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2010-079 TOWN OFQ UEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 � � Q rY> Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20100079 Date Issued: Tuesday, December 11, 2012 This is to certify that work requested to be done as shown by Permit Number P20100079 has been completed. Tax Map Number: 523400-309-011-0001-027-000-0000 Location: 19 GARNER St Owner: C. JOHN & SHIRELY JARVIS Applicant: C. JOHN & SHIRELY JARVIS 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 ki Foto 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100079 Application Number. A20100079 Tax Map No: 523400-309-011-0001-027-000-0000 Permission is hereby granted to: C. JOHN & SHIRELY JARVIS For property located at: 19 GARNER St in the Town of Queens bury,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: C. JOHN & SHIRELY JARVIS KAREN MERRILL Septic Alteration Residential 17 GARNER St Total Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency SANITARY SEWER DAN DRELLOS PO BOX 224 GLENS FALLS NY Plans &Specifications 2010-079 septic alteration residential $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,March 15, 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 Trn7uee µry; A o is arch 15, 2010 SIGNED BY 14` o. for the Town of Queensbury. Director of Building&Code Enforcement " ' . /I L:.-- 7.-�CE USE ONLY cr, _ TAX MAP N . PERMIT NO. //9-071 ZLC:, ir) 2 - jr+�,..�r.._ 2.v...._¢.,._-..,. ._.,_PERMIT FEE (, APPROVALS: ZONING TOWN CLERK i1 I C. BUILDING & COM APPLICATION FOR SEPTIC DISPOSAL SYSTEM 4 r� • ..� F _. A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJEC O REVIEW BEFORE ISSUANCE OF A VALID PERMIT. \��1 G /� OWNER: s O k 4 IA.) f'�°`LJ(S /� INSTALLER: 471 ( 7Alty fki,t,_-/efa. JC ADDRESS: 17 l ti. Sr-I— ' ADDRESS: C) FB OZ Z Z �j �l PHONE NOS. ( "" 8-7S/ PHONE NOS. 7 9(j b cP 0 LOCATION OF INSTALLATION: t 9 Cmc i sr. -FrD,1/41'i 1443 kij` ) YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW RESIDENCE INFORMATION: BEDROOMS 1980 or older Z X 150 gallon per bedroom = GARBAGE GRIND Sat) INSTALLED? 0 1981 -1991 X 130 gallon per bedroom = 1992-present X 110 gallon per bedroom = SPA OR HOT TUB 1 j -) INSTALLED? 1" PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling Steep slope %Slo e p ✓ SOIL NATURE: Sand V Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: Atw t depth? ✓ DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic system absorption is ft.) ✓ PERCOLATION TEST: Rate is per minute per inch. (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: ( Ova 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 „,I EEPAGE PIT(S) (WITH NO. 3 STONE) How many? I. . Size? r 0 X a ❑1=1 ALTERNATIVE SYSTEM Bed or other type? ❑ 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 materialmiSrar,raccn+n+,,,, „Y Septic Inspection Report Office No. (518) 761-8256 Date Inspection r-• -- ece -• Queensbury Building&Code Enforcement Arrive: \U'- • .• sp• _119-a , • 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia : NAME: t-) \) P-• NO.: •�� `aG �`©—011 LOCATION: 19 C,ARo :'ECT ON: — —1 RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/ Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. SAL 6\a,c Other wells: ft. Well Casing Length 50' + / - Y N N/A r I F y TO Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Cv - (L7 Size of Stone Seepage Pits: Number FJP— ��� � 455 Size: x \ k Stone Size: (-1 ©NE_ ‘-C� W, 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 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 Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: _7/proved 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 Report.doc ' RiiS Property Description Report Page 1 of 3 Skip to content Change text size f54kla tit ueensbury w cork Home of Natisal Beauty...A Good Place to live. Home News&Events Departments Community Resources&Projects Town Documents sitemap search I Go! 309.11-1-27 * 19 III Garner St Parcel Information: Parcel Location Acres Property Class School District 309.11-1-27 19 = Garner St 0.17 Multiple res Glens Falls City Csd 2009 Assessment Values: Parcel Assessed Land Value Assessed Total Value 309.11-1-27 61,500.00 101,300.00 ,a � x psi Nt Image Date: 5/11/2004 Image Date: 5/11/2004 Sales: Sale Net Sale Sale Cond. Arms Land Tot.Value Prior Date Sale Price price Book Paye Type Code Len. TOS Value TOS Owner 11- Land & Gordon, 15- 135,000.00 135,000.00 3122 60 Building None Yes 61,500.00 101,300.00 Robert 06 04- Land& Alkes, 28- 65,000.00 65,000.00 1020 231 Building None Yes 6,800.00 78,400.00 Amold 97 Owner Information: Owner Owner Address P.O. Box Owner Address Line 3 http://gby2svr/gis/RPS_INFO2.ASP?printkey=309.11-1-27 3/8/2010 RPS Property Description Report Page 2 of 3 C. John Jarvis 17 Garner St Queensbury NY 12804 Shirley Jarvis 17 Garner St Queensbury NY 12804 Karen Merrill 17 Garner St Queensbury NY 12804 Site Information: Site Nbhd Sewer Water Utilities Site Nbhd Nbhd Road Entry Zoning # Code Desire Type Rating Type Type Code 166- 1 MH Comm/ Gas& Typical Suburban Average Improved Inter Private MS D,E public Elec Inspec Grade 166- 2 MH Private Comm/ Gas& Typical Suburban Average Improved Inter MS D,E public Elec Inspec Grade Land Information: Site# Land# Type Front Depth Acres Sq Ft 1 1 01-Primary 50 150 0 0 2 1 02-Secondary 0 0 0.01 0 Building Information: Site Bldg # Ext Wall Yr # # #1/2 # # # Style Stories Mat Built Kit. Baths Baths Bedrm Firepl 1 Old Style 1 Wood 1930 1 1 0 2 0 2 Cottage 1 Concrete 1957 1 1 0 2 0 Site# Heat Type Fuel Type Central Air Bsmt Type Overall Cond Constr Grade SFLA 1 Hot Air Oil No Partial Normal Average 896 2 Hot Air Oil No Partial Normal Economy 761 Special Districts Information: Special District Units Percent EM001-Emergency medical 0 0 FP007-Fire protection 0 0 LB001-Crandall library dst 0 0 LT007-W.queensbury light 0 0 WT013-Queensbury water 0 0 http://gby2svr/gis/RPS_INFO2.ASP?printkey=309.11-1-27 3/8/2010 ' RPS Property Description Report Page 3 of 3 The RPS codes used in this report are defined here Need Help printing this report? The information in the RPS database is maintained by the Town of Queensbury Assessors Office Top Town of Queensbury-742 Bay Road-Queensbury,NY 12804-(518)761-8200 Home News&Events Departments Community Resources&Projects Town Documents Help Webmaster http://gby2svr/gis/RPS_INFO2.ASP?printkey=309.11-1-27 3/8/2010 (4kr—/ 5 /e* ) /0-12_ 1Je &es . Septic Inspection Report Office No. (518) 761-8256 Date Ins . ction r -- :c- v-•. Queensbury Building &Code Enforcement Arrive: 1 V000 70. r:part: 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: _ _ 2)10 % NAME: -�t�i/l `j ERS IT NO.: •� ir. A,_ LOCATION: /7 64 rnp r I :PELT ON: — .0) RECHECK: Comments and/or diagram Soil Ty a-: Sand . •-m/ Clay Type of Water• • _ _bWell Water Wate - separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length _ _ft. Length of each trench _ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: \C) x Stone Size: , Piping Size Type40 Building to tank i--111 Tank to Distribution B t- i b‘NQ.3 Distribution Box to Fiel Pi Opening Seale _Y End Cap Y N Inlet/Outlet Pipes&Baffles — N Location/ Separations Foundation to tank %Q ft. Foundation to absorption C2-1=13 Separation of Pits ..-- ft. Conforms as per Plot Plan Ibic N Engineer Report and As-Built _Y_ N Location of System on Property: Front 'ear Left Side flight Side Middle Front Middle Rear - Use • us: 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 Report.doc I ____...,. , " ,,,,..r 7=-7 'h '''' --,rved, or believe I saw -.:i:' • : , -1-•';7::,, ,t.te.'1 tr,----,- -77-'7: :'-r,-.., 1 1 i - AS B U I Li 1 1/7 c , i ,.„.. . , . ......_______,........ joii(..._, tp i-N.:1 Nir'' 84 Cts413,i; 1 ' e %.N'') kxv_EA I euvio,k, : „t( re d BY** 41111 I 1 .... el r., a ReVieVie .. -e--- i... Date': ---"-- I \s/ , e...,i7_,k, \-- ,...• , 1 I. + 0 , . t i 1 I , , YOWN or: ,- ; qu-.-,-- ,,,n, _ ; ,,.. ,....,;!..,...:,;.:;! Aid r‘ GUIDING & C01 ,)1' i gi, t / 1ireJ! 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