2003-063 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: P20030063 Date Issued: Tuesday, September 23,.2003
This is to certify that work.-requested to be done as shown by Permit Number P20030063
-- has been completed.
Tax Map Number: 523400-295-020-0001-004-017-0000
Location: 191 FARR Ln
Owner: TRA-TOM DEVELOPMENT, INC.
Applicant: FARONE CONSTRUCTION
This structure may be occupied as_a:
By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030063 Application Number: A20030063
Tax Map No: 523400-295-020-0001-004-017-0000
Permission is hereby granted to: FARONF, CONSTRi 1CTION
For property located at: 191 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.
804 STATE ROUTE 9 Garage-2 Cars Attached
Single Family Dwelling 179,500.00
GANSEVOORT,NY 12831-0000 Total Value 179,500.00
Contractor or Builder's Name /Address Electrical Inspection Agency
FARONF, CONSTRUCTION NEW YORK BOARD OF FIRE I JNDF,
PO BOX 804 ROUTE 9
C'TANSF,VOORT.NY 12831
Plans&Specifications
2002-063 Lot No. 7, House No. 191 FARR LANE,
Indian Ridge, Phase 2
1714 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT
PLAN SPECIFICATIONS
$266.68 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,March 14,2004
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town<Quee bury; Friday,March 14,2003
P
SIGNED BY for the Town of Queensbury.
Director of Buil &C e Enforcement
Building.Permit Application
Town of Quccnsbury-Dept of Community Development, 742 Bay Road,Quccnsbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No CeL
No inspection will he made until applicant has received a fee Paid
valid building permit. All applicants' spaces on this Rce. I-cc Paid
application must be coinplcicd and must appear on the rllr �Reviewedp
application form. Q
Applicant: Thomas Farone Owner Thomas Farone
Address: �b---Box -$�-4, Route-_9 Address:'�'�ox—BQ ou`t- 9
Gansevoort, NY 12831 Gansevoort, NY 12831
Plione#(518)587 - 8989 Plione#( 518) 587 - 8989
FAX: 518 584-2093 Office contact person: Geri Pastore
Property Location: Lot Numbcr: / House Number / Let/!
Subdivision Nante: Indian Ridge Tax Map Numbcr: `
I
u New Building: residenc• commercial Isstimated Markel Valuc of Constructiow $ 7�
u Addition: reslt cncc/ commercial Ifan Addition, what will use of new addition bc'1
❑ Alteration: residence/ commercial RECEIVED
❑ No change to exterior size: residence/com'I a �/
❑ Othcr work(describe _ —)
MAR 0 b 2003
TOWN OF QUEENSBURY
C�Irecle -- ;,-- - —---,;,,- .... -- B AND CODE
(ken p�mcylu Formal ioll� 1 Moor 2 Floor Other flour
Below Sq. Il. sq. fl• sq.A. Square Feet
Single family dwelling / 9.S
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
it of units
❑ ofrcc
❑ Mcrcantilc
❑ Manufacturing
❑ 1 car delacllerl garage
❑ 2 car detached garage
❑ 3 car detached garage
Li I car attached garage --— —
I'll-_2 car nllached garage Lp (� (`�f _
/❑ 3 car attached garage:
u Storage building-
conune'cial -
❑ Storage building-
residcntinl
❑ Othcr
Will any second-hand or ungraded lumber be uscd'T If so, for what? /ISO
Type off Icaling System: electric/ oil / gas wood / forced hot air/ baseboard/other:
Number of Fireplaces to be installed 0 Number of IPaodslores to be inslallcd d
List below the person(s)responsible tin•supervision of work as regards to building codes:
Name Addl•css Phone Number
Buildcf• Thomas Farone same as above
Plumber C & G Plumbing 654-7477
Mason Heath Russell 796-3033
Eicclrician Modern Electric 584- 8341
1)eclgraliol.t: please sign below allcr you have cwrlially read Ile staleme is
To(lie best of nay knowledge[lie statements contained in this application,together with lbc plaits and slice ilicalions
submillel,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
wilb, wbclber specified or noted, and lbat such work is authorized by(lie 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 anel Codes,an As Builr Sru-vep by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: _ owner,owner's agent,architect,contractor
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION: Indian Ridge Subdivision --•-•••••-•-•• -•--•••--•••••••----•-•-•••-•- ------............--_-—
n
Location of installation:Lot No. / House No. �`l� Office Use
. Road Name: /o/? File.Permit
Tax Map No.
Owner's Name: Thomas Farone
• Fee Paid
Address: P.O. Box 804 , Route 9
Gansevoort, NY 12831 .
2. INSTALLER'S NAME PHONE NO.
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 Izto�C E I VE
1980 or older x 150 gal/bdrm = MAR 0 b 2003
1980- 1991 x 130 gal/bdrm = N OF QUEEIVSl3URY
1991 -present 3 x 110 gal/bdrm = LDING AND CODE
Garbage Grinder htstalled yes_ / no
Spa or Whirlpool Installed yes_ / no
4. PARCEL INFORMATION: (circle applicable information &indicate measurements)-
ra h Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
14at sand at what depth at what depth municipal
ZollIng loam feet ivell
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: 16RSD gallon (min. size ],000 gal.)
Tile Field: each trench y5-X5-Q ft., Total System Length:
Seepage Pit(s): number of d size of each: fl. by ,fl.
Size.of Stone to be used: # --� / depth or thickness feet
Bed System Size: jV x
Alternative System: )VIA 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 materialyfact or
circumstance known by or on behalf of an applicant, shall be void.
i
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 responsibg person Date
r
,�/ p P� 3-6
Project Name: � U�� BP# G
Address: / l9� ��-
Building Permit Submission SFD
Checklist 2-Family
All items below must be checked either yes,no or not applicable prior to submission of any building
permit to the Town of Queensbury Building Department. If any of the below items are lacking,the permit
will not be accepted until such time as the application is deemed complete for submission.
1. Building Permit Application Completed ... ... ... ... ... ... ... ... ... ...... ... . ❑no ❑n/a
2. EnergyFonn or CheckMate Energy Code Compliance Forms Complete.. s ❑no ❑n/a
(2 copies)
3. Energy Code Inspector's Report from CheckMate Program.. ... ... ... ... .. yes ❑no ❑n/a
(2 copies)
4. Septic application completely filled out(if applicable)... ... ... ... ... ... ... ... yes ❑no ❑n/a
5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ... ... ... ... ... ... ... ... .❑yes no
6. Electrical Inspection Form... ... ... ...... ... ... ... ... ... ... ... ... ... ... ... ... ..... ❑no ❑n/a
7. Two (2) complete sets of structural drawings... .. ... ... ... ... ... ... ... ... ... ..., ye Ono ❑n/a
a) floor plan;b) foundation plan;c) cross sections:d) elevations;
e)window and door schedule
8. Two(2) site plans showing location of the structure to be built. ... ... ... ... yes Ono [-]n/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure... ... ... ... ... ... ... ... ... ... .. [--]no [-]n/a10. Setbacks to neighboring wells and septic systems,including onsite well... ❑yes o ❑n/a
and-septic systems (if applicable)
11. k-", rivewayPeimit... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... s ❑no ❑n/a
Date: O/
Staff Initial:
L:\SueHemingway\Bui ding.Pemut.FORMS\Generic Checklist.doc January28,2003
Residential Plan Review: One&Two Family Dwellings
Check
Y/N/N(A
J (2)Full sets of plans
Over 1,500 sq. ft.—stamped
/ Design loads on plans: 90 wind Floor Loads 40 psf
✓ 70 ground snow load Sleeping areas and Attics 30 psf
Calculations:
Window Schedule with glass size
Door Schedule/Main Entrance 36"Door
Emergency escape for 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
Residential Check paperwork compliance and inspectors checklist: OK
Vertical Rebar as required by code
Dam proofing/Waterproofing materials on plans
oundation Drainage on plans,if required
6"Drop in 10' Exterior Grade
raining cross section for each roof line,Vertical Fire Stopping every 10' where required
ice and Snow shield 24"inside exterior wall
Platforms at exterior doors
Stairway headroom 6 ft. 8 in. all stairs 36"Width
Stair run and rise
Winder run and rise
-/ Spiral not allowed from 2 nI story
moke detectors battery backup and proper location
Bathroom Fixtures proper clearance
Hall width, 36"min.
Handrails more than one riser on open sides
Railing and Guards>30"/Basement Stairs included/Closed Risers more than 4"in height
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
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
-(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT
C ERCIAL --
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIVED:
NAME
LOCATION r
DATE �����)� PERMIT H -
TYPE OF STRUCTURE
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/110T WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE _
LXMIL STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE LAN VARIANCRENAL SUREY PLON IF RE
OK TO 1SSUE C/O OR C C
INDIAN RIDGE PUD
PHASE TWO _
DATED AUGUST 27, 2001 E
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189 Haviland Road Queensbury, New York 12804 —AM� � AM Town of Queensbury, Marren County, New York
a"="°°'am0t"sl°D"'a"'""110"' FARONE
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIP77ON M. NO. IR-7
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/-Dart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: ,
PERMIT M �J
LOCATION: ��\` ^��� p �O 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 oe
Roof Complete
Guard 30 in. or snore @ 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
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 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 Valve(s) installed
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:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation Vol
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s .ft.-150 s . ft.vents
Building No./Addre s visible.from • d
Final Electrical . K
Site Plan /Varianc re u red /V��`� �V���
Final SurveyPlot Plan h to
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C/O(Cert. Of Occupancy)
Okay to issue Permanent C/O(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ art: v am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: G Y�_� 11 _ PERMIT NO.:
LOCATION: - /�, . INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: San / la
Type of Wa . unici /Well Water
Waterline separate istance ft.
Well separation distance ft.
Other.wells: ft,
Absorption Field: Total length ft.
Length of each trench AV ft.
_Depth of trenches ft.
Size of Stone �®
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribqtion Box u Z-6
Distribution BoYtN Field/Pit k u
Opening Sealed /N/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption t.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of Syst on Property:
Front ear Left Side 01ghtide
Middle Front Middle Rear
System Use Stat :
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
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspectip;kre a ec
Queensbury Building&Code Enforcement Arrive: aI e rt: - a m
742 Bay Road, Queensbury,NY 12804 Inspector's Initia s `
V f
` 1
NAME: �''� PERMIT M
LOCATION: G INSPECT ON: ::7
TYPE OF STRUCTURE:
" � n
' J
•�
PVC: R-1,R-2,R-3,R-4 Drain/Vents Y N N/A
Cast Iron,Copper Drain/Vent/Comm.
Plumbing 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
Cqpper, CPVC,Pex One &Two Family
ation/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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/priy epart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: J owArt;/
CIO
wr
-3--
NAME: PERMIT#: 0�6
LOCATION: INSPECT ON: •
TYPE OF STRUCtURE:
Y N N/A COMMENTS
ram g Y
a k Studs/Headers
Bracing/Bridgingp
Joist hangers �1
Jack Posts/Main Beams ��(!b�T �� ,n ` ►� �C
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.Stairwells 36 in. or more IAJ , P
5 fA-t � �/UI�
Headroom 6 ft. 8 in. 1 UX7 5 t
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
ire wall 2, 3 4 hour
il.eanw."
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
i
As
L:\SueHemingwayCB ild Ili g:Godes.Inspection.FORMS\Framing Fi estopping Inspection Report.doc Januaiy 28,2003
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511 )
�r
May 30, 2003
Job #4613 8
Mr. Glenn Bruso
New York State Dept. of Health
77 Mohican Street
Glens Falls, NY 12801 l0�
RE: Indian Ridge Subdivision- Queensbury (T)
Lot# 7 Septic System
Dear Glenn:
This letter is to inform you that I inspected the completed septic system for the house on Lot #7
in the Indian Ridge Subdivision on May 28, 2003.
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: Dave Hatin, Town of Queensbury
Tom Farone
j
Foundation Inspection Report !�
1'
A
Office No. (51-8)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart• am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: 000 U — 63
LOCATION: INSPECT ON: — 3
TYPE OF STRUC ��,��
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
a
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
mil poly for wet areas under slab
acicflll Approval e
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Glade 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 reque eiv :
Queensbury Building&Code Enforcement Arrive: a pm epart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: a
NAME: PERMIT#:
LOCATION: INSPECT ON: �.
TYPE OF STRU 1( .
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.
Miaterials for this purpose on site.
ndation/Wallpour
Reinforcement in Place
x
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
Bacicfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Glade 6 inch drop within 10 ft.
LASueHemingway\Building.Codes,Inspection.FORMSToundation Inspection Report.doc January 28,2003
� 1
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depa am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia
NAME: PERMIT#:
LOCATION: Cit INSPECT ON: —
TYPE OF STRU
Comments
�.
Y N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible r
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
a
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
Bacicfill 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
Foundation Inspection Report
Office No. (51S) 761-8256 Date Inspection request received: A b
Queensbury Building&Code Enforcement Arrive: am/� j /Depart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: ��—�. PERMIT#: 3
3
LOCATION: R INSPECT ON: 5 ;
TYPE OF STRUCTURE:
Comments
Y N N/A
tangs
PIe�
Monolithic Slab 1
Reinforcement in Place /
The contractor is resp sable o
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
s
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.InspectionSORMSToundation Inspection Report.doc January 28,2003
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46 EL(REV. 1/96) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TH.E..N,.E*W..,.YO..R,K,...B.OARD.,O,F..FIRE UNDERWRITERS CEFmFICA,T E No.
DO NOT'WRITEMARE- OR'
:.
.._.,PfMCE.USE ONLY
BUILDING PERMIT NO.
o(,93
CITY OR VILLAGE 71PTOWNSHIP COUNTY
10)PeA9,—,- i)IQAI -e
STREET 0 NO OR DAD
7 POLE NUMBER
BETWEEN WHAT TWO CFI dSS STREETS IS PREMISES LOCATED? /SECTION BLOCK LOT
OCCUPANTS NAME RD
BUILDING OCCUPANCY
OWN E AND ADDRESS HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS
NEW
OLD ❑ WORK IS NEW❑ ADDITIONAL 13 DEFECTS REMOVE[)C
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fwures& MOTORS HEATERS -BRANCH OFFICE USE_
Loca- Lamp Receptacles CIRCUITS
ton
Ceiling Side Ad= H.P. atts 9�Ly'
Wall ReceDis Switch Pendant Bracket No. Type Each No. Each N.. Gauqe INSPECTION'..;
OUT-
SIDE
SUB-
BASE
BASE-
MENT
1st
FL
2nd
FL
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED.BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER'
THE ADDITIONAL EQUIPMENT,A9 PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS
CHARACTER OF WORK EXPOSED Applicant affirms that there is not an application for electrical
C]CONCEALED inspection pending with a qualified electrical inspection
DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein.
This application is valid for a period not 'exceeding one year
SERVICE ENTERS BUILDING
0 OVERHEAD UNDERGROUND from the date received by the Board
DATE INSPECTICN FIEGUESTEO ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
IDENTIFICATION NUMBER>-
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS-
NAME OF APPLICANT DATE OF APPLICATION Sl TURE OFAPPLICA"
STREET ADDRESS
TELEPHONE NO.,O' .
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
E]40 Fulton'Stree, 0 111 Washington Ave. ❑3291 Lake Shore Road ❑ 803 West Avenue ❑202 Arterial Road
NEW YORK, NY.10038 SUITE 704 I BUFFALO,NY 14219 I SUITE 106 SYRACUSE. NY 13206
(212) 227-3700 ALBANY, NY 12210 (716) 827-11: ROCHESTER.NY 1,46111 (315)463-85-52
(518) 463-2122 (716)436-"60
THE NEW YORK BOARD OF FIRE UNDERWRITERS
i
w
dam
Permit Number
REScheck Compliance.Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheekSoftware Version 3.5 Release la
Data filename: C:\Program Files\Check\REScheck\1714-01 DANFORTH-FARONE-LOT 7-191 FARR LANE,
QUEENSBURY.cck
TITLE:PLAN NO. 1714-01 DANFORTH
COUNTY: Saratoga
STATE:New York
HDD:7244
CONSTRUCTION TYPE:Detached 1 or 2 Family ����I��
HEATING TYPE:Non-Electric
DATE: 02/11/03 LIAR 0 s
DATE OF PLANS:FEBRUARY 10,2003 20�3
TOWN OF QUEENSBURY
PROJECT INFORMATION: BUILDING AND CODE
THOMAS J.FARONE AND SON
LOT7-191 FARR LANE
QUEENSBURY
COMPANY INFORMATION:
WILLIAMS&WILLIAMS DESIGNERS
509 GLEN STREET
GLENS FALLS,NEW YORK 12801
COMPLIANCE:Passes
Maximum UA=368
Your Home UA=302
f7.9%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 1523 30.0 0.0 53
Wall 1:Wood Frame, 16" o.c. 1295 19.0 0.0 62
Window 1:Vinyl Frame:Double Pane with Low-E 166 0.320 53
Door 1: Solid 35 0.130 5
Door 2: Solid 21 0.130 3
Door 3: Glass 42. 0.330 14
Wall 2:Wood Frame, 16" o.c. 419 19.0 0.0 22
Window 2:Vinyl Frame:Double Pane with Low-E 60 0.320 19
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1493 19.0 0.0 70
Floor 2:All-Wood Joist/Truss:Over Outside Air 24 19.0 0.0 1
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
1
4
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,they are attes ' g that to the best of his/her knowledge,belief,and professional judgment,such plans or
specifications are mplia w t sde.
BtrH4Zt esigne Date
i
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release la
DATE:02/11/03
TITLE:PLAN NO. 1714-01 DANFORTH
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:
[ ] 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 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 features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]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:
Floors:
[ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation
Comments:
[ ] 2. Floor 2:All-Wood Joist/Truss:Over Outside Air,R-19.0 cavity insulation
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:
• , 4
[ ] 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 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-8.
[ ] J Return ducts in unconditioned attics or outside the building must be insulated to R-4.
[ ] Supply ducts in unconditioned spaces must be insulated to R-8.
[ ] 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 T must be insulated to the
levels in Table 2.
v
Table 1: 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 1„ 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 HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(F) 2"Runouts V 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)
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(518) 792-8474 New York Lie. No. 50135 FTO—. - DATE DESCRIPTION DWG. NO. R-7