2000-794 TOWN OF OUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761=8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20000794 Date Issued. Monday, March 12, 2001
This is to certify that work requested to be done as shown by Permit Number P20000794
has been completed. r., (Pvq
Tax Map Number. 523400-12 -000-0002-010-000-0000
Location: 60 RHODL ISLAND Ave
Owner. CLARK & SARAH CONDON SR
Applicant: CLARK & SARAH CONDON SR
This structure may be occupied as a:
By Order of Town Board
Septic Alteration Residential TOWN OF QUEENSBURY
Director of Building & Code nfo ent
TOWN OF +QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number.• P20000794 Application Number. A20000794
Tax Map No: 523400- 128-000-0002-010-000-0000
Permission is hereby granted. to: CLARK CONDON
For property located at: 60 RHODE ISLAND Ave
in the Torun 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: CLARK CONDON Septic Alteration Residential
SR. & SARAH Total Value
60 R.HODE ISLAND Ave
QUEENSBURY, NY 12904
Contractor or Builder's Name I Address Electrical Inspection Agency
Plans & Specifications
Septic Alteration (Residential)
60 Rhode Island Avenue
Tax Id No. 128 .-2- 10
3 bedroom house
$25.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday, October 13, 2002
(If a longer period is required, an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town f Qu sb ,erid ^t' 13, 2000
SIGNED BY �+ ' for the Town of Queensbury.
Director of Building & Code Enforcement
Application for Permit — Septic Disposal System
Towlt of Queensbury 742 Boy Road Queensberry, NY 12804 (. 18) 761-8256
1 . OWNER INFORMATION: �r
Location of installation: � Y 1� � e%�,_ - _ Z i�fs� � OftMce Use M___.._,_/..............1
Teas Map Na. / / _�
File Permit No
�- J�� Fee Paid ry .
Owner's Names: � , -T�-,z�. v � {�o? f p. e2d, V' e C d �... ....... . ...... ...........
Address: ( . H fJ D 1 S ,F'r�..11� A V lc. w U G
2. INSTALLER'S NAME PHONE NO.
3. R.ESIDENCE INFORMATION: (circle year of dwelling, Indicate # bedroom(s) and multiply # or
bedrooms with applicable gallons per bedroom to equal total dallyfluw)
Year of House: No. of Bedroorps x Co �ttalion _ Total Dank Flow
1980 or older ?l x 150 gal/bdnn L) 50 c-P1)
1980 — 1991 x 130 gal/bdrm =
t991 — present x 110 gal/bdrtn =
Garbage Grinder Installed yes I no
Spa or Whirlpool Installed yes / no
4. PARCEL INFORMATION: (circle applicable information 8c indicate measurements)
�tnd�ate g �s r�l�rytte Qua Materia c-3 er:$ 1PP.1y
mat t ttrT rtt wh t depth at wh depth ►srertete Ipa
o tttg burnfeetfeet
Steep slope clay if well; water-supply
Wig& slope other from any septic-irystem
depth: absorption is t?.
ether
Percolation Test: (To be completed by licensed prrrfssslonal engineer ar rtre bisect}
1texle: ! , minute per Inch
- 5, PROPOSED SYSTEM' FoL Neer n—struction: All individual sewage disposal systems must be designed by a licensed
proresslonal engineer or architect (unless instalhid In a Planning Board appovcd subdivision). Add 250 gallons to the sire
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. "
M .
Septic Tank; p gallon (min. size 1, 000 gal.)
Tile F'lelds Bach trench _ 1?. 'Total System Length: fl
Seepage Pit(s): ►tu►nber of size of each: ` fl. by $ fl.
t,. Size of St6ne to be used; II 4 � �� � depth or thlckntss OK) F
Bed System Size, hl A x i ;
Altemadv ! System: N q length a►t&or size
dr
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: 1 Size of each: gallons I 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 state that pursuant to Section 136-29 of the Code of site Town
ofQueensbury, any permit or approval granted which is based upon or is granted in
reliance upon arty 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 Ordinances.
Lam" � ddd, N l�flrZ
Signature of res06691ble person Data
Man
TOWN OF WMBURY
BUILDING A CODE ENFORCEMENT 41
742 Say Road
Queensbury_ NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Locat 4 ' '`
Date -� `Y}M(ermi
SOIL TYP Sand- aam-C1a -
Resul is o rcol 4ti on T st-
( if applicable ) R*te- Min to/ Inch
TYPE OF SYSTEM:
ABSORPTION FIELD : tTotal ength _
Length of each tr4nch
Depth of trenches '
Size of Stone
SEEPAGE PITS : N er-
Size ft . x fte
Stone size
PIPINGN t �
Bldg . to Tank ` Qdc 1`
Tank to Dist . Box C 1 [
Dist . Box to Fi el '<
Openings Sealed ? es No arts a
LOCATIOK/SEPARATI S :
Foundation to Tan l D feet
Foundation to Abs rpti n - 'feet
Separation of P1
Conforms as per lot P1 n es
LOCATION OF SYS ON P ER
( circle o _ -- -
Fron - ear eft Side ight Sid
Middle on --
COW"TS
M
SYSTEM E APPROVED : ��5 �.._
Arrived
Departed:
lF`
/
Nil Ing s ctor
2000NO.64
Rhode Island Ave.
Gam _
x 1 STORY LL '
FRAME
a DWELLING `
0
SHED GRAVEL
DRIVEWAY
CHAIN LINK FENCE
Uj x x x x x x x x x
ZEXISTING 1,000 GAL EXISTING 6'DIA
1, SEPTIC TANK BELIEVED CONCRETE BLOCK
TO BE BY FT.MILLER SEEPAGE PIT NO.59
TO BE RESET IF TO BE Massachusetts Ave.
K PRACTICAL REMOVED
IL IN R LATERAL > SWING SET i STORY
NO.60 Rhode / \,
;t!, FRAME
Island A- DWELLING
TO BE
I STORY REPLACED -
0 3 BEROOM -
z FRAME DOWELLING
----I PREVIOUSLY
N REMOVED —
GRAVEL
DRIVEWAY x
SHED r
OINK FENCE____7—i TG1,NN OF�UGI'S�«.�f..?1.7�I
x STOCKADE FENCE
N BUILDING&G�E:$ EPT.
REVIEWED BY
DATE
NO.58 Rhode
S Island Ave. x
Clark Sr. &Sarah Condon 2000-
I STORY S f
FRAME DWELLING 60 Rhode Island Avenue
MACADAM SEPTIC SYSTEM PERMIT
DRIVEWAY
SHED i Tax Id No. 128.-2-10
IVAN ZDRAHAL ASSOCIATES, PLLC E=Tm coMrrim Am DEmoUTION PLAN
ENGINEERING AND PLANNING M RNDDE ISLAM AVENUE
959 ROUTE 146
CLIFTON PARK, NEW YORK 12065 Tm Y Q�NOP0111 ION EC
PXONL•e10.7W.OT6Y FAI4 e10.711.{900 has.O astDdews,. w4m c"w.xr
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NO.64
Rhode Island A—
I STORY
S AME
D
WFELLING `g _
SHED GRAVEL
DRIVEWAY
REPLACED
12'K20' SHED
�X X X % CHAIN LINK FENCE% X % .
j 14'-4"PVC RESET 1,000 v
z 0 2.00% GAL SEPTIC c
W TANK NO.59
Moesoehusetts Ave.
..�..
SWING SET 1 STORY
NO.60 Rhode FRAME
Island Ave. 13'-4-PVC DWELLING
10' a 0 1.00X
I STORY MIN �j tV
FRAAME DWEOLUNG 15'-4-PVCD DISTBOXTION
_ L 0 1.00X
N 20' MIN / 1 8HI SEEPAGE PIT
W/ 1'"THICK ANNULAR
STONE RING (TYP)
GRAVEL X Y I
DRIVEWAY � J '
W � o
a o
O INK_ FENCE
x STOCKADE. FENCE
� M
N0.56 Rhode
S Island A—
U
I STORY O
FRAME O' .
DWELLING
MACADAM
DRVEWAY
SHED i
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ENGINEERING AND PLANNING 40 RNODE ISLAIO AVENUE -
959 ROUTE 145 —
CLIPTON PARK, NEW YORK 120651H �7�O=P011ATIOM
PHONR,5AOOAM FIM 61H.9l1."W n>w a may„. "Alm fir.
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FINISHED GRADE
PROVIDE EXTENSION 7/7/ 6"-12" SOIL
COLLAR TO GRADE
HEN TANK ACCESS
6" NON TRAFFIC
> 12 BELOW GRADE FINISHED GRADE 4"MIN DIAMETER COVER
WATERPROOF CEMENT INLET AT 1/8-/FT— PERMEABLE GEOTEXTILE,
MORTAR SLOPE UNTREATED BUILDING
12* MIN PAPER, OR 4- OF OF
CONC BLOCK MORTAR
COVER 4ERRED
7. PLUG FE STRAW
INLET r-INUET INVERT OUTLET �'77nr-�
ABOVE
OUTLET INVERT w
3 fac 11 0
1E 7 1
CAULKED--J CAULKED
JOINT JOINT
SANITARY— SANITARY
LEVEL 1\
TEE TEE
—\\-4* MIN 'P4
cp c�cl I.
f
W
SECTIl 3* PEA GRAVEL OR
CRUSHED STONE SUBBASE El 7-
FOR LEVELING no
BAFFLES MAY BE
USED INSTEAD OF
SANITARY TEES -7 Eil R
a 7 '1 N 24'DIA &�DV 12" OF.3/4- TO
Req 2 1/2 STONE
INLET OUTLET BEDDING
6' OD SEEPAGE PIT
LA
SECTION 'A EW RING OF
I' THICK ANNU R--�
3/4"-2 1/2* STONE 8' EFFECTIVE DIAMETER
I-
3' MINIMUM
PLAN VIEW GROUNDWATER, BEDROCK
PERVIOUS STRATA
TYPICAL CONCRETE SEPTIC TANK
�D-2/ SCALE: NONE
CROSS REFERENCE: NONE
6' DIA SEEPAGE PIT
(8' EFF. DIA) DETAIL
SCALE: 1" = 2'
CROSS REFERENCE: NONE
IVAN ZDRAHAL ASSOCIATES, PLLC
SEPTIC SYSTEM CONSTRUCTION DETALS
ENGINEERING AND PIANNING
959 ROUTE 146
CILIFTON PARK, NEW YORK 12065 PWAND FOR D-2
PHON&SALM� FOL SIL371.4356 TM TYM ORGAOMTM
w Wcplw� WAAM�ft.W
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