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2011-409 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110409 Date Issued: Tuesday, May 22, 2012 This is to certify that work requested to be done as shown by Permit Number P20110409 has been completed. Location: 90 ROCKHURST Rd Tax Map Number: 523400-227-013-0002-039-000-0000 Owner: LARRY CLEVELAND Applicant: LARRY CLEVELAND This structure may be occupied as a: Single Family Dwelling By Order of Town Board 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 Enforcement or Zoning Board of Appeals. .411111bii TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 FIVO Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110409 Application Number: A20110409 Tax Map No: 523400-227-013-0002-039-000-0000 Permission is hereby granted to: LARRY CLEVELAND For property located at: 90 ROCKHURST 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: LARRY CLEVELAND JOHN SHINE Single Family Dwelling $130,000.00 32 NORTHWAY Ln Total Value $130,000.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency A J CATALFAMO CONSTRUCTION 747-6659 5 SIXTH St HUDSON FALLS NY 12839-0000 Plans&Specifications 2011-409 1987 sq ft single family dwelling $397.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 23,2012 (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'I(own of °ueet hury, if u l August 23,2011 SIGNED BY `' v,;• Queensbury. for the Town of Director of Building&Code Enforcement '.- .-r , , -010 ''T.-7 72 i -7 -; ,-,OFFICE USE ONLY • • ._ , f W1 ) —,/ - / /1 Lji TAX MAP NO.' f PERMIT NO. i , ri (� (� -2 r- FEES: PERMIT. )j RECREATION ENGINEERING 1 ,UG 1 1 2011 (If applicable) I TOWN OF QUEENSB 'Y - PRINCIPAL STRUCTURE: APPLICATION FOR ZONIN C AP'7' 1' 141; .: * • PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. jJ 41406 APPLICANT/BUILDER: Al C44I 1.¢vr10 CO rI s+1u ch iNER: L412(LY' cieNlaboO • Kcemexembociouteawirr ADDRESS: `> Si n--I1 sr ADDRESS: . 2iE i Ozi a fL 'f PHONE NOS.(57£0 PI 7 - 60-1 PHONE NOS. Li lcib0 CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: cm* O't1�NPHONE: 646•;511 LOCATION OF PROPERTY: go @nuc 3r 120• '1OufJ OF ei .,jl_ P&t2-` , {..Pr 12,x} HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? %YES 0 NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: 41re, ftad mPV : o4.17•'i011 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT OZ cc d o LU APPLY TO YOUR Z i= cc p co co O co w PROJECT O Q O • x O -- s LL L. Ili NO)u) OZ < < r O u IL- d 1 oO SINGLE FAMILY x G83 482• 819. 1987 lite TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: iJ//o ESTIMATED CONSTRUCTION COST/ /30,000 FUEL TYPE: OTL HEAT TYPE: -- // *HOW MANY FIREPLACE(S): Lk'L AND/OR WOODSTOVES(S): 1.101-16 ZONING CATEGORY: mita. ARE THERE WETLANDS ON THIS SITE? 'JO IS THIS A HISTORIC SITE? }.O PROPOSED USE OF BUILDING OR ADDITION: 4i '. rr4-4IL { O1.JLa(�(A� ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? II'.�o ARE THERE EASEMENTS ON PROPERTY? Lib *Please complete a separate Application for"Fuel Burning Appliances& 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 gr a .d e above. Signed l Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 t Revised 4/14/2010 Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(aqueensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 OFFICE USE ONLY TAX MAP NO. PERMIT NO. ,,I P '/, 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 ISSUANCE OF A VALID PERMIT. OWNER: S[l j�1✓i e / C(C✓elk 14 INSTALLER: ((k c'4(1 e x C 4111-k✓1 j ADDRESS: (O Roc(chv(St C ecosb(rv' ADDRESS: U/00 dcl-ivcIc hr(( ac4 PHONE NOS. 7 5 -2,a t/8" PHONE NOS. 753-0(1 3 LOCATION OF INSTALLATION: RESIDENCE INFORMATION: YEAR BUILT NO.OF COMPUTATION X = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = INSTALLED? //e) 1981 -1991 X 130 = SPA OR HOT TUB 1992-present X 110 = INSTALLED? A)0 PARCEL INFORMATION: �/ ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE � ✓ SOIL NATURE: SAND LOAM X CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? S e e eI F}'v ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? See elk Ill ✓ DOMESTIC WATER SUPLY: MUNICIPAL (If well:water supply from any septic system absorption is: ft) ✓ PERCOLATION TEST: RATE IS 5•ee ell-Ai PER MIINUTE PER INCH[mpi] (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). TANK SIZE: a)1°dW 34'IdGALLON(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: 14 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? ❑ 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 Sanitarywage hiy/isal Ordinance. codesCa�queensburv.net (41' ' 7/d j/(( VISIT OUR WEBSITE FOR MORE INFORMATION Signature o Person Responsible bate www.queensburv.net Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 Queensbury Building & Code Enforcement - Residential Final inspection • Office No. (518)761-8256 Arrive: am/ De part: am/pm Date Inspection request received: Inspector's Initials: ��%G NAME: SX a. / PERMIT#: ZO//— 7 5 LOCATION: <'' ii DATE: T / TYPE OF STRUCTURE: /// / Comments: Yes/No N/A 4" Building Number Address visible from road ✓ Chimney Height I"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 Wail 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 1 trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors 1 Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: 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 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification ►/ Floor truss,draft stopping finished basement 1,000 sq.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 Relief Valve(s)installed/Heat Trap/Water Temp 110 t/r Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% ` f Final Survey Plot Plan V v� r.sf7 tf~//�� Cr Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles ` tor4 Flex Gas Pipe Bonding /' r As Built Septic System/Sewer Dept. Inspection Sticker � -6//4 47°- cl h- Site Plan I Variance required f� Flood Plain Certification,if required gee/ cf154.Vfic17)fr' � vice f Okay to issue C/C or C I 0[Temporary/Permanent] L:1Building&Codes Forms\Building&Codes\Inspection Fonns Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 NORTH EAST BUILDING PERFORMANCE ADVISORS Serving the Capital District, Saratoga and Adirondack Regions January, 6 2012 Mailing Address: 15 Cobblestone Dr. Queensbury,NY 12804 John Shine 90 Rockhurst Rd G M Cleverdale,NY 12820 •0 5tZ RE: Insulation Evaluation and Blower Door Test Mr. John Shine: After inspection of the insulation in your home and a depressurization test of 50 Pascal facilitated by the blower door, my observations are as follows: ❖ There is no evidence of a Thermal bypass. ❖ The Total volume of the house is 15654 cubic feet taking into consideration the conditioned basement. The Cubic feet per minute @ 50 Pascal was 550 CFM. The height correction factor for New York State is 15.4 for a two story building such as the tested home @ 90 Rockhurst Road. •S The blower door test indicates that currently the house has an air exchange rate of 0.137 air changes per hour. The US national average of air change rates, for existing homes, is between one and two per hour. Standard homes built today usually have air change rates from 0.5 to 1.0. Extremely tight new construction can achieve air change rates of 0.35 or less. If your homes air change rate was below 0.20, I would recommend some form of mechanical ventilation to bring in fresh outside air to control the humidity and keep fresh air in the home for the occupants. ❖ My credentials are as follows: ➢ BPI Certified Building Analyst ➢ BPI Certified Envelope Specialist ➢ BPI Certified Heating Professional ➢ HERS Rater ❖ If you have any questions regarding my findings please feel free to contact me. Sincerely, Jack Towne 1.888.472.2774 7 Rocky Ridge Road 4A Vatrano Drive Warrensburg,NY 12885 Albany,NY 12205 Phone(518)623.7016 Phone(518)350.2941 Fax (518)623.7015 Fax(518)694.0102 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 5—15 I NAME: 5__A Ckellakla.A LOCATION: 90 R v C IC h Grist PERMIT#: — D • Final Survey Plot Plan Anaroved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the survey has been: Craig rown,Zoning Administrator Notes: L:\SueHemingway\Building.CodesJnspection.FORMS\Final Survey Zoning Administratordoc I MAP REFERENCES 3 MAP OF A SURVEY OF A PARCEL OF LAND MAP OF TO BE CONVEYED TO Dr. ABRAMS, BEING ROCKHURST ON LAKE GEORGE THE SOUTHERLY PORTION OF LOT 25 OF DEVELOPED BY THE HOW -MAC DEVELOPMENT ON ROCKHURST, HOW -MAC DEVELOPMENTS, INC. SITUATE IN THE TOWN OF QUEENSBURY, DATED: DECEMBER 20, 1955 WARREN COUNTY, N.Y. LAST REVISED: JANUARY 24, 1956 BY: JOHN B. VAN DUSEN BY. LESLIE W. COULTER 2 4 MAP OF PREMISES CONVEYED BY ROBERT A. ABRAHAM MAP OFA SURVEY OF A PARCEL OF LAND TO BE TO ANTHONY COVIELLO & MARGARET, HIS WIFE CONVEYED TO DR. ABRAHAM BY: JOHN B. VAN DUSEN BY.• JOHN B. VAN DUSEN DATED: JULY 17, 1970 DATED: JUNE 25, 1968 CIRF Al • • NOTE: AVERAGE BUILDING SETBACK TO LAKE FOR ADJOINING PROPERTIES - 38.0' 34.7- 34.1 A5PHALT DRIVE 5 MAP OF A SURVEY MADE FOR TONY DiBELLA BY: VAN DUSEN & STEVES Dus DATED: APRIL 17, 2003 J LAST REVISED: JUNE 18, 2003 z t e V e Q Vi HOUSE A U CB z DECK RIMa336.2± S 5 05713211 F 03.86 W PF OvEMANG —i I I 4 I GARAGE o � ' 1.65' 115.00' 7822 2t D 34.2' 40.2' PATIO 2.02' AREA 9, 075.51 t sq. ft. 0.21± acres LEGEND LANDS N/F OF BETOR MLH - 317.74 DECK DECK DOCK Ul .G.AKE �Ina �.tiw � 01 P-4 1 1; 1 RIP r � .\ ID RIP 8°22' "W �. 6. 0� S75003'40"W , 21 ,\ 5.03' \ Q I S ti IBS 26 IRSO = IRON ROD SET / TO BE SET CIRFO = CAPPED IRON ROD FOUND IPIO = IRON PIPE FOUND c'a, = UTILITY POLE @= LOTS AS PER MAP REFERENCE No. 3 Map of a Survey made for John R. Shine Larry J. Cleveland Town of Queensbury, Warren County, New York RAMP LANDS N/F OF LAMKINS 4 11130111 3 1/10/11 2 10/19/10 1 19123110 NO. I DATE RETAINING WALL G A-0 -F (P 0 RG E MWH - 320.20 COVERED DOCK �� HOUSE LOCATION ADDITIONAL LOCATION TOPOGRAPHY SETBACKS —DESCRIPTION �Q t P 21012 BUI r r Lt l �1 �,-� a P 11- 41`0 4 ate: November 13, cale 1'=10' S-1 SHEET 1 OF 1 Shine / Cleveland C247 DWG. NO. 68008 M M r Cl) N M Dus •UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209. SUB -DIVISION 2. OF THE I EW YOK STATE EDUCATION LAW' ONLY COPIES THE ORIGINAL OF ,IM= SURVEY S t e V e ORI MARKED WITH AN ORIGINAL OF THE LANG SURVEYORS SEAL SHALL BE CONSIDERED TD BE VALID TRUE COPIES." "CERTIFICATIONS NTOCATED HEREON SIGNIFY THAT Land 169 Haviland Road Surveyors Queensbury, New York 12804 Q yf THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE OF PRACTICE FOR LAND 71ON SURVEYORS ZONALADOPTED BY THE NEW BY INE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR W M THE SURVEY IS PREPARED, AND ON HIS BEHALF TG THE DRE COMPANY. GOVERMENT& LISTED HEREON AIM) AGENCY0THESSI `E"°"O ITHE LENDING To � ASSIGNEES OF THE LENDNC RISRNTION.' ;518) 792-8474 New York Lic. No. 50135 D 34.2' 40.2' PATIO 2.02' AREA 9, 075.51 t sq. ft. 0.21± acres LEGEND LANDS N/F OF BETOR MLH - 317.74 DECK DECK DOCK Ul .G.AKE �Ina �.tiw � 01 P-4 1 1; 1 RIP r � .\ ID RIP 8°22' "W �. 6. 0� S75003'40"W , 21 ,\ 5.03' \ Q I S ti IBS 26 IRSO = IRON ROD SET / TO BE SET CIRFO = CAPPED IRON ROD FOUND IPIO = IRON PIPE FOUND c'a, = UTILITY POLE @= LOTS AS PER MAP REFERENCE No. 3 Map of a Survey made for John R. Shine Larry J. Cleveland Town of Queensbury, Warren County, New York RAMP LANDS N/F OF LAMKINS 4 11130111 3 1/10/11 2 10/19/10 1 19123110 NO. I DATE RETAINING WALL G A-0 -F (P 0 RG E MWH - 320.20 COVERED DOCK �� HOUSE LOCATION ADDITIONAL LOCATION TOPOGRAPHY SETBACKS —DESCRIPTION �Q t P 21012 BUI r r Lt l �1 �,-� a P 11- 41`0 4 ate: November 13, cale 1'=10' S-1 SHEET 1 OF 1 Shine / Cleveland C247 DWG. NO. 68008 M M r Cl) N M `r'Ut 6i $f/S01 .. Queensbury Building & Code Enforcement - Residential Final Inspection al—fir Office No. (518)761-8256 --4Arrive: ` 34 am/p, Depart: am/pm Date Inspection request received: Inspector's Initials: NAME: 1 K. 1 +s517 " _PERMIT#: I LOCATION: 9( 3( P /' DATE: j �r r TYPE OF STRUCTURE: Comments:*� ) ' f Yes/'No N/A f � /// LL 1/cl'`^ /�f��». , 4" Building Number Address visible from road I/ hs Chimney Height/"B"Vent/Direct Vent Location ,/� % -i]., _ Fresh Air intake // ji 3inch Plumbing Vent through roof minimum 18 inchesRoof Complete/Exterior Finish Complete -- Platform Platform at all exterior doors ✓ li C�1 Handrail 4 or more risers / Guards at stairs,decks,patios more than 30 inches above grade r/ l 1 Guard at stairwell at 34 inches or more ✓ TA Guard at deck,porches 36 inches or more / , , Handrail Termination at Newell Post or Wall r// it A,{e Lc �,( J 61,-t, (4 (4--) i Interior/Exterior Railings 34 inches to 38 inches /// Deck Bracing/Handicapped Ramp Compliant ✓ `l�I; U y„ Grade away from foundation 6 inches with 10 feet s// 'I�!� 6 inch clearance to sill plate ✓✓✓ "CP ^ Gas Valve shut-off exposed/regulator 18 inches above grade lt L�Yw '/ Interior privacy/trim/doors main entrance 36 inches ✓/ ]j`� ct�� (_--- -6t r.>t ' Bathroom/Kitchen watertight ✓ V% '' Safety glazing/Window in stairwells safety glazing C Bruce, r Interior Smoke Deaton;/Carbon Monoxid�Detectors Every level: V Every Bedrooms: I/ Outside every bedroomarea: I/ Inter Connected: V Battery backup: . Attic access 30 inches x 22 inches x 30 inches(height)in accessible area / f(J�-� t-el Crawl Spaces 18 inch x 24 inch access,1 sq.ft.-150 sq.ft.vents r/ (J``�� Bathroom Fans,if no window r Plumbing fixtures j1� „Jot- ( Ssvtc �' 0 Foundation insulation to floor I Sticker on Panel t-� � ,2 Duct work sealed property/Blower Door Test Certification V 1.(4 -1)L �� 17 id '5 Floor truss,draft stopping finished basement 1,000 sq.ft. / k� e c Emergency egress below grade ✓ Gas Furnace shut-off within 30 feet or within line of site V Oily Oil Furnace shut-off at entrance to furnace area t/ �. Furnace/Hot Water Heater operating / Low water shut-off boiler >/ C � ' Relief Valve(s)installed/Heat Trap/Water Temp 110 V / / // c . Enclosed Stairs Sheetrock Underside minimum W Gypsum V f/'/Q tc (/ne/Q-Jilt a/ S'i'' Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/' hour fire door/door closer 1/z, Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% ✓ Final Survey Plot Plan r/ 17r d."- f na// Lrvry Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding /� �' * ,aAs Built Septic System/Sewer Dept. Inspection Sticker deei /D'J� J�� Site Plan /Variance required /7 ,�` J' �l,, ,...)7.1"-en 4 A. Flood Plain Certification,if required /✓ r"� Okay to issue C/C or C/01 Temporary/Permanent] ,/ J i k ivv L:\Building&Codes Forms\Building&Codes\Inspection Forrns\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 4 °V ' '‘7 dg/9 )3' 0- 30 cd-r .(ai\,;;-'• REVIEWED & STAMPED L:� t TOWN OF QUEENSBURY :-t(1/ ZONING ADMINISTRATOR Community Development Office *Aiwa 742 Bay Road, Queensbury, NY 12804-5902 COPIES TO FILE, WILDING PERMIT, CODE COMPLIANCE OFFICER&APPLICANT Town of Queensbury Planning Board )N 7 -�__�_�____ Resolution to Approve Site Plan 16-2011 John Shine/Carry-Cteigin4 A site plan application has been made to the Queensbury Planning Board for the following: Applicant proposes removal of existing 538 +/- sq. ft. camp and construction of a new 1,990 +/- sq. ft. single family dwelling with new septic system and stormwater management controls. Construction within 50 feet of slopes 15% or greater in a WR zone requires Planning Board review and approval; and A public hearing was advertised and held on 3/22/2011 tabled to 5/17/2011; and This application is supported with all documentation, public comment and application material in the file of record;and MOTION TO APPROVE SITE PLAN NO. 16-2011 JOHN SHINE/LARRY CLEVELAND, Introduced by Gretchen Steffan who moved for its adoption, seconded by Thomas Ford: 1) Pursuant to relevant sections of the Town of Queensbury Zoning Code [Chapter 179-9-080]], the Planning Board has determined that this proposal complies with the requirements as stated in the Zoning Code;and 2) Type II, no further SEQRA review is necessary; and 3) Final approved plans, in compliance with the Site Plan, must be submitted to the Community Development Department before any further review by the Zoning Administrator or Building and Codes personnel. The applicant must meet with Staff after approval and prior to issuance of Building Permit and/or the beginning of any site work. Subsequent issuance of further permits, including building permits is dependent on compliance with this and all other conditions of this resolution;and 4) As-built plans to certify that the site plan,is dev aceen tie 40 the appwavettptians to be provided nnor to issuance of.the certificate of occupancy;and 5) The Sanitary Sewer connection plan must be submitted to the Wastewater Department for its review, approval, permitting and inspection;and 6) The limits of clearing will constitute a no-cut buffer zone, orange construction fencing shall be installed around these areas and field verified by Community Development staff; and 7) If curb cuts are being added or changed a driveway permit is required. A building permit will not be issued until the approved driveway permit has been provided to the Planning Office;and 8) This is approved with the following condition: The applicant will satisfy engineering comments and obtain an engineering sign-off;and Duly adopted this 17th day of May 2011 by the following vote: AYES: Mr.Schonewolf, Mr.Traver, Mr. Krebs, Mrs. Steffan, Mr. Ford, Mr. Hunsinger NOES: None ABSTAIN: Mr. Sipp Cc: Tom Center, Nace Engineering; Curtis Dybas "Home of Natural Beauty ... A Good Place to Live " Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am pm Depart:1.1243). . " ` am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:( NAME: PERMIT NO.: 2. L• • k • vie_•_ ___ INSPECT ON: Mi IOW Comments and/or diagram Soil Type: Sand/ Loam/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 [150'to well required If NO] /� Absorption Field: Total length 64- ft. Length of each trench Z +v1 Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank � `°AAA Tank to Distribution Box \i4"--rZ..v�k-R--'—. Distribution Box to Field/ Pit °` Opening Sealed: N End Cap Inlet/Outlet Pipes&Baffles �y_Nt_, Manholes 12"or less below grade VY N rt-N" < [provide extension collar if Yesl Y N ��1�d�' �,�—!�.?,,0, i�Lj L (2JL. Location/ Separations ,.- _ — Foundation to tank J()+ ft. Foundation to absorption %► 4S' t. Separation of Pits _ 1! lj� Conforms as per Plot Plan '-' Engineer Report and As-Built Y N ETU Maintenance Contract Y N provided Location of System on Property: :''Front Rear Left Side Right Side Middle Front Middle Rear em - .t Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved LAPam Whiling\2010\Building Codes Formsunspection Forms\Septic Inspection ReporL03 29 10.doc 2 -y /h vl.S if/- . Framing / Firestopping Inspection Re•y ' 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: itutf ,T C� NAME: �/]J -� _ 7- LOCATiON: PERMIT#:I) 4ar`/c A u r'c INSPECT ON: j TYPE OF STRUCTURE: y , a Framing Y it NA COMMENTS: Attic Access 221x 30'minimum ''h .... Jack Studs/Headers - Bracing/Bridging Joist hangers c -"Th ) /"- Jack Posts/Main Beams .' 1 L-U V Exterioresheeting nailed properly i _------- 12"O.C. Z.:2'Headroom 6 ft. 8 in. !WC-9 -C oreStairwells 36 in. or m _ Exterior Deck Bracing �-.. --7'-- � C Headroom 6 ft. 8 in. e Notches/Hobs/Bearing Walls Metal Strapping for Notches Top Plate <L:0-'1" ---~F_" 1 'A(w) 16 gage (8) 16D nails each skis C' Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center /.,-----L----- Ice and water shield 24 inches from wall Fine separation 1, 2, 3 hour pI23 4 ' r Firestopping f -c--, 16 inch insulation in cavity min. t-, Garage Fire Separationl\-3,M154- House side%inch or 5/8 inch Type X V�� n /-- Garage side 5/8 inch Type Xcr ((-1,44 v c Ceiling/wall Windows Habitable Space/Bedrooms / �' 24 in. (H) i li"G� 20in. (W) _ 5.7 sf above/below grade 5.0 sf grade L:\Buildi g&Codes Forms-OLDDBuiding&Codeslinspection Fonns1Frarning Firsdopping Inspection Reportdoc Revised January 7,2000 Framing / Firestopping Inspection Report I Office No. (518)761-8256 Date Inspection request received: 1 . U I a- Queers3bury Building&Code Enforcement Arrive: am/ • - �f r.-? am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: /': �� 4,• o JA,J NAME: = �� I( �o PERMIT#: LOCATION: 0 - (,L k -c" W INSPECT ON: 1 , 1-1- 14-0 l * Iao TYPE OF STRUCTURE: < ) Framing Y N 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 36(w) 16 gauge(8) 16D Haus each side Draft stopping 1,000 sq. ft.floor trusses Anchor Bolts 6 ft. or lesson center Ice and water shield 24 inches from wall . Fire separation 1, 2 3 hour fyy ...41( FI '' .. hour f ,, Firestopping sealed _ �--�, r , 16 inch insulation in cavity min. + \, - -- -- Garage Fire Separation ` ` House side IA inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:16uildIng&Codes Forrns-OLD Building&CodesWapection FomietFm rn ng Fire topping Inspection Report.doc Revised January 7,2008 v Rough Plumbing / Insulation Inspection Report r Office No. (518) 781-8256 Date Inspection request received: / ,_!I Queensbury Building &Code Enforcement Arrive: am/pm Depart: ifidi a pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 6.4D NAME: /61eit,,L, �- PERMIT#: LOCATION: c''6 . Lk htrq INSPECT ON: , ,p ,i 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 hrghest connection for 15 minutes Pressure Test Water Supply Piping Air/Head r 15 minutes Insulatio Residential Check/Commercial Check \ , Similar 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 r- /^ ' /' "`lC 7s -tt,—) COMMENTS: 1 t s `' c)1 R \A4A,A7C, S--7----t,A-+A t vizty\i,a*-= aiN---wQf2T24Asacjk)) Rough Plumbing insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 : 3c 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: PERMIT NO.: 4 L�� J LOCATION: i`7 0? ,A,—y INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/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 V 6r2 -\4 l [150'to well required if NO] CC-04rZ.-- 0"A-a -- Absorption Field: Total length ft. �\�� —' Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: Stone Size: Piping ¢e Building to tank Tank to Distribution Box S -- Distribution Box to Field/ Pit C� Opening Sealed: Y.�N End Cap Y N Inlet/Outlet Pipes&Baffles Y_N Manholes 12"or less below grade Y N I/ [provide extension collar if Yes] Y N p Location/ Separations C i �� 6 � _ t Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y Engineer Report and As-Built Y N ETU Maintenance Contract Y N provided — Location of System on Property: Front Rear Left Side Right Side fiddle Front Middle Rear em S Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\InspectIon Forms\Septic Inspection Repor _03 29 10.doc Rough Plumbing 1 Insulation Inspection Re ortARe, Office No. (518)761-8256 Date Inspection request received: !l/iV/2ni, Piz Queensbury Building &Code Enforcement Arrive: am/pm am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: (� NAME: „es PERMIT#: , 2c/(--`too LOCATI•, RQ Gk kw4r INSPECT ON: //M01--6// TYPE OF STRUCTURE: SRS Y N N/A 79g'-1t4"G Rough Plumb' /Nail Plates ng Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above h'+hest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check I 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 Supply for Furnace Duct work sealed properly/No duct tape COMMgNTS: Rough Plumbing Insulation Reportrevised Nov 17 2003,revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report / :;) Ge` . Office No. (518)761-8256 Date Inspection request received: /(72/3-1/i Queensbury Building&Code Enforcement Arrive: am/pm Depart: - am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: jk ) NAME:LOCATION: G y PERMIT#: //--9/C) /a ,( ckAcci -, ,2/. INSPECT ON: it/4/ Cif TYPE OF STRUCTURE: �`, N 1E4 COMMENTS: rami Attic Access 22" x 30"minimum / Jack Studs/Headers %. / Bracing/Bridging V Joist hangers Jack Posts/Main Beams V 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 6(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 wate. 4 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'A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:1Bulldkg&Codes Foims OLDrBuNdkg&CodesHnspedion Foams$Framing Firestopping Inspection Report.doc Revised January 7,2008 Framing / Firestoppin Inspection ' g pedlon R rt Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/. • • : ,.e,:t, pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: sror s� l NAME: i PERMIT#: LOCATION: >0 Jr,ACcil ki i)1,S+ INSPECT ON: TYPE OF STRUCTURE: Framing Y N J 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 I Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge (8) 16D naus each side Draft stopping 1,000 sq. ft.floor trusses • : or less on center Ice and water eh - • 24 inches from wall r .,_.. ., . 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. IAL- Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade _ LABufding&Codes Fotms-OLDSuNding&Codeslinspection FonnsVFnmlnq Firestopping tnspWfon Report doc Revised January 7,2008 .)'-'9/(-( -://twormiii7,_. Fr.?__v & c Foundation l&pection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:01... 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: C� NAME: C4e:c.,e_/t PERMIT#: 0 InnLOCATION: Ir9L, t1 INSPECT ON: .! TYPE OF STRUCTURE: / Coniment4 Y N TA F. .,. ' / Piers ----2___,� � . ,o ithic Slab ,_— 'T> Lc�Qr'L 14),-A) 17742- Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the conc Materialor this on site. Foundation Wallpour Reinforcement in Place / �_--,ice. A L 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. L:\Buikling&Codes Forms\Building&Codes\Inspectlon For ns\Foundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM Rough Plumbing / Insulation mapin e p Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p Depart:/m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: R. /1 � "� PERMIT#: // 4t)7 r LOCATION: 0 'fi u S , Y INSPECT ON: TYPE OF STRUCTURE: O . N N/A Roug Plumbing/ =' Plates a/ Plu 14! V ants in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout eve 100 feet/than!e 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 required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape ç -z 2jz A COMMENTS: -- Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Departa_ m/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: L+ � NAME: � kVA`-Il.�lr PERMIT#: 2t -4 LOCATION: 0 J pec k-cXZS5c- F ) INSPECT ON: TYPE OF STRUCT : Comment Y N NSA 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 Foundatio ' i.ppmofin Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width ✓ fie?) /"c:b 0(4?-4A' 6 inches above footing 6 mil poly for wet areas under slab v, NA(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\Inspecuon Forms\Faundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM /- j Foundationtion Report �P� Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:/N4 )�am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: .47 NAME: C '' C.�-�fl PERMIT#: �^ /141)7 . LOCATION: trf l ti, tc-L i -- INSPECT ON: ?-7/7", TYPE OF STRUCTURE: Comment Y N N/A //13 C. 74 Footings iL 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 1 Gado 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. L:\Building&Codes Fors\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: 9A1/ /1 Queensbury Building&Code Enforcement Arrive: am/pm Depart:FL am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: `' NAME: G L V-e- ntJ) PERMIT#: _ CCI LOCATION: °VI 12-Oc AD INSPECT ON: *WM TYPE OF STRUCTURE: Coglmeats la WA 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. 4 i ,,1rfiFoundation/Waipour "Reinforcement in Place Fi4k4 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 I Exterior R- Rough Grade 6 inch drop within 10 ft. LABuliding&Codes Fonrns\Building&Codesunspection FormssFoundation Inspection Repo.tdoc Last printed 12/20/2005 9:24:00 AM COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE --ELECTRICAL APPROVAL Permit No........................................Cert. Na 19085 Cut-in Card No..................................... Owner..................J% A,16;-- &I az��y .................................................................................................................................................... Location... ...... ..................................6 e-e2'10z.:�- .................... . ............ Installation Consisting of ........:1.....................I.............I........1........................ ............... . ...................51........... .................................................................................................................................................................................... Installed By....... Z� Lic.No................................................... &_/ ................................................................. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making spoctions at any time, and if its rules are violated,the Company shall have the right to fey(ile t ate. Date..: ................. INSPECTOR ......... .................. .. ................................ Member N.F.P.A.,I.A.E.I.