Loading...
2011-510 TOWN OFQ UEENSBURY 742 Bay y Roa d,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110510 Date Issued: Wednesday, October 26, 2011 This is to certify that work requested to be done as shown by Permit Number P20110510 has been completed. Tax Map Number: 523400-227-014-0001-003-000-0000 Location: 29 HICKOK Ln Owner: CHALMERS B DEWEY IRREVOCABLE TRUST Applicant: CHALMERS B DEWEY IRREVOCABLE TRUST 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 (DL 4 ;I 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. TOWN OF QUEENSBURY .411% ON742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110510 Application Number: A20110510 Tax Map No: 523400-227-014-0001-003-000-0000 Permission is hereby granted to: CHALMERS B DEWEY IRREVOCABLE TRUST For property located at: 29 HICKOK Ln 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: CHALMERS B DEWEY IRREVOCA JULIA L. DEWEY IRREVOCABLE] Septic Alteration Residential MELISSA THAYER PAGNOTTA A: Total Value PO BOX 8 KATTSKILL BAY,NY 12844-0000 Contractor or Builder's Name/Address Electrical Inspection Agency COOKS SEPTIC NY 12804-0000 Plans&Specifications 2011-510 septic alteration residential $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, October 14,2012 (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 To eensbu t� Fr•cay October 14,2011 J. SIGNED BY c / �, � �i for the Town of Queensbury. Director of Building& ode' En.rcement 0 Community Development Office ' r Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 , Office Use Only A TAX MAP NO. Z2 7-a/" I -I -3ll—_570 PERMIT NO. PERMIT FEE4/ "s l 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. OWNER: JULIA L. DEWEY IRREVOCABLE TRUST INSTALLER: ilL' j Jl11,0,__.. 1ki ADDRESS: PO BOX 8, KATTSKILL BAY, NY 12844 ADDRESS: 194 alk(,L b ILI {V.i, LAieb5 1A,261.140:7- PHONE A, 261.NiPHONE NOS. (518) 761-0991 (H) / 656-9370 (L) PHONE NOS.C% L!jZ ,ab^ 30S LOCATION OF INSTALLATION: 29 HICKOK LANE RESIDENCE INFORMATION: NO.OF COMPUTATION YEAR BUILT X = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = INSTALLED? 1981 -1991 X 130 = SPA OR HOT TUB 1992-present 2 X 110 = 220 INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND ✓ LOAM CLAY OTHER ✓ ROCK ✓ GROUNDWATER: AT WHAT DEPTH? N/A ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? 0-6' LAKE GEORGE WATER SUPPLY ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (If well:water supply from any septic system absorption is: 52 ft) ✓ PERCOLATION TEST: RATE IS N/A PER MIINUTE PER INCH{mpij (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? !1 HOLDING TANK SYSTEM Total required capacity? 3,000 Tank size? 1,500 Number of tanks? 2 (in gallons) 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 r- sect to this application and agree to abide by th;se andquireme Af the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sanita -'`age Di s sgil :1 0 •' .n codes(BYcueensburv.net Signure e'er oj._ ......, n Responsible Date VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net affriiihrifer) /0 - /Z 7X-tiro7 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: /Z m/pm 742 Bay Rd., Qu-:•sbury, NY 12804 Inspector's Initials: ---� Il S7O NAME: _ �./ PERMIT NO.: Ar ,i) INSPECT ON: _1C: = RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well se,. . '•n distance ft. • • -r wells: ft. Well Cas' • Length s'+/ Y N N/A [150'to ell required NOi Absorptio Field: Total le • • ft. Le •th of each tre h ft. Depth of trenc , ft. Size of St• e See•••- Pits: Nu •-r ze: x Stone ize: ` Pipingtan Size 4\s°Building ��� - 1• . Tank to Distributio' :• Distribution Box to Field Pit <vO , �". �C Opening Sealed: c Y N ! 1 End Cap Iniet/Outiet Pipes&Baffles NManholes 12"or less below grade _N [provide extension collar if Yes] N Location/ Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. < � 124MJ _.� Conforms as per Plot Plan Y N Engineer Report and As-Built —Y_N ETU Maintena - •ntract Y N provided Location of • : rty: Front Rear -ft Side Right Side Middle Front Middle Rear System Use Sta : Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Fo.ms\Inspecdon Forms\Septic Inspection Repori`03 29 10.doc FINISHED LAWN AREA 4" PVC SDR— 35 MIN. SLOPE 114" PER FOOT SEAL WITH SINGLE BUYTL 01100= 017'A LANT AT TONGUE AND GROOVE JOINT TYP. LAKE IPF, 0 EORli! E I 16 7 -IM 4'-4" PRECAST CONCRETE EXTENSION TO GRADE WITH TRAFFIC RATED CAST IRON MANHOLE COVER WITH WATERTIGHT INSERT 12"f COVER MAINTAIN 2" MINIMUM DROP IN INVERTS BETWEEN INLET & OUTLET PIPES 90-00, FINISHED LAWN AREA PRECAST CONCRETE EXTENSION TO GRADE WITH TRAFFIC RATED CAST IRON MANHOLE COVER WITH WATERTIGHT INSERT EXTERIOR WEATHERPROOF JUNCTION BOX (IF NECESSARY). SEAL CONDUIT GAS TIGHT. INSTALL ALARM PANEL IN HOUSE 12"± COVER 7.1 4" PVC SDR -35 Li VENT PIPE MAXIMUM LIQUID LEVEL INSTALL FLOAT SWITCHES TO 0— OPERATE ALARM PANEL AT &— INDICATED LEVELS 6'-0"90% CAPACITY 0— (2700 40-4 80% CAPACITY WARNINGISHUTGAL) DOWN 50% CAPACITY (2400 GAL) ALARM ON Y HIGH LEVEL VER (1500 GAL) ALARM ON HIGH LEVEL 4" P v1 S 0 5� -LA-11 ALARM ON SEAifB=ZXT9R9XPT 1500 GAL PRECAST CONCRETE HEAVY DUTY HOLDING TANK 98-0. (2) - 1500 f%_3%F4L HOLDING TANKS IN SERIES DETAIL LANDS OF 7-C, AYERS j ------ HOLDING TANK SIZING LAKE ELEVATION TOWN OF QUEENSBURY REQUIRED MINIMUM HOLDING TANK CAPACITY.• 5/18/1 1 3 19.98 2 BEDROOM RESIDENCE — 3000 GAL —INSTALL (2) 1500 GAL PRECAST CONCRETE HOLDING -------- -- TANKS IN SERIES TRAFFIC RATED EXTENSION TO GRADE ON INLET SIDE OF —POTABLE WATER SUPPLY TO BE EXISTING LAKE GEORGE LAKE .... .... .... TANK (TYPICAL ON EACH TANK) WATER SUPPLY • PROPOSED 3000 GAL (2 AT •Z 49 7 —RELAY TO BE INSTALLED ON WATER PUMP CIRCUIT TO SHUT DOWN 1500 GAL) PRECAST CONCRETE 0 HEAVY DUTY HOLDING TANKS 4 9 0 WATER SUPPLY TO HOUSE WHEN ACTIVATED BY WARNING/SHUT DOWN —35 ALARM ON PANEL 4" PVC SDR CONNECTOR PIPE v 0) BETWEEN TANKS .... ...... • Cb .. .... ... .... 0 p .......... . ---- - ------ A, i II ............. . .... .. .. ......... ... ....... . ......... ---------- .............. --- -------- CRUSHED a IPFT TONE ONE STORY WOOD -'7-- Area P ING I FRAME MOUSE .21095 9t sq. ft. --------- .48 Acres R _01PF' . ...... NIZZ 60 T REPUTED LOCATION OF EXISTING SEPTIC SYSTEM RESOLUTION APPROVING SANITARY SEWAGE DISPOSAL f 4" PVC SDR -35 VENT -,E ARECON515T5 OF EXPOSED ROCK LEDGE i ......... ENTIRE A VARIANCE FOR THE JULIA L. DEWEY IRREVOCABLE TRUST 0 on.PIPE BETWEEN TANKS RESOLU`fION NO.: BOH23,2011 \9 AND SOILS 1-2'DEEP OVER ROCK LEDGE. NO AREA INTRODUCED BY: Mr. Roruda[M.ntesi —35 HOUSE SEWER, 4 PVC SDR A WITH USABLE SOILS FOR CONVENTIONAL . .......... WHO MOVED ITS ADOPTION 114" PER FT. MIN. SLOPE SECONDED BY: Mr. Anthony Metivier ............. -73 p I ABSORPTION FIELD INSTALLATION 15 AVAILABLE. WHEREAS, The Julia L. Dewey Irrevocable Trust applied to the Local Board of Health for RETAINWG.: % a variance from Chapter 136, §136-11, which requires applicants to obtain a variance for holding WALL Lan" and the applicant wishes to install two (2) 1,500 gallon holding leaks to replace the cun-cm x septa system on property located at 29 Hickok Lane in the Town ofQueensbury, and WHEREAS, the Town Clerk's Office published the Notice ofPublicHearing in the Town's I Q) Lk official newspaper and the Local Board of Health conducted a public hearing concerning the Q) variance request on Monday, July 25, 2011, and WHEREAS, the Town Clerk's Office has advised that it duly notified all property owners in M within 500 feet of the subject property, cr) 254. NOW, THEREFORE, BE IT o o RE -SOLVED, that 00 y7 1. due to the nature of variance, the Local Board of Health finds that the variance will J not be materially detrimental to the purposes and objectives of this Ordinance or other adjoining properties nor otherwise conflict with the purpose and objectives ofany'lown HOUSE plan or policy; and 2. the Local Board of Health finds that the granting of The variance is necessary for the reasonable use of the land and is the minimum varianee which would alleviate the specific unnecessary hardship found by the Local Board of Health to all= the LOCATION MAP Ao applicant; and %—#Ir lil NTS BE IT FURTHER, 35,5 ,I Board of Health hereby approves the application RESOLVED, that the Locer canon of The Julia LANDS NIF OF L. Dewey Irrevocable Trust for a variance from the Sewage Disposal Ordinance to allow 0 installation of two (2) 1,500 gallon holding tanks to replace the current septic system on property TOWN OF QUEENSBURY OEWEY I situated at 29 Hickok Lane in the Town of'Queersbury bearing Tax Map No.: 22T14 -l-3. BUILDING DEPARTMENT V Based on our limited examination, compliance Duly adopted this 251" day of July, 2011, bythefollowinp vote: with our comments shall not be construed as" indicating the plans and specifications are in TOWN OF QUEENSBURY AYES: Mr. Strough, Mr. Brewer, Mr. Stec, Mr. Metivier, Mr. Menuesi full compliance with the Building Codes of' NOES: None New York State, BUILDING A CO 9ES DH� ABSENT:Nem: SHED Reviewed Date: 0 SITE LOCATION SITE PLAN IPF V, SCALE: I"= I Or N o. 1500 GAL PRECAST CONCRETE HEAVY DUTY HOLDING TANK I,kUen, 0,Bliv6 De" Tarn Clerk 01 the Tn,,n of Ueensbury, Warren aunit, Nen yoik,dohereby cen1[yNut lhave com.paiedtt5wegouig mW the 0;q.,nal fesol,l*n 11 "111:.1111101111111�1,rlla wed day of oraBaud I I In di rain I hel, dnl - �_4"l— rimsame @ a correct — t and Owl Ike 20 �l ,h,ch a qooj�rn as Doesf Ne wbola aiginal % to date, IN WITNESS THEREOF. I have hereto set my hand and the SIA of said 0 w4 at Ifoeerstaury, IAay a:]� bt -1 20 SEA SIGNED. Mr. A P8, A— Deputy Ti*4 Clerk 10.6 of Oulle"11 HOLDING TANK NOTES ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK STATE DEPARTMENT OF HEALTH AND SHALL BE OF PRECAST CONCRETE AS MANUFACTURED BY UTOPIA ENTERPRISES OR EQUIVALENT. ALL STRUCTURES SHALL BE PLACED ON FIRM, COMPACT SAND OR GRAVEL BASE. WHERE EXISTING SOIL CONDITIONS ARE UNSUITABLE, CRUSHED STONE SHALL BE PLACED AS NECESSARY TO ACHIEVE A STABLE BASE. TANK INSTALLED IN TRAFFIC AREAS SHALL BE OF EXTRA HEAVY—DUTY CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING. ALL JOINTS MUST BE SEALED WITH WATERTIGHT SEALANT. ALARM SEQUENCE ALARM PANEL BY SJE—RHOMBUS® CONTROLS SHALL PROVIDE THE FOLLOWING MONITORING AND CONTROL FUNCTIONS. WHEN LEVEL OF TANK REACHES 50% LEVEL, AMBER LIGHT WILL INDICATE "TANK HIGH LEVEL" ON ALARM PANEL. WHEN LEVEL OF TANK REACHES 80% LEVEL, RED LIGHT WILL INDICATE "VERY HIGH LEVEL" ON ALARM PANEL. WHEN LEVEL OF TANK REACHES 90% LEVEL, BUZZER WILL SOUND AND RED LIGHT WILL FLASH, INDICATING "TANK SHUTOFF LEVEL" AND RELAY FOR THE MAIN WATER SUPPLY WILL DISABLE PUMP, DISCONTINUING WATER SUPPLY TO HOUSE. SYSTEM WILL RESET AFTER HOLDING TANKS ARE PUMPED DOWN TO BELOW THE ACTUATION LEVEL OF "HIGH LEVEL" ALARM SWITCHES. LANDS WF A YEK5 G, alAa MeS ana1iaq j()'POA19sUr , , l�G a_ r.e' E.�n 06 2011 r Irl ,j . WN �7h7'(?U_E_EN_SE3U BUILDING 9 ronr:Q MAP REFERENCE: BASE INFORMATION FROM "MAP OF A TOPOGRAPHIC SURVEY MADE FOR JULIA L. DEWEY IRREVOCABLE TRUST" BY VAN DUSEN & STEVES LAND SURVEYORS OF 169 HAVILAND RD. QUEENSBURY, NY 12804 AND DATED MAY 18, 2011. TAX MAP # 22Z 14-1-3 ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL ENGINEER IS A VIOLATION OF NYS EDUCATION LAW.