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2014-173
TOWN OF QUEENSBURY i • 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20140173 Date Issued: Monday, May 19, 2014 This is to certify that work requested to be done as shown by Permit Number P20140173 has been completed. Tax Map Number: 523400-301-017-0003-043-000-0000 Location: I CRANBERRY Ln Owner: ROBERT & ROBIN BENTLEY Applicant: ROBERT & ROBIN BENTLEY 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 (--- aeP 4 k' 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. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140173 Application Number: A20140173 Tax Map No: 523400-301-017-0003-043-000-0000 Permission is hereby granted to: ROBERT& ROBIN BENTLEY For property located at: 1 CRANBERRY Ln 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: ROBERT& ROBIN BENTLEY 1 CRANBERRY Ln Septic Alteration Residential QUEENSBURY,NY 12804-0000 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2014-173 Res. Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, May 19,2015 (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 Toweend y, May 19,2014 SIGNED BY � sb ;� for the Town of Queensbury. Director of Building& ode En orcement . Community Development Office Town of Queensbury • 742 Bay Road • Queensbury, New York -12804 Office Use Only ok TAX MAP NO. 30 I. 17'3_<13 PERMIT NO. 0 j �05 PERMIT FEE 40 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 VL'IUD PERMIT. OWNER: BO bRP,,,,-�1 e 1 INSTALLER: . �) 5 /flj) ::"-b--l'C �,e r r-- L v.. ADDRESS: / t—!1 v✓ C. r v' - r-------b---; fl ve ADDRESS: a i �} l ^"""'�•..PHONE NOS. 1 — L rPHONE NOS_ 1 91 `"K} 19-` �Y D 201 LOCATION OF INSTALLATION: I [�V 0 !Yc lr Le.. 70 RESIDENCE-10. Ok2A�A NSBt/ YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW CQDESRY BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = INSTALLED? 1981-1991 'S X — 130 = 90 SPA OR HOT TUB 1992-present X 110 INSTALLED? PARCEL INFORMATION: \V (f` , r I TOPOGRAPHY: FLAT RO ING ISTEEP SLOPE\V-- %SLOPE�V (� I SOIL NATURE: SAND L LOAM �V CLAY `U OTHER V I ✓ GROUNDWATER: AT WHAT DEPTH? I V it I BEDROCK/IMPERVIOUS MATERIAL: AT WHAT EPTH�?r\V `� ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL U I\-- (If well:water supply from any septic system absorption is: ft) I PERCOLATION TEST: RATE IS i V t� 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: \OT 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. e�'..L SYSTEM TY : r,L� BSORPTION FIELD(WITH NO. 2 STONE) Total length t1C ft. Each trench ! X G o SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? ❑ALTERNATIVE SYSTEM Bed or other type? o 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 by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL San'tary g// = sal Ordinance. S_ L, codesOaueensburv.net �/ J JI VISIT OUR WEBSITE FOR MORE INFORMATION Signa /• • •n Responsible Date www.clueensburv.net Town of Queensbury Building & Code Enforcement `P-I\ OftlQeNo:(:?8) 761-8256 Septic Inspection Report ( 107) Inspection request received: / Name: U > Inspected on: J`r- Q.' Location: V�JAcoivaren.A, Arrive: diep.m. Permit No.: / �/�/tL3 Inspector's Initial Jr' bmments and/or diasram Soil Type:C d! m/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 7.a o ft. Length of each trench 15P--ACft. Depth of trenches 3' ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank F � f Tank to Distribution Box u t o ,`��Q--�7 �!-� 4‘ SW-775- Distribution SW-775-Distribution Box to Field I Pit / Opening Sealed: VY// N U r,R�� End Cap N r > '� Inl utle es&Baffles VY Manholes 12"or less below grade _ N [provide extension collar if Yes] Location/Separations Foundation to tank I ft. r r !-. 771 Foundation to absorption 261,11. 1"1,.�;: [e �. Separation of Pits CoEngineer as r Plot Y N Engineer Report nd As Buil Y N ETU Maintenance Contract provided Y N Location o_:..em on Prose : • ORM =ear eft Side Right Side Middle Front Middle Rear S stem Use Stat :. Approved Partial Approved and needs to be re-inspected, please call the Building & Codes Office Disapproved Septic Inspection Report We'be The Leader g�11 *6' F.W. WEBB COMPANY in Distribution • a Albany 17 Erie Boulevard \- `` t 3cAtAlbany,NY 12204 t' 3 )\o ,5'; 6 S.e \:C �q,n\l 1 i 518.472.9322 1 .N- 800.432.9322 \\Cd.V e -0 vt;� C e,.\Cl-zizlb. Fax:518.472.9399 S- iib+ 1a\(ta\s \ Binghamton c+T'p, c.,n ..5 1t' eoAc\ \ ..45 62 Griswold Street �y Binghamton,NY 13904 _1/^\// t�l3 Cf .\1'..�.\ �ft),c, \^`a�e!`'‘„ \-C 7- A 607.724.3170 liZ � 888.593.9322 ,S;r a'' 5d, 'e C1/4`'' Fax:607.724.4369 B I LTClyde 80 Davis Parkway Clyde,NY 14433 C 315.923.7819 y i 800.828.8824 Fax:315.923.3794 CA \ C y,r.vn\C1'e r r I Plattsburgh A r 0.� V0 V P�'r,�� ) 1 • 7327 Rte 9 Plattsburgh,NY 12901 518.562.2575 800.622.9322 Q Fax:518.562.01 17 t Cvt- - T , _ ..,a c .�A © Queensbury Qt t..r 0. { 3 Highland Avenue Queensbury,NY 12804 N 518.792.1316 r p 800.826.0326 Fax:518.792.1335 + 0'......t.:. p Syracuse �� ! 0' 158 Syracuse Street LI Syracuse,NY 13204 315.476.9322 800.262.9222 Fax:315.472.4139 / Utica 415 Broad Street -.' CCl,w.Loc,1 Utica,NY 13501 — \\C 315.724.3191 Fax:315.724.4067 . -- ...e f Inc,'" V ew Jersey Office: 973.696.0745 Fax:973.696.0680 alYORK_" Masoneilan XOMOX TL.FL viega Sp;r . BRADFORD WHITE' ,,D�f,� n sarco Tack RIDGID 010 a,Apo o 3M cl%s4..c, '»zan- (�~' FittinlGVtIve� Johnson Controls Honeywell ASCQ l CRANE ®le ris �taulic NIBCO ��ASHCROFT I TT g ) ) 8 evi-- 1 I3 SEPTIC PLOT PLAN I HAVE SEEN OR OBSERVED ALL OBJECTS I SUCH AS HOUSES, WELLS, TREES. FENCES, ETC 3 oh Re tect111 SHOWN 01. TH DOCUMENT.I HAVE PERSONALLY MEASI .I .3 •/.E SET FORTH ON r itGiRAlti SIGNATURE1CrUPN k'e r 1 LG^ e in-1 153 rTh t\ii\I ()ki ;,/, v,"- ....... TOWN ©F QUEE .014 a0`, -e_ �5"\-i 'y BUILDING & Cr ti 01 w (7- RevEewe Date: Y Mai i ..t. lv .Sty"" ? LI' 4."'''-• ) $ - V J I I 5 lf,e rM A '''' v ‹.7......