2006-289 TOWN OFQ UEENSBURY
Iwo 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20060289 Date Issued: Wednesday, January 09, 2008
This is to certify that work requested to be done as shown by Permit Number P20060289
has been completed.
Tax Map Number. 523400-239-008-0001-004-000-0000
Location: 32 RUSSELL HARRIS Rd
Owner: JOHN & SANDRA LAMBRECHTS
Applicant: JOHN & SANDRA LAMBRECHTS
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
(-:,,DariP ,property owner of the responsibility for compliance with Site Plan, 1/
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code nforc' ent
Planning Board or Zoning Board of Appeals.
AA, TOWN OF QUEENSBURY
'4742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FAT 1
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060289 Application Number. A20060289
Tax Map No: 523400-239-008-0001-004-000-0000
Permission is hereby granted to: JOHN & SANDRA LAMBRECHTS
For property located at: 32 RUSSELL HARRIS Rd
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: JOHN & SANDRA LAMBRECHTS
35 POND VIEW Rd Septic Alteration Residential
HOLLISTON, MA 01746-0000 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-289
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,June 07, 2007
(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 Town Quee bury iire s. ne 07, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
a3� ��-I ,moi ti .
TAX MAP NO. PERMIT NO(/-e-)-R PERMIT FEE ' " MAY 0 9 2006
APPROVALS: ZONING TOWN CLERK ` TOWN OF OUEENSBURY%
•
Pi!',l nl , lr. n CODE
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT. C,,,,�
OWNER:.. VrlAla <�XU IdLka_ VY1 0(-echfS INSTALLER: N --[Er DaTo iAtt` "1)
ADDRESS: 32 tRIASSet\ 4601715 iZOO ADDRESS:
01,
PHONE NOS. I1.01(61V' t315 C e'leQ3•h734' 44. PHONE NOS.
LOCATION OF INSTALLATION:
YEAR BUILT I RESIDENCE INFORMATION:
I i BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW
GINSTAAGLLEED?ARBGR
150 gallon per bedroom INDER
1980 or older I X =
lye
1981 -1991 I I X I 130 gallon per bedroom 1 =
SPA OR HOT TUB
1992-present i 2 I X 110 gallon per bedroom =
• 220 6,A.L. INSTALLED? T4
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING �/ STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM ✓ CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH? 3�—
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL LAKE CnEcrie.c,LE
(IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. )
✓ PERCOLATION TEST: RATE IS a PER MIINUTE PER INCH (TEST TO BE
COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT)
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: I ObpGALLON (MIN, SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
✓ TOTAL SYSTEM LENGTH: FT. SEEPAGE PIT(S): HOW MANY?
✓ SIZE OF EACH FT. X FT.
✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT.
✓ BED SYSTEM SIZE: I 0/ X
✓ ALTERNATIVE SYSTEM: 131.0E LTZ,4TtoN LENGTH AND/OR SIZE A•1ZEA Z1-1`5—OF
✓ HOLDING TANK SYSTEM: (If required) NO. OF TANKS: /SIZE OF EACH
✓ GALLONS. /TOTAL CAPACITY: GAL.
sl
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
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 read the regulations with respect to this application and
agree to abide by these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL
Queensbury SaNtary,Spwage Disposal Ordinance. codes@queensburv.net
1 , ., ,��1
VISIT OUR WEBSITE FOR MORE INFORMATION
/�j',� �l 5_`�-O� www.queensburV.net
lig ature of Person Responsible Date
eitt Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
OFFICE USE ONLY r
TAX MAP NO. PERMIT NO. PERMIT FEE MAY 0 9 ZOOS
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT. Com' 1 '�
OWNER:. Jd'MI 4 0-V1��&r-`�`X11 toa C V1f5 INSTALLER: N err `(Er 1�eTesarilltkel
ADDRESS: 32 RU 5e1\ 116SiCS P0( rk. ADDRESS:
PHONE NOS. y?5e,i(1 (F—411315- C f'f P t3 X7734)14i. PHONE NOS.
LOCATION OF INSTALLATION:
RESIDENCE INFORMATION:
YEAR BUILT NO.OF I X COMPUTATION= = TOTAL DAILY FLOW
BEDROOMS GARBAGE GRINDER
: 1980 or older I I X 150 gallon per bedroom = INSTALLED? NC
1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB
1992-present i 2 j X 110 gallon per bedroom -_ INSTALLED? I4p
220 �,�,�,.
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING ✓ STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM Ne/re CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH? 3 —
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL LAKE ezorRGazy
(IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. )
✓ PERCOLATION TEST: RATE IS 8 PER MIINUTE PER INCH (TEST TO BE
COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT)
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: I0040GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
✓ TOTAL SYSTEM LENGTH: FT. SEEPAGE PIT(S): HOW MANY?
✓ SIZE OF EACH FT. X FT.
✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT.
✓ BED SYSTEM SIZE: I O X "�t:::)1 +
✓ ALTERNATIVE SYSTEM: �toF LT1ZATioiy LENGTH AND/OR SIZE AREA ocF Z�`�•
Vi=
� � fit=
✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH
✓ GALLONS. /TOTAL CAPACITY: GAL.
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY, PLEASE REVIEW LIST PROVIDED.
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 read the regulations with respect to this application and
agree to abide by these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL
Queensbury sanitary S wage Disposal Ordinance. codes@queensburv.net
� 1 . 4it/l UGIL
VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
ature of Person Responsible Date
° i, Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Septic Inspection Report
Office No. (518) 761-8256 Date In 'on r received:
Queensbury Building &Code Enforcement Arrive: ')am/p Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspect is Initials:
NAME: "- C j- PERMIT NO.: 06 4- mei q
LOCATION: i`ti5.16-et- bjk.R\5 I O INSPECT ON: lJEZ ILL
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
Seepage Pits: Number
Size:
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 absorptionft.
Separation of Pits y 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 Middle Rear
s -m U - tat 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
Septic Inspection Report
Office No. (518) 761-8256 Date In ` 'oequest received:
Queensbury Building &Code Enforcement Arrive:( m/p a rt: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's
NAME: 4-4 2 NG f'-7~ PERMIT NO.: e9 6 _ *2-q67
LOCATION: h'5 L c G(11i6 INSPECT ON: 7/7-i0e-e
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam/ Clay / 0 �
Type of Water: Municipal/Well Water -
F
Waterline separation distance ft.
Well separation distance ft. f L;1SF. I b J 1" hS 1/`J
Other wells: ft.
Absorption Field: Total lengthft. f
Length of each trench ft.
Depth of trenches __— __ft.
Size of StoneG�C� ����✓ Iv v •i< �L//3
Seepage Pits: Number
Size:
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 /1���'G
Engineer Report and As-Built ✓ Y—N to eo,/ 6�G ,Tl
Location of System on Property:
Front Rear Left Side Right Sire RcsA ri
Middle Front Middle Rear
System Use Status:
/Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
3 :
Septic Inspection Report
Office No. (518) 761-8256 Date Ins ion 3questlreceived:
Queensbury Building &Code Enforcement Arrive: am/p�r�'- ' (part: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspecto s itials: �t pm
NAME:
�.-A L &2C-C-E`'t! PERMIT NO.: D .i' I `5 z `-' 1
LOCATION: �Z ��EiS�'z-(-- it}''z12' Rio . INSPECT ON: 2�
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. i�'.� 12,i7.05
Absorption Field: Total length _______ .ft.
Length of each trench ft.
Depth of trenches —ft. -6:,06, Sv�
Size of Stone
Seepage Pits: Number
Size: x_ )
Stone Size:
Piping Sp, , Type
Building to tank 2 _ ,/<
Tank to Distribution Box y or2-
Distribution Boxfield/ Pit
Opening Sealed: 'Y N/ Partial
End Cap
Inlet/Outlet Pipes&Baffles 7Y N
Location/ Separations /2%/C JL"A-) f V' # iA'i1 4f °i 1 k`-
Foundation to tank ft.
Foundation to absorption ft. ,V,-L e C--<- .. '`Z7/d CQ "J6
Separation of Pits ft. /
Conforms as per Plot Plan —
Y
Engineer Report and As-Built �.Y N �l I. . t IN(�� .4,c) 4,5,5(/,-L
Location of System n Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Status:
r i
Partialal Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
011
RESOLUTION APPROVING JOHN AND SANDRA LAMBRECHTS'
APPLICATION FOR SANITARY SEWAGE DISPOSAL VARIANCES
RESOLUTION NO.: 12,2006 BOH
INTRODUCED BY: Mr.John Strough
WHO MOVED ITS ADOPTION
SECONDED BY: Mr. Tim Brewer
WHEREAS, John and Sandra Lambrechts applied to the Town of Queensbury Local Board
of Health for variances from Chapter 136 to install:
1. a septic tank and pump pit five feet(5')from the dwelling instead of the required ten
feet(10') setback;
2. a force main four feet (4') from the property line instead of the required ten feet
(10') setback; and
3. an absorption field three feet (3') from the property line (Road Row) instead of the
required ten feet(10')setback;
on property located at 32 Russell Harris Road in the Town of Queensbury, and
WHEREAS, the Town Clerk's Office published the Notice of Public Hearing in the Town's
official newspaper and the Local Board of Health conducted a public hearing concerning the
variance requests on June 5th, 2006, and
WHEREAS, the Town Clerk's Office has advised that it duly notified all property owners
within 500 feet of the subject property,
NOW,THEREFORE, BE IT
RESOLVED,that
1. due to the nature of the variances, the Local Board of Health determines that the
variances would not be materially detrimental to the purposes and objectives of this
Ordinance or other adjoining properties nor otherwise conflict with the purpose and
objectives of any Town plan or policy; and
2. the Local Board of Health finds that the granting of the variances is necessary for the
reasonable use of the land and is the minimum variances which would alleviate the
specific unnecessary hardship found by the Local Board of Health to affect the
applicants; and
BE IT FURTHER,
RESOLVED, that the Local Board of Health hereby approves the application of John and
Sandra Lambrechts for variances from the Sewage Disposal Ordinance to install:
1. a septic tank and pump pit five feet (5') from the dwelling instead of the required ten
feet(10')setback;
2. a force main four feet (4') from the property line instead of the required ten feet (10')
setback; and
3. an absorption field three feet (3') from the property line (Road Row) instead of the
required ten feet(10') setback;
on property located at 32 Russell Harris Road in the Town of Queensbury and bearing Tax Map
No.: 239.08-1-4.
Duly adopted this 5th day of June, 2006,by the following vote:
AYES : Mr. Boor,Mr. Sanford, Mr. Strough, Mr. Brewer,Mr. Stec
NOES : None
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