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2011-594 iA TOWN OFQ UEENSBURY Iwo742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110594 Date Issued: Friday, February 21, 2014 This is to certify that work requested to be done as shown by Permit Number P20110594 has been completed. Tax Map Number: 523400-289-012-0001-007-020-0000 Location: 29 BERRY PATCH Dr Owner: JOSEPH & KRISTINE MARASCO JR Applicant: JOSEPH & KRISTINE MARASCO 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 e 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: P20110594 Application Number: A20110594 Tax Map No: 523400-289-012-0001-007-020-0000 Permission is hereby granted to: JOSEPH&KRISTINE MARASCO JR For property located at: 29 BERRY PATCH 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: JOSEPH &KRISTINE MARASCO JR Septic Alteration Residential 29 BERRY PATCH Dr Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-594 septic alteration residential $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, December 09,2012 (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 T n ueen i1u p , , P ecember 09,2011 / 1 J SIGNED BYfr" for the Town of Queensbury. Director of Building&Code Enforcement OFFICE USF ONLY T / 1" �`} E f i,Y- Tr - f_ ;°7- , I i cif. i-; ft:: '. {� Tit<tvMAP Nb` -HERMIT NO. i _>r PERMIT FEE i'.--' DEC n62011 J APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMi: N OF , UEENSBURY A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS ISSUANCE OF A VALID PERMIT OWNER: 3--7:i �e' /2 / '?4 r"rIf"TALLER: I ]. S�° J(//-- C ADDRESS: Y f ('5 C f Q ADDRESS: A d ct.c., t p fr A- P PHONE NOS. PHONE NOS. ) 9 be -s,L /f LOCATION OF INSTALLATION: RESIDENCE INFORMATION: NO.OF X COMPUTATION YEAR BUILT = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older ifAll X 150 = INSTALLED? 1981-1991 IW X 130 = , /.A SPA OR HOT TUB 1992-present X 110 = Vd INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING X STEEP SLOP 34 %Slgol g ✓ SOIL NATURE: SAND LO CLA3,4494 OTH1//4 ✓ GROUNDWATER: AT WHAT DEPTH? A/7/ / ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (If well:water supply from any septic system absorption"+� ft) ✓ PERCOLATION TEST: RATE IS 4 y• '6 PER MIINUTE PER INCH[mpg (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 installedina Planning Board approved subdivision). TANK SIZE: ((i) Jam/`•' 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: �t �/l / ❑ABSORPTION FIELD(WITH NO.2 STONE) Total length ,v ft. Each trench" . Xr JV,4 ❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? /014- , Size? /V �. ❑ALTERNATIVE SYSTEM Bed or other type? Cl IN S O !."C o HOLDING TANK SYSTEM Total required capacity? /U Tank sizes , 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 abide by the and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sanitary Se e Disposal Ordin nce. 1 id /�G codestf�queensburv.net G I IQQQ��F (/ if VISIT OUR WEBSITE FOR MORE INFORMATION www Signature of Person Responsible Date •ciueensburv.net Town of Queensbury*Community Development Office*742 Bay Road, Queensbury NY 12804 f , Septic Inspection Report Office No. (518) 761-8256 Date Inspection -• e' -a��A Queensbury Building &Code Enforcement Arrive:17 '.3V y �% rt: a (•P 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial ` NAME: 912MIT NO.: V t LOCATION: C-`�t Ee_e t_ INSPECT ON: ..-zi�-Itf RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/Clay Type of Water: Municipal/ 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 ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: TY—N End Cap YN Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade _Y_ N [provide extension collar if Yes] Y N f ;c r Location/ Separationspi 7 w' ' V" p Foundation to tank Foundation to absorption /ft. Separation of Pits ft. Conforms as per Plot Plan _N Engineer Report and As-Built Y—N ETU Maintenance Contract _Y_N provided Location of System on Property: Front R Left Side Right Side Middle Front Middle Rear stem Use Sta s: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report 03 29 10.doc r `P NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-851 February 21, 2014 Project#49342 Dave Hatin Code Enforcement Officer Town of Queensbury 742 Bay Road Queensbury,NY 12801 Re: Marasco—29 Berry Patch Drive—Replacement Septic System Dear Dave: This letter is to inform you that we inspected the completed replacement septic system for the Marasco residence located at 29 Berry Patch Drive in the Town of Queensbury on December 13, 2011. The replacement septic system as installed was for a four bedroom home and consisted of the existing 1250 gallon septic tank, new pump station & force main, new distribution box and a 20 ft wide by 50 ft long absorption bed constructed of 4" diameter perforated pipe & stone. The system conforms to the requirements of the approved septic system design. Please call me if you have any questions. Sincerely, Thomas R. Center Jr, P.E. k 'c (r-'/O /krsda . Septic Inspection Report Office No. (518}761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: a cc am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:604)._ NAME: _ii; 'O► PERMIT NO.: ! - 74 LOCATION: ,i � r INSPECT ON: /7 -11---/ RECHECK: Comments and/or diagram Soil Type: Sand/ Type of Water: Municipal/ !'ell 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] t� Absorption Field: Total length ft. 'Z �j�� L 'a) �� Length of each trench Depth of trenches ft. Size of Stone 1.. Seepage Pits: Number Size: r x Stone Size: Piping Size T� a0M, � �� ►� �E"i3 Building to tank Tank to Distribution Box RAAP Distribution Box to Field/ Pit Opening Sealed: ___NCY :1-141-ztbilt,e frlifki End Cap _N Inlet/Outlet Pipes&Baffles YN WratTAt,{,, Manholes 12"or less below grade .A N """�� [provide extension collar if Yes] _. N Location/ Separations � "' � Foundation to tank 1 pt ft. -1- Foundation to absorption ft. .2 `>K2--in 44,44 Separation of Pits ft. Conforms as per Plot Plan _A Y � 146 Engineer Report and As-Built Y ETU Maintenance Contract Y N provided Location of System on Property: Front Rea Left Side Right Side Middle Front Middle Rear System Use Status: / Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whiting\2010\Buiiding Codes Forms\Inspection Forrns\Septic Inspection Report_03 29 10.doc Gb N r