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2011-170 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: P20 110 170 Date Issued: Tuesday, December 11, 2012 This is to certify that work requested to be done as shown by Permit Number . P20110170 has been completed. Tax Map Number: 523400-297=006-0001-031-000-0000 Location: 743 RIDGE Rd Owner: DANIEL J-SILVEY Applicant: BMW PROPERTIES LLC 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 property owner of the responsibility for compliance with Site Plan, 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:, P20110170 Application Number:. A20110170 Tax Map No: 523400-297-006-0001703 1-000-0000 Permission-is hereby granted to: BMW PROPERTIES.LLC For property located'at: 743 RIDGE Rd 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 '.C►rdinance. Type of Consttucrion Value Owner Address: BMW-PROPERTIES LLC 292 REYNOLDS Rd Septic Alteration Residential FORT EDWARD NY 12828-0000 Total Value Contractor or Builders Name/Address Electrical Inspection Agency Plans&Specifications 2011-170 septic alteration residential $40.00, PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,May 05,2012 (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' f Queens Th �d Y 05 2011 a` SIGNED BY for the Town of Queensbury. Director.of Building&Code Enforcement I i F Community Development Office Town of Queensbury - 742 Bay Road • Queensbury, New York •12804 C W� r _ E3� Ji` ;"U'LENSB R ILDINCr A Y Office Use Only r �� 1 PERMIT FEE �7® TAX MAP NO. PERMIT NO. 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: Pr0!f)e14]eS LL (L TISTALLER: Cr," ADDRESS: �cl R P.i�o I1-s Rol N Y-1 2 3 T ADDRESS: PHONE NOS. oZ - I S 7 PHONE NOS. (� LOCATION OF INSTALLATION: -/3 1 Z A uA RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS, Gallons per bedroom GARBAGE GRINDER 1980 or older X 150 = L o INSTALLED? N O 1981-1991 X 130 = SPA OR HOT TUB 1992-present X 110 = INSTALLED? /U O PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE. ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCKIIMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL, WELL (If well:water supply from any septic system absorption is: ft) ✓ PERCOLATION TEST: RATE IS PER MIINUTE 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: 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. SYSTEM TYPE: ❑ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each trench X ❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? ❑ALTERNATIVE SYSTEM Bed or other type? El 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. have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sanit S age Dis sal Ordinance. codes(faueensburv.net � -vLI-i l Signa urg of Person Responsible Date VISIT OUR WEBSITE FOR MORE INFORMATION www.aueensbury.net --urssw a Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: _ Queensbury Building&Code Enforcement Arrive: am/ m Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials• NAME: PERMIT NO.: LOCATION: i INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand 4Kda'VAyl Type of Water: Munici I ell r 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 ft. Length of each trench 'ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: qvv Piping Size Type Building to tank � �� CC- Tank to Distribution Box Distribution Box to Field Pit Opening Sealed: Y N End Ca N Inle Outlet Pipes&'Baf i s Y N Manholes 12"or less below grade _ —N [provide extension collar if Yes Y N Location Separations Pon Foundation to tank ft. Foundation to absorption ft. �A��"'��— ter► Separation of Pits ft. Conforms as per Plot Plan Y Engineer Report and As-Built ETU Maintenance Contract V Y N provided Location of System on Property: Front R Left Side Right Side Middle Front Middle Rear st Use S s: JZ Approv d Partial Approved and needs to be re-inspected, please call the Building&Codes Office DI roved LAPa Whiting uilding Codes Forms\Inspectlon Fonns\Septic Inspection ReporL03 2910.doc r _ � � tom•.�.��: . ���,. Community Development O •ice y Town of Queensbury • 742 Bay Pd. Queeusbury, New York •12804 PLOT PLAN • U INU•CO Co Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from 9 gr&erty lines. >-�- C-=v a'Z U 0— SIDE PROPERTY LiNE =w 2 " E - ..._.. _.............__. 0) `� _..._ ..._.._.. "o U= I �..._...__...............__..__......__..........,..................._...__.............. ' �'� I _�.......... W a - ... �...__.�. _r_.._..... .. ffCU r r(D ca i 1 1tA _...........j.......� �'..1......_.....-Zn.— I - - !� E.�.Ca j....... _. _ C. /- ! _ . ................. _.._..., I ' ._Z I - (II : I QL ..._ i _... . -�J I s :1 . i._.._: _.-... . . ! :�d . ..... '• ESQ t - i ,- .. : Z.. -.... .. .. CD .............. ....i......._.__._.....__.___. 1 ; SIDE PROPERTY LINE 1 SQUARE = j FT.