Loading...
2003-024 TOWN OF QUEENSBURY 742 Ba Road ueensbu NY 12804-5902 518 761-8201 Y ,Q rY, � ) Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20030024 Date Issued: Thursday, August 14, 2003 This is to certify that work requested to be done as shown by Permit Number P20030024 has been completed. Tax Map Number: 523400-289-011-0001-022-000-0000 Location: 4 OSPREY VIEW Owner: DONALD & SANDRA KRUGER Applicant: DONALD & SANDRA KRUGER This structure may be occupied as a: By Order of Town Board Septic Alteration Residential TOWN OF QUEENSBURY Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 f Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030024 Application Number: A20030024 Tax Map No: 523400-289-011-0001-022-000-0000 Permission is hereby granted to: DONAT,D & SANDRA KRT JEER For property located at: 4 OSPREY VIEW 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: DONALD & SANDRA KRUGER 3 OSPREY VIEW Septic Alteration Residential Total Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2003-0024 SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS $25.00 PERMIT FEE PAID-TITIIS PERMIT EXPIRES: Friday,January 30,2004 (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, own Qu sb ; s�' 1 s.ay,January 30,2003 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: 0 5 ' '-E Tax Ma No. / / File Permit Ner„--)�'03 —() p ;0) Fee Paid c?c� Owner's Name: 0 Y L ✓✓ a`) ` Address: 0.5 1 Y tel 2. INSTALLER'S NAME : 03 u '�/ PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply #of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = j RECEIVED Garbage Grinder Installed yes '( / no Spa or Hot Tub Installed yes y / no JAN 3 0 2003 TOWN OF QUEENSBURY 4. PARCEL INFORMATION: (circle applicable information&indicate measurenNUIING AND CODE Topography So' e Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal Rolling oam 5`feet 45 feet Steep slope clay if well; water supply _%slope other from any septic-system depth: absorption is ,B 0 ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: ' minute per inch 5. 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: (?S`O gallon (min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: (a ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # 7_ / depth or thickness feet At___ Bed System Size: /5— x *i i Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection, case note that pursuant to Section 136-29 of the Code of the Town of Queensbury, an permit or approval granted which is based upon or is granted in reliance upon an material misrepresentation or failure to make a material fact or circumstance own by or on behalf of an applicant, shall be void. I have read the regul 'offs with respect to this applic tion and agree to abide by these and all requirements of t e o of eensbury Sani ewage Disposal Ordinance. Sig ature of responsible person Da e Town of (Ineorrcitnrry +'' Sowers : rci Sewage Disposal (limpid. Appon i x (: i . A11.SOR.I'''l'I()N Ii'll;lJI) . Sl;l'A1tA'1'1ON REQ1i1ltEMEN'1'$ ' ....\%S\\\ :,... .......,,,......S2.1:0;t4t4 ......„.}. , 1.� drp1zN,. %// --- eH, r7/<"HlEtt_ w NI►Tf'R- rr very./ . la: 'norm c.A51.1q 1--,--4- i. ,/ ...., • .. ..i. y bu G c1E t�0'" IIc>u� G . E _ t(T: . 4[-ili. 7 . -. --1\ .r, Sc r'L rG vitae 1A•11Y.. ill i *Ai , ���Mtr,rirn •1� r 1 t ir.>04 r'rra r • \,........... • , ,,._ ....... - / M 7. SIGNATURE &INFORMATION FOR. ,,SriiI'4 WLrr rzs`-'•,r` ww0••-•- ,...., • Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: PO an Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: krr PERMIT NO.: 0 3—° LOCATION: C4,. - INSPECT ON: 8''iti r 1 �^ 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. 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 e Building to tank Tank to Distribution Box Distribution Box to Field/Pit i Opening Sealed: Y/N/Partial Location/Separations ' Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan V Y N Location of System on Property: Front 0% Left Side Right Side Middle Front Middle Rear System Use Sta us: Approved ///���_ Partial Approved and needs to be re- inspected,please call the Building&Codes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 t gfr 11:1M Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: Cit 6( am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: � r L) PERMIT NO.: 0 0 11 LOCATION: �! O t (',A.„u INSPECT ON: RECHECK: -.) - Comments and/or diagram Soil Type• Sa oam/Clay Type of Water: Municipal/ ell Wate Waterline separation distance ft. Well separation distance it `l-ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ---- C,o ft. Depth of trenches ft. ►- t (C f' Size of Stone 2- rr Seepage Pits: Number Size: x Stone Size: • Piping Size T Ise Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank �� ft. Foundation to absorption joy_ ft. Separation of Pits ft. Conforms as per Plot Plan Y__ N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queens bury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name I<VV ,e.r- Location US/,`,� / 1 �" Date I24b 2 - Permit # (i3.--6,-- SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x { ft. Stone size PIPING: Size ype Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes . No Partial LOCATION/SEPARATIONS:--' Foundation to Tank feet Foundation to Absorption; feet Separation of Pits feet Conforms as per Plot Pla Yes No LOCATION OF SYSTEM ON PR PERTY: (circle one) Front - Rear - Left Side Right Side Middle Front - Middle Reak COMMENTS: ,hri tn.„JL _57) /mut vim/ 6/- "lb^ Y SYSTEM USE APPROVED: YES NO Arrived: '41-3 Departed: Buildin9�sP ector l r 2 5To0.'t wooD ro..N."c- LIZ G L lL., TJI04 t 4' Sca2. 1 �\ • i .1• _,.i C1✓TAT""T N? /";, l�T-\liGr^ ^ �i���V �r ` -- -.. ..-._ M _Nly .5 ;5 r n p VET A., A T� prr H h -1SECONDS L1, _ C l IN A j F �'' BELOW GRADE. THE GI 0 ND IS FLAT f 3 IN f zIS 1'.'Z--A AND PROVIDES A MI'!" `/IL'M OF `: OF FSOIL. 'T�TABLE ?THE SEPTIC SYSTEM EM IS DESIGNED FOR � W 3 - BEDROOM T' `;ID1� CE O �V'" T? MODERN PLUMBING FIXTURES. THE EXISTING 2. CONC-", -'.TE SEPTIC TANK ( NEW IN 2902 NOT YET ? T � JSED) 1S A 1,250 ,GALLON TANK, NT SIZE A�__ V�' L_ BE `',._mil �� 't r'., r TT\ >/01.E :J ACCEPTAB.—E FOR A RESIDENCE.tCY. A NEW - BEDROOM �L 1 I'Z LTA r'f" i `� .-•SIDElY CE � IT L HAVE a - r N�� � ARGE�OF '.D. A\D �J'I,�, REQUIRE TOTAL v , BUILDING E '. BED As.- OF Q. T. 3�0 D VII;T c,- „ ( 1 J BY .. ). Tr1E :3ED SIZE CHOSEN"OR ' - 1S .2BS0RP'_110N AREA WIT T E 2 REVIEWED B �. ✓ B 15 F BY �S FT.. THE ( 3 ) 20 FT.LATERAL S OF 4" PERFORATED PIPE WILL B'� r r / C. \TARS ',,'1TIi T'�FT'� « ."STALLED ALLED n , , FT. DATE } - -1, OPEi�", EN' CAPPED A # C 0 N C ' TF, DSTRIBUTI;`i1' BOX WILL BE USED m rr. ED =O ACCEPT EFFLUENT '�ROM THE r SEPTIC TANK AND FEED THE 3 LAT'E''RALS T11 LATERALS � T iSTA E LLrD LEVEL THE 4 BE cr. ��J1LL BE r D --�DF.WALLS WILL EXTEND 2'-�" F CENTER -':Z ENDS OF THE I.ATERAL;�. THE ENTIRE B • - RC_� THE ^ _ IJD AREA SHALL BE COVE_ED WITH A PERMEABLE GEOTEXTILE FABRIC AND THE TOP OF !_•_ ;_ F !; �O � 1 THr BED `'MALL HAVE A MINIMUM �?F 2'-0"-UF E.XISTING SITE MATERIAL COVER. ABOVE THE SITE MATERIALS A MINIMUM WILL BE APPLIEL' uET O1 6 OFTOPSOIL RECEIVED THE ENTIRE AREA WILL BE SEEDED UPON Et_ S�NO GR�uL1LZ I t COMPLETION. ' / � 3. ALL SEPARATION DISTANCES LISTED IN TABLE v 20FT T� T, HE NEW YORK - e , �. .'o' ' . (-1, ' '.� .. - TOWN OF QUEENSBURY STATE F?� �' ' CIE ITT 0 HEALTH DESIGN n ` ' a (� -1 BUILDING AND CODE _. HANDBOOK FOR INDIVIDUAL (�+' r. �` 1 R._, _ �l 'DER � � _ ' ,,iSTEWA TREATMENT SYSTEMS , _ � ;- - � .'TENS 1996 SHALL BE _ -- M ET. -- --- - , 4. T��E S E�m T� TANK r SHALL I -- __.-- .__ _.._. `_ �_ _ --G __•_` __/ / � � ��p4ES510Na1� �A�K .;1�ALL BE PUMPED OUT AT OPTIMUM 1 UM INTERVALS TO ` w°. .•`,\0NT PREVENT ANY CARRY-OVER SOLIDS TO THE ABSORPTION FIELD. I ! , ► r, �F., / 5 YI: SEPTIC ' >NK AND THE DISTRIBUTION BOX SHALL BE OF P 1 CONCRETE AS MANUFACTURED 2 s, THE T RE-CAST G O R 1 MILLER CO. OR APPROVED EQUAL. 6• Tr A FOT'RT=' -,7„200� IS A CT� ��,._._.�,.•.__ �p fry s r , _ k DDED, NOW OR LATER THE �L-- /' j ` , T HL 1,250 GALLON -- _C TANK 1'4IL1. STILL BE ACCEPTABLE,. THE ABSORPTION -. • ,-- /ICJ / 3=� `v'^' 1- E 2'?' X 25' W'TH 4 EA. LATERALS 20' LON'G. ant , ;� 1 NT(' � � z � TOMFR V , ' CONSULTING ENGINEER Z DONALD & SANDRA KRUGER - 2 3 OSPREY VIEW, QUEENSBURY, NY. Scale: 1"= 10'-0"Revisions: Drawn by: P.J.B. Date: 01-03-03 Revisions: Revisions:ons: • I SF.PTTC CVCTR1kf A TILT A TT I _ 3