2005-898 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: P20050898 Date Issued: Monday, November 28, 2005
This is to certify that work requested to be done as shown by Permit Number P20050898
has been completed.
Tax Map Number: 523400-296-016-0001-011-000-0000
Location: 456 BAY Rd
Owner: LAWRENCE & PAULA LUPO
Applicant: LAWRENCE & PAULA LUPO
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 theJ4 f
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.
"4 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FON
.r. Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050898 Application Number: A20050898
Tax Map No: 523400-296-016-0001-011-000-0000
Permission is hereby granted to: T,AWRENCF, & PATII,A LUPO
For property located at: 456 BAY Rd
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: LAWRENCE&PAULA LUPO
P.O. BOX 4207 Septic Alteration Residential
Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
STONE INSTALLATIONS
4305 ROUTE 50
SARATOGA SPRINGS. NY 12866-0000
Plans&Specifications
2005-898
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, November 23, 2006
(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 e o of en, ury / :/.A.• ,nesday, November 23, 2005
SIGNED BY v for the Town of Queensbury.
Director of Building&Code Enforcement
� r
OFFICE USE ONLY
�i,/ + f 1 ` S--,1W �° �,
TAX MAP NO�IIG�a�'— ` I i PERMIT N ERMIT FEE
TOWN uuLENS tURY
APPROVALS: ZONING TOWN CLERK BUIL iNG AND CODE
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.OWNER: .Ct., L 120 INSTALLER: 5ko Y'C- l—IN_S 44 11 4 4 Oh�c
ADDRESS: V7I (Zy ADDRESS: 5/50 S/ £L $2 "a •7 .K1
PHONE NOS. 7y3-+,.L7? PHONE NOS. �j3a G 7 7
LOCATION OF INSTALLATION:
RESIDENCE INFORMATION:
NO.OF
YEAR BUILT i BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW
GARBAGE GRINDER
1980 or older i X I 150 gallon per bedroom = INSTALLED? no
1981 -1991 X 130 gallon per bedroom =
SPA OR HOT TUB
1992-present X 110 gallon per bedroom = INSTALLED? AU
PARCEL INFORMATION: tG
✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND >4 LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? /r'? BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH? Ni-
1I
DOMESTIC WATER SUPLY: MUNICIPAL 5C WELL
(IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. )
✓ PERCOLATION TEST: RATE IS 7 PER MIINUTE PER INCH (TEST TO BE
COMPLETED BY A LICENSED PROFES IONAL 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 and leach field for each garbage grinder, spa or whirlpool tub.
✓
SEPTIC TANK: f1D� GALLO (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
✓ TOTAL SYSTEM LENGTH: gf FT. SEEPAGE PIT(S): HOW MANY?
✓ SIZE OF EACH FT. X FT.
✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT.
✓ BED SYSTEM SIZE: X
✓ ALTERNATIVE SYSTEM: Gam/ C' -4411,3,T/ NGTH AND/OR SIZE 3/c /7.f.
✓ HOLDING TANK SYSTEM: required)(If OF NO. TANKS: /SIZE OF EACH
✓ GALLONS./TOTAL CAPACITY: GAL.
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 a...e by these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL
Queensb,i Sanitary Sew e Disposal Ordinance. coaes@aueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Gb t.41 ' ` www.queensburv.net
Signet - o Per n sponsible ` Date
rz Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
1.11.114
®J:C)fi)
Septic Inspection Report
Office No.(518)761-8256 Date Inspection reque e•ei d.
Queensbury Building&Code Enforcement Arrive: a' !pm "_.art: ,O'er a ,'pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi. : g%2
NAME: 0 �StuJC: c.<_ P' '1P. IT NO.: �5
LOCATION: } � ► PECT ON: - _�j
RECHECK:
Comments and/or diagram
Soil Typ- . oam/C�
Type of a er: unicip. Well Water
Waterline sep. .tion .' tance DO, ft. i\T-t--V-- 17 AO l t 6
Well separation distance ft. l Y..�0�C-'y� DO Other wells: ft. J
Absorption Field: Total length ft.
Length of each trench P, '1j7 ft.
Depth of trenches 1.. ft.
Size of Stone ��c-V.- �� b4 -t
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank F-4-l Et. 1-1`' LY'_�
Tank to Distribution Box t4.%
Distribution Box i /Pit 't "Tin Q "CD .k.-.. - _\L,
Opening Sealed. / /Partial 1vJ
End Caps p0
Location/Separations
Foundation to tank tIft.
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 Side
Middle Fr t 'ddle Rear
S stem Use St tus•
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 1/6/05
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KEITH R. MANZ, F.E.
14 Norland Court
Saratoga Springs, NY 12866
November 19,2005
Mr. Larry Lupo
P.O. Box 4207
456 Bay Road
Queensbury,NY 12804
RE: PERCOLATION TEST
456 Bay Road
Dear Mr. Lupo:
On this date, I performed a percolation in the rear yard (back of lot in center) of your 456 Bay
Home residence. The results were as follows;
Highest Stabilized Rate=3 minutes per inch
I will copy Dean Burdick of Stone Installations on this information, which he will in turn give to
the Queensbury Building Department. Thank you.
Sincerely,
/ A
Keith R. Manz,P.E.
Cc: t----Dean- Stone Installations