Loading...
2012-520 e.,111111% TOWN OF QUEENSBURY 742 Bay Road,Queensbuq,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20120520 Date Issued: Tuesday, February 12, 2013 This is to certify that work requested to be done as shown by Permit Number P20120520 has been completed. Tax Map Number: 523400-308-014-0001-052-000-0000 Location: 183 PITCHER Rd Owner: ARC COMMUNITIES 14 LLC Applicant: ARC COMMUNITIES 14 LLC This structure may be occupied as a: Septic Alteration Commercial 5 k W ovcA`ck,c1�' � �1 By Order Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the owner of the responsibility for compliance with Site Plan, :DJ //it- propertyVariance, or other issues and conditions as a result of approvals by theDirector of Building& Code ent Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Kiv Road,QueenSbUry,NY 12804-5902 (518)761-820t Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120520 Application Number: A20120520 Ta-, N I a p No: 523400-308-014-0001-052-000-0000 Pertnission is hereby granted to: ARC COMM UNITI ES 14 LLC For property located at: 183 PITCFIER Rd in theTown of Queensbui-,, 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 Unifoun Building(,odes and the Queensbury Zoning Ordinance. Type of Construction Value Owner.-Wdress: FOREST PARK MFIC, LLC Septic Alteration Coniniercial 31200 NORTHWESTERN Hwy Total Value FARMINGTON HIIA.,S MI 48834-0( Contractor or Builder's Nance/ .\ddress I-11cctrical Inspection \gency RAYMOND JONES 518-424-0508 PO BOX 702 BALLSTON SPA NY 12020-0000 Plans&Specifications 2012-520 Septic Alteratioti - 5 & 7 Woodland Path 575.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, November 05, 2013 (If a tonger period is required,an application foran extension nnist be made to the code Enforcement Officer of the ToNvii of Queensbury before the expiration date.) Dated at the Town of Qtieensbury; Monday, November 05, 2012 SIGNI'D BY for the'romm of Queensbury. Director of Building&Code l"'Aiforcernent Community Development Office Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 rpt.] 20/2 Office Use Only G TAX MAP NO. `?t g, PERMIT NO. ,�'S�l� PERMIT FEE 7 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. n OWNER: ' I `` J `jINSTALLER: 6. .. r <-i ADDRESS: ADDRESS: PU eCt < 7o ScCCt S 'by `ict /0- PHONE LPHONE NOS. ( S t 9 �f r 0 O 1 PHONE NOS. r7(6)� �}'4 4 -o5( f LOCATION OF INSTALLATION: $ 7 1/00 C 1 �C'�`(�� �J�� j� n-f o✓/J'Cr L\oke RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = INSTALLED? 1981 -1991 X 130 = SPA OR HOT TUB 1992-present 3 X 110 = INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPH . FLAT OLLINGSTEEP SLOPE %SLOPE ✓ SOIL NATURE: SANQ LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPA '1 WELL (If well:water supply from any septic system absorption is: ft) // ✓ PERCOLATION TEST: RATE IS (o b--1) 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: 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 DO X LI 0 ❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? ❑ALTERNATIVE SYSTEM Bed or other type? ❑ 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 :ulations with respect to this application and agree to abide b •h-se and, I requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sanitary Se, .•e Disp. al Ordinance. codest queensbury.net Signature of Person '•s•tingible Date VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: (-am/pm am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ` c ) NAME: c�ARr. PERMIT NO.: '_ LOCATION: _7 t.'- \ 'vJLA) v l INSPECT ON: UI '— 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 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 tankc)cLd,V Tank to Distribution Box Distribution Box to Field/ Pit C,=) )-b-r‘Nf-f-Q_ Opening Sealed: Y N End Cap _Y N Inlet/Outlet Pipes & Baffles Y N _I 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. . C-enforms as per Plot Plan A' N i'gineer and As-Built Y N t Maintenance Contract Y_ N provided Location of System on 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\Building Codes Forms\Inspection Forms\Septic Inspection Report_03 29 10.doc NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury, N Y 12804 Phone-518-745-4400 Fax -518-792-8511 rrt- November 21,201L Job#49335 Ms. Kristine Wheeler New York State Dept. of Health 77 Mohican Street Glens Falls,NY 12801 F_3 2013 RE: Forest Park Community—Queensbury, Warren County 5 & 7 Woodland Path—Replacement Septic System Gentlemen: This letter is to inform you that we inspected the completed replacement septic system for 5 & 7 Woodland Path in the Forest Park Community on 11/12/2012. The septic system as installed was for a two (2) - 3 bedroom trailers and consisted of two (2) 1,000 gallon septic tanks and 800 sf of absorption bed constructed with stone and 4 —35 ft long perforated pipe laterals. The system conforms to the requirements of the approved replacement design drawings. Please call me if you have any questions or concerns. Sincerely, Thomas R. Center Jr., PE cc: Dave Hatin,TOQ Building Dept. Marty Mancini, ARC w Lv Y �J LL- c J azm < o Z i5 " u 3 F. Qddgi bl €x €�m� �W� €m�q�m a°d a � m9� F W3i0 q W F'•�wj fj Lf 0 6M% P ems '=W ==LL- u�W a z z a FG w F �tir0 w H <m 4. N II m a m= QF �R 0 �rzdi��a3o�3_��Og� MO �7JO 80 g; is� OG 5 i SZ u Z > " FWJ � NIB '60Sdz_ zIN cl ri a ui ui n a6 cd .� P'+ �I' m a a € Q c how � V Vl m o m I t3 lV K < X =K "' Gp'j d Nil Z LSC N ,`1`1M11 f.rll!lIl11 a m9 — =8� (fir.'' iV YF.- F�� VZNY � � jOm J ,?�O•vU, ear •,,� Z�'} .Ellll a 3 R `n a cD z rbff $ o� D MO 40 =0 Lt . Z¢W gig7 �'rd r W M Z) 2 Eli ' Z m C7 I- 3b z z �� ip b o w m z v� N11 a 31 NO z�8 �� �^ xx ® J N W� =m n 3 3— d itl s Z Y # 3 � >j ' m -3 3 agg �'N�w� 0F M w 2 wa�`i S z o z s � 12at �s Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p Depart: 1 :/5". am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: L ! NAME: -�-- ��•� `' P PERMIT NO.: o lZ S71 z LOCATION: ,'��'� �' n� ?4 4 INSPECT ON: t�k \ RECHECK: Comments and/or diagram Soil Type: _.:„J• / Loam/ Clay Type of Water: u. cipal/Well Water Water -• •.ration distance ft. Well separation distance 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 3 ft. 9 ZOXA0 Depth of trenches Y�ft. Size of Stone Seepage Pits: Number Size: x Stone Size: �� j' Piping Size Type T5 c''`yrr''-C Building to tank 4" jet4-AC) Tank to Distribution Box kik 61)Q_ �c Distribution Box to Field/ Pit - BIZ. Opening Sealed: v N End Cap Inlet/Outlet Pipes &Baffles Y Manholes 12"or less below grade _Y [provide extension collar if Yes] Y Location/ Separations Foundation to tank _ ft. ,4 � 'f Foundation to absorption ft. _ Jt''4� 465 Separation of Pits �ft. Conforms as per Plot Plan _ Engineer Report and As-Built —Y N �LeX- 1 ETU Maintenance Contract Y_N - provided I4 -3 cj t Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: pproved k Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes F=orms\Inspection Forms\Septic Inspection Report_03 29 10.doc