96-106 CLI- TIFICNPE OF COMPLIANCE
TOWN OF QUEENSOURY
WARREN COUNTY, NEW .YORK
Date fiat' 23 - -19 96
96106
This is' to certify that work requested to be done as shown by Permit No. ---
has been completed.
SE
This structure may be used as aIsTTC ALTERATION
Location 2/) 1ST BRANCH DR.
Owner BENNETT, TIMOTHY J.
By Order of Town Board
TAX- MAII NO. 13 3< -1-4 TOWN OF QUEEN SBURY
Director of Building &, Code Enforcement
BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 96106
TAX MAP NO. 133. -1-4 No.
WARREN COUNTY, NEW YORK
BENNETT, TIMOTHY J.
PERMISSION is hereby granted to
OWNER of property located at 29 EAST BRANCH DR. Street, Road or Ave.
SEPTIC ALTERATION
in the Town of Queensbury,To Construct or place a
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
29 EAST BRANCH DR.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUI LDE R'S Name
BATEASE, GLENN
3. CONTRACTOR or BUILDER'S Address
46 DREAMLAKE RD
QUEENSBURY, NEW YORK 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
SEPTIC
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
SEPTICNoALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION
$ 25 PERMIT FEE PAID —THIS PERMIT EXPIRES April 8 19 98
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 8 Day of April 19 96
SIGNED BY �AINO --mat" for the Town of Queensbury
Building and Zoning Inspector
Application for SEPTIC DISPOSAL PERMIT' o
STAMP RECEA VE.l)
Location of property for inslallalion:
Owner's Name, ��//1� �1f�/l�f�l/— 1'I:Itl111T.NUMBER
Owncr's Mailing; Address: �E i'7-!,01
l:ia.. PAID G
installer's Name: U-le" i'hone #:
Number of bedrooms (if residential): • " � '•'
joltTotal daily flow (residential - compute (ii) 150 gal. per bedroom): r�,
Topography: Plat [Rolling Q Steell Slope % of Slope
4
Soil Nature: Sand Loam Clay
[�- � Q y 0 Other
GrOUnd Water':.At what depth? feet r ApR
Bedrock or Impervious Material: at what depth? feel
[ Not Itc•yuircd Required/Rate min.
Domestic Water Supply: Municipal 0 Well Other
If domestic water supply is a Wl?l..l.: water supply from any septic absorption is feet
1)R0I1OSE1) SYS'17?M:
Septic tank:_ 000 gal. (minimum size: 1.000 gal.)
Tile field: each trench feet. / total system length feel.
Seepage Pil(s): number of / size each: �ft. x �_ ft.
Size of stone to be used: # / depth or thickness feet.
I101.,llINC 'YANK SYS'173b1: (if re(juired)
Number of tanks: Size of cash: gal.
ilktrm .cy.ttem unit uscoc•iatetl electrical work to be inspected b)• it certified ttgenc•y.
For your prorec:tion, please note thin pttrsrturtt to Section 136-29 (if the Code o f tlhe Town of
Queensbury, any permit or approval grttrtletl which isbirsed upon or isgrtrrtled in relittnc'e uport
arty material ntisrepresenlcttion or frtihire to nutke it material ftct or circrern slit nc:e known by or on
behalf of art a p plic ant, skull be void.
c5r� `B6'r5 r A17 333-
I have read the regulations will' respeC.l to iltis application and ugree In abide by these rind all
regrtirements o f the Town o f Queensbur)' Sallihtry Sewage Disposal Ordinance.
yam ('
Signature o f respon.cib'c person: �,.„ Uttte: ��
f
RESOLUTION APPROVING A SANITARY SEWAGE DISPOSAL;VARIANCE
FOR TIMOTHY J: BENNETT
RESOLUTION NO. : 8, 96 ' .
f
INTRODUCED BY: Mrs. Connie Goedert
WHO MOVED ITS ADOPTION ,
SECONDED BY: - Mr. Theodore Turner
WHEREAS, Timothy J. Bennett previously filed 'a request for a
variance from certain provisions of the Town of Queensbury On-Site
Sewage Disposal Ordinance set forth in 1) Chapter 136, Tables
5 & 6, such standard providing' that there be 375 square feet. of
absorptive area; and 2) Chapter 136, Appendix 'A, such standard
providing that there be a 150 ' distance between a seepage pit and
well .or suction line, and
WHEREAS, Mr. Timothy J. Bennett has indicated a desire to 1)
provide only 101 square feet of absorptive area , rather than the .
required 375 square feet; and 2 ) place the seepage pit 83 feet from
the neighbor's well rather than placing it at the required 150 '
distance, and
WHEREAS, a notice of public hearing was given .in the official
newspaper of the Town of Queensbury and a public hearing was held
in connection with the variance request on May 20, 1996, and
WHEREAS, the Town Clerk advises. that property owners within
500 feet of the subject property have been duly notified,
NOW, THEREFORE, BE IT
RESOLVED, ,
a) that due to the nature of the variances, ' it. is felt that
the variations will not be materially detrimental to the
purposes . and objectives of this Ordinance or to other
adjoining properties or _ otherwise conflict with the
purpose and objectives of any plan or -policy of the Town
of Queensbury;
,b) that ,the,Local-_Board .of ,Health finds that the .granting.of
the variances' is necessary Ifor' the reasonable use of
the land .and that the variances are' granted as the
minimum. variances which would alleviate the specific.
unnecessary hardship found by the Local Board of Health
to affect the, applicant; and
c) "that the Local -Board of Health imposes . a condition upon
the applicant that he must also secure the approval of
the New York State Departinent of Health, and
BE IT FURTHER,
-RESOLVED, that the* Town of Queensbury Local Board of ' Health "
grants the variances to Timothy J: Bennett, 1) allowing .only# 101
square feet of .absorptive area rather than -the required 315 square
feet; and 2) allowing placement of the seepage pit 83 feet from the
neighbor's well .rather than placing it at .the required ' 1.50 '
distance, on property situated at 29 East Branch Drive, Town of
Queensbury,' New York, and, bearing Tax Map #: Section ' 133, Block 1,
Lot 4.
Duly adopted" this 20th day of May, 1996, by the following
vote:
AYES: Mrs . Goedert, Mrs. Pulver, Mrs .- Monahan, Mr. Turner, Mr.
Champagne
NOES : None
ABSENT:None
r .
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TOT,cd OF QU9EGISBURY
BUILDING & CODE BWORCEMENT
531 Bay Road
Queensbury MY 12804
518--745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Namek1% :,La. ,-,<--� �
Location o�_C L OVY\(' D-1 KJ
Date -0 " l 6ermi t # L06
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) R e-Minute/Inch
TYPE OF SY TEN:
ABSORPTION EL : Total Length
Length of eac trench
Depth of tren I s
Size of ston
SEEPAGE PITS Nu er-
Size - ft. ft.
Stone size
PIPING: Size Type
Bldg. to T nk
Tank to Di t. Box
Dist. Box -o Field/Pi t
Openings ealed? Yes No Partial
LOCATION EPAR -WZS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits — feet
Conforms as per Plot Plan Yes No
LOCATI(W OF SYS7--T-I O PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Diddle Rear
COMMENTS:
SYSTE14 USE APPROVE YES NO
Arrived:
Departed:
Building Inspector
TOWN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Location
Date
Date Permit #
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length _
Length of ea h trench
Depth of tre hes
Size of stone
SEEPAGE PITS: V
Size - ft.
Stone size
PIPING: Size Type
Bldg. to T���`
Tank t 7st. Box _
DA st;�Box to Field/ i t
Openings Sealed? Y.es No Partial
LOCATION/SEPARATIONS:',
Foundation to Tank feet
Foundation to Absorption _ feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear .- Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
o V-� 7-0 S3 ACCyF!LL
SYSTEM USE APPROVED: YES <�
Arrived:
Depart
Bui ing Inspe o
W-04 OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518--745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name -7 1 EA (3 F tJ0=
Location
Date Y 1 iicy.) Permit #C'(Q— �Ota
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEP1:
ABSORPTION FIELD: Total Length
Length of ea h trench
Depth of tren •hes
Size of stone
SEEPAGE PITS: um er-
Size - t. x ft.
Stone size
PIPING: Size Type
Bldg. to Tangy
Tank to Box
Dist. Box to Fiel /Pit
Openings Sealed? Yes No Partial
LOCATI WUSEPAIRATI HS:
Foundation to Tan feet
Foundation to Absorption _ feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - ,Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
uJc> 6 SCE
SYSTEM 65SVAYPRRE9 ENO
Arrived:
Dep
Build i spector
TOW OF QUELAHLRY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name �1Y\
Location _� YCA R � U& -
Date Ir Permit # lU~ ZYP
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTIC1 FIELD:�TlottalLenth
Length of ee
Depth of t es
Size of stone
SEEPAGE PITS: Number-
Size - _!y ft.'� x _ _ ft.
Stone size
PIPING: ze Type
B l d-g.., to r►�c�. �T
Tank to Dist. Box i
Dist. Box to Field/P 't
Openings Sealed? Y s !No Partial
LOCATI M/SEPARATI MS:
Foundation to Tank feet
Foundation to Absorption I=C� feet
Separation of Pits feet
Conforms as per Plot Plan Yes<� o
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
ro earf�Si�a-- Right Side
Middle Front - Middle Rear
COMMENTS:
� L1 O -moo T�rJ1�
ov) To
Loy-1Pt,�n P6�n
SYSTEM USE APPR0VED: YES HO
Arrived:
Depart
M11A
/ Buis spector
TOWN OF QUEENSBURY
BUILDING b CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
f�
Name
Location-
Date � Permit # cjja —if`[P
SOIL TYPE: Sand-Loam-Clay-
Results of4�-t�(e
t-
(if applico/Inch
TYPE OF SY
ABSORPTIONn�c�.k�- _
Length of Depth of t
Size of 0 e
SEEPAGE PITS: Numbedr- ( �,
Size - ft. x �� 02, ft.
Stone size _ -
PIPING: Size Type
Bldg. to Tank U° bc�ALla
Tank to Dist. Box Lfit C
Dist. Box t /Pit 4" NC
Openings Sealed? es o Partial
LOCATION/SEPARATIO
Foundation to Tank 1�0 feet
Foundation to Absorption -2 feet
Separation of Pits _7_ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
ro ear �Le t— i Right Side
Middle Front - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: YE �N-0 -_
Arrived:
Departed:
Building)"-ector'
TOWN OF QUEENSBURY S
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR� DEPART INT _
REQUEST FOR INSPECTION RECEIVED:
NAME
i
LOCATION 'rill !�
DATE L // PERMIT 1t
TYPE OF STRUCTURE:
RECHECK APPROVED _
NIA YES NO--
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS\' ESPONS LE FOR
PROVIDING PROTE T% N F FREEZING
FOR 48 HOURS FOLLO THE PLACE-
MENT OF THE CONCRFUT
MATERIALS FO HIS PUR OSE ON SITE
FOUNDATIA WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING BRIDGING
JOI'iT HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
TOHN OF QUEENSUURY
BUILDING & CODE ENFORCEMENT
531 Day Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name -` j ;A
Location I—A C"
Date Permit #
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEI3:
ADSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box _
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPAR,ATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM GH PROPERTY:
(circle one)
Front - Rear - .Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
AVT
G9,e0 Oro UO�i EP, �P, -7' � Ln i oo i
b
SYSTEM USE APPROVED: YES - NO
Arrivedi
Dep t °
Dui i nspector
3:36
TOKI OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name /-, L�/Jv�
Location ""qc/
Date Permi t # r;«
SOIL TYPE: Sand-Loam-Clay- t
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits _ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
p r-
SYSTEM USE APPROVED: YES NO
Arrived:
Departed:
c �
Building Inns ec or