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2005-441
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4z Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20050441 Date Issued: Wednesday, June 22, 2005 This is to certify that work requested to be done as shown by Permit Number P20050441 has been completed. Tax Map Number: 523400-308-018-0001-060-000-0000 Location: 40 NORTH CHURCH Ln Owner: DONALD &ANN LOMANTO Applicant: DONALD & ANN LOMANTO 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 / 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&Co a EnfoQernent 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: P20050441 Application Number: A20050441 Tax Nlap No: 523400-308-018-0001-060-000-0000 Permission is hereby granted to: DONALD & ANN LOMANTO For property located at: 40 NORTH CHURCH 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: DONALD & ANN LOMANTO Septic Alteration Residential 40 NORTH CHURCH Ln Total Value QUEENSBURY, NY 12804 Contractor or Builder's Name / Address Electrical Inspection Agency SANITARY SEWER DAN DRELLOS PO BOX 224 GLENS FALLS NY Plans&Specifications 2005-441 SEPTIC ALTERATION $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, June 22, 2006 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queenshury re the exp' tion date.) Dated at the Town of�Quee , June 22, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement - I � - Application for Permit—Septic Disposal System ` (J /40 Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ....................................................................................................................................... Office Use Location of installation: / o ' 4-jftC File Permit No. Tax Map No. : Fee Pai Owner's Name: &�,j ZAltaltl ...................................................................................................................................... Address: 4,jil C4 G Aw F 2. INSTALLER'S NAME: -•..-' �Y�-vP< PHONE NO. 71 3. RESIDENCE ORaTION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total dail/y�flow) Year of House: No. of Bedrooms x Computation = Total Daily &CE/'/ 1980 or older x 150 gal/hdrm = _ ED 1980— 1991 x 130 gal/bdrm = T1Jn1 `` /;)-nf� 1991 —present x 110 gal/bdrm = Taw I B(il pi QUEE URY Garbage Grinder Installed yes i / no �G,AVD CODE Spa or Hot Tub Installed yes / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) T-wography SoiLXature Ground Water Bedrock or impervious Material Domestic Water So ply lat and at what depth at what depth nici a o ing m feet feet we Steep slope clay if well; water supply _%slope other from any septic-system depth: absorption is 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 1 ch field for each )arbage Grinder,Spa or Whirlpool Tub. �frl�G Septic Tank jp� - gallon(min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: ft. Seepage Pit(s): number of P size of each: ft. by ft. Size of Stone to be used: # / depth or thickness ( feet Bess,System Size: /s x 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,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 requirement )eTown of Q bury Sanitary Sewage Disposal Ordinance. gnure of respon le person 0ate . u '!'c�tiv'ie eii (11 loci simry Sr�vcr:r mId sew;.'Ito Di-svos: l Clillpl •:• Appi-rulix t . c A-11,801tVVION FIELD SPA"ARA'!'ION lti:CZM ltl%l!►.NTS jj�,,,• Sc vl lc" • 1�y�+rNtt'rltl� �`r RLA y 7. sIGNATLME &INFORMATION FO xur4ausL.-rr-r,-.-vx, W„90.w w 1� i f Septic Inspection Report E Office No.(518)761-8256 Date Inspection request received: r �r Queensbury Building&Code Enforcement Arrive: a ?part: c am/p 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: LA /V—c- PERMIT NO.: 015 v LOCATION: INSPECT ON: RECHECK: _Comments and/or diagram Soil Type: Sand/Loam/Clay _ Type of Water: Municipal/Well Water © F Waterline separation distance - Well separation distance ft• __-- -'i� 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: Pijjing Size Type. Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial End Caps 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: j !,� (to Front Rear Left Side Right Side Middle Fron iddle Rear System Use Stat s: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Last revised 1/6/05 r�Ov Septic Inspection Report Office No.(518)761-8256 Date Inspection request received- _ 4Z Queensbury Building&Code Enforcement Arrive: am/pp �✓ 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: LAA A-_0 PERMIT NO.: d LOCATION: IZC,I-L Ly-j INSPECT ON: 5 RECHECK: Comments and/or diagram Soil Type: San oam Clay Type of Wa : Municip 1/Well Water Waterline sea tion ' tance ft.Well separationdi—stance ft. Other wells: ft. Absorption Field: Total length 16 ft. Z o F AL- Length h of each trench ft. _ Depth of trenches Size of Stone Z Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank (.2 Tank to Distribution Box e- Distribution Box to Field/Pit . Opening Sealed: Y/N/Partial End Caps Location/Separations Foundation to tank ft. Foundation to absorption Separation of Pits ft. Conforms as per Plot Plan Y N En 'neer Report and As-Built Y N Location of System o e r: Front Rear Left Si 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 Last revised 1/6/05 r1411 RECEIVED 4 (Z"F I E7 JUN 1 2005 TOWN OF QUEENSBURY BUILD INN & C BUILDING AND CODE REVIEWED BY DATE z N Or'QUE-ENSGURY BUILEI DEN RTMEB" Sased on our limited i xa abon,corn with our cor all ' �5 S' not construed as if, tin the plans and sspecificationig e n full di Co compliance with the Bui e" d of N\w York State, C�. I! have Seen or observed, or opkeilie I saw ear ence rej NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804j Phone-518-745-4400 Fax -518-792-8511 q/ June 16, 2005 Project#49169 Mr. Jay Sweet Queensbury Septic PO Box 4283 RECEIVED Bay Road Lake George,NY 12845 J U N l Re: Replacement Septic System TOWN OF QUEENSBURY Lamanto Residence- 40 North Church Lane, Queensbury,NY BUILDING AND CODE Dear Jay: At your request we have reviewed your proposed replacement septic system design at the site of the existing 4 bedroom house of Ann Lamanto at 40 North Church Lane in Queensbury. As per our conversation of June 15, 2005 you informed us that the residence has an existing failed septic systems and the existing septic tank is approximately 24 inches below grade. We have reviewed the proposed replacement septic system design for the failed drywell and we agree that a standard absorption bed is acceptable. Based upon a design flow rate of 520 GPD and a percolation rate of 1 to 5 minutes, you will need 550 square feet of absorptive area. We recommend using 15 ft wide by 40 ft long absorption bed with 3 — 35 foot long laterals, which will provide 600 sf of absorptive area. Also, due to the depth of the existing septic tank; which will result in the laterals being approximately 36 inches below grade, we request that when you excavate for the absorption bed you dig a deep test hole to verify that there are no boundary conditions. Please notify us when you are ready for us to inspect the deep test hole. Please call me if you have any questions. Sincerely, Thomas R. Center Jr., PE