2004-080 1
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:_'- _-P20040080 ._ ;. Date Issued: Friday, October 01, 2004
This is to certify that work requested to be done as shown by Permit Number P20040080
has been completed.
Tax Map Number: 523400-295-016-0001-006-000-0000
Location: 121 FARR Ln
Owner: TRA-TOM DEVELOPMENT INC
Applicant: THOMAS FARONE & SONS INC.
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling
Director of Building&Code E orce - 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: P20040080 Application Number: A20040080
Tax Map No: 523400-295-016-0001-006-000-0000
Permission is hereby granted to: THOMAS FARONF,& SONS 1NC.
For property located at: 121 FARR Ln
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
677 STATE ROUTE 9 GaragFireplace
GANSEVOORT,NY 12831-0000 Single Family-2 Cars Dwelling
Attachgd
Single $235,000.00
Total Value $235,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
FARONE CONSTRUCTION
PO BOX 804 ROUTE 9
GANSEVOORT_ NY 12831
Plans&Specifications
2004-080
1842 SQ FT SINGLE FAMILY DWELLING
$269.44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 12, 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 tl of Q e nyss ury; r-day, March 12, 2004
SIGNED BY liii for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Quccnsbury-Dept of C'on)munity Development, 7112 Bay Road, Quccrisbury,NY
(518) 761-8256
A permit must be obtained before beginning construction. Permit File No�H =090
No inspection will he made until appllCanl has received a Fee Paid g �0
valid building permit. All applicants' spaces on this Rec. Ice Paid $
application must be completed and must appear on the Revicwcl-I By:
application 1'01-111.
Thomas Farone Thomas Farone
Applicant; _ Uwncr:
Address:. Box _$Z74_�--Route 9 Address:�'CT:—Box BOuf 9
Gansevoort, NY 12831 ansevoort, NY1
Phortell(518)587 - 8989 Phonell-( 518) 587 - 8989
FAX: 518 584-2093 Office contact person: Geri Pastore
Properly Location: Lot Number: Q2 / House Number/gf/
Subdivisiolt Name: Indian Ridge Tax Map Number:
r
xNew Building: residcl /conuuCI'ChlI lislimaled Markel Value'of Construction:
u A'ddilion; resucncc/ aunnlcrcial lfau Addition, what will use ol'new addition be'?
❑ Alteration: residence/ conurtercial
❑ No change to exterior size: residence/colit'I
u Other work(describe
('hceh -----vJ__...-----_•--_-...— ---I� flour ---2"thlour OIhcl• Ilour
()ecnptlncylnfctrntatiolt
Llclow sq. fl. sq. fl• sq. I'I. Square heel
Single, family dwclling —
❑ Two family dwelling
❑ Townhouse
Ll Multifamily dwelling
#of units
❑ _Office _
❑ Mercantile p
❑ Manufacturing
❑ 1 car detached garage (, AM
❑ 2 car detached garage —
❑ 3 car detached garage
❑ I car aUached garage -
2 car attached garage d
Ll
❑ 3 car atlaclted garage _
❑ Storage building-
❑ Storage building-
residcntinl
❑ Other
Will any second-hand or ungraded lumber be used'? if so, for what? D
'hype of I leating System: electric/ oil / gas wood / forced hot air/ baseboard/other:
Number ofhireNaces to be installed Number of 1Voodslow.,s to be installed
List below the persons) responsiblc.loi-supervision of work as regards to building codes:
Namc Addi-css Phone Number
BUildcr, Thomas Farone_ same as above
Plumber e = g eP � '-7 Vg4f-35��
Mason -
i:lccUicialt Electric �� � �==' 1S
Declaration: please sign bell %v aller you have carefully read the statement:
To the best of lily knowledge the slalcmenls contained in this application, logeilier with the plans and specifications
subn)iRed,are a true and complete slalenlcnl of all proposed work to be done on the described premises and that nil
l)1'OVISlllns of the llliii(ling Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall he con)plied
with,whether specilial or holed, and dial such work is authorized by the owner. I:urilicr, it is understood that I/we,shall
submit,prior to a Certilicalc of Occupancy or Certificate of Cotupllancc being issued,as requested by(lie 701iing
Administrator or Director of Bililding an(I Coles,an As Built Syrve),.by a liccuscd surveyor;drawn to scale,showing actual
localioa of*ill new construction.
owner,owner's agent, architect, conh'aclor �w
/ Check Residential Plan Review: One&Two Family Dwellings
Y/N/N/A
/2)Full sets of plans
Over 1,500 sq.ft.—Stamped
I Design Loads On Plans:90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
"Window Schedule With Glass Size 1
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
sidential Check Paperwork Compliance and Inspectors Checklist: OK
ampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10' Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise ,
Winder Run and Rise
S iral Not Allowed From 2n Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
Handrails More Than One Riser On Open Sides
ailing 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
Application for Permit=Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Office Use 1
Location of installation: ko
File Permit No.
Tax Map No.
Fee Paid
Owner's Name: .
Address:
2. INSTALLER'S NAME Pa T- ��� a`- PHONE NO. /�3D�/
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 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm. = �
Garbage Grinder Installed yes_ / no
Spa or Hot Tub Installed yes_ / no
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
Tbnogra-phv oiINature Ground Water Bedrock or Im ervious Material ater Slipply
Flat san at what depth at what depth munici
o"ling loam `w T feet feet well
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 5,I`LSLS ft. Total System Length:_ ;2 ZJ _ft.
Seepage Pit(s): number of size of each: `j—t. by ft.
Size of Stone to be used: # �. / depth or thickness feet
Bed System Size: `fin, �� z
Alternative System:_ length and/or size
c
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
r
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 respon able person Date
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 1 , 20 �, �i Permit No. y't pktr `
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
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to per form required inspections.
NOTE to .applicant: Rough-in and. Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
_ (circle appropriate words) .
Name: a_.; -' - Stove: wood coal 'pellet . gas
Fireplace insert
Address .i." t "' -rl Fireplace, factory-built: wood �ga
x ,.�
Fireplace, masonry: wood gas
Furnace: wood gas oil
. Phone.:
If non-masonary applicance, please provide
Owner:
Manufacturer Naive:
..,_� a ,.�_",��.:.,.�,� _.. ,
Address: Model Number:
Chilmney hnformation
Phone: (circle appropriate words),
Masonry block brick stone '
Flue tile steel size: inches
Exact Address: li �` y.
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Na e. Listed By: Number:
Construction/Installation must
eon. orrn 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
Ca,ethf�r'ret.Depaz*ti�e�t--2`..osrsrxz.oaP,Queess�®rbur�,3V'e�yorl3:
Fire Marshal Code.# $Collected $Refunded- Received from (reful'7ded to)
address:
A 173 3389 (190) Public Safety "
A 233 2655 (230)Minor Sales j
DATE � ! 1 ko'i f �
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
Queensbury Building & Code Enforcement - Residential Final Inspection
ice No.(518)761-8256 Arrive: am/pm Depart: am/pm
ate Inspection request received: Inspector's Initials:
NAME: PERMIT#: UZ? o �
LOCATION: j r, Com _n DATE:
TYPE OF STRUCTURE: l
Comments
'Y IIN_ I /A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" 1
Roof Complete/Exterior Finish Complete VIX
{ Guard 30 in.or more a),stairs,decks,patios
Guard at stairwell at 34 in. or more —
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 %"
Gypsum
Grade away from foundation 6 in.with 10 ft,
Handrail Termination at Newell Post or Wall oo
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 oe
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 2 "access, 1 s . ft.-150 s . ft.vents
Building No./Add—re vi ibd frw road
Final Electrical
Site Plan /Variandke7quired
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\Buildinp,&CodesUnspection FornhslRes. Final Insp. form 2,docLast printed 2/12/04
To of Queensbury Fire Marshall
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
Fa tory Built Gas Fireplace/Stove Iu�spectioan Report
Notice. New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
Permit# Schedule Inspection �,;'e G1 Time am pm anytime Inspector
Name_ r-I�ZtrYOC% Address— 1;i r5(-tepe Dough In Final VZ
Appliance Manufacturer--- Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall _ ._ Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet alcove roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion.Air
Hearth Extension(if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
White—Building Dept. —� Yellow tbxt er Pink—Fire Marshal
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: _ _ Inspector's Initials: - Ck2
NAME: PERMIT#: Q
LOCATION: r =C� _G 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
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
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 P ariance required
Pif51 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\Buildiniz&Codes\Inspection Forms\Res. Final Insp. form 2,docLast printed 2/12/04
1
Rough Plumbing / Insulation Inspection Report �0
Office No. (518) 761-8256 Date'Inspection request received:am
Quee sbury Building& Code Enforcement Arrive: /p Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:` "e
NAME: Q Y-CS'�S� PERMIT #: C)
LOCATION: INSPECT ON: - -�
TYPE OF STRUCTURE:
Y IN N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates j
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or,Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Co er Commercial
,,Cooper, CPVC,Pex One and Two-Family
nsulation/Residential Check/Commercial Check
Proper Vent,Attic Vent i
Duct/Hot Water Piping Insulation
If re wired unheated spaces
Combustion Air S!!pply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
i
LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Repoat.doc November 17,2003
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511
August 9 , 2004
Job #46138
New York State Dept. of Health
77 Mohican Street
Glens Falls, NY 12801
RE: Indian Ridge Subdivision - Queensbury (T)
121 Farr Lane (Lot#24) - Septic System
Dear Sir/Ma'am:
This letter is to inform you that I inspected the completed septic system for the house on 121 Farr
Lane (Lot#24) in the Indian Ridge Subdivision on July 29, 2004.
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,
Thomas R. Center Jr. , EI
cc: D- atin,— own-of-Queensbury
Tom Farone
[2 --2-
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: *6'
Queensbury Building&Code Enforcement Arrive: am/ m e rt: a pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 20 t PERMIT#: r d �
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: Cal
Y N N/A COMMENTS
Framing 1
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (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 snow 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 '/2 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
.��Q �C. ►1C�i(, A)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 23,2003
��o c t,�.•.l
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queehsbu>y Building&Code Enforcement Arrive:-am/pm.\ Depart: am/pm
742 Bay Road, Queensbuly,NY 12804 Inspector's Initials.
NAME: PERMIT#: o(
LOCATION: /'2-) .4--CAC INSPECT ON: 7
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3, R-4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm..
P umbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Copper, CPVC,Pex One &Two Family
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
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Septic Inspection Report
Office No. (518)761-8256 Date Inspection reque received: `�Im 104
Queensbury Building&Code Enforcement Arrive: am/ impart: rn/pm
742 Bay Rd., Queensbury,NY 1,2804 hispector's Initials: ,
NAME: PERMIT NO.: OO "A) o
L �Q,t117. INSPECT ON:
RECHEC
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance
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 fit.
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 iddle Rear
S stem Use Statu
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
Septic Inspection Report
Office No. (518)761-8256 Date Inspection requesKE
0)
Queensbury Building&Code Enforcement Arrive: am/prt: `� rnlpm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:NAME: "LLDfYY�1L� PERMIT NO.: db 4'0 0
LOCATION: 77W r r - dbi)- ern- INSPECT ON:
RECHECK: I
Comments and/or diagram
Soil Type:(Sa Clay
Type of Wa er: Municipal Well Water
Waterline separation di ce 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 f�
Size: x V I u LG•-"� f l���
Stone Size:
Piping Si T eI�
Building to tank
Tank to Distnbu on Box u c b c7
Distribution Box ' ield J Pit u '�
Opening Sealed: /N/Partial
Location/Separations.
Foundation to tank
Foundation to absorption
Separation of Pits ' 7« S
Conforms as per Plot Plan Y N � U( (,j
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Status
-----,Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
LASueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
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Rough Plumbin / Insulation Ins ection Re ortg p p
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p D part: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:e
NAME: PERMIT #:
LOCATION:_T\ /l LrJ INSPECT ON: -7 Fzd o
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
C anout every 100 feet/change of direction
ater Supply Piping
ePe Commercial
Coo e , CPVC,Pex One and Two-Family
aon/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:
L:\SueHemingway\Building.Codes.Inspection.FQRMS\Rough Plumbing Insulation Report.doc November]7,2003
Dough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 1 0 "30 a
Queensbury Building&Code Enforcement Arrive: am/pZ Depart: 5 am/pm 1
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT #: 00 - ova
LOCATION: INSPECT ON: 119 kA my��
TYPE OF STRUCTURE: S F j-)
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
-Rough Plumbing/Nail Plates
1 % inch min. Drain Size
WaAing Machine Drain 2 inch min.
ead or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/chan a of direction
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
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:
L:\SueHemingway\Building.Codes.Inspection.FQRMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Dep art:��am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: —'ARDaJG PERMIT#:
LOCATION: /2/ 102--e INSPECT ON: Z d
TYPE OF STRUCTURE T—
Framing
Y N N/`d' COMMENTS
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
chor Bolts 6 ft. or less on center
Ice and snow 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 11/2 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
LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestoppmg Inspection Report yj
V
Office No. (518) 761-8256 Date In ection re est ecei
Queensbury Building&Code Enforcement Arrive: `, e rt: a
742 Bay Road, Queensbury,NY 1.2804 Inspector's Initia
L -
NAME: �C��C PERMIT#: O
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing
Y N 'N/A COMMENTS
.
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft, floor trusses
Ancho• olts 6 ft. or less on center
e and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 how
Firestopping
Penetration sealed C
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 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:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestoppmg Inspection Report.doc January 28,2003
Foundation Inspection Report
Office o. 1 1- 6 Date Inspection request received:N (5 8)76 825 p q . .,
Queensbury Building&Code Enforcement Arrive: am/pm Depart: m/pm
742 Bay Rd'.,Queensbury,NY 12804 Inspector's Initials."��
NAME: is PERMIT#: CG Z( 2(::�)
LOCATION: INSPECT ON: S'- -3 .-pc j
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
enforcement in Place
Foundation:Dampproofing
Foundation/Waterproofing
Type of Dampproofmg/Waterproofing
Footing Drain Daylight or Sump.
Footing Drain Stone:
12 inch width
6 in es above footing
i1 poly for wet areas under slab
- " ackfill 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.FORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p. Depart: pm
742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: Z , Q
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
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.
LASueHemingway\Bui]ding.Codes.InspectionTORMSToundation Inspection Report doc January 28,2003
Permit Numbe PD
REMN
--� Z004
REScheck Compliance Certificate Checked$y/Date
New York State Energy Conservation Construction Code TOWN OF QUEENSSURY
REScheckSoftware Version 3.5 Release 1 j3Q1LD.11tr44QQ �OM—
Dataa filename:Q\Program Files\Check\REScheck\l842-04 SHERIDAN-FARONE-LOT 24-121FARR LANE,QUEENSBURY.rck
TITLE:PLAN NO. 1842-04 SHERIDAN
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE:02/09/04
DATE OF PLANS:FEBRUARY 9,2004
PROJECT INFORMATION:
THOMAS J.FARONE AND SON
LOT 24-121 FARR LANE
QUEENSBURY
COMPANY INFORMATION:
WILLIAMS&WILLIAMS DESIGNERS
509 GLEN STREET
GLENS FALLS,NEW YORK 12801
COMPLIANCE:Passes
Maximum UA=407
Your Home UA=330
18.9%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 1842 30.0 0.0 64
Wall 1:Wood Frame, 16"o.c. 1544 19.0 0.0 74
Window 1:Vinyl Frame:Double Pane with Low-E 240 0.320 77
Door 1:Solid 21 0.130 3
Door 2:Glass 35 0.330 12
Door 3:Solid 21 0.130 3
Basement Wall 1: Solid Concrete or Masonry 1544 11.0 0.0 97
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 stamped and
signed this page,they are atte ' g that t the best of his/her knowledge,belief,and professional judgment,such plans or
specifications are' pli wi i de. n
r esigner Date V'� "0
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release 1
DATE:02/09/04
TITLE:PLAN NO. 1842-04 SHERIDAN
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: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:
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:
Doors:
[ ] 1. Door 1: Solid,U-factor:0.130
Comments:
[ ] 2. Door 2:Glass,U-factor:0.330
Comments:
[ ] 3. Door 3: Solid,U-factor: 0.130
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.If non-IC rated,the fixture must be installed with a
3"clearance from insulation.
Vapor Retarder:
[ ] 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.
� z
[ ] Manufacturer manuals for 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-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. Duct tape is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] 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 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.
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 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 T or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
Table]: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 111 Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for FIVAC pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for 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)