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RC-000198-2016 E V t. a oo 0 z u ao m ti . © �3 0 00 O pa H O N � oC? 00 Ln CA z rT Q > > C ^ f] V) V3 G O 44 0 a o asco w `o a �4 °' q bo'0 o 2 . m o d N Lnco -o 4-1 63 r ° "' W `" CCS by ami g O U O Gs 1 O Q x" U 7' tn ,�mru TOWN OF lQt EEE B RY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 r Community Teveloptrtent - Building; & Codes (518) 761-8256 BUILDING PERMIT Permit Number: RC-000198-201.6 Tax Map No: 301.15-1-65 Permission is hereby granted to: FOOTHILLS BUILDERS, LLC For property located at: I I ELIC RIDGE 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 Owner Name: FOOTHILLS BUILDERS, LLC Single family-New $125,000.00 Owner Address: 9 Mountainside DR Total"Value $125,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency FOOTHILLS BUILDERS,LLC 9 Mountainside DR Queensbury,NY 12804 Plans&Specifications Single-Farnily Dwelling 1,422 sq. f3. attached 2-car garage 528 sq. fl. Lot 15, [louse No. I I Elly Ridge Drive $ 1,213.60 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 13, 2017 (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 nsbury, U pril 18, 2016 SIGNED BY: may for the Town o1 Queensbury. Director of Building&Cod Enforc ent PRINCIPAL S'i"RUCT APPLICATION ION Office Use Only . bate: 110 hermit NO. °� I w, � Tat Map ilk 30 ( ,( , d S - I '° _ Permit Fee <2 40 Subdivision Name)+)erne a l Ar Site Plan# Zone z X No Rec Fee, _ Lot / � Subdivision Project Location cation 1, P,l fl TOWN 13NJ,Rl LUTION 6-2013: $850 recreation lee for new dwelling units—single family,duplexes/two-family,multiple familia, apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. This is in addition to the permit feels). Primary Owner(s) a c -1 4(L LS 1 LDE R 5 C_L - 0 e LIS U C Address Phone/Email ! ; ..j l - : "" Applicant �w�� � w �W.. .. Address Phone/fibrait APR 11 2016 Contractor �. M ILLS BtA.l L :' �F°' i. 9��n E—LIT u w Address0 tri I ��.. .� CODE� . , Phone/Email ( , 3 S z Q Ftp 0 T(A I'LL.� ,,�i j t b tr 5 11) Y Contact Person for Building& Codes Compliance: 70E LE Lt L Phone � -?q6-3 '0 `Z',Y`PE of CONSTRUCTION ,µ u 14 _)9 r , ,/Check all that apply New Addition alteration I'floor sf 2nd floor sf Total sf Height Single Family )q " Two-Family Multi-Family ( of units ) Townhouse Business Office Retail -Mercantile Factory-Industrial Attached garage (l , 4+} 2,6 Other Towyn of Queensbury Building&Codes Principal Struc" 301.1,5-1 .6,5 RC 19,8-2�016 Leuci - Foothills Builders, LLC Lot 15, mouse No. 1 1 Elk R'idg e Drive SFD / -car attached garagle If commercial or industrial please indicate name of business Proposed use of building or addition RES 14 E rv-t 14 L Source of Heat(circle one) Gas Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances&Chimneys ju b Are there structures not shown on plot plan? /�/ 6 Are there easements on the property? GU 0 Site Information: a. Dimensions or acreage of lot G S A CP-63 b. Is this a corner lot? Yes K No c. Will the grade be changed as a result of construction aYes No d. Public water or Private well(circle one) Public Private e. Sewer or Private Septic System(circle one) Sewerbat Value of all work to be performed(labor or materials) $ t 2S', o o u DMA"TION. 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 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. I also understand that I 1 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: .o S P.N._ ._.L.F u �__-_— ---- DATE: SIGNATURE: DATE: `I 1 For office use only Operating Permit Issued: Yes No Occupancy Type Construction Classification Assembly Occupancy Limit Special Conditions Town of Queensbury Building&Codes .Principal Structure Application Revised January 2016 SEPTIC DISPOSAL APPLICATION Office Use Onlv Iq Received DATE: Tax Map ID TAX MAP ID: Permit No. ZONE: (ht D Permit Fee FOOTKJL-Ls L-bEgsNY(2&MIL. LGn+ APPLICANT Tb E LC t-( PHONE/&MAIL S 1���q(o-3 SZ 0 ADDRESS qtna�u-fAtr�s D�. Q !� N t 2go INSTALLER/ PHONE/E-MAIL S BUILDER F0(j'T N l LL t l LnE'F-S LL L OWNER I0 C Lb:L-t ;-I ADDRESS S rA WAC CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: 0 Lr Lt: t&L PHONE/E-MAIL .0 rn r RESIDENCE INFORMATION Year Built #of bedrooms X gallons per bedroom =total Daily flow 1980 or older Garbage grinder installed Yes No 1981-1991 Spa or Hot Tub installed Yes ?(No 1992-Present 3 ( d 3 3 b PARCEL INFORMATION Topography Flat rolling Steep slope %Slope Soil Nature Sand Loam Clay Other Groundwater At what depth: N t m Bedrock/Impervious material At what depth: ni/A Domestic Water Supply K Municipal Well(if well,water supply from any septic system absorption is_ft.) Percolation Test Rate: -LLL_per minute per inch(test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank size I Oo gallons(min.size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub System Absorption field with#2 stone Total length S� fL;Each Trench D 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&approved. The installed system must match the septic system layout on file—no exceptions. 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 lmown 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. ance PRINT NAME: 0 S E P K E Li t f DATE: 7 v (& SIGNATURE: DATE: Town of Queensbury Building&Codes Principal Structure Application Revised January 2016 Town of Queensbury Thomas R.Van Ness Highway Department Highway Superintendent 742 Bay Road,Queensbury,NY 12804 Home: 518-745-0929 Phone: 518-761-8211 Fax: 518-745-4466 David Duell Deputy Highway Superintendent Home: 518-745-0938 DRIVEWAY PERMIT Date: Applicant Name: --JOE LE-utL-1 l f b o Z 41 Lt.5 $u t ax a-S Telephone No.: (S l o -114 - 357-0 Address to be Inspected 1 I et-r Rt p 6-,6, P4. Return Address: Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes at the specified location The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: ( } Preliminary approval NEED ( ) Slight Swale { ) Deep Swale { ) Level with the road ( ) Level with the top of the paved wing Size culvert pipe to be used(if necessary) ( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36" Preliminary inspection completed by: Date: Approval by Highway Supt.: or Deputy Supt.: Upon completion please resubmit this approval permit for a final approval. STEP 2: ( ) Final Approval ( ) Rejected Date: Thomas R.Van Ness,Highway Superintendent David Duell,Deputy Highway Superintendent Town of Queensbury Building&Codes Principal Structure Application Revised January 2016 O N C14d �w <¢v z 0,C'i rn s6 zo o - ¢�. ssp04 _gym m¢ QN�n w�F r O+`1 Z4- ':w Y¢ ..QO U 4q o 'Ox .,,,ww, �.µu .�_• '.trc-¢fll pa Ww':.0:2WFOZk'xof�zJ' , .� oawO :NZ. zWo . zo I. UM ¢zmzz .mWQ. \ m rn NLS z p O �ti q ` i-�aZ, F T^ .0 'moi rc r G �m z � :=pW} p s'pcoi .:.'"s`�'w�F} ' 0. :� ��.m o •N w -- Zm, ¢ oo: M.z¢. ..¢u �oB: Qin'j2� OQ °• �, �� U NJ ..lO Q O::$'m N K- d,J UNfAFp f. 44 O ZZ Z wK w W OI�I� 3t O�z U;-� 7ww= y •V� +. '`. wO�NJJW WU �I-'S� op WZW •� m� p¢,WW Wz �SQ. ©N MOO¢K I,j 0< n O V_O� v_ W¢� w U w NZ p� pa zzz ,Opal uta p mw, m� ¢pQ .L.Jam0 G 3y�w. aQ ..�'S vi w z'.'a wo .tea �vs p' w �m.s m a N :r mw v m o o -W- xN z zwo . 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