2013-222 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20130222 Date Issued: Friday, January 08, 2016
This is to certify that work requested to be done as shown by Permit Number P20130222
has been completed.
Tax Map Number: 523400-301-012-0003-047-000-0000
Location: 35 ZENAS Dr
Owner: KATHLEEN MURPHY
Applicant: KATHLEEN MURPHY
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 (--- a.19 4
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.
Oek TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
41111.
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130222 Application Number: A20130222
Tax Map No: 523400-301-012-0003-047-000-0000
Permission is hereby granted to: KATHLEEN MURPHY
For property located at: 35 ZENAS Dr
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: KATHLEEN MURPHY
35 ZENAS Dr Septic Alteration Residential
QUEENSBURY, NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
COOKS' SEPTIC
DAN COOK 426-9305
194 HALL HILL Rd
LAKE LUZERNE NY 12846-0000
Plans&Specifications
2013-222
Res. Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 23,2014
(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 of Que sbury; Thur ay May 23,2013
SIGNED BYf/ for the Town of Queensbury.
Director of Building&CodEnfo‘ ment
-t "- Community Development Office
""k t ti; ./ Town of Queensbury • 742 Bay Road • Queensbury, New York ■12804
MAY 232013
Office Use Only
TAX MAP NO._ ,b 1 , ! - 1-1 11 PERMIT NO. t 3-a�� 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 A VALID PERMIT.
OWNER: AN wt. \ INSTALLER: eePe3 /% c
5 ✓4,01 t
ADDRESS: 3 2 2 %
i✓4 S ADDRESS: '#,/// /i//'(/id lo'f"/'elv G ,
PHONE NOS. PHONE NOS.
LOCATION OF INSTALLATION:
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 .,1,_, X 130 = !9D SPA OR HOT TUB
1992-present X 110 = INSTALLED?
PARCEL INFORMATION: C
✓ TOPOGRAPHY: FLAT O G I4 STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND , LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL X, WELL (If well:water supply from any septic system absorption is: ft)
I PERCOLATION TEST: RATE IS / 7 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 septic tank for each garbage grinder,
spa or whirlpool tub.
SYSTEM TYPE:
❑ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each trench X
❑ SEEPAGE PIT(S)(WITH NO. 3 STONE) Howmany? (5 Size? / )
ErALTERNATIVE SYSTEM Bed or other type? � g6 �� /��
❑ 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 reaa regulations with resect et this pplication and agree to
abide by the a and all quiremp he wn of Queensbury QUESTIONS? CALL 761-8256isr "e.- WEBSITE FOR MOREj1RMAoIII
S'i Pte' U
Septic Inspection Report
Office No. (518) 761-8256 Date Ins.,..- ion r-:
d-co€ :_\ /I ail()
Septic Inspection Re..
Office No. (518) 761-8256 Date Inspection r-• -Queensbury Building &Code Enforcement Arrive: \\' •). •. �[►r••rt: l 1=65 a rafil.
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials.-
NAME: I TM ,(_(--01r r PE' NO.: /
;1
LOCATION: <-3 -��4 S INSs CT ON: j--A-'•/,°3
RECHECK:
Comments and/or diagram
Soil Type(an. ' Loam/ Clay
Type of Water:Wil► Well Water
Waterline separation distance Qk c- Ttft.
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 v ,NQ‘E ij ft.
Depth of trenches -- ft.
Size of Stone vJ Ftt't R ��i2<yi \
Sef-pa eNtufber
Size: � x e_ k.-1
Stone Size:
Piping Size Type
Building to tank tI i` 5 C vk yp EV-A vZ) b
Tank to Distribution Box 4 t` ,Q\)C—
Distribution Box to Field/ Pit y p`� 'c't, \ ,A
Opening Sealed: ..f N
End Cap N
Inlet/Outlet Pipes&Baffles N
Manholes 12"or less below grade
[provide extension collar if Yes] Y_
Location/ Separations
Foundation to tank \D ft.
Foundation to absorption -..h ft.
Separation of Pits ft. C-- ) -- L,
Conforms as per Plo ' -n Y
Engineer Report a : As-Bui _Y •
ETU Maintenan = act Y N
provided
Location of System on Property:
Front Rear -. Side Right Side Middle Fro 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
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SEPTIC PLOT PLAN
I HAV SEEN OR OBSER D A %%EJECTS
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TOWN OF QUE• 'BAI '' /
BUILDING & •D. ►/r
Reviewed By: Gr/ fj
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