2007-223 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4E Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20070223 Date Issued: Friday, May 11, 2007
This is to certify that work requested to be done as shown by Permit Number P20070223
has been completed.
Tax Map Number. 523400-301-017-0003-018-000-0000
Location: 10 AUTUMN Ln
Owner. PHILIP & MARCIA GENGEL
Applicant: PHILIP & MARCIA GENGEL
This structure may be occupied as a:
Septic Alteration Commercial By Order of Town Board
TOWN OF QUEENSBURY
e
Issuance of this Certificate of Compliance DOES NOT relieve the C:
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 Enforcement
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: P20070223 Application Number:
Tax Map No: 523400-301-017-0003-018-000-0000
Permission is hereby granted to: PHILIP & MARCIA GENGEL
For property located at:
10 AUTUMN Ln
A20070223
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. T}~e of Construction Value
Owner Address: PHILIP & MARCIA GENGEL
10 AUTUMN Ln
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address
Septic Alteration Commercial
Total Value
Electrical Inspection Agency
Plans & Specifications
2007-223
6,10,16 AUTUMN LANE SHARED SEPTIC ALTERATION
$35.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, May 09, 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 Tow of Que sb ~ W e a ay 09, 2007
SIGNED BY .for the Town of Queensbury.
Director of Building & Code Enforcement
1 `~ ~ _ a .~. j~ OFFICE USE ONLY i ~ ~ ~ ~ ~~- I ~ ~
/ J /
_~7
TAX MAP NO. PERMIT N0. ~G~ PERMIT FEE ~ ~ ;
~ , ~ ~,
APPROVALS: ZONING ~ '
~ TOWN CLERK ; ~ TQVvr~._. ..:,i~6RY
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT
A PERMIT MUST BE OBTAINED BEFORE WORK BECi1N3. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT. ~^ ~~ ~ n
OWNER: 1. a'~U `ir~.1 ~ Q'~.egytiy INSTALLER: Sf~'~-'
ADDRESS: to . 10 . L to ~~-""""""" 1~'`~ ADDRESS: ~~ "`~`~'~ ~ ~+~'~~~
PHONE NOS. PHONE NOS.
LOCATION OF INSTALLATION: I
YEAR BUILT
1980 or older
1981 •1991• ..... ....................
1992 -present ~~ W e
PARCEL INFORMATION:
X I COMPUTATIONa
150 gallon per bedroom
130 qa-lon per bedroom
110 gallon per~bedroom
^ I TOTAL DAILY FLOW
RESIDENCE INFORMATION:
OARBAQE QRINDER
INSTALLED?
SPA OR WOT TUB
INSTALLED?
/ .TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE
/ SOIL NATURE: SAND LOAM CLAY OTHER
/ G_,jj' OUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIA : AT
WHAT DEPTH?
/ DOMESTIC WATER SUPLY: MUNICIPAL WELL
(IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. )
/ PERCOLATION TEST: RATE IS 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..
/ SEPTIC TANK: GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
/ TOTAL SYSTEM L NGTH: FT. SEEPAGE PIT(S): HOW MANY?
/ SIZE OF EACH FT. X FT.
/ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT.
/ BED SYSTEM SIZE: ~~ X~_ , ~ ~~~. ~~ ~~h~ ~~Q~ ~ ~ ~~3(q2~
/ ALTERNATIVE SYSTEM: C;Z~~
LENGTH AND/OR SIZE
/ HOLDING TANK SYSTEM: (If required) NO.OF :TANKS: /SIZE 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.NNIWMI.INN.INNNNNNNNU...a...•.a.......~.....~ ...............................................
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 ulations with respect to this application and
agree to abi by hose and ali requirements of the Town of
Queensbu San' ary Sewage Dispo Ordinance.
} C ~ ~~
Signs of Person R®aponaible Date
QUESTIONS ? CALL 781.82b8 OR EMAIL
codes lil? aueensb~rv.net
VISIT OUR WEBSiTE FOR MORE INFORMATION
www:aueensburv.net
~, ~; Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Hutchins Engineering
169 Haviland Road
Queensbury, NY 12804
Phone: (518) 745-0307
Fax: (518) 745-0308
May 8, 2007
Mr. David Hatin
Town of Queensbury, Buildings & Codes
742 Bay Road
Queensbury, NY 12804
Reference: Sherman Pines Replacement Absorption Bed
16 Autumn Lane
Dear Dave:
Today this office performed two percolation tests in the amended soils for the
referenced project being installed by Morning Star Excavation. Our findings are as
follows:
PT -1 -Eastern portion of Absorption Bed area
Stabilized percolation rate: 2 minutes, 30 seconds per inch
PT -2 - Western portion of Absorption Bed area
Stabilized percolation rate: 2 minutes, 45 seconds per inch
I trust this information is sufficient for your needs, please contact me if you have any
questions or comments.
Best Regards,
~CSG~I~--
G. Thomas Hutchins, P.E.
Cc.
Frank Shaw, Morningstar Excavation
Septic Inspection Report
Office No. (518) 761-8256 Date Inspe
Queensbury Building & Code Enforcement Arrive:
742 Bay Rd., Queei nsbury, NY 12804 Inspector's
NAME: * In_ ~+~A-~,~«~S ~WU.
LOCATION:
RECHECK:
~-M°'~.~~ ~~~-~t39 ceU
Soil T nd Loam Cla
of Wa r. M is Well Water
Waterline se ra nce ft.
Weil separation distance
Other wells: ft.
ft.
Abso on Field: Total len ft.
Le of each trench ft.
De of trenches ft.
Size of Stone ~
Size: x
Stone Size:
Pi in Size T
Builii to tank
Tank to DisMbution Box « D
Distribution Box F'~eld Pit ~'
O ni Sealed Partial
End Ca
I O Y N
Location Se rations
Foundation to tank
Foundation to abso 'on '-- ft.
Se ration of Pits ft.
Conforms as r Plot Y
En ineer Re rt a As-Built N
(~
yak-. ~ `~,~.,
" am/pm
NO.: - ~
~ ON: d
Comments a r
~~' of t~~,~
~~h woP~
-t~~~hi~C~, ~EQ~ ~E.~ ~' 1L~
~3 cFo~. D-$pyL
v~a~ r~K t~Q ~1~ITt~J li~r~
`.~/
Location of System on Property: ~ ~~ -A ~ _ ~ ~ ` ~`
Fron ear Left Side Right Side YC
Middle Front M e ea ~~ '~ ~ D
m ved ~ t-- ~ g ~~~..st--~ ~
Pa I Approved and needs to be re-inspected, please call the Building & Codes Office
Last revised 021006
Last revised 1/6/05
Septic Inspection Report
Office No. (518) 761-8256 Date Ins on r ~~
Queensbury Building & Code Enforcement Amve: m Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Ins
NAME: ~, ~ p1~ RM1T NO.: _Q~z~
LOCATION: 1JE SPECT ON: t~ ~ -' -Q= Q`~
RECHECK:
Comments and/ors~iaaram
Soil T :Sand Loam Cla
T of Water: Munia I Well Water
Waterline se ration distance ft•
Well separation distance ft•
Other wells: ft.
Abso Field: Total len ft•
Le of ead~ trench ft•
De of trenches ft•
Size of Stone
~e Pits: Number
Size• x
Ctr~nF+ Sipe'
Pi in Size
Builds m tank
Tank to Distribution Box
Distribution Box to Field Pit
O nin Sealed: Y N Partial
End Ca
Inl Outlet Pi & Baffles Y N
roundation to absor ion ft•
5e ration of Pits ft•
Conforms as r Plot N
E sneer Re rt a -B Y N
Location of Sy Property:
Front Rear Left Side Right Side
Middle Frgi~l~lit¢dle Rear
r~prvvcu
Partial Approved and needs to be re-inspected, please call the Building & Codes Office
Disapproved
Last revised 021006
Last revised ]/6/OS
-FROM
~'° ~9Rti
FAX N0.
~i,, : .
.... .
May. 08 2006 02:45PM P1
518-y93-2290
Fax # 518-793-2115
E-mail: momirtgstarseptic®hotmail.com
www.momingstarseptio.oom
Date: ,~ cc ~ ~ ~ x{}107 Jewel Road,(iansevoort, NY 12831
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