2013-391 e.11°I& TOWN OF QUEENSBURY
742 Bay Road,Queensbuty,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20130391 Date Issued: Thursday, August 22, 2013
This is to certify that work requested to be done as shown by Permit Number P20130391
has been completed.
Tax Map Number: 523400-315-007-0002-065-000-0000
Location: 7 HYDE Ct
Owner: CHRISTOPHER & LINDA HEARLEY
Applicant: CI-IRISTOPI-IER & LINDA HEARLEY
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, Atv
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.
A0h4 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130391 Application Number: A20130391
Tax Map No: 523400-315-007-0002-065-000-0000
Permission is hereby granted to: CHRISTOPHER& LINDA HEARLEY
For property located at: 7 HYDE Ct
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: CHRISTOPHER& LINDA HEARLE
7 HYDE Ct Septic Alteration Residential
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
IBS SEPTIC
IVAN BELL
2 LOWER WARREN STREET
OUEENSBURY,NEW YORK
Plans&Specifications
2013-391
SEPTIC alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 20,2014
(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 Tomo ueens ; e a August 20,2013
SIGNED BY jj,1JJl for the Town of Queensbury.
Director of Building&Code Enforcement
_ __ Community Development Office
Town of Queensbury - 742 Bay Road - Queensburl ifleW$0N13 2804
Office Use Only . cam' tJo
TAX MAP NO. 3/6 ,1) '" Q- PERMIT NO. f 3 - 39/` PERMIT FEE
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED
BEFORE CWORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORECISSUANCE OF A VALID PERMIT.
OWNER: 1'N r ` RRU�(\ INSTALLER: I.B J ye .-6- , (..
ADDRESS: 4'kt ADDRESS: 11 O W el o\rr?r . Q re h \D
PHONE NOS. J 1 LI' Ll PHONE NOS. ?-6--- O 1
LOCATION OF INSTALLATION: ' iA V'P l 4
RESIDENCE INFORMATION:
NO.OF COMPUTATION
YEAR BUILT X = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRIN ER
1980 or older X 150 = INSTALLED? U
1981-1991 X 130 = SPA OR HOT Tl��
1992 present tf X 110 LkilJ INSTALLED?f/►S
PARCEL INFORMATION: /' , r
✓ TOPOGRAPHY: FLAT ROL NG f STEEP SLOPE IV '')( %SLOPE \V c
✓ SOIL NATURE: SAND `"tL\OAM 1I I
N A- CLAY N k OTHER 1
I•4 GROUNDWATER: AT WHAT DEPTH? Iv I
I BEDROCK/IMPERVIOUS MATERIAL: AT WH1 T DEPTH? IV
✓ DOMESTIC WATER SUPLY: MUNICIPAL V WELL`u k(If well:water supply from any septic system absorption is: ft)
I PERCOLATION TEST: RATE IS IV N PER MIINUTE PER INCH[mpiJ (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).
}�i�l
TANK SIZE: 1�� e�3ALLO J (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 E: .2-50
\
�
aABSORPTION FIELD(WITH NO.2 STONE) Total length 1 C ft. Each trench S X )�
❑SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Ni Size? Iv
❑ALTERNATIVE SYSTEM Bed.or other type? N\ lV
\ I1 r 1
❑ HOLDING TANK SYSTEM Total required capacity? I�/ i Tank size? N P 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 reg AI ions with respect to this application and agree to
abide by these a . .II requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanitary Sr /iKisposal Ordinance. �„ a-1
codes(a�queensburv.net
3
VISIT OUR WEBSITE FOR MORE INFORMATION
Signa f}�person Responsible Date
www.aueensburv.net
9._ii
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection re, wed.
Queensbury Building &Code Enforcement .Arrive: 1 `.1 .� IDe.:rt7 et.
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: -1-11; P ' ' NO.: / 3
LOCATION: ( -I ,o,(� . INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Ty.: oa Clay
Type of Water: unici ell Water oc)
Water ation 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. AO
B � � ��Depth of trenches — ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank Lk " 5 C SOT
Tank to Distribution Box "
Distribution Box to Field / Pit Lk" ?Q_ ?, 'V , 4`` �'�n r,
Opening Sealed: -
V'-�"
End CapN
Inlet/Outlet Pipes&Baffles
Manholes 12"or less below grade Y_ N
[provide extension collar if Yes] _Y_ N
Location/ Separations
Foundation to tank NOQ
Foundation to absorption -7:74 ft.
Separation of Pits ft.
Conforms as per t Pla vN
Engineer Report a d As-Buil _Y— N
ETU Maintenan _Y_ N
provided
Location of System on Property:
Front •e-r -ft Side Right Si Middle Front fiddle Rear)
S stem Use S • us:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
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PERMIT PLOT PLAN
I HAVE PERSONALLY MEASURED THE DISTANCE
FROM THE PROPERTY LINES TO THE
PROP!,.ED STRUCTURE
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