2010-574 .#111" TOWN OFQ UEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20100574 Date Issued: Wednesday, December 15, 2010
This is to certify that work requested to be done as shown by Permit Number P20100574
has been completed.
Tax Map Number. 523400-315-006-0001-034-000-0000
Location: 4 FOUNDERS Way
Owner. EILEEN SPINELLI
Applicant EILEEN SPINELLI
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 theme °property owner of the responsibility for compliance with Site Plan, x¶
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.
4�` TOWN OF QUEENSBURY
IF4TO 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100574 Application Number. A20100574
Tax Map No: 523400-315-006-0001-034-000-0000
Permission is hereby granted to: EILEEN SPINELLI
For property located at: 4 FOUNDERS Way
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: EILEEN SPINELLI
4 FOUNDERS Way 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
2010-574
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,December 14,2011
(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 To Queens , /Tp eday,December 14,2010
SIGNED BY ` for the Town of Queensbury.
Director of Building • Code nforcement
Community Development Office
Town of Queensbury - 742 Bay Road • Queensbury, New York •12804
Office Use Only
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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 FORE ISSUANCE F A VALA
ERMIT.
OWNER:_ELL-e N v( j iv e-LC �� INSTALLER: _ ,rte 2 t;
ADDRESS:/___ThUftin e12i Cue T ADDRESS: f S.z_-aa_t_ 2.2 t __T
PHONE NOS.2k_L—3'0_9 PHONE NOS. 7 .910- O P s"3
LOCATION OF INSTALLATION: / Fv'^13 P j�f A�/
j RESIDENCE INFORMATION:
YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRINDER
1980 or older X 150 = INSTALLED? ___
1981 -1991 X 130 = SPA OR HOT TUB NO,
1992-present X 110 = if / O INSTALLED? '"v
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLII�IGSTEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?
.1DOMESTIC WATER SUPLY: MUNICIPAL 1V—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: I 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:
o ABSORPTION FIELD(WITH NO. 2 STONE) Total length ft. Each trench X
o SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size?
ALTERNATIVE SYSTEMr ed other type? .7D 1 } _33 1.
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.
•. - read the r.,: lations with respect to this application and agree to
a ide i y these a , a equirem;'/ of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
nit. Sewa.��Isis •.al Or,, Ace. /1/ I` ) (Q
codesalqueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
gnature of Person esponsible Date www.queensbury.net
1 : 00
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection re9ueet - -•:
Queensbury Building &Code Enforcement Arrive: - gym �,�
/ `•,:.=.rt: i f-t) am
742 Bay Rd., Queensbury, NY 12804 Inspector's Initial,;/,Aw-
NAME: 5' / ' // / PERMIT NO.:
LOCATION: Air. _P,,► - : Jr . INSPECT ON: - 47D
RECHECK:
Comments and/or diagram
Soil Ty nd oam/Clay
Type of Watertz-ZIAmpicW Well Water
Waterline separa istance 1- 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 Z ft.
Size of Stone Atrz
Seeped ts. imber
Size: x
StgserSize:
Piping Size Type
Building to tank E X 1 -7r, L f..d 1 4 e_- L L;
Tank to Distribution Box i_, '` 5 775--
Distribution
j5jDistribution Box to Field/ Pit Lt" 5 Tt..) i E uo
Opening Sealed: N
End Cap N
Inlet/Outlet Pipes&Baffles `N
Manholes 12"or less below grade N
fpflavideetterisiormilar if-Yes] Y_N
Location/ Separations
Foundation to tank E y_4571-ft.
6,,QAf Foundation to absorption i ft.
Separation of Pits ft.
Conforms as per Plot Plan ._Y N
Engineer Report and As-Built ^Y—N
ETU Maintenance Contract _Y_ N
provided
Location of System on Property:
Front Rea Left Side Right Side --- Middle Front,---/ Middle Rear
stem Use S
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forams\Inspection Forms\Septic Inspection Report._03 29 10.doc
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TOWN OF QUEE)18)3.
'r.17.eS, Wells, trpes, ferces, Ar i
BUILDING & COD ;,,,w if 4 -
Reviewed By: ..ii.14 r.ill 41
Date: ____ i.3.,p,
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CENTER PROJECT
SERVICES
73 Sheridan Street, Glens Falls, NY 12801
Phone-518-796-2515
December 10, 2010
Project# 134
Dan Drellos
Sanitary Sewer Services
Luzerne Road
Queensbury, NY 12804
Re: Proposed Replacement Septic
Eileen Spinelli Residence
Dear Dan:
At your request we have reviewed your proposed replacement septic system design at the site of
the existing 4 bedroom house of Eileen Spinelli at 4 Founders Way 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 440 GPD and a percolation rate of
1 to 5 minutes, you will need 463 square feet of absorptive area. We recommend using a 20 ft
wide by 30 ft long absorption bed with 4 — 25 foot long laterals, which will provide 600 sf of
absorptive area. The absorption bed should be constructed with a 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,
omas R. Center Jr, P.E.