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2013-323 X61-g2p1 Q SIg��61~$25G Y 12a� - d Codes -('! Coxa �� �✓� 14 0 22�20 ���1 �anUaYy GA esday' 17 13p32 p20 . p2�,�30323 pexmit�"�bex besh b9 ti Nutrir own .,�,ex xequested to be done as .woxk. 0 oextify tat �0001r00,� 000-000 sheen completed 400-30I_p13 has 62 ex. R Rd p� �NCs IAC. ryax I'sol) 264 F LS �NpR �11T`� �EpENp Board .Location• C��'� &,I� BY Qzaex Oil l o � d as a' Npphcant• ay be oecnp ax nforcen'ent StxUGtuxe ommet4la &Code E 'This enation C eve the o£Build�n goptic p,xt S-Sol rely plan., Dltectoc f Compliance Do'auce With site by tie a fors as ap esult of appro Certificate sibilit5' Issuance of trier of the ruis esp°d coud7,kuo eats• proper' °©r other�ssueiu .Board of App Varna ng$oard°r Z,on p1a TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130323 Application Number: 820130323 Tax Map No: 523400-301-013-0001-007-000-0000 Permission is hereby granted to: COMMUNITY WORK&INDEPENDENCE.INC. For property located at: 264 FULLER 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: COMMUNITY WORK&INDEPENI Septic Alteration Commercial PO BOX 303 GLENS FALLS,NY 12801-0000 Total value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2013-323 Commercial Septic Alteration $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 19,2014 (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 Que sbu Fri , 1 19,2013 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Community Development Office Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 Office Use Only TAX MAP NO. � 113--1" 17 PERMIT NO. 3�3A✓ PERMIT FEE �6' 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: CWI INSTALLER: to be determined ADDRESS: 50 Pine Street Hudson Falls NY, 12839 ADDRESS: PHONE NOS. (518)756-2716 PHONE NOS. LOCATION OF INSTALLATION: 264 Fuller Rd.Queensbury New York 6 residents residents @ 150 gpcd = total facility wastewater RESIDENCE INFORMATION: 3 Staff staff @ 75 gpcd flow= 1125 gpd GARBAGE GRINDER (estimated)reuse existing INSTALLED? no system&provide new SPA OR HOT TUB system as shown on plans INSTALLED? no PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING X STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND X LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? >87" ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? >87" ✓ DOMESTIC WATER SUPLY: MUNICIPAL X WELL (If well:water supply from any septic system absorption is: ft ✓ PERCOLATION TEST: RATE IS 0 min 12 sec 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). Existing 1000 gallon for"south wing"&new 2000 gallon tank for new"north wing system. 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) How many? Size? N ALTERNATIVE SYSTEM Bed or other type? Infiltrator Systems Inc Quick4 Equalizer 36"Bed system&existing seepage pit system ❑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 these and a Irements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sani Se age spo Ordinanc codesAaueensburv.net Igna ure of Person sponsible 4atc�l_ VISIT OUR WEBSITE FOR MORE INFORMATION www.clueensbury.net Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: 13') am pin 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ��54 PERMIT#: LOCATION: ceder INSPECT ON: TYPE OF STRUCTURE: / Y N N/A Plumbing under slab 0 Rou h Plumbing /Nail Plates Plumbing Vent/Vents in Place , -ew ��� 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test ti Air Sealing COMMENTS: Rough Plumbing—Insulation Inspection-02 0513 Town of Queensbury Building &Code Enforcement Office No. (518) 761-8256 Septic Inspection Report Inspection request received: Name: ('., ��� - Inspected on: Location: — — LC co r— Arrive: a.m./p.m. Permit No.: 3 -3 A3 Inspector's Initials: 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 I Pit 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 Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _N Engineer Report and As-Built _Y_N ETU Maintenance Contract provided _Y_N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status/ Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report JARRETT Engineers, PLLC Civil&Environmental Engineering January 15, 2014 John O'Brien JAH 17 e GI11 Town of Queensbury, Building & Codes 742 Bay Road Queensbury,NY 12804 Re: CWI Fuller Road Wastewater Disposal System JE 12-029 Dear John: This letter is to certify that representatives from this office visited the CWl Fuller Road Residence during construction of the new wastewater disposal system that serves a portion of the residence. Based on our field observations, we believe that the system has been constructed substantially in conformance with design plans issued by this office (IFC 10/1/12) and approved by your office, entitled "Alteration of an Existing Wastewater System CWI Fuller Road Site", with the exception of changes made during construction that are documented on the attached "Record plans" issued 1/10/2014, and the following outstanding items: 1. Existing roof drain lines that were found to have been routed through the new leaching system had not been completely relocated as of our last inspection 2. The drainage diversion swale has not yet been constructed If you have any questions,please do not hesitate to contact us at 792-2907. Sincerely, JARRETT Engrneers, PLLC C�/ 2014.01.15 11:56:18-05'00' H. Thomas Jarrett, P.E. 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Is Z, z -E.ff !� 86 .2 'XV a �3z AN g§ ', h 20; h x2p � U 4 1 gig x 89 86, Y, 141 IR z L8 O- W ME 9 OAS RH Tg-1 Iva tou > 41 RV, tu ms 'p co ot� IV, N ............ ------4m Aw 0 wL aw: w lit 9 I I . I, R -a aiwaL ZLOZ\I-ld Town of Queensbury Building &Code Enforcement a V Office No. (518) 761-8256 Septic Inspection Report s ,1 � y Inspection request received: ,L Name: Inspected on: Location: La Aj Arrive: r �~2-:6u a.m./p.m. Permit No.: 3 Inspector's Initials: Comments and/or diagram Soil Type: Sandaarx�. :1a:y Type of Water: unicip VWell 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 3 2Y ft. Length of each trench 3 2-- ft. ��zh Depth of trenches Z ft. Size of Stone h Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank A111- Tank to Distribution Box H 6722 Distribution Box to Field/Pit Opening Sealed: a 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 Location/Separations Foundation to tank 20 ft. Foundation to absorption 2Z ft. le- Conforms Separation of Pits ft. ,% ��%c(� Conforms as per Plot Plan _Y_Y) N Engineer Report and As-Built _Y X N ETU Maintenance Contract provided _Y_N Location of System on Property: Front (_W Left Side Right Side Middle Front Middle Rear System Use Status: Approved —Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report