INSPECTION WORKSHEET 05072024
INSPECTION WORKSHEET
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number: PT-0719-2023 Case Module: Permit
Inspection Date: May 07, 2024 Inspection Status: Passed
Inspector: Charles Dyer Inspection Type: Property Transfer
Job Address: 113 BIRDSALL RD
, Parcel Number: 289.17-1-40
Contact Type Company Name Name
Primary Owner N/A MAUREEN VALENTI
Checklist Item
Status
Building Inspector notes
PASS
Weather
sunnny
PASS
Temperature (Fahrenheit)
65
PASS
Test each fixture flow to septic tank
PASS
Whirlpool tub, add 250 gallons
N/O
Garbage grinder, add 250 gallons
N/O
Leaking water fixtures
N/O
Stormwater
N/O
Sump pumps
N/O
Foundation drains
N/O
Roof gutters don't discharge over leach
field
N/O
Roof runoff
N/O
Other
N/O
Plumbing fixtures tested and confirmed
PASS
Septic tank; include number of tanks
one
PASS
Concrete tank
PASS
Access riser; if yes, what is depth to
cover
N/O
Depth below grade to top of tank
8”
PASS
Tank cover
concrete
PASS
Septic outlet cover extension, required 12
inches or more below grade
N/O
Pump station extension, required 12
inches or more below grade
N/O
Septic inlet cover extension, required 12
inches or more below grade
N/O
Inlet baffle
PASS
Outlet baffle
PASS
Effluent filter
N/O
Liquid level at, above or below discharge
invert
at
PASS
Number of tank compartments
N/O
Visible scum layer
PASS
Main tank cleanout size and location
20 ”
PASS
Capacity in gallons
1250
PASS
Water tight tank
PASS
Evidence of a pipe bypassing the tank
N/O
Is the tank being pumped more than 4x a
year
N/O
Ejector or grinder pump sealed
PASS
Does the pumps appear to be operating
properly
PASS
Is there a high water alarm
PASS
Are both switch and alarm operable
PASS
Is there evidence of surface water
infiltrating
N/O
Are there any obvious electrical
shortcomings
N/O
D-box material: concrete or plastic
new concrete
PASS
Baffle and d-box or 45 degree angle
PASS
Cracked, corroded or deformed
N/O
Speed levers in d-box
PASS
Solids in d-box
N/O
Evidence of liquid above outlet inverts
N/O
Sump pump not connected to septic
system
N/O
Water softener not connected to septic
system
N/O
Surface discharge; if yes, to where
N/O
Absorption field
PASS
Absorption bed
5 lines @ 50 ft
N/O
Weather, lack of information,
inaccessibility
N/O
System appears to have functioned
adequately
PASS
System appears undersized or have
undersized components
N/O
System or components are unacceptable
N/O
No treatment tank or other critical
components
N/O
As built provided is accurate
PASS
On site as built required before inspection
is complete
PASS
Evidence of prolonged high liquid level
N/O
System passes all function testing
PASS
Charles Dyer
Code Enforcement Officer