Loading...
2012-566 TOWN OF QUEENSBURY 4/11 742 Bay Road,Queensbuty,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20120566 Date Issued: Wednesday, December 05, 2012 This is to certify that work requested to be done as shown by Permit Number P20120566 has been completed. Tax Map Number: 523400-308-010-0002-006-000-0000 Location: 479 LUZERNE Rd Owner: DONALD & JOYCE BUTLER Applicant: DONALD & JOYCE BUTLER 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 (-- J1. property owner of the responsibility for compliance with Site Plan, /V Variance, or other issues and conditions as a result of approvals by the 1 Director of Building& Code En orcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20120566 Application Number: A20120566 Tax Map No: 523400-308-010-0002-006-000-0000 Permission is hereby granted to: DONALD& JOYCE BUTLER For property located at 479 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. Tyke of Construction Value Owner Address: DONALD &JOYCE BUTLER Septic Alteration Residential 479 LUZERNE Rd QUEENSBURY,NY 12804 Total value Contractor or Builder's Name /Address Electrical Inspection Agency SANITARY SEWER GEORGE DRELLOS 792-7257 PO BOX 224 GLENS FALLS NY Plans&Specifications 2012-566 Res. Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 30,2013 (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 Town of Queensbury; Friday,November 30,2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement e Community Development Office NOV 2 9 2012 --' z`' Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 Office Use Only I� 1 cG, TAX MAP NO. 3n(6 •ID- D.' L `O PERMIT NO. `5(56=1' PERMIT FEE_° C) APPROVALS: ZONING___ TOWN CLERK___ APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. _ �'LICATION IS SUBJECT TO REVIEW FORE ISSUANCE OF ALc LID PERMIT. OWNER:, ‘---7_--Ps v INSTALLER: _�- � _-L[--eierQ JP -- ADDRESS: LISP ___ ADDRESS: c.� � ADDRESS: � Q ��� 2 dZ� �, PHONE NOS.'?T 1- V o l PHONE NOS.7 9.( Q J) f LOCATION OF INSTALLATION:? 9 L.-t.)2_.f 1-r0 12D — RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRIN 1980 or older X 150 = i 'V 0 INSTALLED? 1981 -1991 X 130 = SPA OR HOT TUjb 1992-present X 110 = INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLIN STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND_ LOAM__ CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT PTH? ✓ DOMESTIC WATER SUPLY: MUNICIPALWELL (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: [CO D 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: C ABSORPTION FIELD (WITH NO. 2 STONE) Total length ft. Each trench X ❑ SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size? 46LTERNATIVE SYSTEMICInTpir other type?____,r1_a_r4 -0 ' O HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? 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 ..fe r-:d the r tions with respect to this application and agree to abi.- b these d I equire � s of the Town of Queens ry QUESTIONS? CALL 761-8256 OR EMAIL Sa ita Sewa , D' p sal OSI/nce. codes(a�queensbury.net i it2--F 1. --- Si a ure of Persldn esponsible Date 1WEBTE FOR MORE INFORMATION www.queensbury.net h( 2 ndal, I-3 6 ,m Septic Inspection Report Office No. (518) 761-8256 Date Ins ion r-• � - -•. Queensbury Building &Code Enforcement Arrive: �?G�.t, 1 I.rtMW"---2_,- 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: l 67-' n ' ; IT NO.: LOCATION: r ' L U -SPECT ON: /a -3 RECHECK: Comments and/or diagram Soil Ty. yLv-..am Clay Type of Water: I •- ' - Water Water i -paration distance ax 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 'i-\ -\,C- ft. E5 'b ‘,z)o��. Depth of trenches 2 , __. ft. Size of Stone SeSizizee: "7C) X /`S.-� Stone Size: Piping Size Type Building to tank Tank to Distribution Box ►--�'l c�����7h Distribution Box to Field/ Pit / qt' h Q g--3 I'D '.:fit i gQ- Opening Sealed: Y N End Cap N Inlet/Outlet Pipes&Baffles ✓ N Manholes 12"or less below grade _Y_ N [provide extension collar if Yes] _Y_ N Location / Separations Foundation to tank r 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 provided Location of System on Property: Fron ar Left SideRight Side Middle Front Middle Rear S stem Use S us: 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 ,(3 ? 5(,,(_, , SEPTIC PLOT PLAN I HAVE SEEN OR OBSERVED ALL OBJECTS SUCH AS HO SES, WELLS, TREES, FENCES, ETC SHOWN 0 THI``IOCUMEJ.I HAVE PERSONALLY A RED _ I ',rrf NCE T,1RTH ON THIS• 1 6 S • NATURE ' I I .� 1 //a___DI FE 3N11 Al2i3dOHd :1V32I w 0 z_ co J N } r L ow^ LL O CD z a L w 0 0 N L V LIE (2 ,j /N_ ______. ,, o C co 41 N > > . C:1 2 [ P 1 . ,• . ,>-.)e- 1_ OH r 4' 9.t, _ o CENTER PROJECT SERVICES 73 Sheridan Street, Glens Falls, NY 12801 Phone-518-796-2515 November 28,2012 Project# 167 Dan Drellos Sanitary Sewer Services Luzeme Road Queensbury,NY 12804 NOV 2 9 2012 Re: Proposed Replacement Septic Butler Residence—479 Luzern Road, Queensbury,NY Dear Dan: At your request we have reviewed your proposed replacement septic system design at the site of the existing 2 bedroom house of at 479 Luzern Road in Queensbury. As per our conversation the residence has an existing failed septic system. We have reviewed the proposed replacement septic system design and we agree that a standard absorption bed is acceptable. Based upon a design flow rate of 300 GPD and a percolation rate of I to 5 minutes, you will need 333 square feet of absorptive area. We recommend using a 20 ft wide by 20 ft long absorption bed with 4 — 15 foot long laterals, which will provide 400 sf of absorptive area. The absorption bed can be constructed with the existing 1,000 gallon septic tank, new distribution box, and 4 inch diameter perforated pipe and stone. Please feel free to contact me at 796-2515 if you have any questions and that you for your assistance with this request. Sincerely, Thomas R. Center Jr, P.E.