2013-028 TOWN OF QUEENSBURY
tivs," 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
,,
Permit Number: P20130028 Date Issued: Monday, February 04, 2013
This is to certify that work requested to be done as shown by Permit Number P20130028
has been completed.
Tax Map Number: 523400-301-008-0002-002-000-0000
'i'i Location: 6 COTTAGE HILL Rd
Owner: AMANDA& BONNIE NORTON
Applicant: AMANDA& BONNIE NORTON
This structure may be occupied as a:
Septic Alteration Residential
y By Order of Town Board
f TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the i
at,t)i' property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by theDirector .of Building&Code Inforc'S em
''�, Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
fik 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130028 Application Number: A20130028
Tax Map No: 523400-301-008-0002-002-000-0000
Permission is hereby granted to: AMANDA& BONNIE NORTON
For property located at: 6 COTTAGE HILL 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: AMANDA& BONNIE NORTON
6 COTTAGE HILL Rd Septic Alteration Residential
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
COOKS SEPTIC
NY 12804-0000
Plans&Specifications
BP 2013-028
Residential Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, January 31,2014
(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 of Qt ensb ;4 i i r l . anuary 31, 2013
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
I
Community Development Office ! `` .
Town of Queensbury • 742 Bay Road • Queensburyl, New York •12804 I i
I ' • JAN 3 0 2013 .41
Office Use Only a:; _____TAX MAP NO. /"('ge— -2 PERMIT NO. �0/3_oaI PERMIT FEE
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 ID PERMIT.
OWNER: geyylit
/� /A/17 `flyy''��//-- INSTALLER: cS'cn& <12 �� /
ADDRESS: 6' Ikr- >91/ ADDRESS: /9 y 48 M 4' Al
PHONE NOS. PHONE NOS.
LOCATION OF INSTALLATION:
RESIDENCE INFORMATION:
NO.OF COMPUTATION
YEAR BUILT X = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRINDER,p
1980 or older -`2, X 150 = L f INSTALLED? �///
1981 -1991 / X 130 = SPA OR HOT TUBA/0
1992-present �jy X _ 110 = . it/ INSTALLED? fr' e
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLIN . STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND - LOAM CLAY OTHER
✓ GROUNDWATER. AT WHAT DEPTH?
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (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: GALLON(MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the sep is tank for each garbage grinder, i
spa or whirlpool tub. ZOIC I X-• o 2-S% -RR c Vat= \C'/'•�
SYSTEM TYPE: n) 2 x Yc-�
[ABSORPTION FIELD(WITH NO. 2 STONE) Total length /`, ft. Each trench ✓ X go
❑ SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? // Size?
o ALTERNATIVE SYSTEM Bed or other type? Zig-- Cc� ' JJJ
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 have rea• he regulation , 'th r-'.•- o this application and agree to
abide •' the•e and all .sire, L •, th_ own of ueen bury QUESTIONS? CALL 761-8256 OR EMAIL
San'.. Se sage Di al nil, codes(rDqueensburv.net
Si71*-- of Person -ponsible D to VISIT OUR WEBSITE FOR MORE INFORMATION
www.eueensbumnet
NYS-Real Property System Subject Property Inventory Summary RPS030N04/L001
County of Warren For Current Year File 2013 Date: 1/30/2013
Town of Queensbury Parcel ID: 301.8-2-2 Sheet 1 of 1
SWIS Code-523400 Active
—Parcel Information —Parcel Land Size —File Maintenance Info
Curr Owner: Norton,Amanda Acct#: Front: 0.00 Acres: 0.17 Created: 11/20/1984
Location: 6 Cottage Hill Rd School Cd: 523402 Queensbury Un.fr.: Depth: 0.00 Sq Ft: 0 Modified: 06/10/2009 02:12 PM
Queensbury,NY 12804 Roll Sect: 1 Taxable RS/S: Grid Coordinates By: Batch FM by teri
Prop Class: 210 1 Family Res East: 707481 North: 1638841 Folder: SITE
—Site Characteristics
Site No: 1 Nbhd Cd: 162 OldSubdv,Rs,RL Site Desire: 2 Typical DC Entry Type: 1 Inter inspec Economic Obs: 0
Site Type: R Residential Sewer Type: 2 Private Nbhd Type: 2 Suburban Zoning Cd: NR Neigh Res Data Mailer: No
Prop Class: 210 1 Family Res Water Supply: 3 Comm/public Nbhd Rating: 2 Average Last Phy Insp:
Route No: Utilities: 4 Gas&elec Road Type: 3 Improved Reappraisal: 08/26/2004
—Residential Building Information
Bldg Style: 01 Ranch No.Bath: 1 Fuel Type: 2 Natural Ge Grade Adjust: 0 —Area in Sq.Ft.
1st Story: 1,053 Fin Bsmnt: 0
No.Stories: 1.0 No.Half: 0 Central Air: No Pct Good: 0
Ext Wall Mtrl: 01 Wood Bath Qual: 3 Normal Bsmt Type: 1 Slab/pier Func Obs: 0 2nd Story: 0 Unfin 1/2: 0
Add!Story: 0 Unfln 3/4: 0
Act Yr Bit: 1950 No.Bdrms: 3 Bsmt Gar Cap: 0
1/2 Story: 0 Unfin Rm: 0
Eff Yr Bit: No.Rooms: 4 Overall Cond: 3 Normal
3/4 Story: 0 Unfin Ovr Gar: 0
Yr Remodel: No.Firepics: 0 Ext Cond: 3 Normal Over Garage: 0 SFLA: 1,053
No.Kitchen: 1 Fireplc Type: Int Cond: 3 Normal
Kitchen Qual: 3 Normal Heat Type: 2 Hot air Constr Grade: C Average Fin Attic: 0 Fin Rec Rm: 0
Land Breakdowns
Land Soll Wtrfrt Depth Intl Intl Infl infl Land Unit Dim
Type Front Depth Acres Sq Ft Rating Type Factor Pct Cd 1 Cd 2 Cd 3 Value Price Code
01 Primary 60.00 120.00 0.00 0 0 50 2 16450 274.167
Additional Improvements
Structure Measure SQFT Overall Act Eff Yr Pct Func Sry Unit Bld Bld
Code Code Dim1 Dim2 MISC Qty Grd Cond Yr Built Gd Obs Life RCN RCNLD No. No. Sec
RG4 Garage, 1 Story Detached Dimension 14.00 20.00 .00 1.00 C Norm 1950 0 0 0 9120 2736 0 0
RP1 Porch,Open Dimension 14.00 12.00 .00 1.00 C Norm 1991 0 0 0 2233 2099 0 0
LP3 Patio,Concrete SQFT/Mi! .00 .00 246.00 1.00 C Norm 1988 0 0 0 814 334 0 0
RP1 Porch,Open Dimension 3.00 4.00 .00 1.00 C Norm 1950 0 0 0 0 0 0 0
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SWIS : 523400
Print Key: 301 . 8-2-2
Comment: Photo
A- a4
Septic Inspection Report ��}*
Office No. (518) 761-8256 Date Ins
pection ed: I 6 ,•0 I ''�
Queensbury Building&Code Enforcement Arrive: a r!: s- : �i9 a-a
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials•SFS
gi
NAME: ►'�Yll')glint
Ate—
NO : ( 3 Ga
LOCATION: �D e de S EECTON: /!�:lInl�t� / 31 .013
RECHECK: onir / __ Ord
•mm�.• , ,J . . .• ,
Soil Ty • •- / Clay
Type of Water: Munidpal /Well Water
Wate on distance tO ft. i-Pa,JT 4,pq_p
Well separation distance ft.
Other wells: ft.
Well Casing Length 50'+/- _Y N N/A
[150'to well required If NO]
l
Absorption Field: Total length Vi ft.
Length of each trench 0 ft.
Depth of trenches Z'.-7&ft.
Size of Stone e l9 _ 310_ t1J r \
Seepage Pits: Number /
Size: x
Stone Size:
Piping Size Type
Building to tank E.)�ro 1L
Tank to Distribution Box LE rr $Cid 140
Distribution Box to Field/
Opening Sealed: / N
End Cap _ Y N
Inlet/Outlet Pipes&Baffle N
Manholes 12"or less below grade N
[provide extension collar if Yes] N
Location/ Separations
Foundation to tank 1 "'-
Foundation to absorption Z 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:
Front Rear Left Side Right Side Middle Front Middle Rear
stem Sta
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
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