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2005-688 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIAN CE Permit Number: P20050688 Date Issued: Tuesday, September 13, 2005 This is to certify that work requested to be done as shown by Permit Number P20050688 has been completed. Tax Map Number: 523400-295-019-0001-070-000-0000 Location: 8 WESTMORE Ave Owner: W. PAUL & BARBARA CRANDELL Applicant: W. PAUL & BARBARA CRANDELL 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 owner of the responsibility for compliance with Site Plan property P tY P 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 (2t 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050688 Application Number: A20050688 Tax Map No: 523400-295-019-0001-070-000-0000 Permission is hereby granted to: W PAI JI,& BARBARA CRANDELL For property located at: 8 WESTMORE Ave 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: W. PAUL& BARBARA CRANDEL 8 WESTMOOR Ave Septic Alteration Residential 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 2005-688 SEPTIC ALTERATION $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 26, 2006 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbu before the piration dat ) Dated at the Town of die sb ;�,f ugust 26, 2005 SIGNED BY V 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 (5 18) 1761-8256 1 OWNER INFORMATION: ....................... ....................... .................................................. Office Use Location of installation: Iveir-Af File Permit No. Tax Map No. � Cx) L' Fee Paid Owner's Name: fpu L' Cp-pv jdztc A t,I r, 0'05....... ..................... ...................................... Address: 2. INSTALLER'S NAME PHONE NO. 2-6­7 7 3. RESIDENCE INFORMATION: (circle ye 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 = r—/ 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = Garbage Grinder Installed yes_ / no Spa or Hot Tub Installed yes 1 no c) 4. PARCEL INFORMATION: (circle applicable information& indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal Rolling loam —feet feet well Steep slope clay if well; water supply Yo slope other from any septic-system depth.- absorption is 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: /000 gallon (min. size 1,000 gal.) Tile Field: each trench ft, Total System Length: Seepage Pit(s): number of size of each: _ft. by_ft. Size of Stone to be used: # depth or thickness feet Bed System Size: :PC) X ?2.", 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 k I have read the regulations with respect to this application and agree to abide by these and all requirements of the To sbury Sanit Sewa sposal Ordinan SXnitfure of respo'nWbi erson Dati 1 Town of Queensbury Sewers and Sewage Disposal Chapter Appendix C ABSORPTION FIELD SEPARATION REQUIREMENTS r Sham POW) y�* E3 WMwi� AOU3&. xt '` aRsY� f %�4A.S►]td i r Appendix C ABSORPTION FIELD SEPARATION REQUIREMENTS PON WA 'u 04. 7- +ems �EF IN [iR/MCiMJLY r GtP.T ...... COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No........................................Cert. N2 89906Cut-in Card No..................................... Owner..............I P. ....................................................................................................................................................... Location...... .....AV-j............................................. .......... .............................. Installation Consisting of..:54- �1....6-2....z.........6....I... ................... ...............................................I..........I....................................................................................................................... ..................I............................................................................................................................................................... InstalledBy..............`........ . -..................................................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 1 �chons at any time, and if its this .. sp' rules are violated,the Company shall have the right to r v e this e i cate. 9�i/3_0 1-- L- ' Date.... ..................S............... INSPECTOR a..ry...11...... ............ ............................................ Member N.F.P.A,I.A.E.I. Septic Inspection Report Office No. (518)761-8256 Date Inspection re est re v Queensbury Building&Code Enforcement Arrive: m/pm epart: am/pm 742 Bay Rd., Queeeensbury,NY 12804 Inspector's Initi ls- NAME: \ L P IT NO.: 0 LOCATION: J ECT ON: RECHECK: Comments and/or diagram Soil T e: 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 See a e Pits: Number Size: x Stone Size: _Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/NI Partial End Cap* Location/Separations Foundation to tank Foundation to absorption ft. � t--' — Se aration of Pits ft. C�") 9 _... Conforms as per Plot Plan Y N En ineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front addle Rear System Use Sta s: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Last revised 1/6/05 j ir3 N 4 = - Nit— la, r ° (incorporated xa ttrefita es A�arylain�t 1Jew York�,' �� . a . RIM :.�.° _ � � _ .e �`:. `�.� ,ate.����~ � � s��-`�<'�'�*� ��.-.,�.�'-� •mar. 4,,� � �=fir�:._�;�•..� `� s ��� — � �' a w a� Y ip .tit �ffi VI{H1'�E�C�FFICE �� �'(hIK(i(�SPE�TOR YELLOWIDF�ICGER ; -�a�t�Dt�l`fS� 1 � �r� Septic Inspection Report Office No. (518) 761-8256 Date Inspection PSPEICT ive Queensbury Building&Code Enforcement Arrive: part: a 742 Bay Rd.,Queensbury,NY 1,2804 Inspector's Initi NAME: ` C-��1� O.: _ LOCATION: ��Gi � � _QQi ON: RECHECK: Comments and/or diaeram 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 Type Building to tank Tank to Distribution Box R Distribution Box to Field/Pit Opening Sealed: Y/N/Partial - Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. 1�J Conforms as per Plot Plan Y N Location of System on Property: Front 6S Left Side Ri lit Side Middle Front Middle R System Use Status- proved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:iSueHemingway\Huilding.Codes.Inspeetion.FORMS\Septic Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection r uest ceiv (o fJs Queensbury Building&Code Enforcement Arrive: am/p i art: 742 Bay Rd.,Queensbury,NY 12804 / Inspector's Init' ls- la- NAME: I�11< j ' �C�.Cam'� 4L U E IT NO.: � LOCATION: j-r- SPECT ON: 0/ fi RECHECK: Comments and/or diagram Soil Type and/Loam/Clay Type of Water: Mun' /Well Water H cvt- Ipc�'1 Waterline separation distance Well separation distance ft. Other wells: ft.- - Absorption Field: Total length 7-0 )4,�ft- Length of each trench wft. Depth of trenches 'Z ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Di tAp �,� Distribution Box to Field/Pit Z�` T % Opening Seale . N/Partial End Caps Location/Separations Foundation to tank Foundation to absorption ft. ft. Conforms as per Plot Plan #- Y N Engineer Re ort and As-Built Y N Location of System on Property: Fro Rear eft Sid Right Middle Front iddle Rear System Use Stat : Approved Partial Approved and needs to be re-inspected, please call the Building& Codes Office Disapproved Last revised 1/6/05 NACE ENGINEERING P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 August 25, 2005 Project#49182 Mr. Jay Sweet Queensbury Septic PO Box 4283 �qi5 Bay Road Lake George, NY 12845 Re: Replacement Septic System Crandell Residence—8 Westmore Avenue, Queensbury, NY Dear Jay: At your request we have reviewed your proposed replacement septic system design at the site of the existing 4 bedroom house of Paul Crandell at 8 Westmore Avenue in Queensbury. As per our conversation the residence has an existing failed septic systems and the existing septic tank is more than 3 feet below grade. We have reviewed the proposed replacement septic system design and we agree that a standard absorption bed is acceptable. Based upon a design flow rate of 600 GPD (older style plumbing fixtures) and a percolation rate of 1 to 5 minutes, you will need 640 square feet of absorptive area. We recommend using a 20 ft wide by 32 ft long absorption bed with 4 — 27 foot long laterals, which will provide 640 sf of absorptive area. Also, due to the depth of the existing septic tank we agree with your proposal to install an effluent pump so that the absorption bed can be kept at the standard depth. Please call me if you have any questions. Si cerely, Thomas W. Nace, PE TOWN OF OUEENSBURY BUILDING7' ODES DEFT. 11 -COPY R �, �, ; w __ Fw f I C9 S a s