2003-741 TOWN OF QUEENSBURY
742 Bay Road,Queensbur,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CEIRT,
IFICAIT E of OCCUPANCY
Permit Number: P20030741 Date Issued: Monday,April 26,2004
This is to certi that work re nested to be done-as shown b Permit Number -
y P20030741
has been completed.
Tax Map-Number: 523400-295-020-0001-059-000-0000
Location: 104:FARM Ln.
Owner: . TRA-TOM DEVELOPMENT INC
Applicant: THOMAS FARONE&SONS INC.
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage-2 Cars Attached
Single Family Dwelling
Director of Building&Code Enforcement
T flV M OF QIJEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518}761-8256
BUILDING PERMIT
Permit Number: P20030741 , Application Number: , A20030741
Tax Map No: 523400-295-020-0001-059-000-0000
Permission is hereby granted to: TFIOIVMAS FARONF,& SONS 1NC.
For property located at: 104 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. 1 'Type of Construction value
Owner Address: TRA-TOM DEVELOPMENT INC Fireplace
677 STATE ROUTE 9 Garage-2 Cars Attached
GANSEVOORT, NY 12831-0000 Single Family Dwelling $210,000.00
Total Value $2101000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
FARONE CONSTRUCTION NEW YORK BOARD OF FIRE TINDE
PO BOX 804 ROUTE 9
GANSEVOORT. NY ,12831
Plans&Specifications
2003-741 LOT#54 HSE#104 FARR LANE
2144 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$305.68 PERMIT FEE PAID-THIS PERMIT EXPIRES: _ Thursday, September 16, 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 To of ens a ptember 16, 2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code,Enforcement
I3u lding,Perm t Application
gown of Quccnsbury-[3ept of C'onirilwiity Development,742 Bay Road,CZuccusbury,NY
(518)761-8256
A permit must be obtain g ed before beginnin construction. Permit file No. ® 3 `7tt
No inspection will tic plane unlit appliea1ll gas received a Fee Paid
valid bufhiin};licrnul. All ngiplit lints' xpnees on tisix 12cc:.t cc 1'r1it1 $
application must be conlpletecl and must appear oil the Reviewed 13y• _
opplicnlion liirm. -
A� Iicallt: Thomas- Farone C�tivncr. Thomas Farone
`T
:-`B Jt 8-17�uf 9
Address: --- Sox f3 0 9;'12ou-te 9 . Address:
_ Gansev6ort, NY 12831 - ansevoort,
Phone/1{518.)5'8 7 '- 8 9 8 9 Phone#{ 518) 5 8 7 - 8989
FAX: 518 584-2093 Office contact .person: Geri Pastore
Property Location, .Lit Number: ,/ HOLISC Number
Indian Ride .-
Sobdivision Naiiie: `3 1'ttx Map Nunlbcr � a0=/-
New I3uildiog: �Cl.
couuncrcial I:sliniated Market Valuc of C'onsU action: $
u fNddition: rco}lnuercial il'an Adclilion,what wiN use of new liddiliun be?
❑ - Alteration: residence/ coronlercial
U . No citatige to exterior size: residence/coui'I
C3 Qlltet'work(tlescr'ibc
- -- ,'` - - — - - "s'iq•_.tt. -^-
l)11tr floor
t tit]u`Isu'acla l Peet
i)clov sq.It. sit.Il.
Single family dwelling'
/❑ Two family dwelling
❑ Townhouse "
❑ Multiflmily dwclliilg '
/E of illiiis - -- -
_office
❑ MCI'cantile --
❑ Mailuficturhig —
u 1 car detached garage
❑ 2 car cletncherl garage
❑ 3 car detached garage —
u :I car attaelletl garage --- --
`2 car attaclicc} garage- -
❑ 3 c ar aft lentil-garage
u Storage building- — ---- - --
Commercial -
ci Storage building-
_resitlelitinl - �. _�.---- - --- - ---
Will any second-liand_or prigradccl lumber be used7 if so,for what?
Type of I{eating System: electric/ oil ga /-wood /forced hilt air/ baseboartl/other: _-
Nit iriber of hu•wt iyves to be uistalled Ntimber of Woothiones to be installed _
I..ist below the person(s)responsible fi)r supervision,of work as regards to building;codes:
Name Address Phonc Nunlbcr
13uildci Thomas Farone same as - above '
Pluilllicf• .—� -��_.tst CtZri_�+���e�.^•Ci�-___��,%y���� - ''��f��3I`�'�
Mason Heath Russell -- J 196-3033 j
13014;1 Jrntttili: please sign below alter you have cni-efolly read lire slalclocnt:
!'}i file best of my knowledge lite.stalentents contained in this application, logcrlicr with the plans and specifications
submitted,arc a lt•lic aneC complete slalepterit oral,1 proposed work to tic tionc tut the described premises.daft dim all
pioyisions ol'lhe tluildiiig Code, llie 7,onilig<)rdiaticc and all olhcr laws pertainiug It)file proposed-work shall lie compliett
wit11, wile lhei.spec ilied or poled,9 tic l lbaI such work is authorized by the owrlis. I`111 .1 r, it is mulcrslood Thal I/wc shall
suhntil,prior to a Certificate of(.)ccllpaocy oi-certiricale of Compliance being issucil,as rccplestcd by(lie Zoning -
AdlnLiistralor or Direclor1. of Building and codes,all As Uttill Stirred by a licensed stirvcytu;drawn to stall,slioiving actual.
localiou cif all flew construction.
SlgliAtnrc /Z-l/ ��L� owner,owner's agcut,arcbitecl,contractor
Application for Permit'-Septic Disposal System
Town_of Qrreensbury 742 Bay Road Queensbury, NY.12804 (518) 761-8256
1.:.OWNER INFORMATION, I ndian Ridge Subdivision .
Location of installation:Lo / g o ._ _._ .......... _-.._-...._
ffice Use
t No ouse N
Road Name• File.Permit N
Talc Map No. .
Fee Paid
Owner's Name: Thomas Farone
Address:' P.O. Box 804 , Route 9.
Gansevoort, NY 12831 .
2. • INSTALLER'S NAME PfIONE NO.'
3. , RESIDENCE INFORMATION:,.(circle year of dwelling, indicate ##bedroom(s)and multiply it of .
bedrooms with applicable gallons per bedroom to,egnal'toinl daily flo►y)
Year of House: No of Bedr�ms x Computation — Total Daily Flow
1980 or older x 150 gaVbdn-n
1980_ 1991 x 130 gal/bdrm =
1991 =present x A 10 gal/bdrm t
z •
Garbage Grinder higtalled yes= /, no
Spa-or Whirlpool Installed -- yes_ t no
A. PARCEL-INFORMATION: (circle applicable information & indicate measurements)
T h i1 ure Ground Water Bedrock or Im envious Material Domestic Water SuvDI
1% sand at What depth at what depth - rrniclpal
o ling. Damfeet feet ive
Steep slope. - clay if well; water supply
%slope other from gny septic-system
depth: absorption is f-
other
Percolation Test: (To be cpmpleterl by licensee/professional engineer or architect)
hale: minute per inch '
•'
5,. PROPOSED SYSTEM: -For New Construction: All individual sewage disposal systems must be designed bya licensed
professional engineer or architect(sinless 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: tom.-gallon (Inin. size I,000 gal-,)
Tile Field- each trench x�Jl., Total System Length: ft.
Seepage Pit(§): number of size of each: ft. by
Size,of Stone to be used: Il-^�a / depth or thickness
130 System Size: (/t. z
Alternative System: ' P1 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 ilia' Code of the Town
of Queensbdry, any permit or approval granted which is based upon or is granted in '
reliance upon an.y maieriai misrepresentation or failure to make a material fact or -
j circumstance known by or on behalf of an'applicant, shall be void.
I hays read the regulations with respect to this application and agree•to abide by these and all
re utremants of the Town of Queen Sanitary Sewage Disposal Ordinance.
ungtwe P es a, b e'�erso to
r
Sl f 1'.: p_ l
Fire Marshal's Office Town of Queensbury,742 Bay Road,Qucensbury,NY
(518)761-8205 -
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Permit No.
20
Date 'Z-1
Application is hereby made to the Building&Codes,Of.ficefor the isstiance ofa Building and Use,
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with,all applicable laws, ordinances, regulations, and all c4hditions that are part of
these requirements and also will allow all inspectors to enterprenfises to perform required inspections_
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words),
Name:
Stove: wood coal pellet gas
_411 'N Llr I
Fireplace insert
Fireplace, factory-built: 0 gas
Address: E
Fireplace, masonry: wood gas
7
Furnace- wood gas oil
Phone:
If non-masonary applicance, please provide
Owner: Manufacturer Name:
Model Number:
Address: 4
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue tile steel size: inches
Exact Address: f 1ti �, 1)
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction lInstallation must
con f Qnn to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbut),
Handouts regarding required inspections, Double wall / Triple wall 1 Insulated l(Detect venting').
Chininey Liner
"Ap
Fire Uarshal Code,# $Collected S Refunded Received roar(refunded to):
--------------
address.-_
A 173 3389 (190) PublicSaftty
A 233 2655 (230)Minor Sales
DA TE: 'o
1W
hite(Applicant) t Green(Fire Marshal) / , Yellow(Bldg. Dept.) l Pink&Goldenrod(Cashier's Dept.)
Z tV M 1 0 M N N H N I H
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MAP REFERENCE:
INDIAN RIDGE PUD
PHASE TWO
DATED AUGUST 27. 2001
BY VAN DU5EN + 5TEVE5
LAND SURVEYORS. LLG
N.aja D u s eh
Steves
Land Surveyors
169 Haviland Road Queensbury, New York 12804
,518) 792-8474 New York Lica. No. 50135
D
W
NA A 0
53 �0 CA
z
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
YAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.'
'ONLY COMS MOM THE ORIGINAL OF THET SURVEY
MARRED WITH AN ORIGINAL OF THE LAND SURVEYOR.5
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.*
"CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WTM THE
COSTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR MOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE RILE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUTION LISTED HEREON. AND
TO THE A55r4M OF THE LENDING INSTITUTION!
IMA
32,2G4 5q,.ft.
0.74 acres
r , ♦r %
Map of a Survey made for
THOMAS J. FARONE & SON, INC.
Town of Queensbury, Warren County, New York
55
NO. I DA TE
0�q- 7Q
PPR F � �BD�`(
Y ,T
DESCRIPTION
.ua-ce1 Marcn i, c�u
Scale 1'=30'
S-1
SFEET 1 OF 1
EARONE
DWG. NO. IR-54
�Y
Queensbury Building & Code Enforcement - Residential Final Inspection
7 Office No, (518)761-8256 Arrive: amlpm Depart: am/pm 18
Date Inspection request received: Inspector's Initials;
NAME: G� `c't�5`c�--` _. _ PERMIT#: [_ 1
LOCATION: Linn c DATE:
TYPE OF STRUCTU E:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Tern 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom: V/
1 Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"acce s, 1 s .ft.-150 s . ft.vents
Building No./Addr($1visjyle f om ad
Final Electrical Z p (r' -v
Site Plan /Varian re ired
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0 f Temporary/Permanent
L:\PaniW\Building&Codes\Insvection Forms\Res. Final Insi). form 2.docLast printed 2/12/04
Town of Queensbury
Fire Marshal's Office 0-Y)
742,Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's lhspection Report
Request 0 'SCHEDULE
Received: Permit# 7INSPECTION ON: -,-2& -0
Name:
1
I . -48-6--/JO� AM (PM ANYTIME
Location: 0q- y 02, I )
APPROVED
N/A \YES NO COMMENTS
Exlss
,iki—SLE WIDTHS
EXIT SIGNS-NORMAL
BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
f-l§E SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GA—S -
CLEAiWNCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
-kEQUfRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
C CH MNEY
H MNEY SONRY ROUGH IN
FINAL
CHIMNEY --
E,�
HIMNE
,.-
FACTORYBUILT ROU 'H IN
-FINAL
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE R000H IN
FINAL
FIREPLACE LFOR-
MA NRY ROUGH IN
OK THIS DATE 01( FOR C NOT OK
FINAL
IREPLACE
FACTORY BUILT RouqKIN
INSPECTED BY
FINAL
A L
COMrJEViCHRISJMORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT'COPY YELLOW-OCCUPANT COPY
Tows of Queensbury Fire Marshal
742 Bay Road
Queeusbury,NY 12804
761-820 s/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Ins ecti n ate.port
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
�J instructions or specifications is allowed.
Permit# V Schedule Inspection 7 Tirane Z�am pm anytime Inspect
Name� Acddress ____ Rough In—Final
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes Na N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase --�
Wall Penetrations
Vent Clearances to Combustibles
Vent/Chimney Terminations
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-tiff Valve
Combustion Air
Hearth Extension(if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
WhHe—Bulidingl3epE, Yellow n us er Pink—i+ireManhal
Rough Plumbing / Insulation Inspedion Report'~
i
Office No. (518)761-8256 .Date Inspection request received: -, a ' "
Queensbury Building&Code Enforcement Atrive: am/ epart: ' am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's.Initials. '
NAME: c� x- PERMIT #:
LOCATION: in t - INSPECT ON: t1�
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents_
Cast Iron,Copper Drain/Vent/Comm.
Plumbing,Vent/Vents in Place
Rough Plumbing/Nail Plates
1 '/ inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest,
connection for 15 minutes
Cleanout every 100 feet 1 change of direction
Water Supply Piping
Cooper Commercial
CPVC,Pex One and Two-Family
Insulation-/- idential Check/Commercial Check
aro .er ent;Attic Vent V
Duct/Hot Water Piping Insulation .
. . .
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Suilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Town of Queensbury Fire Marshal
742.Day Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
r
Facto .� urnin ire ace/Stove Ins ection Re ort
Notice: New Stork State requires that all UL Listed, �®ryalit appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
2 / instructions r spe ifcations is allowed.
Permit# J 1 Schedule Inspection Time �r dam '� anytime Inspector
p <---
Name `,C Address 'yl Rough Inp'>`f—Manufacturer
/,,, t
Appliance annfaeturer G4�t.�G u Cr i tJ MEodel# l-.�
nn '!-' --3 � � f
Masonry Chimney Factory Built Chimney lFlue Size Double Nall Triple Wall Insulated t
Yes /No, N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Safety Strip Installation(Fireplaces only)
Firestop(s) vertical Chase
Fall 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. Yello —Cast mer Pink—Fire Marshal
Framing /Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:O.
C1L°
Queensbury Building&Code Enforcement Arrive: am/�ep .. pm
71
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: ` -�' '"
NAME: PERMIT#:
LOCATION: Crd"I INSPECT ON: 'C b
TYPE OF STRUCTURE: ; „J
C�t
Y N N/A CON[1d1ENTS
Jack Studs I 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 12 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 h
Fires ration 1,2, 3 hour
F' e wall 2,.3,4 hour
°Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%Z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:ISueHemingwaylriuilding.CodesJnspection.FORMS\Framing Firestopping Inspection Report.doe January 28,2003
Rough Plumbing Insulation Inspection Report
Office No. (5 18) 761-8256 Date Inspection request received: �-f Id-0
Queensbury Building&Code Enforcement Arrive: am/ -p 7ar—t:l' am/prn j
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT #: 3-77`L
LOCATION: I Cq ppr INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plumbin Vent/Vents in Place
ij7.
-rp,ftWV I[J ling-L aff Plates
I % inch min.Drain Size
"shin g Machine Drain 2 inch min.
e-a#,Qr Air Supply Test
Drain and Vents
-
5 PSI or 10 feet above highest
connection for 15 minutes
Clpdnout every 100 feet/change of direction
Xater Supply Piping
NV ,,er Commercial
oop�
oop- CPVC,Pex One and Two-Family
In ula9tA Residential Check/Commercial Check
Proper Vent,Attic Vent
Duet/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003
-3
Framing /Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/-Om Depart: ai6/pTA
742 Bay Road, Queensbury,NY 12804 Inspector's Initials,
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 V2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft, floor trusses
Anchor Bolts 6 ft.or less on center
� ce an sn w s ' ld 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 V2 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
1,:\SueHemingway\Building.Codes.Inspection.FORMSTrarning Firestopping Inspection Report,doe January 28,2003
Framing / Firestopping Inspection Report C�-4
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: ,'!�� am/pm Depart: am/pm
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: I (-)Ll INSPECT ON:
TYPE OF STRUCTURE:
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
I V2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft, floor trusses
Anchor Bolts 6 ft. or less on center
and snow shi 24 i es fro W.wall
Ox�e CZ-21
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 V2inch 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
LASuellerningway\Building.Codes.Inspection.FORNISTrarning Firestopping Inspection Report.doe January 28,2003
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pmti Dqpart: -/am/pm
742 Bay Rd.,Queensbuiy,NY 12804 Inspector's Initials
NAME: PERMIT#:
LocAuon I INSPECT ON:
TYPE OF STRUCTURE:' ,3
Comments
Y N N/A
,-,,,?rootings
G Piers
76nolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump,
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.hispection.FORMS\Foundation Inspection Reportdoc January 28,2003
169 Haviland Road; Queensbury; NY 12804
1 Phone-518-745-4400 Fax -51$-792-$511
October'31, 2003
,Job#.4613 8 -
Mr.. Glenn Bruso.
New York._State Dept. of Health
.77 Mohican Street :.
Glens Falls, NY 12801
RE:. Zndian.Ridge Subdivision Queensbury(T)
104 Farr Lane(Lot#54) - Septic System
Dear Glenn:
This letter is to,inform`you that I inspected the completed',septic system far the house-on 104 Farr
tane'(Lot#54) in the Indian.Ri'dge'Subdivision on October.30,2003. ,
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.,'El
cc: tDave-Hatrn;iTo of Q eeu nsbu y
Tom Farone
Ally
}
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received: ! Q
Queensbury Building&Code Enforcement Arrive: am! Depart: a pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME:
�U� -PERMIT NO.: 9,W 3
LOCATION: &J!� r r- INSPECT ON: Ab 38
RECHECK:
Comments and/or diagram
Soil T e. San / oa Clay
Type of Wa : unicipa /.Well Water
Waterline separ tion di nce $.
Well separation di ante ft,
Other wells: fi.
Absorption Field: Total length ft
Length of each trench ft.
Depth of trenches
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type,
Building to tank
Tank to Distribute Box
Distribution Bo field/Pit a .�
O enin Sealed /N1 Partial I 1
Location i Separations
Foundation to tank ft,
Foundation to absorption fI.
Separation of Pits $,
Conforms as per Plot Plan Y N
Location of Sy on Property:
Front ear Left Side Right Side
Middle Front Middle Rear
System Use Stat :
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:LSueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doe January 28,2003
Septic Inspection Report
Office No.(518)761-8256 Date Inspection request received: 1C) ,a Q-3
Queensbury Building&Code Enforcement Arrive: am/ Depart: a ,pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT NO.: od) 3 -
LOCATION: INS ECT ON: to Z-3G
RECHECK:
r
_Comments and/or diagram
Soil T e: 4San oa Clay
Type of Wa unicipa /Well Water
Waterline separ Lion di once ft.
Well separation dis ante ft.
Other.wells: ft,
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches
Size of Stone 'Z.---
See a e Pits: Number
Size: x
Stone Size:
Piping Size Typg
Building to tank
Tank to Distributift Box
Distribution Box ield l Pit %A,
Opening Sealed: /NI Partial
Location 1 Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits
Conforms as per Plot Plan
Location of Sy on Property:
Front ear Left Side Right Side
Middle Front Middle Rear
System Use Stateai
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
I.:\SueHenungway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No' (518)761-8256 Datei Inspection request received: 0
Queensbury Building&Code Enforcement Arrive: am/pV/ 1--Ai
- �Y�rt: ni�pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: cx?03- 7�q
LOCATION: IY9,2te— INSPECT ON: o
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Darapproofing/Waterproofing
Footing Drain Daylight or Sump,
Footing Drain Stone:
12 inch width
6 inches above footing
ik mil of for wet areas under slab
ackfiff ,pprovai
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHetningway\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: am/ Depart: r am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: I -1
LOCATION: - INSPECT ON: — ^'
TYPE OF STRUCTURE:
Comments
Y N/A
ootings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible forf
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump.
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
'Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHetningway\BuiIding.Codes.Inspection.FORMSIFoundation Inspection Report.doc January 28,2003
Project Name: �i -L'1'""� BP# 20D 3-7 1
Address: 4`5-3/ Wig,5,- /0 Y r .,
Building Permit Submission
Si*a rr4du u
Tupfia"dy dmdii
Checklist
Al items below must be checked either yes,no or not applicable prior to submission of any budding
permit to the Town of QueensburyBuilding 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 ...... .... . .. ... ................. eyes ❑no ❑n/a
2. EnergyForm or-(leckMate Energy Code Compliance Forms Complete,- B r" ❑no ❑n/a
3. Energy Code Inspector's Report from CheckMate Program.. ... .. s ❑no ❑n/a
4. Septic application completely filled out(if aP licable)...... ... ......... ... ... Zyes ❑no ❑n/a
5. Solid Fuel Burning or Gas Appliance Form........................ ........... .-Ej-�e—s ❑no ❑n/a
6. Electrical Inspection Form...... ... EW Elno ❑
7. Two(2) complete sets of structural drawings................. ... ............... .� ❑no ❑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,... ...... ... �s ❑no ❑n/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure...... ......... ................. tyes Ono ❑n/a
10. Setbacks to neighboring wells and septic systems,including onsite well...'. C]no ❑n/a
and septic systems (if applicable)
11. DrivewayPerrrnt... ... ...... ............... ... ............... ... ... ................ Ono ❑n/a
Date:
Staff Initial:
L:\SueHemingmy\BuildingPerrr it.FORMS\Generic Ched&t.doc
-7 -7r(
Check Residential Plan Review: One& Two Family Dwellings
Y/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:
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
�Residcntial Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
�Foundation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
L,l Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
Xeguired
L/ lee and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
v' Patfbrms At Exterior Doors
g/Stairway Headroom 6"8' All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
Spiral Not Allowed From 2nd Story
Smoke 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 Ht.
Z
Safety Glazing Notes For Required Areas
"Garage Fire Separation
V/Garage Floor Sloped
V,^c Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
v/ Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results,if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Town of Queensbury 742 Bay Road, Queensbury,STY 12804
Building & Code Enforcement BuOding rat#
phone:(518)761-8256 Bate:
Fax: (518)745-4437
$mail- codes@gueensbtuy.net
Dear
Your buildimg Permit application has been reviewed and found to be deficient in the fallowing areas:
J
These details need to be added to or noted oo both sets ofplaM Please fee}flee to contact"office with any qUOsti0v$
regarding this matter.
Sincerely,
BIJJI, ING 8c t6DBS OFFICE
t LSneliemirigvvayll3u�ldiog Permit FQRMSWe�ieient bwldig Permit Jan 200 dw
3
i`
[ ] I 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.
I
Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
I '
Materials Identification: `
[ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] I Materials and equipment must be identified so that compliance can be determined.
[ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
I the building plans or specifications.
Duct Insulation:
[ ] I Supply ducts in unconditioned attics or outside the'building must be insulated to R-11.
[ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] I Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] I 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.
I Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] I Air filters are required in the return air system.
[ ] I The HVAC system must provide a means for balancing air and water systems.
I
Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the-space
I temperature set point of the largest zone.
I
Electric Systems:
[ ] I Separate electric meters are required for each dwelling unit.
I
.Fireplaces:
L ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
provisions of the Building Code of New York State ,the Residential Code of New York State or
the New York City Building Code,as applicable.
I
Service Water Heating:
[ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
I water heater has an integral heat trap or is part of a circulating system.
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I
Circulating Hot Water Systems:
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I .
Swimming Pools:
[ ] I 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.
I
Heating and Cooling Piping Insulation:
] ( `HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
r�
' -',Table.l Miniinum Insulation Thickness for Circulating Not 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 1.2.5" 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][VAC Pipes.
Fluid Temp. .Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(Y 2"Runouts I"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)
03 - 7ql
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
RES checkSoftware Version 3.5 Release I
Data filename; C:\Program Files\Check\REScheck\l 864-03 JUNIPER-FARONE-LOT 54 FARR LANE,QUEENSBURY.rck
TITLE:PLAN NO. 1864-03 JUNIPER
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
BEATING TYPE:Non-Electric RECo
DATE:08/29/03 20 9 3
DATE OF PLANS:AUGUST29,2003
VN 0 1=QUEENSSURY
PROJECT INFORMATION:
THOMAS J.FARONE AND SON
LOT 54 FARR LANE
QUEENSRURY,NEW YORK
COMPANY INFORMATION:
WILLIAMS&WILLIAMS DESIGNERS
509 GLEN STREET
GLENS FALLS,NEW YORK 12801
COMPLIANCE:Passes
Maximum UA=455
Your Home UA=358
21.3%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 1087 30.0 0.0 38
Wall 1:Wood Frame, 16"o.c. 1242 19.0 0.0 59
Window 1:Vinyl Frame:Double Pane with Low-E 176 0.320 56
Door 1:Glass 21 0.330 7
Door 2:Solid 35 0.130 5
Door 3:Solid 21 0.130 3
Wall.2:Wood Frame, 16"o.c. 1004 19.0 0.0 51
Window 2:Vinyl Frame:Double Pane with Low-E 151 0.320 48
Basement Wall 1:Solid Concrete or Masonry 1 1242 11.0 0.0 87
Wall height: 8.0'
Depth below grade:6.0'
Insulation depth:8.0'
Floor 1:All-Wood Joist/Truss:Over Outside Air 82 19.0 0.0 4
Furnace 1:Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document isconsistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,tffih -" e Uattest that to he best of his/her knowledge,belief,and professional judgment,such plans or
PI
specifications are in, o lianc itl
Date
RE,,. Scheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release 1
DATE:08/29/03
TITLE:PLAN NO. 1864-03 JUNIPER
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:
Basement Walls:
1. Basement Wall 1:Solid Concrete or Masonry,8.0'ht/6.0'bg/8.0'insuI,
Rr 11.0 cavity insulation
Comments:
Windows:
1. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
2. Window 2:Vinyl Frame:Double Pane with Low-E,U-factor:0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
I. Door 1:Glass,U-factor:0.330
Comments:
2. Door 2: Solid,U-factor:0.130
Comments:
3. Door 3: Solid,U-factor:0.130
Comments:
Floors:
1. Floor 1: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.