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2006-198TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: Tax Map No: P20060198 Application Number: 523400-227-009-0001-010-000-0000 Permission is hereby granted to: RICHARD & CYNTHIA SMITH For property located at: 112 ROCKHURST Rd A20060198 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. Owner Address: RICHARD & CYNTHIA SMITH PO BOX 142 CLEVERDALE, NY 12820-0000 Contractor or Builder's Name / Address OTTEENSBTTRY SEWER JAY SWEET Plans & Specifications Type of Construction Septic Alteration Residential Total Value Electrical Inspection Agency Value 2006-198 SEPTIC ALTERATION $25.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, April 13, 2007 (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; hursday, April 13, 2006 4 Director of Building: Co: Enforcement SIGNED BY for the Town of Queensbury. TOWN OFQ UEENSBURY 742 BayRoad,Queensbury,NY 12804 902 5 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20060198 Date Issued: Wednesday, January 09, 2008 This is to certify that work requested to be done as shown by Permit Number P20060198 has been completed. Tax Map Number: 523400-227-009-0001-010-000-0000 Location: 112 ROCKHURST Rd Owner. RICHARD & CYNTHIA SMITH Applicant: RICHARD & CYNTHIA SMITH 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 Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. OFFICE USE ONLY D.91.9 -- 1 —/ o TAX MAP NO. PERMIT NO. 0(x-1(E PERMIT FEES, CY° ' 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: ' A/` C- {k '�t- 4- C h T AI 1` , `1 INSTALLER:. (7\---)'- 4,—'0--S cL t - • y ,�_ /I 1 ADDRESS: / ( '/_ C" C I ` ` '.j 'I ADDRESS: �cz_ �Q�[-I' PHONE NOS. PHONE NOS. / `/12.3 . V .1 LOCATION OF INSTALLATION: NO.OF RESIDENCE INFORMATION: YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW GARBAGE GRINDER 1980 or older i i X 150 gallon per bedroom I = INSTALLED? AI` 1981 -1991 X ':. 130 gallon per bedroom = SPA OR HOT TUB 1992-present I X I 110 gallon per bedroom 1 = %) _I) 0 INSTALLED? A-/ PARCEL INFORMATION: RECEIVED ✓ TOPOGRAPHY: FLATROLLING`. STEEP SLOPE %SLOPE APR 1 3 2006 ✓ SOIL NATURE: SAND 't' LOAM CLAY OTHER TOWN Ur L<uLLIIvSUURY BUILDING AND CODE ✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL )—€t c=c_ (IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS ( / `� FT. ) ✓ PERCOLATION TEST: RATE IS / ' / f Ill 1 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: # /DEPTH OR THICKNESS FT ✓ BED SYSTEM SIZE: X ✓ ALTERNATIVE SYSTEMT--)-c- _. Pia LENGTH AND/OR SIZE ✓ HOLDING TANK SYSTEM: (If required) NO. OF TANKS: /SIZE OF EACH ✓ GALLONS./TOTAL CAPACITY: 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 by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL Queensbury Sanitary Sewage Disposal Ordinance. codes@gueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION � , N www.queensbury.net - ) t ) . .�. Signature of;Person Responsible Date lith Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 Septic Inspection Report Office No. (518) 761-8256 Date Ins i i request received: Queensbury Building &Code Enforcement Arrive: (AJ am/pn)/eepart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspect is Initials: V NAME: Ste-%'1 PERMIT NO.: a ✓��� LOCATION: gockktia,I (ZD INSPECT ON: MP 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. Absorption Field: Total length _ ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: _�---- Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y/ N/ Partial End Cap Inlet/Outlet Pipes &Baffles Y N Location / Separations _Foundation to tank ft. Foundation to absorption ft. I ��C� Separation of Pits ft. C�� ', VAT !" l Conforms as per Plot Plan —Y N Engineer Report and As-Built Y—N Location of System on Property: Front Rear Left Side Right Side Middle Front iddle Rear System Use Statu Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 r Septic Inspection Report Office No.(518)761-8256 Date Mr tion r-- 'est received: Queensbury Building&Code Enforcement Arrive: kb „ I _ am/,1\:17, lcpart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: L— NAME: PERMIT NO.: O' 196 LOCATION: LIZ.- pio a i1,2si INSPECT ON: 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. Absorption Field: Total length ft. _ Length of each trench ft. Depth of trenches Size of Stone Seepage Pits: Number Size: x_ Stone Size: Piping Size Type Building to tank _ Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial AF0���1/ /h- a ^-' l << C End Caps CN Location/Separations Foundation to tank ft. 666-6 Foundation to absorption ft. 4,7 ,4/i, Separation of Pits ft. Conforms as per Plot Plan _N Engineer Report and As-Built _Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: pproved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Last revised 1/6/05 /f NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 0 -- /q ? May 25, 2006 RECEIVED Job#49176 Mr. Dave Hatin Town of Queensbury MAY 3 0 2006 742 Bay Road TOWN Ur- UUttN UURY Queensbury,NY 12804 BUILDING AND CODE RE: Smith Residence— 112 Rockhurst Road Replacement Septic System Inspection Gentlemen: This letter is to inform you that we inspected the completed septic system for the Smith Residence at 112 Rockhurst Road in the Town of Queensbury on April 18, 2006. The septic system as installed was for a two bedroom house and consisted of an existing 1,000 gallon septic tank, a new pump station, a new 1 1/2" force main and a new 15 foot wide by 30 foot long absorption bed. The absorption bed was constructed with stone and 3 — 25 foot long perforated pipe laterals. The system conforms to the requirements of the approved design drawings and sewer variance conditions. Please call me if you have any questions or concerns. Sincerely, Thomas R. Center Jr., PE F Septic Inspection Report --__ O—Q--C) Office No. (518) 761-8256 Date Ins request received: Queensbury Building &Code Enforcement Arrive: A' amiDe _ part: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspect is Initials. �� f NAME: tf 1 Al► ' ill._lig.64.11k PERMIT NO.: G• 4 LOCATION: _ _' IMInr4OFINSPECT ON: — MN RECHECK: Comments and/or diagram Soil Type: SandLoa Clay �'f Type of Water: Municipal/ Well Water ✓Vr� Waterline separation distance i-/' PC ft. Well separation distance ft. /)61/1 Other wells: — ft. Absorption Field: Total length ._.2.... .,...ft. Length of each trench ____ ft. Depth of trenches ft. Size of Stone - 42.----' Seepage Pits: Number -- Size: x Stone Size: Piping Smit Type Building to tank 7i0 f�0 Tank to v>�r So�L5S PL)l j-�v Distribution Box4e-1 i€ice= .2- 54.47 Openine Sealed: Y N Partial *µ18e ?j � b— cr,6 rt4re`b p-- =,f., ,S 1-7.&j X Inlet/Outlet Pipes&Baffles N Location/ Separations Foundation to tank 11 QC�'le pe-leiti Foundation to absorption is ft. Separation of Pits ft• Conforms as per Plot Plan N Engineer Report and As-Built Y_..._N :--bon of em on Property: P-4,1)1-17 Front •ear Left Side Right Side 5cb& Middle Front Middle Rear ,4/61) K /� System Use Status: �o ,/ proved lu-O1k,t,l e/t/C9 - 4f/"D VRv — Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVALOPPL cR Permit No. Cert. o Owner �4 - 9 4 3 5 Cut-in Card No. Location /1 - R4`eC "141 '✓ J 7/ f, , Installation Consisting of -S t ZLJ t 'L Favi'' f—nY/JWCS Installed By ;,� fp)//G�� Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of m inspections at any time, and if its rules are violated,the`Company shall have the right to r yoke t is c rtifica . ( Date T'1 6 INSPECTOR.. Member N.F.P.A.,I.A.E.I. 112 ROCI(HURST RD. Page I of I 112 ROCKHURST RD. , ......•.....i..., / -ii------' . ... .... . S. .... • • 0 . •,.. ...,,,; .", .....,,,,..f.4,.............. 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A'.x.fl tih •S;C1�:a;{;•;,,r :'t�::.��yf�t SCS, :e':. :.y"r i:'�v. , 4 At.:;.. r r{.•:r:a rr `9nt'1Jrmr .: { r rr :LK{/r'Yr�'r f r� rr{ 11 .w :U��,� k�,: Ina 04 111 r.l:. ..f i: H ` :•r..}:rLv {{. igiw :fF 4 ..�::. . t >:.::iOSi % Y {; .: r . < I`i:wf ' ',;.5:::::':i::r>. il:5.•s %ytk .i\`f'rN f :: r f� ✓.. hm:,^>i :: {>:•:.,.,,:e4::.,.,:..::::.,„„„•:•.....-..•,...:.: f .," , . Image Date: 4/8/2004 Sales: Sale Sale Net Sale Cond. Arms Land Value Tot. Value Date Price Sale Book Page Type Code Len. TOS TOS Prior Owner Price 03-29-05 0.00 0.00 1441 102 3 A 0 157,400.00 278,800.00 Hall Stein, Dorotha 03-29-05 0.00 0.00 1441 102 3 I 0 157,400.00 278,800.00 Hall Stein, Dorotha 12-18-97 0.00 0.00 1048 67 3 A 0 157,400.00 278,800.00 Brown,Marjorie Owner Information: Owner Owner Address P.O.Boa Owner Address Line 3 Richard Smith 2303 Desert Pueblo Pass Green Valley AZ 85614 Cynthia Smith 2303 Desert Pueblo Pass Green Valley AZ 85614 http://gby2svr/GISIRPS_Info.asp?RPT=SALES 4/13/2006 RPS Information Page 2 of 3 Site Information: Site Nbhd Sewer Water Utilities Site Nbad NW Road Entry Zoning # Code Desire Type � Type Type Code 101- 1 2 2 3 2 2 2 3 1 WR-1A Lakefront Land Information: Site# Land# Type Front Depth Acres Sq Ft 1 1 10-Waterfront 80 99 0 0 Building Liformation: Site Bldg # Ext Wall Yr # # #1/2 # # # Style Stories Mat Built Kit. Baths Baths Bedrm Firepl 1 01 1 01 1964 1 1 0 2 0 Site# Heat Type Fuel Type Central Air Bsmt Type Overall Cond Constr Grade SFLA 1 2 4 1 4 4 C 931 ILnprovenients Information: Site Struct Code DimDim SQ #Constr Overall Yr # 1 2 FT —Grade Cond Built 1 RP4-Porch-enclsd 4 26 0 1 B 4 1955 1 RG1-Gar-1.0 att 20 24 0 1 B 4 1955 1 BS1-Boat shelter 16 28 0 1 C 3 1955 RP1-Porch- 1 3 12 0 1 C 3 1955 open/deck 1 DK2-Crib dock 0 0 136 1 C 3 1955 1 DK2-Crib dock 0 0 144 2 C 3 1955 1 DK2-Crib dock 0 0 48 1 C 3 1955 RP 1-Porch- 1 3 12 0 1 C 3 1964 open/deck RP 1-Porch- 1 10 16 0 1 B 4 1955 open/deck 1 RP5-Porch-up opn 13 26 0 1 B 4 1996 Special Districts Information: Special District Units Percent EM001-Emergency http://gby2svr/GIS/RPS Info.asp?RPT=SALES 4/13/2006 06 - 17S. RESOLUTION APPROVING RICHARD AND CYNTHIA SMITH'S APPLICATION FOR SANITARY SEWAGE DISPOSAL VARIANCES RESOLUTION NO.: BOH 37,2005 INTRODUCED BY: Mr.Tim Brewer WHO MOVED ITS ADOPTION SECONDED BY: Mr.John Strough WHEREAS, Richard and Cynthia Smith filed an application for variances from provisions of the Town of Queensbury On-Site Sewage Disposal Ordinance, Chapter 136 to install a replacement septic system: 1. 2.5' from the west property line instead of the required 10' setback; 2. 1' from the south property line instead of the required 10' setback; 3. 7.2' from the basement instead of the required 20' setback; and 4. 99' from Lake George instead of the required 100' setback; on property located at 112 Rockhurst Road in the Town of Queensbury, and WHEREAS, the Town Clerk's Office published the Notice of Public Hearing in the Town's official newspaper and the Local Board of Health conducted a public hearing concerning the variance requests on December 19th,2005, and WHEREAS, the Town Clerk's Office has advised that it duly notified all property owners within 500 feet of the subject property, and WHEREAS, in accordance with Town Code §136-20(E), if the Town's Local Board of Health refers an application to a qualified consultant, the costs of such consultant shall be paid to the Town by the applicant before any variance shall be effective, NOW, THEREFORE,BE IT RESOLVED, that 1. due to the nature of the variances, it is felt that the variances would not be materially detrimental to the purposes and objectives of this Ordinance or other adjoining properties nor otherwise conflict with the purpose and objectives of any Town plan or policy; and 2. the Local Board of Health finds that the granting of the variances is necessary for the reasonable use of the land and is the minimum variances which would alleviate the specific unnecessary hardship found by the Local Board of Health to affect the applicants; and BE IT FURTHER, RESOLVED, that the Local Board of Health hereby approves the application of Richard and Cynthia Smith for variances from the Sewage Disposal Ordinance to install a replacement septic system: 1. 2.5' from the west property line instead of the required 10' setback; 2. 1' from the south property line instead of the required 10' setback; 3. 7.2' from the basement instead of the required 20' setback; and 4. 99' from Lake George instead of the required 100' setback; on property located at 112 Rockhurst Road in the Town of Queensbury and bearing Tax Map No.: 227.09-1-10, and BE IT FURTHER, RESOLVED, that such application is approved and variance approvals shall not be effective 2 until Richard and Cynthia Smith pay to the Town any costs incurred in accordance with Queensbury Town Code §136-20, and BE IT FURTHER, RESOLVED, that such variances are conditioned upon: 1. the Town's employees shall inspection the excavation and removal of prior septic system; and 2. James Edwards of C. T. Male Associates, P.C. send a follow-up letter to his December 19th, 2005 letter to the Town's Director of Building and Codes Enforcement confirming the sizing of the system and whether or not the system must be capped. Duly adopted this 19th day of December,2005,by the following vote: AYES : Mr. Strough,Mr. Brewer,Mr. Stec,Mr.Boor,Mr. Turner NOES: None ABSENT:None 3 AS rom cu -! 0 z H r D D D OWN.. Dz A 0 _U) z z N N O �mD z � _ ;MV,Z x II � DESCRIPTION K c V 12” m�00 N U) C-) ;p Z z -j min I I I I C DCX MTIJ�rM I C m £ O _ U Z Z m � M ;5 W ZN-gM vN ova Z C z I N N p�= n D D (n a Up MM 0 DpD z m O wC-m UNi vo® DO zzm x ;u no O O D O z � o co •— o -1z 0 TI D (� Z - -< _. 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