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1990-471 • r- - •i - - _ a. ...:!i - -ice - . ., a_-i ra'-. ,4 '1 : ,,.ta 7 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date all i J In 19• q3 n _ This is to certify that work requested to be done as shown by Permit No 90-471 has been completed. -.This structure,may be occupied as a sewage alteration-.This , LocationBox 565 Palmer Drive '37 • CHRISTIAN J. & MARGARET G. REINHARDT Owner By Order Town Board TOWN OF QUEENSBURY .Y Director of Bldg. & Code Enforcement FA BUILDING PERMIT TOWN OF QUEENSBURY 90-471 No. WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to CHRISTIAN J. & MARGARET G. REINHARDT Box 565 Palmer Drive a' OWNER of property located at Street, Road or Ave. in the Town of Queensbury,To Construct or place a Sewage 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 Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is RD#4 Box 565 Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name a Reliable Sewer Service v,' 3. CONTRACTOR or BUILDER'S Address 0-1 la) 4. ARCHITECT'S Name Ot? •s O 5. ARCHITECT'S Address 0 cn 6. TYPE of Construction— (Please indicate by X) ; rn ( 1 Wood Frame ( I Masonry ( I Steel ( ) 7. PLANS and Specifications No. Sewage alteration 1000 gallon tank with 135 feet of tile field and #2 stone at t7 24-30 inches as per plot plan, specifications and application, and inCD 8. Proposed Use eomplicalc+✓ with Vdricntce # 8-90. Sewage alteration Cl) CD ro $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 19 19 92 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C1 town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 19th Day of July 19 90 SIGNED BY for the Town of Queensbury Building and Z ni Inspector /��►,� TOWN OF QUEENSBURY C,� 1W `o� s � j /44_ /-/6 APPLICATION FOR SEPTIC DISPOSAL PERMIT LS DATE: 7/17/90 181990 LOCATION OF PROPERTY FOR INSTALLATION Palmer Drive, QueensburyJUL CLAit Owner's Name: Christian J. & Margaret G. Reinhardt Address: Box 565, Route #4, Queensbury, N.Y. 12804 Installer' s Name: Reliable Sewer Service Telephone: 792-2415 Number of bedrooms (residential only) 2 Total daily flow (compute @ 150 gal per bedroom) 300 gals. Topography: Circle one: Flat . Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Ground Water: At what depth? 20 Feet Bedrock or Impervious Material : At what depth? None Feet Percolation test: Circle one: not requires required 1114-V"C-1- Rate - Min. Per Inch ;44-4dc �J Domestic water supply: Circle one: Municipal 4211 Other ,a- Cktil GJ If domestic water supply is a. well : -127iG ' ; Separation: Water supply from any septic absorption 42 feet.. PROPOSED SYSTEM: Septic Tank 1,000 gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench 45 feet/Total system length 13 5 feet SEEPAGE PIT(S): Number, of /Size each feet by feet Size of stone to be used #: 2 /Depth or Thickness 24" - 30" feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alarm system and associated electrical work to be inspected by an approved agency. I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF. RESPONSIBLE PERSON: C ` -0 DATE: ✓'/' 2 1 Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted co the Building Department at least 24 hours before start of construction and shall include a plot plan shoving: 1.) the proposed location- of the system 2.) location and distance co lot lines 3.) location and distance co structures 4.) location and distance co any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywalls B. Nu system shall be covered before inspection and approval by the Building Inspuccor. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure co produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installs— . tion, alteration or repair of an approved system, a new proposal must • big submitted co the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 R,:marks: . PROCEDURE CSFP 502 • 9/15/83 • TL 83-5 SPECIFIC WAIVER Attachment 1 ..:;- Fram Requirements of Part 75 (NYS Sanitary Code)for , rU1j•. Individual Household Sewage Disposal Systems J!. i L- n 9 ,AAA(.. 1_O 1990 GENERAL INFORMATION (Applicant Complete) JILDING & CODE. D EF 3 Name of.Applicant: Reinhardt . Christian • - Last Name First H.I. • Address: Palmer Drive Queensbury New York 12804 No. Street City/Tcwn State Zip Site Location: Palmer Drive Queensbury Warren 12804 No. Street • Citv/Town • County tip • (APPLICANT - DO NOT WRITE BELOW THIS LINE) 1. REASON WHY SITE DOES NOT MEET PART 75 OF NYS SANITARY CODE: (check appropriate box(s)) • (i7 Separation distance cannot be achieved. • p Excessive slope. Q High groundwater. • C=i Inadequate depth to bedrock or impermeable layer. p Soil unsuitable. Other (explain) • However, existing system also fails to meet separation distances. • Owner -(Reinhardt) and neighbor (Daley) accept. that new system will .be less than 100' from their wells. • - 2. PPOrOSED DESIGN OR CONDITIONS OF WAIVER: • • • • • 3. THE PROP'SED DESIGN MAY HAVE THE FOLLOWING LIMITATIONS• (check appropriate box (s)) • I Increased.risk of well or spring contamination. C=1 Increased risk of surface water contamination. C=I Increased risk of inadequately treated sewage on the ground surface. Ctl Expected design life of the system will be diminished. Q Operation of sewage system is subject.to mechanical problems. • p Other (explain) • • • • CIAdditional Information Attached . Construction pursuant to-this waiver request should not pose any foreseeable health or environmental nroblems. In accordance with New York State Department of Health Administrative Rules and Regulations, Part 75.6 (b), a waiver is hereby granted. This waiver may be revoked by the issuing official for a change in conditions for which this waiver was granted. ORIGINAL - Local Health Anencv ee cm C 1 - Applicant add, /Jl�/ ��/7� COPY 2 - Bureau of Community . Dist ct Engineer o County-lalth"/ir.inistrator/Date Sanitation !, Safety BEN-152 793-3893 0' TOM OF QUEEIlSBURY BUILDING & CODE EIFORCE&EF T �' 531 Bay Road ./21 ` ut Queensbury MY 12804 f1/4 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION 777V,K i r- t)z's& Name C?IiS/ i- ( ..,• ) Locati on, 5y , .5(z, -- 4,/.4, e 4 Date 7/6,k3 Permit # 9& .-417/ V SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTICC FIELD: Total Length ' Length of each trench / Depth of trenches /' Size of stone / SEEPAGE PITS: Number' / Size - ft. x/ fto Stone size PIPING: Si3,e Type Bldg. to Tank ( I Tank to Dist. Box / Dist. Box to Field/pit Openings Sealed? 1Ye No Partial LOCATIv/SEPARATIONS: Foundation to Tank feet Foundation to Abs p',tion feet Separation of Pi -s _ feet Conforms as per lot? Plan Yes No LOCATION OF S TEM ON PROPERTY: (circle one)// Front - Reams - Left Side - Right Side Middle Frr�fit - Middle Rear COMMENTS 7 k•KVC :IV L‘ DI" , SYSTEM USE APPROVED: YES NO Arrived: Departed: .14Building Ir e� ' Y • Joan o/" Queenibury . BUILDING and ZONING DEPARTMENT Bay and Haviland Road,.R.D. 1 Box 98 Queensbury, New York 12801 4. SEPTIC DISPOSAL SYSTEM INSPECTION NAME .c,eri_a LOCATION. A n , ,, , 4,5-45- DATEffi,09/fi// flJ PERMIT NO. 90 - 7/ SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench ' Depth of trenches r' Size of gravel 7 _ SEEPAGE PITS{Number of) ' / Size- ft. X ft. Gravel size . PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit ,` ' Openings sealed? YES t NO Partial LOCATION/SEPARATIONS: Foundation to tank P ft. •Foundation to absorption ft. Absorption to lot lime ft. Separation of pits ` ft. LOCATION OF. SYSTEM/ON PROPERTY(circle one) Front - Rear - Left side - Right side - ' COMMENTS:. / ? D /•Ili ft ivoLC lk(15a le—*4-Ca 4411 1) ra A/Z,. ,� SYSTEM USE APPROVED S N ildin In ector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT f REQUEST FOR INSPECTION RECEIVED / �) NAME N i f\1'\G\--\ lt1 S t i rri o') LOCATION }( 57/6 VC`ni\PnT - DATE C3,0 ! PERMIT # 90 ---- 7/ TYPE OF STRUCTURE c. Yr RECHECK i APPROVED N/A YES: NO FOOTINGS/PIERS MONOLITHIC POUR FORM r" REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE, / PLUMBING UNDER SLAB / FRAMING: / JACK STUDS/HEADERS • BRACING/BRIDGING / JOIST HANGERS / JACK POSTS/MAIN BEAM / HEATING ROUGH-IN / INSULATION: / FOUNDATION WALLS INTEF'IOR R- FOUNDATION WALLS EXTERIOR R- FLOORS / R- 'a WALLS J R- CEILING / R- DUCT WORK OR PIPING' IN UNHEATED; SPACES kl REMARKS: M.ic--ram (7(7S i O �►r � n S-01-1C LAOE• TO ) ©(J2- \Too S P -(2-( 6 ARRIVE 2: DEPART 2:-j-C // INSPECT R :own o/ Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R •. 1 Box 98 Que-nsbury,'New Yo 1 12801 SEPTIC D ;SPOSAL SYST INSPECTION NAME vl k I4C4N--62.-0 t LOCATION \--) M rGR_ y(i\ .0 DATE 7 /2of; PERMIT a--;°/-4-'1 SOIL TYPE - Sa - Loa i` - Clay - Percolation Te Requi;ed? YES - 14;10, Percolation rat'- - Mi Inch TYPE of SYSTEM: Absorption field to f:l length -3J Length of each t enc u L- �! Depth of trenche 4= _.7 Size of gravel SEEPAGE PITS4Numb-r •r) Size- - 111ft. G _- - size PIPING: Size ype Bldg. to tank ci Pff(_ Tank to dist. box Dist. box to fiel. nit d( _ Openings sealed? S NO Partial LOCATION/SEPARAT Foundation to ta `k ft Foundation to abLorpt%on' f Absorption to 1.. lin_\ ft. Separation of p is :4/4ft. LOCATION • SYS EM ON '',,•OPERTY 'rcle one) Front - - eft sid': - '•ht sid, - COMMENTS: OVZ A—cz /U0 t a; N A/LC. 663 O 1 4-0 v IG rc SYSTEM US APPROVED Y S •1 to: / Bu lding I Is.,-ctor 01/86 and vl • • C .J .&M.G• REINHARDT PALMER DRIVE 0 , :-., • UDii M 1_,. WI !I .J • `JUL 1 R 1gQn "v LOT / / �i I1LD1. 1r L Cx/S TGr 3,<, v" + A.., o /2.�v iP/A-/ -1 . ‘ -v... 4 . 1 4 . ::., . . \ • 414i 6 . - ' Q. I4 S. ,ijI C IFZ ° t \ . " .4- ? ai - i : " :if xcl •7 . 4 c• Nt., k, o NI • •�L:1*---1 • �� 1 CI O --, zas,44, I • . I 0;4 illiht: 41 C :, T, _r•y oz , I ru 0 °' t . C NA 1 y__ a o -- REPvr Lo r G/Ne /4-090°Itax . - /o •Z . . \ I =• L o T NU , -# • 3