RC-000015-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000015-2016 Date Issued: Friday, July 29, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000015-2016
has been completed.
Tax Map Number: 301.12-2-27
Location: 368 DIXON RD
Owner: JP Gross Properties,LLC
Applicant: Joe Gross
This structure may be occupied as a: 1,041 s.f. SFD w/fireplace
By Order of Town Board
TOWN OF QUEENSSBBURYJ //
Issuance of this Certificate of Occupancy DOES NOT relieve the r _ f/ /J / /`t
property owner of the responsibility for compliance with Site Plan, ���vvvyyµll"' V "�{VV??YF"
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
r 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000015-2016
Tax Map No: 301.12-2-27 REVISED
Permission is hereby granted to: JP Gross Properties,LLC
For property located at: 368 DIXON RD
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
Tyne of Construction
Owner Name: JP Gross Properties,LLC Single Family-New $35,000.00
Owner Address: 27 SILVER CIR Total Value $35,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Gross Electric
29 Silver CIR
Queensbury,NY 12804
Plans&Specifications
1,041 s.f.SFD w/fireplace
PERMIT FEE PAID-TMS PERMIT EXPIRES: Thursday,July 28,2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of eens / / es a ,J 15
�u
SIGNED BY: // for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
DATE �. �u V—f 2016 Received
` -2 Tax Map ID
TAX MAP ID SCA
. '1 - Permit No. 7P `J-2$`b
JUL 0 2 Z�RecmFeeee 2 .5e, ZO
ZONING
Site Plan#
HISTORIC SITE Yes D� No TOWN OF h:.,_ Subdivision#
BUILDING 8
SUBDIVISION NAME Lot#
TOWN Ba RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLEXES
OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED &
MODULAR HOMES,BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
APPLICANT OWNER
ADDRESS 2q StLJ + - CA'F-C'K, ADDRESS
62Uei4SBLL0-( W INC44
PHONE/E-MAIL '510 lJ PHONE/E-MAIL
CONTRACTOR 642cests COST OF CONSTRUCTION(ESTIMATED): $ IOCO V4 (,1 •
at
ADDRESS: 2,61SI C4 C( BUILDING ADDRESS: 3b€ J
Qu as -(
PHONE/E-MAIL Ste-36I 04,67
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: rac0ry5i 44516 /V o PHONE5/B'6/
'AJ P -1 off- 14'45
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1st floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
Single Family �/ 044 L1c4.` / t
Two-Family
Multi-Family
(# of units
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(#of )
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business 4/A
Proposed use of building or addition S �..
Source of heat (circle one) (G.-D Oil Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys
Are there structures not shown on plot plan? Nd
Are there easements on the property? N r'"ou3 r'
Site Information
a. Dimensions or acreage of lot 0. 12 }64 e
b. Is this a corner lot? 14(7
c. Will the grade be changed as a result of construction Yes VNo
d. Public water or Private well T AtStA
e. Sewer or Private Septic System VIA INA(-
Value of all work to be performed (labor or materials) $
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 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/description of
the work proposed,that all work will be performed in accordance with the NY State 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. I 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: oP• ` �� Z � 'r �'•
,/ "" OF 0-4
SIGNATURE: •` DATE ll Ne 7-04.5
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
1
Office Use Only
FUEL BURNING APPLICANCE &
Received
CHIMNEY APPLICATION I Tax Map ID
DATE 4-tAt7t2ot6 i Permit No.
Permit Fee 06-- ��
TAX MAP ID 3Di• 12- 2 -i
ZONING iAF—
OWNER: PHONE/E-MAIL 5Ie 361-0607
ADDRESS 1 it — CIPO C. / A/WKS/311 7 /v Y i s'o4
INSTALLER/BUILDER. "--teed;retL PHONE/E-MAIL 610--3(01—
ADDRESS: 7 5u-0w- Gga, al 5Estu /0Y aea
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: (/f�'ea HQtt• ige-l! PHONE a/tJ D
1 P
BUILDING ADDRESS: 34t734t7Dl X tAl 1vOO /"
Fuel Burning Appliance Information Wood Coal Pellet Gas Oil NOTE: ROUGH-IN & FINAL
Stove INSPECTIONS ARE REQUIRED.
Fireplace Insert
Fireplace, Factory built" V
Fireplace, Masonry
Furnace(Garage Only)
*If Factory built provide manufacturer name: ;model#:
Listed by: Number:
Chimney Information
Masonry** (check one) Block Brick Stone
Flue Tie Steel Size in inches
Material Double wall Triple wall Insulated ✓�Diirect Vent Chimney Liner
**If Non-masonry provide manufacturer name:(k ms cv model#: QV-32--
DECLARATION: Construction I installation must conform to NYS Fire Prevention& Building Code and/or manufacturer
requirements. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all
conditions that are part of these requirements and also will allow inspector's to enter premises to perform required
inspections. ,
40017-a
I have read and agree to the above: Print Name: 04.0.1 P—1-03a-- I»-r , e-
Iii
Signature: Date: 2 ��j�
5
Town of Queensbury Building&Codes Principal Structure Application July 2014
'AF
LANDS NIF OF
DEBORAH J. LAPIER IPF
5022/70 /
/ (Leaning) GV
� VAI
Lot 103 "Cottage Hill" /
Xa e°e�9a 6/ /
CALLED NORTH%� ao, NPLATER `
� `
/ �+/
\ /
POLE
GAS
` O`
n \ �
F292 /
GAS
�
METER WOOD
-� ST PS
AREA = 8,201.02 Sq. Ft. tea,
(0.19 Acres) \
EMETER Deck A Portion of
��� • �A G �--_� Lot 102 "Cottage Hill" \
12" TREE
RED MAPLE
4"x4" POST
001
2
D
gyp\ \ o'-
T��\ rno
pF\ \o
LANDS NIF OF \ \
PATRICIA A. BERRY \ \
870/69 \
Lot 442 "Cottage Hill" \\
CIRS
CONC. BLOCK LANDS NIF OF
RETAINING WALL DO„W-'118.40 DEBORAH J. LAPIER
—� --S 8j�—J 5022/70
LANDS NIF OF
JEAN E. HARDEN
700/456 Lot 1 3 "Cottage Hill”
\ A Portion of
B WJOD FENCE \ Lot 102 "Cottage Hill"
/
/
LANDS NIF OF
WALTER AND GLORIA J. POORES
660/293
Lot 443 "Cottage Hill" ///<��• \NF /GAS
METER
/& G� \ / -ELEC.
/ METER_
/ Pte' //
/ / 12" TREE
SITE / / RED MAPLE o ORNER <\
/
/
ER
JTEO
\ LAMP
POLE
SITE DATA
PROPERTY ZONING CLASSIFICATION: NR—
GENERAL
NOTES
INFORMATION
SHOWN ON THIS
DRAWING IS TAKEN FROM
A SURVEY DRAWING PREPARED
BY VAN DUSEN & STEVES
TAX MAP NUMBER: 301.12-2-27
LEGEND
6,681.7 SF
— —
PROPERTY LINE
— — — —
— — — — — — —
PROPERTY LINE SETBACKS
— -- —
330-----
EXISTING CONTOURS
19'f
330
NEW CONTOURS
E
E
UNDERGROUND ELECTRIC SERVICE
SS
SS
SANITARY SEWER
W
W
WATER SERVICE
E/P
EDGE OF PAVEMENT
— GAS
GAS —
UNDERGROUND GAS SERVICE
CONC. BLOCK LANDS NIF OF
RETAINING WALL DO„W-'118.40 DEBORAH J. LAPIER
—� --S 8j�—J 5022/70
LANDS NIF OF
JEAN E. HARDEN
700/456 Lot 1 3 "Cottage Hill”
\ A Portion of
B WJOD FENCE \ Lot 102 "Cottage Hill"
/
/
LANDS NIF OF
WALTER AND GLORIA J. POORES
660/293
Lot 443 "Cottage Hill" ///<��• \NF /GAS
METER
/& G� \ / -ELEC.
/ METER_
/ Pte' //
/ / 12" TREE
SITE / / RED MAPLE o ORNER <\
/
/
ER
JTEO
\ LAMP
POLE
SITE DATA
PROPERTY ZONING CLASSIFICATION: NR—
NEIGHBORHOOD
RESIDENTIAL
MINIMUM LOT SIZE:10,000 SF W/ PUBLIC
WATER AND SEWER
MINIMUM LOT WIDTH:50'-0"
PAVING & WALKS
1,265.6 SF
TAX MAP NUMBER: 301.12-2-27
GREEN SPACE
6,681.7 SF
SETBACKS REQUIRED
PROPOSED SITE
-COMPONENi
EXISTING
FRONT
20'
40'-1r
SIDE
10'
19'f
REAR
15'
32'-11r
MAXIMUM BUILDING HEIGHT
40'-0"
20't
MINIMUM PERCENT PERMEABLE
35%
74.5%
ACTUAL LOT SIZE:8,957 SF
U
ACTUAL FRONTAGE:114.16 FT
V -
=X
MM
TOTAL SITE
8.957 SF
100.0%
BUILDINGS
1,009.7 SF
11.3 %
PAVING & WALKS
1,265.6 SF
14.2 %
GREEN SPACE
6,681.7 SF
74.5
PROPOSED SITE
-COMPONENi
COVERAGE CONDITIONS
AREA
PERCENTAGE
TOTAL SITE
8,957 SF
100.0%
BUILDINGS
1,146.8 SF
12.8 %
PAVING & WALKS
1,276.7 SF
14.2 %
GREEN SPACE
6,533.5 SF
73 %
4"x4" POST
T \ D \
CALLED NORTH \ ac`\ S
61,
�p \ 0, \
pQ \ PAVED DRIVE
LANDS NIF OF
PATRICIA A. BERRY \
870/69BL
LINE
D
Lot 442 "Cottage Hill" \ - �•"'"W I1
— g.40'
S 81°35'00„
\\ LANDS NIF OF
I WALTER AND GLORIA J. PODRES
6601293
Lot 443 "Cottage Hill"
PROPOSED SITE PLAN
1 "=10'
ON jICE
FOAM INSULATION MUST BE
(COVERED BY A 15 MINUTE
THERMAL BARRIER
3PRO9�P05SE—D
18'f
29'—f
29't
73%
NOTICE
PAPER INSULATION
F BE COVERED BY
MBUSTIBLE BARRIER
TOWN OF QUEENSBURY
BUILDING & CO ES QEPT.
Reviewed y:
Date:
TOWN OF QUEENSBURY
BOLDINC,, DEPARTMENT
Based on our limited examination, compliance
with our comments shall not be construed as
indicating the plans andskafiom are in
fuU tomWi ince with the 8�inl�bg Codes of
New Yak State.
��9 L
INo.1 DESCRIPTION
REVISIONSDATE
WORK IS TO BE AS SHOWN &
NOTED AND IN ACCORDANCE
WITH MANUFACTURER'S
RECOMMENDATIONS, TRADE
ASSOCIATION PUBLISHED
RECOMMENDATIONS AND
GENERALLY ACCEPTED LOCAL
CONSTRUCTION INDUSTRY
PRACTICES.
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ASSOCIATION PUBLISHED
RECOMMENDATIONS AND
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CONSTRUCTION INDUSTRY
PRACTICES.
CAD FILE NAME
ACAD\GROSS\DIXON\C-1
SCALE AS NOTED
DRAWN BY
DRAWING TIME
EXISTING &
PROPOSED
SITE PLANS
DRAWING No.
C-1
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CAD FILE NAME
ACAD\GROSS\DIXON\C-1
SCALE AS NOTED
DRAWN BY
DRAWING TIME
EXISTING &
PROPOSED
SITE PLANS
DRAWING No.
C-1