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2013-274 �ws6-f ~j 12g�q,59d2 �51g� g, G1 g25b buY°�Y °des R°ac1Q'�eens •1dli�g&'� �1r� .peyelop �.� unit �COW 13 1 "' to Issu QZ�4 2Q13Q2'1� Pe�n'lt�unber exert Vested to be do • that�°tk xe�l 2-fl46'0��'40�� bts as to cert' eted 4,239-012��(}0 d Y,as been c°�.p er: X234 S����,Y PT R �un'b 6SAS aX lvlap D�Lj�C der of S° B 3SB gel �lRN vi9 Or ©F QUE tocc'Xpl G°denf App�ican :ctaxe ,ay be ldential the Of uilcl phis ri �1texatitonRespT relieve fan, pitieCtiOti pNVI ES th site the Sep °f Co�pliao e�ompliaUlt f api'r°vats by �ertifieate °nsibXlitS' s as a res of this e res4 nditi°n LIS• 1ss°once aer Of th nes and co d of Appea propea�e or of aer ts�oninb�oar pIanningY'°ar or TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130274 Application Number: A20130274 Tax Map No: 523400-239-012-0002-046-000-0000 Permission is hereby granted to: MIRADA LLC For property located at: 68 ASSEMBLY PT. 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: MIRADA LLC Septic Alteration Residential P.O. BOX 341769 TAMPA FL 33694-0000 Total value Contractor or Builder's Name/Address Electrical Inspection Agency CRANDALL EXCAVATING 793-0431 63 WOODCHUCK HILL Rd LAKE GEORGE NY 12845-0000 Plans&Specifications 2013-274 Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 21,2014 (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 Tonsbu zr 21,2013 SIGNED BY for the Town of Queensbury. V NQ Director of Building&Code Enforcement ' '^ ~ | �/c�� ~ OFFICE USE ONLY ~ - ` ' ' � � TAX MAP � � - -'— '-. ' .'~'^ . , � AP�R0YA�� ZD� TD�m « 1U ZUU | ' ---' APPLICATION FOR SEPTIC DISPOSAL SYSTEM xpsnmn MUST BE OBTAINED BEFORE WORK BEGINS,APPLICATION IS SUBJECT TO REVIaW BEFORE!gUANCE OF A VALID OWNER: AfIAIAr��V INSTALLER: PHONENOS. PHONE NOS. LOCATION OF INSTALLATION: YEAR BUILT NO-OF EDROOMS X COMPUTATION= TOTAL DAILY FLOW 1980 or older x 150 gallon per bedroom INSTALLED? 1981-1991 x 130 gallon per bedroom SPA OR HOT TUB 1992-present x 11 o gallon per bedroom INSTALLED? PARCEL INFORMATION: � TOPOGRAPHY: F|edndUng_Z Steep slope� %Glope�___ � SOIL NATURE: Gand____ Loem_Z O|ay____ Other ____ / Atwhat depth? / vuwhat depth?lvl_� / Municipal- L___ (if well: Water supply from any septic 4*'@7F'Zoyommuuon��on�______j�) / Rate Is x per min�a�erinch. (Test tobecompleted byalicensed professional engineer oramhUoct.) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must badesigned by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK JSIZE: .SIZE|81.0O0GAL.)Add 25Ogallons m�eubacf the septic mnkfor ' each garbage grinder,spa orwhirlpool tub. SYSTEM ZYPE� 14 [] ABSORPTION FIELD(WITH NO. []SEEPAGE P|T(G)(WITH NO.3 STONE) How many?;VV, �W' Size? []ALTERNATIVE SYSTEM Bed or [] HOLDING TANK SYSTEM Total required capacity? � Tanknize? Number dtanks? � F r yourpmtemion.p|eooanWotnsxpumuant^nSoction13O'2ScdthoCodeofthoTownofOuaenobury.any permit or approval granted which is based upon or is grantedi |iamaterial misrepresentation or failure to make a m' e I fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regu !on with respect to this application and bid b th e an all requirements of the Town of QU"TIONS?soC=2"OR EMAIL VISIT OUR WESSITE FOR MORE INFORMATION Town ofQueensbury~Community Development 0ffio �^� BayBoadQumnsbury,NY 12804 ���� °�• .t !4 --mak �� :�„_ ., r*'1 .��y � i � ^�`Y-f 'ir7,� +r*4.L �' °o`" � rs� — _�., �""d'�` — i— <"•• .g .i �;�e�} =t`sit �7 int I�i Y i 1 sem' » f '�, ♦ " t !p �''Nt SWIS : 523400 Print Key: 239 . 12-2-46 Comment: Photo NYS-Real Property System Subject Property Inventory Summary RPS0301V041L001 County of Warren For Current Year File 2013 Date:6/19/2013 Town of Queensbury Parcel ID:239.12-2-46 Sheet 1 of 1 SWIS Code-523400 Reactivated Parcel Information -- ----- - ---------- - -- -Parcel Land Size-- - -- __________-_.__ __ - File Maintenance Info- - - - Curr Owner: Mirada LLC Acct#: Front: 0.00 Acres: 0.16 Created: 11/20/1984 Location: 68 Assembly Pt. Rd School Cd: 522201 Lake George Csd Depth: 0.00 Sq Ft: 0 Modified: 05/01/2013 03:02 PM Queensbury,NY 12804 Roll Sect: 1 Taxable RS/S: _.._ - B Batch FM b teri -Grid Coordinates -- - Y� Y Prop Class: 260 Seasonal res East: 717403 North: 1685117 Folder: ASSESSMENT Site Characteristics ----- - - - --- - ------ - - --Site No: 1 Nbad Cd: 102 Lake Area Site Desire: 2 Typical DC Entry Type: 1 Inter inspec Economic Obs: 0 Site Type: R Residential Sewer Type: 2 Private Nbad Type: 2 Suburban Zoning Cd: WR Waterfront Res Data Mailer: No Prop Class: 260 Seasonal res Water Supply: 2 Private Nbad Rating: 2 Average Last Phy Insp: 05/01/2013 Route No: Utilities: 3 Electric Road Type: 3 Improved Reappraisal: 10/25/2004 Residential Building Information Bldg Style: 09 Cottage No.Bath: 1 Fuel Type: 4 OilGrade Adjust: 0 Area in Sq.Ft.-- ------ --No.Stories: 1.0 No.Half: 0 Central Air: No Pct Good: 0 1st Story: 600 Fin Bsmnt: 0 Ext Wall Mtrl: 01 Wood Bath Qual: 3 Normal Bsmt Type: 3 Partial Func Obs: 0 2nd Story: 0 Unfin 1/2: 0 Act Yr Bit: 1955 No.Bdrms: 2 Bsmt Gar Cap: 1 Addl Story: 0 Unfin 3/4: 0 Eff Yr Bit: No.Rooms: 4 Overall Cond: 2 Fair 1/2 Story: 0 Unfin Rm: 0 Yr Remodel: No.Fireplcs: 1 Ext Cond: 2 Fair 3/4 Story: 0 Unfin Ovr Gar: 0 No.Kitchen: 1 Fireplc Type: Int Cond: 2 Fair Over Garage: 0 SFLA: 600 Kitchen Qual: 3 Normal Heat Type: 2 Hot air Constr Grade: D Economy Fin Attic: 0 Fin Rec Rm: 0 Land Breakdowns Land Soil Wtrfrt Depth Infl Infl 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 60.00 123.00 0.00 0 0 0 30000 500.000 Additional Improvements Structure Measure SQFT Overall Act Eff Yr Pct Func Sry Unit Bid Bid Code Code Dim1 Dim2 MISC Qty Grd Cond Yr Built Gd Obs Life RCN RCNLD No. No. Sec RP4 Porch,Enclosed Dimension 7.00 15.00 .00 1.00 C Norm 1955 0 0 0 4068 2685 0 0 rrlda IpM Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: _ Queensbury Building &Code Enforcement Arrive: am/pm De rt: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: C*i r PERMIT NO.: 2 171 LOCATION: b 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. Well Casing Length 50' +/ - Y N N/A 150'to well required ifA01 Absorption Field: Total jengtftft. Length of each rench ft. Depth of tenches ft. Size 4f Stone Seepage Pits: Number Size: x Stone Size P6ing Size Type Building to nk �yCqc- Tank to Distributio Bo \ Distribution Box to Field it Opening Sea ed: _Y_N End Ca _Y_N Inle Outlet Pipes&Baffles _Y N 1 Manholes 12"or less below grade _Y_N [provide extension collar if Yes Y N Location/ Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan _Y fN Engineer Report and As-Built Y N ETU Maintenance Contract Y_N provided Location of Syste 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\Bu11d1ng Codes Forms\Inspection Forms\Septic Inspection Report 03 2910.doc g��� i' �7��� �'�,��������9�"�h