The URL can be used to link to this page

2011-095 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development -Building & Codes (518) 761-8256 CERT.IFICATE,...,.OF OCCUPANCY Permit Number: P20110095 Date Issued: Friday, May 04, 2012 This is to certify that work requested to be done as shown by Permit Number P20110095 has been completed. Location: 28 HILLMAN Rd Tax Map Number: 523400-227-017-0001-0081-000-0000 Owner: BENJAMIN & ANNE CAMPBELL. Applicant: BENJAMIN &ANNE CAMPBELL This structure may be occupied as a: Garage Attached By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan,Variance; or other issues and conditions as a result of approvals by the Planning Board Director of Building&Code E orceme -.or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes .(518) 761-8256 BUILDING PERMIT Permit Number:. P20110095 Application Number: a20110095 Tax Map No: 523400-227-017=0001-008-000-0000 Permission is hereby granted to: BENJAMIN&ANNE CAMPBELL For property located_at: 28 HILLMAN- 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 corripliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address:: BENJAMIN&ANNE CAMPBELL Garage Attached P.O BOX 251 Single Family Dwelling $300,000.00 CLEVERDALE,NY 12820-0000 Total Value $300,000.00 Contractor or Builder's Name./Address Electrical Inspection Agency Plans&Specifications 2011-095 CONDITION ON BP:-Final Survey must show height of bldg to ridgeline using same datum as proposed plan. 3657 sq ft,single family dwelling&576 sq.ft garage- $817.80 PERMIT FEE PAID--THIS PERMIT EXPIRES: Thursday,May 24,2012 (If a longer period is-r'equired,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 To nsbu Tu sda May.,24,2011 SIGNED BY �� for the Town of Queensbury. V Na Director of Building&Code Enforcement OFFICE USE ONLY2011 ; . TAX MAP FEES: PERMIT_ / RECREATION _� .___. ENGINEERING TOWN OF QUE I'VSBUR�' (If applicable) 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: -Oen S r y/�✓4e Nmp- 1( OWNER: e- ADDRESS: /1fZ0,14 ADDRESS: PHONE NOS. S G 7 q -1 PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: l J�ejj PHONE: LOCATION OF PROPERTY: Tl�Owvvi c(�t/C�r �(� HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑ YES VNO IF SO, INDICATE APPLICATION NO,AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT p d o APPLY TO YOUR O cn d w PROJECT 0 F- w O 2 =a' O I- w n- F- O w -j u- u_ w Z� 1 - Q ww O J 0 z O Z Q Q U) N W O LL F- u- a. = 06 SINGLE FAMILY TWO-FAMILY 1 MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED r �b GARAGE(1,2,3) J OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: �j6O ,OOG _ff FUEL TYPE: ?�Z)2&nC HEAT TYPE: �ok VU64(- *HOW MANY FIREPLACE(S): l AND/OR WOODSTOVES(S): 1 ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IUd IS THIS A HISTORIC SITE? JAJ U PROPOSED USE OF BUILDING OR ADDITION: ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? N G ARE THERE EASEMENTS ON PROPERTY? /U O "F'iease complete a separate Application for`'Fmei Burning Applianoes&Chimneys"available in our office 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 agents will obtain a certificate of occupancy. 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. Signed I ) T C Director of Building & Codes: 761-8266 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (far questions regarding required permits, the permit process, application requirements or to schedule an appointment) 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: , , , I , BUILDING &CODES APPROVAL ; ZONING APPROVAL DATE ; DATE CQUEST:IONS? CALL 761-8256 OR EMAILqueensbury.netOffice Use OnIV_. E FOR MORE INFORMATIONueensbury.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 . Community Development Office Town of Queensbury - 742 Bay Road • Queensbury,,New York -12804 Office Use Only TAX MAP NO. PERMIT NO. PERMIT FEE APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANC A VALID PERMIT. /, /� OWNER: ��1�'J�Pw.j � /-}'h�� ( ,,�1.�'�'� ..,�.� INSTALLER:- •1 � /, ADDRESS: //,,BI�`fl-��{A � �'�s ADDRESS: /J PHONE NOS. '( 6 "I 4 1 4-y PHONE NOS. ' 9 /�` C/�_ LOCATION OF INSTALLATION: -2—9- AF_LAQV RESIDENCE INFORMATION: NO.OF COMPUTATION YEAR BUILT BEDROOMS X Gallons per bedroom = TOTAL DAILY FLOW GARBAGE GRINDER 1980 or older X 150 = INSTALLED? 1981-1991. X 130 = SPA OR HOT TUB 1992-present Ll X 110 = 4 40 INSTALLED? PARCEL INFORMATION: / ✓ TOPOGRAPHY: FLAT ROLLING ✓ STEEP SLOPE/ %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? Z-7~ ✓ BEDROCKIIMPERVIOUS MATERIAL: AT WHAT DEPTH? &7t,*-vrG LA K I j i-A I<c ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (If well:water supply from any se is system absorption is: ft) ✓ PERCOLATION TEST: RATE IS q PER MIINUTE PER INCH[mpi] (Test to be completed by a licensed professional engineer or architect) PROPOSERSYSTEM 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). TANK SIZE: �ZJrt� GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: �C/�� Pellel(vv�� ❑ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each trench X ❑SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size? ALTERNATIVE SYSTEM Bed or other type? Lr--A68 /Vio�vl"X 16 ' �Z tP—* ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.- 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 by or on behalf of an applicant,shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sanitary Sewage Dis osa Ordinappe. codes(a)aueensburv.net ` VISIT OUR WEBSITE FOR MORE INFORMATION Signature of Person Responsible Date www.aueensburv.net . v sit r L'h1fa7'sh a l's Q fFtte €, ,(G�iJtZ Of Qllc'.'fiBi?tir f s 742 Bail Ruud :ll(eenslwrif, ,Nfczzv Vork-128 l4 lklichael!. Pahn;, Fire Afar had^ Gary;h lnz an,Deutcty Fire Alc;rstial ' p j lJ'VL+I` ' _ .'t ��;:i:[��?IJr�Y APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building&Codes Office for the issuance of a Building & Use Permit pursuant to the New York.State Fire Prevention &Building Code. 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 all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT, RROUGH-IN,AND FINAL INSPECTIONS ARE REQUIRED. OW L'NER: ✓1 5 Adde V^"�'I�✓Q ` INSTALLER/BUILDER: np 1I I � ADDRESS: yU V ll 1 w C ADDRESS: PHONE NOS. I0 q a q el ++f PHONE NOS. LOCATION OF PROPERTY: \`�u� SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: fre;��rs 9 .c ueensbu;ry.net MASONRY" CHECK ONE ✓ VISIT OUR WEEISITE SIZE IN FOR MORE INFORMATION TILE STEEL INCHES 2MLw.gueensburv.net FLUE CHECK ONE � !I Ga DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY / WALL LINER CHIMNEY MATERIAL CHECK ONE Y `� **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO ADDITIONALNOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. A . :204001 , Watervliet, NY' — No. 3209 P. 2/3 MIDDLE DEPARTMENT INSPECTION AGENCY, INC. %W�Q that the electrical wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date noted below and is issued subject to the following conditions. Owner: Ben Campbell Date: 04/27/2012 Occupant: Same Location: 28 Hillman Lane Single Family Dwg- OccupancY: Queensbury,Warren Co. NY Applicant� � l=FG Electrical Service , 44 Meadowbrook RoadK sti x` t! ; , Queensbury, NY 12 ?� 6 � w^ / �—r�."_ �,-,r,•.... .,,ten} Y /f ikz Y. Joseph A-Holmes ?' No. u$ 3180A 7 r `� �•r N. Equipment: +r 200 -Amp. Service EquiplMent 4A�. apt les, Fixtur Air C&ditioner; 1 -Burner, Wiring.& Controls Gas; 1 ump V1fe11; 1 - Dishwasher; 1 -Dryer; 1 -20 Amp. Rererptacle V�1 asher; 3-Vent Fans; 1 - Whirlpool Tub; 1 -10 ►mp �[b�'P1'ge};l�7A�1 -200 Amp Sub Panel; 7-Smoke Detedttar, FR` . •�,+ ;i fJ s�'',� �r¢� • x� .�'M�::. }S ti�'.,1�,e "Cg'•'�wiA. ��° 1, '4§S�w•' '.tie[,n, f.8 kys k1Y��ti�, f•�gqyJQ�',Ky,.' a�4�*°'s�b•1��3 b '��@�e�it4 �•y�e��}ram"�.yc�t ,f.S:f'� . This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and above and the installation Inspected as of the above noted date based on a visual ownership as indicated herein, Upon a change in the use,occupancy or ownership inspection. No warranty Is expressed or implied as to the mechanical safety,offs• of the property indicated above,this certificate shall be immediately null and void- dency or fitness of the equipment for any particular purpose. This certificate shalt In the evens that this certificate becomes Invalld based upon'the above conditions, be valid for a Derlod of one year Imm the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to,Middle ed to,the inlroduclion of additional efeofl ai equipment and/or the replacement of Department Inspection Agency, Inc.to Initiate the inspection and tavalidation any of the components installed as of the above noted data,this certificate shall be process. A fee will be charged for this service. 2012 BUILDING & CODES Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart: 4 am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: LOCATION: A43 9=U DATE: TYPE OF STRUCTURE: Comments: Ye No NIA 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers i Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/WincloW in stairwells safe in Interior Smoke De ctors/Carbon Monoxidg Detectors Every level: Every,Bedro m: Outside every bedroom a: V / Inter Connected: V Battery backu : y Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-1 50 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification/Sticker on Panel Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Vr Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/z"Gypsum Vt Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O 1 Temporary/Permanent LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised January 7,2008; Revised 6/26/08; Revised 12/22/10 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: / � am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: C-� PERMIT NO.: LOCATION: INSPECT ON: Z RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/Clay Type of Water: Municiparl Wgll Water Waterline se tion 'stance ft. Well se p ration d nce ft. Other ells: ft. Well Casing L ngth 50' - Y N N/A 150,to w II required if JN1 Absorption field: Total length ft. Le th of each trench ft. De th of trenches Y ft. Size of Stone SeE a e Pits: Number Size: x L Stone Size/ Piping Size Type Buildina to tank Tank to Dist ibution Box Distribution Box t Field Pit Opening Sealed _Y N End Ccjb _Y N Inlet/Outlet Pi s&'Ba s Y N Manholes 12"or less bel de _Y_N [provide extenslon collar if Yes Y N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. N (Engineer Report and As- uil Y N N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whiting\2010\Bullding Codes Forms\Inspection Forms\Septicc In on ReporL03 2910.doc Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: ({ ,ArM LOCATION: -2�j �� 1 PERMIT#: Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of / Community Development. Upon review the survey has been: OJAJ Craig Brown, Zoning Administrator Notes: �VSP L:\.SueHemingway\Building.Codes.Inspecrion.FORMS\Fina1 Survey Zoning Administrator.doc DEED REFERENCE. DAVID PETERS, et. al. TO BENJAMIN ANNE S. CAMPBELL Op ��HogRY • DATED: AUGUST 15, 2003 .R. BOOK 1343 PAGE 80 \ s CIRF ON h N A$Q �� p�• \ �gRY��NF CIRF pFRo 4 c dFa=329.37 SF LANDS N/F OF EAMONN P. HOBBS 2971/272 AREA 23,545 sq. ft. 0.54 acres UNDERGROUND PROPANE TANK PAINT MARK ON CONCRETE PAD •s. LANDS N/F OF JOHN MASON 1420/68 U-70 r9" \S9 CIRF--`--- <v0 • )o V6 HILLMAN ` "y. 42 IV, 69 Wo! IPF RS MAP REFERENCES 0 MAP OF LANDS TO BE CONVEYED TO WILLIAM GAZELEY, Jr. BY: JOHN B. VAN DUSEN DATED: AUGUST 30, 1959 0 MAP OF A SURVEY MADE FOR KAROLYN SMITH BY: VAN DUSEN & STEVES DATED: JANUARY 26, 1990 O MAP OF LANDS PROPOSED TO BE CONVEYED BY DAVID PETERS, GARY PETERS, STEVE PETERS AND JEFFREY PETERS TO LEE J. & CAROL J. PIKE BY: DONALD L. PIDGEON, Jr. DATED: JUNE 29, 2002 MAP OF A SURVEY MADE FOR EAMONN P. HOBBS DATED: MAY 25, 2006 LAST REVISED: JUNE 21, 2006 BY: VAN DUSEN & STEVES LEGEND: O IPF = IRON PIPE FOUND O CIRF = CAPPED IRON ROD FOUND O RRSF = RAILROAD SPIKE FOUND O IRS = IRON ROD SET/TO BE SET c'(L = UTILITY POLE * = LAMPPOST LANDS N/F OF WILLIAM A. WETHERBEE 986/48 8 1/5/12 RIDGE HEIGHT 7 9/06/11 FOUNDATION LOCATION a eLOctober 1, 2008 u ,S' "UNAUTHORIZED LASED ON OR ADDITIONSURVEYORS S A slraveY 6 6111110 REVISED PROPOSED HOUSE Scale 1'=20' MAP BEARING A LICENSED 9, S SURVEYORS SEAL ISA Map of a Survey made for vTauna+ OF sEcnaN rtos, we-olvTsroN a OF -THE NEW YY C PIES FROM THEEDUCATION uw.• 5 6/10/10 REVISED PROPOSED HOUSE S ONLY COPIES FROM NAL ORIGINAL OF ,HIS SURVEY MARKED NTH AN ORIGINAL OF INE LAND SURVEYORS ,ALL BEgD� TO BE VALID TRUE s. BENJAMIN P . & ANNE S . CAMPBELL 4 5/17/10 REVISED PROPOSED HOUSE S —1 CERTlnrAnONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED TICE FOR ACCORDANCE WITH THE 3 9/09/09 MOVE PROPOSED HOUSE lHI SU CODE OF PREPARE FOR LAND SURVEYORS ADOPTED andSurvey ors LA D S NEW YORK STATE ASSOCIATION OF RUN LAND SURVEYORS R %I OM THE SURVIIE SHALLSPRUN , A 2 9/08/09 PROPOSED HOUSE �t 1 OF 1 M THE PERSON FOR Iw10M THE SURVEY IS PREPARED. AID ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL 169 Haviland Road Queensbury, New York 12804 AGENCY AND LING INSTITIK. AND Town of Queensbury, Warren County, New York TION LISTED HEREON ,O TME ASSIGNEES GF TME LING INSTITUTION.' 1 4/02/09 ADD TOPOGRAPHY CAMPBELL (518) 792-8474 New York Lie. No. 50135 1 NO. DATE DESCRIPTION DWG. NO. 08145 227-17-1-8 C2317 00 f Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm De art:/ am/pm Date Inspection request received: Inspector's Initials: NAME: �CAJ'e � PERMIT#: " t t ` LOCATION: � io` M DATE: TYPE OF STRUCTURE: Comments: Yes N NIA 4° Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Q �� Guards at stairs, decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracin /Handicapped.Ramp Compliant Grade away from foundation 6 inches with 10 feet _ 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches - Bathroom/Kitchen watertight Safety glazing/Window in st irwell Interior Smoke D9466tors/ aibon onoxid etectors 1 q Every level: V Eve dro Outside every bedroom a: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-1 50 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification/Sticker on Panel -"- Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area VIP Furnace/Hot Water Heater operating s Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 . Enclosed Stairs Sheetrock Underside minimum%"Gypsum Basement stairs closed rise>4 inches Y Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan d- Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C 10 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised January 7,2008; Revised 6/26/08; Revised 12/22/10 4 Vk7-% Snyder's Drywall, Inc. 91 Saratoga Ave, South Glens Falls, NY 12803 518-761-0979 April 12, 2012 Att: Ben Campbell Job Name: #28 Hillman Rd,Cleverdale NY In December 2011 Snyders Drywall inc. installed the Owens Corning—Energy Complete- Whole Home Air Sealing System for Ben Campbell at#28 Hillman Rd in Cleverdale NY. Snyders Drywall Inc. is a certified installer of the Owens Corning Energy Complete Product which combines their Air Infiltration Barrier Product with Flexible Seal Technology along with their Eco Touch Fiberglass Insulation. Please contact Snyders Drywall-with any questions. . Best Regards, Brad Stewart Snyders Drywall Inc Contact: Brad Stewart, 518-761-0979 Office/Fax 518-232-0548 Cell Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: �a NAME: PERMIT NO.. LOCATION: ` INSPECT ON: `z' RECHECK: Comments and/or diagram Soil Type: Sand oa Clay Type of Water: Municipal Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length. 50 + - Y N _N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone '21 Seepage Pits: Number Size: Stone Size. Piping Size. Type Building to tank Tank to Distribution Box Distribution Box to Field Pit Opening Sealed: N End Ca N , Inle Outlet Pipes&Baffles Y N Location Separations . Foundation to tank ft. ZE �� _ Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan _Y Engineer Report and As-Built N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear %Ls-Lem Use us- Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 U\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc Rough Plumbing I Insulation Inspect'o Report Office No. (518) 761-8256 Dane Inspection request received: Queensbury Building &Code Enforcement Arrive: dam/pm Depart: am/pm 742 gay Road, Queensbury, NY 128.04 Inspector's Initials- NAME: 9/ PERMIT ##: LOCATION: i INSPECT ON: 'Z2 TYPE OF STRUCTURE: Y N N/A Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping AVtVmd P.S.I r 15 minutes T- Ins lation Residential Check/Commercial Check ek or imilar Exterior Sealant Pro er Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If r uired unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation ReporLrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough P urnbing / Insulation Inspection sport Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: nl,-1 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: / NAME: PERMIT . f 1 � LOCATION: INSPECT ON: 47 TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/chime of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connecfion for 15 minutes Pressure Test Water Supply Wiping Air/Head r 15 minutes Insulation Aesidential Check/Commercial Check T ek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/ Hot Water Piping Insulation If Tguired unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Z✓�/� U OFF Rough Plumbing Insulation ReporLrevissed Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / insul0tion Insp ion Report Office No. (518) 761-8256 Dane Inspection request received: _ Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 128.04 Inspector's Initials: - � NAME: PERMIT##: LOCATION: INSPECT ON: 2 TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping v 50 P. .I fo 15 minutes Insulation/ sidential Check/Commercial Check nProek or milar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly!No duct tape COMMENTS: Rough Plumbing Insulation Report,revised Nov 17 2003, revised February 15,2006, revised January 7,2008 Rough Plumbing I InsulAtion Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: (. /pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: all PERMIT : - 0 LOCATION: INSPECT ON: TYPE OF STRUCTURE: ' Y N NIA ou h Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout eve 100 feet/change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.1 for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If Muired unheated spaces EDu mbustion Air Su for Furnace ct work sealed properly/No duct tape COMMENT ` Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / lnsu- lation Inspe i®n Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code (Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 128.04 Inspector's Initials: NAME: PERMIT #: l' LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y Nr NIA Rough Plumbin it Plates ent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Vent Air/Head f 5 P.S.I. or 10 fit. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.1 for 15 minutes Insulation/Residential Check/Commercial Check Tyyek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If r uired unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008 r Framing / Firestopping Inspection�Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ��/ PERMIT#• 0�s LOCATION: �,�. � INSPECT ON: f�--/E TYPE OF STRUCTURE: Y A C`MINTS: Framing i cress 22"x 30p minimum Jack Studs/Headers V Wt�f t'�) �A j Bracing/Bridging Joist hangers Jadc Posts/Main Beams Exterior sheeting nailed property 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing t � Headroom 6 ft. 8 in. Notches/Holes/Beadn Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D naua each side Draft stopping 1,000 sq.ft. floor trusses - Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from.wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%Inch or 5/8 inch�Type X Garage side 5/8 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 sf jrade LABuiiding&Codes Fortes-OLDSuiiding&CodwInspedion Fam1FwtMrg FImtoppinp Inapaclion Repott.doc RevESed January 7,2008 I �- Framing / Firestopping ZSpd1'60nrRepoe� Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: -��-A2Dam/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials/!�h�-- NAME: PERMIT LOCATIOW INSPECT ON: 7110 l TYPE OF STRUCTURE: Framing Y N I WA , COMMENTS: Attic Access 27 x 3T minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 Yaw 16 gauge 8 16D naus each side Draft stopping 1,000 sq. ft. floor trusses s or less on center Ice and waters Id 24 inches from wall paration 1, 2, 3 hour Fire wall.2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%Inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceillngfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASuilding&Codes Fomms-OLMIlding&CodesUnspection FoM'4TfVWA9 Firedopping Irapecfioo Repoit doc R6VAsed Janory 7,2We 2 41 '~ l ` A.0 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: _ Queensbury Building&Code Enforcement Arrive: am/pm Depart: 3WC-,nlpm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT M LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comm n Y N NA Footings Piers Monoli Legl4b Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place PVC Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. U\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM rt Foundation Inspection Repo Office No.(518)761-8256 Date Inspection request received: _ Queensbury Building&Code Enforcement Arrive: am/pm Depart pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: INSPECT ON: �— TYPE OF STRUCTURE. COmm Y N NA -Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels in place Foundation ampproofing Waterproofing noting Drain aylight or Sump Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval - Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\inspection forms\Foundation Inspectlon Report.doc Last printed 12/20/2005 9:24:00 AM /- 3 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: St36 am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: foe PERMIT M S LOCATION: rve- INSPECT ON: A TYPE OF STRUCTURE: Comm a Y N NA Footings Piers M Slab Reinforcemen in Place The ctor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpow on site. � � C- Wallpour Reinforcement in ace we s or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Bacifill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R. Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Forms\Building&Codes\Inspection Forms\Faundatlon Inspecction Report doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Offi N o,(518)761-8256 Bate Inspection request received: 1 ( � QuejMy Building 8t Code Enforcement Arrive: am/ Depart: am/pm 742 Hay Rd.,Queensbury,NY 12804 Inspector's Initials: ��c7 NAME: PERMIT#: . LOCATION: I INSPECT ON: 1 /3 4zlz— TYPE OF STRUCTURE: Komi N NA Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this pMose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg . Foundation Waterproofing Footing Drain Daylight.or Sump Footing Drain Stone: 12 inch width ka�6 inches above footing 6 mil 1 for wet areas under slab '' — cicfillApproval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codees Forms\Building&Codes\Inspetkion Forms\F+oundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)?61-8256 Data 'Inspection request received: Queenabury Building 8t Code Enforcement Arrive: :. am/pm Depart: pm 742 Bay Rd.,Qucensbury,NY 12804 Inspector's Initials: NAME: `'j�� PERMIT#: .-2 L e:( LOCATION: INSPECT ON: TYPE OF STRUCTURE: _ Con � Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection fionn freezing for 48 hours following the placement of the concrete. Materials for this Rmse on site. Foundation/Wallpour Reinforcement in Place Q �� Footing Dowels or Keyway in place 1► Foundation Dampproofng Foundation Waterproofing Footing Drain Daylight.or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil RUI for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R. Rough Grade 6 inch drop within 10 ft. L:\Building&Coders Forms\13ullding&CodeAlnspectlon'Forms\Famdatkon Inspection Report.doc Last printed 12/2012005 9:24:00 AM Foundation Inspection Report Office No.(518)761-'8256 Date In uest received: Queensbury Building&Code Enforcement Arrive: in Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �� NAME: OA 9G� PERMIT#: —�J LOCATION: #/&C,"Al ;� INSPECT ON: ` 7-5 1 i TYPE OF STRUCTURE: Comm n Y Y N NA Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this pur pose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place �FodationcDainpproofwg� ; Foundation Waterproofing Footing Drain Daylight or Sump ,00tingDrain-Sfone: ;7 12Linch-width 6 inches above footing 6 mil 1 for wet areas under slab �Backfill Apprgval�:� \ Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior .R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Farms\Building 8i Codesunspection FomnsWoundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office NMy"Bui'ld'in'g-& 18 68256 Date Inspection request received: g l� Queens Code Enforcement Arrive: ��an*nn Dep : am/pm 742 Bay Rd.,Queensbury,NY 128044 Inspecto ' lni6als: J NAME: t PERMIT#: . 95 LOCATION: v►^e��'� INSPECT ON: LLY Off TYPE OF STRUCTURE: oa Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. 'als for this RROse on site. undation!Wallpour e' orcemen -iri°Place�. lFooting we '.or-KOWay in ppla e lfoundafio—n—Dampproofing FoundationWaterproofing Footing Drain Daylight.or Sump Fooldnig Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab ` PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Gracie 6 inch drop within 10 ft. L:\SuikHng&Codes Forms\Butlding&CodesunSpeCbon farms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM i . 2- Foundation hopes tion Report Of6c�No.(518)761-8256 Date 'on�myest received: Queensbury Building&Code Enforcement Arrive: 5 any'p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector' Initials: NAME: C PERMIT#: LOCATION: I w1 n/ INSPECT ON: TYPE OF STRUCTURE: Y N NA tings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this RiMse on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproof ng Foundation Waterproofing Footing Drain Daylight.or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Ffoundation Insulation Interior!Exterior . R- Rough Grade 6 inch drop within 10 ft. L:\Budding&Codes Forms\Building&Codes\Inspection-FQn ns\Faundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM � OLD Queensbury Building & Code Enforcement - Residential FinarInspection Office No. (518) 761-8256 Arrive: am/pm Depart: \ am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT LOCATION: DATE: TYPE OF STRUCTURE: Comments- Yes No NIA 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall Y Interior/Exterior Railings 34 inches to 38 inches oA ' Deck Bracin /Handicapped Ramp Compliant V��` j-tZi1"'lh Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate �J Gas Valve shut-off ex osed/regulator 18 inches above grade nC �Interior privacy/trim/doors/main entrance 36 inches l Bathroom/Kitchen watertight Safety glazing/Win ow in stairwells safety glong Interior Smoke De tors/Carbon oxid etectors Every level: EVr Bedro m: f �b Outside,every bedroom rea, Inter Connected: Baftery backu : ` Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents _ Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification/Sticker on Panel Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site ,, Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler a Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan. Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker oe Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C/O[Temporary/Permanent LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12/22/10