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2005-879
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: P20050879 Date Issued: Tuesday, November 15, 2005 This is to certify that work requested to be done as shown by Permit Number P20050879 lhas been completed., Tax Map Number: 523400-302-009-0001-009-000-0000 Location: 2 ZENAS Dr Owner: HAROLD DE MARSE Applicant: HAROLD DE MARSE 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,&code nforc ent Planning Board or Zoning Board of Appeals. - TOWN OF QUEENS-BURY 742,Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050879 Application Number: A20050879 Tax Map N%o _. 523400=302-009-0001-009-000-0000 Permission is hereby granted to: HAROLD DF,MARSE For property located at: 2 ZENAS Dr 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: HAROLD DE MARSE Septic Alteration-Residential RICHARD.RUGGIERO . . Total Value 2 ZENAS Dr QUEENSBURY, NY 12804 Contractor or Builders Name /Address Electrical Inspection Agency SANITARY SEWER DAN DRELLOS PO BOX 224 GLENS FALLS NY Plans&Specificatiions 2005-879 SEPTIC ALTERATION $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, November 09, 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 the T7eens Abe esday,November 09, 2005 SIGNED BY for the Town of Queensbury. Director of Building Code nforcement : 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: File Permit No. Tax Map No. Fee Paid J Owner's Name: Address: 2 e/VyJ' pgt L,-P— 2. INSTALL'ER'S NAME ��/ =-� G7Ccne �tl�/!G� PHONE NO. "7 !Z— 2—5� 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 = J l tt VE 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = NOV 0 8 2005 Garbage Grinder Installed ' yes_ / no TOWN OF QUEENSBURY Spa or Hot Tub Installed yes, / no BUILDING AND CODE 4. PARCEL INFORMATION: (circle applicable information& indicate measurements) T ai)hy Sail—Nature Ground Water Bedrock or Im ervious Material Water Su 1 (Plat and at what depth at what depth municipal cng oam feet feet Steep slope clay if well; water supply _%slope other from any septic-system depth: absorption is f t. 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: i OC)13 gallon (min. size 1,000 gal.) Tile Field: each trench ' t. Total System Length: ft. Seepage Pit(s): number of size of each: ft. by ft. r, Size of Stone to be used: # / depth or thickness W feet (� Bed System Size: rp-D 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 requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. i nature of resp sible person Date Town of Queensbury Sewers and Sewage Disposal Chapter Appendix C ABSORPTION FIELD SEPARATION REQUIREMENTS l a #Iovs �or�c��uflrsN ROAD Appendix C ABSORPTION FIELD SEPARATION REQUIREMENTS PON Kw ' W aJA- .0 WA--MV--ACINT � '�i ��tr►f-rKs R�� (I Septic Inspection Report Office No.(518) 761-8256 Date Inspection peste eiv : 1 Queensbury Building&Code Enforcement Arrive: part: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's InitiNAME: r--ri A4ZA� NO.:LOCATION: 7��)q% yE T ON: 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. Abso tion Field: Total length ft. Length of each trench ft. De th of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping 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 Pla_ N Engineer Report a As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear S stem Use Sty ens: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 116105 Septic Inspection Report Office No.(518) 761-8256 Date Inspection req es re•eive Queensbury Building&Code Enforcement Arrive: �m/p�n ,part: a I 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial4�' . 1, O..NAME: LOCATION: ECT ON: 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: Absorption Field: Total length Length of each trench ft. Depth of trenches ft. Size of Stone ' ,Sqep Aeyits. u r Size: x Stone Size: Piping Size Type Building to tank q I Tank to Distribution Box Distribution Box 'eld/Pit_ g Opening Sealed: Y /Partial End Caps Location/Separations Foundation to tank Foundation to absorption A. f Separation of Pits Conforms as per Plot fan Y Engineer Report anaAs-Built Y N Location of System on Property: Front ear Left Side fight Side .�'� Middle Front Middle Rear System VStatpproved artial Approved and needs to be re-inspected,please call the Building& Codes Office isapproved Last revised 1/6/05 SIDS J� I w ------------------- TA CA a; J? ;eve seen or 'served, or believe I saw evidence of, t�i�lects such as houses, wells, trees, fences, etc., 5,I'Mn on this document. I also represent that I have pf rsonally measured the distances set fort on the diagram." g NAT RE DATE c A0 �o 0 0000 Q m ER rn C �= O N O "1©p C 6 0�7 50 n G)p o �? 1 pS`t� ( ,� Q m o FjO7� o V 71 y o� o c� � m 4k -- �:5r G � NACE ENGINEERING, i3�-C- 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 November 8, 2005 Project#49199 Mr. Dan Drellos Sanitary Sewer Service c Luzurne Road Queensbury,NY 12804 RECIE! E6 Re: Replacement Septic System NOV 0 8 2005 Demarse Residence—2 Zenus Drive, Queensbury,NY TOWN OF BUILDING QUEE NSBU Dear Jay: AND COp�Y At your request we have reviewed your proposed replacement septic system design at the site of the existing 2 bedroom house of Harold Demarse at 2 Zenus Drive in Queensbury. As per our conversation the residence has an existing failed septic systems and the owner would like to design the system with capacity for 1 additional bedroom. 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 450 GPD and a percolation rate of 1 to 5 minutes, you will need 473 square feet of absorptive area. We recommend using a 20 ft wide by 25 ft long absorption bed with 4 — 20 foot long laterals, which will provide 500 sf of absorptive area. Please call me if you have any questions. Sincerely, Thomas R. Center, PE