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2004-933
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: P20040933 Date Issued: Friday, December 03, 2004 This is to certify thatwork.requested to be done as shown by Permit Number P20040933 has been completed. Tax Map Number: 523400-301-017-0003-013-000-0000 Location: 30 AUTUMN Ln Owner: ROBERT J HOGAN Applicant: ROBERT J HOGAN 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 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: P20040933 Application Number: A20040933 Tax Map No: 523400-301-017-0003-013-000-0000 Permission is hereby granted to: ROBF.RT J HOC'TAN For property located at: 30 AUTUMN Ln 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 incompliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: ROBERT 7 HOGAN 30 AUTUMN Ln Septic Alteration Residential Total Value QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications BP 2004-933 Sherman Pines Association Septic Alteration, Numbers: 30, 34, and 36 Autumn Lane $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, November 30, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queen fore the ex iration date.) Dated at the Town_of b , T e d , November 30, 2004 SIGNED BY for the Town of Queensbury: Director of Building&Code Enforcement 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: 30 3 y File Permit No: Tax Map No. Fee Paid Owner's Name: i..........................................................:.......................................................................... Address: 2. INSTALLER'S NAME : PHONE NO. 2 qo 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 = 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = ED Garbage Grinder Installed yes— / no' Nov 2 9 2004 Spa or Hot Tub Installed yes / no TOWN�fdG AND G4Q�Y 4: PARCEL INFORMATION: (circle applicable information&indicate measur TonograDhv Soil Nature Ground Water Bedrock or Im ervious Material . Domesti Water Su 1 "-�at san at what depth at what depth municipal RAng Nodm feet feet Steep slope clay if well; water supply _%slope other from,any septic-system depth: absorption is ft. 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: �k�gallon (min. size ],000 gal.) Tile Field: each trench ft. Total System Length: ft. Seepage Pit(s): number of size of each: ft. by ft. Size 1f Stone to be used: # ' / depth or thickness �Y -feet Bed System Size: e x Alternative System: length and/or size 'L � � `��X,h 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. `J , akloy Signature of responsible person Date ry Sc�tivtir14 sts)tl I)isim.,4 l (,listj)it�r AI)pmuli x C. - �I�:}'/11LA,'1'IWN It��(Zl.)Iltl h]I��N'I`9 1 s rkt C' ) pQNWELL to IN— SIQNATURE ' l+�'�l1R1'1K1 1 3t &INFORMATION POP,��YV�I�7�CsL.�,f!>r�av>.•t �„a�..r.�...:;.. Septic Inspection Report /,�Al Office No. (518)761-8256 Date Inspection request received: �� Queensbury Building&Code Enforcement Arrive: am/pm Depart: a pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: r NAME: I v—�c-` �� PERMIT NO.: DUT" LOCATION: 3 SPECT ON: RECHECK: Comments and or diagram Soil T e. Sa Clay Type of Wate :' Munici /Well Water Waterline se ar stance ft. - Well separation distance ft. 7 `J� Other wells: ft. Absorption Field: Total length Z Length of each trench ft Depth of trenches Size of Stone Seepage Pits: Number Size: x Stone Size: Piping S' e Type ' Building to tank 14IV6"%n1P&�1 �j"9rG 0r1) Tank to Distribu 1 Box / Distribution Bo to field/Pit O enin Sealed Y/N/Partial �' Location/Separations Foundation to tank Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Location of System Property: Front . Re Left Side Right Side Middle Front Middle Rear System Use Statu Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueflemingwaylBuilding.Codes.Inspection.FORMS1Septic Inspection Report.doc January 28,2003 - MORNING STAR EXCAVATING, INC. & SEPTIC SERVICE 107 Jewel Road si s-793-2290 Frank Shaw, Pres. Gansevoort,NY.12831-2154 518.695-5505 ` Fax#518-793-2115 Date: To: Sherr►"an Aai A1-,ec, cdne.-j 4fYct,2,i,c , ,,�c I 13113 11a aPs 3.2, 3y. 3(� 6,, con le,he OL INVOICE: Terms: Payment Due Upon Receipt of Invoice 1 1/2% Interest After 30 Days 3 � 3 a e I � I I vO)1 70,es { Dec 02 04 0.9: 55a Hutchins Engineering (5183745-0300 P. 1 r 169 Haviland Road Y Queensbury,NY 12804 Hutchins Engineering P 7 Fax:(518)745-0308 December 2, 2004 Mr. Frank Shaw VIA FAX - 793-2115 Morningstar Septic Service 1 Page 107 Jewell Road Gansevoort, NY 12831 Reference: 36 Autumn Ln, Queensbury (T), Sherman Pines Subdivision . Multi-House Septic System Replacement Dear Frank: On this date I completed two soil percolation tests in soils that had been amended for a ' replacement bed system at the referenced residence_ The bed area has been excavated and soils newly amended to two feet below bottom of beet stone layer due to reported fast'percolation rate of native soils. The absorption bed is being replaced in accordance with a design prepared by others. The stabilized percolation rates in the amended material were 3 minutes 45 seconds and 4 minutes respectively. Please contact me if you require additional assistance. Best Regards, G. Thomas Hutchins, P.E. 0.Thames Hutchins,P.E. i "I have seen or observed, or believe I saw evidence of, all objects such as houses, wells, trees, fences, etc., -� shown on this document. I also represent thl t I have ` l personally measured the distances set forth on the diagram." -4n SIGPKKKTORE DATE C observer'- r eli .ve I saw evidence of � , ' o � en or such as hoes v is, es, cep 5 _,m -_ CD z D D ZpC y,00 ni 6® � O Z M N G3 ... mx CDo o M w v. -4Z, s gill, n Q- ai(AVE l Epp r 'W S 32 en 10'x14' CMU STRUCTURE W/ 254' / CONCRETE PAD AND4` BOLLARDS ,Y' PROPOSED FUTURE ACCESS r : s WAY S — y , S PROPOSED MCDONALD S :a+ S — — _ PYLON SIGN ENTRANCE , y S- _ - 1 PROPOSED 5 _S06'36�3� _ t ENTRY SIGN S c� S41 _ S , 5' R 30' R /y 2' R BYPASS . SE`faC�, I - _ 15 R LANE o 531557 SF _ --- LOT- 1 . 23 ACRES - PROPOSED DRIVE THRU - p tv MENU BOARD LANE o - PROPOSED 6" 15' R _ CONCRETE CURB BUILDI i p / PROPOSED PROPO SETBA ~ & /y HANDICAP CONCRE WALK 15 - / PARKING SIGN ! l / 12 -°' p' 15' R PROPOSED TS _'TJr='E % C4 6 1\i R LANDSCAPED 15' R `- - / i i, % r / AREA . ,=:4-1 Sr ,' / / / loo ti Qi �► co �— PROPOSED / 30' RAREAv PROPOSED M pp • 15' R �1 SIDE ALK /i 6 /' �/ EXIT SIGN / 0 / McDONALDS 2'-6" R 3p• 60' R �-0' o /PROPOSED �ANDICIAP mod'' / _-`----Z f RAMP / :�' / � / , OF M N / ��• a ----- PROPOSED HANDICAP 25' R PARKING ACCESS & z PROPOSED / - = S)GE �` T6.a BITUM(NOUS (YELLOW STRIPING} a PAVEMENT - - - _ 15' R PROPOSED STRIPING l� PROPOSED PROTEC iTON OOLLARDS F' 127.09'----� -S (TYPICAL OF 3) �/ / ` _ / / S � / / 0 — —S _ S — ~'� STORMWATEFC y — _ _—` ,• RETENTION/RECHARGE S 199,78' _ — _S / QUAKER i FARM'S �.` "� KING FUEL'S ------ NOV 1 0 2004 _ _ o ENTRANCE % ENTRANCE _ 3`T'1-- zrw TEST PIT TEST RESULT S SITE DEVELOPMENT DATA ' ES & PERC -- / No. DESCRIPTION SITE AREA 53,557 SF (1 .23 ACRES) TP1 0 12" TOPSOIL BUILDING AREA 2,244 SF SF _ / — PAVED/SIDEWALKS 28,002 12" — 36" MED. RED BROWN SAND /' 36" — 84" BROWN TO GRAY SAND TOTAL NON PERMEABLE 30,246 AF ] ' . / o GROUNDWATER @ 7 , MOTTLING ® 4' PERCENT NON PERMEABLE 56.9� TP2 0" — 12" " TOPSOIL SETBACK REQUIREMENTS 12" — 36 MED. RED BROWN SAND Gx 36" — 42" MED. BROWN SANG D,` I 42" — 72" LAYERS OF BROWN AND GRAY SAND ITEM REQUIRED PROVIDE ,acmrxty " " FRONT 50 FT 162 FT > Ts srLa 72 — 84 GRAY SAND GROUNDWATER ® 7 , MOTTLING ® 50" SIDE (MIN.) 20 FT 57 FT F�'E, No. RATE (MIN:SEC/INCH) DEPTH SIDE (TOTAL) 50 FT 62 FT PT1 0 min. 42 sec. 24" REAR 25 FT 97 FT TRAVEL CORRIDOR 75 FT 162 FT PT2 1 min. 02 sec. 24" HEIGHT 40 FT 20 FT PERMEABILITY 30% 43.1% PERC & TEST PITS PERFORMED BY GARRY ROBINSON. P.E. WITNESSED BY MIKE SHAW PE, NYSDOH ON 11/19/02 SIGN 15 FT 15 FT DESIGN PERCOLATION RATE — 1 -5 MINUTES PARKING SPACES 10 MIN. 32 oe r Dix AVENUE � , G -- -— -- ---- _ S c—'zf�—— — ��-�-- - - TOWN OF QUEENSBURY COUNTY OF WARREN STATE OF NEW YORK LAYOUT PLAN i 2 8/04/04 RELOCATED FUTURE ACCESS DRIVE �►�= 2/11/04 SCALE: 1'=20'-0' DWG. NO.* dunkdondix DRIVE-THRU VEHICLE ACCESS € , 7/16/04 ADDED RESPONSE TO CTfrt'coMMENTs GARRY ROBINSON, P.E. SCALE:1'=30' r P.E. UC. N0. 60166 REV. DATE: NOTE: CONSULTING aNGINaaR SHEET OF 7 � e y w`cn A a a �MVx 00 � vx to � 3C9 CO m? O tv] w NH £ Eoo z Coo z oox z coV I V m � 4c�0►- aF-+ xco01- 04" xcoo►- aH wa � �� '�w E• a q >+ aaawa 1 aatwwa 1 oaAAAw � > 04 rgc�c� coza.� wc�c3ao � Aan `wa —'1 0cn CIca ppoOwW paoopitw woowwt�+ J aw ox w acoC4x Inkoca �a1* 03x0 {� O A W O0o C4 d e�' 04E+ m-4cn (4 C-404E Z Z as NH H o l Q L j W 4 to H w W W 0 / 1 4 E E H. 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