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2015-219 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20150219 Date Issued: Monday, June 15, 2015 This is to certify that work requested to be done as shown by Permit Number P20150219 has been completed. Tax Map Number: 523400-301-012-0002-013-000-0000 Location: 22 COLONIAL Ct Owner: WILLIAM & SHELLY ALEXANDER JR Applicant: WILLIAM & SHELLY ALEXANDER JR 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 (DJ ,Ot-- property owner of the responsibility for compliance with Site Plan, �d 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 IFITM Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150219 Application Number: A20150219 Tax Map No: 523400-301-012-0002-013-000-0000 Permission is hereby granted to: WILLIAM& SHELLY ALEXANDER JR For property located at: 22 COLONIAL Ct 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: WILLIAM& SHELLY ALEXANDER Septic Alteration Residential 22 COLONIAL Ct Total Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency SANITARY SEWER GEORGE DRELLOS 792-7257 PO BOX 224 GLENS FALLS NY Plans&Specifications BP 2015-219 Residential Septic Alteration $40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Sunday,May 29,2016 (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 o eensbF 's .,, May 29,2015 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement • SEPTIC DISPOSAL PERMIT11 P� Office Use Only DATE F eceived 2 9 2015 .-fax Map ID Zxc►• 12.-2-13 TAX MAP ID Permit No. vZGl S TOWN OF QUE`NSBUP 6 Permit Fee LOCATION OF INSTALLATION 2 2 Approvals: APPLICANT , SX e4 .#44eNGl r PHONE/E-MAIL ADDRESS `C���/'/14 ( d GC/' /— / o� L INSTALLER/BUILDER: /-� C'{�'/v<�l/' i���c JC' PHONE/E-MAIL 7 ?AO ADDRESS: /6"". 2 Z9 7,-4/f /`-'2 OWNER Sher- n d(4 1//9/"��e/ PHONE/E-MAIL Address oqA (2e-to"-I Lt( (2c9 u i J� CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: lSeh.���� PHON 96 J � l 5 RESIDENCE INFORMATION Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older Garbage grinder installed —Y LJI 1981-1991 S t.S L KC-0 Spa or Hot Tub installed Y N 1992-Present PARCEL.INFORMATION Topography Flat rolling Steep slope %slope Soil Nature Sand Loam Clay Other Groundwater At what depth? A-4 Bedrock I Impervious Material At what depth? A/A Domestic Water Supply x Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate: f-.) per minute per inch(test to be completed by licensed engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank Size CA' gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub) System Type Absorption field with#2 stone Total length ZC,P ft.;Each trench S x y Seepage Pit with#3 stone How many: ;size Alternative System Bed or other type? Holding Tank System Total required capacity? Tank size #of tanks Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will no longer allow systems to be covered until such time as an As-Built plan is received & approved. The installed system must match the septic system layout on file-no exceptions. DECLARATION: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or failure to make a material fact or circumstance know by or on behalf of an applicant, shall be void. I have read the regulations and agree to abide b these and all equir ents of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Print Name: e6c ' �I4/' Date: Signature: 1 � �_ Date: Town of Queensbury Building&Codes Septic Disposal Permit July 2014 ...Town Df Queensbury Building & Code Enforcement Office No. (518) 761-8256 — v{Z. Septic Inspection Report Inspection request received: It\ 6 4` Name: CY Inspected on: 10 Ie.I S Location: 212, Jv keli, 0--- Arrive: , - 14,,,, r 'L •.m. Permit No.: 110\5 - '2-t ci ��i Inspector's Initials: _ ,t C•etS and/or dia•ram Soil Type r •. lay Type of Water: •. f ell Water Waterline separa ion distance ft. ieT 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 Zoo ft. Length of each trench Mgc5bft. Depth of trenches -j— 9 ft. k.5' ��b BLIILT /" Size of Stone -*N '7_ Seepage Pits: Number Size: x 1 Stone Size: Piping Size Type Building to tank —,"nckk 130 Tank to Distribution Box 1_..y. `Vg—.7' " Distribution Box to Field/Pit i 1.4.4-l. b'0,-,-25." ' 1.71iN, -77 5-7:g>_. Opening Sealed: End Cap _131 -e r LopQ ‘0,1 \--k.'&;4?..--7) ..--Ci.,-- - Inlet/Outlet Pipes&Baffles Manholes 12"or less below gradeN [provide extension collar if Yes] Ilf'1 N Location/Separations Foundation to tank 1' ft. Foundation to absorption 7:17ft. Separation of Pits / ft. Conforms as per Plot Plan ✓Y N Engineer Report and As-Built Y_N ETU Maintenance Contract provided Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle R-- System Use Statu . Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved 0 ,eptic Inspection Report VVilliam Alexander BP 2015=219 . 22 Colonial Court . Residential Septic Alteration . . 11) .j, r NF;0• ‹..,,› i SO 1 4 ,c? / FILE COPY SEPTIC PLOT PLAN I HAVE SEEN OR OBSERVED ALL OBJECTS ()( rfr 2 SUCH AS NOOSES, WELLS, TREES, FENCES, ETC Iza 2 SHOWN ON THIS DOCUMENT.I HAVE PERSONALLY ,ZJREO THE or N-E SETIRTH ON THIS DIAGUM, i IL . . ..__I iii 1 Mk 2 9 2015.i Li BUILDING & •D 4/11 Til" --__'__-~__- - ____-=- __- . Town of Queensbury Building &Code Enforcement Office No. (518) 761-8256 , Septic Inspection Report Inspection request received: It\ Name: .0-V-Nj.0( Inspected on: to It.I hc Location: 22-- W &- Arrive: .4�_ ', •.m. Permit No.: Z0\5 - '2►cj Inspector's Initials: ,tsow C Arts and/or dia•ram Or Soil Type .r •. lay Type of Water: •. ell Water Waterline separa ion distance ft. Ov= 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 Zoo ft. Length of each trench /-ICP ft. ,t '- k-t>b� AS Depth of trenches - 4 ft. LT Size of Stone _*7. Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank f s4,1 )`` 1 uD Tank to Distribution Box 5.9g—-27' Distribution Box to Field/Pit l l� roVi-2251 5-V Opening Sealed: End Cap ✓ N r iACQ o� ll" Inlet/Outlet Pipes&Baffles Manholes 12"or less below grade N [provide extension collar if Yes] Y N Location/Separations Foundation to tank \' ft. Foundation to absorption Separation of Pits / ft. Conforms as per Plot Plan N Engineer Report and As-Built Y N ETU Maintenance Contract provided Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle R•- System Use Statu . Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report L— ,.” EEE ttfey. fi0, ,1t'e William Alexander BP 2015-219 1 22 Colonial Court : Residential Septic Alteration ib je e vt.1., . . - ._ u . .� n So i t I FILE COPY I~ E SEPTIC PLOT PLAN Sk rt I HAVE SEEN OR OBSERVED ALL OBJECTS L:3_SUCH AS HOOSES, WELLS, TREES, FENCES, ETC oSHOWN ON TMS DOCUMENT.I HAVE PERSONALLY ° Z.M URED THE pIST E SET RTH ON THIS DIAGRAM. t ' c.iJ 6- y,-/c__ _ SIGNATURE DATE _ _ w _. .. ,...__._ TOWN O QUE �: ��' y T�JtNi�f Grltci�+��SB�J 1 CO > E BUILDIN & •D :�T`�� Reviewe By. „foolAprof /.4► Date: + f inti' r i _ _... _ n c .. . 00 Lo 1 rA-C, Co c.e~t-- • s).e.lil F: )31iieklee, William Alexander BP 2015-219 22 Colonial Court Residential Septic Alteration II) i NI. 41.--- Sr a f 1--------- 622' ----- 1,... 1 I FILE COPY EPTIC PLOT PLAN I I HAVE SEEN OR OBSERVED ALL OBJECTS 1:1 2 1. SUCH AS HOqSES, WELLS, TREES, FENCES, ETC SHOWN ON TIIIIS DOCUMENT.1 HAVE PERSONALLY• M a URED THE pIST,,,,E SET IRTH ON THIS DIAGRAM. , Tit 'Tc: 9-1( jr SIGNATURE ' DATE ..J._ 1 , 'S? i 140a1- et‘4. 1 , (Yr. 1 1 pE P:iiiE. a Wil l ' 11) 1 ' . . MAY 2 9 2015 _ TOWN OE QUE .. 4r. /°' BUILDING & fiDr..,4,, Bird BUILDiNG& CODES "• NE. Revieweci By. . . - r.dr Date: I /Airairi/ ' i . . , (9., a. e0c(r+- _,______ ______ ...,_ • .