2003-933 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
r'
Community Development-Building&Codes (518)761-8256
. CED"IFIr I TE
OF OCCUPANCY
Permit Number:_ P20030933 , Date Issued: Friday,July 23,2004
�rv-.This.is to:cef-df that:work requested to be done as shown by Permit Number P20030933
has been completed.
Tax Map Number: 523400-295-020-0001-055.000-0000
Location: 95 FARR Ln
Owner... . TRA-TOM DEVELOPMENT INC
Applicant: TRA-TOM DEVELOPMENTINC
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
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030933 Application Number: A20030933
Tax Map No: 523400-295-020-0001-055-000-0000
Permission is hereby granted to: TRA-TOM DEV'FLOPMENT INC
For property located at: 95 FARR Ln
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: TRA-TOM DEVELOPMENT INC
677 STATE ROUTE 9 Fireplace
Garage-2 Cars Attached
GANSEVOORT,NY 12831-0000 Single Family Dwelling $215,000.00
Total Value $215,000.00
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
20030933 LOT#30 HSE#95 FARR LANE
1862 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$271.84 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 18, 2004
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Tuesday,November 18, 2003
SIGNED BY AQ X d- for the Town of Queensbury.
D-Ve--c1t)dMui&g WIA%eforcement
Town of Quccnsliury-Dept of Comrllollity Development,742 Bay Road,QoCCfisbtiry, NY
(51S) 761-8256
A permit must be obtained before beginning construction. Perm' �m it File N • �'G/��O`
- I<t0,SSISpCt:(1017 WIII 1)C nlatlC Until al'li)11Ca27t has I CCeI VC(I a f cc Paiel
valid boitdilig permit. All applicanls' .;paces on tlri.% - ��iC ��
application must be coniplelc(.1 and must appear oil the Rec. 1=cc I'uid ..
application lorni. Reviewed By:
Applicant: Thomas Farone `Thomas arone
Address: -�� -B.ox - Route 9 owner:A(Iclress:-P.-G; Box-'-8-04 —Rou-i- 9
Gansevo.ort, NY 12831 ansevoortr NY--3�2g�i
Phonell (518)587 - 8989 Phonel# ( 518) 587 - 8`98.9
FAX: 518 584=2093 Office contact person: Geri Pastore
Property.Location: Lot Numbcr: / Hotlse Number
Subdivision Nanic: Indian Ridge 1'tix Mali Nun{ib�Ccr
New Building; 4 -conuncrcial l-slinialed Market Value of C'-Oiish`UCtioll: .$ S
u Addition: resi(Icncc/ con»ncresaI Ifan Addition, what will use of new addition bc7❑ Altct:ation: residence/ connucr_cial
CI No chaiibc_lo exterior size: residence t cooi'I
Ct Other work(describe �� )
t.'ilcr!( 0cen )au'c 111rornuttioti i� hi�oor ---'•-��a.___...._._ --� _-_-
ttciuw 1 y 2 1 loot' Uthrt•dour Total
sq. GI. sq. 1•t. sq.fl, tiqunrc iecet 4
�J-
Siiiglc family dwelling
n rwo family dwelling
CI Townhouse
0 Multifamily dwelling
It of units
0 _Uflice
to Mercantile
Li Manuftcturing -
❑ 1 car detached karate
❑ 2 car detached garage l
0 3 car detached garage
U 1 car alCaclted garage
2 car nllached garage
U 3 car atlacbed garage 1
v 5toragc building-
commercial
cl SIorngcbLlilding- --- ---�- ----�- - — -
_residenlial _
Will any second-hand or ungraded lumber be used'?, If so, for wliat`I
Type of I ica ' g System: electric/ oil /forced hot air/ baseboard/otlier:
t to be iti5talted _ Number of►1'no(Istores to be installed V
r-"I
mot_
List below t i porson(s)responsible Im supervision of work as regards to building codes:
Name Address Plione Number
BUildcr Thomas Farone same> as above
Plumber -
Mason—
Electrician ��E1ectric
lit t 2tiratimtt: tilcuse ign below alter y(iti have cnrC1i111y read Ille slulcmcat:
To the best of my knowledge the stalcillents co(itaincd in this appl.icaliolt,together with lhevians and spccilicatiom
submitted,are a true and coltiplete siatemctit of all proposed work to be done ou the described premises and that all
provistolls of tlic 111ilding Code.111e fotlhig Ordinance alld till olher laws pertaining it)the proposed work shall be complied
With,wile 9ier specilied or noted,and that such work is authorized by file owner. i-tafilier, it is un(lerslood that itwc sliall
submit, prior to a Certificate of occupancy or certificate of con)pliance'beinb issued,as requested by the'Zoning
Adiniuistralor or Director of l3uildiiig anti Codes,an its I uniSurven fly a licensed surveyor;drawn to scale,sliowhig actual
location of all new construction.
9igiiawre: c�,�� ����� Plvncr,oWnci''s a}ciit,,arcliitect,.coitlraclor
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: `
.......................................:...........................::.....................
Location of installation: = CJ�j� ��LA Office Use - 1
it—
Tax Map No. / / .�Gsl� o �-�� t#
NO V �--=
Owner's Name: . '1Ceoqftd
LIED/FQU�EN.................._..........................................................................,................_..
Address: N�gND O��RY
2. INSTALLER'S NAME Yi!_1f k�o D i r�� PHONE NO.s1/ 7
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 Com utation = Total Daily Flow
1986 or older x 150 gal/bdrm =
1980— 1991 x 130 gal/bdrm =
1991—present ` _ x 110 gal/bdrm. = a
Garbage Grinder Installed yes / no
Spa or Hot Tub Installed yes / no ✓'
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
T a h Soil—Nature Ground Water Bedrock or Impervious Material . Domestic Water Supply
lat sand' at what depth at what depth •municipal
Rolling oam - e2 T"feet feet well
Steep slope clay if well;water supply
_%slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
S. 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.
Septie Tank: -1,2�D gallon ('min.size 1,000 gal.)
Tile Field: each trench , �ft. Total System Length: --;`S ft.
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / 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.
,�
S►gnature of r.sponsi lob
person Dat
Dire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel' & vented gas appliances
µ .. Permit No. a
.Date 11
20 �
..a �
Application is hereby rnade.to the Building& Codes Office for the issuance of a Building and Use
Permit pur suant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these reclui'rernents and also will allow all inspectors to enter premises to perform required inspections:
1OTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Stove: wood coal pellet gas
Name:
Fireplace insert
Address: '` l�(` l y 1 Fireplace, factory-built: d, gas
l r . s . Fireplace, masonry: . wood gas
Furnace: wood gas oil
Phone: c,� .p[ �.�
If non-masonary applicance,please provide
Owner: Manufacturer Name:
Address: s f� -' Model Number: .
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue tile steel size: inches
Exact Address:
of construction or installation . �C Factory-Built
Manufacturer name: .
Model Number.
Note: Listed By: Number:
Construction/Installation must
core orm to NYS Fire Prevention &Building Indicate (circle) chimney material:
Code. Consult available Town of Queensbury ,
Handouts regarding required inspections. Double wall / Triple wall / Insulated 41_Dir kt venting I
Chimney Liner
��z,�hf+�.z-',ter.Z7►�1nr�t,.r�m+exa�t-T'�cs`�:i�c�icf Q►��:+ezx�bury,.3�Tdex�cr-7[T�a►.r.�r.
Fire Marshal Coyle# $Collected S Refunded Rev ivecl fi-ow (re)ended to):
ddi
A 173 3389 (190) Public Safety
A 233 2655 (230)Minor Sales
�j/&
DATE: `b 5 F '� i � r
White(Applicant) l Green(fire Marshal) 1 Yellow(Bldg. Dept.) / Pink R Goldenrod(Cashier's Dept.)
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queen.sbury,NY
(518)761-8265
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas .appliances
Date It,L 20-� Permit No.._0
t PA
Application is hereby made to the Building&Codes Officefor.the issuance of a Building and Use
Permit pursuant to'the New York State Fire Prevention'dind Building Coda The applicant or.o'wn- er
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 perform 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 Fireplace insert
Address: 10 Fireplace, factory-built: wood gas-ba4
Fireplace,masonry: wood gas
V Furnace: wood gas oil
Phone:
If non-masonary applicance,please provide
Owner: Manufacturer,Name:
Address: AM Model Number:
Chimney Information.
Phone: (circle appropriate words)
Masonry block -brick stone
Flue tile steel size: inches
Exact Address LQt Zb
of construction or installatloltFactory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction lInstallation must
con f onn to NYS Fire Prevention &Building Indicate(circle)chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall t Insulated / Direct ventingChimney Liner
COX w1cam-Ar
Fire Marshal Code# S Collected $Refunded Re((!5 �d ronz re nded,to):(�--k'I'l-
V
address:.
A 173 3389 (190) Public Safety
A 233 2655 (230)Minor S
AA
DATE:
row", a"04. 1 ep.,:r7
White(Applicant) Green(Fire Marshal) Yellow(Bldg.Dept.) Pink&Goldenrod(Cashier's Dept.)
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MAP REFERENCE:
INDIAN RIDGE PUD
PHASE THREE
DATED NOVEMBER 15, 2002
REVISED JANUARY 24, 2003
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
N an
Du s �,
L7L
Steve s
Land Surveyors
169 Haviland Road Queensbury, New York 128
518) 792-8474 New York Lc. No. 50135
FARR LANE
d6EDF NE4 ,;,
f ANr)
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
Map of a Survey
made for
VIOLATION OF SECTION 7209. SUB -DIVISION 2. OF THE
NEW YORK STATE EDUCATION LAW.'
.ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO D TRUE COPIES.'
**CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
A i J.
& J i f
L. V i t
OR
THISSURVEY WAS PREPARED IN A ACCORDANCE WIN THE
r
e n n e r
r a n e n
EXISTING 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 WHOM THE SURVEY IS PREPARED. AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING WSTITUITION LISTED HEREON, Am
Town
of Queensbury, Warren
County, New York
TO THE ASSIGNEES OF THE LENDING INSTITUTION.'
NO. I DATE
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: ARI J. & JENNIFER L. VIRTANEN
CHARTER ONE BANK, N.A.,
ITS SUCCESSORS AND/OR ASSIGNS
STEWART TITLE INSURANCE COMPANY
CERTIFIED BY:
MATTHEW C. STEVES, LLS NYS 50135
DATED: JULY 20, 2004
DESCRIPTION
1J V. VC' VVL 1 LV, LV�
Scale 1'=30,
S-1
SHEET 1 OF 1
FARONE
DWG. NO. IR-30
Queensbury Building & Code Enforcement - Residential Final Inspection -jo
Office No.(518)761-8256 Arrive: -am/ a t: am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#:
9 371�
LOCATION: DATE: 0
TYPE OF STRUCTURE:
Comments
X /N N/A
Chimney Ht./"B"Vent/Direct Vent Location V),
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 'I10
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 1/2"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade Y,
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater o erating t
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: _ / Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 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 Z4" acpess, I sq. ft.-150 sq.ft.vents
Building No./Addr(As,vi&I fro rw
Final Electrical 717-1 Jul -x.)-L
jSite Plan /Varian!k reqdireh
Final Survey Plot Plan
V As Built Septic Systern/Sewer Dept.Inspection Sticker f-35 A 3U16-7—'
Flood Plain Certification, if required
Okay to issue C I C or C/0[Temporary/Permanent V
L:1PamW\Bui1ding&Codes\lnsvection Forms\Res.Final Inst).form 2.docLast printed 2/12/04
ri J
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
F cto Built Gas Fire lace/Stove WiDectk a 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
rfih instructions or specifications is allowed,
]Permit# V 5 —LG-33 Schedule Inspection Time am pin anytime Inspector
Name rA.0'v a)GL- Address G, L2/� L Rough In Final
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
Penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension if any)
Mantel
Height above Vp opening
Witness Operation
Tank Placement(if Imp)
White-->DWWingDept. Yellow Cast mer pink—Firema"hatl
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MAP REFERENCE:
INDIAN RIDGE PUD
PHA5E THREE
DATED NOVEMBER 15. 2002
LAST REVI5ED JANUARY 24. 2003
BY VAN DU5EN + 5TEVE5
LAND 5URVEYOR5. LLC
�vo
19
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0.
18
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30 ft WIDE
NO CLEAR ZONE
ALONG REAR LOT LINES,,..
CS Zjq� m�s Q
S E'er
&
V
Land Surveyors
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
'UNAUMORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.'
VEY
ARMY COT" A FRC1M,N OpjG r rnr L OF 5u L,R
MARHp vnm AN 01VG�NAL ce rn[ wro SURVEYORS
CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
AL 3/ALL CONSIDERED TO BE VALID TRUE COPIES.'TH
THIS SURVEY WAS PREPARED IN ACCORDANCE MATH THE
FOR LAND SURVEYORS ADOPTED
By THE CODE OF STATE
BY NNE HEW YOM $TALE ASSOCIATION OF PROFE$SIONAI.
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOA THE SURVEY IS PREPARED, AND
ON "IS BEHALF TO THE n7U COMPANY, GOVERNMENTAL
AGENCY AND LENDING INsnTulnDN LISTED NFAEON, AND
,D,nTn55:G+KL50„„CLENgtlG,Ny,nD„m,.
Map of a Survey made for
o MAS J . FAR o NE 8c SON, INC.
Town of ueensbur Warren Count New York
Q y� y•
lln-te1 JUNt cfU, ifUU4
Scale 1`-30,
SHEEf 1 OF 1
DAHLGREN
DWG. NO. IR-19
NO.
DATE
DESCRIPTION
0.Rough Plumbing / Insulation Inspection Re .ort
Office No. (518)761-8256 Date Inspection request received: (3
4
Queensbury Building&Code Enforcement Arrive: am/p �:450
n/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: J
NAME: i PERMIT #: C�
LOCATION: dA4P INSPECT ON: /,:g
TYPE OF STRUCTURE: 1
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
PF y P g
Cooper Commercial z ,,
oe ,CPVC,Pex One and Two-Family
14nsul esidential Check/Commercial Check
Pro er Vent,Attic Vent
Duct]Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMNMNTS:
L:1SueHemingway\Building.Codes.Inspection.FoRMSIRough Plumbing Insulation Report.doc November 17,2003
Framing Pp/Firestopping Inspection Report 1 r C
Office No. (518)761-8256 Date Inspection request received
Queensbury Building&Code Enforcement Arrive: am/ m epart.
m/pm
742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: ��LA
TYPE OF STRUCTURE:
- Y N N/A COMMENTS
Jack Studs/Irleaders
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 l2(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 la 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)
53 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Tnspection.FORMS\Framing Firestopping Inspection ReportAoc January 28,2003
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request
Received, �Permit# .3 SCHEDULE
PET ? _ L/SCIONON:
Name: AM PM ANYTIME
Location: C^V
__ APFRd��JED
-- -- -- N 1A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
-BATTERY
EMERGENCY LIGHTING -
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM /C�
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
MOOD INSTALLATION
INTERIOR FINISHES _
STORAGE ___ --
COMPRESSED GAS— --
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING!
UNITS
CLEARANCE f0 ELECTRIdA-L
REQUIRED SIGNAGE
EMERGENCY PLAN —�---
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
INAL f�
CHIMNEY__—._ /.�UIGH
_ /�- u�k (D
FACTORY BUILT IN -
FINAL
WOe7D �-�-`�--
STOVE ROUGHIN
FINAL
VENTED GAS A
APPLIANCE ROUGH IN
FINAL
FIREPLACEMASONRY____ DOUGH IN OK THIS DATE OK FOR CO N®T OK
FINAL
FIREPLACE
FACTORY BUILT OUCH IN r
INSPECTED BY
FINAL
CON BEVICHRISJIWORD/LETTERS2007/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/An Jepart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: `'fin PERMIT
LOCATION: INSPECT ON: --,/`� 41
TYPE OF STRUCTURE: —��
Y N; N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plumb` Vents in Place
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/change of direction
Water Supply Piping
Cooper Commercial
Cooper,CPVC,Pex One and Two-Famil
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:ISueHemingway\Building.Codes.inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing/Firestopping Inspection Report 9',
Office No. (518)761-8256 Date inspection requesl received:................
Queensbury Building&Code Enforcement Arrive: a 1� PM
742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials:
NAME: PERMIT#: 01 3
INSPECT ON:
LOCATION.
TYPE OF STRUCTURE:
Y N N/A COMMENTS
2minor
Jack Studs Headers
Bracing Bridging
Joist hangers VA
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 RA t4
-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
Ice and snow shield 24 inches from wall
Fire separation 1,-2,3 hour
Fire wall 2, 3,4 hour
Yirestopping
V/
Penetration scaled"
16 inch insulation in cavity min.
Garage Fire Separation
House side V2inch or 5/8 inch Typ&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:\SuelIemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enf6rcement Arrive: D part-) am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
.-NAME: PERMIT#: � r
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron,Copper Drain/Vent Comm.
Plu bi ent Vents in Place
egh Plumbing/Nail Plates or
1 ad or Air Supply Test
4
Drain and Vents 7'
V 5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Copper,CPVC,Pex One&Two Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
�L:\SueHemingway\Building.Codes.inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003
Framing /Firestopping Inspection Report 0 :30 ff
Office No. (518)761-8256 Date Inspection request received: fl
Queensbury Building&Code Enforcement Arrive: —am/pr ai-n/pm
�e
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: r- � INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA 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 V2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anc r Bolts 6 ft, or less on center
Xe 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 Y2 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.Codcs.Tnspection.FORMS\FramingFirestopping inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (S 18)761-8256 Date Inspection request received: la4
Queensbury Building&Code Enforcement Arrive: am/ epart• ' am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: �1 PERMIT#: [ 3 3
LOCATION: INSPECT ON: e
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 Dampproofnig/Waterproofing
Footing Drain Daylight or Sump.
Footing Drain Stone:
12 inch width
6 inches above footing
StEgXoly for wet areas under slab
Q�ac"W,,, proval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L,\SuellIecningway\3uilding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
aA
1 fl- M
169 Haviland Road, Queensbury;NY 12804
Phone-518-745-4400 Fax -518-792-8511
March 10 ,2004
Job#4613 8
New York State Dept. of Health
77 Mohican Street
Glens Falls,NY 12801
RE: Indian Ridge Subdivision- Queensbury(T)
95 Farr Lane (Lot#30) - Septic System
Dear Sir/Ma'am:
This letter is to inform you that I inspected the completed septic system for the house on 95 Farr
Lane(Lot#30)in the Indian Ridge Subdivision on March 10,2004.
The septic system as installed was for a four bedroom house and consisted of-a 1,250 gallon
septic tank and 220 linear 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 Hahn, Town of Queensbury
Tom Farone
V,
Septic Inspection Report
Office No. (518)-761-8256 Date Inspection request received:
Queensbury Bu:ilding&Code Enforcement 'Arrive: &)3J am/pm Depart; am/pm
742 Bay Rd.,Queen7sbury, NY 12804 Inspector's Initials:
m/p
NAME: PERMIT NO.:
LOCATION: PECT ON:
RECHECK:
Comments and/or is ram
Soil Type:l Sand//Loam. Clay
Type ofWater: 11{unicip4Y/Well Water
Waterline separation-d'istance ft.
Well separation distance )—ft.
Other wells: ft.
Absorption Field: Total'Iength ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone `2,
Seepage Pits: Number
Size: x
Stone Size:
Piping Size T e
Building to tank
Tank to Distribution Box
Distribution Box t' Kield Pit
OpeningSealed:CY,,//N/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption Z ft.
Separation of Pits 7 ft.
Conforms as per Plot Plan
Location of System on Property: E:L,I
Front & eft Sid Right Side 10
Middle Front Middle Rear
System Use Status:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
-Disapproved Ali?d
L:\SueHeriiingway\13uilding.Codes.Inspection.FORMS\Septic Inspection ReporLdoe January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request ec
Queensbury Building&Code Enforcement Arrive: a in Depart: a in
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: 11�CA'-N/-(Pj--(-), —,.I PERMIT#: �J 3
LOCATION: n5,-- Ecxf-y- L—WK-9 INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N/A
ot,ngs
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsibl
f/fe
providing protection from fr ezing
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 Danipproofing/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.
LASuellerningway\Building.Codes.InspectionTORMSToundation Inspection Reportdoc, January 28,2003
Town of Queensbury Fire Marshal
742 Fay Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
Factory Built Gas Firealace/Stove Inspeg:t2n.Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the hista Nation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
6 Permit## Schedule Inspection Time wait pan anytime Ins or
Name— Address �-a'.- Y'. Rough in _
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney Flue Size Double Wail Triple Wall Insulated
Y No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration,2 feet above any combustible
construction within 10 feet
Gas Shut-Of Valve
Combustion Air
Dearth Extension (ifany)
Mantel
Height above flp opening
Witness Operation
Tank Placement(if LP)
WMte—Building Dept. 'Yellow Costi mer Pink—B+ire Marshal
Check Residential Plan Review: One&Two Family Dwellings
Y/N/N/A
Y (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 1 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.
V/ 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
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise ,
Winder Run and Rise ,t
Spiral Not Allowed Frorn 2 Stoy
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 Guaru ds>30"1 Basement Stairs Included 1 Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation.
Garage Floor Sloped
Attic Access
Roof over 30"—22"x 30"1 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
P
a0o 3---q3
Perm' mber
em' mber
By/
4-4
IDJ
REScheck Compliance Certificate Checked B I atej.,
New York State Energy Conservation Construction Co e
RES checkSoftware Version 3.5 Release I
Data filename: C.-\Program Files\Check\REScheck11862-02 BELLWOODE-FARONE-LOT 30-95 FARR LANE,
QUEENSBURY.rck
TITLE: 1862-03 BELLWOODE
COUNTY: Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached I or 2 Family
HEATING TYPE:Non-Electric
DATE: 10/18/03
DATE OF PLANS:OCTOBER 18,2003
PROJECT INFORMATION:
THOMAS J.FARONE AND SON
LOT 30-95 FARR LANE
QUEENSBURY,NEW YORK
COMPANY INFORMATION:
WILLIAMS&WILLIAMS DESIGNERS
509 GLEN STREET
GLENS FALLS,NEW YORK 12801
COMPLIANCE:Passes
Maximum UA=445
Your Home UA=341
23.4%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 998 30.0 0.0 35
Wall 1:Wood Frame, 16"o.c. 1209 19.0 0.0 59
Window 1:Vinyl Frame:Double Pane with Low-E 162 0.320 52
Door 1:Solid 21 0.130 3
Door 2:Solid 21 0.130 3
Door 3:Glass 21 0.3.30 7
Wall 2:Wood Frame, 16"o.c. 1036 19.0 0.0 54
Window 2:Vinyl Frame:Double Pane with Low-E 134 0.320 43
Basement Wall 1: Solid Concrete or Masonry 1209 11.0 0.0 85
Wall height: 8.0'
Depth below grade:6.0'
Insulation depth: 8.0'
Furnace I.:Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,thcy are attesting
that to the best of his/her knowledge,belief,and professional judgment,such plans or
specifications are ins plian ode.
Date
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
RES checkSoftware Version 3.5 Release I
DATE: 10/18/03
TITLE: 1862-03 BELLWOODE
Bldg.
Dept.
Use
Ceilings:
1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
Comments:
Above-Grade Walls:
1. Wall i: 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 ]: Solid Concrete or Masonry,8.0'.ht/6.0'bg/8.0'insul,
R-11.0 cavity insulation
Comments:
Windows:
1. Window 1:Vinyl Frame:Double Pane with Low=E,U-factor:0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type-- Thermal Break? Yes No
Comments:
2. Window 2:Vinyl Frame:Double Pane with Low-E,U-factor:0.320
For windows without labeled U-factors,describe features:
9 Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
I. 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:
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:
[ ] 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
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-I 1.
[ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
I
Duct Construction:
[ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
(adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
I 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.
Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
] I Separate electric meters are required for each dwelling unit.
I
Fireplaces:
[ ] 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.
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:
[ ] I HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
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 HVACPipes.
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 411
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)