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2010-211
4 TOWN OFQ UEENSBURY i em742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20100211 Date Issued: Tuesday, December 11, 2012 This is to certify that work requested to be done as shown by Permit Number P20100211 has been completed. Tax Map Number: 523400-226-019-0001-085-000-0000 Location: 214 LAKE Pky Owner: MIRIAM P BROWN Applicant: MIRIAM P BROWN 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 property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Direc f ui ding&c.• : of meet Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY `ora 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100211 Application Number. A20100211 Tax Map No: 523400-226-019-0001-085-000-0000 Permission is hereby granted to: MIRIAM P BROWN For property located at: 214 LAKE Pky 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 Queens bury Zoning Ordinance. Type of Construction Value Owner Address: MIRIAM P BROWN 214 LAKE Pky Septic Alteration Residential LAKE GEORGE,NY 12845 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-211 septic alteration residential $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, May 12, 2011 (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'*- • eens ry; a s e._• •y, May 12, 2010 SIGNED BY (9' 4 for the Town of Queensbury. Director of Building&Code Enforcement 226 . f OFFICE USE ONLY *_ � ` (� y �; '. TAX MAP NO. PERMIT NO. l0 -2 f PERMIT FEE '0' '' _ • ?nig ; • 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: MA w0 INSTALLER: `QSVP-176 MIA ADDRESS: _Z14JAW Thrt!!aY{lsT_. ADOPFSc:_ G UMW' * &o PHONE NOS. PHONE NOS. *Riot 04:14 SA. LOCATION OF INSTALLATION: A. LAY 46. `( ASSerneW OMIT - taigieriS8 r YEAR BUILT I NO. COMPUTATION= TOTAL DAILY FLOW RESIDENCE INFORMATION: BEDROOOFMS X COMPUTGARBAGE GRINpER 1980 or older i X ! 150 gallon per bedroom = ffilw^�'lv7f;'�t> INSTALLED? t O 1981 -1991 I 1 X ; 130 gallon per bedroom - - SPA OR HOT TUI 1992-present ! X i 110 gallon per bedroom INSTALLED? IJ PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING ✓ STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND ' LOAM V CLAY OTHER ✓ GROUNDWATER: t AT WHAT DEPTH? -�1' BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? 4.4 ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (tlbdYI (Age ( 1-eas (IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS +200 FT. ) ✓ PERCOLATION TEST: RATE IS I-5 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: GALLON (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: # 2. /DEPTH OR THICKNESS f. 6 FT. ✓ BED SYSTEM SIZE: 64 X 24 1511�61 ✓ ALTERNATIVE SYSTEM: LENGTH AND/OR IZE '^ t - 1i-r ✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH ✓ GALLONS./TOTAL CAPACITY: 162- 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 h,nr n►, hoholf of n., Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart: U m/pm Date Inspection request received: Inspector's Initials: __ NAME: F PERMIT#: 2c) (0 ,_.-2 I ( LOCATION: k- h-\ ¶�' )'1 DATE: TYPE OF STRUCTURE: Comments: 4" Building Number Add =- visible from road Chimney Height/"B"V= ' =et Vent Location Fresh Air Intake 3 inch Plumbing Vent th •ugh •of minimum 6 inches Roof Complete/Exteri• Finish omplete Platform at all exterior •:••rs jHandrail 4 or more rise Guards at stairs,decksros mo =than 30 inches a •ve grade Guard at stairwell at 34"noes or •re Guard at deck,porchesT36 inches o more Handrail Termination at1Newell Post r Wall Interior/Exterior Railing 34 inches to 8 inches Deck Bracin• /Handica • Ram• C• •liant Grade away from foundation 6 inches h 10 feet t 6 inch clearance to sill pate Gas Valve shut-off ex ed/re ulator 1: -- above •rade Interior privacy/trim/ ors 1 main entran 36' hes Bathroom/Kitchen watdrtight Safety glazing/Windovi stairwells safety ,I- ing Interior Smoke Detector&I Carbon Monoxide ;=tectors Every level: Eirery Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inch•; eight)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 ..ft. 50 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures . Foundation insulation/Insulation Certifica ion Floor truss,draft stopping finished basem- t 1,000 q.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or in line of si - Oil Furnace shut-off at entrance to fum- area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed 1 Heat Trap/ ater Temp 110 Enclosed Stairs Sheetrodc Underside minimum 1,4"Gypsu Basement stairs closed rise>4 inc h:s . Garage Floor Pitched . Garage fireproofing/%hour fire d• r/door closer Duct work Sealed properly Gas Logs in Sealed or Glass End•-ure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer sept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if re+ ired _ 1111111111111111 Okay to issue C/C or C I O[Temporary/Permanent 11111111VM L:\Building&Codes Forms\Building&Codes\inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: /0 /U Queensbury Building &Code Enforcement Arrive: am/p� rt:t , ja, am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's initials:/ CC�� NAME: ,: a �� ' a h D-(j:'`ckU/O-�- I /..J� PERMIT NO.: � LOCATION: n.t'�E L-0 Cr' Cwt / ,INSPECT ON: / /i� 7\'- 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. Well Casing Length 50' +/ - Y N N/A [150'to well required if NO] Absorption Field: Total length ft. Length of each trench A- ft. Depth of trenches * ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type � Building to tank �y� 9/9-Lz-A/ Tank to Distribution Box �r` Distribution Box to Field/ Pit Opening Sealed: ,Y T N C: w` icI End Cap Y_ N Inlet/Outlet Pipes&Baffles Y—N Manholes 12"or less below grade _Y_N [provide extension collar if Yes] Y—N Location/Separations �Z Lh�`�� q0-AA,T Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built —Y N ETU Maintenance Contract Y N fC,\/iX)4 provided r&a Zi Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear S stem U S 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 Repor>L03 29 10.doc RUCINSKI HALL ARCHITECTURE ��.��, Ronald Richard Rucinski • J Ethan Peter Hall 627 Maple Avenue Saratoga Springs NY 12866 Voice 518 580 1905 Fax 518 584 5012 Email ronrr@nycap.rr.com ephall@nycap.mcom Transmittal To: Dave Hatin—Town of Queensbury Code Enforcement 49W 04 From: Ethan Hall Date: 13 May, 2010 Re: Replacement sewage disposal system for the Brown Residence Attached please find one copy of sewage disposal system as-built tile field location based on measurements taken by IBS Septic& Drain. A copy of this as-built is being provided to the homeowner for their records. Let me know if there are any other questions. rrved. or believe I saw s, i,- 44i /° )��I. 3 l 4dy zoo Y:Uvan Bell Septic(IBS)\Brown Septic System\Transmittal 13 May 2010.doc SEWAGE DISPOSAL SYSTEM DESIGN EXISTING 4 BEDROOM RESIDENCE AT 150 GAL/DAY/BEDROOM = 600 GPD 1-5 MIN SOIL ON SITE 1.2 GDP/SF x 2 SF/LF OF LATERAL = 250 LF OF FORCE LATERAL USE 4 LATERALS AT 64'-0" (FORCE LATERAL 4" SOLID MANIFOLD WITH 4" PERFORATED LATERALS SET LEVEL WITH END CAPS. FIELD CAPACITY: 64' x 4 + 18 = 274 x 0.653 (F IPE DIA) x 85% = 152 GAL CAPACITY SET FLOAT SWITCH TO PUMP 152± GAL. PROviDE MIN 12" WA -SHED CRUSHED STONE 3/4' -0 1-,.i/L." SIZE_ BELOW PIPING WIll-i A MINIMUM OF 6" WASHED CRUSH STONE ABOVE THFPIPE LATERALS. PROVIDE FILTER FABRIC ABOVE ENTIRE SEPTIC STONE BED PRIOR TO PLACflG TOPSOIL ABOVE SEPTIC BED. TOWN OF OUB' BUILDING Reviewed By Date: , .. /D Z- No.1 DESCRIPTION I DATE REVISIONS WORK IS TO BE AS SHOWN & NOTED AND IN ACCORDANCE WITH MANUFACTURER'S RECOMMENDATIONS, TRADE ASSOCIATION PUBLISHED RECOMMENDATIONS AND GENERALLY ACCEPTED LOCAL CONSTRUCTION INDUSTRY PRACTICES. 0� lV1211m, CAD FILE NAME ACAD\IBS\BROWN\SEPTIC SCALE AS NOTED DRAWN BY DRAWING TITLE SEPTIC DESIGN DRAWING No. SEP -1 H G OJ 7 CU CD H CD CD n H Q7 C7 CS CD -LJ cD f tl D n Q 1.0 O W 0 N Q @ U) U r Z Q 1 =Z \, I U — D H W `` O W W � d N U Z V 0 U < V) 0 KC = o WO Ll O JUO CD 0c)E 0O w U t OU F- of O V }' ` Lh NL i Wpd c)0- O D Nz Q p z 0O 0 p N U > pt T _O~ ~ W �wpF �T> O01 00 no C//)�� V L "� (2 Lo Ln ©- 0 Z Q 1U+ U% co 00 (-5 IY ZV elf� av �n u� aai —PLP (V1 p Vol �QQ o cs t\V ux'a Xw (0tn >L' WORK IS TO BE AS SHOWN & NOTED AND IN ACCORDANCE WITH MANUFACTURER'S RECOMMENDATIONS, TRADE ASSOCIATION PUBLISHED RECOMMENDATIONS AND GENERALLY ACCEPTED LOCAL CONSTRUCTION INDUSTRY PRACTICES. 0� lV1211m, CAD FILE NAME ACAD\IBS\BROWN\SEPTIC SCALE AS NOTED DRAWN BY DRAWING TITLE SEPTIC DESIGN DRAWING No. SEP -1 H G OJ 7 CU CD H CD CD n H Q7 C7 CS CD -LJ cD f tl D n Q 1.0 O