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building permit TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: RC-000159-2017 Tax Map No: 278.-1-32 Permission is hereby granted to: Catone Construction For properly located at: 525 State Rte 149 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 Tvce of Construction Owner Name: Louis Musto Attached Garage-New $75,000.00 Owner Address: 525 State Route 149 Total Value $75,000.00 Lake George,NY 12845 Contractor or Builder's Name/Address Electrical Inspection Agency Catone Construction 1470 RIDGE RD Queensbury,NY 12804 Plans&Specifications Residential Addition: 180 sq.ft.(1st floor for bathroom and mudroom;not an additional bathroom-moving plumbing for new location of bathroom); 3-car attached garage: 1,110 sq.ft.with bonus room above garage Septic Alteration: new D-Box connecting to existing leach field $266.50 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 26,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expirra���tion date.) Dated at the Town of eensbu / / y/edne !�, ri 2017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement f 1 - 9 Office Use Only - ADDITION/ALTERATION PERMIT APPLICATION Permit Fee:$ Town ofQueensbur-v 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8256 www.gueensburV.net Project Location: Sl7 iz- ���- '(A. Tax Map ID #: C - �' `7 . -/- 3 25ubdivision Name: ;Q C l� 11 , . CONTACT INFORMATION: • Applicant: TOWN OF QUEENSBURY Name(s): l,L;'iLii 1 ,s l L- cOMMiUNITs` DEVELOPMENT Mailing Address, C/S/Z: 15 S Sh--Jr, Cell Phone: ( `�13 ) '- •Q>5�i Land Line: a t� ) 'i`t Z U�'5" Email: L-vi:F- . kk,�{� • Primary Owner(s): Name(s): k ��•1. ' - Mailing Address,•C/S/Z: Cell Phone: Land Line: Email:_ • Contractor(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: J,--i G-ge e,-;kvrL( t-'Z ro Cell Phone: Sir ) 3&1- c)r0c� Land Line: � ) Email: ��' ``-- 1 � ,y I— �!ti"L- Cl;Vl)•r,•c,r�l v�1 ,C-•� / �\Yl G J c—1.rL� • Architects Engineer(s): Business Name: 1,>,�:Ij,,�.s .a VI-Ai,t�. Contact Name(s): \;- LV', '_s Mailing Address, C/S/Z: 0c1 G(". S{- RJL, '-( i Z,-zG 1 Cell Phone: ( Land Line: ' .2 ) jq Z `i Cl?-7 Email: -I)cv vj-,-tp\"r-sa1VI .\�;, ,(.�t=� Contact Person for Building & Code Compliance: CV;6'v- ., c Cell Phone: ��t�u ) 1-n!'Ocl; Land Line: _�_) Email- C _tz C •c1, , ,- C? Town of Queensbury Build!rig.&Code Enforcement Addition/Alteration Application Revised February 2017 PROJECT INFORMATION: TYPE: Commercial 1c Residential WORK CLASS: Single-Family _Two-Family _Multi-Family(#of units ) Townhouse Business Office Retail (/ Industrial/Warehouse Garage (#of cars Other(describes ADDITION SQUARE FOOTAGE: LTERATION SQUARE FOOTAGE: 1st floor: `"" 4i ' lst floor: 2nd floor:*76,1 mlji6"0-4�11 2nd floor: 3rd floor: atY'r&"' '�� 311 floor: 414 floor: M��// L� ��X v 41h floor: Total square feet). 203 0 otal square feet: Q�t ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ S,0 c 2. If Commercial project,what is the proposed use: 3. Source of Heat (circle one): Gas Gi#' Propane Solar Other Fireplaces need a separate Fuel Burning Appliances &Chimney Application 4. Are there any structures not shown on the plot plan? ( NO Explain: S�z� 5. Are there any easements on the property? YES NO 6. SITE INFORMATION: a. What is the dimensions or acreage of the parcel? 3.0 c, b. Is this a corner lot? YES c. Will the grade be changed as a result of the construction?����--��Y,,ES V�OO d. What is the water source? PUBLIC PRIVATE WELL.) e. -Is the parcel on SEWER or a PRIVATE SEPT C system? 0 v t�L%AX v_n � 7 Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 1 G DECLARATION: 1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If the work is not completed by the I.year expiration date the permit may be renewed, subject to fees and department approval. 3. I certify that the application, plans. and supporting materials are a true and: complete statement and/or description of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. 4. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 5. ['also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above: PRINT NAME: .LU 1A_ SIGNATURE: � DATE: Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 SEPTIC DISPOSAL PERMIT APPLICATION Office Use Only~ 4 a_ _-7-, 742 Bay Road,Queensbury,NY 12804 ( �� Tinm or(-hi n.;hun. Permit#: R� P:518-761-8256 www.gueensbury.net Tax Map ID#: �U � A-7 Permit Fee:$ ; Invoice#: Project Location: 525 5641 l`1r1 Sep tic Variance? Yes No Primary Owner(s) Mailing Address Phone & Email i 1UJV ^ Installer/Builder \ II r Alit-} Mailing Address i� �.�� ¢ C ��ev Phone & Email {.. o�; 3`� C� 1\' F OUEENSSUR, CGV +,6-. IC Engineer v yr vl T Mailing Address Phone & Email Contact Person for Building&Code Compliance: Cam!v n t Phone: 7 oct'3 S RESIDENCE INFORMATION: Year Built #of bedrooms X gallons per bedroom =total daily flow Garbage Grinder Yes No- 1980 or older Installed? (circle one) 1981-1991 Spa or Hot Tub Yes No Installed? (circle one) � 1992-Present •� PARCEL INFORMATION: Topography V-Flat Rolling Steep Slope %Slope Soil Nature Sand Loam Clay Other Groundwater At what depth? Bedrock/Impervious material At what depth? Domestic Water Supply —Municipal ✓ Well (if well,water supply from any septic system absorption is_ft.) Percolation Test Rate: per minute per inch (test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION: Tank size I t 2 Ste--)gallons (min.size 1,000 gallons,add 250 gallons for each garbage cylinder or spa/hot tub System Absorption field with#2 stone Total length ft.; Each Trench ft. Seepage Pit with#3 stone How many: ;Size: Alternative System Bed or other type: Holding Tank System Total required capacity? ;tank size ;#of tanks NOTES: 1.Alarm system &associated electrical work must be inspected by a Town approved electrical'inspection agency;2.We will no longer allow systems to be covered until such time as an as-built plan is received and approved. The installed system must match the septic layout on file—no exceptions. A-,L � f7i�Iftl.iG`x �sr�ahli�4tj r , &LSyC�C �t'�'Ci{ =i(=Z - Declaration:Any permit or approval granted which is based upon or is granted in reliance upon any material representation 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 and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. ra !'b DATE: Ll✓� ^} PRINT NAME: d ' �i• { r SIGNATURE: ulz DATE: L�'I ` f Town of Queensbury Building&Code Enforcement Revised February 2017 ,1Mdfcj-y'�Li.e ool / /' �\ \ i ol ol 10, � II tt TOWN RE QUEENSBURY (opo / ' -_ ._.__ _ — MAY 2 9 Y ` L. e , BLDG. g E C oll ol IA 9 Cl . 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