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2002-442 TOWN OF QUEENSBURY 742 Bay Road,Queensbuq,NY 12845902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20020442 Date Issued: Wednesday, September 10,2003 This is to certify that work requested to be done as shown by Permit Number P20020442 has been completed. Tax Map Number: 523400.226.019-0001.009-000.0000 Location: . 16 SUNSET Ln Owner:, JOSEPH RITANO Applicant: JOSEPH RITANO This structure may be occupied as a: By Order of Town Board Septic Alteration Residential TOWN OF QUEENSBURY Director of Building&Coe Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020442 Application Number: A20020442 Tax Map,No: , 523400-226-019-0001-009-000-0000 Permissionds hereby granted to: JOSEPH RIT.ANO For property located at: 16 SUNSET Ln in the Town of Queensbury,to construct or place at the above location in accordance tivith 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: JOSEPH RITANO 1013 ANTHONY Dr Septic Alteration Residential Total Value SCHENECTADY,NY 12303-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-442 SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS 1 $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 11,2003 (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 Town of Queensbury; Tuesday,June 11,2002 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: -- J�- File Permit No. QC_ � Tax Map No. Z L .l / !- Fee Paid Owner's Name: .................................... ............................................._...........I......._..._......... .........= Address: - A2 .(3 z3 a 3 I 2. INSTALLER'S NAME PHONE NO. 7 7 V�S 2? 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flaw) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = t 1980- 1991 x 130 gal/bdrm = VE 1991 -present x 110 gal/bdrm = M AY 2 2002 Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes- I no TOWN OF QUEE s_SE3C1P.y ull_I��°�c� A�9ss 00�� 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Waters Supply Flat sand at what depth at what depth municipal Rolling loam feet feet well. Steep slope clay if well;water supply %slope other from any septic-system depth: absorption is 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 j 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: Ipp o, gallon(min. size 1,tI(I©gal.) Tile Field: each trench ft Total System Length: ft. Seepage Pit(s): number of size ofeach: ft. by ft. Size of Stone to be used: # / depth or thickness feet i Bed System Size: x Alternative System: Z-Co_-�- 'Z-!Ai length and/or size �<=ALtt�1- f�lNA 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 Queensbury Sanitary Sewage Disposal Ordinance. 49 S' a ure of responsible person Date h E r IbU3 G/ ,es�` Ilt�us GF l� up ii Scr•cic. 7. SIGN:A.TLjgE &INFORMATION FOR RESPU V Its r-r='r%awL,4 Wlxvala�.—,., f Septic his ection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement .Arrive: : -is am/pm Depart: am/pm 742 Bay Rd., eensbury,NY 12804 Inspector's Initials:. NAME: PERMIT NO.: a-44a .LOCATION: tJ -Y T U SPECT ON: RECHECK: Comments and/or diagram Soil Type: Sari la T e of Wa er: unici Well Water Waterline sepa istance ft. Well separation distance ft. Other wells: ft.. Abso. fion.Field: Total-length ft. � Length of each trench Depth of trenches ft. Size of Stone ,U�-- ,See a ge{Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box A Field/Pit Opening Seale N/Partial ` Location/Separations Foundation to tank Foundation to absqr ption Separation of Pits ft. Conforms as per Plot Plan Y N Location of'System on Property: on Rear Left Side Right Side Middle Front Middle Rear System Use t tus• Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office' -Disapproved L:\SueHemingway\i3uiIding.Codes.Inspection.FORMS\Septic Inspection Report doc January 28,2003 ot /"go cr L. ILi i I TIN lu aL 0 _Nr i�lvn le .'I . ...... ...... .... ... .... ... MAP REFERENCE: MAP OF "THE SHORE COLONY" ON ASSEMBLY POINT —LAKE GEORGE DATED: JUNE 12, 1957 REVISED: AUGUST 7, 1957 BY: LESLIE W. COULTER 100 Ile 4 17 S7, 105 14"A5W (R5 ti _7(y AREA 7,463 sq.ft 0.17 acres � STORY WOOD MAMI! PlOUSE $• \ � s�Ne wry .4C11T & wpL 0o, 79 *33 2 F'W tJ SET/ D us & StevesW& Land Surveyors, LLB 169 Haviland Road Queensbury, New York 12804 'UNAUTKMZM ALTERATION OR AMOK TO A "VEY MAP INEAMW A LICENSED LAND SURVEYORS SEAL 13 A VIOLATION OF SECTION 7200, StAl-WASION 2. OF THE NEW V= STATE EDUCATION LAW SMALL ISE CWSOMM To BE VALID T" COMES' *CERTIFICATIONS INOCAIED HEREON SIGNIFY THAT THIS wwvry wAs PREPARED IN ACCORDANCE WIN IRE E)05rNQ OWE OF PRACTICE nP LAND SURVEY= ADOPIM BY THE NEW YOM STATE ASISOCIATICH Or PROrESSONAL LAND SURVEYORS SAID CERVICA71ONS SMALL ISM ONLY M THE PERSON FOR %MOM THE SURVEY IS PREPARED, AND ON HIS GERAIS TO THE TITLE CDMPAMY, WVERNMENTAL NINI lAV6E`NKcy*A5"0D XEZ70-T'�Nl! LWINSTITUrWI LISTED HEREON. AND MRWCK* 518) 792-8474 New York Lie. No. 50135 M10 lu lu II 00 0 -"-Dun. "A T TRbztisoN SYSTEM 451. 024' lkTAiL_S_) 'ACtt L 0o Map of a Topographic Survey made for JOSEPH RITANO Town of Queensbury, Warren County, New York .19 0 LEGEND: 0 IPF = IRON PIPE FOUND 0 IRS = IRON ROD SET/TO BE SET (1) = WELL C130 = CATCH BASIN X_ = FENCE LINE WV X = WATER VALVE — T— — 1/2"IFF z 0 A id DATUM ASSUMED CONTOUR INTERVAL = 1 FOOT 2 04-19-02 LOCATION Or SEPTIC SYSTEM 1 04-02 PROPOSED SEPTIC 5Y5T7"M NO. DA TE DESCRIPTION 1'=201 S-1 SHEET I OF 2 RJTANO C640 MG. NO. 0 13 10 0 0-11—/ 4" PERFORATED PIPE GEO-TEXTLE COVER TYPAR 3401 OR EQUAL 17' MAX. T =� =,-1 I I r- SLOPE 1/16'-1/32' PER FT. MOM MFA 02 eNrS ro &L cavats 10' M. r Ap C PROM AT LEAS5" 3 BIRD fd11111�NT ` r J 1'N /� LCAVE I! LO AS H offle G GORIIJtir . M1 LCAK 4 L0110 NEON RELMR SUlI1iD e ! OELOIN SLLRP'ACC TO KW ONM ..�...+ TYPE B N-DRAIN ',UNIT CONC, ETE $AND BY ELJEN CORPORATION NYSDOT ITEM #703-07 1 ILLl7 lAPPLC O Ir !LL 67RIRi�0w flJ[C5 GRQU f WITH NON- iRRK it 0@7ReU1t" ow TESS GR=T CTYP.) � `�` oR BIO—MAT ABSORPTION SYSTEM �1. END OF ALL DISTOWTOR PIPES MUST BE Lxxx Lr#lZL 0 GED UNLESS INTrROONNEOTIED. STANDARD TRENCH PROFILE 2. ALL GLATERALS TO BE OF EQUAL LENGTH. 1/4 PCR rOOT MW SLOB Q 0 O N.T.S. 1/S` R1t FOOT IAW � . SCAMI" v gn ° w o° T OC iCT A S[P1K: TAM BY FORT v MA WAYIL EL�CYATICN LE pU ON Moat OR EQUAL NZT MMCT DISM11ON BOX MA CRAM 00 M SM20 WnEb NOT r0 5cN MMAM oumm AMU�� MUMS WIRE WATCR. J ` OVERFILL TO ALLOW SEED AND MULCH FOR 5ETTELMENT BACKFLL WITH SUITABLE MATERIAL me w SEPTIC TANKS L ALL LMS SMALL. C-MMY WM THE RZOLAWN01ITS Or 711E NCW Yaa STATE DEPARTMENT Or WEALTM AND SMALL AE PRECAST GONCIKTE 4" PERFORATED PIPE PROWL Y SM aR-„�o °o°o As "WYACT.t1eD eY roRr NILLtR OK COMAiENT. GEO-TEXTLE COVER PCA ORAYEL LIM TANK SEPTIC. TAW L ALL STRUC71Aq;S TO De PLACED ON GT S+A�D oR TYPAR 3401 OR EQUAL MS Nor r0 SONS AM AAMC. alSTONE ESSMAU BeMA ETD AS° NECCSSARY TO ACHIEVe A STACI.E MUNDATIOR TYPE B N-DRAIN UNIT BY ELJEN CORPORATION 04 CONCRETE SAND NYSDOT ITEM #703-07 MAXIMUM SEASONAL GROUNDWATER ELEVATION 1 D u s 'UNAUYHCPoffD Q7LRATWN ON ADOIIIM TO A SURVEY NM =NO A LICENSED LAND SURVEYORS 'SEAL IS A Map made for &(� VIOLATION OF SECTION 720L SUB -DIVISION 2. OF THE NEW YM STATE fDUGTON LXN.- OKY CDPCf rROA T`t CRIGMA.OP TtIS SUIMY Steves NVUlXlD MrtGT. AN OpW NILOr TII[;.4D SURVLhOIC S tLAI. SHAH BE S INENC 110 10 BEN TRUE COPES- *CERTIFICATIONS MOG7ED HEREON SIOIIFY llMT THIS SURVEY WAS PREPARED IN ACCODANCE IMTH THE 0 S E P H P I TAN Q Land Surveyors, LLC BY THE NEW RK S"A„ A F� D OF PROFRs ADOPTO NAL BY THE NEW PORK 9^ATE ASSCOAl1O1 OF PROFESSIONAL LAND SURVEYORS SAID CIRW ATIGNS SHALL RUN ONLYTO THE PERSON FOR WHOM 7HE SURVEY IS PREPARD, AND 169 Haviland Road Queensbury, New York 12804 ON HIS BEFALF TO THE DTLE COMPANY, 00VETMAENITAL AD?NCY AHD LEMRNGG INSTITUITON UWM, HEREON, AND TO THE AMP= OF THL LMkS INST UVOW Town of Queensbury, Warren County, New York :518) 792-8474 New York Lie. No. 50135 BIO-MAT ABSORPTION SYSTEM STANDARD TRENCH SECTION N.T.s. NO. I DA TE DESCRIPTION a-cel rate as noted D --1 SHWr 2 OF 2 RITANO C640 DWG. N0. 0131 OB