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2011-111 ..001%4 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: P20110111 Date Issued: Monday, May 09, 2011 This is to certify that work requested to be done as shown by Permit Number P20110111 has been completed. Tax Map Number: 523400-308-010-0001-027-000-0000 Location: 16 HERALD Dr Owner: JOHN & KAREN O'BRIEN JR Applicant: JOHN & KAREN O'BRIEN JR 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 4 / property owner of the responsibility for compliance with Site Plan, ar v 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: P20110111 Application Number: A20110111 Tax Map No: 523400-308-010-0001-027-000-0000 Permission is hereby granted to: JOHN &KAREN O'BRIEN JR For property located at: 16 HERALD Dr 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 in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: JOHN &KAREN O'BRIEN JR 16 HERALD Dr Septic Alteration Residential QUEENSBURY, NY 12804-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency SANITARY SEWER DAN DRELLOS PO BOX 224 GLENS FALLS NY Plans&Specifications 2011-111 SEPTIC ALTERATION $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 13, 2012 (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-Q eensbyi_ ; �, Widnesday, April 13, 2011 SIGNED BY Ui:' „ %✓ for the Town of Queensbury. Director of Building&Code Enforcement r OFFICE USE ONLY TAX MAP NO. PERMIT NO. PERMIT FEE APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: C to dJ D r E2l E-16 INSTALLER: AV) RRA J E :\E R ADDRESS: w -kE R CA LU O h. ADDRESS: I y LO ZERn0E ROo PHONE NOS. -79c8-7 15 Lt 7 H 3 PHONE NOS. l 9 C__ 1 LI-) 7 1 1<Q U 0 LOCATION OF INSTALLATION: < (c C R'A UD CDR\.\f C= NO.OF -- RESIDENCE INFORMATION: YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW GARBAGE GRINDER 1980 or older X 150 gallon per bedroom = INSTALLED? )�(1 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present X 110 gallon per bedroom = 330 INSTALLED? ►tO PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling Steep slope %Slope ✓ SOIL NATURE: Sand V Loam Clay Other ✓ GROUNDWATER: At what depth? 1•.- 1A ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? tJ I A ✓ DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic system absorption is ft.) ✓ PERCOLATION TEST: Rate is �.5 minutes per inch [MPI] (Test to be completed by a licensed professional engineer or architect.) 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). TANK SIZE: tC GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYS M TYPE: ABSORPTION FIELD (WITH NO. 2 STONE) Total length ><CE ft. Each trench .- aD ❑SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? L`s ALTERNATIVE SYSTEM B. ! or other type? (l,4j( [ IBED Lc 4,,Id 0 HOLDING TANK SYSTEM Total required capacity? Tank size? 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 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 aside by t ese and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL Quee :. y S- i .ry Se ag- Isposal Ordinance. codes(a.nueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION AJr/ ' _ 1 www.queensbury.net Pure .f Person Re .0 si•le Date 't,•-:1" Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 B 5-LGL 6/06 7-fiAr/141 FramingFirestopping/ 6__ / ri Inspection Report Office No. (518) 761-8256 Date Inspection request received: If Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .44A29 NAME: .Scl{' x-F--a PERMIT#: 11- 1/6 LOCATION: rj i 1 1., V INSPECT ON: TYPE OF STRUCTURE: � C u✓r (Framing.) Y N `_N/A COMMENTS: ccess 22" x 30" minimum Jack Studs/ Headers L�' Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly gi- c-C2-)T 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more 1,44\-11-) f o,c5 o Exterior Deck Bracing Headroom 6 ft. 8 in. • Notches I Holes /Bearing Walls Metal Strapping for Notches Top Plate j2 1c- -4kA -pec 1 %(w) 16 gauge (8) 16D nails each side o Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 'A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/ Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above I below grade 5.0 sf grade L:1Building&Codes Forms-OLD\Eui ding&Codes1Inspedion FormslFraming Firestopping Inspection Report.doc Revised January 7,2008 17.°03StA Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m Depart: /Z S,Vam/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: Cl)'2 R 1 E PERMIT NO.: \- LOCATION: 1 1A F .' \3 INSPECT ON: t RECHECK: Comments and/or diagram Soil Type' Loam/Clay Type of Water: uni;"•. /Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- Y . N N/A [150'to well required if NO] Absorption Field: Total length .2>5'. . Length of each trench _474'. ft. Depth of trenches ,, ft. Size of Stone '5� Seepage Pits: Number I) .� Size: Stone Size: Piping Size Type Building to tank Tank to Distribution Box '4" .'3 Distribution Box to Field/ Pit 4 "` j Opening Sealed: 11.4 N End Cap .,...�,.,N •""Z .� Inlet/Outlet Pipes&Baffles Manholes 12"or less below grade ;I'M / _- [provide extension collar if Yes] ., Location/ Separations Foundation to tank L 0 ft. --Z- k-5Z7)-'C.-, Foundation to absorption 2'Z- ft. Separation of Pits Ac. =. Conforms as per Plot Plan I r N Engineer Report and As-Built Y N ETU Maintenance Contract Y N provided Location of System on,Property: Front Re. Left Side Right Side Middle Front Middle Rear e se Sta Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspecton FormssSeptic Inspection ReporL03 29 10.doc CENTER PROJECT SERVICES 73 Sheridan Street,Glens Falls,NY 12801 Phone-518-796-2515 April 18,2011 Project# 138 Dan Drellos Sanitary Sewer Services Luzerne Road Queensbury,NY 12804 Re: Proposed Replacement Septic File ILE COPY John O'Brien Residence Dear Dan: At your request we have reviewed your proposed;replacement septic system design at the site of the existing 3 bedroom house of John O'Brien at 16 Herald Drive in Queensbury. As per our conversation the residence has an existing failed septic system. We have reviewed the proposed replacement septic system design and we agree that a standard absorption bed is acceptable. Based upon a design flow rate of 330 GPD and a percolation rate of 1 to 5 minutes, you will need 347 square feet of absorptive area. We recommend using a 15 ft wide by 30 ft long absorption bed with 4 — 15 foot long laterals, which will provide 450 sf of absorptive area. The absorption bed should be constructed with the existing 1,000 gallon septic tank,new distribution box,4 inch diameter perforated pipe and stone. Please feel free to contact"me at 796-2515 if you have any questions and that you for your assistance with this request. Sincerely, DIgmzevz COS/T-tn, Thomas R. Center Jr,P.E.