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2013-205 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CE RTIFI CATE OF COMPLIANCE Permit Number: P20130205 Date Issued: Tuesday, July 15, 2014 This is to certify that work requested to be done as shown by Permit Number P20130205 has been completed. Tax Map Number: 523400-296-018-0001-028-000-0000 Location: 60 SWEET Rd Owner: ANDREW M CASTRANTAS Applicant: ANDREW M CASTRANTAS 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 EnforYement 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: P20130205 Application Number: A20130205 Tax Map No: 523400-296-018-0001-028-000-0000 Permission is hereby granted to: ANDREW M CASTRANTAS For property located at: 60 SWEET 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 M CASTRANTAS Septic Alteration Residential ELIZABETH A PARRISH Total Value 60 SWEET Rd QUEENSBURY NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency STRAIGHT'S SEPTIC SERVICE JACK STRAIGHT 518-480-4883 1 MYRON Rd SO. GLENS FALLS NY 12803-0000 Plans&Specifications 2013-205 Septic alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,May 17,2014 (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 Town 6 Que sbu Fri , ay 17,2013 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement ---~—~~.~.~~~~~~~~-~.__-~—.-.~-'.-.~--~.~— OFFICE USE ONLY ��' ^� TAX MAP | �~' 1tmyD� '- —'— —~~~--�—~�- --- � -----�-- � | � APPROVALS: ZONING TOWw � '—E ' � | _~___,~_~,~__,,~,__-- ----------------- APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT. xPERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION mSUBJECT TO REVIEW BEFORE ISSUANCE OF^VALID PERMIT. , OWNER: worxuco xoonem: 60 SW6K ADDRESS: ^ PHONE NO PHONE NOS. LOCATION oFINSTALLATION: RESIDENCE INFORMATION: YEAR BUILT NO.OF x COMPUTATION= = TOTAL DAILY FLOW BEDROOMS GARBAGE am 1980 or older x 150 gallon per bedroom = /weTAusuv99 _O�L_— (a%81-1 -ID 3 x 130 gallon per bedroom SPA o*HOT ru 1992-present X I 10 gallon per bedroom INSTALLED?, 'k,9 PARCEL INFORMATION, / TOPOGRAPHY: Flat rolling_��_ Steepo|opo____ Y68|ope____ � SIILJNlIURE: Gand_—,W�_ Loam____ C\ey____ Othnc____ / A/what depth?______ / /#what depth? _____ / Municipal X Yva)L___ (if well: Water supply( tic system absorption isV.) / Rate is per minute per inch. (Test to be completed byulicensed 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: -AW GALLON(N|N.SIZE|S1.OV0GAL.)Add 25Vgallons 10the size ofthe septic tank for each garbage grinder,spa orwhirlpool tub. SYSTEM TYPE: [] ABSORPTION FIELD(WITH NO.2STONE) Total length_____t. Each trench______X______ [] SEEPAGE P}T(G)(WITH NO.3STONE) How many? Size?________ []ALTERNATIVE SYSTEM Bed orother type? []HOLDING TANK SYSTEM Total required capacity? Tank size? Number r[tanks? _______ ~-'~' ~ NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For protection,please note that pursuant 10Section 138-agofthe Code uf the Town ofQueensbury,any permit or approvalgranted which iebased upon or|o grantedinreliance upon any material misrepresentation o, failure tomake omaterial fact orcircumstance known hyoronbehalf ofanapplicant,shall bevoid. I have read the regulations with respect tothis application ond agreeto abide by these d all requirements of the Town of QUESTIONS? CALL 7 -8256 OR EMAIL Queensbury Sanitary SeDisposal Ordinance VISIT OUR WEBSITE FOR MORE INFORMATION 1�dtur"&,Persq"esponsible Date �8�Q�� u�� Town of(]ueous6ury"�a��un/t�Da.�o��ontOHce~7�!Bay Rou�(]u�no6ur� D'� 22804 ' ~ ��. sti IC) Septic Inspection Report Office No. (518) 761-8256 Date Inspection re est received: Queensbury Building &Code Enforcement Arrive: -� am m Depart: 1. mkm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ,c NAME: S (-6 GL.S _ PERMIT NO.: J'� 5 LOCATION: INSPECT ON: S'-31-13 RECHECK: Comments and/or diagram Soil T Loam Clay Ty of Water: II-Water Waterline se ration 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 z ft. Length of each trench ft. AS' B U I L T Depth of trenches Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box it Distribution Box to Field Pit << Opening Sealed: N End Ca N Inlet/Outlet Pipes&Baffles N Manholes 12"or less below grade Y [provide extension collar if Yes Y—;ON Location/ Separations Foundation to tank ft. Eic 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/R r Left Side Right Side Middle Front le 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 2910.doc �.vni..wu.ricay weuClU�"Imenl'V ZC Town of Queensbury • 742 Bay Rd. Queensbury, New York -12804 PLOT PLAN, MAY 2013 Show all existing and proposed tructures. Indicate the setbacks of all structures and buildings from aii•prop.erty lines. . _ Ptak SEPTIC PLOT PLAN I HAVE SEEN OR OBSERVED ALL OBJECTS — - - -: - SUCH AS HOUSES, WELLS, TREES, FENCES, ETC - — SHOWN ON THIS DOCUMENT.I HAVE PERSONALLY W Ik MEASU THE D DIAGRAM. Z NAT E DATE 0 ___ _.—_ ___.. ._ ___._ ..1Uj _ .._._�. L CL O t Ini I .� I mm 2013 k 10 Ij- 4--- V j PROPERTY LINE B � 1 SQUARE = FT. Septic Inspection Report Office No. (518) 761-8256 Date Ins io st Queensbury Building&Code Enforcement Arrive: a epart – arr 742 Bay Rd., Queensbury, NY 12804 Inspector's IN ' NAME: C' P MIT NO.: LOCATION: 00 /�t�EE"C- SPECT 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. 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 t��k Opening Sealed: _Y_N End Cap _Y_N Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade Y—N [provide extension collar if Yes Y_N (� 1 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 51stem 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 2910.doc Community Development.office Town of Queensbury - 742 Bay Rd. Queensbury, New York -12804 PLOT PLAN MAY 1 2013 Show all existing and proposed tructures. Indicate the setbacks of all structures and buildings from all property lines. Okc)(,, 4 'kousiff F X F, TT J 0 m— To SEPTIC PLOT PLAN I I HAVE SEEN OR OBSERVED ALL OBJECTS -k I I---.:- t SUCH AS HOUSES, WELLS, TREES, FENCES, ETC —;f SHOWN ON THIS DOCUMENT.I HAVE PERSONALLY LU I r MEAll THE�1 DIAGRAM. Z NAT E DATE Uj C CL 0Al. 0 0C - 0 1 - �- -0 CL M T z M 19 ,. = Q-1JE BULE IN' GA D LLL 6499 PROPERTY LINE 1SQUARE = FT.