applications --,
. .
307,
6+261
FFICE USE ONLY 1i', P 4ij' %''�{ LJ ,TAX MAP NO. PERMIT NO. I4 f '� 'QFEES: PERMIT "4� . °RECREATION ENGINEERING JU2 6. �OJ'.(If applicable) II
OWN-OF-OW E-ENSBURY-;
BUILDING&CODES
PRINCIPAL STRUCTURE:
APPLICATION FOR-ZONING APPROVAL & BUILDING PERMIT
-A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
- APPLICANT/BUILDER: C3\ e � OWNER: C 1C-06-..... --
ADDRESS: -k t" k? ADDRESS:
_ PHONE NOS. 79 '7)-77 , PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: �"�_- PHONE: . A , 5
LOCATION OF PROPERTY: g`i tc -'1,je
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? YES 0 NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: .
-.,.
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
cc CiAPPLY TO YOUR Z p d o L'- O)
-JPROJECT ® .: OF.: CL 0 = =
w -Ju- w w Q n- OU
2 O ztL ouU) ~ O —
NZ Q Q - Oti- U-
d206
SINGLE FAMILY 9 ,® A.i
'TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS-OFFICE
RETAIL-
- MERCANTILE
•
FACTORY OR
INDUSTRIAL
ATTACHE I
GARAG ,3) Xir3 7c , 2c, (S I
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED NSTRUCTION COST: ‘00( dee FUEL TYPE: Cy?._
c
HEAT TYPE: *HOW MANY FIREPLACE(S): C7 AND/OR WOODSTOVES(S): Ct,
ZONING CATEGORY: • ARE THERE WETLANDS ON THIS SITE? -i,
IS THIS A HISTORIC SITE? .:
PROPOSED USE OF BUILDING OR ADDITION: c mac,c� L6-71\.1.7 --s &fie
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
a B 3-LGL 11-05
kl i; r' i 1=
ARE THERE,STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. 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. I acknowledge that prior to occupying the
facilities proposed, I or my age :'II obtain a certificate of occupancy. I also understand
that I/we are required to ide an a -built survey by a licensed land surveyor of all newly
constructed facilities nor to issuanc f a certificate of occupancy.
1 have read an gree to th e.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
, r
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes a queensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
OFFICE USE ONLY r+Ci 1\' 'CI ,\
ll lI
TAX MAP NO. PERMIT NO. Cn' 0 PERMIT FEE 1Lii i +
\\-\\ it.m =4,6 .L,tdA
APPROVALS: ZONING TOWN CLERK URY
au aEs„
APPLICATION FOR SEPTIC DISPOSAL SYSTEM -EAII
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT. �
OWNER: ( Sk� (C®k cia—cf r? INSTALLER: - S'�' \es — t
ADDRESS: ADDRESS: TC`.d e— ..
PHONE NOS. PHONE NOS. 77 7
LOCATION OF INSTALLATION: c .-:**1 `A-, 4
s i NO.OF } RESIDENCE INFORMATION:
YEAR BUILT i X I COMPUTATION_ ^ 1 TOTAL DAILY FLOW
BEDROOMS GARBAGE G D
1980 or older ; i X i 150 gallon per bedroom = INSTALLED?
1981 -1991 I = i
i X 130 gallon per bedroomSPA OR HOT
1992-present j t X i 110 gallon per bedroom = i , INSTALLED? UB ,
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING r STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL..? _ WELL
(IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. )
✓ PERCOLATION TEST: RATE IS PER MIINUTE 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). Add 250
gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub.
✓ SEPTIC TANK: Lam'®® GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
✓ TOTAL SYSTEM LENGTH: FT. SEEPAGE PIT(S): HOW MANY?
✓ SIZE OF EACH FT. X FT.
✓ SIZE OF STONE TO BE USED: # 3 /DEPTH OR THICKNESS FT. _
✓ BED SYSTEM SIZE: X
✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE
✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH
✓ GALLONS./TOTAL CAPACITY: GAL.
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'= NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
I:
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
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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 material misrepresentation or
failure to make a material fact or circumstance known byor on behalf of an applicant, shall be void.
I have read the -gulations with respect to this application and
agree to a•',e by these and a r-4 is of the Town of QUESTIONS? CALL 7614256 OR EMAIL
Queens. ry Sanitary Sew-Ir= a ispo•- Ordinance. coaes@queensburv.net
�L¢%.� VISIT OUR WEBSITE FOR MORE:INFORMATION
www.queensburv.net
ign• w e • son Responsible Date
.rs" Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury,NY 12804
t a �• �
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheck Software Version 3.6 Release 2
Data filename:\\Clutel\shared data\Clutel\Rescheck\2008 Houses\24 ALTA AVE-QSBY-26X36 RANCH-
COLOMBE.rck
PROJECT TITLE: 26 x36(936) Ranch
COUNTY: Warren
STATE:New York
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE:Non-Electric
WINDOW/WALL RATIO: 0.09
DATE: 06/25/09
DATE OF PLANS: 06/25/09
PROJECT DESCRIPTION:
24 Alta Ave
Queensbury,NY 12804
DESIGNER/CONTRACTOR:
Clute Enterprises, Inc.
6 Holden Ave
Queensbury,NY 12804
COMPLIANCE: Passes
Maximum UA=217
Your Home UA= 178
18.0%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 936 30.0 0.0 33
Wall 1: Wood Frame, 16" o.c. 992 19.0 0.0 53
Window 1: Vinyl Fi a ie:Double Pane 67 0.490 33
Door 1: Solid 21 0.230 5
Door 2: Glass 21 0.490 10
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 936 19.0 0.0 44
Furnace 1: Forced Hot Air, 92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans, specifications, and other calculations submitted with this permit application. The proposed systems have been
designed to meet the New York State Energy servation Const ction ode requirements. When a Registered Design
Professional has stamped and signed this e,they e attesti that -the best ofhis/her knowledge,belief and
prokssional judgment, such plans or cati s are in pli 'with this Code.
Builder/Designer Date
fr
•