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2003-717 Building-Permit Application Town of Quccnsbury—Dcpt Ti �r'��% as p )cn(, 742 Bay 12oad,QitccnsburY+NZ' (518 761-8256 A permit must be obtained before beginnin4,construefi n. Permit File No. � = No inspection will be madcTi7n211111))ti filial xtst�q c l cc1 n ), I 4 .i� r n q •i t%cc i •ud $_..,��5, � �J vitI ICI bUi kilt ig I)e ri iiit. All itpl is.`11Ut.�:l'I`?:{S:t 4; i /'i•is Rec. Vcc 1'aid application must be eon)pleted and must appear oil Use \V application form. Rcviewcd By: , Applicant: Owner:`Thomas Farone Thomas Farone _ _ Address: - g --$ox -8_4, Route 9 Address:_P'._�ox--80 , HouE- 9 Gansevoort NY 12831 ansevoort, NY T2_n1 Pholic#(518)587 - 8989 Pl)onc#( 518) 587 - 8989 FAX: 518 584-2093 office contact person: Geri Pastore Property location: Lot Numbcr: o2t rr I House Number Subdivision Name: Indian Ridge Tax Mal) Nttn)ber: New Building: residence csannlcrcial Estimated Markel Value or construction:$ - Z u Addition: cnc�J conlmcrcial If an Addition,what will use o('t)ew addition bc7 LI Alteration: residence/ commercial ❑ No change to exterior size: residence/coni'l ❑ Other work(describe ) C''lieck Occupullcylltfortuitlit)tt i t ioor _ 2 Fi-10011 Other floor, Total below sq. ft. sq.n• sal.ft. :Square Feel Single family dwelling '2--- ?j ed o Two family dwelling ❑ rowntiouse ❑ Multifamily dwelling //of,till its ❑ Office - ❑ Mercantile ❑ Manuftcturing ❑ I car detached garage ❑ 2 car delaclied garage ❑ 3 car de/ached garage U I car attached garage 2 car nttaclied garage ❑ 3 car attached garage: ❑ storage building- ❑ Storage building- residcnlinl ❑ Other Will any second-hand or ungraded lumber be used? If so, for what'! I'ypc of I leafing System: electric/ oil as i)od / forced hot air/ baseboard/other: Number of Fireplaces to be installed Number of lYoodstores to be installed List below the l)erson(s)responsible lot•sul)ervision of wort{as regards to building codes: Name Address Phonc Number Builder Thomas Farone same as above plumber —-g L� 1d� l� �— — cr! r —3 q61 Mason Electrician i)eclaratiol_t: please sign below stttcr yutt have curclitlgy read(hr sUitenicnL• �— l/� To the best of my knowledge the stateinclits contained in this application,togetlier wills Ilse plans and specifications submitted,arc a truc and complete slatenicat of all proposed work to be done on the described premises and that all provisions of ate minciing Codc,the Zoning Ordinance and sill otlicr laws perlaining to the proposed work-ball be complied wills,whether specified or noted,and lliat such work is authorized by the owner. Further,it is unsicrstood that I/we sliall submit,prior to a Certificale of Occupancy or Certificate of compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an its/!trill Sur•uel!by a licensed surveyor;drawn to scale,showins actual location ofall new construction. Signalttrc:� ��s(L?i�� r — otvnci-,owner's agent,architect,eonti'aclor . Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: Indian Ridge Subdivision ...........___..._.................___........._.............._....._...__..__..._....__._....._._..__.i Location of installation No�6/ House No. �� O /c�e� Tax Map No. Use ] Road Name: F�p� o� Q _ File.Permit No. lU Ll ( � / / 1 Thomas Farone Fee Paid Owner's Name: ��.............................................. .....�F—.—^a-I._._:. ....��•-tee._. ...._...... Address: P.O. Box 804 , Route 9 AUGZao3 Gansevaort, NY 1,2831 , 2. INSTAL_LER'S NAME PHONE N`',WN 43r-Qt.DEENS5't.1R1( 1=3vfLv,-,a a A,AID CC DE- 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 gaUbdnn = 1980- 1991 x 130 gal/bdrm = _ 1991 -present x 1 10 gal/bdrm = L Garbage Grinder Installed yes_ I no Spa or Whirlpool Installed yes_-/ no c�-' 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) To o rah akure Ground Water Bedrock or Impervious Material Domestic Water Supply •7a[ san at what depth at what depth municipal o Ttg Darn feet feet well Steep slope. clay if well; water supply _io 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 Planting Board approved subdivision). Add 250 gallons to the size of the septic tank and leach Held for each Garbage Grinder,•Spa or.Whirlpool Tub. Septic Tank: gallon (min. Size 1.000 gal.) Tile Field: each trench "'« fi. Total System Length: �2 Seepage Pit(s): number of � size of each: f1. by .ft. Size,of Stone to be used: H [/I / depth or thickness _feet Bed System Size: ) Alternative System: length and/or size 6, HOLDING TANK SYSTEM: (if required) Number of tanks: I Size of each:`-W&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. t I have read the regulations with respect to this application and agree to abide by these and all req-uiirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. l�0 :�e ur �j gna ire�ofres�ponsl le person Date Fire Marshal'I s Office Town of Queensbury,742 Bay Road,Oneen I sbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date 120_Qz Permit No. Application is hereby made to the Building& Codes Of 9 ,fice.for the issuance of a Building and Use Permit pursuant to the New York State Tire Prevention and Building Code. ?Tie applicant orowner 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 peijbrin required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Stove: wood coal pellet gas Name: '-V it .C0 Fireplace insert rfifeplace,factory-bufift- wood Lg-aD Address: k�., __::� wood FirWI_0_,_masonry: gas Furnace: wood gas oil Phone: If non-masonary applicance, please provide Owner: t I, Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) '6 Masonry block brick stone Flue tile steel size: inche.?,, Exact Address: ;,.0 r 67 '— I /.""i (,I of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction lInstallation must conforin to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbui)) Handouts regarding required inspections. Double wall Triple wa'll Insulated <Lire�t Chimney Liner of Fire Marshal Code# $Collected $Refunded Received Nona (refunded to); address, A 173 3389 (190) Public Safety A 2332655 (230)Minor Stiles _VN _ DATE: 4 White(Applicant) I Green(Fire Marshal) Yellow(Bldg.Dept.) f pink& (Golde► I'- d Cashier's Dept.) 46 EL(REV.11f96) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING CERTIFICATE NO. THE NEW YORK BOARD_OFFIRE UND�R�,,.W�R`T5RS.�, I ,:--DO NOMMRM.HERE•=F...OA t?hFiCE.USE ONLY,;"' 'i k r t:.'•' ``,^A„A: BUILDING PERMIT NO. s j S a xNeq _ TEMP.R h_FJ4 ' y.rl DATE CITY OR VILLAGE T+P CO ` TOWNS IP COUNTY ' t STREET AND NO.OR ROAD U POLE NUMBER !I BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT / ` OCCUPANT'S NAME BUILDING OCCUPANCY f OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CUR ENT SUPPLIED BY 1L FROM THEIR OFFICE + WORK TELEPHONE NUMBER BUILDING IS NEW OLD ❑ WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED C LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS -BRANCH OFFICE USE'-.-...'. I Loca- Lamp Receptacles CIRCUITS ONLY'',•_;,;. - ; .Gon Side Attach.' H.P. Watts A.W.G. - Ceiling •Wall Receols Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION ` OUT- SIDE SUB- BASE BASE- MENT i 1st 2nd I FL 3rd I FL. REMARKS:UST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. 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,Aag PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS Applicant affirms that there is not an application for electrical CHARACTER OF WORK CONEXPCEALED inspection pending with a qualified electrical inspection ❑CONCEALED Y P g 4 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 j IDENTIFICATION NUMBER> I. 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 PGUATURE OF APPUCA STREET ADDRESS TELEPH NE NO, CITY OR POST OFFICE ZIP CODE LICENSE NO.WHE APPUCARIC ❑40 Fulton Street ❑ t 11 Washington Ave. ❑3291 Lake Shore Road ❑803 West Avenue ❑202 Arterial Road NEW YORK, NY 100381 SUITE 704 BUFFALO.NY 14219 SUITE 106 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 9-lo Office No. (518) 761-8256 Date Inspection requqst received: Queensbury Building&Code Enforcement Arrive: am/Xrro /6epart/W, -4nVpm 742 Bay Rd.,Queensbury,NY 12804 Inspector's InitialsK—)/r--� NAME: PERMIT#: LOCATION: 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 Roof Complete Guard 30 in.or more P,stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more V/ 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 VIIV Gas Valve shut-off exposed/regulator 18"above grade V z Gas Furnace shut-off within 30 ft, or-within line of site I/ Oil Furnace shut-off at entrance to furnace area Fumace/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: — / Batter ybackup: 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 %hour fire door/door closer Garage fireproofing Duct work Scaled properly Attic aecesi 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s_q,ft.-150 sq. ft,vents 01�/ Building No./Addres vi ' e frgfn r.Q4 Final Electrical 1Z WO% Site Plan Warianidrequi red .1 Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if reguired Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C 0(Cert.Of Occupancy) Okay to issue Pennanent,C 0(Cert. Of Occup ncy) L:\SueHernffig�vay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 Oim Nmxxxror� c� ' n �s ►� NHro ►� '� x ron H'� HdrzG , xH H �+ r k H �j H H H z 0 r �1 �1 0 r x z 0 �c p 0 H z z z 7 �+ H H S H 1 �7 0 H C 0 r H 0 C H 00 ro H n H HC� > t� 0 0 H H t r t� t� n M , z 0 H H M M c H m m > r� m H 0 r H H H �i H x d M H P H W z r H ►� C ro n n n 0 N 0 0 z d a � H � N � z H z H C� � z 0 H H t� p H000 00H 000z � H0 to z r ro ro ro > 0 0 z 0 H C H0ro ro H Z 0 > x = 0r 0 m C�) b r N x C H H M _ H m z z 4q o nPn � n � r znHz NEHC, mn H t v0N > rroN � N t� � � � 0. Or > > z� HnHH NH r0Nc Hx ►� z nc � mw zc� 0zrNxm0r > m0 rN r HH xpI x c 0 H n H N N N X % ro N c p I N n � tl� C " ro m z (n b H H x H 4d M HH 0 10 H n 0 x H Z H r NZ Ha n z ►� N urni i .r+ '"z 0 H ro H i 2 � � a`-Z N H 0 no i akN'ri►°.. c oI zlcmc x 0r Hx �%MM � " a H � 0zz ro ;*AM N ro �[ 0 � a m� n I 5x v � bo m Rough Plumbing / Insulation Inspection Report )';' Office No. (518)761-8256 _ Date Inspection request received: `Z Queensbury Building&Code Enforcement, Arrive: am/pm , part: am/pm 742 Bay Road, Queensbury,:NY 12804 Inspector's Initials: ` NAME: c� PERMIT #:_ ;LOCATION �1 = INSPECT ON: d G' 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 Plumbin J Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or;Air Supply Test 'Dram and'Vents. 5 PSI.or 10 feet above highest - coninection for 15 minutes Cleanout eve 100 feet/change of direction Water Supply Piping Cooper CommercialLc_5 Cooper,CPVC;Pex One and Two-Famil l Insulation/Residential Check J Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If re uired unheated spaces Combustion Air Supply for Furnace Ductwork sealed properly/No duct tape', ' COMMENTS: t L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Septic Inspection Report Office No.(518)761-8256 Date Inspection requaesreceivecd: Queensbury Building&Code Enforcement Arrive: am/p Depart: a M/ pin 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: 7 -A7 PERMIT NO.: -712 LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand Loam Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench 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 I Pit -Opening Sealed: Y/NI Partial 0 Location/Separations Foundation to tank Foundation to absorption Separation of Pits Conforms as per Plot Plan I Y NJ Location of Sy Z! on Property: Front olie ir Left Side Right Side IJ Middle Front Middle Rear, System Use Statu Approved Partial Approved dr,id 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 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 / fax 7454437 Factory Built Food Burning Fireplace/Stove Inspection 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 Time au pin anytime Inspector 0 3 r 71 _j .. � � 'Y ��Name Address Ih Appliance Manufacturer. Model# � Masonry Chiuney Factory Built Chimney Flue Size Rouble Wall_ Triple Wall Insulated /:: Yes No N/A Comments Floor Protection Clearances to Combustibles (all sidles) Safety Strip Installation (Irweplaces only) Firestop(s) Vertical Chase Mall Penetration Chimney Clearances to Combustibles Chimney 'Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above f/p opening) Fireplace Doors/Screen (required) White—Building Dept. Reno —C mer Pink—Fire Manhai r Framing/Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: •� Queensbury Building&Code Enforcement Arrive: am/pm art: am/pm 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials: NAME: G~ PERMIT#: 0 / LOCATION: - INSPECT ON: — TYPE OF STRUCTURE: - Y N `N/A COMMENTS - ';,V_?Mcic Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 3 6 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 F�e separation 1,2,3 hour ire 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 aV-6 LASueIIemingway\Bui]ding.Codes,Inspection.FORMS\Framing Firestopping Inspection Rcport.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Ins 8ectio req r c Queensbury Building&Code Enforcement Arrive: a epart: a pm 742 Bay Road,Queensbury,NY 1.2804 Inspector's Initi NAME: PERMIT#: LOCATION: INSPECT ON: -- TYPE OF STR Y N :N/A COMMENTS Framing 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 %(w) 16 gauge(8) 16D nails each side Draft sto ping 1,000 sq. ft. floor trusses Anc r Bolts 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 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:\,SucHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 ob Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p epart' /pm 742 Bay Rd., Queensbuly,NY 12804 Inspector's Initials: �d a„ NAME: PERMIT NO.: LOCATION: INSPECT ON: RECHECK: ` Comments and/or diagram Soil-Type: San o m Clay Type of Wa Municipa /Well Water Waterline separ 'on 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 Size: x Stone Size: Piping Si e Type Building to tank S Tank to Distribution Box Scc> 7-0 Distribution Bo Field l Pit .4 it Opening Sealeq V Y N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft Conforms as per Plot Plan _N Location of System onreft Prove 'Vti� R Front d Right Side 604 uAI MleMiddle Front dl Rear JIP�r C- _System Use St proved artial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHerningway\Buildin;.Codes.Inspecrion.FORMS\Septic 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 mlpm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: TKO PERMIT#: 3 7/7 LOCATION: INSPECT ON: t'2-- -4-7 4d TYPE OF STRUCTURE: Comments Y 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 Darapproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 inches above footing 6 mil of 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:\SucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: . a pn Depart —)1n/pm 742 Bay Rd.,Queensbury,NY12804 Inspector's Initials: ' NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours following the placem nt of the concrete. Materials for this purpose on site. Foundation/Wallpour Ca Reinforcement in Place L,YjawA'ation Dampproofing SEp2 zuuj h Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 inches above footing 6 mil of 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:\SucHemingway\Building,Codes.Itispection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection re uest receive Queensbury Building&Code Enforcement Arrive: epart: a 742 Bay Rd., Queensbury,NY 12804 Inspector's Initia NAME: E REM I T?#: 71 LOCATION: INSPECT ON: TYPE OF STRUCT RE: 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 of 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-hispection.FORMS\Foundation Inspection Report.doo January 28,2003 -70 Check Residential Plan Review: One&Two Family Dwellings Y/N/N/A ,/ /(2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 70'Grobnd Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size 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 Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans Foundation Drainage On Plans,if required /6"Drop in 10' Exterior Grade Ft ! !Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where d .equire V//ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls d c( Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width 'Stair Run and Rise A Winder Run and Rise Spiral Not Allowed From 2,d Story V/ e Detectors Battery Backup and Proper Location V /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 Ht. Railing 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 J Town of Queensbury 742 Bay Road, Queensbury, IY 12804 ]RUMMY & Code ..EnforceineDt Building Permit# Phone:(518)761-8256 Date: Fax: (518)745- 437 End codes@queensbury.net Dear i Your Waft Permit application has been reviewed and found to be deficient in the following areas: These deiafis need to be added to or noted on both sets ofpbM Please fee}free to contact office with My q fio regarding this matter sinmely, BUILDING&CODES OFFICE t:1Suetien imgmy%mldi*rarritFORM Wefieient building POmA ba 2003:&c t' Project Name: BP# cQ —717 Address: Building Permit Submission Sklefianily dud* Twfardy&d1k Checklist All items below must be checked,either yes,no or not applicable prior to submission of anybuilding permit to the Town of QueensburyBuilding Department- If any of the below items are lacking,thepermit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ...... ............. ......... .......... EJ no El n/a 2. Energy Form or CheckMate Energy Code Compliance Forms'Coinplete.. 2-0 F-1 no 0 n/a 3. Energy Code Inspector's Report from CheckMate Program...... ....... ..... JD-rs n no F1 n/a 4. Septic application completelyfilled out(if applicable)...... .................. -D—Yes [--]no n n/a 5. Solid Fuel Burning or Gas Appliance Form... ..................... ............ .. s []no nn/a 6. Electrical Inspection Form......... ... .............................. ...... ........J�es []no nn/a 7. Two(2)complete sets of structural drawings........... ...... ......... ......... . []no EJn/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,... .........--rjyes [:]no [-]n/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure.................. [:]no Eln/a 10. Setbacks to neighboring wells and septic systems,including onsite well.... Ono nn/a and septic systems (if applicable) 11. DrivewayPermit... ... ... ... ... ... ... ... ........................ .... ....... ...... nno nn/a Date: Staff Initial: L.\SueHemingviay\BuUding.PemuLFOP,hE\Generic Clieck!Ldoc 169 Haviland Road, Queensbury, NY 12804 . Phone-518-745-4400 Fax -518-792-8511 September 25, 2003 Job#46138 Mr. Glenn Bruso New York State Dept. of Health 77 Mohican Street Glens Falls, NY 12801 RE: Indian.Ridge_Subdivision- _Queensbury'(T) 113 Farr Lane (Lot#26) - Septic System Dear Glenn: This letter is to inform y6u that,I inspected the.bompleted septic system for the house on 113 Farr Lane (Lot#26) in the Indian Ridge Subdivision on September 25, 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_HRih Tcawnj-of Queensbury Tom Farone- . 03 Permit Number i RFS�heck Compliance Certificate checked By/Date New Fork StaWTnergy Conservation Construction Code REScheckSoftware V:eision 3.5 Release I Data filename: C:\Program Files\Check\RESchecici2515-02 LONDONBERRY-FARONE-LOT 26 FA LANE, QUEENSBURY.rck TITLE:PLAN NO.2215-02 LONDONBERRY COUNTY: Warren 'STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached I or 2 Family HEATING TYPE:Non-Electric DATE:08/12/03, DATE OF PLANS:AUGUSTI2,2003 PROJECT INFORMATION: THOMAS J.FARONE AND SON LOT 26 FARR LANE QUEENSBURY,NEW YORK COMPANY INFORMATION:. WILLIAMS&WILLIAMS DESIGNERS 509 GLEN STREET GLENS FALLS,NEW YORK 12801 COMPLIANCE:Passes Maximum UA=546 Your Home UA=417 23.6%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling I:Flat Ceiling or Scissor Truss 1615 30.0 0.0 57 Wall 1:Wood Frame, 16"o.c. 1233 19.0 0.0 59 Window 1:Vinyl Frame:Double„Pane with Low-E 149 0.320 48 Door 1:Glass 42 0.330 14 Door 2:Solid 21 0.130 3 Door 3:Solid 35 0.130 5 Wall 2:Wood'Frame, 16"ox. 1590 19.0 0.0 85 Window 2:Vinyl Frame:Double Pane with Low-E 180 0.320 58 Basement Wall 1:Solid Concrete or Masonry 1233 11.0 0.0 86 Wall height: 8.0' Depth below grade:6.0' Ins-elation depth:8.0' F4o I.-All-Wood Joist/Truss:Over Outside Air 44 19.0 0.0 2 -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 e are atle tmig that IR the best of his/her knowledge,belief,and professional judgment,such plans or specifications gampliE wi esi Date `!EScheck Inspection Checklist New.York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release I DATE:08/12/03 TITLE:PLAN NO2215-02 LONDONBERRY Bldg. I Dept. I Use I I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling'or Scissor Truss,R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] I 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation S Comments: L I Basement Walls: [ ] I 1. Basement Wall 1: Solid Concrete or Masonry,8.0'ht/6.0'bg/8.0'insul, R-11.0 cavity insulation I Comments: I . Windows: [ ] I 1. Window 1:Vinyl Frame:Double Pane with Law-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 I For windows without labeled U-factors,describe features: I #Panes Frame Type Thermal Break?[ ]Yes[ ]No I Comments: I Doors: [ ] 1. Door 1: Glass,U-factor:0.330 I Comments: [ ] I 2. Door 2: Solid,U-factor:0.130 I Comments: [ ] I 3. Door 3: Solid,U-factor:0.130 I Comments: 1 Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss:Over Outside Air,R-19.0 cavity insulation I Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,92 AFUE or higher I Make and Model Number I ' I Air Leakage: Joints,penetrations,and all other such openings in the building envelope that are sources of air I leakage must be sealed. Kecessed 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 beating and cooling equipment and service water heating equipment must be provided. Insulation R-values,glazing U4actors,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 withwelds,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 dwellmig 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 I provisions of the Building Code of New York State ,the Residential Code offew York State or the New York City Building Code,as applicable. Service Water Heating: I J 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% 1 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 10 OF or chilled fluids below 55 OF must be insulated to the levels k Table 2. Table I: Minimum insulation 77ticknessfor Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature Up to I" Up to 1.25" 1.5"to 2.0" Over 2" 170-190 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 1.2511 to 211 2.511 to 41' 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) M" REFERENCE: INDIAN RIDGE PUD PHASE THREE DATED NOVEMER 15. 2002 LAST REVISED JANUARY 24. 2003 BY VAN DUSEN + STEVES LAND SURVEYORS. LLG 26 �! 2q.1cl0 sq.f t. ri O.G7 acres Cv 10 Z r - � r 27 PROPOSED HOUSE 3514- L -108. 81 R-277.00 FARR LANE DUO *W*"HWM ALIMM Ot ISW= TO A SURWY MW W-AMM A UCDM LXV SUKOWS SM 0 A Mamade for p & MO W limim 72A !IA-avom R. W WIN WN FrAN EXCA7M LM' MY MDA"mommmLarlmomier Steves WAM VM AN ONGSWOr" LAND SUMANCM5 VJL *KL K CONOWn 10 SE YAW VUE GVW IV"'= H9M �l TINT J. FARONE & SON, INC. Land Surveyors m" cm W mwm no LAW SSym ARC/ BY *1 NN WN STAN ANSWAIM W PROFENNOM LAND SUlWfflft SAID CENV=7M *VLL DUN OILY 169 Havfland Road Queensbury, New York 12804 70 W PMW rM *W 7K NUMICY IS PWMM AND ON M KNMF 70 VS WU OWAIM WVUVff& AM LOMIS 06IR"M LlS= FA*M #M AM'AD' Town of Queensbury, Warren County, New York (518) 792-8474 New YDrk Lie. No. 50135 25 NO. DATE I DESCRIPTION 7, C:) CZ ate 1'=30' S-1 GHWT I OF: I rARONE DWG. NO. lR-2(0' i