Loading...
2010-467 411" TOWN OFQ UEENSBURY 742 BayRoad,Queensbury,NY 12 4- � � Qu ry, 80 5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20100467 Date Issued: Thursday, September 30, 2010 This is to certify that work requested to be done as shown by Permit Number P20100467 has been completed. Tax Map Number. 523400-307-000-0001-037-000-0000 Location: 915 LUZERNE Rd Owner. SUSAN & WILLIAM COOK Applicant: SUSAN & WILLIAM COOK This structure may be occupied as a: Septic Alteration Residential Test Pit/Perc Test Review By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the (— ,‘„P / 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&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY AAT 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100467 Application Number. A20100467 Tax Map No: 523400-307-000-0001-037-000-0000 Permission is hereby granted to: SUSAN &WILLIAM COOK For property located at: 915 LUZERNE 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: SUSAN &WILLIAM COOK 915 LUZERNE Rd Septic Alteration Residential QUEENSBURY, NY 12804 Test Pit/Perc Test Review Total Value Contractor or Builder's Name/Address Electrical Inspection Agency QUEENSBURY SEWER JAY SWEET Plans &Specifications 2010-467 deep hole/perc test& septic alteration $225.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 28,2011 (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 th o fQu b ty; / I .y, September 28, 2010 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement � �� _--- OFFICE USE ONLY MAP NO. 2 .�_-- �C _ PERMIT NO. PERMIT FEE__ APPROVALS: SEP 2 4 2010 - TOWN CLERK 'T, WN OF QU -GOIDE -- , APPLICATION FOR SEPTIC ,�`-_`_____________________ ___. �It�N�&��_.-., A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.DISPOSAL SYSTEM PERMIT: PERMIT. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID OWNER: 4 ' C 00 eINSTALLER: roc / ADDRESS: ir 10� /.lI `, ' `, ADDRESS: a PHON- OS. PHONE NOS. ✓C / s-3 LOCATION OF INSTALLATION: YEAR BUILT NO.OF BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW RESIDENCE INFORMATION: 1980 or older X 150 gallon per bedroom 1981 •1991 = �l a GARAAGE GRIND X 130 gallon per bedroom INSTALLED? / _ SPA OR HOT 1992 .T -present X 110 gallon per bedroom = T PARCEL INFORMATION: INSTALLED? ✓ TOPOGRAPHY: Flat rolling_ Steep slope o ✓ SOIL NATURE: �oSlope_ Sand Loam Clay______ Other ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? ✓ DOMESTIC WATER SUPL_ Municipal Well l__ (Ifxwell: Water supply from any septic ✓ PERCOLATION TEST: Rate is /— '` �, - 16 Sc_ system absorption is�ft.) r- per minute per inch. (Test to be completed by a licensed professional engineer or architect. PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal } g p sal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board TANK l approved subdivision). GALLON (MIN. SIZE IS 1,000 GAL.) Add 250 gallons to the ' each garbage grinder, spa or whirlpool tub. size of the septic tank for SYSTEM TYPE: ❑ ABSORPTION FIELD (WITH NO. 2 STONE) Total length �' a f 0 SEEPAGE PIT(S) (WITH NO. 3 STONE) How --'t' Each trench X_�_ many? ❑ ALTERNATIVE SYSTEM BSize? Bed or other type? l e f ,g ❑ HOLDING TANK SYSTEM q Be� Total required capacity? Tank size? Number of tanks? 1 APPROV ALARM SYSTEM AND ASSOCIATED ELECTRICAL :.,.:.:.,:.:::::::,.,.:.,,,.,.:.,.,.:.,.:...,.:...:.:.:.:.:.,.:::,:.:.:.. .......... INSPECTED BY A TAT..:...:...........:.::::. ELECTRICAL INSPECTION AGENCY. PLEASE EV EW LIST PROVIDED. For ::..::.::...::.:....:.. : • • your protection, please note that pursuant to Section 136-29 of the Code of the Town of QuAAnh...,, ,._.. permit or approval granted which is based UDOn nr lc n.,.,.,.., ,_ ._ .. f211ltrq to r„ .I, - __ . . . //—/ /1 o v Septic Inspection Report Office No. (518) 761-8256 Date Ins req ;•• rece Queensbury Building&Code Enforcement Arrive: " 5U a • J - : "b a rt 742 Bay Rd., Queensb ry, NY 12804 Inspector's Initials• NAME: 1() RMIT NO.: LOCATION: �' i.i'('r rte ,� . INSPECT ON: .>�`�Ci RECHECK: Comments and/or diagram Soil TypeC m. .Clay.` T of Water: Munia•• Well Water Waterline separa•.- :' •- ft. Well separation distance 1 C)(F3 Other wells: I I 0 ft.÷-- Well Casing Length 50' +/- Y N N/A [150'to well required if NO] Absorption Field: Total length ft. Length of each trench ft. Depth of trenches Size of Stone Seepage Pits: Number Size: Stone Size: Piping Size Type Building to tank I t�7'i i Tank to Distribution Box 1-4 " ',iv_ 3 lc- Distribution Box to Field/ Pit A 7b0 a., 3 c' T'O Q - Opening Sealed: %/S1, N End Cap •—�—N Inlet/Outlet Pipes&Baffles ✓Y N Manholes 12"or less below grade %A _N [provide extension collar if Yes] Y N Location/ Separations Foundation to tank 17.— ft. E-)C-i A Foundation to absorption 5Z—ft. Separation of Pits Conforms as per Plot Plan �N Engineer Report and As-Built Y_N ETU Maintenance Contract _Y N provided Location of System on Property: Front Rear -ft Side Right Side Middle Front Middle Rear em . - S_ Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:1Pam Whiting120101Building Codes Fom s\Inspection Forms\Septic Inspection Report_03 29 10.doc ' ° , ' ^ ` �� D7/ ��» � « iJ ___ ________ ____ _____ --_--__- \/`, _ ________ -- ------- --- 7 il .___ ________________ ______ 1\1_.?'',,::'1\ '-----'1 ':\'''' 94,37.., L.,-- . -j.:%-._______._1 '') h y ; 1 - - ii :Th ii . ^ ^ o / /7 z� . -----' . 0 /�'+'f��� uv • _ — �� , __ __' ��--~-� _- � � ` ^ , � ^� NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury, NY 12804 Phone- 518-745-4400 Fax -518-792-851 September 23, 2010 Project #49323 Dave Hatin Code Enforcement Officer Town of Queensbury 742 Bay Road Queensbury, NY 12804 Re: Cook—915 Luzerne Road— Replacement Septic System Dear Dave: On September 23, 2010, we performed a deep soil test pit and percolation test at the Cook residence located at 915 Luzerne Road in Queensbury. The tests were performed to the east of the existing residence in the location where construction of a replacement leach field is proposed. The current residence has an existing failed septic system which will be decommissioned upon completion and certification of the replacement system. The results of the testing are as follows: Test Pit Percolation Test 0 —4" Tosoil Stabilization percolation rate - 1" in 3 min., 16 sec. 4 —24" Loamy Fine Sand w/gravel 24 —60" Medium Fine Sand w/gravel & boulders Compact @ 30" No Mottling observed. No Groundwater observed. The 18 inch deep hole was presoaked and the test was run 5 times; at a depth of 12 inches, until it stabilized with three consecutive runs of 2:51, 3:15 and 3:16 respectively. The design flow for this 3 bedroom residence at 110 gpd per bedroom (330 gpd design flow), requires 347 sf of absorption bed. The replacement absorption system should be constructed as a shallow bed system and shall be no deeper than 12 inches into the existing soil. The absorption system will consist of the existing 1,000 gallon septic tank, a new distribution box and 20 ft wide by 20 ft long absorption bed with 4 — 15 foot long absorption laterals located to the east of the existing residence. Please call me if you have any questions. Sincerely, /7 Thomas R. Center Jr, P.E. • Town of Queensbury• Building&Codes Enforcement Office•742 Bay Road• itIn r. V ¶► o \V1 ;-� ±fg 1 DEEP HOLE/PERC TEST a 1�; ; , Request for Town Engineer RevieWi YO a OI--15-LIEtNSBUP's, Property Owner: (T CODES p rty lJ ���`gpto jJo /1 Phone: CODES Property Owner's / ��, Address: //5 L C� 7 (� //4 "rd Location of Test: it r 6' r� /!�;"e ,sem r,: i S),5rrf,, Tax ID#: j�' ', /- 3 7 *Applicant's Engineer: A 4 j-C ��,h t'y•� Phone: 7�F z S/5 Applicant's Agent: /U/-77(rj i jet- Phone: Additional Notes: 1. Reason for Request? New Septic System X10-Replacement Septic System -X Failed Septic System Subdivision Site Plan Review 2.Are Wetlands present? YES Fl NO UNKNOWN '"Note: Applicant is required to engage an engineer for design and testing of the system. The Town Engineer's responsibility is to witness system testing only. PLOT PLAN: Plot plan, to scale, to be submitted with application FEE SCHEDULE: a. $200 Flat Fee Date Paid: )! A` • Check No.: "� _ b. OR Fee to be determined during To Be Determined: Site Plan/Subdivision review process SIGNATURE: In carrying out the provisions of Article IV, the Local Board of Health or the enforcement officer may engage the services of a qualified professional consultant for expert review and recommendation arising from the carrying out of the provisions of Art. IV, including but not limited to the review of plans, specifications and reports, attendance at inspections, dye tests, deep hole test pits, septic related deep hole and percolation tests, system installations, and any other aspect of any matter contained in this Art. IV, and any costs incurred in such review shall be paid to the Town by the owner of the property before any approval can be granted under this Art. IV shall become effective within 30 days of presentment of an invoice for same, whichever is sooner. Such costs shall not exceed $1,500 without prior written notice to the party to be charged with same. My signature below indicates I have thoroughly read and understand the instructions, agree to the submission requirements and have completed the application. I also fully understand that additional engineering fees may be necessary per Town of Queensbury Local Law 136-14D. SIGNATURE OF APPLICANT: Date: c� SIGNATURE OF AGENT: >, Date: //�//er Original (B&C File) Canary(Planning) Pink(Applicant) Gold (Town Clerk) • t • 4 .-•-•- ' — " • lir '- t" >-.-4,2Z4p;4 ..- • - a. } a,_ c t�' ar t r ik ., f r 'i° temo � i" ° �l . 4. a t Ftp ' '- Vit,_77'.-.1c- --,--.°'• - - ,:- °tts4 , -, -.. _., ..4. ,t-.. ;-:.-I__:c, ,,,; . s _, , it.. ,,, ..,,,, , ., _ ..,...„.4:,2.;.. ,,. :ii,__,. ,,,1„. ,,,,,. ... ..,..7,, ..... ,,, lir.. ., e - ...,-,-.A. ,,,,-.-;*-41 ' i. -$1*2. .-- -. '' 4_, _- ,.._f - ,;,,, ,,,,,,, ...,, .1.:',.. �,�. _ 7 �' d y -•-•,:.:-j 3 ,,,,,,.•,.4,04.,..,,:- ,.,..„--.;,„-,..„.,. .P7Tt ..:.''.,44,-,..„;:-6--.„•;-:-,-1'".{ Y' " : ; ;{ -,...4 .-4- _ -1---,-..:',-__-;;;--A-- d"' - 8 i '- tZ,'.:` £- `"'l• `.,"...4.,,..., iyy T 1 aFP` M y Y N ?- $ ,1;- F �7 Y�f +# -i,., ..1.7-.. �8 ,y .max z. a'.,.-k a-1 e 4 tX '' • ,.!`t, . ''''' .,_, -._,v---- ' __, - „_ ,,,... -.-..f..!-... ..,..1. : , -4. --. .. : i.,,40.- ... r v "` , F r,,, + ,mss ..4,.., .'`a- 'I. - - - ' , A. ,..;:4„' _.:,,_ , .._., . , . ,_, ,,,,„ ,z(„, , ,,,,,,,,,..„,,,,t .• ,,...,, ,,,,44..., 1.„, , --k-- 't * :°4:-s. - '--44,.. '' *4.,', . Lt,/,:,:,,,,,...S,: ' `' ..4f ti--, i + ' TRY s8 .} .�y ,_.;-1 - t F. $, �ayy . .. Map Produced by Warren County Spatial Data Viewer-www.co.warren ny us/gis data sources parcels-Warren County Real Property Tax 2009 Tentative Roll aerial photography-NYS CSC IC.flown in April,2008 it-foot coke) IMPORTANT NOTICE AND DISCLAIMER THIS MAP AND INFORMATION IS PROVIDED"AS IS"AND WARREN COUNTY MAKES NWARRANTIES OR it GUARANTEES.EXPRESSED OR IMPLIED,INCLUDING WARRANTIES OF TITLE,NON- INOFRINGEMENT, MERCHANTABILITY AND THAT OF FITNESS FOR A PARTICULAR PURPOSE CONCERNING THIS MAP AND THE INFORMATION CONTAINED HEREIN.USER ASSUMES ALL RISKS AND RESPONSIBILITY FOR DETERMINING WHETHER THIS MAP IS SUFFICIENT FOR PURPOSES INTENDED GIS MAPS ARE NOT LAND SURVEYS' This GIS map is computer generated using software which contains information acquired by Warren County Planning Department from vanous sources and is intended only for reference,conceptual planning and presentation purposes 0 50 100 200 300 While we work hard to include reliable data for the stated purposes,this map is not intended for and should not be used to establish boundaries,lines,locations of objects or to provide any other information typically needed for construction. excavation or any other purpose when engineered drawings/plans or surveys are 1)required by law,2)required for any legal document or 3)needed to assure accuracy and/or that certain standards are met.