2004-210 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040210 Application Number: . A20040210
Tax Map No: 523400-316-009-0001-010-000-0000
Permission is hereby granted to: DAVTD &REBECCA HARRTNGTON JR
For property located at: 215 BIG 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: DAVID &REBECCA HARRINGTO
C/O REBECCA JONES Septic Alteration Residential
Total Value
PO BOX 339
FT. ANN, NY 12827
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2004-210
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 22, 2005
(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 wn 6 uee s es ay,April 21, 2004
SIGNED BY �d for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Permit Disposal Syskom
7o)ivn u/•Qneellsbu/)J 7.121.lr►t�llurnl Ouecu.rbrrrp, N1' 12804 (518) 761-8256
1. OWNER INFORMATION:
._....•........................................................:._..........._.._......................................_..__...1
l office Use
Location of irlstallatiotl: 215 Big Bay Road
File Permit No.
Tax Map No. 142 / 1 / 13.1
Fee Paid E ��
Owners Name: CWI
Address: 215 Big Bay Road
2. INSTALLER'S NAME : I11•IONE NO.
3. .RESIDENCE INFORMATION: (circleyem of clwelliiig, indiccrfe 11 bedroom(1) mid multiply /l of
bedrooms with applicable gallorts per bedroom to equal fofal Arils/loin)
You of House: No. of Bbdrool is x_ Coltl�ut.alion_ - 'I_ol.al Daily FI
1980 or older x 150 gal/bdriii
.-1980—1991 X 130 gal/bdrm =
1991 —present 4 x 110 gal/bdrul = 440
Garbage Grinder'Installed yes— / lie X
Spa or Whirlpool Installed yes J / no X
4. PARCEL INFORMATION: (circle applicable ilrformation & illdlcate oleastlremcllts)
Top�gra1ihy Soif NajiirP__ Grputi�l Wa•tor .Dedrocic_or jmperviotis_1\4alcrial_.._Doi iips.tic..Watcf-Supply
Mat smid nt whu/ depth crt lvhat depth mimic•ipal
Rolling loom fee[ feet hell
Steep slope clay greater greater than 6' if hell; hate/•srrlJply
slope other than 6' front ar►y sepfic-systelrt
depth: absol7Jtion is f[:
lJll►e'/' _
Percolation Test: ( o be completed by licensed professional engineer or archifec[)
Rate: �1.08 _ mhntfe per inch -
5. PROPOSED SYSTEM: For New Construction: All individual scivagc disposal systems most be designed by.a licensed
professiotlal ctlghicer or architect(11111CS.s 111slallcel in a Planning lklard;111I)TOWll subdivision). Add 250 gallons to the size
of the septic lank and leach licld for each Garbage Grinder, Spa or Whirlpmol•1'ub.
Septic Tallk:. 1000 gallon (mit►. size 1,000 gal.) plus existing 1000 gallon tank
Tile Field: each french 50 ft. Total System Leilgtli:_ _200
Seepage Pit(s): number of size r f eaclr.
Sizo of Stone to bo used: ll / depth or thickness_ feet
Bed System Size: a;
Altemativo System: length and/or size
6. HOLDING TANK SYSTEM: (if required) NOT APPLICABLE
Numbor of tanks: / Sizo of each: gallons /TOTAL Capacity: gallons
Note: Alarm System a11d associated cloCtricol work imist bo impacted b,, a Towti-approved
electrical 111spect1011 agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON (please read)
For your protection, please polo that pursuant to Section 136-29 of die Code of tho Towu
of Quecnsbury, any permit or approval granted wl6cll is based upon or is granted in
I•eliallCC upon any material misrep'rescnlalioa or fsilure to make a material fact or
circunlslancc known by or on Behalf of an applicant; shall be void.
I Have read tho regtilaltotls with rospcct.to tilts appllcatl011 alld agi-co to abide by diese and all
requirements of own of Qucciisbury Sanitary Sewage Disposal Ordinance.
Signature f responsible person Date
H. Thomas Jarrett, RE.
. Professional Engineer
Percolation Test Report
Project Name: S u t Proj #
Site Location: -151s(4 r3aq
Date: Z v4 Time: 9 :3O A Weather: :50NN%�
Test(s) Performed by: Fi-g Witnessed by:
Percolation Test #: i
Soil Description:
Test Depth: `L¢'` Presoak:
Run #: Time to Drop 1 " corriMPREN U
1 a 4 b APR 2 1 2004
2
3 / - 0.3 TOWN OF:Q E-ENsBURY
4 1 - �07
BUIEeDf[�o A ID CODE �7,arL
5 ) r 09
_ 06 37'
7
8
Percolation Test #:
Soil Description:
Test Depth: Presoak:
Run #: Time to Drop 1 " Comments:
3 DEPT.
4 BUILDING
5 REVIEWED By
6 DATE w G
7
8
12 East Washington St. 518-792-2907
Glens Falls New York fax 518=792-2996
l I*a%4 r
of
Fplg-J�p TQA'qO-L
of
r�
Vic
ti
1 .
i 1ST X3 �
PERMANENT MARKER WATERTIGHT MANHOLE FRAME& COVER;
OVER COVER (TYP.) WATERTIGHT JOINT (TYP.) SYRACUSE CASTINGS #1502 OR EQUIVALENT;
GRADE TO DRAIN AWAY FROM COVER (TYP.)
WATERTIGHT SEALED
CONCRETE PLUG (TYP.) FINISHED GRADE
---24"-1 �24��
PRECAST CONCRETE RISER
SOIL LINE FROM BUILDING TO BE
12" MIN. 24 24"
" MIN. 12" MIN. MIN. AS REQUIRED (TYP.)
T f-----I
VSTALLED AS SHOWN ON DRAWING C2 r
I
INLET 3,. <3"'
_ OUTLET
NATIVE BACKFILL 15" EFFLUENT LINE
THOROUGHLY COMPACTED
��// • ' //////// ` INSTALL OUTLET PIPING AS
EFFLUENT FILTE \/\\ SHOWN ON DRAWING C2
\%\\\ FORT MILLER HEAVY DUTY
PRECAST SEPTIC TANK OR
EQUIVALENT
12" MIN. \\/\\//��//��//��/��\/i�\/\/i�\/i�\/��\//��//i\//%//%\/%\%\���\\%\//\//%//j//i�//i\//i�//��//i�//%\//\\//\\//\\//\\//\\//\\//\\//��/
CRUSHED STONE FOUNDATION
ATOP FIRM NATIVE MATERIAL
PT1 G T rrf k.s - 5 CYLt l n( S 7 -A'!Z
ca)
PERMANENT MARKER
WATERTIGHT JOINT (TYP.) WATERTIGHT MANHOLE FRAME & COVER;
OVER SYRACUSE CASTINGS #1502 OR EQUIVALENT;
GRADE TO DRAIN AWAY FROM COVER
WATERTIGHT SEALED
CONCRETE PLUG 24 FINISHED GRADE
f---
PRECAST CONCRETE RISER AS REQUIRED
SOIL LINE FROM HOUSE TO BE 12" MIN. 24" MIN._ ~�
NSTALLED AS SHOWN ON DRAWING
°
IN LET
° v OUTLET
NATIVE BACKFILL 15" = EFFLUENT LINE
THOROUGHLY COMPACTED j
INSTALL NEW INLET AND OUTLET
EFFLUENT FILTE a PIPING AS SHOWN ON DRAWING ??
6 TY FORT MILLER HEAVY DUTY
I - PRECAST SEPTIC TANK OR
EQUIVALENT (H20, H 10 OR LIGHT DUTY)
12" MIN. �`= • ,, ;_�, ,..�,,,.; _`'., . . `R` .`
} •r.\/\\/\\��\\/\\\\\\\\i\\\/\\��\\/\\\/ \�\� \\ \ � \ VI D FOR
\ ANTI—FLOTATION PURPOSES
OR EQUIVALENT, IF NECESSARY,
CRUSHED STONE FOUNDATION SEE NOTES
ATOP FIRM NATIVE MATERIAL
sopn c, 'tom k. DEn°l�it
.w 6