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2012-073 TOWN OF QUEENSBURY ^ 1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20120073 Date Issued: Monday, January 28, 2013 This is to certify that work requested to be done as shown by Permit Number P20120073 bas been completed. Tax Map Number. 523400-295-019-0003-062-000-0000 Location: 36 FOX HOLLOW Ln Owner DAVID& SANDRA DEED Applicant DAVID&SANDRA DEER This structure may be occupied as a: Septic Abandon Residential By Ovdrr.1 Ten Band TOWN OP QUEENSBURY Issuance of this Certificate of Conplianee DOES NOT relieve the / I _ !/ /J property owner of the respoy for newborns with Site Plan, lli+�ti /� 44t— Variance,or other imnsns aad as a melt of approvals by the D eue o fig&�Eaforcancot Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road, ury, ( lir y cud,Queensb NY 128045902 51 761-8201 Community Development-Building&Codes (518)7614256 BUILDING PERMIT Permit Number: P20120073 Application Number. A20120073 Tax Map No: 523400-295-019-0003-062-000-0000 Permission is hereby granted to: DAVID& SANDRA DEED Pot property located at 36 FOX HOLLOW Ln in the Town of Queensbuty,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 Queensbuty Zoning Ordinance. Tune otG_ -n�ew`B Yalua Owner Address: DAVID& SANDRA DEED 36 FOX HOLLOW Ln Septic on Residential QUEENSBURY,NY 12804-0000 MS Value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications r 2012-073 SEPTIC ALTERATION RESIDENTIAL $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES' Thursday,February 28,2013 (If a longer period is required,an application for an extension must be made m � the cods Boomont OOfite e of the Town of Queersbury before the expiration date.) ted at the Town Q b /f �ary 28,2012 GNED BY ��� ^. �d for the Town of Quesnsbusy. 1 Director of Building&Code Enforcement • ECIE11VFE es Community Dowlopmont MCA FEB 2 7 2012 ;r Town of Quesnabury • 742 Bay Road • Qussnabu , N „ • al • . : ^� �j' RtIILDING�r CODES TAX 4-7w35: / / -3- 4PERbarr )Z-DZjPERM?I� #Oar APPROVALS: TQWN APPLICATION FOR SEPTIC INSPO3AL SYSTEM . A MUST II OBTAINIID BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO RILVIEW MOM ISSUANCE OF A VALID PERM?. Cyy R David a Sandra Dsab armlet to S dawlad ADORER 38 Fox Hollow Lana Quaalaubtay NY 12004 maim I0 ba dManniod PHONE NOa. (810)280.7188 plow NDes b bs d5MnNnsd =Ana(OF it,orrnarat 36 Fox Hollow Lana Quaanaubury NY 12004 11111111111011 SNOBM710N:NO.OP COMPUTATION • TOTALDAEYPLO MAR MILT NORMS Odom orIndrawn SAMOA GRINDER 1050 or older X tall • INSTALLED? no 1931-1051 X 130 • SPA OR HOT TUE 1E2•prawn! 4 X 110 • 440 god INSTALLED?, no PARCEL INPOSATION: • TOPOGRAPHY: FLAT RDLUNO%__ STEEP SLOPE_ %M OPI I MAIMS nn SAND X LOAM_ CLAY • (21 T1t AT WHAT DEPTH? GM*than 1314' AT WHAT DEPTH? greebr than 1314' I Jan WATER atPLY: MUNICIPAL X WELL_(Man:as*Guppy horn any apt swam wbwrp0on is m • P A71ON ; RATE IS 14 WA PER MIVIUTE PER INCH flpfl (Toot to aMm INsdbya Sat p:MwaaW sear ooPP GAMINS confirm during construction PROPOSED SYSTEM FOR NEW OONSTRUL110N: Al It idn*sup Seel seam.mutt MMopMd by Mond mamba arem or GddUG(man lsSud M a Pavia Bond append uubeAdo:). TANK tja 1000 GALLON(MN.SIZE 191.000 GAL.)Add 250 guaor to Iha ufe atlas silo Mr for soh garbage winder, spa or SSW tub. : ❑ABSORPTION FIELD(WITH NO.2 STONE) Tote lsngMr ft Emit trench X G SEEPAGE PITS)(WITH NO.3 STONE) How nunyf SST G ALTERNATIVE SYSTEM Bad or other typo? 4 lateral elan**avetrr M bud swam ❑HOLDING TANK SYSTEM Tots ragndnd capacity) Taut ale? Nauman of inks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED, For your protection,pleas nor Mot pursuant et&W M 13425 of the Coda of the Tot of Quembury,any paw or approval granted which Is bawd upon or Is granted In Mande upon any mow 1 Sopresrthtrl or Mato make a mews lector circumatsna known by or on Shelf of an applicant,shell bavold. I have read the repulsions with respect to MN appawtbn and agree b Olds by than and as squirms*of the Town of Ouaarnbury US USA Ordknarnca. 0/1//2.017., Dab METouRmewSnowsAsoN Greb Use OMv I Community Development Office of Queensbury • 742 Bay Road • Queensbury, New York •12804 e TAX MAP NO. PERMIT NO, PERMIT FEE APPROVALS: ZONING TOWN CLE- APPUCATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PWWMT(MUST fR OBTABISD BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEPORl ISSUANCE OP A VALID'PERMIT. OWNER: David 4 Sandra Deeb INSTALLER: to be detaimined ADDRt88: 38 Fox Hollow Lens Qussneubury NY 12804 ADDIIWe: b be deNRaLNd PHONE rte, (618)280.7188 nowt NOS. b be dsMnrNnsd LOCATION OF irgra nort 38 Fox Hollow Lan*Qusensubury NY 12804 YEAR WILT Nil.OF x ' COIrUTAT10N RIOWINOI INFORMATION• MM.GAILY FLOW BEDROOMS (Gallons per bedroom) DARIAOS GRINDER 1080 or older X 100 • INSTALLED? n0 10014001 X 130 • SPA OR HOT TUB 1002•present 4 x 110 • 440 Bpd INSTALLED? no PARCEL INFORMATION: se Igelleafietet FIAT ROWNG X STEEP SLOPE__ %SLOPE ./ f Nun me. SAND X LOAM_ CLAY OTHER__ I 2RnINOWATFrb AT WHAT DEPTH? greeter than 134' I • AT WHAT DEPTH? greater than 13'•4' I mOMESTIC WATER IMPLY: MUNICIPAL X WELL_(Ifwml:water supply from any aspic stem abeerplIon le UI I pFRMI ATIfN TRAY: RATE S 1.6 n1PI PER MINUTE PER INCH MaQ (Tbt to be oonpialsd by a loomed profeasaW mains or'raffled) confirm during construdlon PROPOSED SYSTEM FOR NOV CON STRYCTIC L Al MdM duS slags disposal storm set be dealprd by a loomed prase*erstao or 'S IM(ISsea Imtalod In a Plants Board approved subdMSon). TANK SIZE: 1000 GALLON(MN.SIZE 181.000 GAL)Add 280 gallons b the as tithe sepia tank tor each garbags grinder, spa or whirlpool tub. SYSTEM TYPE: ❑ABSORPTION FIELD(WITH NO.2 STONE) Total length ft Each trench X a SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Sine? 2(ALTERNATIVE SYSTEM Bed or other type? 4 lateral infiltrator intern 36 bed evatem a HOLDING TANK SYSTEM Total required capacity? Tank Sae? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL.WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection,please note that pursuant to isogon 13628 of the Code flu Town of GusMNlwry.any Permit or approval granted which Is bawd upon or Is granted In Minos upon any material mlerepneeMSlbn or failure to make a material fact or ciroumatanoe known by or on behalf of an applicant,shall be void. I have mad the regulatons with respect to this application and agree to abide by these and all requirements of the Town of Queenabury Out/TrONe T CALL 701412S11 OR IMALL � yOMbarhoa. flits/W.W2.. yarrow warspatNo INFORMATION star of Parson Responsible Date WELIBEIMEIEnget • ink Community Development Office Town of Quoonebury•741 Bay Road•Queenabury, New York 812004 SIDE PROPERTY LINE ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■MOO■■■■■■■ iiiiiiiiiiii iii iiiiiiiiiiiiiiiiiiiiiiieiiiiii ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ U■■■■■■■■■■■■■■■R■■■■■■M■■R■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■=1-1:1 11f=i'J11=1eI i i-llelf=lwi■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■11■■■■■■■■■■■■■■MOM ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ g ■■■■■■■■■■■■■■■■■■■■■■■■f■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■MOO 1 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■OEM WOO= ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■M■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■l■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■MOM OEM • Community Development Office ` Town of Queensbury • 742 Bay Road • Queenebury, New York •12804 Electrical Inspectors [REVISED MARCH 2010] THE FOLLOWING ELECTRICAL INSPECTION AGENCIES ARE CERTIFIED BY THE TOWN OF QUEENSBURY TO PERFORM ELECTRICAL INSPECTIONS: NamelAddress of Business inspector Contact Numbers) Commonwealth Elsctrlcel Donald Loveland Local: 800-582.9934 Inspection Services Ron Mumblo Ron: 518-798-0905 176 Doe Run Road Manheim, PA 17545 Middle Department Ray Novak Main Office: 800-873-8432 143 Troy Schenectady Road Local Office: 800-479-4504 Watervliet, NY 12189 518-273-0881 Ray: 518-389-8814 The Inspector, LLC Richard Moon Main Office: 800-487-0535 4755 McConchle Road Douglas R. Hull Local Office: 518-882 4140 Galway, NY 12074 Brian D. Sweet David J. Irwin Please Note: We cannot recommend an inspector Please ask your contractor which agency they prefer to inspect their work. Septic Inspection Report Office No. (518) 7614256 Date rag���*.!1�"' -• Queensbury Building &Code Enforcement Arrive= v;la7S • .rt: 73, en�n� 742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials: NAME: EES� NO.: \ Z- 13 LOCATION: P.)V • ON: — $— RECHEOC: fammtratundbislibunn Soli Type: Send/ Loam/Oay Type of Water: Municipal/ Well Water Watering separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 501+/- _N/A [150'to well required If NO Absorption Field: Total length ft. Length of each trench R. Depth Size of St hear_ f. Seepage Pb: Number Size: x_ Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y_N End Cap Y N Inlet/Outlet Pipes&Baffin Y N Manholes 12"or less below grade Y_N [provide extension collar if Yet Y N Loaton Foundation to tank -- Fou • _.,• . • �� .����.•. ,• Pb - err f,�E� cacSt Es?l 1.S 1 • Contract _Y N Location of System on Properly: Front Rea Left Side Right Side Middle Front Middle Rear IPartla Approved and needs to be re-Spelled, please call the Building&Codes Office Disapproved Warn Wheerg0010Vkild fig codes Fonrs , patlon FamWSeplk Impectbn Riport,031910.doe JARRETT Eichorn Mt COY&PJsiQO®eat'ErEineeriioy January 28,2013 Dave Hatin Town of Queensbury Building&Codes 742 Bay Road Queensbury,NY 12804 RE: Deeb Wastewater 36 Fox Hollow Lane,Queensbury,NY JE 12-011 Dear Dave, This letter is to document that Jarrett Engineers, PLLC visited The Deeb property during construction of the replacement wastewater treatment and disposal system; based on our observations, we believe that the wastewater system has been completed generally in conformance with the approved design. If you have any questions, do not hesitate to contact us at 792-2907 or tjarrett(jarrettenaineers.cotp. Sincerely, JARRETT Plata%WIC 2013.01.28 150230-0500' H.Thomas Jarrett,P.E. Principal Ecopy:David Deeb F:IDaeaF0e12012 Prat FYhal2012 ReNdU2-011 Drab WWITeeMIco1 Work Doea112011 120404 Cart Lerrerdoe 11 East Washington Street 518-792-2907 Glens Falls,NY 12801 Fax 798-1864 FAw° 743-\8(cU 9--to ANI Septic Inspection . • 4 II Me No. (518)761.6256 Daoe i Queensbury Bulldog&Code Enforcement Arrive: .13 • - • it 511:11C. 742 Bay Rd.,Queensbury, NY 12804 • •.• 1 , //`v NAME: • I NO.: — LOCATION: DEEC3 d E_ i Off: — — RECHECK: e't 1 eit ccommatuodbatagnm Sal !Pi . /any Well Casing Length 50'+/- Y [150'to well remind V NOl c7fierig Absorption Field: Total length ft. Loath of each trench Death of trenches —� n. fir N ta Ft1.TVSEi•DR , \3 ENtL Size a stone t Seems Pits: Number I�'R� V bEP C Size: x QUIc )4 L1 \5 T\zo 5 �� Sone` �: A ..env PI ,. 1. IY _T • fq •d,3L9rioria= E.X1mItJCr, 51:-.7:•7). ArT11=11alreM usec6 To \ ►JSTALL Y_N Y N ZA6EL F\CVE.R OtJ Ova'L.i • OF 46EN-\C, 1 'At \Z\ • t EIO tJ EED mea 3ZI Lt)L11 •• • nt Plot Pion Y N CUE -•CC PR©\EK1 1 L\0E6 E •Ineer - • • • As-BulIt Y N ETU Maintenance Contract _Y_N V L.1 -fl GE. %Obi-PALE) OAE. ..� W1u..- 'plc EJF.tI��EE��-TH A� Location of System on Property � Mifd�a-f�bnt �• "Wept- • �� Front Rear left side Right Side Be .1 TE). — n•QQ>EEO F‘ tJAL_ F 1 ELfl 1 rJ6 ` too 5tS�iYll Approved and needs to be re+spidew lthe BulMhg&Codes DINIPPmed L•IPam SVNIInggOlalkIng Codes FonnelLrpkaon Fornrl iptc InpectIon apmL031910.dox 03/12/2012 IPM 09149 TAE 5107454437 Comsnity Development ®001 •*+ FAX TX MOM +** TMAMBICSBIOM OX 301 110. 0460 DMISTIMATIOM AMMO 97981064 PSIMI/SOIADDMIMS DIBTIMATIOM ID IT. TIIR 09/12 09148 MAGI T 00' 57 POB. 2 MOULT OX • • illy Town of Qu onsbury 142 ea lad AIMMIIMbIMy,NY 12104 Community Dovrbpmrnt Office FIX FROM THE DESK OP: . as SOW JCL 7 -t'. 1[13� 't���•^�.' r_1'Sf • .._ ��. r `3 ' _ SIM _Ks aims 7r141110 . • I••"".,111111.( _ I;T1 71 77,__r I 1111111. l t ( I Co m e n d I c/ Man RaM, •1 l 1 • • • atTown of Queensbury 742 Bay Road Qussnabury, NY 12804 Community Development Office PAX FROM THE DESK OR Zoning/Phoning Bulidina a Cadss Elands(MI FJsMasi I Admit fankli _Craig Brown 781-8218 Hahn 781-8263 _Stuart Baker 781.8222 _Bruce Fair 701.6228 ` John O'Brien 781-8256 _George Hilton 7818217 _Sue Hemkgway 781-8298 _Joel Clugetone 781-8254 _Michael Palmer 781.8208 _Pam Whiling 781-8220 _Charles Dyer 781.8207 —Gay Minim 7814206 _Maria Gaglierdi 7814219 _Jennifer Henderson 781.8258 _Jim Fitzgerald 781.8202 _Keith Obome 7818285 Date: ei- % 7:- I'Z No.of Pages • Ind.coved: A To: !_ • • la Fax . aea - L- C Fax No.: 8ubleot: V EFT', 1- C� ,/I Ufple�t For Rs** Plan Comment Plesss lZsply I I I COMMUNITY DEVELOPMENT OFFICE FAX 518-745,4437 •Animal Control 518-7814202 •Building&Codes: 518-7814258 • Fire Mar4hal: .518-7818208 •Planning: 818-761-8220 . •Zoning: 518-781.8238 • • /O - P"' Septic Inspection Report Office Na(518)761-8256 Bab I i ,-.. QuaenuburyBolding&CodaEnforcement Miw: •�la: ;,'!� 1' 742 Bay Rd.,Quaensbury, NY 12804 LNpectol9 /�� NAME: - Pub - ore No.: - 673 LOCATION: , = ON: RECHECK: Sol TYpe:(SaoO''Loem/Clan Typed Water: MunIdoel/Wei Water so K. Waterline separation dance R 1)L Well separation distance ft. Other wel : ft. 11:10 Well Casing Length 50'+/- Y [150'to well required K NOl Absorption Field: Total length _IS _ft. Length of each trench ,,� ft. Depth of trenches Slef d Stone ►y vs(x01742-17 ft ►Je.� 'F_►�o 1ltt&4 Dv_ Seeoeae Mb: Number we.- -tp peg-rR1c SW: x Stone Site: Plcina SW I 'tlrpa Building to tank 4'r lyre bi ud Tank to DNtrlbudon Boor 4"AD2 36 • Distribution Box to Field/Pit hal yA ter 4"4Da.3r Tb I A lecia.mbte# Ombra SMled: ✓Y N End Cao N Inlet/Outbt Ptass&Baffles N Manholes l2"or lees below grade N [provide extension polar If Yell Y N location/Separations Foundation to tank S R. Foundation to absorption ft. Separation of PRA R. Conforms as pr Plot Man Engineer Report and M-Bullt Y I'—ter aEzs> � S ` Eli)Maintenance Contract _Y_N Provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear Sets IPartie Approved and needs to be rNnga5Wset the Building&Codes Office Disapproved LAP=WlYpgg010W4Mne cads.bmrumpCon rbmapec Lapedlon asport0a 29 10.doe JARREIT Engineers, PLLC Civil&Environmental Engineering TRANSMITTAL To: Town of Queensbury Building&Codes 742 Bay Road Queensbury,NY 12804 Date: February 22,2012 Re: Deeb Wastewater SE 12-011 ITEMS TRANSMITTED Dint& Deacrintlon 1 Application for Septic Disposal System Permit 11 by 17 drawings entitled "Replacement Wastewater System David& Sandra Deeb" 2 Wastewater Plan—Cl Wastewater Details &Notes—DI Revision 1, dated 2/21/12 1 Check in the amount of$40.00 COMMENTS: For approval and permit. If you have any questions, do not hesitate to contact me at(518) 792-2907. Sincerely, JARRETT Engineers,PLLC R n I�Jr ItLai L Florene Smith F E8 4 2012 Office Administrator 0119 . i ` 11 - BUILDING&CODES Enc.—Application,Drawings&Check CC: David& Sandra Deeb P:tarankvonftweFiles1.2012ThrtadentlaA12411 LkebWW'S bnkutofalPendbq 112011 120219RevAWWRe phamrmLSowjeFIke112011 120222*Wm*rbamnIUOLdoe 12 East Washington Street 518 7924907 Glens Falls,NY 12801 Fax 518 798.1864 JARREiT Eggineetay PLLC C.}v1T&Environmental Engineering TRANSMITTAL To: Town of Queensbnry Bundle&Codes ECIEDVIEFfi' 742 Bay Road Queensbury,NY 12804 _ FE3 2 7 2012 Date: February 22,2012 •rr� . •U r . Re: Deeb Wastewater BUILDING&CODES JE 12-011 ITEMS TRANSMITTED 41uo�c , 1 Application for Septic Disposal System Permit 11 by 17 drawings entitled "Replacement Wastewater System David& Sandra Deeb" 2 Wastewater Plan—CI Wastewater Details&Notes—DI Revision 1, dated 2/21/12 1 Check in the amount of$40.00 COMMENTS: For approval and permit. If you have any questions,do not hesitate to contact me at(518)792-2907. Sincerely, JARREPT&gtheen PLLC Florene Smith Office Administrator Enc.—Application,Drawings&Check CC: David& Sandra Deeb F.:1DwaFLe12012Pnyta Flett2012Reiden#12-011 Diet WIPISSintlanPening112011 12021311rv41 WWPq i&unFea112011 120222 WWMyMr 1wwlandoc 19 Eat Washington Street 518 7944907 Glens Fans,NY 12801 Fix 518 7984864