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2003-772 QUEENSBURY ,, �,� TOWN OF QUEENS U 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20030772 Date Issued: Monday, November 03., 2003 : . - This is to certify that work requested to be-done as shown by Permit Number P20030772 has been completed. Tax Map Number: 523400-227-017-0001-031-000-0000 Location: 6-8 WATERS EDGE Dr Owner: ROBERT & PATRICIA END Applicant: ROBERT& PATRICIA END This structure may be occupied as a: By Order of Town Board Septic Alteration Residential TOWN OF QUEENSBURY Director of Building&Code Enforcement 1 7 TOWN OF. QUEENSBURY . _ . . • 742 Bay Road;Queensbury,NY 12804-5902 (518)761-8201 Community Development:Building&Codes (518) 761-8256 - - • BUILDING PERMIT Permit Number: P20030772 Application Number: A20030772 Tax Map No: 523400-227-017-0001-031-000-0000 Permission is hereby granted to: ROBF,RT&PATRTCTA ENT) For property located at: V 6-8 WATERS EDGE 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: ROBERT &PATRICIA END 226 OAK RIDGE Ave Septic Alteration Residential Total Value SUMMIT, NJ 07901 Contractor or Builder's Name /Address V Electrical Inspection Agency • Plans,&Specifications V 2003-772 • • SEPTIC ALTERATION AS,PER PLOT PLAN SPECIFICATIONS . $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 18, 2004 (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 To of •A ens r Li., _ eptember 18, 2003 SIGNED BY for the Town of Queensbury. Director of Building&Code•Enforcement ;y' 1� . Application for I'cr•iuif.—Septic Disposal System Town of Qiteensbui%742 hay Road Q:ieensbuly,NY 12804 ("Slb) 761-8256 1. OWNER INFORMATION: I Office Use • Location of installation: Nabers Edge Oriye a E;nd Filo.Permit No. 03-Tax Map No.227.17/ 1 / 31 • . Fee Paid as G 'Owner's Name: Robert and Patricia End ' ` a Address: 226 Oak Ridge Avenue, . Summit,,NJ 2. INSTALLER'S NAME : Chris Crandall PHONE NO. 793-0431 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 11 bedroom(s) and multiply II 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 = • : 1980— 1991 'x 130 gal/bdnn = w=-- - IVED •1991 —present 5 •x 110 gal/bdrm = 550 SEP Z 6 2003 Garbage Grinder Installed yes / no x TOWN OF OD_ENSt,DRY Spa or Whirlpool Installed yes— / no x t31�1LD91a9� :.9�3G CODE • 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Topogijuj_liy SC Natur9 QrQ.!Q Water Bedrock or I!!ii�crvious Material `Domestic Water Supply �" sand at what depth at what depth municipal o ling loam fret feet well . Steep slope clay see if well; water supply %slope other plans see plans see plans from any septic-system • depth: absorption is f1. other Lake Percolation Test: (To be completed by licensed professional engineer or architect) Rate: see plans minute per iliclr . 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 I3oard 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 1;000 gal) . See plans Tile Field: each trench N/A ft. • Total System Length: __•fi. Seepage Pit(s): number of N/A size of each: ft. by ft. • Size of Stone to be used: It / depth or thickness fret Bed System Size: 15' x 42' (Eljen bed system) Alternative System: See plans length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: N/A / Size of each: gallons /TOTAL Capacity: gallons At../__ Al-__.__ el . • . . • • . . • • - . . . va4\a.■�4U1 ►L1 p. .uvu n�t�faY. 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. WY. (11(5150....0 I) c) /6ic:15 Signature of(' sponsible i r$o'n Date • • • • • • • • • • • • • • • • • • • • • • is � i-, '}r; • Town of (lue en:lb i>-v Sewers and Sewage Disposal (:h:1ppicr i\I11)(1 fix (: ABSORPTION Ii'I E ICI ) S1;Pi\ RATION ItE(lt-JIBEM I.:N'I'S sirtt;r.l..t - — .... (L,' ?). ...----------,..4 - ..s _ - / ) — / r / ISou. t G QE , 0., ,3='- I loysE G VVVIE L.. ____) . ._____ Cc-,:1) ___ i "T(..lyst t.:-----. . 5c r•:Ic, 1] II ) �; ,/%1 : \ I -� 4 ( , U,-,I t,u�I I iv•, ,' . r'i •S's.- 1 / (11)3 r:Senx. br"S Trtr15G1 1 f'1 C,.LL7 _ ......____ [ • I • 1.1__----' ---- -_f. --- • ROM) •_.--•------- COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL (-4? Permit No. Cert. N 9 8 1 4 7 7 Cut-in Card No. Owner r�—h /) Location...f� 11—r�-r 72-5 OW S7 �CZ Installation Consisting of 5 1e0..6 - t 1z44tP L?O Q!772-84-S %60f20 Installed By 4 1 k2/2"1 Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued i; cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon th; introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making ' ections at any time, and if it: rules are violated,the Company shall have the right to re ke t is c cate. Date Jo—'S —° INSPECTOR...)„ •MamharN FP TAFT J ? ô Septic Inspection-Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a part: pm 742 Bay Rd.,Queensbury,NY 1,2804 Inspector's Initials: NAME: L A)1 PERMIT NO.: 0 5 LOCATION: INSPECT ON: DT RECHECK: • Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water C • Waterline separation distance ft. C"`-� 041-A11,005 ✓L(P 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: n �`�C-t< Stone Size: • Piping Size Type Building to tank Tank to Distribution Box . Distribution Box to Field/Pit Opening Sealed: Y/N/Partial • Location/Separations Foundation to tank _ ft. Foundation to absorption ft. r �� • Separation of Pits ft. 11-t- C �'' Conforms as per Plot Plan Y_N Location of System Property:stem on Pro ert � D � Front Rear Left Side Right Side . • Middle Front iddle Rear S stem Use Stat : Approved • Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:aSueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Septic Inspection Report • Office No. (518)761-8256 Date Inspection request received: • Queensbury Building&Code Enforcement Arrive: am/pm Depart: /6.1• cm/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: I1/v NAME: E4U27 PERMIT NO.: e, LOCATION: iteo INSPECT ON: 7/ J6 RECHECK: Comments and/or diagram Soil Type: S /Loam/Clay Type of Water: Municipal/Well WateriakW_ c " -704���A-e Waterline separation distance __ _ ft. Well separation distance ✓ ft. 11 Other wells: ft. 4Q �P r GD M jvvA Absorption Field: Total length Z, ft. _ Length of each trench ft. Depth of trenches C L,A6,-,J 4/14 , ft. Size of Stone (4‘..c c,,,.)v) • Seepage Pits: Number Size: x Stone Size: Piping Size _ Type • Building to tank P vv.? Tank to Distribution Box 2-fit 4 c'b 1 Distribution Box to Field/Pit y .. 4 ( , 4 7o Opening Sealed: Y/N/Partial • • Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ffi pp Q Conforms as per Plot Plan Y � N "L,6r44- —llc7 cJ!c �% 1 e-411 Location of System on Property: Front Rear Left Side Right Side • . • Middle Front Middle Rear I 1.. FLA ti S stem Use Status- Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 • l • Septic Inspection Report . Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ epart: yZ. • l.m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: e.,4.`J PERMIT NO.: 0 — ! , LOCATION: ,,,ds- /O INSPECT ON: . /7D RECHECK: Comments and/or diagram Soil Type: Sand lay Type of Water: Municipal/Well Water/L.. yh- C-f7 . Waterline separation distance ft. /A Ng- 'I,-S/ . ©itjL id Well separation distanceft. Other wells: /7,e6 kik() ft. Absorption Field: Total length ft. tPV L i A,v K 5 Length of each trench ft. Depth of trenches ft. / Pu(A.,—( C� Size of Stone et (51c Seepage Pits: Number Size: . x Stone Size: • • Piping Size Type! Building to tank f K ejw-b. Tank to Dist l# -Bex ficA4 0 5Rie- -3 Y Distribution Box to Field/Pit - A„left /ZC b y Opening Sealed: I'/N/Partial • Location/Separations AR_ / i-Ai Foundation to tank ft. Foundation to absorption ft. Separation of Pits _ ft/ Conforms as per Plot Plan Y i' N ��,gyp `% pc S/ 6U ( [_ Location of System on Property: i%_vz. KA.0 Front Rear Left Side Right Side . Middle Front Middle Rear System Use Status: . proved artial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 � • tnw r� J • • Map of a Survey made for Wciol. e. 1* zsi EDWA1 D J . & AD ZIENNE ZIBRO Tom of Qaz,e eats bvey. Vrnrress C•311.1,11k Cy. MOW York • • Facsimile CoVer Sheet • • . / :' • . , To:(4-L--/.)4 oc --(.7 -ei. 4.--?.?, . Comp any: .�,� .,,...,u.....-- Phone: 1 CYz.ta/ •��. u e:ee kt5 - — • . Fax: 741, cI43 From: al ' • Company: Dreamscapes Unlimited 6 Meghan Court • • Saratoga Springs, N.Y. 12866 • Phone: (518) 581=80 9 SEP-26-03 SAT 10.:20 BOB FLANSBURG•" 5185818079 P. 02 • . .....,(/ E I.R.r. 582'57'3rE - '' �� 94.47 33.60 - :\ IN -4 •• ^ii; v ASPHN ORM _— °q' - /.'cP—ems . • / a_ � 0 / :-"\ I e da'eat ►� rn • laI,—tit d+Aj �? 0 I + O $60'36'34"E 60'36`34r -yhAtscp it \ i • \ _V I'9 c"... 't N i ,...6 i I ii . y # 1QIo OQ ISM � • �a v St$.4.1- / / \ • '— i / ....-....- ......._ . /• i .X. / . Q�‘. P 1/ L-- . ha9ga // ` NNN I / t3 __ / 0 / 0• It • fi o • / / ` . 'N14, / _------ • / \ . i \ 6.* ?C'czt‘S 41- •cz-4,40 , tP 1.1> \Cc`. SEP-26-03 SAT 10 :21 SOB FLANSBURG 5185818079I P. 03 .< ` smixoOR1pox• • w . S62'46'15" k r-- 1 on o?�/ „,„eWA/ 1 • 1 • I) z • • • • • • 0.' 4) iY YWY O • m a tf. J� • • • II