2007-176v
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TOWN OF QUEENSBURY
BUILDING PERMIT
Permit Number: P20070176
Application Number. A20070176
Tax Map No: 523400-296-010-0001-058-000-0000
Permission is hereby granted to:
For property located at:
4 ST. ANDREWS 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
Owner Address: DR PAUL & LISA FILION
4 ST. ANDREWS Dr Septic Alteration Residential
QUEENSBURY, NY 12804 Total value
Contractor or Builder's Name /Address
SANITARY SEWER
DAN DRELLOS
PO BOX 224
GLENS FALLS NY
Electrical Inspection Agency
Value
Plans & Specifications
007-176
C ALTERATION RESIDENTIAL
$25.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, Apri124, 2008
(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 Toni o eensb ~ T~sc~y, Apri124, 2007
` ~ • ~-
SIGNED BY ~w° ~/~ for the Town of Queensbury.
Director of Building & Code Enforcement
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development -Building & Codes (518) 761-8256
DR PAUL & LISA FILION
Imo"""""""r ~.""~~. rte"""r ~.""""i"sir"
~ ~/fP ~ OFFICE USE ONLY % ~"""""""""' ~'""
/ / tP
TAX MAP N0.
PERMIT N0. '~ PERMIT FE~ ' ~
~ ~
APPROVALS: ZONING % ; ' ;
TOWN CLERK
PLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT;
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERM{T.
OWNER; V ~~ ~ r / ~C7/V f INSTALLER: ~~I 7'~Y
_ Gt~C.~Gc.,
ADDRESS: _y ~~ ~/~2fJJ~ ~ ~R.f(/'Q~ ADDRESS: V ~ ~~ 2~G, ~`
PHONE NOS.
LOCATION OF fNSTALLATiON:
PHONE NOS. ~ ! lO ' v ~3 `~
1VV.OF -- ...................................
YEAR BUILT BEDROOMS ~ COMPUTATIONS
.„..,1980.or older.. ..........~......„ ............... ..X.. ...„150...„allo............,...,......,...........,
••• ,,. ,,, g n per bedroom
....... ....... 9a p .........
1981 •1991 """"""""°
` ............ .....................................„. X 130 Ilon er bedroom
_ ;TOTAL DAILY FLOW
.7
RESIDENCE INFORMATION:
GARBAGE GRIN Eft
INSTALLED? ~-
1992 -present ~ ..........................~...........I...................,.,....,...................................,.......
U
................„. X 110 allon er bedroom : ~~~,`• NSTALLED? T B~~
............................................. p...................................I ~
t........... r ..........................................................................
PARCEL INFORMATION:
/ TOPOGRAPHY: FLAT R LING !~ STEEP SLOPE
/oSLOPE
/ ,SOIL NATURE: SAND LOAM CLAY OTHER
/ GR-WATER: AT WHAT DEPTHS BEDROCK/IMPERVIOUS nnaT~
WHAT DEPTHS RIAL: AT
/ DOMESTIC !NAT~R SUPLY: MUNICIPAL ~ WELL
(IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. )
/ PERCOLATION TEST: RATE IS 7 Mi~r/Szftc pER MIINUTE PER INCH (TEST TO BE
COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT)
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.
you bT,,, ~
/ SEPTIC TANK: ~ O`er GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH ~O FT.
/ TOTAL SYSTEM LENGTH: ~~`~ FT. SEEPAGE PIT(S): HOW MANY? ~~D-
/ SIZE OF EACH FT. X ,FT.
/ SIZE OF STONE TO BE USED: # Z /DEPTH OR THICKNESS ~YFT,
/ BED SYSTEM SIZE: X
/ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE
/ HOLDING TANK SYSTEM: (If required) N0. OF TANKS: / S/ZE OF EACH
/ GALLONS. /TOTAL CAPACITY.' GAL.
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY,A TOWN,
~~ ,APPROVED,ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. ~!
..........................~...,~...,....~.,...~.,..,,,...~...,,..,,,~,....~.~,,,...,....,....,,.,.,,,,,,,,. i
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 QUESTIONS ? CALL 761-8256 OR EMAIL
Queensbury Sanitary wage Disposal Ordinance. codesralgueensb ,~, net
VISIT OUR WEBSITE FOR MORE INFORMATION
~ ~ www.aueenaburv net
ature of Perso esponsible Da
r~~ Town of Queensbury • Community Development Office • 742 Bay Road, Qticeensbury, NY 12804
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511
April 20, 2007
Project # 49242
Mr. Dan Drellos ~ -' ~'~
a ~
Luzlurne Roadr Service R~ ~, ~ ~ ~":,~
Queensbury, NY 12804
Re: Percolation Test TOVv r~ ,_ . - -'mss ~'~
Filion Residence - 4 St Andrews Dr, Queensbury,NY BU~LD~?~f ~""`~' ~;~J~c
Deaz Dan:
At your request, on Apri120, 2007, I performed a percolation test Filion. residence located at 4 St
Andrews Road in Queensbury. The test was performed to the east of the existing residence in the
location where construction of a replacement leach field is proposed.
The results of the testing are as follows:
Percolation Test
Stabilization percolation rate - 1" in 4 minute, 52 seconds
The test was run in the native sand at a depth of 24 inches in a 30 inch deep hole. The hole was
presoaked and the test was run 3 times until it stabilized with three consecutive runs of 4:08, 4:33
and 4:52 respectively.
The design flow for this 4 bedroom residence at 150 gallons per bedroom requires an absorption
urea of 250 sf. The replacement system for the residence should consist of the existing 1000
gallon septic tank and 10 - 25 if absorption trench laterals (250 If of absorption trench).
Please call me if you have any questions.
Sincerely,
~~/ /L-~~''~`
Thomas R. Center Jr., PE
Cc: Dave Hatin, Town of Queensbury
. .'
~~~. j Z ~ /fit r~r y/~'-~'~
~~~ °~,
Septic Inspection Report
Office No. (518) 761-8256 Date Inspe
Queensbury Building & Code Enforcement Arrive: ,~
742 Bay Rd., Queensbu , NY 12804 Inspector's
NAME: ~
LOCATION:
RECHECK:
Soil T .Sad Cla
T of Munici ell Water
Waterline se stance ft•
Well separation distance
Other wells: ft•
ft.
Abso n Field: Total len ft•
Le of each trench ft•
De th of trenches ~ ft•
Size of Stone
See a Pits: Number
Size• x
Stone Size:
Pi in Size T
Buildi to tank
Tank to Distribution Box ~ ~
Distribution Box ' Id Pit ~ ~
O ni Sealed Y Partial
End Ca
In Outlet Pi & Baffles Y N
Location Se rations
Foundation to tank ft•
Foundation to absor ion
Se ration of Pits ft•
Conforms as r Plot Plan Y N
E ineer Re rt and As-Built Y N
Location of System on Property;
Front Rear Left Side. Right Side
Middle
~:(fl a pm
NO..
~ ON:
Comments and/or diagram
~' ~ 5-~'I~ ~~P~-
roved
ApP
Partial Approved and needs to be re-inspected, please call the Building & Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
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