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2013-560 • ' TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20130560-40507 Date Issued: Tuesday, March 21, 2017 This is to certify that work requested to be done as shown by Permit Number P20130560-40507 has been completed. Tax Map Number: 308.19-2-8 Location: 34 ESSEX CT Owner: Kurt Daubenschmidt Applicant: IBS Septic This structure may be occupied as a: Residential Septic Alteration 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, r j4 4 Variance,or other issues and conditions as a result of approvals by the Director of uilding&Code Enforcement \ 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: P20130560 Application Number: A20130560 Tax Map No: 523400-308-019-0002-008-000-0000 Permission is hereby granted to: KURT& ELLEN DAUBENSCHMIDT For property located at: 34 ESSEX 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: KURT& ELLEN DAUBENSCHMID" Septic Alteration Residential 6 FINCH Rd Total Alteration alue QUEENSBURY,NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency IBS SEPTIC & DRAIN ATTN: IVAN BELL 2 LOWER WARREN St OUEENSBURY,NY 12804 Plans&Specifications 2013-560 Res. Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 10,2014 (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 u sbu Tu: a/ December 10,2013 SIGNED BY ,i for the Town of Queensbury. Director of Building&Code Enforcement - P6,0t )(1,. Office Use Only Town of Queensbury Building & Codes Receivdl__, . 0 2013 SEPTIC DISPOSAL PERMIT Tax Mary1D. Permit No.: / 3— 5 /e70 A permit must be obtained before beginning construction Permit Fee: Approvals: r --T6 S eic Applicant: 16) 5 /+ f Installer/Builder Address: 2 i 0 ww \W/e/' ,�. Address ,c c!r W S y Phone: 1 J Y-Y! 9'f Phone Pi y CibI Tt\ Owner: Kr Location of InstallationS L'-P C4-' Address: i14 E5Sei:. CI`. Qi,, ef,-,,i6,1 IV 7 Phone 21.--O () . IV(h/\ x� 61J46 Contact Person for Building&Code Compliance: ' Day Phone: Residence Information: Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow 1. 1980 or older x 150 = Garbage Grinder installed? i`f 1981-1991 x 130 = Spa or Hot Tub Installed? %i' 1992—Present .---75 x 110 = 3-) [`1 Parcel Information: Topography V tat Rolling _Steep Slope _%Slope Soil Nature ✓Sand Loam Clay _Other Groundwater At what depth? Iv,r Bedrock/Impervious Material At w depth? N I� Domestic Water Supply Municipal f1/, ,Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate- Ni k- per minute per inch(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 100(") gallon(minimum size 1,000 gallons),add 250 gallons to size of septic tank for each garbage grinder,spa or whirlpool tub System Type: Absorption Field(with#2 stone) Total length ft. Each trench X Seepage Pit(S)(with#3 stone) How many? . Size? Alternative System Bed or other type? 2.0 Y Zq Holding Tank System Total required capacity? Tank size? #of tanks? NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form on Town website; 2) Effective as of March 23, 2006 Septic System-As Built Plot Plan: The Building Department will no longer allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file. There will be no exceptions. 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 by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.I • Print Name: C t t? v`I^ i- �t, (I Date: I 1-10 v f) Signature: e /lif4 Date: / ..1° _)3 Town of Queensbury Building&Codes Septic Disposal ermit 518-761-8256 Town of Queensbury Building & Code Enforcement f J 3 ( ? 1 Office No. (518) 761-8256 Septic Inspection Report Inspection request received: Name: Oa A SCO1rc\ I c1-Ei Inspected on: /, -3 Location: 3 'y Fi&A.,9, Arrive: Air a.m.. Permit No.: / 3-f•(0 Inspector's Initials: _ Comments and/or diagram Soil Typ . Sa o. lay Type of Water unicipal A.,ell Water Waterline sepa . 'on •istance \-D 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 70 ft. Length of each trench Z. ft. Depth of trenches .340if ft. Size of Stone Size: 10` x `41-)I LEAD\ P,EZ> Stone Size: Piping Size Type Building to tank Htt I,C 'AD NC...- Tank to Distribution Box Distribution Box to Field/Pit hO R2)5 NC, 1-1"6 ?E Opening Sealed: ✓Y N End Cap 4 N Inlet/Outlet Pipes&Baffles ✓' N Manholes 12"or less below grade ✓Y_N/ [provide extension collar if Yes] Y N i\nO EST 1)3 I CA- �K__ Location/Separations — DE7 M-hlCA) Feb 0\ Foundation to tank 'p ft. EtJG‘,).\CES Foundation to absorption 7 0 ft. Separation of Pits ft. Conforms as per Plot Plan ,// N Engineer Report a i As-Built �/Y N ETU Maintenance Contract provided Y_N Location of System on_Property: Front 6,f) " Left Side fight Si Middle Front Middle Rear System Use Statu . cA�— RCLAEc OF _Approved E431- 1►J UPT\ its) Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report )-•••• .,niy\ )Cit 1. 7c a c kom/9 cf% n.0 IrC4 cfN Z1 ' c - �. e' G1 ) ) C/ 1 r 4-0 ir . 6 P EPTI Pl T PL AN /mss OBJECTS 1 HAVE SEEN OR O6SERVED S,FENCES,ETC --:3 SUCH AS HOUSES,WELLS,TREED, ��, r i SHOWN ON THIS DOCUMENT.l HAVE PERSONALLY DEC (} ZD r� iiit CE SETrORTHONTNSDIA Mr �3 v, JM i W'';i u !lit DATE t ''�� 5 Jis1 0 k c -)1+ L5 5e )( C+. CIO or TE:)V.►V, 4: - OUF .w�` I �LDI G 8 ;�� y r I U e i 1eviewed 1/11' Date: Esse Li. NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 December 8, 2013 . til 2113 Project#49369 Ivan Bell IBS Septic 2 Lower Warren Street Queensbury,NY 12804 Re: Proposed Replacement Septic Daubenschmidt Residence—34 Essex Court, Queensbury,NY Dear Ivan: At your request we have reviewed your proposed replacement septic system design at the site of the existing 3 bedroom house of at 34 Essex Court in Queensbury. As per our conversation the residence has an existing failed septic system. We have reviewed the proposed replacement septic system design and we agree that a standard absorption bed is acceptable. Based upon a design flow rate of 330 GPD and a percolation rate of 1 to 5 minutes, you will need 347 square feet of absorptive area. We recommend using a 20 ft wide by 20 ft long absorption bed with 4 — 15 foot long laterals, which will provide 400 sf of absorptive area. The absorption bed can be constructed with the existing 1,000 gallon septic tank, new distribution box, and 4 inch diameter perforated pipe and stone. Please feel free to contact me at 796-2515 if you have any questions and that you for your assistance with this request. Sincerely, Thomas R. Center Jr. P.E. ,lE, Septic Inspection Report Office No. (518) 761-8256 Date Ins.- io r-' est reo' ed;•' , Queensbury Building &Code Enforcement Arrive: • ' itt�i D_•.rt: arr m 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: - NAME: koc-2EOhC -1 I 01 RM1T NO.: \, LOCATION: CVA lj F �� l;INSPECT ON: I 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 1 [150'to well required if NO] Absorption Field: Total length __ft. Length of each trench ft. Depth of trenches ft. �.�� Size of Stone WILL Seepage Pits: Number Size: x E t6b1t,3 Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ 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 _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 System Use Status: ./ pproved 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 -r Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Septic Inspection Report Inspection request received: Name: � rn d Inspected on: Location: e - C 9 i5v, Arrive: a.m./p.m. Permit No.: 201' `-Dtc D Inspector's Initials: Comments and/or diagram Soil Type: Sand I Loam/Clay Type of Water: Municipal 1 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. o 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 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 Y 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 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 Inspections per Permit Permit# P20130560 Inspection Date Inspection Type Approved/Denied Comments Permit Type Person Responsible 12/05/2013 Miscellaneous Septic Alteration Residential STAFF Misc 2013-560 permit app rec'd&entered 12/06/2013 Miscellaneous Septic Alteration Residential JOHN O'BRIEN Misc 2013-560 Septic System layout w//van Bell Stone bed will be best option 12/06/2013 Miscellaneous Septic Alteration Residential STAFF Misc 2013-560 revised septic plan rec'd 12/06/2013 Miscellaneous Septic Alteration Residential STAFF Misc 2013-560 permit issued 12/31/2013 Septic Septic Alteration Residential JOHN O'BRIEN Partial 2013-5690 -add vent w/charcoal filter -need revised design from engineer