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2011-557 IA � TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 ��� Q rY Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110557 Date Issued: Monday, March 26, 2012 This is to certify that work requested to be done as shown by Permit Number P20110557 has been completed. Tax Map Number: 523400-227-013-0002-022-000-0000 Location: 39 ROCKHURST Rd Owner: JOHN & MARION DE MARCO Applicant: JOHN & MARION DE MARCO 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 (- 414P 0/ 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&Code Enforcement Planning Board or Zoning Board of Appeals. elaki TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 t4r0 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110557 Application Number: A20110557 Tax Map No: 523400-227-013-0002-022-000-0000 Permission is hereby granted to: JOHN&MARION DE MARCO For property located at: 39 ROCKHURST 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 &MARION DE MARCO Septic Alteration Residential PO BOX 264 Total Value CLEVERDALE,NY 12820 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-557 septic alteration residential $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,November 04,2012 (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 Ttiueens ryvi�t November 04,2011 SIGNED BY41) for the Town of Queensbury. Director of Building&Code Enforcement • Vii' �e. Community Development Office Town of Queensbury • 742 Bay Road • Queensbury, New York •12. i - Office Use Only ar,6-' 2i:7- -z -2Z _1 I -S'S?- TAX MAP NO. PERMIT NO. PERMIT FEE APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM ERMIT: A PERMIT MUST BE OBTAINED BEFOR WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW ORE ISSUANCE A VALID/PERMIT. OWNER: J� n j� ,y Irn'��5�� �/���c v INSTALLER: JJij-__ -EA-- (�..2✓1 t t ADDRESS: Li 1 RIO Ck h OA-Sr- `J-- ADDRESS: P C. .." .j 12-Y((�� 2-Yi 6 F PHONE NOS. 10.5-i: '' 9 3 ' PH E NO 7 gi- 6 Rro LOCATION OF INSTALLATION:_ 3? _Ri°l or-S RESIDENCE INFORMATION: YEAR BUILT NO.OF x COMPUTATION = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRIN,pRi'2J 1980 or older X 150 = INSTALLED? 1.N 1981 -1991 X 130 = SPA OR HOT TUB i 94) 1992-present X 110 = INSTALLED?__ V PARCEL INFORMATION: I ` 1A1 r44Nks ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE / %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL 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: GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: ❑ABSORPTION FIELD(WITH NO. 2 STONE) Total length ft. Each trench X ❑ SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size? ❑ALTERNATIVE SYSTEM Bed or other type? MOLDING TANK SYSTEM Total required capacity?�ba� Tank size?ZOOS Number of tanks? 3 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 hav- -ad the re. _ 'ons with resect to this application and agree to side by t'ese an. .11 r .uirem- i� of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sani ary -.-wag- -'.i... :I Or' ' nce. codes(cilgueensburv.net %4 If( i( VISIT OUR WEBSITE FOR MORE INFORMATION Si • .ture of—Pers•n Responsible Date www.queensbury.net Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/ m Depart: \.y) am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: L NAME: E'N1enrc<D PERMIT NO.: / _5 LOCATION: -39 RoC1k hrtkl- INSPECT ON: 00111 RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/Clay Type of Water: Mur' ipa Well Water Waterlinepeparat ,n distance ft. Weir separatio distance ft. Oth= wells: I ft. Well Casing Length 5i' +/ - 13- N N/A Absorption Field: Total len• h ft. c:k) Length of each trencDepth of trenches ft. f7L ( ..>J Size of Stone ,� }� Seepage Pits: Number `� Size: x44(2Htrz:0201,7_,<. Stone Size: Piping e Type --�" Building to tank ^e----'"-�~�. Tank to Distribution Box -------- Distribution Box to Field/ Pit l Opening Sealed: Y_N End Cap Y^N IN Inlet/Outlet Pipes&Baffles Y N Location/ Separations • Foundation to tank ft. Foundation to abs rptio ft. Separation f P' ft. Conforms as per Plo P n Y N .; Engineer Report and As- uilt Y N Location of System on Property: Front ar Left Side Right Side Middle Front Middle Rear Af - -a Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-0LD\Building&Codes\Inspection Forms\Septic Inspection Report.doc c)6 / / -5-5-1? NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury, NY 12804 Phone-518-745-4400 Fax -518-792-851 December 5, 2011 Pro'ect# 49333 Dave Hatin E Yrr E Code Enforcement Officer u 1/ Town of Queensbury 742 Bay Road Queensbury,NY 12804 TOWN OF QUEFNSBURY BUILDING & CODES Re: DeMarco—39 Rockhurst Road—Holding Tank System Dear Dave: This letter is to inform you that we inspected the completed holding tank system for 39 Rockhurst Road in the Town of Queensbury on November 9, 2011. The holding tank system as installed was for the existing 2 bedroom cottage and marina facility. The holding tank system consisted of a three (3) 2,000 gallon holding tanks. The system conforms to the requirements of the approved holding tank system design. Please call me if you have any questions. Sincerely, Thomas R. Center Jr, P.E. Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm part: (22.,_am/pm 742 Bay Rd., Queensbury,' ANY 12804 Inspector's Initials: NAME: A'''-11'0 PERMIT NO.: 11— LOCATION: 2 V'tX1'1. INSPECT ON: 117811 RECHECK: Comments and/or diagram Soil Type: Sand/ L• • /Clay Type of Water: Municipal/ ell Water •` Waterline separati•n di•t r nce ft. Well separat •n di r nce ft. • • -r -1Is: ft. Well Casing Leng• 50' /- Y_N NIA [150'to well repuired if 0] a/ vo t - V 4" Absorption Field Total len'th ft. A4-44\44M. a<l Length f each tre h ` ft. De hof trench- ft. Size of Sto a / _ _ Seepag Pits: Num. r 1/ ( f - "v't-�t Slz= Stone Size <3,f`C-�Tai- Piping size Type r,),(2 e �, F `c3-12-71 Building to tank Tank to Distri tion Box -----7--_ Distribution Box to field/ Pit / Opening Sealed: Y N5C(. 2 nd Cap /Y N 0-vv4-0 Inlet/Outlet Pipes Baffles : Y N Manholes 12"or less below grade /Y N [provide extension collar\if Yes]/ Y N i Location/ Separ atio Foundation to to k - . Foundation to abs4 on . Separation bf its - Conforms as per P I Plan w Y Engineer Report and As-Built Y N ETU Maintenance Contract _Y N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear tem - S.t A...,.:_ - V •artial A••L• -, and needs to be re-inspected, please call the Building&Codes Office 10 .pproved L:\Pam Whiting\2010\Buiiding Codes Forms\Inspectlon Forms\Sepdc Inspection ReporL03 2910.doc r 1- Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: I l /3° il Queensbury Building&Code Enforcement Arrive: am/pm Depart: /pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: s JCi.f-)- ().Attu -c PERMTr NO.: o2b LOCATION: it'? kL,{_.1,.1,,rS( INSPECT ON: t SI . -, RECHECK: i-t`l ,1 `-ir 1A-4--) (501 Comments and/or diagram Soil Type• nd oam/Clay Type of Water: M pal/Well Water _ Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/ - Y N N/A i] [150'to well required if NO] Absorption Field: Total length ft. Length of each trench ft. 3 .4 Depth of trenches ft. 02,() Size of Stone Seepage Pits: Number t. S(v y '7--5 Size: x Stone Size: V .1`.AV5 -- Piping Size Type Building to tank 4(k - ,`€ Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y N End Cap YT� C-/ C.- t. � �� Inlet/Outlet Pipes&Baffles � N ,,Zr Manholes 12"or less below grade _ I, . J [provide extension collar if Yes] _N17 / --- Location/Separations .— Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y Engineer Report and As-Built _Y N ETU Maintenance Contract _Y N provided Location of System on 'pe : Front Rear Left Si Right Side Middle Front Middle Rear ternU - .t 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 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No.. .......:>: ...�>:�..... ......CertN° . � 2 0 2 5 4 Cut-in Card No..................................... Owner....................... 1.:� ? . i .......... ...................................................................... Location.................. .. f. $u>�f<-.F .t.a.e.......... . ................. .t =c .�'�. ............... Installation Consisting of........ ....../...v..rr ...... c x................................................ ............................................................................................................................................. . ............................................................................................................................................... Installed By....... =. . t. . .&-........ ✓:.1iY.d. ....................Lic.No................................................... 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 be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its rules are violated,the Company shall have the right to revoke this certificate. f�.` ........... INSPECTOR Date.......... ....... ...... .......... .... .. .:.. .................... ........ . .!' Member N.F.P.A.,I.A.E.I.