2004-336 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040336 Date Issued: Tuesday, October 11, 2005
This is to certify that work requested to.be done as.shown by Permit Number - .-. P20040336
has been completed.
Tax Map Number: 523400-227-017-0001-008-000-0000
Location: 28 HILLMAN Rd
Owner: BENJAMIN & ANNE CAMPBELL
Applicant: BENJAMIN & ANNE CAMPBELL
This structure may be occupied as a:
Deck
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the G,
4
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
T TOWN OF. QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040336 Application Number: A20040336
Tax Map No: 523400-227-017-0001-008-000-0000
Permission is hereby granted to: BF,NTANHN& ANNF, CAIVTPBF,TJ,
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 compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: BENJANIlN&ANNE CAMPBELL
PO BOX 251 Deck $2,000.00
Total Value $2,000.00
CLEVERDALE, NY 12820-0000
Contractor or Builders Name /Address Electrical Inspection Agency
Plans&Specifications
2004-336
344 SQ FT DECK
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, June 04, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To Queens id y, June 04, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code nforcement
Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. No Permit File:No.'�� Zr inspection will be made until applicant'has received a validFee Paid $ O�building permit. All applicants'spaces on this application must be Reviewed Bcompleted and must appear on the application form
Applicant:_ 3 N Ca VV% e I Owner:Al Pie Beni at"p1 g l
Address: 2 1"a vu Address:
-eJ0_r6,1Q_ nl ( gZp
Phone#(�i t$ ) 6 5-6 - 9 81 S e(( Phone#OE-f ) Lo 9- 4 l 4 Z
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes_:
Name BQA.D CuvvlP�r l Address: �`�a JC Phone
Property Location: Lot Number: 8 / House Number Z d / a,
Subdivision Name: Tax Map Number:
Estimated Market Value of Construction: $ 0660
❑ Porch litI VD
Deck
❑ Dock IhAY 1 7 �004
❑ Boathouse
❑ Other work(describe TBU N O j QUEENSBURY ,
AND CODE
Size of structure to be built 311 square feet
Submit along with this application:
1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of -
water supply and location and configuration of septic disposal area.
2. Two sets of structural-drawings.--Indicate size of posts or studs, floor joists-,- --
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed,indicate the size of posts or
studs,roof rafter spacing and span. Indicate type of roof: sloped,flat, shed,or
other. Indicate the type of material being used for the roof.
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and
specifications submitted,are a true and complete statement of all proposed work to be done on the
described premises-and-that all provisions of the Building Code,the Zoning Ordinance-and-all-other laws--
pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is
authorized by the owner.
Applicant's signature: _V�
Date: ✓ /5-6 4
L:\SueHemingway\Building.Permit.FORMSTorch.Porch.PermiLdoe 8113/02 revised per DH
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: '
Queensbury Building& Code Enforcement Arrive: am/p Depa i pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials
NAME: _ PERMIT#:
LOCATION: INSPECT ON: LC7
TYPE OF STRUCTURE: r�
Comments
Y N N/A
gs
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
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/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:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm art: a
Date Inspection request received: — Inspector's Initials: II
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete '
ZZ—
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more /11
Guard at deck,porches 36 in. or more � �
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.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
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
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
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
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CAMPBELL RESIDENCE
28 HILLMAN ROAD
CLEVERDALE NY
DECK SETBACK PLAN
MAY 16,2004
36'
40'-1" 32'-3"
85'-10"
pfwposm 14' 531-6"
Xu mm
171'
MG MWx47tOUSE
38' 114'
15'
FCOPY' ;ram
1
I .
21V
REVIEW TOWN OF QUEENSBURY BUILDING DEPARTMENT
DATE Lal D �. Based on odr limited examination,
com lianoe with our comments shall
plans and specifications are in full
compliance with the Building Codes
of New York State.
CAMPBELL RESIDENCE
28 HILLMAN ROAD
CLEVERDALE NY
DECK LAYOUT PLAN
MAY 16, 2004
4 X 4 PT POSTS WITH
2X4PT$2X2PTRAILING
(2) 2 X 10 BEAM 6" O.C.
2 X 10 PT JOISTS 16"O.C.
(2) 10'SONO TUBES STAIRS
6'TYP (5) 10" DIA CONCRETE SONO TUBES
4' BELOW GRADE
4'
14'
4'
10 T 7'11'
5'
24'
EXISTING HOUSE
CAMPBELL RESIDENCE
28 HI LLMAN ROAD
CLEVERDALE NY
DECK ATTACHMENT PLAN
MAY 16, 2004
2 X 2 PT POSTS 6"O.C.
2 X 4 PT TOP&BOTTOM
2 X 6 P.T.CAP
2 X 10 PT WITH HANGERS-\
41/2"GALV LAG BOLTS--,, FLASHING
6"PT DECKING
(2)2 X 10 P.T.BEAM EXISTING 2 X 6 SILL PLATE EXISTING 2 X 10 FLR JOISTS
4 X 4 PT POST WITH EXISTING FOUNDATION
POST ANCHOR
10"CONC SONO TUBE
4'BELOW GRADE