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2011-005 ..0111%4 TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 Qu �Y� Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20110005 Date Issued: Wednesday, January 12, 2011 This is to certify that work requested to be done as shown by Permit Number P20110005 has been completed. Tax Map Number. 523400-302-005-0001-063-000-0000 Location: 23 GREENWAY NORTH Owner. TRENT & TARA SANO Applicant TRENT & TARA SANO 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 � ' 4 ; 4 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&Codenfotte rent 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: P20110005 Application Number. A20110005 Tax Map No: 523400-302-005-0001-063-000-0000 Permission is hereby granted to: TRENT&TARA SANO For property located at: 23 GREENWAY NORTH 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: TRENT&TARA SANO Septic Alteration Residential 23 GREENWAY NORTH Total Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency IBS SEPTIC & DRAIN ATTN: IVAN BELL 2 LOWER WARREN St QUEENSBURY, NY 12804 Plans &Specifications 2011-005 septic alteration residential $40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,January 11, 2012 (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 Tow.(1 of Queensbury; /l Tuesday;ianuary 11, 2011 SIGNED BY �-' �� v ✓ for the Town of Queensbury. Director of Building&Code Enforcement Revised 4/14/2010 OFFICE USE ONLY ---. oZ. S -/-6 , TAX NO. `' PERMIT NO. l�� �DJ PERMIT FEE iii. • rp ((T1 Jiv I /� 7 fl i •. • 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. 0 ^^^^^^���� / OWNER: CCA/ ( R INSTALLER: ,13. S J c (j0/z e ' ADDRESS: # {9--- 63 "Cr4' LL.FCJ .r,i/©/'/ 2ADDRESS: d r/(pL..-e ,- lG�(� /.firt( 1/ PHONE NOS. J PHONE NOS. 79b t5 / j LOCATION OF INSTALLATION: Sp"LC Ll 5 G- 60 L'[ RESIDENCE INFORMATION: NO.OF COMPUTATION YEAR BUILT X = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older 3X 150 = (�S (� INSTALLED? /1✓� 1981 -1991 X 130 = SPA OR HOT TU , 1992-present X . 110 = INSTALLED? __•C.r PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND X/ LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? /VA //�/� ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? /(J,' ` ✓ DOMESTIC WATER SUPLY: MUNICIPAL ec WELL (If well:water supply from any septic system absorption is: ft) ✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mpi] (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). TANK SIZE: MOO GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for �;i' i'$7 !/ AL each garbage grinder,spa or whirlpool tub. SYSTEM TYPE: I J 1 14BSORPTION FIELD(WITH NO.2 STONE) Total length '7).- ft. Each trench X Sn D SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? 0 ALTERNATIVE SYSTEM Bed or other type? o HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? 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 Qu nsbury QUESTIONS? CALL 761-8256 OR EMAIL Sanitary Sewage Disposal DisposalOrdin nce. /1 codes(@queensburv.net C, _ - �� / / l // VISIT OUR WEBSITE FOR MORE INF ORMATION www.queensbuynet Signatur€of Person Responsible Date Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 • Septic Inspection Re. • Office No. (518)761-8256 Date Ins on �•uest :-•-iv:,: Queensbury Building&Code Enforcement Arrive: °°�-.S, -m/p r' p part: I r DO.am ellfr 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia : ,- NAME: NAME: A t. C) PE- IT NO.: I I—00c LOCATION: 2_3 C QEE il,) .)cRT-a I =PECT ON: 1 —1 1 —1 u RECHECK: Comments and/or diagram Soil Ty.- Sand Loam/Clay Type of Water:412Egn Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absorption Field: Total length 1 ct - ft. 'e. oF• Length of each trench ft. gC) D ' V V .S) WGP1' Depth of trenches _.72:::3_,.ft. Size of Stone Z. Seepage Pits: Number Size: x _ Stone Size: Piping Size Type Building to tank E y_1yAc"Q y1' Lb Tank to Distribution Box t-{'` P QC, Distribution Box to Field/ Pit " P 1To i- Opening Sealed: N End Cap N Inlet/Outlet Pipes&Baffles ,N Manholes 12"or less below grade Y N [provide extension collar if Yes] Y N Location/ Separations Foundation to tanks ft. Foundation to absorption ft. Separation of Pits .., .ft. Conforms as per Plot Plan Y. N e0-"c- -V__AN\\--7-1 Engineer Report and As-Built ,,...,...,Y N ETU Maintenance Contract Y N provided Location of System on Property: Front Rear -f-Side fight Side Middle Front Middle Rear • J i System Use Status' AiApproved artial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved • L:\Pam , ' ! 010\Buiiding Codes Fomns\Inspection Forms\Septic Inspection Report•..03 29 10.doc in '' '-'6 ai L6-0 , .2..... ___4_(73 rl..._ t pM Septic Inspection Report Office No. (518) 761-8256 Date Inspection req .ived• .Sal.. (1, )'i Queensbury Building &Code Enforcement Arrive: L-.t.,; a . 4'D-..rt: .7- /Z.) am m 742 Bay Rd., Queensbury, NY 12804 Inspectors Initials: -A ''" NAME: —(4/CC-P._ik LL 'ER NO.: 1/ (/O5 LOCATION: --i17.. 6--f1U.LJ fA ;,i,-tk :'ECT ON: O.JAh li, -1,:/6 RECHECK: Comments and/or diagram Soil Type: _ . . ' •am/ Clay . Type of Water: Municipa . Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' +/ - Y N N/A [150'to well required if NO] c enpLAbsorption Field: Total length ft. Z =�0 t.-t iZE.6 t t,) A-A(_LF o Length of each trench ;5O ft. L c QED Depth of trenches , Z- 3,_ ft. Size of Stone Z Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Lk" y0 Tank to Distribution Box 4 "l C . Distribution Box to Field/ Pit f .-\' `G -v-o- 'EQc Opening Sealed: ✓Y' N V,A{ { End Cap ►/Y_ N Inlet/Outlet Pipes& Baffles Vyr- N Manholes 12"or less below grade VY_ N [provide extension collar if Yes] TY N Location / Separations Foundation to tank l Q ft. �4_\' o c ` Foundation to absorption ft. �1cT t N!�TtN Lt p `tE Separation of Pits / ft. Conforms as per Plot Plan ✓Y—N Engineer Report and As-Built _Y N ETU Maintenance Contract _Y_ N provided Location of System on Property: Front Rear Left Side Right S ` ide Middle FrontMiddle Rea System Use Sta s: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report_03 29 10.doc 1 1.:4)0' _ . ("( - -3 e-. .,01\ . z_____---------- tt' - / i 6 41.0.-.....mormor......... -............- ............... /e4 1 P \o e I .., • _.AJo A. ,,,,k, ') 6 . . . . -1 1,,,.„,., :_;,.,\,,... _„,„ : , '; .„ ,,,,,,,„‘,,,,4„ . -!°' I •,,.,:.. .. . :, (...:.:. C., i,si,:, •,. • C/V • i )0.• /� ••t' •G ,',•• •,1 4•' . , '� S 1 "'��� • C . . : ' , �L y z„i•(�f i �) l4 ' j �� • / ' 3 rCc Al GL' - r• ::� JP'Y 1 (' 201 /1 JlZ:ifd 31 1f��� ~~` O .i ; a 6 . iced , . .l_,,,.,.: ,... , : . -,• ,_: . iI1- . , . . • - . . . . • 1 . • . .. ........... ..., . . • • •TOWN OF QUEE B a - BUILDING & . r :''S fil 0 t .kr uA Reviewed B :i�b Date: a �S/ .. ' • / _ 4 0 6. 0 . . v ( _____,________ __ _ _ 4 11 - - - - - — - - ,f--t C, lc T , - . ...c __________ ,o, ,,,, [;) A ,,t,,_________•2 e_________________ 1 , .,,, __________________7 -. 1 Trcii SL,- •v0 Ce-A-- ck f iti . . , 6'" _ _i ?.,- JA.1 i 0 201i ') 1 16 my. / )._ , k( 4.) _! . 1 i ji L ) TOWN OF QUEE ••B • ` BUILDING & * 1 ;41E` j ,�>�-1 Reviewed B . �.!r.• I/ - �`, �.(. J Date: i1 r \r• )