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2013-191 TOWN OF QUEENSBURY F 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20130191 Date Issued: Friday, November 29, 2013 This is to certify that work requested to be done as shown by Permit Number P20130191 has been completed. Tax Map Number: 523400-296-018-0001-039-000-0000 Location: 60 MONTRAY Rd Owner: ANDREW & SUEANN LOYA JR Applicant: ANDREW & SUEANN LOYA 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 ( --cDJ 44 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 ea. 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130191 Application Number: A20130191 Tax Map No: 523400-296-018-0001-039-000-0000 Permission is hereby granted to: ANDREW& SUEANN LOYA JR For property located at: 60 MONTRAY 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: ANDREW& SUEANN LOYA JR Septic Alteration Residential 60 MONTRAY Rd Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency MILLER HILL TRUCKING NY 12804 Plans&Specifications 2013-191 Res. Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, May 13,2014 (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 Townkof Qu sbu /J M II, i : j, May 13,2013 r ©J w i' SIGNED BY 4\ for the Town of Queensbury. Director of Building&Code Enforcement Community Development Office y� Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 MA�. I 2013 Office Use Only ep Q a �y � TAX MAP NO. A� , d 0 1"3 T PERMIT NO. 1 -/ l I PERMIT FEE �l/ 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 lPERMIT. OWNER: !-}ncicet.; —! �or0. J f. INSTALLER: A,f/ / I-Lu Trc,�k.11G_ /'Y)4lQe/ Black' - ADDRESS: (& Rd., Que-ensht_rr ADC7ZESS: Avo✓et I--Ci,'rt12._d((pS� / )4-y ia8-0L-1 PHONE NOS. '193- '-/952' PHONE NOS. ,5I --. 9d1 5/0 "' 7*-/3S'Ce, LOCATION OF INSTALLATION: Fir/2L.r WI fin ID/1 -71-ray RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = INSTALLED? 1981 -1991 X 130 = SPA OR HOT TUB 1992-present X J 110 = IINSTALLED? PARCEL INFORMATION: 4-epic(c C/`�/t s4-7 ��� i L -far\ V w'�k ` O �� No S )5-- ` n t n ✓ TOPOGRAPHY: FLAT ROLLI G STEEP SLOPE %SLOPE ICV ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL d WELL (If well:water supply from any septic system absorption is: ft) ✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mph] (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: hall) 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: /�O I�Q ICAC 11 t\ cri ❑ABSORPTION FIELD(WITH NO. 2 STONE) Total length ft. Each trench X ❑ SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size? o ALTERNATIVE SYSTEM Bed or other type? 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 read the regulations with respect to this application and agree to abide by these and all requir- ents of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL S-• ary S- a?e Disposa • dinance. codes(@queensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION • ature of Per •—Respons • e Date www.queensbury.net NYS-Real Property System Subject Property Inventory Summary RPS030N04/L001 County of Warren For Current Year File 2013 Date: 5/13/2013 Town of Queensbury Parcel ID: 296.18-1-39 Sheet 1 of 1 SWIS Code-523400 Active Parcel Information Parcel Land Size File Maintenance Info Curr Owner: Loya,Andrew Jr Acct#: I Front: 0.00 Acres: 0.19 Created: 11/20/1984 Location: 60 Montray Rd School Cd: 523402 Queensbury Un.fr.: Depth: 0.00 Sq Ft: 0 Modified: 05/01/2013 03:02 PM Queensbury, NY 12804 Roll Sect: 1 Taxable RS/S: Grid Coordinates I By: Batch FM by teri Prop Class: 210 1 Family Res East: 711085 North: 1641959 Folder: ASSESSMENT Site Characteristics - - Site No: 1 Nbhd Cd: 195 Strips Busy Res 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: MDR Mod Density Re Data Mailer: No Prop Class: 210 1 Family Res Water Supply: 3 Comm/public Nbhd Rating: 2 Average Last Phy lnsp: 05/01/2013 Route No: Utilities: 4 Gas&elec Road Type: 3 Improved Reappraisal: 08/23/2004 Residential Building Information BldgStyle: 01 Ranch No. Bath: 1 Fuel Type: 4 Oil Area in Sq. Ft. tY YP Grade Adjust: 0 1st Story: 885 Fin Bsmnt: 0 No.Stories: 1.0 No. Half: 0 Central Air: No Pct Good: 0 2nd Story: 0 Unfin 1/2: 0 Ext Wall Mtrl: 03 Alum/vinyl Bath Qual: 3 Normal Bsmt Type: 3 Partial Func Obs: 0 Act Yr Bit: 1952 No. Bdrms: 2 Bsmt Gar Cap: 0 Addl Story: 0 Unfin 3/4: 0 Eff Yr Blt: No. Rooms: 5 Overall Cond: 3 Normal 1/2 Story: 0 Unfin Rm: 0 3/4 Story: 0 Unfin Ovr Gar: 0 Yr Remodel: No. Fireplcs: 0 Ext Cond: 3 Normal No.Kitchen: 1 Fireplc Type: Int Cond: 3 Normal Over Garage: 0 SFLA: 1,065 Kitchen Qual: 3 Normal Heat Type: 3 Hot wtr/stm Constr Grade: C Average Fin Attic: 180 Fin Rec Rm: 0 Land Breakdowns Land Soil 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 102.00 80.00 0.00 0 0 0 15200 149.020 Additional Improvements Structure Measure SOFT 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 RG1 Garage, 1 Story Attached Dimension 34.00 26.00 .00 1.00 C Norm 1962 0 0 0 19307 13901 0 0 RP2 Porch,Covered Dimension 40.00 5.00 .00 1.00 C Norm 2000 0 0 0 0 0 0 0 RP1 Porch,Open Dimension 15.00 5.00 .00 1.00 C Norm 2000 0 0 0 0 0 0 0 LP3 Patio, Concrete SQFT/Mi: .00 .00 448.00 1.00 C Norm 2000 0 0 0 0 0 0 0 41 • 0 • • __________— ----- 0 414d 41 • • 4 --- ---------------11N.1 ._ 1_ a-A: 41 41 -----\ • 44011k 41 1110 ..,* O . , , 11 IC •v 40 4/ Ilt P 41 .• 41 41 II fiLD-i / Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pmDepart: /1 am/pm l+ 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ( NAME: i C C -- PERMIT NO.: /3-1q 1 LOCATION: L0 2-) /Y\;, aj RCtf INSPECT ON: s –ta 7-1-i RECHECK: Comments and/or diagram Soil Type: Sand / L .m/ Clay Type of Water: Municipal/ ^-II W.ter Waterline separate ,'is . ce ft. Well separate • nce ft. • R: s: / ft. Well Casing Length i►' + / - Y N N/A [150'to well requi :• if NO] Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. t�` �' Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box f Distribution Box to Field/ Pit Opening Sealed: _Y N End Cap _ N Inl Outlet Pipes& Baffles _, N ,' Ma es 12"or less below grafi _ N i ^ ,,T 1 Z' 1201-01"`3 rovide extension collar if Yes] _ _ N .,— Location / Separations Foundation to tank ft. Foundation to absorption ft. lir-t . rz1,z; Separation of Pits / ft. Conforms as per Plot Plan ✓ T — N Engineer Report and As-Built Y_ N ETU Maintenance Contract _Y N provided Location of Syste n Property: Front Rear Left Side Right Side Middle Front Middle Rear S stem Use Status: 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 411, A. - . • lic4:tyl v - rlil --er-1-9-N-- .---- 1„,.. . ..iv.,.,. . 1 i • -\‘ 1 .,A.... '')2 - . -. - - - - ---- - 0 1410 : (.•\. i • c- \-- tr- H1 • • i ,. .� _ . - ,?.?Cl r- . 01,41.. el - [per` f 5 ... _ */ • --1...1—____ ,f -, .,/ , 4 ,..,,,.. . ., ..,. TOW - QFQUEE • R r-• % - - - ---- ---- - -- * --- -- 494 iiii-2\ BUiLl. LNG & ca, . OW',74.- :, , . Reviewed 'y'W,� Oil ''-,- , C $ ;/ R. ~r SEPTIC PLQT PLAN lc 1 I HAVE SEEN OR OBSERVED ALL OBJECTS "k, SUCH AS HOUSES, WELLS, TREES, FENCES, ETC Z / SHOW ON THIS DOCUMENT.I HAVE PERSONALLY MEASUR T ANCE SET F' H ON THIS DIAGRAM. ti i 7 .TUBE / L / DATE ! 9 ..:4wed g 9 O S• • �,j W MAY 1 U 2013 ere Weir VleI5 ?1 y // ` v _ C ( bl - 1 o f d9 -,,,,,, ci, ,e, & d a ed S� a--ccs Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrivep�. or's Initials:m/pm Depart:C4 � am/pm 742 Bay Rd., Queensbury, NY 12804 Ins7CJ NAME: L, 6w� PERMIT NO.: 3 - 'n LOCATION: (.x? C) 5'�l v()-F—rcqP4 INSPECT ON: i. WIN k 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. 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 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 End Cap _Y_N Inlet/Outlet Pipes&Baffles _N a hr 12"or less below grade= N fl f 1- [provide extension collar if Yes] VY N � _ fRokM_A—X—b Location/ Separations Foundation to tank 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: Front Rear Left Side Right Side Middle Front Middle Rear System Use Stat : 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 ." ♦ - I I v (7 1 \...sc—\ : _____4_,,f____4:\\.L d r‘i c (in'%(),. i______,// ,J 7 ti i if N re I , 03' 444 (14 A + - - TOW , OF QUEE . c R • Reviewed By•IlVtlf I, . . £ ),. — - - - Date: t ).1 % i S V SEPTIC PLOT PLAN I HAVE SEEN OR OBSERVED ALL OBJECTS `/, SUCH AS HOUSES, WELLS, TREES, FENCES, ETC / SHOWN ONTHIS DOCUMENT.I HAVE PERSONALLY MEASURED T J ANCE SET F H ON THIS DIAGRAM. 1 7'•NATURE DATE 14004,l J yj� / ci sof f �1 4 1 Ct b1 -� 1 d 9 sV,v. y ,� & & v �'d