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2008-249 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 (E)w Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Pen-nit Number. P20080249 Date Issued: Tuesday, September 07, 2010 This is to certify that work requested to be done as shown by Permit Number P20080249 has been completed. Tax Map Number. 523400-227-013-0002-003-000-0000 Location: 8 GUNN Ln Owner. RICHARD & KAREN MASSER Applicant: RICHARD & KAREN MASSER This structure maybe 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, 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: P20080249 Application Number. A20080249 Tax Map No: 523400-227-013-0002-003-000-0000 Permission is hereby granted to: RICHARD & KAREN MASSER For property located at: 8 GUNN 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: RICHARD &KAREN MASSER 26 POVERTY Holw Septic Alteration Residential NEWTOWN, CT 06470 Total Value Contractor or Builders Name/Address Electrical Inspection.Agency Plans &Specifications 2008-249 septic alteration residential $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, May 29, 2009 (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 To o ensbu T s y,May 29, 2008 SIGNED BY for the Town of Queensbury. Director of Building& de En orcement _- For an EPA homeowner's guide: °� QUEEN. � NG& Gig 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. A OWNER: Vic '. WA I L/���1�' I`�laFl— INSTALLER: ���NIII�L`f�CI�R �kCA�ATIr%Cj ADDRESS: ?(z;, ?,V(-ei"y WIC ADDRESS: 101 luw 'Lc- 68 n 5l Ve t' I ZE�l PHONE NOS. & 5 - 1 C,Z- 06E1 7C3 PHONE NOS. � �3--Z22U LOCATION OF INSTALLATION: S C=Aj IJ;,j Ui' c-� RESIDENCE YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION: BEDROOMS 1980 or older © X 150 gallon per bedroom = 0 GARBAGE GRIN INSTALLED? 1981 -1991 X 130 gallon per bedroom = 0 gallon per bedroom = 0 SPA OR HOT TU, 1992-present X 110 ga 0 INSTALLED? y" PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE SLOPE % ✓ SOIL NATURE: SAND LOAM CLAY f li.-� 1 OTHER ✓ GROUNDWATER: AT WHAT DEPTH? L Z BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY:--,;7 LA CE&'-t-ovk-C MUNICIPAL WELL (if well:water supply from any septic system absorption is:( ft) ✓ PERCOLATION TEST: RATE IS 91( PER MIINUTE 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 engineVrorrchitect(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 X ❑SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ❑ALTERNATIVE SYSTEM Bed or other type? IOLDING TANK SYSTEM Total required capacity? 5_f_9VTank size? 3 LTV 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 QUESTIONS? CALL 761-8256 OR EMAIL to abide b these and all requirements of the Town of Queensbury Sanita wage Disposal Ordinance. VISIT OUR WEBSITE FOR MORE INFORMATION ignature of Person Responsible to Mod t+,jC`'�ifl� XC1vAi'Ih�C Ins ion Re Septic pest port Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pmmDDepart. 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: - PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/orsiiiagram Soil Type: Sand/ Loam Clay Type of Water: Municipal Well Water Waterline separation distance 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 � `��`�J Tank to Distribution Box C F� Distribution Box W Field Pit Opening Sealed: Y N End Ca Y N In Outlet Pipes&Baffles Y N Manholes 12"or less below grade Y_N [provide extension collar if Yes Y N Location Se rations Foundation to tank Foundation to absorption fL Separation of Pits ft. Conforms as r Plot Plan Y N Engineer Report and As-Built Y N ETU Maintenance Contract _Y`N rovided Location of System on Property: Front R r Left Side Right Side Middle Front Middle Rear �ystem S Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved LAPam Whidng12010\Bu1ld1ng Codes Forms\Inspectlon Forms\Septic Irispectim Repurt_03 2910.doc IML q- il aij Ctw- / fn Septic Inspection Report J Office No. (518) 761-8256 Date Ins ction rrSPECTON: �O Queensbury Building &Code Enforcement Arrive: � t: - 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial NAME: LOCATION: C—L n n LLit,tL2. 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 Absorption Field: Total length Length of each trench Depth of trenches ft. VZ Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank r Tank to Distribution Box ti �� E►���� E� C> Distribution Box to Field Pit Opening Sealed: Y N End Ca Y N Inlet/Outlet Pipes&Baffles 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 Location of System on Property: Front Rear Left Side ight Side Middle Front Middle Rear Approved Partial Approvi::!!1:J e - Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc C - c Septic Inspection Report Office No. (518) 761-8256 Date Ins ction r est r €ved .Queensbury Building &Code Enforcement Arrive: C�` D rt: `°°: 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial NAME: l`1Gt d IT NO.: ^` LOCATION: rtcn o i��� SPELT ON: RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/ Clay Type of Water: Municipal/Well Water Waterline separation distance Well separation distance ft. Other wells: ft. Well Casing Length 50' + - Y N N/A Absorption Field: Total length ft. LIN Lf� I C)o Length of each trench ft. -- Depth of trenches Size of Stone Seepage Pits: Number t�3,�� CAL\ Size: x r Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y N � End Ca Y_N 1 Inlet/Outlet Pipes&Baffles 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 Location of System on Property: Front Rear Left Side ight Side Middle Front Middle Rear System U us: Approved Partial Approv J _n - Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No ...,•',.,,� .....,. '....i..Cert. N- 1153 Cut-in Card No..................................... Owner...........p.........L......................... .... .......... ....................................................................................,............... Location....D 6 u..A.) %V ZN Ix ................................... Installation Consisting of. .......................................................................................................................... ................................................ vv ............................................................................................ ............................................................. . .... ...... r InstalledBy...... :..../ ew. .........................................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its rules are/violated,the Company shall have the right to rev e t s ertifi te. Date.....(.. .........................a UINSPECTOR... ...................................................ZF .................................. Member N.F.P.A.,1.A.E.1. /- 7A- Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm ;; Depart. _ m/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: -- �j NAME: PERMIT NO.: LOCATION: INSPECT ON: l RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/ ClayJ l T of Water: Municipal J Well Water �� /'< .,—A Waterline separation distance ft. P Well ation distance �� ,l� ther wells: ft. `?' p / Well CasiAg Len th 50' + / - Y N_N/A Absorption Field: To I len th ft. Len th of eac trench ft. Depth of tr ches ft. Size of kone S e Pits: NurAberY Si e x - Stone Siz : Pi in Size Type uili to tan L t \ Tank to stribution B x Distribution Bcx Field Pit ��t— O ni nin led: Y N ZII- d Ca Y N Inlet/Outlet i s Baffles Y Location a arations Foundation to tank ft. � Foundation to absorption ft. Separation of Pits ft. Conforms as r Plot Plan —Y_ N Engineer Report and As-Built Y N Location of Syste on operty: Front Rear Left Side Right Side Middle Front Middle Rear System a Sta Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc S82¢9, E 87 0• ROPER 4F. �Ck _ �, _ _ __ t: :: :-' " PROP -- 10 ---- OS D CAMP ____ SE A 78 CK (:: � �- �:�=:=::�:_=:.:.`A:����. :::. :=::: ASPHALT PARKING r j APPROXIMATE EXISTING I ASPHALT PARKING i ... :. . EXISTING 2 =:_.:;-::_ 1 BEDROOM CAMP r =- . PROPosE PUMP OUT ACCESS TO MANHOLE OAR FOR PROPOsED� J NK GAL HEAVY DUTY PRECAST CO X1RA NCRETE H01-DING TANK; MAINTAIN PROPERTY � CAMP AND 10' a' NE SETBACK _ PROPOSED 4" PVC HOUSE SE�, 104" ( Ct PER FT. MlN. SLOPE PJNE 7RE� o juj EXISTING.300 GAL SEPTIC (TYPICAL), ON) TANK TO BE PUMPED, FILLEp I _ , , �z fMTH SAND AND ABANDONED EXIS77MG ABSORpTTON _ _ ! 10' CAMP SETBACK LATERAL TO BE ABANDONED I+ Lu r 1 ps pROpERY* —/,Nf SE�AC 114 f TO k -- NEIGH80RlNG WELL —._ 1 25 /�? 0 APPROX144 7t ,.1 SHRUB(/NE S 8278E 75 .4� a'>95.1s C. F-tiv4f��t'. (°SS1�.c'' "� a '�tt�a�' f .. s Yi1�•.-= - . '1Ts �i"�.�•S'CIF.j,ZQ. ��3 �N. ..,,4 ,y".7_`•+rY}Y'I,/per,,,},5,�� '..--g`.>r '2 al)! h' �R, '� sZ' .�'�µ s' w-,�� �n � �"'"1'K t �F�.•y:�y.'f"�r' -�,' �'r.�1 .t�� + �i �g. ��+ \l`.!a .y 'i��pa �Y•v i,s • / `4` ��" o v"tom • erg -a / t, 5 r tik •E 8 5�, 3 )�/j�$)^Jz �,,.. ''� � ., �:?�`� %T�-,a +-'t '?'Ry��� .a., c���t•'",-���a ,��. �Vi� Cyr$`'y�1yl,Yi� iG iTv :.s-.--:r �s .'hs','r�sL�'+sr a ! 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