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2010-350 TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 ��� Q rY• Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100350 Date Issued: Wednesday, June 12, 2013 This is to certify that work requested to be done as shown by Permit Number P20100350 has been completed. Location: 9 STONEHURST Dr Tax Map Number: 523400-290-006-0001-018-000-0000 Owner: MARK & SARA MANNIX Applicant: MARK & SARA MANNIX This structure may be occupied as a: Septic Alteration Residential By Order of Town Board (...—. 4TO OF QUEENSBURY Issuance of this Certificate of Occupancy 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 Planning Board Director of Building&Code Enforcement 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: P20100350 Application Number: A20100350 Tax Map No: 523400-290-006-0001-018-000-0000 Permission is hereby granted to: MARK& SARA MANNIX For property located at: 9 STONEHURST 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: MARK& SARA MANNIX 9 STONEHURST Dr Septic Alteration Residential QUEENSBURY,NY 12804-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency MORNING STAR EXCAVATING Plans &Specifications 2010-350 septic alteration residential $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,July 20,2011 (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 ToTye eensbury Tuesday,July 20,2010 SIGNED BY ( ,/ .--- for the Town of Queensbury. Director of Building&V ' orcement OFFICE USE ONLY •. TAX MAP NO. PERMIT NO. O PERMIT FEE j 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: l►114- N INSTALLER: Q/n) S '- QV a.4"/ ADDRESS: n'C ayte�tV TL4ivY DDRESS: 1D4- TD[ �? — 3 `Q�v 6,041<5evoc3,— N C✓ /24 .3 NOS. / �' (� 7 PHONE NOS.-Ir.. 74L 2Ze7 0 3 LOCATION OF INSTALLATION: QittkVys� YEAR BUILT NO.OF X COMPUTATION= RESIDENCE INFORMATION: BEDROOMS = TOTAL DAILY FLOW 1980 or older X 150 gallon per bedroom = GARBAGE GRINpI�RR INSTALLED? /CJD 1981 -1991 5 X 130 gallon per bedroom = ej�0 1992 r present X 110 gallon per bedroom = SPA OR HOT T INSTALLED? ` .o.5 PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling )[ Steep slope %Slope ✓ SOIL NATURE: Sand X Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? ✓ DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic system absorption is ft.) ✓ PERCOLATION TEST: Rate is _,,Li • per minute per inch. Ch. (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: /OOo 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? A,SL el Li c ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? ....................:...:...:.:.:.:...::.:.:..::..:::::...:.:.::.:..::..::.:.......:.:.:.......:....:.:.::...:.:........::.:.....:::......:..:.:.:..:.:.::..:............. . !i 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. G. Peter Jensen 17 West Road South Glens Falls New York 12803 (518) 798—3859 September 24, 2010 To Whom It May Concern: I have designed (plan 10-0611) and observed the installation of the septic system for Mark& Sarah Mannix at 9 Stonehurst Drive, Town of Queensbury, Warren County, New York. It would appear that the installation is within the intent of the design documents. To the best of my knowledge and belief, no field conditions were encountered that would require a re-design of the septic system. To the best of my knowledge and belief all of the distance separation requirements have been met. Sincerely, ---Zmay- 1/4 G. Peter. ensen ;stiaED qRc tit * ATE OF NO yO I N I MU I"t Ile y 414(M INIMUM) 2p� d 12 6(MINIMUM> } __.__-TOf 301L OSEGb MOUNb MOP SETI-L.EMENT f BACK FI LL IZ LA-rERAL 1,sA ID LEVE± L i 11-15 MINUTE r—. C R 05 H ED S7 a + - / Z PE RCO !-A ION RATE F! L1w N A 7S; I IVSTA t.LA riC)M.r N LJ6-r ea INL$Pg'GTrp MOR ?rD NEW I Od0 CsAL i -I FT STAT/ON ©Y THrk BUILDING- i NSPffe-7rg ©F T&wN r�F QtJE E Ns�UI Y� EXISTr.NG SEPTIC TANK S400 RIPE LATERAL- Nv '-191 DECK N � _..._ , .��- 1•t, N . EX tST'11v Cs ('-47- RES '- RES1© LNG5 N GRADE Xi ki >� )a :- _ f jHIGH WA`m-R ALARM L F-VEt- # ry START LEVEL ILL - SHUT OFF LEVfrL. — — — — f R ELA'f I IV W F9THQKKPR0oF E NGLDSURG V EN T / LUG►CASLE COVER -- HANGER FOR PUMP REMOVAL — QUICK 013CONNECr c4urLCK 5yl17C H .___._.__. n _ PuMp 13 LIFT S7"A-r10N SFC`rION NTS PERCo T I Oi7S`' 1 — 'j"EST _% 3 MINI S3 S fi C . 4 M 1 N 3_8_56G ' EST � 5MIN4IS5EG ►D_M/N_6 S!lfC� WELL. I ! l I 'P 11 60 MLI`! SU Se I I- MIN /DSE:e- .. �� Tp I N I I I t N USE I I MINUTE ID SEG04406 F01IR 1:)CelCv - lu 11,1 IiA au - ,` __ �V _ I TEST PIT RJ5- VEALEi> , 0-411 TOfm 'SOIL, TAPER . 4 , 24'5ANDY CLAY IAIXTURE 2 4-72 C LAY i L -r -APER 4 r2 '(MI af:o It is a Violation of the Law for any Person, Unless Acting Under the Direction of a Licensed Architect, to Atter arty Portion of This rri Document in any way. If any Portion of this Document is so Altered, thfr Altering Architect �' u * Shall Affix to the Portion so Altered nis Seal and ti the Notation "Altered icy' Followed by his �y 0,oSignature and the Date of Such Alteration, and qAF -4 a Specsfi Descri tion nt the Alter tion. MANN IX t G. PETER JENSEN Ur7A rI _ 17 WEST ROAD . PLAMI $ Y t�a'T5 Sc:A,L� SOUTH GLENS FALLS ---- ---- NEW YORK 12 (� (518) 798-3859 �' l0 -Ob 1 1 C JUNE ! A" NOTED, �11-14 MINUTE P'LrFka0LATICIV EX15TtNG GRADE RAT1 V4LL AF'PEROXIMA"rE CLAY I-It\IE 1. 5 MEDt' ORM RESIDENCE WITH 560 GPD q. FRICTION LOSS 11\1 PIP1 PLOW RATr )N SOIL. WITH I1 MINUTE 10 L I FT 7,0 � SECOND fel: RCOLA'TION RA'rE - 0.(00 PREssuRE To MAII.ITAIN GAL, POR SF CIPPL.ICAT/DN RA-rREQUIRES TOTAL PUMPING 1-41 40 10.36' 9/lo.G17 5F BFM AREA 1000 5F Pr�OViOt!oez '5-40, r-w"P CARAML.G' OF-0C-LIVL-RJNG 74,B8GPM 2, TAPER SHALL SEAT MINIMUM 3 HOR17-ONTAL AGAI^Is7 /D.,W'OF He:AD R15QuiRtrr Or YD I VERTICAL., M Prr,:H PIPE SLIaHTL7 I5E7'WE1=tit LIFT STAT10)N7 S. , LATERAD- I2'!( W�4 HOLES SPAGED 3QQ,G, AND MANIFrOL0 TcnDRAI N EAC K ' O LI Fr STATI01J LATERAL LENC,TH - 46 , WHEN PUMP IS OFF AL so 1N151FPS 4, DISCHAR;EHAT>r4~c6 NDLE� /,Z>46P", To FACILITATE 01RAINIrtL-w, 518 11. SET LA79RAL-Z DEAD LEVEL NTH H61 -SS DOWN, INFLUENT'lm P°ER LA -7-C RAL, , Y4, PROVIDE ZABEL. EFFLUENT FIL'Tex Ol-t 47UTLE-r (, /$ MAI�JIFOLD LCNGTH REOU' IROZ $a0, OF LXIS-I'ING SEPTIC TANK, r7 , MIN/MUM 0056 VOLUME -1 75 GAL, DEa'51GN /3, H IGH WATER 4011JvIT/al SMALL Ac7wA-rc DOSE VOLUME c ?-7.6 GAL., AN A001$LE ALARI`9 WI'1"WN RE�raEra >�, t 0134HA FMC MAT6•4 L.ATERAI-S N /8.?2GPM: 74.5$6PM, 14, Ag sUR"ION AR" SHALL r5E Mit\1imUM /DOS FRUM Art`/ \N5 Lt_, LA KED STREAM'► POND DI? W6-ri-AtNJ::>► 7S; I IVSTA t.LA riC)M.r N LJ6-r ea INL$Pg'GTrp MOR ?rD NEW I Od0 CsAL i -I FT STAT/ON ©Y THrk BUILDING- i NSPffe-7rg ©F T&wN r�F QtJE E Ns�UI Y� EXISTr.NG SEPTIC TANK S400 RIPE LATERAL- Nv '-191 DECK N � _..._ , .��- 1•t, N . EX tST'11v Cs ('-47- RES '- RES1© LNG5 N GRADE Xi ki >� )a :- _ f jHIGH WA`m-R ALARM L F-VEt- # ry START LEVEL ILL - SHUT OFF LEVfrL. — — — — f R ELA'f I IV W F9THQKKPR0oF E NGLDSURG V EN T / LUG►CASLE COVER -- HANGER FOR PUMP REMOVAL — QUICK 013CONNECr c4urLCK 5yl17C H .___._.__. n _ PuMp 13 LIFT S7"A-r10N SFC`rION NTS PERCo T I Oi7S`' 1 — 'j"EST _% 3 MINI S3 S fi C . 4 M 1 N 3_8_56G ' EST � 5MIN4IS5EG ►D_M/N_6 S!lfC� WELL. I ! l I 'P 11 60 MLI`! SU Se I I- MIN /DSE:e- .. �� Tp I N I I I t N USE I I MINUTE ID SEG04406 F01IR 1:)CelCv - lu 11,1 IiA au - ,` __ �V _ I TEST PIT RJ5- VEALEi> , 0-411 TOfm 'SOIL, TAPER . 4 , 24'5ANDY CLAY IAIXTURE 2 4-72 C LAY i L -r -APER 4 r2 '(MI af:o It is a Violation of the Law for any Person, Unless Acting Under the Direction of a Licensed Architect, to Atter arty Portion of This rri Document in any way. If any Portion of this Document is so Altered, thfr Altering Architect �' u * Shall Affix to the Portion so Altered nis Seal and ti the Notation "Altered icy' Followed by his �y 0,oSignature and the Date of Such Alteration, and qAF -4 a Specsfi Descri tion nt the Alter tion. MANN IX t G. PETER JENSEN Ur7A rI _ 17 WEST ROAD . PLAMI $ Y t�a'T5 Sc:A,L� SOUTH GLENS FALLS ---- ---- NEW YORK 12 (� (518) 798-3859 �' l0 -Ob 1 1 C JUNE ! A" NOTED, t Septic Inspection Report Office No. (518) 761-8256 Date Ins•- ion u - • Queensbury Building &Code Enforcement Arrive: :' .��i ,• '.rt: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: ?-'\ NP4-1l)13 1t_ •-• IT NO.: lb - a LOCATION: AiJE A 1 T fl(Z SPECT ON: to —17 —1?j RECHECK: 3T cv\)`5 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: _Y_N End Cap Y N Inlet/Outlet Pipes&Baffles _Y N Manholes 12"or less below grade _Y_N [provide extension collar if Yes] _Y—N Location/ Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan T Y_N Engineer Report and As-Built Y^N -EC \ 0 PA- ETU Maintenance Contract _Y_N provided Location of System on Property: Front R r Left Side Right Side Middle Front Middle Rear stem U 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 Report03 29 10.doc • BP 5264 • e 4, Cie') T L 1)(/ el..% 1/3 only has been visually inspected and certified as of this date pursuant to applicable t §� codes. � x w Date f � d f4" tnspectoc_- 7 rr „,,911111 Sej-L yet a :,*+,.' x” t'r , d dub &., Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:L7- cm am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: 6 �V NAME: PERMIT NO.: LOCATION: INSPECT ON: 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: Y_N End Cap Y N Inlet/Outlet Pipes&Baffles Y.'N Manholes 12"or less below grade Y_.N [provide extension collar if Yes] Y—N Location/ Separations L/V Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. � (--1)\)*47\ --- Conformski.peLlilliti.J1± Plan gineer Re oiBuiR� Y�N E i u Maintenance Contract _Y—N provided Location of System on Property: Front Rear 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\Building Codes Forms\Inspection Forms\Septic Inspection Report_03 29 10.doc IP& c /0 - '> ,P14•" Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: 7/2-///6 Queensbury Building &Code Enforcement Arrive: am/pm Depart: ' am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: 6M29 k NAME: 44 Pi's PERMIT NO.: LOCATION: cj S roke f-) VY - INSPECT ON: '7. RECHECK: Comments and/or diagram Soil Type:d,/ Loam/ Clay Type of Water: M / Well Water Waterline separation distance ft. Well separation distance L.x�A-- ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length /742._ ft. �' �� Length of each trench ft. wLAXaCZA '- D1/4...(ipepth of trenches ft. Size of Stone .A- Z / Seepage Pits: Number Size: Stone Size: Piping Building to tank 2\f KI:TZ.V•f:tirS/i) c4-4 A-1-) to Distribution Box Ela, 0QS Distribution Box to Field/ Pit Opening Sealed: Y N �J t-�' C AA.- End Cap VY_N Inlet/Outlet Pipes&Baffles Y—N -fst. )-11VL Location/ Separations • Foundation to tank Zfi) ft. ---7 Foundation to absorption 2 ft. Separation of of Pits ft. Conforms as per Plot Plan NfirLc5(it.T) AC-7— Engineer Report and As-BuiltN _ OL'c Location of System on Property: Front ea Left Side Right Sid Middle Front Middle Rear Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Reportdoc i --rA--1-‘4, Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: 1 ei ofsk \(\ PERMIT NO.: to —3 50 LOCATION: I INSPECT ON: 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: Y—N End Cap Y N Inlet/Outlet Pipes&Baffles Y_N Manholes 12"or less below grade _Y—N [provide extension collar if Yes] Y N Location/ Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan —y* N - Engineer Report and As-Built Y— N ETU Maintenance Contract Y_IN" provided Location of System on Property: Front Rear 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\Building Codes Forms\Inspection Forms\Septic Inspection Report_03 29 l0.doc