2008-603 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20080603 Date Issued: Thursday, August 26, 2010
This is to certify that work requested to be done as shown by Permit Number P20080603
has been completed.
Tax Map Number. 523400-301-014-0002-013-000-0000
Location: 25 MC ECHRON Ln
Owner. JOHN & PATRICIA LOGAN JR
Applicant: JOHN & PATRICIA LOGAN JR
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 X /
property owner of the responsibility for compliance with Site Plan, �r /V
Variance, or other issues and conditions as a result of approvals by the Director of Building&Co Enfo ment
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: P20080603 Application Number. A20080603
Tax Map No: 523400-301-014-0002-013-000-0000
Permission is hereby granted to: JOHN &PATRICIA LOGAN JR
For property located at: 25 MC ECHRON 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: JOHN &PATRICIA LOGAN JR
Septic Alteration Residential
25 MC ECHRON Ln
QUEENSBURY,NY 12804 Total value
Contractor or Builders Name/Address Electrical Inspection Agency
IBS SEPTIC &DRAIN
ATTN: IVAN BELL
2 LOWER WARREN St
QUEENSBURY,NY 12804
Plans &Specifications
2008-603
septic alteration
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,November 07,2009
(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 eensb F ' a ,November 07,2008
SIGNED BY for the Town of Queensbury.
Director of Building& de orcement
�iI_/IiII_rr__r_r_rirrrl r_rrrr._II_rr rr r_r_r__r__r_ _r___r_r___
' f _ OFFICE USE ONLY �. J 1 ' ;
2
TAX MAP NO. PERMIT NO. 61 ERMIT NOV ) 7 2008
, ; ,
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.
j C
OWNER: INSTALLER: ( J- S�
ADDRESS: �1 C. !'� �` )� ADDRESS:_ �c� �>� r 6�d M t°,�, S/
PHONE NOS, PHONE NOS.
LOCATION OF INSTALLATION:
.. RESIDENCE INFORMATION:
YEAR BUILT BEDROOMS X --NCOMPUTATIONa'-' .. -TOTAL DAILY FLOW "1}
-1980 or older.... _......-..-..... -X 150 gallon .....................-........... _. .................... ........-.........,..... ! GARBAGE aRl��
_ g Per�bedroom... .._- .__.....................................-...-..-............. I INSTALLED? �
1981 -199IM X 130 gallon per bedroom :-
SPA AL HOT Al
-1992-present -- X 110'gallon per bedroorrr- _ - -.....j' STALLED?.,� _
......_..... ....-.....__._-..................... ..-......--......_.....................I......._..............�...��.�.-.... -...........:: 1 :.. ...............................
c: r.�
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING4 STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM CLAY OTHER
✓ GROUNDWATER AT WHAT DEPTH? 1 BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAZ— WELL
(IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS l 1 FT,
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH (TEST TO BE
COMPLETED BY A LICENSED PR F SSIONAL 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).Add 250
gallons to the size of the septic tank Ddd leach field for each garbage grinder, spa or whirlpool tub.;
✓ SEPTIC TANK: GALLON �IvIIN SIA IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
✓ TOTAL SYSTEM LENGTHa_FT. SEEPAGE PIT(S): HOW MANY?
✓ SIZE OF EACH_ FT. X �FT.
✓ SIZE OF STONE TUSED: # /DEPTH OR THICKNESS—LFT.
✓ BED SYSTEM M SIZE: .rX
✓ ALTERNATIVE SYSTEM: LENGTH ANDIOR E
✓ HOLDING TANK SYSTEM:(if required) NO.OF TANKS �--/SIZE OF EACH_Z--
✓ GALLONS.ITOTAL CAPACITY, GAL.
Y NOTE: ALARM SYSTEM AND ASSOCIATEDELECTRICAL WORK MUST-BE INSPECTED BY IA TOWN 4
APPROVED ELECTRICAL`INSPECTION AGENCY; PLEASE REVIEW LIST PROVIDED., N.................... ..........a...„,,,,...
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 QUESTIONS? CALL 76 bury. OR EMAIL
Queensbury San' y ewage Dispos I Ordinance. 1 ( codes t�eenaburv.net
VISIT OUR WESSITE FOR MORE INFORMATION
�� www.ail@e,11�11�Rtr met
Sig of Person Resp—onerble Date
Town of Queensbury • Community Development Office ■ 742 Bay Road, Queensbury, NY 12804
AL
ff7t- C,
06
1_0
,. �► + � -
Alo
TOWN F QUEENS URY �Jp
Reviewed BY:
lD'ataLW
it 4
1 `
1
�i
Septic Inspection Report
iI�Cr d-u)
Office No. (518) 761-8256 Date Inspection r eo " e
Queensbury Building &Code Enforcement Arrive: - epa 18� am/ m_
742 Bay Rd., Queensbury, NY 12804 Inspector's Initial .
NAME: T ' MIT NO.: c2a- c — 3,
LOCATION: �� (� �h INSPECT ON:
RECHECK:
Comments and/or diagram
Soil T Clay
T u 'of Water: i I Water
Waterli aration distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + / - I Y N_N/A
Absorption Field: Total length ft.
Length of each trench ti ft.
Depth of trenches ft.
Size of Stone A
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank E — ''► 4
Tank to Distribution Box Kc—
Distribution Box to Field Pit i)C_ 3My`'
lDf--
Opening Sealed: VY N
End Ca _ N
Inlet/Outlet Pipes&Baffles N
Location Separations
Foundation to tank Z ft. GA CAGE L,3 A vL W«L 13E
Foundation to absorption ft• R��,p�,�-��AL �p��T �o� P�,,Q�S��
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 R�SideMiddle Front Middle Rear
S e
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