2003-071 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: P20030071 Date Issued: Tuesday, October 14, 2003
This is to certify that work requested to be done as shown by Permit Number P20030071
has been completed.
Tax Map Number: 523400-295-020-0001-046-000-0000
Location: 165 FARR Ln
Owner: TRA-TOM DEVELOPMENT INC
Applicant: FARONE CONSTRUCTION
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling A
Director u ding&Code rc nt
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030071 Application Number: A20030071
Tax Map No: 523400-295-020-0001-046-000-0000
Permission is hereby granted to: FARONE CONSTRUCTION
For property located at: 165 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 Fireplace
d
GANSEVOORT,NY 12831-0000 Garage-2 Cars Attached
Single Family Dwelling196,900.00
Total Value 196,900.00
Contractor or Builder's Name/Address Electrical Inspection Agency
NEW YORK BOARD OF FIRE,I JNDF,
Plans&Specifications
2003-071 LOT#13 HSE#165 FARR LANE
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 of Q nsbury; Friday,March 14,2003
SIGNED Br3n
for the Town of Queensbury.
Director of Bu Rn4gpAode Enforcement
Building.Permit Application
'rows orQuecnsbury-Dept of Community Development, 7-12 Bay Road,Quccnsbury,NY
(518) 761-8256 !
A permit must be obtained before beginning construction. Permit FiL No.,, 3-Q
No ins section will he made until applicant llicant has received a �, • MP R 1 1 2003
I I I I'cc Pak $.
valid building pc mil. All applicants' spaces on this [Zee. I-cc I OWN OF QUEENSBURY
appllCali011 1111.1st be completed anti must appear on the Reviewed y: BUILE ING AND CODE
application form.
Applicant: Thomas Farone owncr Thomas, Farone
Address: � Box �t3�4�;Route 9 Address:-P'-'fox--" pouf- 9
Gansevoort, NY 12831 Gansevoort, NY 12831
Phone# (518)5 8 7 - 8989 Pliotle d( 518) 5 8 7 - 8989
FAX: 518 584-2093 Office contact person: Geri Pastore
Property Location: Lot Number: _ / House Ntunber..Z&61 r--AYf1? �
Subdivision Nantc: Indian Ridge Tax Map Numbcr:
u New 13uilding: 4sidencc omulcrcial Isslimated Markel Value orConslrucliow $ /'q4�-, -OCR
u Addition: residellce/ conunercial frail Addition, what will use of new addition be'I
❑ Alteration: residencc/ commercial
❑ No change to exterior size: residence/conl'I
U Mier work(describe _)
('hecic �j�cup�ulcyluforul;ltiull ` 1� Moor _ 2"'t Moor— OIhcr floor Total
Below sq. li. sq. U. sq.A. Square heel
Single family dwelling / �/1�`�
❑ Two ramil dwcllin �`—'
❑ 'rownllouse
❑ Multifamily dwelling
/1 of'units
❑ _office
❑ Mercantile
❑ Manuracturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
* I car attached garage ---— - - l
2 car attached garage
❑ 3 car allaclted garage.
* Storage building- _
commercial ___—_ _—_—• -'
❑ Storage building-
residcntinl -
❑ Othcr
Will any second-hand or ungraded lumber be used'1 If so, for what? A)(5
'rypc or I lcating Systcm: electric/ oil / gas wood /forced hot air/ baseboard/other: IA
Number of lfb-eplaces to be installed _� Numbcr of 11'oodvlores to be installed
List below the pc-son(s)responsible Iin•supervision of work as regards to building codes:
Name Address Plionc Numbcr
Btiildcr Thomas Farone same as above
Plumber C & G Plumbing 654-7477
Mason Heath Russell 796-3033
Elcclticitttl Modern Electric 584- 8341
Ucclr►rntiptt: please sign below alter you have carelirlly read the slalenlcnL•
To the best ornly knowledge the statements contained in this application, logelhcr wilh the plans and specilicalions
submitted,arc a true and complete slatenlcnt orall proposed work to be done on the described premises and that all
provisions or lite Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and Thal such work is aulhorizcd by the owncr. Further, it is understood dial I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Achninistr•alor or Direclor of Building and Codes,an As Buill S'urrelp by a licensed surveyor;drawn to scale,showing actual
location orall ucw consh•tiction.
Signature: ,�Zt?i� i/ti�. owncr,owner's agent,architect,contractor /
Project Name:-- --BP#-
Address:
Building Permit Submission
Singl�fangy duelling
Tuofiarnily duelling
Checklist
All items below.'
be ched.=eit ckeher yes,no or riot applicable prior to submission of any building
permit' lie Town of Qi nsburyBa Department. Jf 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 ... ... ... ... ... ... ... ... ... ... ... ... . yes ❑no ❑ n/a
2. Energy Form or CheckMate Energy Code Compliance Forms Complete.. yes ❑ no ❑n/a
3. Energy Code Inspector's Report from CheckMate Program... ... ... ... ..... s ❑ no ❑n/a
4. Septic application completelyfilled out(if applicable)... . ... ... ... ... s ❑ no ❑ n/a
5. Solid Fuel Burning or Gas Appliance Form... .0. ... .. ... ... ... yes Ono ❑n/a
6. Electrical Inspection Form... ... ...
7. Two (2)complete sets of structural drawings... .. ... ... ... ... ... ... ... ... .. ... . Ono ❑n/a
a) floor plan;b)foundation plan;c) cross sections:d) elevations;
e) window and door schedule - S.
8. Two(2) site plans showing location of the structure to be built. ... ... ... ... yes ❑no ❑n/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure... ... ... ... ... ... ... ... ... ..... yes ❑no ❑n/a
10. Setbacks to neighboring wells and septic systems,including onsite well... s [-]no ❑n/a
and septic systems (if applicable)
11. DrivewayPermit... ... ... ... ... ... ... ... ... ... ...... ... ... ... ... ... ... ... ... ... ... s ❑no ❑n/a
Date:
Staff Initial:
L:\SueHeuungway\Bdding.Permit.FORMS\Generic Checkhst.doc
07S . 07 (
Residential Plan Review: One &Two Family Dwellings
Check
Y/N/N/
(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:
mdow Schedule with glass size
Door Schedule/Main Entrance 36"Door
,Emergency escape f6r 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
Dampproofing/Waterproofing materials on plans
Foundation Drainage on plans, if required
6"Drop in 10' Exterior Grade
gaming 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° story
.,,Smoke detectors battery backup and proper location
Bathroom Fixtures proper clearance
Hall width, 36"min.
ndrails 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
i
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queen sbury,NY
(518)761-8205
Application for Fuel Burning Appliances & ChirRAr,
applicable to solid fuel & vented gas .appliances , Zlvl�D
Date MA GW 20 3_ ��6� Permit No. AIAR r 003
3
Application is hereby made to the Building&Codes Office for the issuanN�l1v � Y
Permit pursuant to the New York State Fire Prevention and Building Code. The appli-n je n
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part o
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-Bur-ning-Appliance-Infor-mation -
(circle appropriate words)
Name: 117
�/"}7 dN ' Stove: wood coal pellet gas
Fireplace insert
Address: Fireplace, factory-built: wood gas
Fireplace, masonry: wood gas
T 'a Furnace: wood gas oil..
Phone: OPg�
If non-masonary applicance,please provide
Owner: Manufacturer Name:
Address: Model Model Number:
Chimney'Inforrmation
Phone: (circle appropriate words) -=
Masonry block brick stone
-- Flue the- steel size: inches- -
Exact Address:
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must
conform tb NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbur)j
Handouts regarding required inspections. Double wall / Triple wall / hisulated / Direcr venti»g
Chimney Liner
C7�,�ie�ear'�r.Dep�rt.�r�e�t—Z'o��of Quet�t,�e�buxy,New 7t�orl�
Fire Marshal Code# $Collected $Refunded ec ived fio n (re ided to):
A 173 3389 (190) Public Safety
A 233 2655 (230) ino Sales
DATE.:- [ a
— 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 INFORMA�',LON _.____._........__...__...___._.
Indian Ridge Subdivision -- --c- --------- � -
Location of installation:Lot No. House No. I�v Oft~lUl y 200
Road Name: �,L, -jc File.Permit No
3
Tax Map No. / / Fee Paid BUILDING NSB E
" AND COD RY
Owner's Name: Thomas Farone
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 Flow
1980 or older x 150 gal/bdrm =
1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm
Garbage Grinder Listalled yes_ / no 1/
Spa or Whirlpool Installed yes--dam / no
4. PARCEL INFORMATION: (circle applicable information &indicate measurements)
To o ra h So' Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Fla! sand at what depth at w11 t depth municipal
o ing oam Q"�feel ..)��feel well
Sleep 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)
#ale: 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: 142,_5EQgallon (min. size 1,000 gal.)
Tile Field: each trench Total System Length: fl.
Seepage Pit(s): number of size of each: ft. by
Size.of Stone to be used: 11 / 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 responsibW person Date
FINAL INIsPECTf0N REPOFIT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:-
DATE INSPECTION REQUEST RECEIVED: 16
NAME•
LOCATION: G_3
DATE: G:s PERMIT#
MOBILE HOME MODULAR HOME
FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING
N/A YES NO
1. foundation support, pier spacing
per manuf. — — —
2. anchoring per manuf. ...............
3. water line shut off ................... _-
4. sewer line support @ 4 feet ....... _ — —
5. heating crossover (dblewide) off grd. — — —
6. dryer vented outside
7. skirting ventilated ....................
8. hot water relief valve piping outside — — —
9. deck; porches, steps, railing ........
10. furnace/hot water operating
11. garage fire proofing ..................
12. door closers ........................... — — —
13. plumbing fixture ......................
14. foundation insulation (if appl.)...... _ — —
15. smoke detectors .......................
16. final electrical ........................ — — —
17. variance required ..................... — — —
18. data plate okay ....................... _-
19. in ile HUD seal okay ..............
Model)# Serial #
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments:
AX
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INDIAN RIDGE PUD
PHASE TWO
DATED AUGUST 27, 2001
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLCG ,�
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6. 18025 00
ASPHALT DRIVE UTILITIES
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1 ———————— ---/——— —— —————— ———— --L—
155 . 68 '
S05037 ' 09 "W
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30 ft WIDE
NO CLEAR ZONE ••
ALONG REAR LOT LINES • '
l�• D S Date,
e',�ALAA,THGRIZED xTDLATON ADDITION 1D A SxeLEY Map 1'=30'
YAP BEARING A LICENSED LAID SUINEIOR6 SEAL LS A map made for
MOLATION OF SECTION 72M,SUB-DIM"z OF THE
.' NEW YORH STATE EDUCATION LAW'
j� •ONLY COPIES FROM THE ORIGINAL OF THIS"EY
1 YARNED TSTN AN ORMAL,OF THE LAD SUIYEYORS S-.1
S teve s W COPIEV
AT
# �RtACM�R Thomas J. Farone and Son, Inc.
EX137M CM L a rl d Surveyors er THE NEW YDRTc STATE A750fSA1PoN OF A< e 1 OF 1
LAD SURYETDRS.SAID CRVICATONS*I"KIN OILY
TO THE M ON FM*=THE SURVEY 18 MEPARED,AID
ON W 9D MF TO THE TITLE COMPANY,GOL4RIBDITu
189 Haviland Road Queensbury, New York 12804 o '.town of Queensbury, Warren County, New York
FARONE
j (518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIP77ON DWG. NO. IR-13
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Town of Queensbury
Fire Marshall's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report � .j G�
Request 03 _� SCHEDULE
Received: Permit# INSPECTION ON: _
Name: VC-,-,Lnk a —
/ AM PM ANYTIME
t ����
APPROVED
N/A YES NO I COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS—NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FIREPLACE FINAL
MASONRY ROUGHIN
OK THIS ®AT ®JFORCO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN
INSPECTED BY
FINAL
COMDSV/CHRISJNWORDILETTERS20011FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Ueensbu
Town of Q ry
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# INSPECTION ON:
Name:�� _U ANYTIME
APPROVED
N!A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
� FINAL
CHIMNEY
FACTORY BUILT ROUGH IN `�
FINAL x \A,\V �✓
WOOD
STOVE ROUGH INv
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THI ATE )FOR CO NOT ®K
FINAL
FIREPLACE
FACTORY BUILT _ ROUGH IN INSPECTE® BY
FINAL
COMDEV/CHRISJMORD/LETTERS2001/FIREMARSH 1 I PECTIONREPOR YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
Rough Plumbing /Insulation Inspection Report ell
Office No. (518) 761-8256 Date Inspection r ues ceive `�. S U 3
Queensbury Building&Code Enforcement Arrive: ai in D a a
742 Bay Road,Queensbury,NY 12804 Inspector's Initial
NAME: —LC��-,C� PERMIT#: 3
LOCATION. INSPECT ON:
TYPE OF STRUCTURE:
1
Y N N/A .s
PVC: R-1,R-2,R-3,R-4 Drain/Vents
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
er, VC,Pex One&Two Family
Insulation'/R idential Check/Commercial Check V T
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\I3uilding.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/ p)aart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#: -5 6 1
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
JA
aming 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
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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: a p epart am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial
NAME: PERMIT#: 03 7
LOCATION: INSPECT ON: —0
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging r
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more � TRIP Ss
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
Penetration sealed
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 AA
LoL 4 /j 6 !�l�
L:\SueHemingway\Building.Codes.Inspection.t-ORMS\Framing Firestopping Inspection Report.doc January 28,2003
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511
May 30, 2003
Job#46138
Mr. Glenn Bruso
New York State Dept. of Health
77 Mohican Street
Glens Falls, NY 12801 ~Q�
RE: Indian Ridge Subdivision- Queensbury (T) /
Lot# 13 Septic System
Dear Glenn:
This letter is to inform you that I inspected the completed septic system for the house on Lot #13
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
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am n part: - am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ',a l
NAME: PERMIT NO.: /�/ 3 — 7`
LOCATION: 0 . INSPECT ON: —
RECHECK:
Comments and/or diagram
Soil T San / la
Type of unicip /Well Water
Waterline separ stance 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 Siag Type
Building to tank
Tank to Distribution Box
Distribution Box ield/Pit 69
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 Sy. on Property:
Front Rear Left Side Right Side
Middle ront Middle Rear
System Use Stat s•
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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&& Code Enforcement Arrive: am/pm Depart: d am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
�.71
NAME: I—A-(Z O A) PERMIT#:
LOCATION: FP�—' L—Aj INSPECT ON: Z 0 >
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
D ft 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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report �-
Office No. (518) 761-8256 Date Inspection request received: /
Queensbury Building& Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initia UAI2__0
NAME: C` r PE
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 I
12"O.C. i
Headroom 6 ft. 8 in. '
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top ate
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 I
e 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
LASueHemin.-way\Buil din g.Codes.In spec ti on.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
9
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection reque e ed: 1
Queensbury Building&Code Enforcement Arrive: a m Depart:` , a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME: P IT#: f
LOCATION: ( INSPECT ON: — �_
TYPE OF STRUCTURE: b
Comments
Y N N/A
Footings
Piers
Monolithic Slab
enforcement 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.
oundation/Wallpour �� L `�
Reinforcement in Place
Foun ation Dampproofing
o ndation/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 Glade 6 inch drop within 10 ft.
LASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (51-8) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p�i�% Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: —JI `---
NAME: PERMIT#:
LOCATION: INSPECT ON: — ?,
TYPE OF STRUC
Comments
3t i� 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
r
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6jLagpoly for wet areas under slab /
Batlfill Approval e Ll
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. (51"8) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm I 1 Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: �J---
NAME: . PERMIT#: QO(.B3 0-7 l
LOCATION: INSPECT ON: � -- 21�03 /
TYPE OF STRUCTURE: n
Comments f
Y N N/A
ootings
Piers
Monolithic Slab
Reinforcement in Place ,r-1
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
t
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
46 EL(REV.11/96) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
THE.,,NE,W YORK BOARD.OFWFIRE UNDERW ERS C_�FI��NO.
DO NOT WRITE HERE `FOR OFFICE.USE ONLY.
- - `'` _;5;:`i•'Ri N "IM1901fiG PERMIT NO.
, nos V ° DA
03
� I
CITY OR VLLLAGE 71P CODE ^ �� - Fp, CoU
STRE AND NO.O'fiGAD U� CJ/i I�
AAIn
- POLE NUMBER
� o� 3
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
f OCCUPANT'S NAME BUILDING OCCUPANCY-
OWNER'S NAME AND ADDRESS _ ,
HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS NEW OLD ❑ WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
Loca-
NUMBER OF OUTLETS No.of Fixtures 8 MOTORS HEATERS BRANCH OFFICE USE...... k
Lamp Receptacles CIRCUITS y QNLY' •• ,;:.;._.
lion Side Attaeh't
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type H.P. No. Warts No A•w•G• .• INSPECTION
Each Each Gau e
OUT-
SIDE
SUB-
BASE
BASE-
MENT
I
tat i
FL.
2nd
FL.
I
3 i
FL.
i
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE
i
I
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
Applicant affirms that there is not an application for electrical _
CHARACTER OF WORK ❑EXPOSED pending ec ins tion with a qualified electrical inspection -
❑CONCEALED P P g Q P
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 from the date received by the Board.
❑ OVERHEAD UNDERGROUND
DATE INSPECTION REQUESTED 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 XSICTWATURE OF APPUCAN
STREET ADDRESS /� TELEPHONE NO.
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
❑40 Fulton Street ❑ 111 Washington Ave. ❑3291 Lake Shore Road ❑803 West Avenue ❑202 Arterial Road
NEW YORK, NY 100381 SUITE 704 I BUFFALO,NY 14219 I SUITE 106 I SYRACUSE. NY 13206
(212)227-3700 ALBANY. NY 12210 (716)827-1155 ROCHESTER,NY 14611
(518)463-2122 (716)436-4460 (315)463-8552
THE NEW YORK BOARD OF FIRE UNDERWRITERS
Residential Final Inspection /
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: amA)m. Depa am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: (T'f S— 41� PERMIT#: 0.3 0 7 /
LOCATION: c DATE: / _--r5
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof VA
Roof 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
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 rade
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
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"a cess, 1 s .ft.-150 s . ft.vents
Building No./Addre v' 'ble fro ad
Final Electrical . f 5
Site Plan /Varian re uired �/
Final SurveyPlot Plan �MkkT v X V C
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:1SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Permit Number AR 2003
�BU®�OWN oFG U`` RY
A�v®C®®E
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoflware Version 3.5 Release la
Data filename: C:\Program Files\Check\REScheck\1714-02 DANFORTH-FARONE-LOT13-165 FARR LANE,
QUEENSBURY.cck
TITLE:PLAN NO. 1714-02 DANFORTH
COUNTY: Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE:02/03/03
DATE OF PLANS:FEBRUARY 3,2003
PROJECT INFORMATION:
THOMAS J.FARONE AND SON
LOT 13-165 FARR LANE
QUEENSBURY ,
COMPANY INFORMATION:
WILLIAMS&WILLIAMS DESIGNERS
509 GLEN STREET
GLENS FALLS,NEW YORK 12801
COMPLIANCE:Passes
Maximum UA=369
Your Home UA=292
20.9%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 64
Window 1:Vinyl Frame:Double Pane with Low-E 127 0.320 41
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
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
sign6d this page,the are attestin hat to the bet of his/her knowledge,belief,and professional judgment,such plans or
specifications are in o liance it thi 10d
esigne / Date (, ?'O
v
REScheek Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release la
DATE: 02/03/03
TITLE:PLAN NO. 1714-02 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/Tiuss: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:
[ ] 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-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R G.
[ ] 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:
[ ] 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/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.
,r
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 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)