ALT AF 4E $1� PAM D. �O?( 435 DRAWING No. Ln Rut f and,Jr.f'C SARATOeA 5PRIW_- , NY I� " 27 MINN STREPT PA.1.5TM LAKE,N.Y. WM TfL (60"-npp FAX (60)51 6-I N.TtKATVW TO TM P rjLfI OY one TMMI m TITLE: "°"`N91'`� ` YO rA7r ep A iM LANAS--Lit}ILT SITE PLAN ,�w A v1a ATION m rcw YAnc sTATt QIYATIRJ Septic Inspection Report Office No. (518) 761-8256 Date Inspection reque ei it: Queensbury Building &Code Enforcement Arriv6: -am m it: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME. P Mrr NO.:LOCATION: NSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand Loam Clay `6 D of Water: Municipal/ Well Water P - Waterline separation distance ft. _la)IC Well separation distance ft. Other wells: Absorption Field: Total length Length of each trench 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 I N/ Partial End Cap Inlet/Outlet Pipes&Baffles Y N Location/ Se rations Foundation to tank ft. Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan Y N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Wight Side Middle Fro Middle Rear S ystem Use us: Approved Partial Approved and needs to be re-inspected,please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 z Septic Inspection Report P P P Office No. (518)761-8256 Date Ins ectio que re el d: Queensbury Building&Code Enforcement Arrive: a p e a pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial : NAME: J�—�= t,J `l PERMIT NO.: — LOCATION: 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 G ft. Depth of trenches ft. Size of Stoney Seepage Pits: Number Size: x Stone Size: Q� Ta It01- Piping Size Type Building to tank 14 ° 1. Tank to Distribution-Box Distribution Box to Field/Pit J enin 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 System Use Status: proved Pa 'al Approved and needs to b e-inspected,please call the Building&Codes Office Dis pproved Septic Inspection Report Office No. (518)761-8256 Date Inspection eqec1t Queensbury Building&Code Enforcement Arrive: t: 742 Bay Rd.,Queensbury,NY 12804 Inspector's InitiNAME: L�� -LOCATION: - v � -� 3 RECHECK: ` Comments and/or diagram Soil T e San oa /Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. gt Absorption Field: Total length ft. Length of each trench 7 ft. ©� Depth of trenches Size of Stone sSee a e Pits: Number r" s Size: x Stone Size: _Piping Size jxpc Building to tank T'i '► n 17V%T%01J 0 CYV a t�-T '(ET Tank to Distribution Box Distribution Box to Field/Pit YPVC, 14" ERF Opening Sealed: Y/N/Partial Location/Separations - Foundation to tank ft. �[-;�C,,,�J •--�-� �,,,�,��,,�,��. �?1��. .-`-�► 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 Reart� System Use Status: Approved � o Partial Approved and needs to be re-inspected,p ease.ca the ullding& odes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\,Septic Inspection Repoitdoc January 28,2003