RC-000642-2016 TOWN OF QUEENSBURY
OL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000642-2016
Tax Map No: 239.18-1-31
Permission is hereby granted to: McCall Construction
For property located at: 15 CLIFF HOLLOW 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
Tome of Construction
Owner Name: Gladys Prot Single Family-Addition $100,000.00
Owner Address: 31 Seabrook Landing DR Total Value $100,000.00
Hilton Head,SC 29926
Contractor or Builder's Name/Address Electrical Inspection Agency
McCall Construction
1485 County Rt 29
North Creek,NY 12853
Plans&Specifications
Residential Addition fust floor: 286 sq.ft.plus alteration of existing deck to a porch 180 sq.fl.
$150.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,November 10,2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ueensb n �hur er 10,2016
SIGNED BY: G,�L✓KI/ for the Town of Queensbury.
Director of Building&Code Enforcement
"IRCINC1PAL STRUCTURE APPLICATION Office Use Only
Date: 10 - Irl-1 C4 Permit No. RC (o 2-C;Le1
Tax Map ID 2-Sq , 1$ - 1 -3 1 Permit Fee
/ 8]
Zone VJ Q Historic? _Yes I/No Rec Fee
Subdivision Name Lot# Site Plan#
Subdivision#
Project Location 15 CLIFF 11oz�o .+ foot)
TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family, multiple family,
apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. This is in addition to the
permit fee(s).
Primary Owner(s)
17Au .O � GLAD4's ?foL.._.
Address 31 See,8¢oak LArv0%*tu6 -09 H,1+vN Aero SC 294 Z to
Phone/Email 143_ 36, - 118(o 90 1 73 11
Applicant
Address
Ills coU,n Q'x 2rt (V,yo�e-*%- Ceee-� IVY 12863
Phone/Email /$- 7LI q-J 4 4 S Ce I l 1 I C (Alt . K YV c.'r
Contractor ''^^^^ I
Iva ,. ►►t c, (A I 1
Address S A-v�
Phone/Email S A ✓ML C_
Contact Person for Building & Codes Compliance: Phone
TYPE OF CONSTRUCTION
,,'Check all that apply New Addition Alteration 1"floor sf 2nd floor sf Total sf Height
Single Family i b'o " G s z eY sT
to Ncw 30' eX,st„�
Two-Family
Multi-Family
(#of units_)
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garage
(1, 2, 3, 4+) J
Other
Town of Queensbury Building&Codes Principal Structur Application revised January 2016 O V
If commercial or industrial please indicate name of business
Proposed use of building or addition 1�es �oe,ro+,i a
Source of Heat(circle one) Gas Oil ropane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys
Are there structures not shown on plot plan? N O
Are there easements on the property? N
Site Information:
a. Dimensions or acreage of lot . 32 A-t-
b. Is this a corner lot? _Yes _�10
c. Will the grade be changed as a result of construction _Yes 1,--No
d. Public water or Private well (circle one) Public vale
e. Sewer or Private Septic System (circle one) SewerPrivate
Value of all work to be performed (labor or materials) $ A)BQ ooJ
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 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 /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/t�c�IAc I�1 C CA I I DATE: /o - ) 9 - / 4,
SIGNATURE: DATE: to-/
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
David H Prol 1 843 689 6950 P. 1
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Volt a A VOW: !M:popron
as Coal,= AW
LOW prMA
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116
Window Schedule Calculation Sheet
Job Site Address: 19 C U F F H o a_I O,J WC)
Date: I o- It- 14 ,-
Owner: GI_AV y
Application No.:
Window# or letter on plan Az3L--Z (.A( b3-1�{d 0Clo't
P.,.
Manuf.NameQz l 0 1�l2 i.
Model/Type Cd►s e,"a„} C p L4,.c c. CA sem e t
Unit or Block# Cell sizez Z 1 K z
2°t 3 53
4 Z - 3553
2141
Rough Opening Width 5 Z) g' 0
Rough Opening Height 3 ; O' ` 3: ('-
Sq.
•
Sq. Ft. Vent 1 SS F 13, 1 s f -17 s F
Sq. Ft. Egress/ Clear Opening -1 .5, s 6 s 1= 13 '
Clear Opening-width in inches 2 . 2 1 ' ' 3'O'`
Clear Opening-Height in inches 5 . 0 3. 6 " L` O
Special Hardware or instruction N _0 N 0 rU v
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
NATURAL LIGHT, VENTTILATION AND EMERGENCY EGRESS CALCULATION SHEET
Job Site Address: 13 C 1 TZ-fi Noc LoW ZD
Date: /0 - 15 - 1(o
Owner: -DA%)2 + GcAoy
Application No.:
Habitable Rooms Area of Room-Sq.Ft. Required light Actual light-sq. ft. Required ventilation Actual Ventilation sq.ft. Sq.Ft.opening for
8%of room 4%of room egress
A JSF 7 • W? �SsF -7 . 118 ISSF 7 • SSF
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
WINCHIP
6272 State Route 9 Phone: (518)494-2555
[ E N G I N E E R I N G Pc PO Box 116 Fax: (518)494-2566
Chestertown,NY 12817
November 8, 2016 Job No.: 16-136
Page 1 of I
David Prol
31 Seabrook Landing Drive
Hilton Head,SC 29926
Re: 15 Cliff Hollow Road
Queensbury,NY
Tax Map#239.18-1-31
Dear Mr. Prol,
I have reviewed the plans for your property"Map of lands of David H. and Gladys Prol"
by Coulter&McCormack, last revised September 31, 1982. I visited the property on
November 2"d, 2016. The purpose of my review and visit were to evaluate the design and
construction of the existing wastewater system to determine if it is compliant with the
New York State Department of Health(NYSDOH) standards.
Based on my review the wastewater disposal area appears to conform to the NYSDOH
standards and is adequately sized for a four bedroom residence. The size of the septic
tank is not adequate,the NYSDOH standard requires a 1250 gallon septic tank,and the
plans indicate a 1000 gallon tank.
Based on my site visit the wastewater system appears to be constructed in conformance
with the plans. To bring the system into compliance with the NYSDOH standards the
septic tank with need to be either replaced or an additional tank added in series. My
recommendation is to reuse the existing pump chamber as a septic tank and install a new
pump chamber. Attached please find several details further depicting my
recommendation.
If you have any comments or questions,please do not hesitate to contact me.
Sincerely, Q-c - X12 • Lo 1 e
p L CE0WEE
��- NOV 10 2016 D
Zachary Monroe TOWN OF QUEENS13URY
BUILDING 8 CODES
Copy: D. McCall—McCall Construction
vancasr�•tevrno-^mt I'�
330
1 0' MIN
50' MIN
•- C
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D
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E
MAP REFERENCE
APPROXIMATE WELL SITE PLAN FOR COMPLETE PROPERTY SURVEY AND ORIGINAL WASTEWATER
LOCATION BY:DESIGN SEE"MAP OF LANDS OF DAVID H.AND GLADYS PROL"
COULTER 8 MCCORMACK LAST REVISED:SEPTEMBER 31,1987
I" = 20'
A - PROPOSED 4" PVC SDR 35 EFFLUENT SEWER
1/8" PER FOOT MINIMUM SLOPE
B - PROPOSED DUPLEX PUMP CHAMBER
C - PROPOSED 1-1 /4" PVC SCH 40 CONNECTION
TO EXISTING FORCE MAIN
D - EXISTING 1000 GALLON PUMP CHAMBER TO BE
RE-PURPOSED AS A SECOND SEPTIC TANK
E - EXISTING 1000 GALLON SEPTIC TANK
0 0
QUIK DISCONNECT
0 0
GATE VALVE
o 0
SLOB FLOAT BRACKET
LIFTING HANDLE
SLOPE
FINISHED GRADE
VALVE EXTENSION HANDLE
11-a" FORCE MAIN
LAG/HIGH
LEVEL ALARM
PUMP BALL CHECK VALVE
ON
SET TO DOSE FOR SLIDE RAILS
50 GALLONS
PUMP DISCHARGE PIPE
FIBERGLASS OR OFF TWO GOULDS
POLYETHYLENE EFFLUENT PUMPS
PUMP CHAMBER ANTI-FLOAT
ROUND FLANGE RESILIENT FEET
12" CRUSHED
STONE
NOTES
-SEAL ALL OPENINGS WATERTIGHT
-SET ALARM 6" ABOVE"PUMP ON"
- INSTALL POWER AND CONTROL WIRES TO CONTROLLER LOCATED IN HOUSE
- PUMPS SHALL BE GOULDS WE2012H, 230 VOLT, 3450 RPM SUBMERSIBLE TO PUMP 40 GPM @ 95TDH
- INSTALL GOULDS D10020 CONTROL WITH ALARM LIGHT AND FLOAT SWITCHES AS REQUIRED
- PROVIDE 'T' WITH GATE VALVE TO DRAIN
- CONTRACTOR SHALL VERIFY EXISTING ELECTRICAL SERVICE PRIOR TO PURCHASING PUMP(S)
DUPLEX PUMP STATION DETAIL
(N.T.S.)
. ~
4"PVC TEE
FINISHED GRADE
LOCATION PROVIDE ACCESS TO GRADE
MARKER (TYP.) FOR INSPECTION OF FILTER
12"± EFFLUENT FILTER
SANITARY TEE
I/3LlUUI CAULKED JOINT (TYP.)`
3(Y' DEPTH 1/3 LIQUID
GRAVEL(DR 3/4"TO
4" PVC CONNECTO EXISTING 1000 GALLON
EXISTING 1000 GALLON PIPE SLOPE 1/8"PER FT. PUMP CHAMBER TO BE
SEPTIC TANK SECTION RE-USED AS SECOND SEPTIC TANK
4" PVC TEE EFFLUENT FILTER
WATERTIGHT SEAL PRECAST OR
ALL COVERS,JOINTS
POURED
AND PENETRATIONS
CONCRETE SEPTIC
TANK
|,vLE| OUTLET_
N'PVC CONNECTOR
PIPE SLOPE l/8"PER Fr. PLAN
������������� �����U�� TANKS
|�� ����|��
����U������ � L ��� � ��� U ����7�� ||� �������
SEPTIC TANK NOTES:
PL-I 22 RESIDENTIAL WASTEWATER EFFLUENT FILTER IN OUTLET TEE OF SECOND TANK
L
- |N�|AL . ��|MTANK|NLB/\ND [�UTLBl6"AMDl��' BELOYYU(�U|DLEVELRE8PEC�VELY
' S"^'"|- ~°TANKS SH/\LLBE|NSPE��TED /\NmUf\LLYT[� 8S��ERTA|NS[)U ��^�
DSLEvENDSH{)ULDBEPUk»PB]
EVERY TWO
~T(}THREE YEARS.TANKS MUST 8EPUMPED WHEN THE BOTTOM (}FTHE SCUM LAYER|SWITHIN
THREE INCHES {JFTHE BOTTOM C)FTHE OUTLET BAFFLE[)RSANITARY TEE, (}RWHEN THE TOP[}FTHE
SLUDGE 3WITHIN TEN INCHES [)FTHE BOTTOM{}FTHE OUTLET BAFFLE{}RSANITARY TEE.
f
q
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q Ooh
239.18-1-31 SEP 642-2016
David & Gladys Prol
15 Cliff Hollow Rocas!
Residential Alteration
2
F E-
PERWT_PLOT PLAN
I HAVE PERSONALLY MEASURED THE DISTANCE
FROM Tf-#,'--- PROPERTY LINES TO THE
PROP SLp STi AUC T URE(S) OR SIGN(S)
S NAT URE DATE APPROVED BY:
SCALE: 1 � �� DRAWN BY A
DATE: 1 REVISED
DRAWING NUMBER