2005-471 TOWN OF QUEENSBURY FiLl"
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050471 Date Issued: Friday, March 03, 2006
This is to certify that work requested to be done as shown by Permit Number P20050471
has been completed.
Tax Map Number: 523400-308-007-0001-031-000-0000
Location: 37 WESTBERRY Way
Owner: TRA-TOM DEVELOPMENT, INC.
Applicant: TRA-TOM DEVELOPMENT, INC.
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
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 Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761=8256
BUILDING PERMIT
Permit Number: P20050471 Application Number: A20050471
Tax Map No: 523400-3 08-007-0001-03 1-000-0000
Permission is hereby granted to: TRA-TOM DF,VF.1,0PMF,NT. INC
For property located at: 37 WESTBERRY Way
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: TRA-TOM DEVELOPMENT, INC. Fireplace
667 STATE ROUTE 9 Garage-2 Cars Attached
GANSEVOORT, NY 12831-0000 Single Family Dwelling $280,000.00
Total Value $280,000.00
Contractor or Builders Name /Address Electrical Inspection Agency
Plans&Specifications
2005-471 LOT 6 HSE#37 WESTBERRY WAY
Pine Ridge Estates
2444 SQ FT SINGLE FAMILY DWELLING
$343.88 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, July 11, 2006
(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 T i ry; ay, July 11, 2005
n o ueens
SIGNED BY for the Town of Queensbury.
Director of Building x7ode nforcement
zt7
CM"f
Residential Plan Review: One&Two Family Dwellings
Y/
plans
Over 1,500 sq. f.—Stamped
Design Loads On Plans:90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
inflow Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
E gency Escape Or Bedrooms and Habitable Space
A ve/Below grade,5.7 sq.ft.
Vade,5.0 sq. ft.
4"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
roofing/Waterproofing Materials On Plans
F unda.on Drainage On Plans,if required
6" op in 10'Exterior Grade
raining Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
R wired
Ice 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
piral Not Allowed From 2 Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
all Width,36"min.
andrails More Than One Riser On Open Sides
Railing 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
Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results, if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Fire Marshal's Office Town of Queensbury,742 Bay I • ueensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chlmne s
applicable to solid fuel & vented gas appliances 7UN 2 8 2005
"OWN OF
Date , 20 Permit N
Application is hereby made to the Building& Codes Office for the issuance of a Building and I j
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner 'C f7
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of L 1
these requirements and also will allow all inspectors to enter premises to pet form required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: . f �L, Stove: wood coal pellet gas
Fireplace insert
Address: �.1C� Fireplace, factory-built: wood gas'
(- Fireplace, masonry: wood gas
-U - Furnace: wood gas oil
Phone: ���`� —���
If non-masonary applicance, please provide
Owner: Manufacturer Name:
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue file steel size; inches
Exact Address: �_ �,
of constru tion or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must V-
_
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double►call / Triple i all / hisulated / Direct venting
Chimney Liner
� Cs�t.�'iier'�3?ep�rtm�ut—To�rz: of Qu�e�t�bzztcy, 2�Te�Yorl� -
i
Fire Marshal Code# $Collected 3 Rcfrnded Rec•eivedfi•om (refunded to):j'��Leen
'
( address.-_ -- --
,4 /73 3389 (/90) Public Safety
A 233 2655 (230)Minar Sales _
DATE:
ey Dy-tt
White(Applicant) 1 Green(Fire Marshal) / Yellow(Bldg. Dept.) / fink& Goldenrod(Cashier's Dept.)
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date (, , 20 Permit No. 4 5 7
�
Application is hereby made to the Building&Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner f,
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part oj•
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: r ��� y:-t��,r Stove: wood coal pellet gas
a
i Fireplace insert
Address: f Fireplace, factory-built: wood gas
( Fireplace, masonry: wood gas
-- Furnace: wood gas oil
Phone:
If non-masonary applicance, please provide
Owner: Manufacturer Name:
Address: al Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue tile steel size: inches
Exact Address:
of constru tion or installation Factory-Built
Manufacturer name:
Model Number: _
Note: Listed By: Number: _
Construction /Installation must
con orm to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting=
Chimney Liner-
CMML&fer'Ar n�p�z tm �—Tv�a os'Q�aceen,�rbt�ry, Xe Yoram
i
Fire Marshal Code# C $ ollecte $Refunded Received fr•onz (refunded to)
.r address:
A 173 3389 (190) Public Safety
A 233 2655 (230)Minor Sales
DATE:
yv� wt•a- T ww 0=02 Vy„ay,
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.)
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: ......................................................................... .......................................
Office Use
Location of installation:
File Permit No.
Tax Map No.
Fee Paid
P7
Owner's Name:
..................................................................................................................................
Address:
2. INSTALLER'S NAME : PHONE NO.
�j
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply #of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm =
1980- 1991 1 x 130 gal/bdrm = DZ r%E7
1991 —present x 110 gal/bdrm = IVED
Garbage Grinder Installed yes no J U N 2005
Spa or Hot Tub Installed yes no TOWN OF QUEENSBURY
. BUILDING AND CODE
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Too uaDhv So' tune Ground Water Bedrock or impervious Material Domj-e+;r-Water So ply
rKa-i) : and at what depth at what depth municipal
oam �� _Meet feet
Steep slope clay if well; water supply
slope other from any septic-system
depth: absorption is_ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect
)
Rate: . minute per inch
5. 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: %�gallon (min. size 1,000 gal.)
Tile Field: each trench
ft, Total System Length: ;-�2-_
Seepage Pit(s): number of size of each: —ft. by t.-
_f
Size of Stone to be used: # depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
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 Sanitary Sewage Disposal Ordinance.
_Signature of re_sponsit person Oate
"iow*ll of Queell bury
Srwca•s att(i SeWilge Disposal (0,11s110:•
• Appmulix t
i
AlUSOxZPI'MN FIELD
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7. SIGNATURE &INFORIAkTION pop, sruNbwLr-,sr-"vl,, \Flap..,a.. %v
• r '
Permit No d 7
Building&Codes Office-Department of Community Development-Town of Queensbury Fee
742 Bay Road,Queensbury,NY 12804 Recreation Fee ' }C•�
Dave Hatin,Director codes@aueensburv.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder '`+-'"uLiytryo,o F Owner:
Address: (,:I Address:
Home Phone: &J —loss D Home Phone:
Email Address: Email Address: rX
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
005
Person responsible for supervision of work with respect to building and codes compliance: TOWN OF QUEE
Name: �-L-� ��-�c �it�r BUILDING, 11DQQ665?'
Address: Phone
Location of proposed construction: Lot No. Legal Address: 3� d .c � `�SL+ ''�
Tax Map Number: / --- -- I Subdivision Name: �'-
Estimated Cost of Construction: W$ ��
Proposed construction is for: residential Use _Commercial Use
Name of Business: I
If proposed construction is an addition,what will use of new addition be?
New Addition Alteration Proposed Construction 1 d Floor 2na floor Other Total Proposed
structure (Occupancy Type) Sq.Ft. sq.ff. Sq.Ft. Square feet Height
Ft.&in.
Sin ale-Family Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 1, 2, 3
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other:
If a fireplace and/or woodstove are being installed, please refer to a separate application.
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the 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 Codes, 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.
Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale,showing actual location of all new construction.
Date: S Applicant/Builder Signature:
The application of da ed is heLy approved and
permission granted for thy co struction, reconstruction or altera ion din nd or accessory structure as set
forth above.
Date: 7 Authorized Signature:
L:\Sue Hemingway\Buildi g.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 /1 Arrive: �p Depart: am/pm
Date Inspection request received: 7 ` Inspect is Initials:
NAME: r t7 PERMIT#: (� 7
LOCATION: �_(,-S_�p �/ U�� CT39(/�/��ATE:
TYPE OF STRUCTURE: / j
Comments
Ye No N/A
Building Number/Address visible from road /
Chimney Height/"B"Vent/Direct Vent Locationf
Fresh Air Intake
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 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
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s . ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
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 shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%:"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass E losu e
Final Electrical 7j O
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/O[Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form-revised—I 00405.doc
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: > / 6
NAME: 64#'2-UN
LOCATION: U ee T-�/y
PERMIT#: 0-5-'
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept.of (/£
Community
Development.
Upon review t e
survey has b
Craig wn,Zoning Administrator
Notes:
L:1SueHemingway\Building.Codes.inspection.FORMS\Fina1 Survey
Zoning Administrator.doc
MAP REFERENCE:
SUBDIVISION PLAN —�
MAGNETIC
RICHARD P. SCHERMERHORN
DATED: FEBRUARY 11, 2003
LAST REVISED: MARCH 17, 2004
BY: VAN DUSEN & STEVES
LEGEND:
LOT 7 OIR5 = IRON ROD SET/TO BE SET
C] = TELEPHONE
0 = ELECTRIC
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Date, FEBRUARY 20, 2006
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169 Haviland Road Queensbu New York 12804 AWCY AM` "S MIM"��°`AND Town of Queensbury, Warren County, New York
ry, m na As9asEs of,NE IEMDND"S717U110N.• 1 2120106 FINALE
FARONE
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 023g2-6
Septic Inspection Report
Office No. (518)761-8256 Date Inspe lion received:
Queensbury Building&Code Enforcement Arrive: d 15 am/p Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: )�vAX— PERMIT NO.: O5 ' 7
LOCATION: '� & �� INSPECT ON: O
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.
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/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Statu .
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.Inspection.PORMS\Septic Inspection Report.doc January 28,2003
FEB 06 2006 11 : 18AM HP LRSERJET 3200 p. 2
i •
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511
February 6,2006
Job#46175
New York State Dept. of Health
77 Mohican Street
Glens Falls,NY 12801
RE: Pine Ridge Subdivision - Queensbury (T)
27 Westberry Way(Lot#6) - Septic System
Dear Sir/Ma'am:
This letter is to inform you that we inspected the completed septic system for the house on 27
Westberry Way(Lot#6) in the Pine Ridge Subdivision on January 31,2006.
The septic system as installed was for a four bedroom house and consisted of a 1,250 gallon
septic tank and 220 lineal feet of absorption trench constructed with stone and perforated pipe.
The system conforms to the requirements of the approved subdivision design drawings.
Please call me if you have any questions or concerns.
Sincerely, RE(`:1�(r-
FE B n 6 'f lQ6
Thomas R. Center Jr. , PE
cc: Dave Hatin, Town of Queensbury BUILDING CODE
Tom Farone
Septic Inspection Report
Office No. (518) 761-8256 Date Insp�tio, request received:
Queensbury Building&Code Enforcement Arrive: r G am/p depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: �� PERMIT NO.: �� /
71
LOCATION: INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type Sanr L a /Clay
Type of unici ai/Well Water
Waterline se arati tance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length 2: ft.
-Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Si4ejj Type
Building to tank ''7zo (,
Tank to Distribution Box 4:;�2 A _
Distribution Box eld/Pit it
Opening Sealed: / /Partial
End Cap*
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y
Engineer Report and As-Built Y
Location of Syste n Property:
Front Re Left Side Right Side
Middle Front Middle Rear
System Use Statu
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Last revised 1/6/05
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspe n 9�st received:
Queensbury Building & Code Enforcement Arrive: 17 j 15 am/Ukepart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #:
LOCATION: INSPECT ON: -0
TYPE OF STRUCTURE:
Y N N/A
t '
Rough Plumbing / Nail 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 Pipings
Air / Head
P.S.I for 15 minutes
nsulation Residential Check Commercial Check
Proper 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\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing/ Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins 0 . request received:
1
Queensbury Building&Code Enforcement Arrive: ,�tJ am/ue �De�art: ,am/p
742 Bay Road, Queensbury,NY 12804 Inspecto 's Initials: c..)7�9
NAME: PERMIT#: ✓ 1��/
LOCATION: INSPECT ON: 0�
TYPE OF STRUCTURE:
i
Y N N/A,,framing COMMENTS
Attic Access 22"x 30"minimum k.K
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams l /
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/z 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 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side % inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade Zw. It),
T "v�+' 0
Rough Plumbing / Insulation Inspection Re mod
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: �C�• PERMIT #:
LOCATION: NSPECT ON:
TYPE OF STRUCTURE:
Y 'FIN N/A
ou h Plumbing / Nail 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
rOin / Vent
rp/ Head
.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
ter Supply Piping
fil�
t/ Head
P.S.I for 15 minutes
Insulation Residential Check/ Commercial Check
Proper 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&CodeAnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing/ Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection req. r ve .
Queensbury Building&Code Enforcement Arrive: axrf/pm D art: m/,
742 Bay Road, Queensbury,NY 12804 Inspector's Initii . I
NAME: PERMIT#: l
LOCATION: ,� INSPECT ON:
TYPE OF STRUCT
Y N N/A Framing COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging l J
Joist hangers / r
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 `/z w) 16 gauge 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft.or less on center
e 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'/z 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
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection=,,.
st received:
Queensbury Building &Code Enforcement Arrive. � Depart. pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT #:
LOCATION: INSPECT ON:
TYPE OF STRUCTUR
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
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch wjMr
6 ine above footing
mil poly for wet areas under stab
Backfi proval
umbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Extenor
R- _
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: 2 �J
Queensbury Building &Code Enforcement Arrive: am/pro Depart:`,AD
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: `
NAME: T(� PERMIT#: U — �47
LOCATION: f r.✓ LL 9 INSPECT ON: (, 0
TYPE OF STRUCTURE. 7--T
Comments
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
Foundation Dampproofing
FOio> /Waterproofing - —
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 milpoly for wet areas under slab
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
LASueHerningway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No.(518) 761-8256 Date Inspection re uest iv
Queensbury Building&Code Enforcement Arrive: a pm Depart: a
742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials.
NAME: C�� _ RMIT##:
LOCATION: A SPECT ON' —
TYPE OF STRUCTURE:
omments
Y N N/A
Footings
Piers
Monolithic SIab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
aterials for this purpose on site.
i,xfo-undatlon/Wallpour
Reinforcement in Place 'e
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\Bui)ding.Codes,Inspection.FORMS\Foundation Inspection Repoil.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbur_y Building &Code Enforcement Arrive: am/pm Depart: ./ pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: I PERMIT#: `� L17
LOCATION: SPECT ON: _ - S
TYPE OF STRUCTURE:
Comments
--�� Y N N/A
otings
Piers
Monolithic Slab
Reinforcement in Place The contractor is responsible for
providing protection from freezing
for 48 hours following the placement I
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
RECEIVE
0005-cr
JUN 2 8 Z005 Permit Number
TOWN OF OUEENSBDRY
BUILDING AND CODE
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheck So$ware Version 3.6 Release 2
Data filename: C:\Program Files\REScheck\REScheck\2444-01 AUSTIN-FARONE-LOT18-37 WESTBERRY WAY,
QUEENSBURY.rck
PROJECT TITLE: PLAN NO. 2444-01 AUSTIN
COUNTY: Warren
STATE: New York
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
WINDOW/WALL RATIO: 0.12
DATE: 05/24/05
DATE OF PLANS: MAY 24, 2005
PROJECT DESCRIPTION:
THOMAS F. FARONE AND SON
LOT 6-37 WESTBERRY WAY
QUEENSBURY, NEW YORK
DES IGNl;R/CONTRACTOR:
WILLIAMS & WILLIAMS DESIGNERS
509 GLEN STREET
GLENS FALLS, NEW YORK
12801
COMPLIANCE: Passes
Maximum UA= 582
Your Home UA= 425
27.0%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
rim R-Value R-Vale U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1737 30.0 0.0 61
Wall 1: Wood Frame, 16" o.c. 1746 19.0 0.0 90
Window 1: Vinyl Frame:Double Pane with Low-E 154 0.320 49
Door 1: Solid 20 0.130 3
Door 2: Solid 33 0.130 4
Door 3: Glass 40 0.330 13
Wall 2: Wood Frame, 16" o.c. 1184 19.0 0.0 61
Window 2: Vinyl Frame:Double Pane with Low-E 160 0.320 51
Basement Wall 1: Solid Concrete or Masonry 1472 11.0 0.0 93
Wall height: 8.0'
Depth below grade: 7.0'
Insulation depth: 8.0'
Furnace 1: Forced Hot Air, 92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans, specifications, and other calculations submitted with this permit application. The proposed systems have been
designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design
Professional has stam ed and si ed this page, they are attesting that to the best of his/her knowledge, belief and
professional judgm t, uch pl s s fications are in compliance with this Code.
�gn Date —C
RES check Inspection Checklist
New York State Energy Conservation Construction Code
REScheck So$ware Version 3.6 Release 2
DATE: 05/24/05
PROJECT TITLE: PLAN NO. 2444-01 AUSTIN
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling l: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 2. Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall 1: Solid Concrete or Masonry, 8.0' ht/7.0'bg/8.0' insul,
R-11.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320
For windows without labeled U-factors, describe features:
#Panes Frame Type Thermal Break? [ ] Yes [ ]No
Comments:
[ ] 2. Window 2: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320
For windows without labeled U-factors, describe£atures:
#Panes Frame Type Thermal Break? [ ]Yes [ J No
Comments:
Doors:
[ ] 1. Door 1: Solid, U-factor: 0.130
Comments:
[ ] 2. Door 2: Solid, U-factor: 0.130
Comments:
[ ] 3. Door 3: Glass, U-factor: 0.330
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1: Forced Hot Air, 92 AFUE or higher
Make and Model Number
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. Ifnon-IC rated, the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
[ J Required on the warm-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 fDr all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values, glazing U-factors, and heating equipment efficiency 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-
[ ] Retum ducts in unconditioned spaces (except basements)must be insulated to R-2..
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] I 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 fDr each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible 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 Residential Code of New York State or
the New York City Building Code, as applicable.
I
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 heat trap or is part of 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/offheater 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 T or chilled fluids below 55 T must be insulated to the
levels in Table 2.
Imo..._
Table ]: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pil2e Sizes
Heated Water Non-Circulating Runouts Circulating_Mains and Runouts
Temperature(Fl LIP to 1„ Un to 1.25" 1.5" to 2.0" Over _'
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: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pine Sizes
Koine System Tomes Ranee(Fl 2" Runouts I" and Less 1.25" to 2" 2 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 L5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(far feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
MAP REFERENCE:
SUBDIVISION PLAN
RICHARD P. SCHERMERHORN YACN�rrc
DATED: FEBRUARY 11, 2003
LAST REVISED: MARCH 17, 2004
BY: VAN DUSEN & STEVES
LOT 7
N06'07
55 E
200.15
—__
U �
3 I
Q LOT 6
p 35,065 sq. ft.
0.80 acres
< Ld I w
Q PROPOSED N cfl
CD v'
HOUSE �� aozs o a
Z 3 v o -
Lj- a
0 04 z
I:) - _o
000 N 3
Q 2
—1 N �
QQOQ Q.pO
C> w
/ "I have seen or observed, or believe I saw evidence of,
/ all frlNj 4t�s ;µ,ph; as ho..:ses, wells, trees, fences, etc.,
sl,iji,=fl ;Jn l +d0CL!M--1'1t. I also represent that I have
persob;ally r-reasured the distances set forth on the diagram."
(0/WA),
�- 2A, a SIGNATU DATE -A
RECEIVED
LOT 5 JUN 2 8 2005
TOWN OF QUEENSBURY
BUILDING AND COpE
Date, DUNE 16, 200
a 'UNAUTHORIZED ALTERATWtT OR ADDION IT TO A SIwV£Y I ,u 's NAP BEMMO A LNENSED LAND SURVEYORS SEAL IS A Plot Plan made for Scate 1 =30
VIOLATION OF SECTION 72M.SUB-DIVISION 2.OF THE
NEW YM STATE EDUCATION LAW.'
s 'ONLY CORES FRR THE OF INAL OF SLI SURVEY
MEAL%NTH AN OTSIDER�,OF THE LAND SURVEYORS
teves � BEDED,oBEMAM,N THoIV[AS J. FARONE & SON
'CERTFTCATIONS wDICATED HEREM SIOWY THAT
ED
THIS suRVEY wAs RIEPARm w ACCORDANCE wTH TIC
Land Surveyors °WwD CDE DF PRAc,�E FDR TIM W PROEB AK&
BY THE NEW PORK STATE ASSOCIATION OF PR�pIAL
LAND SIPERSORS.SAID N TrIE TMSSMW SHALL RUN Ol.A SHEET I Vr
TO 7ME PERSON FOR wiDM TFE SINTVEY E PREPARED.MID
ON HIS BEHALF TO TTE TIRE COMPANY,60VET MMMTK
169 Haviland Road Queensbury, New York 12804 ` Am Town Df Queensbury, Warren County, New York
TO 1NE ASSNwEES OF 11E LFNDINO wSDRI7Nw.'
FARONE
(518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIPTION DWG. NO. 02392-6