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2000-342 BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 0 Building permit No. 2000342 TAX MAP NO. 48 . -4-8 GETZ , JOSEPH & NANCY Permission is hereby granted to Owner of property located at 18 STONEGATE DR. in the Town of Queensbury,to construct or place a SEPTIC ALTERATION at the above location in accordance to 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. Owner's Address: IS STONEGATE DR. QUEENSBURY, NY 12804 Contractor or Builder's Name: QUEENSBURY SEWER Contractor or Builder's Address: JAY SWEET. 0 Electrical Inspection Agency: Type of Construction: SEPTIC, Plans and Specifications: SEPTIC -ALTERATION AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SEPTIC ALTERATION 25 May_17 . 2002- 1 . $ PERMIT FEE PAID—TIRS PENT EXPIRES (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 of Queensbury thi 17 Day of May 2000 SIGNED BY for the Town of Queensbury Code Enforcement Officer Application for-Permit—Septic Disposal System: Town of Qtieelisbuty-7421}qy Koad Queensbuiy,N]' 12804 (518) 76148256 1. OWNER INFORMATION: 1..............................................................................._..._........................................ ......, Office Use Location of installation:_ — ryi _ f � Tax Map No. File Permit No. j / / <y7S �� f � f c 7 Owner's Name: Fee Paid r ' ..............:.....__............................................................_....................... Address: 2. INSTALLER'S NAME PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwell indi ate.#bedroom(s)and multiply# of bedrooms with applicable gallons per beds oo'm to equal total daily flow) Year of Ho's : No. of Bedrooi is . x CoinRutation = Total Dail F a szlder x D 15t ;aUh = I980- 1991j x 30 > Y 1 4 Z000 =present x 110 gal/bdrm = I BUILDING AND CODE 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 lm ervious Material Do►nestic Water Supply �� sa at what depth at what depth municipal Rolling loam feet feet wel Steep slope clay 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: minute j)er 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 tankand leach held for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: -gj:�gallon'(min. size 1,000 gal.) Tile Field: each trench ft. „Total System Length: ft. Seepage Pit(s): number of. size of each: _fl:by .f Size of Stone to be used: # / depth or thickness feet �� `S Bed System Size: 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 F R RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 ofthe Code ofthe Town of Queensbury, any permit or approval granted which is based upou 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 Queenisbury Sanitary Sewage Disposal Ordinance: ig atu of responsible person Date' COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC� Main Office 176 Igoe Run Road- Manheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL (a f`` hoardNo' ert. N 67665 Cut-in and No. Panel �o ► 1►/f11f/f ii►ifiitrfrufMl t , ITIN , '�*T'���tit/tfnitt itiirlilrfrifHllilirtitru�►rliftiaffilfiiifflllYlfif111i1p1►11!!!#fauq►fifl/1/►flai►flfefiuuifi1111i1i111g11H111M!!t!/!4i► 111Na�lilffltl111 Locationffi MiM?,, 1►iltf►t►►rf►itif/litiffff/liffoftff/tffiffltooI#000ff/1/►►►601#01ffflfififfifi►lilt,ilfi►f111//ftfifftfiltt►106#11#1011se fltf//itll/ttIMC Installation Consisting of.11//f1!!►Iitf► fitfiffftil//f/11 ii1///if tftliiif/lilt/if lit ttf/uilf lflti►Niti►�it i11 i1/ftf f/f/iiilff lef Iff/lffgNllif/f fiNffoilfl Bill N//fNl//Hi11ii•fH1t1g1if!!f1li+!/tffffllHffiftfr111111IffffltitifNf!!1►Ili/iiililtllif►►llfHfifNiffi►ifffflffiitif/flfltf;lllllf!►fffff/1NIIft1�/f►►i//life 111iif►l►►If►►fllf/ifflf11111ii1ii!!1fl111l F►Ill MNifftmi1f11fffflf+Iffllf/fff111111114f11 H1f111 if1/f►ffil/f/fl tffflffi1f11/f lil ifiifi11f1►f�f1i111/f lifiillffiff ll�it/f►/II Nfi f No. Installed yifliiftl//f►i ififff ifI//lififflfHl1tffltf1 11f11ltf1ffiffifif///ifl/fifiliifll//fiiii,,Lief i�ff{t1///Hffiii/fNf#/IIf1f/IMIffIf1/1/}#}ff�il The conditions following governed the issuance of this certificate, and any certificate previously issued is cancelled;This certificate only covers the electrical equipment and installation conditions as of date, [upon the introduction of additional equipment or alterations, application shall he promptly made for inspection, Inspectors of this Company shall have the privilege of raking inspections at any time, and if its rules are violated, the Company shall have the right to rev a thi ce ificatef oel01 ILA VV Date,,,,,,,,,I list t04161l61441$041400 0 ffii„1#1111fif/ INSPECTOR ,,,,,,,Wo too 1tt11! tl►ts114/4f/6664►i Ito 616 fif f if too lfttif 166►iifi/1i1t1ii 1 stol#too►►ftif 1 V ,CEt/E1 4CaV740Zr pro 111,1 x,e —z 4L141T1_ 7 ��i'/Lz.rW4ey4 �, STONEG.9TE G _7_1L OAT- �L I� ) STEPS 12" 0,C MAX. f SASE UWT ,4•- 0" I.D. Manhole Sections 1Y0, I T� �30X Z, PTX0W 9 O G0� RECEP 24" I.D. OA 30" I.D. MAY 14 20GO OPN{� 6 ' TOWN OF QUEENbr BUILDING AND Coos � ` COVER (NON -TRAFFIC) 1107 LBS .T 1. Two percolation tests were conducted on Apri 218, 2000. The results were as follows: a. Pere test #1 Hole depth 26" Pere rate lain-20sec/inch b. Pere test #2 Hole depth 24" Pere rate Imin-30sec/inch _- Avera e Pere rate = lnin-25see/inch Soil: Top 3"-4" dark sandy loam. Balance to bottom of hole .hard -packed yellow sand with no stones. Terrain in area of absorption bed is flat. ' 2. A 3-bedroom residence with a percolation rate of lmin-25sec per inch and an effluent rate of 4SO GPD max. will require. 474 sq. ft. of absorption bAd. The absorption bed fpr this residenee is designed as 15ft. by 32ft. with three (3),.4" dia. perf pipe laterals spaced 5ft. O.C. with ends capped.. The existing septic tank will be used , instead of a new 006 as outlined on sheet #2 of these plans, and will feed into a new 4ft. I.D. concrete manhole bAm& unit with concrete cover (with 24" access to tank). An effluent pump, with level controls and � "trilth level" alarm, will be 3Ls4].led in this ohawber. pet dose thrq ,` a , I $%2" - w f s -yet -ibis eti by fens PiVe to the "D" box at the new absorption bed. No garbage disposal system should be connected to this septic system. 3• The well for this residence and the well for the a ,joining residence will be Just over looft. from the absorption bed. 4. The septic tank should be Dumped out prior to start-up o -f the new system U�timum intervals thereafter to prevent olids to the - new bed system. The new mp tank should he of pre -cast 5. concreted manufactured by the Fort Miller` Company o"S 6. No heavy vehicular loads or other equipment should be allowed in the area of'the absorption bed. 1�Q QgFESS1pN,� �CS�t�,� �ONTgO � F i ca 37479 ocTNf 51)Slo r WHIJAM EL CQML'M-GRio ©,1`? yam; N19 T v r4 R L DSO / L. 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