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2008-342 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12.R04-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 C .T I C E 11� � Permit Number. P200 42 Date Issued: 803 Thursday, May 21., 2009 This is to certify that work requested to be done as shown by remit Number WMAQ61'1,44 1 Y L#VV VV J'T'& bus been completed. 2408 RIDGE Rd Location: Tax Map Number. 523400-240-000-0001-028-000-0000 _ Owner. BENJAMIN CAMPBELL Applicant: BENJAMIN CAMPBELL This structure maybe occupied as a: Garage Attached By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY fssua'11ce of-this Certificate of Occupancy DOES NOT relieve the a property owner of the responsibility for compliance with Site Plan, a),�avp Variance, or other issues and conditions as a result of approvals by the — Planning Board or Zoning Board of Appeals. Director of Building&ro Enfo rent TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080342 Application Number. A20080342 Tax Map No: 523400-240-000-0001-028-000-0000 Permission is hereby granted to: BENJAMIN CAMPBELL For property located at: 2408 RIDGE 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. Type of Construction Value Owner Address: BENJAMIN CAMPBELL PO BOX 251 Garage Attached CLEVERDALE,NY 12820-0000 Single Family Dwelling $160,000.00 Total Value $160,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2008-342 1951 SQ FT SINGLE FAMILY DWELLING WITH 400 SQ FT GARAGE $274.12 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,July 31,2009 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) t7y, Dated at the own Qu e b � July 31, 2008 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement CA►'►'IPB€LL - Community Development Office oron of Quecnsbury - 742 Bay Road - QueonsburG/, Nev, York •12804 a i BUILDING PERMIT CALCULATION SHEET: NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS REQ ACTUAL LIGHT REQUIRED AGTIJAL SQUARE FOOT AREA OF ROOM IN LIGHT HABITABLE ROOM SQUARE FEET 8%OF ROOM SQUARE VENTILATION-4% SQUARE VENTILATION OPENING FOR REMARKS AREA FOOTAGE OF ROOM AREA FOOTAGE EGRESS 52-6 4f, 6 42 ,o$ 2d, b 24 ,36 6,6q (4) 2g4DN305a �D6 l2 AS 22,11 � , 3 � (7, 4 C>)I :tspp 6o6 I6o N235 04( l.d Z! Z, �q Z -7 , Z8 (3) 744 DH 3oAj 171 1 29 2 15 0),5 1-z k (o13$ 5 ,?s (3) 244 M 26o49 -6e1 3 1571,5 12, I�I ,$2 �,13Po t ,sz 5, 1, C.2) 244 VH 36.A°► QUESTIONS? CALL 761-8256 OR EMAIL codes(&gueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION WWW.QUensburv.net B 10-LTR 11-20 ... .........................................................................., r_....._......_.......... OFFICE USE ONLY 10 24 0. -2 5P- o TAX MAP NO. PERMIT NO. ; ; --0-0 1 , , FEES: PERMIT RECREATION ENGINEERING ; ; (If applicable) 11 01 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:130AJ f 4116 (� OWNER: e ADDRESS: I�`�. 251 OeVeA-Lle- �JV ADDRESS: PHONE NOS. �56-90 IY69 - 4(471- PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: e PHONE: LOCATION OF PROPERTY: 2 46 S R� 4j p -RC SUBDIVISION NAME: NU/4 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z O x p d O w w cn PROJECT 00 � O F: -j O = = w iu_ emu_ = Fa- OOU w o J z CJ ►- � OI= Xw ? z Q Q r- cn N cn O u_ I- u- o- = 0 SINGLE FAMILY ✓ t� � - r 2 ' / /. TWO-FAMILY �Q MULTI-FAMILY (NO.of UNITS ) l TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED IV f1 OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST; L�Q ; 06 FUEL TYPE: TroeaA)e- HEAT TYPE: OAT A I( *HOW MANY FIREPLACE(S): 0 =AND/OR WOODSTOVES(S):-_ ZONING CATEGORY: , r ARE THERE WETLANDS ON THIS SITE? N O IS THIS A HISTORIC SITE? L PROPOSED USE OF BUILDING OR ADDITION: S'► 1� 'I *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05 C14-1 Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? Na ARE THERE EASEMENTS ON PROPERTY? �v D 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. 1 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 Director of Building & Codes: '61-8256 (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) �.` ; Permission is hereby granted to the above This application / proposed action described 01 Applicant to erect or alter the building herein is found to be in accordance with the o described herein in accordance with said ; ; zoning Laws of the Town of Queensbury. 11 Application: t t t , t t t t / , t t t t t t t I t BUILDING & CODES APPROVAL ; ZONING APPROVAL t t t t t , 10 DATE ; DATE ___________i QUESTIONS? CALL 761-8256 OR EMAIL codesAgueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION Office Use Only www.gueensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: f'f} Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804 Check Residential Plan Review: One & Two Family Dwellings Y/N/N/A J. (2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 50 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: 'ndow Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade, 5.7 sq. ft. Grade,5.0 sq. ft. 24"(h)x 20"(w)min. 44"Max.Height above floor esidential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans o tion Drainage On Plans,if required /udl'Drop in 10, Exterior Grade F g Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where uired Ace and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls �. latforms At Exterior Doors Stairway Headroom 6' 8' All Stairs 36"Width Stair Run and Rise Winder Run and Rise Spiral Not Allowed From 2 Story oke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance 11 Width, 36"min. railm ils More Than Four Risers On Open Sides and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped Attic Access Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access arbon Monoxide Detector Outside Lowest Sleeping Area, On Every Level& Interconnected it Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed r...rrrr....r.................r..rr..rr rrrrr.............. ,tee +Y I/'�`f YY? wv..0 sfs.�L,rrrrl �r OFFICE USE ONLY r ` 1 TAX MAP NO. PERMIT NO. ERMIT FEE APPROVALS: ZONING TOWN CLERK_ ....r r...r.r r.��........r...�..r..��.r r..�.r...r r r r♦r�r r r r. ; r r �.{' I Y`Y Y `ii ��....,. - .r.r APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMITS A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. r�+ OWNER: r"1`1 INSTALLER: ZL l3LV0AVM*--INk► vdI)ACC ADDRESS: 12i 1G ADDRESS: (^�3 ��C �fLf'k 1AA C.0 ll 1) PHONE NOS. ✓ PHONE NOS. LOCATION OF INSTALLATION: OcK)e) V"06- ...........................:.......................................................................................................................... ............... RESIDENCE INFORMATION- .......... 1....... .............. NO.OF l } }....................................:................... YEAR BUILT i , X COMPUTATION= - i TOTAL DAILY FLOW BEDROOMS - I ; GARBAGE GRINDER .............................................. ...........................................}...................................................................................:b...........;.......................................................................... 1980 or older , ; X 150 gallon per bedroom = i' i INSTALLE ................•...•............•...:.........•.••...•..•.....•.......•.•...{........... •.....................................................••......1............................ .•.............................. ..................... ...1 11 D?� ......r..- .}.....r.. - I [[; 1981 -1991 ; X y 130 gallon per bedroom ! - : SPA OR HOT TjJI3 1............•........u..•..........r•.... ....•.....•.....•........••...•....••.....•...(...........1...................................«......•........................q...........,........................................................................... 1992•Present X ; 110 gallon per bedroom = I INSTALLED? O PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING c�STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY BOTHER ✓ GROUNDWATER: y4T WHAT DEPTH? o r BEDROCK/1MPERVIOUS MATERIAL: AT WHAT DEPTH?1-242!t ✓ DOMESTIC WATER SUPLY: MUNICIPAL _ WELL c� (IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS 12S? FT.-) ✓ PERCOLATION TEST: RATE IS R-i3 mU ER 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: 6M GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH !VOD_FT. ✓ TOTAL SYSTEM LENGTH: 2-CO FT. SEEPAU = ✓ SIZE OF STONE TO BE USED: # EPTH OR THICKNESS FT. TD ✓ LENGTH AND/OR SIZE equired) NO. OF TANKS: t SIZE OF EACH ✓ TAL CAPACIT GAL. ............................. ............ ...........•....,.,.......................,....................•......:.,.......:.:.,.:...,.:.:.,.,...:.:.:.,...:•........:.:.:.:.:.:.:.,.:.:.,.,.,.:...:.,...:.,.....:...:.,.,.,.:.:...:.:.,.,.:.:.,.,...:.:...:.............................:.......................................; I; NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN `:I APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. i.....................:...........:.....„..,.,,.,,.......,.....,,,..,,.......,.....,.................,...:...........,.:.:,,..,...................,..,.::...,.:,.,,.............>...:... 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 QUESTIONS? CALL 761-8256 OR EMAIL Queensbury Sanitary SIV, -AAI\ ewage ' posal Ordinance. coaes�aueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION www.aueenebury.net Si nature of ers n Responsible Date l� QTown of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804 Permit Number (town use) Z - - Town of Queensbury Application for Stormwater Management Permit Under Chapter 147, Stormwater Management, LL 4-99 THIS APPLICATION IS FOR A ❑Major Project Minor Project 1. OWNER O INDIVIDUAL O PARTNERSHIP []ASSOCIATION Q CORPORATION []MUNICIPALITY p:AGENCY NAME ��� S �� � I PHONE 65 MAILING ADDRESS ii Fc c P-viC t^j STATE N ZIP CODE ( Z -() 2 AGENT D SAME AS OWNER:b..-CONTRACTOR R p ATTQFvtJE. #a1 .LTAN CQNTA TPEFtSON. NAME V�Ly-��W DNS �►� PHONE MAILING ADDRESS CITY �;ws g, . STATE ZIP CODE I;?Eck NAME PHONE MAILING ADDRESS CITY STATE ZIP CODE 4. F--ff '!-VCQ. QN FACILITY NAME(if not residential) SECTION 2 4 G FBLOCK ( LOT 2- STREET - ZONING CLASSIFICATION PROPERTY IS PRESENTLY t4O i 'R 5 1 0 VACANT 0 PARTIALLY DEVELOPED )(DEVELOPED& CUP D IS PROPERTY PART OF A SUBDIVISION? )(No Q Yes, name of subdivision FR.ECT DESCRIPIM PROJECT P �Q e i 2©C r o �✓� Nt4ti i 9 Sty 54 A, ^Sk-<< cIr r PROJECT INVOLVES: 0 Earthwork/Landscaping p Tree Clearing House Construction or Addition Driveway Construction p Garage Construction (]Detached Structure OSeptic System p Modification of a Stormwater Device Q Other -- L:ICRAIGUEMPLATESISTWATAPPSITOWN STORMWATER APPL.DOC 11/2000 Page 1 of 3 l YKuYv�;,LU u6L U t-Keswential (seasonal) OResidential (year-round) U HssocWLIU,I ,, PROPOSED STARTING DATE Avctcrfi (ST 2,0010 PROPOSED COMPLETION DATE G Zvi DESCRIBE THE MAXIMUM_SLOPE OF THE PROPERTY IN THE PROJECT AREA:---- -- 00.5% (Level) ❑5-10% (Gradual slope) p 10-15%a (Moderate slope) Q Greater than 15% (Steep Slope) IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? X-Yes ❑No (if yes,please explain) 6. CALCULATIONS & CONTROLS TOTAL AREA OF PROPERTY �-� �6 5.1 ft aY ) r 2 ACRES FT2 (circle one TOTAL AREA OF LAND DISTURBANCE: 11 (0 C FT2(do not include area of stormwater controls) TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURFACE: IS14 W t'''`W S TOTAL VOLUME OF STORMWATER TO BE CONTROLLED: --:;�70 C f- (see instructions) TYPE OF STORMWATER CONTROL MEASURES TO BE USED: '-DWA ,J HAS AN EROSION CONTROL PLAN BEEN PREPARED? Yes, plan is attached Q No If no, please contact your County Soil&Water Conservation District for assistance: Warren County 623-3119 7. SITE INSPECTION During the processing of this applicationTown personnel may need to visit this site forthe purpose of inspecting; ------ measuring and/or photographing site conditions. 1 authorize town personnel to conduct such a site inspection)(yes A no I wish to be contacted prior to any site inspection A yes no _8. CI=RTIFICATION I hereby affirm that the information on this form and all attachments submitted herewith is true to the best of my knowledge and belief. As a condition to the issuance of a permit, the applicant accepts full legal responsibility for all damage,direct and indirect, or whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the town from suits, actions, damages and costs of every name -and-descriptionresulting-from -_the-said-.prsj --------- --- - _73 _ _ _ SIGNATURE OF OWNER CA1W DATE 4 SIGNATURE OF AGENTA DATE 7 / Z3/ INCLUDE WITH THIS FOftlltl: A Site location map A Project Mans.on &/;t X 11 site p rwr(Submit 4 apples 6 arlryplans.larger than . . Q Names and legal marling ad ess?�s of--0nyco=owbors ,Of t�t�prop±�rty A Attachment A(for major projects only): A Stormwater Control keport(&r major orgods "N . A Environmental Assessment.Form (for major projoicts onl)) Failure to include any one of the required items will result in an incomplete notice and delay in processing your application. Permits and approvals may be required from other agencies. for town use only L:\CRAIGtTEMPLATES\STWATAPPSNTOWN STORMWATER APPL.DOC 1112000 Page 2 of 3 The project is appr9ked as shown on the attached approved plans and subject to the cononwi iz> iiz>i�u u, the attached S u r Approved by on -7 1 3c) t5 Permit E)q)ires �3a Zoning Administrator Date CONDITIONS OF APPROVAL 0OVJctc1 i3ruce FroiW C�? '7(nl 432z(71 or10 S4` 1C vl/n� V-- order- io Schedi,I.c C-\, r)/c _Con Sfrvcfiuh S i K �i 1 5 ifi. ATTACHMENT A to Stormwater Management Permit Application Pitts or apprawals t t €�ti r en± � ;s Agency Permit or Approval Date Applied Date Issued A��ljt�i� p�Qwngr List all P rceis within 50-0 fit Tax Parcel Number Name Mailing Address OCRA1GUEMPLATESSTWATAPPSTOWN STORMWATER APPL.DOC 11I2M Page 3 of 3 Queensbury Building & Code Enforcement - Residential Final Inspection Pk Ile Office No. (518)761-8256 Arrive: am/pl P2"rt: am/pm Date Inspection request received: inspector 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 — 31nch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers_ Guards at stains decks tios 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 Peck Bracing/Handica d Ramp Com liant 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 Privacv/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight SpLety glazing/Window in stai Interior Smoke Detectors/C n Monoxide Detectors c �,P Every level: Every Outside every bedroom area: Inter Connected: Battery backu : Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.1-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency ress 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 Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheebock Underside minimum%"G sum Basement stairs closed rise>4 inches Garage Floor Pitched Gars a fireproofing/%hour fire d /door corer 12G Duct work Sealed propgriy Gas Logs in Sealed or Glass Enclosure Final Eledrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Bulk Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if re uired Okay to issue C I C or C 10 Temporary/Permanent LABuilding&Codes FormslBuilding&Codes\lnspecbon FormsWesidentiat Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: C�•. am/p epart: am/pm Date Inspection request received: Inspector's Initials: NAME: ASC—/L/ L�', 62� PERMIT#: / LOCATION: _--�� DATE: 12 TYPE OF STRUCTURE:' Comments Yes No N/A Building Number/Address visible from road l Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake f� r 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors 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 Interior Handrails @ stairs 2 or more risers 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 waterti ht Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector 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.-ISO s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation 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 Fumace/Hot Water Heater operating Low water sbut-off boiler Relief Valve(s)installed/Heat Tra /Water Temp, 110 Enclosed Stairs Sheetrock Underside minimum''/z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/a hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan 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 s- Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: —am/ Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: -e NAME: �1AMI� PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand Loam / Clay Tpe 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 Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y N End Cap Y N Inle Outlet Pipes&Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption_ ft. Separation of Pits ft. Conforms as per Plot Plan _Y— N Engineer Report and As-Built _Y_ N Location of System on Property: Fron;tatu Rear eft Side Right Side Middle Front Middle Rear S s m e Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc f J 2 / (3)DEC Well Number () 1 c6UNTY J. (2)TOWN inr WATER WELL COMPLETION REPORT (4)OWNER ;C9 eVIC ;43> LOG (5)ADDRESS pv a��a � -Ctev�e Ground Sdrface Et. ft above sea level (6)LOCATION OF WELL(See Instructions On averse Snow Lath ong if available ��! Top Of Casing is located and method used: `� ft.above(+)or below(-)'ground surface GPS 03A.V Interpolation .,3?7 D?3v' J 7, <13 7' (fe A— - BA� -TOP OF-W WELL DW LAND SURFAcEi et)° (� _._. BELOW LAND SURFACE(feet) (s)DIAMETER in. in. in. in. (10)LENGTH ft.( in. (41)GROUT TYPE/SEAL (12)-GROUT ISEALING INTERVAL -: l rva ' O FROM 6 TO (13)-MAKE-&NfATERIAI_ (14)OPENINGS i (15)DIAMETER in.I in. in. in. (16)LENGTH - ft. ft. ( ft. in. (17)DEPTH TO TOP OF SCREEN,:KROM TOP OF CASING (Feet) rk.-T—ET bURAT(ON OJ'1PSi j `(20)LIFT METHOD (�1):STABILIZED DISCHARGE(GPM)16� ❑Pump 7. . ❑Bail (22)STATIC LEVEL PRIOR TO TEST (24MMMUM DRAWDOWN{$tact maq (foalliind"belowtpofcasino. (fe ndr�stielbw ofe�stngk `(341 RECOVERY(Tirpi3"uihtwvh"ntAas) - ---- d�cha a+ frbtfrinYti diatearea? A i i (26)F*JMP INSTALILtO (27rt3i;T1:' (28).iaUdl�tIJSTaP.LLER YES NO (29)TYPE (30)_MAKE (31)MODEL (32)MAXMUM CAPACITY(GPM) (33)PUMP INSTALLATION LEVEL FROM TOP OF CASING(Feet) (34)METHOD OF DRILLING �M3 ,USE OF WATER any ❑Cable Toot ❑Otfier (See insfiuctldts for choices) Rotary --- (36)DATE'Dji(LCING)IIfORK STARTED {37)DATE DR�iN6 W-L1f2K-fOMPLETEB (381'DATE REPORT FILED :(39)REGISTERED =VELL ORRUt vG- (46)DEC REGISTRATION NO. C�49-61? 1175 FARLEY ROAD I NYRD HUDSON FALLS,NY 12839 (41)CERTIFIED D�RILL,ER(Print name) (42)CERTIFIED DRILLER SI TURE } BOTTOM OF HOLE *By signing this document I herebyaffirm,that:(1)1 am certified to supervisevater we drilling activities as defined by Environmental Conservation Law§15 1502, (2)this water well was constructed in accordance with- water welFstandards-prop.,uigated by the New Yes:3:Sta.te 0epaftent-of Healtf;- (3}u_Ider the:Penalty of NYEDECT perjury the information provided,in this Well'Completion Report is true,accurate and complete,and I under- COPY stand that any false statement made�ere)n is punishable as a class A Misdemeanor under Penal Law§210.45. Thtlr�-icej�� Queensbury Building & Code Enforcement - Residenti final Inspection Office No. (518) 761-8256 Arrive: am/p am/pm Date Inspection request received: Inspectors Initials. J NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: + Comments• Y No WA 4' BuildingNumber Address visible from road 41 ChimneyHeight/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch PlumbingVent through roof minimum 6 inches :t 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 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 l trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors >✓�'Q Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Bette backu : Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 N.ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s ,ft. Emergency ress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'A"Gypsum � 1 Basement stairs dosed rise>4 inches �JJ r�% 1 n ic,C_- Garage Floor Pitched Garage fireproofing/'/+hour fire door/door closer z7��otc `i�(/r 1 �L C 5 Duct work Sealed pE2p2rjI Gas Loge in Sealed or G s E closure Final Electrical Final Survey Plot Plan ' Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding C1 ro i* As Built Septic System/Sewer Dept. Inspection Sticker 1 Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 1 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6126/08 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: LOCATION: ��- PERMIT#: Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of Community Development. Upon review sqyq has Craig Brown,Zoning Administrator Notes: L:\SueHemingway\Building.Codes.L'cpection.FOKMS�Final Survey Zoning Administrator.doc MAP REFERENCE: MAP SHOWING SEVERAL PARCELS OF LAND OWNED BY RUTH PULVER RICE DATED: OCTOBER 1, 1971 BY: COULTER & McCORMACK V w 0 \ LANDS N/F OF JOAN M. STEPHENSON rj W \ DIRT DROVE • I o DRILL HOLE o oNo LEGEND: I � I a O BRF = BATHEY ROD FOUND N86°48 I I N O TBF = "T" BAR FOUND O IRS = IRON ROD SET/TO BE SET 226. w v = UTILITY POLE m � o Q 0 s V) r _ TBF oVCR Esr m O U) ° o z h w w OVER BY 3.0' � f�1 LL- 0 Fr ►f•,� FOUNDATION I z v Z q 072. AREA 0 s 22,663 sq. ft. 0.52 acres �y W WELL 0 0 v3 � 0 I HEREBY CERTIFY THAT THIS MAP WAS PREPARED IRS 113.36, LANDS N/F OF FROM AN ACTUAL FIELD 5URVEY. THIS CERTIFICATION SMALL RUN ONLY TO THE PERSONS OBRF DEBORAH S. BARKER FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR o BEHALF TO 'ME TITLE COMPANY. GOVERNMENTAL AGENCY TRUSTEE AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. I a J CERTIFIED TO, BENJAMIN P. CAMPBELL ANNE 5. CAMPBELL �, "'� 226. 73, GLENS FALLS NATIOfIAL BAHK IT 5 5UCCE55ORS AND/OR ASSIGNS ((T N LAWYERS TITLE @q. t"' dE`CORPbRATION \�, 3 `S86°48,`{ O Ln d LANDS N/F OF CERTIFIED. Y: — o MARK & NANCY SHEARER BRF O �(109 �F-MATTHEW C.'tSTEVES LL5 NY5 50135,1 Cl �- MAY ll DATEDs SEPTEMBER 23. 2008 Y OF QUE NS 12 T To &CODES _ 't t Datel JULY 7, 2006 T.T...vT'• 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY SCale 1'_20A MAP BEARMG A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for ^ VIOLA ON OF SECTION 7209,SUB-DIVISION 2,OF THE Q��'`��XVC/.` @/'''^��� NEW PORK STATE EDUCATION LAWS /y S tJ V 1/ S MARKED COPIES FROM THE ORIGINAL OF THIS SURVEY `.-_ 1 MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS F1J SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES' & Anne S . Campbell ,m p b e 11 / 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE VATH THE Benjamin 3 3 18 08 OUNDA TION LOCATION / CERTS. Land Survey o r S LANDS CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL p ,{ p LAND SURVEYORS SAID CERTIFICATIONS SHALL RUN ONLY 2 8f 1`}/O(J PROPOSED US SHEET 1 OF 1 TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND Town of Qeensbury, Warren County, New York ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL lli9 Haviland Road Queensbury, New York 12804 TO AGENCYTHE A AND LENEES DNG OF INSTNInONTHELENG LISTEDINSnTUTION HEREON.AND Town of Fort Ann, Washington County, New York 1 7117106 ADJOINER'S WELL, DRILL HOLE SSIGNDIN .� CAMPBELL DATE DESCRIPTION DWG. NO. OG1�n1 (518) 792-8474 New York Lic. No. 50135 N0. TOWN OF QUEENSBURY TAX PARCEL 240-1-28 C1838 Septic Inspection Report Office No. (518) 761-8256 Date Inspection 'request received: Queensbury Building &Code Enforcement Arrive: ' '�j am/pm part: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector Initials: i NAME: 7 h 8 el-U" PERMIT NO.: LOCATION: J o66'-' 11'ellc� INSPECT ON: RECHECK: Comments and/or diagram Soil T nd L Type of Water: Municl a ell Wat Waterline separation istance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50` + / - Y VN N/AL � , +� Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ? ft. Size of Stone 44 Seepage Pits: Number Size: x Stone Size: Piping Si Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y N End Cap Y N Inlet/Outlet Pipes &Baffles N Location Separations Foundation to tank ZLI ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan s N Engineer Report and As-Built Y N Location of System roperty: '� Front ear, Left Side Right Side Middle Front Middle Rear System Use Status: Approved w Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc 169 Haviland Road Queensbury,NY 12804 i Hutchins Engineering Phone:(518)745-0307 N Fax:(518)745-0308 April 15, 2009 Town of Queensbury Buildings Department 742 Bay Road Queensbury, NY 12804 Reference: Wastewater Installation —Tax Map #240-1-28 - Ben Campbell This office has inspected the installation of the new wastewater system at the referenced property. The system includes a 1000 gallon precast concrete septic tank, precast concrete distribution box and an absorption field with (5) pipe-in-stone trenches at 40' each installed in stabilized fill material. With the exception of final taper and site grading and topsoiling, the system is installed in general conformance with the design drawings. Attached is a record drawing. Should you have any questions, please contact us. Regar , Lucas W. Dobie, EIT Cc. Chris Crandall w/drawing G. Thomas Hutchins,P.E: 'F�e ( --6r--�ZF Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reque rove . Queensbury Building & Code Enforcement Arrive: part: ` .� m 742 Bay Road, Queensbury, NY 12804 Inspector's Initia r NAME: A4 PE lt' #: a LOCATION: INSPECT ON: Z TYPE OF STRUCTURE: N. N/A n Rough PlumbingNail Plates Plumbing Vent Vents in Place 1 1/2 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 15 minutes idential Check Commercial Check er Vent Attic Vent Duct/ Hot Water Piping Insulation ' If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly No duct tape COMMENTS: LAPam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 E'eCr—f( C0' � F / (-,,(�S- -/: Rough Plumbing / nsulation Inspec�ia Report Office No. (518) 761-8256 Date Inspection r s r ed: Queensbury Building &Code Enforcement Arrive: p part: rn 742 Bay Road, Queensbury, NY 12804 Inspector's to r NAME: P IT#: LOCATION: '1 , '` IN PECT ON: — 77, TYPE OF STRUCTURE: 1 n Y N N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size L Washing Machine Drain 2 inch minimum LI Cleanout every 100 feet/change of direction Pressure Test Drain /Vent AC� 1 Air/Head �h <� 5 P.S.I. or 10 ft. above highest connection for 15 minutes essure Test ater Supply Piping e .I for 15 minutes y sidential Check/Commercial Check ek milar Exterior Sealant ro r Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation J�,t If required unheated spaces Combustion Air Supply for Furnaces Duct work sealed properly/No duct tope `R�'f'M\5Z 00 t-N COMMENTS: 1h To V-0 c' Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reque Iv Queensbury Building &Code Enforcement Arrive: , a rt: aT 742 Bay Road, Queensbury, NY 12804 Inspector's Initi NAME: Corn P � PE IT#: l) 3Z LOCATION: �0 S /Li � Qe .- � INSPECT ON: 7 TYPE OF STRUCTURE: Y N/A ou h Plumbing/Nail Plates Plumbing Vent/Vents in Place , 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum V 1 Cleanout every 100 feet/change of direction Pressure Test y L8= ' D in ent i ad P. . or 10 ft. above highest connection for 15 minutes Pm4s'-ure Test Water Supply Piping d 0 P .I min ion/Re a Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Suppll for Furnace Duct work sealed properly/No duct to e COMMENTS: Rough Plumbing insulation Report.revlsed Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection requ i Queensbury Building &Code Enforcement Arrive:2 a a� 742 Bay Road, Queensbury, NY 12804 Inspector's Initial : _ NAME: C PERMIT# O LOCATION: Z O R ,t7 RC7 INSPECT ON: TYPE OF STRUCTURE: Framing Y N/A COMMENTS: Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging G►Ro�e"CeS Joist hangers ► ►(, Jack 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 %W 16 gauge 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 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 pay Artymin. 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. (W) 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-01-Muikling&CodesNnspection ForrnsTrarning Firestopping Inspec ion ReporLdoc Revised January 7,2W8 Framing / Firestopping Inspection Report -/o Office No. (518)761-8256 Date In pecon request received: Queensbury Building &Code Enforcement Arrive. 0 am/ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspecto s Initials: �' NAME: �� l PERMIT# LOCATION: INSPECT ON: TYPE OF STRUCTURE: y Y N N/A COMMENTS: Framing -AR' ss 22"x 3V minimum !V k`L-1 0 F I` l 2 r) C� �V GJS Jack Studs/Headers P2 v J I�L/- A <<_ Bracing/Bridging Joist hangers Jack 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 % w 16 gauge 8 16D nails 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 hoar 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. (W) 5.7 sf above/below grade 5.0 sf grade L:Suilding&Codes Fomns-OLMWIding&CodesMnspec ion FonnsTraming Firestopping Inspadjon RepoRAoc Revised January 7,2006 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date inspectionrpquest received: Queensbury Building &Code Enforcement Arrive: aml� epart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspect�ls:�.1�� iD NAME: PERMIT#: LOCATION: r INSPECT ON: o TYPE OF STRUCTURE: Framing Y N N/A COMMENTS: Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack 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 % w 16 gauge 8 16D nails each side Dr stopping 1,000 sq.ft. floor trusses chor 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 518 inch Type X Ceilingtwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:1BuildkV&Codes Forms-OLD1Buildinp&CodesNrspedion FonnsTrmnirq FisopphV Inspection Report doc Revised January 7,2008 Framing f Firestopping Inspection Report Office No. (518)761-8256 Date l o i"uest received: Queensbury Building &Code Enforcement Arrive am/ f Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's initials: ! NAME: r^ - PERMIT#: LOCATION: / INSPECT ON: /22 % TYPE OF STRUCTURE: Framing Y N NIA COMMENTS: Attic Access 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack 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 % w 16 gauge $ 16D nails each side Draft stopping 1,000 sq. ft.floor trusses "` r 6 ft. ss on center Ice and water shies 4 inches from wall ion 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 518 inch Type X Garage side 518 inch Type X Ceilin !wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 s#grade LABuiiding&Codes Form -oLDlBuilding&Cvdesmnspec don FomjaTraff ng Firestoong Inspection Report.dx Revd January 7,2006 Framing / Firestopping Inspection Report �s Office No. (518)761-8256 Date Ins�uest received: Queensbury Building&Code Enforcement Arrive: am/pp��y am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: V� ' NAME: PERMIT#: LOCATION: C INSPECT ON: Z 4� TYPE OF STRUCTURE: Framing Y N WA COMMENTS: Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack 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 '/ w 16 gauge 8 16D nails each side 7chor pping 1,000 sq. ft. floor trusses Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Ll 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 518 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L\Buil ft&codes Forms-oLDSuildN&Godeswepedion FamsT arcing Firestopping Inspection Report.doc Revised January 7,2WO Foundation Inspection Report Office No.(518)761-8256 Date eqnest received: Queensbury Building&Code Enforcement Arriv am/p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspe ,' Initials: NAME: I PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A FQatino Piers onolithic 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 or Keyway in place Foundation Dampproofing Foundation Waterproofmg 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. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date InspeEtiFal Queensbury Building&Code EnforcementArrive:742 Bay Rd.,Queensbury,NY 12804 Inspec�o s NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A 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 or Keyway in place Foundation Dampproofmg 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. L:\Building&Codes Forms\Building&Codes\Inspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM qI Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: , am/� Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto s Initials: NAME: a ( -�-} PERMIT#: N ` �2— LOCATION n ' INSPECT ON: - TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement 'Materials for this on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofmg 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. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Y t.� IM3 T" M by Weyerhaeuser September 11,2008 Ann:Steve Fairbanks Curtis Lumber Co.,Inc. 885 Route 67 Ballston Spa,NY 12020 Re: 80871 Campbell 2408 Ridge Rd. Queensbury,NY 12804 Enclosed are TI-Xperto calculations and framing plans for the above referenced project. Curtis Lumber Co.,Inc., NY prepared these drawings. PROJECT NAME: 80871 Campbeli,JOB DESIGN CALCULATIONS DATES AND TIMES: See attached calculations and verify the Design Date and Times match those listed below. DRAWING DATES AND TIMES: DESIGN DATE/T1ME First Floor 8/28/2008 @ 12:00 Second Floor 8/28/2008 @ 12:00 Roof 8/29/2008 @ 12:D0 iLevelTM by Weyerhaeuser proprietary TJ-Xpere*computer software is a computer aided drafting and design (CARD)program which selects and verifies the structural performance of each structural component before it will produce a plot. This program is operated by personnel within our software distribution network or iLevelTM Technical representatives. iLevelTm warrants the accuracy of the software output and that the sizing of the products are in accordance with ICC approvals. This warranty is displayed on the drawings. The professional engineers'stamp on this letter is to verify that the analyses presented conforms to accepted engineering practice,the use of code accepted product design values and that the components have adequate capacity for the design conditions indicated. Although the engineer has not personally reviewed the project plans or visited the site,we guarantee that our products,as shown in the attached drawings and/or calculations,have been sized to support all of the loads provided by your office and designed in accordance with iLevelTM criteria.This can be verified by examination of the lower right corner of the framing drawings where the wording;"FOR THE TJ- XPERT®WARRANTY SEE BUILDERS GUIDE"must be displayed. All notes and design load information shown on these drawings should be reviewed to ensure that the area design loads,deflection criteria and other conditions are correct and/or acceptable for the specific application. Also,please verify that the products installed have the"Silent Floorm",.T.Irm","Microllame LVL","Parallame PSL",or "TimberStrandm LSL"markings to confirm that this letter is valid. Please feel free to contact ere are any questions regarding the analyses. Sincerely, 1�►t11KJ DOt/C MEM AfiMICR111AL � K thy I ug Structural Fra Engineer Call Tracking Number: 697% Date of Call: 9/11/2008 New England Engineering 0360 Route 101,Suite 1 4 Bedford,NH 03110• Phone603-472-6730 Fax 3-218-6167 L a E99000009L'oN/ab:04. -18/0Z.:OL soot 4& aas<aMO> f40MA Foundation Inspection Report Office No.(518)761-8256 Date Ins to request received: Queensbury Building&Code Enforcement Arrive: l/ am/pm G� Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect 's Initials: r' NAME: ' PERMIT LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A 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. Mate ' se on site. Fours ion/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 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 Fors\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation 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: 1.K_Aj� NAME: i PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUC Comments Y N/A Footings 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 �25 Footing Dowels or Keyway in place Foundation Dampproofmg —� Foundation Waterproofmg 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. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation 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: 2\ T NAME: PERMIT#: � �- LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A 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 or eyw m place Foundation Dampproofng S 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. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspectin Repmt.doc Last printed 12/20/2005 9:24:00 AM i { 9 Permit# i I Permit Date REScheck Software Version 3.7.3 Compliance Certificate °f NS H - Project Title: Campbell Residence co 0� Report Date:08/06/08 N ui Energy Code: New York State Energy Conservation r�0' Construction Code No 4 Location: Warren County,New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 10% Heating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor. Queensbury,NY 12804 Ben Campbell Kevin L.Hastings,PE 28 Hillman Road 3 Jackson Avenue Cleverdale,NY 12820 South Glens Falls,NY 12803 Compliance:Passes Maximum UA:345 Your Home UA:339-->1.7% Better .• IBM Assembly Basement Exterior Wall:Solid Concrete or Masonry: 670 11.0 0.0 74 Window 1:Vinyl Frame:Double Pane with Low-E: 5 0.280 1 1 st Floor Exterior Wall:Wood Frame,16"o.c.: 1072 21.0 0.0 52 Window 2 Entry/Living Room:Vinyl Frame:Double Pane with 42 0.350 15 Low-E: Window 4 Door Lites:Vinyl Frame:Double Pane with Low-E: 7 0.350 2 Window 5 Kitchen:Vinyl Frame:Double Pane with Low-E: 3 0.350 1 Window 6 Bath:Vinyl Frame:Double Pane with Low-E: 5 0.350 2 Door A Entry:Glass: 20 0.350 7 Door H Patio:Glass: 40 0.330 13 Door L Garage:Solid: 50 0.320 16 1st Floor Garage Ceiling:All-Wood Joist/Truss:Over Outside Air: 391 21.0 0.0 17 2nd Floor Exterior Wall:Wood Frame,16"o.c.: 1200 21.0 0.0 62 Window 3 Bedrooms:Vinyl Frame:Double Pane with Low-E: 79 0.350 28 Window 6 Bath:Vinyl Frame:Double Pane with Low-E: 14 0.350 5 Window 7 Transom:Vinyl Frame:Double Pane with Low-E: 16 0.350 6 2nd Floor Ceiling:Flat Ceiling or Scissor Truss: 1278 38.0 0.0 38 The proposed building represented in this document is consistent with the building plans,spec cations,and other calculations submitted with this permit application.The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements.When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code. U Builder/Designer Company Name Da e Project Notes: Twn42)ct,�or�v�cipwfa Campbell Residence Page 1 of 2 r basement(888 sf);poured concrete foundation walls;sill elevation 8"above finish grade. Interior features:kitchen(136 sf), master bedroom&bath(564 sf),family room(236 sf),living room(132 sf),dining room(122 sf),bedrooms(396 sf),1/2 bath (42 sf),laundry alcove(27 sf),storage closets. Insulated windows and exterior doors,dual pane low E glazing,high performance R-value doors,weather stripping,thermal breaks.Electrical controls,Energy Star heating&cooling equipment, ventilation fans,performance as required by code. ram'1 x i Campbell Residence �� �� �� Page 2 of 2 r- < E REScheck Software Version 3.7.3 Inspection Checklist Date:08/06/08 Ceilings: ❑ 2nd Floor Ceiling:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ 1st Floor Exterior Wall:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ 2nd Floor Exterior Wall:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: Basement Walls: ❑ Basement Exterior Wall:Solid Concrete or Masonry,5.0'ht/4.3'bg/2.5'insul,R-11.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?—Yes—No Comments: ❑Window 2 Entry/Living Room:Vinyl Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 4 Door Lites:Vinyl Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑Window 5 Kitchen:Vinyl Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes—No Comments: ❑ Window 6 Bath:Vinyl Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑Window 3 Bedrooms:Vinyl Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 6 Bath:Vinyl Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window 7 Transom:Vinyl Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: Page 1 of 4 Campbell Residence_ #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door A Entry:Glass,Ufactor.0.350 Comments: ❑ Door H Patio:Glass,U factor.0.330 Comments: ❑ Door L Garage:Solid,U-factor:0.320 Comments: Floors: ❑ 1st Floor Garage Ceiling:All-Wood JoisVTnuss:Over Outside Air,R-21.0 cavity insulation Comments: Air Leakage: ❑Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.if non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder. ❑ Required on the wane-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑Materials and equipment must be installed in accordance with the manufacturer's installation instructions. ❑Materials and equipment must be identified so that compliance can be determined. ❑Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [�Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: ❑Supply ducts in unconditioned attics or outside the building must be insulated to R-11. ❑ Return ducts in unconditioned attics or outside the building must be insulated to R-6. ❑Supply ducts in unconditioned spaces must be insulated to R-11. ❑ Return ducts in unconditioned spaces(except basements)must be insulated to R- ❑ Return ducts in unconditioned spaces(except basements)must be insulated to R-2. .Insulation is not required on return ducts in basements. Duct Condmetion: ❑All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), mastic-plus-embedded-fabric,or tapes.Tapes and mastics must be rated UL 181A or UL 181B. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the Largest zone. Electric Systems: ❑Separate electric meters are required for each dwelling unit. Fireplaces- (]Fireplaces must be installed with tight fitting fireplace doors. ❑ Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Reaadential Code of New York State or the New York City Building Code,as applicable. Service water Heating: ❑Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral Campbell Residence Page 2 of 4 heat trap or is part of a circulating system. ❑ Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. Campbell Residence ~� _ _�_ Page 3 of 4 Table 1:Afinhnum Insulation Thickness for Cimadeting Not water Pipes Insulation Thickness In Inches by Pipe Sizes Heated Water NomCinc ing Runouts Clinwlaft Mains and Runouts Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.(" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2:Allnkmum knsWadoe Thickmas for NYAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types RarWF) 2"Runouts 1"and Less 125"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Law Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for teed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Bekaw 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Campbell Residence Page 4 of 4 �° C.I�CnGnC.ICnLnC.nLnr�C�LnC.I@nC.�LnLI�rJ-GnICnC.�LnC�C.I�GnC.�LnC.I�C.I�CnC.(CnC.nC.l nCnC.I�CnCnLnC.��nC.I�CnC�C�LPr Qln.I�C�CnL LliI .�C.ICnLInGnCnLILnLnLn 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITER S 5 S S SBUREAU OF ELECTRICITY S 5 40 FULTON STREET — NEW YORK, NY 10038 S� 5 CERTIFIES THAT S 5 S 5 Upon the application of upon premises owned by 5 5 S S 5 EFG ELEC. SERVICE BENJAMIN CAMPBELL 44 MEADOWBROOK RD 28 HILLMAN RD S QUEENSBURY, NY 12804-1502, CLEVERDALE, NY 12820 5 5 Located at 2408 RIDGE RD LAKE GOERGE, NY 12845 5 5 c5 5 5 Application Number: Certificate Number: S 4015550 4015550 C 5 Section: Block: Lot: Building Permit:. BDC: A239 S S 0 3�-344L 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor,Second Floor,Attached Garage,Outside, 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the29th Day of April, 2009. 5 5 Name OTY_ Rate Ratin Circuits Tyne 5 SC] Alarm and emergency equipment 5 Sensor 3 120 0 CarMon/Smoke S 5 Sensor 4 120 0 Smoke Appliances and Accessories 5 Dish Washer 1 120 F.H.P 5 Exhaust Fan 2 120 F.H.P Ci�iJJJ Service S 5 Service Disconnect: 1 200 cb Servicel Phase3w Service 5 Rating200Amperes Wiring And Devices 5 5 AFCI 3 120 15 Fixture 8 120 Fluorescent Fixture 46 120 Incandescent 5 Outlet 1 0 Telephone 5 Outlet 4 0 \ CATV 5 5 Paddle Fan 1 120 5 Receptacle 1 240 50 Rangei_seal 5 5 Receptacle 13 120 GFCI 5 Continued on Next Page 1 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the'lotati'bn'[ dicated. `ug 5 o LnLn�LnLnLnLnLnLnLn��nLnLrLnLnLnLnLnLnLnLn�nLnLnLnLnLnLnLnLn�nLnLr�nLnLn�nLnLnLrLnLn�LnLnLnLnLnLn�LnLnLn��LnLrLn�.rLnLnLn a 911MR2MMINE.n[J'C111WRYI ffil f[ I[ 'iiIG l M2FTI�C.(GfCJ�[J11[Jffil�G1[J�[.![P[1�r�[J�[J�[J�[1C1[P[.f[J�[J�r�[([.([J�[lGf[1[i 1 c1 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 S NEW YORK BOARD OF FIRE N 5 5 U DERWRITERS S 5 BUREAU STREET NEW I OF ELECTRICITY 40 5 5 ORK, NY 10038 5 5 CERTIFIES THAT 5 5 5 5 Upon the application of upon premises owned by 5 5 5 S 5 EFG ELEC. SERVICE BENJAMIN CAMPBELL L� 5 44 MEADOWBROOK RD 28 HILLMAN RD 5 5 QUEENSBURY, NY 12804-1502, CLEVERDALE, NY 12820 S Located at 2408 RIDGE RD LAKE GOERGE, NY 12845 5 5 5 Application Number: 4015550 Certificate Number: 4016550 5 5 S 5 Section: Block: Lot: Building Permit: * BDC: A239 S 5 Residential 5 5 Described as a occupancy, wherein the premises electrical system consisting of S electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor,Second Floor,Attached Garage,Outside, 5 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or others 5 authority having jurisdiction, and found to be in compliance therewith on the29tn Day of April, 2009. 5 5 Name OTY Rate Rating Circuits Tvoe 5 5 Receptacle 49 120 Gen,Purpose 5 Switch 52 120 Gen,Purpose 5 5 5 5 5 5 S 5 5 S S S S S 5 5 5 5 5 Seal 5 5 2 of 2 - 5 v _ SThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the locafion indicated. 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