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2002-772 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)7614256 CE PUT IFIr I TE OF, OCCUPANr'17 Permit Number: P20020772 Date Issued: Wednesday,'Apfif 099 2003 This is to certify that work requested to.be-done as shown by Permit Number P20020772 has been completed. Tax Map Number: 523400-295-020-0001-004-015.0000 Location: 199 FARR Ln Owner: TRA-TOM DEVELOPMENT,INC. Applicant: TRA-TOM DEVELOPMENT,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 .��. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20020772 Application Number: A20020772 Tax Map No: 523400-295-020-0001-004-015-0000 Permission is hereby granted to: TRA-TOM DEVELOPMENT. TNC. For property located at: 199 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 Value Ordinance. Type of Construction Owner Address: TRA-TOM DEVELOPMENT,INC. Fireplace 804 STATE ROUTE 9 Garage-2 Cars Attached 180,000.00 GANSEVOORT,NY 12831-0000 Single Family Dwelling Total Value 180,000.00 Contractor or Builder shame/Address Electrical Inspection Agency TRA-TOM DEVELOPMENT INC 804 STATE ROT TTE 9 CTANSEVOORT_NY 12931-0000 Plans&Specifications r 2002-772 5,House No. 199 Farr Lane,Indian Ridge,Phase 2 struction of a single-family dwelling with 2-car attached garage, and one fireplace as per plot plan and specifications. $280.24 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 17,2003 (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 own a nee °� , September 17,2002 *� for the Town of Queensbury. SIGNED BY Director of Building& Code EnforcementF; Buildix T ei Mit Application ^3 __ 'town of Quecnsbury-Dept-of-iippiipunity DcvcSopmcnt,742 Bay Road, Quccnsbury,NY (518) 761-8256 St F 20OZ A permit most be obtained before beginning construction. Permit File No. No inspection will be trade until applicant has received a FCC Paid valid building permit. Ali applicants' spaces on flits Rec. Vec Paid application nntsl be complciccl and niusl appear on talc Reviewed By application forth. Applicant: C)4vncr: `Phomas Farone Thomas Farone _ Address: -�-�--Box f304,Route 9 Address:--FI-O S(53t U Wit- 9 Gansevoort _NY 12831 ansevoort, NY 8 1 Phone#(518)587 - 8989 Phone#( 518) 587 - 8989 FAX: 518 584-2093 Office contact person: Geri Pastore Property Location: Lot Number: t1 / House Number Subdivision Name: Indian Ridge Tax Map Nlll7lbcr: ,�27 7• �-�'76�� New I311ildhig: resid commercial Estimated Market Valtte of Construction: $ LiAddilioti: ottitnereinI If an Addition,what will rise of new addition bc`t ❑ Altet•ation: residence/ commercial U No cliange to exterior size: residence/com'l ❑ Olhcr work(describe _} C)ccul)ancylnforniatioii— -- -�- Check -- I` Floor 2 Niaor t)Ihcr floor 'folsil Below sq. I'[. sq. ft. sq.U. Square Feet Single family dwelling (>j> / '7,3( •IRV ❑ Two family dwcllin ❑ Townhouse U Multifamily dwcllin}; 11 ol'titlits ❑ Office ❑ Mcrcantilc ❑ --Mail U f!lCtUri -- - - - _ - - -- - - I car detached garage - - -� -- - ❑ 2 car detached garage ❑ _3 car detached garage U I car attached garage 2 car attached garage ❑ 3 car attached garage: U Storage building- Coll]nicrcinl �� _ ---- ----• - ���'�� U Storage building- residetttint U Other - -- •�.. �$"',.:rG Will any second-hand or ungraded lumber be used'? If so, for wtiat7 An� 77�) ­7 i j Type of Healing System: electric/ oil <gpwood / forced hot air/ baseboard/other: _-66 ` Ott Number of I%ireptaces to be installed -�-__ Number of IVootisloi,es to be installed 1�76 S. 'f List below the person(s)responsible fbr supervision of work is regards to building codes: Name Address Photie Number I3uildcr Thomas Farone same as above Plunll)cr C & G Plumbing 654-7477 _ Mason Heath Russell 796-3033 Elcctriciatl Modern Electric 584- 8341 Declarutiolt: plense sign below idler you have carelolly read file slutenient: To the best of my knowledge the statements contained in this application, together with the plans and specitientions submitted,arc a true and eonpplete stnlenient of all proposed work to be clone on the described premises and that all (provisions of the Building code, the Zoning Ordinance and all other laws pertaining to the proposed work shall lie complied with, whetlicr specified or noted, and that such work is authorized by the owner. Purtlicr, it is understood that i/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As/.hilt Sicrneir by a licensed surveyor;drawn to scale,showing actual localiou of all new constructiri 1. Signa ure: ownci-,owner's agent,architect,contractor Application for Permit—Septic Disposal System Town of Queenshury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATXPN: ........................­........................................................................ Indian* Ridge SubdivIslon ................. offlee Use LocAtion of installation:L o t No.. House No. Road Name: Tax Map No. Fee Paid Owner's Name: Thomas Farone ................................................. ............ Address: P .O. * Box 804 , Route 9 Gansevoort, NY 12831 . 2. INSTALLER'S NAME PHONENO. 3. RESIDENCE INFORMATION: -(circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal-total dailyflow) Year of House: No. of Bedrooms x 'Computation = Total Daily Flow 1980'or older x 150 gal/bdrm 1980— 091 x 130 gal/bdrm "= 1991 —present x 110 gal/bdrm Garbage Grinder higtalled yes no Spa or Whirlpool Installed yes no. 2--- 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Top6graphy —SoiL.Nature Ground Water Bedrock or Impervious Material Domestic Water Su at what depth at what depth municipal '111�6 ling To�a � feet —feet well Steep slope. clay if well; water supply slope other from any septic-system depth: absorption is t- other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: •For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or.Whirlpool Tub. Septic Tank: 1.2*'-.,)L­'gallon.(min. Size 1,000 gal.) Tile Field: each trench Total System Length: j?. Seepage Pit(s): number of .....S:::�_ size of each: ft. by_ft. Size,of Stone to be used: depth or thickness feet Bed System Size: DL 2 1Z r— 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-i'Wn of QueenSbtfry, 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 t to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance, lam0' -'Vicinature of resporoibleperson Datb JOWMOFQUEENSBURY�. RIECENED Richard A.Missita HIGHWAY Highway Superintendent DEPARTMENT S E P 1 1-2002 Home(518)798-5127 742 Bay Road o Queensbury,NY 12804 Michael F. Travis Deputy Highway Superintendent 0fftce Phone: (548) 761-8211 (518)798-0413 Fax. (548) 745-4466 DRIVEWAY PERMIT DATE: Gl — APPLICANT NAME: Thomas Farone TELEPHONE NO.: 587-8989 ADDRESS TO BE INSPECTED: Lot No. � / House No.&7 Road Name /" RETURN ADDRESS: P.O. Box 804 , Route 9 Gansevoort, NY 12831 Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP I: Preliminary Approval NEED: Slight swale Level with the road Deep swale Size pipe to be used(if necessary) )12" ( )15" ( )18" ( )24" )36" Preliminary inspection completed by —DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved permit for a final approval. STEP 2: Final Approval O Rejected DATE: Richard A. Missita,Highway Superintendent Fire Marshal's 's Office Town ofQueensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date 20 D> Permit/ No. 7 74� Application is hereby made to the Building&'Codes Office for the issuance of a Building and Use Pernzit 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 conditions that are part of these requireinents and also will allow all inspectors to enter premises to petfimn required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: -j j ,I,- Stove: wood coal pellet gas Fireplace insert Address: {k4 Fireplace, factory-built: wooer gas Fireplace, masonry: wood gas Furnace: wood , gas oil Phone: 66 6 0 If non-masonary applicance,please provide Owner: Manufacturer Name: Address: Model Number: Chimney Information Phone: '(circle appropriate words) Masonry block brick stone Flue the steel size: inches Exadt Address:, �tJ of 004 choir or installation Factory-Built ifr Manufacturer name: Model Number: Note:• LL�GListed By: Dumber: Construction I Install i n must conforin to NYS Fire Prevents &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbut)) Handouts regarding required inspections. Double wall 1 Triple wall I Insulated Direct venting Cjiiinney Liner qrbVVjM txr x1dom-13 Fire Uarshal Code fi $Collected S Refunded Received from 0-efimrftW'M): eL '004 address: A 173 3389 (190) Public Saftty A 233 2655 (230)Minor Sales DATE: nw. VGPitK.102 Do White(Applicant) Green(Fire Marshal) Yellow(Bldg.Dept.) Pink&Goldenrod(Cashier's D'ept.) �+W ALAI apro , I a can N W" 04 www4� N 91NH H 0 Z z,0 H 0,', w zi 0 004 H H N z w ° Q,t Iva H z r. 3 U tO E+ H I 0 z z I W W W lU NH aw a �aa a Ha 0a w z aaU a ° Wx� a U ' E+ 0 a a x H H w a N N a a w a a 0 w x x a z 0 w z O U z w x ] ti 0 a H W 3 H U 4 a 0 g 0 u N H r� a 4 W 0 Q 4 4 U � � U H a Z H U 3 a a Z > 4 M W H t� ' U z\ �a E+ 0 z W H v z w U 9 w a U W z ; w H 5 ':+ w w c x rn 4 - A 0 0 � w w m z N W WH W W W U > ] a 0 "" 0 H a j4 H a s w a N z H x > H x 0 0 0 a a a a ] N w H 0 lit0� � Z 0 0 0 E 0 0 w U 0 0 0 w z H z W H p g z 0 p rA 0 U U U a > E Ha z W H H W a . A a x H W H H H a 0 H W w W W E0 w W H 0 z W U W W 4 W a E z U E+ N 00 H ] 0 H a 0 0 E+ 0 z a H a H H 4 Z z 2 z H z 0 4 >4 0z x a 0 W a 0 Z H H H W N X X a 4 4 9 H H x A z 4 0 E+ t�H U w a 4 x 9. N �, H W � N U w w a x x z 0 0 INDIAN RIDGE PUD PHASE TWO DATED AUGUST 27, 2001 BY VAN DUSEN & STEVES LAND SURVEYORS, LLC n 30 ft WIDE NO CLEAR ZONE ALONG REAR LOT LINES 'ITS ti 28, . ft. 0.66 acres 2 5TORY i/ WOOD FRAME HOUSE CUNDER CON5TRUGTION) R� GEw�� TOWN a Q AND CEDE gU11.01NG �Q, W C.. 1� i 6 . y�����3 � ,e �ArJD SOIf I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PER5ON5 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& RICHARD SPOERL COUNTRYWIDE HOME LOANS. INC. IT'S 5UCCE55ORS AND/OR ASSIGN5 CHICAGO TITLE INSURANCE COMPANY CERTIFIED BYE_-N_��_�__ MATTHEW C. STEVES. LLS NYS 50135 DATED, JANUARY G. 2003 �-1 a1 Dus ^ /V/`/`,�-/ t e v e s Land Surveyors 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lic. No. 50135 ro A SURVEY 'UNAUTHORIZED E0MSEOLALTERATION OR ADDITIOSURVEYORS NAP TARING A UCDISEO 9. S S DIVISIORS SEAL IS A VIOLATION OF SECTON 7209, SUB-gN510N 2, OF THE NEW YORK STATE EDUCATION LAW.' "ONLY COPIES FROM THE ORIGINAL OF THIS "M MARAID WITH AN ORIGINAL OF ME I" 5URVr1%M SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES' IS SU *CERTIFICATIONS INDICATED ERHEREON DANCE THAT 1i95 SURVEY WAS PREPARED NJ ACCORDANCE WITH THE EXISTING CODE OF PRACnCE FOR LAND SURVEYORS ADOPTED RU PROFESSIONAL LA D S NEW YORORS. STATE ASSOCIATION OF SHALL U1N0 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 INSTITINTION USTED HEREON. AND TO THE A961GNOE5 OF THE LENDING WSTTTUTION! 1 Map made for R I C HAIR D S P O E R L Town of Queensbury, Warren County, New York atei JAN A Y , 2003 Scale 1'=30' S -1 SHEET 1 OF 1 SPOERL DWG. NO. IR-5 1 NO. DATE DESCRIPTION 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 SCHEDULE Received: Permit# INSPECTION ON: 3 Name: AM PM ANYTIME Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING "FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS-DAT K FC3R CO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISJNVORDILETTERS200I/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Residential Final Inspection ...............- Office No. (518)761-8256 Date Inspection request received: . ........... Queensbury Building&Code Enforcement Arrive: —am/�j,(2�D arv/ m/p M cpp —_2� 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME. PERMIT#: 0;17-2 7 d, LOCATION: \oPs S2 DATE: TYPE OF STRUCTLUtE. Comments Y N NIA Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete L/V Guard 30 in. or more @ stairs,decks,patios Guard at stair-well at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Comments 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 Y 8 inch clearance to sill plate - —70 Gas Valve shut-off exposed/regulator 18"above 9r"i-d—e 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 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: 1 Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches -/4hour fire door/door closer -Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in,x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, I sq.ft.-150 sq. ft.vents Building No./Address visible from road,.-- Final Electrical Site Plan Wariance required Final Survey Plot Plan V As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert, Of Compliance) Okay to issue Temporary C/0(Cert.Of Occlupancy) Okay to issue Permanent C/0(Cert. Of Occupan y) L:\Sueffeniingway\Building.Codes.Inspection.FORMS\Res.Final Insp.fonn 2.doc edited January 28,/03 Rough Plumbing / Insulation Inspection Report l 0 Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: ', pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: --J NAME: GYA- PERMIT#: - 17 LOCATION: c�� INSPECT ON: -1 -�3 TYPE-OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents 76(} i Cast Iron,Copper. Drain/Vent/Comm. V Plumbing Vent/Vents in Place u l �""`-l' _ - [-' -z) Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial01 . Co e , PGVC,; � s119P 1 ati /Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation., If required unheated spaces Combustion Air Supply for Furnace Pict Work Sealed Properly O NTS. r f tJ eat 1� v�Q_ f L:1Pamw\whiting\Rough Plumbing Insulation Report.doc 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 SCHEDULE Received' Permit# INSPECTION ON: V Name: AM PM ANYTIME Location: APPROVED --ff IA YES YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION F" INTERIOR FINISHES STORAGE COMPRESSED GAS HOOD TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGHIN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE_- -MASONRY ROUGHIN OK THIS DDAT OK FORGO NOT OK FIREPLACE /FINAL I I T ROUGH � ,[C� FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISitWORDILETTERS20011FIREMARSHALINSPECTIONREPOP-TI1022001 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/pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: .� x NAME: I—A R0=AJ' PERMIT#: 0-,7 ^ 70— 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. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes W er Supply Piping Copper Commercial Copper _,C Q, ,,Pex One&Two Family htsulati R siddfitial Check 1 Commercial Check Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly �.� COMMENTS: LAPamW\Whiting\Rough Plumbing Insulation Report.doe Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 437 Fire Marshal's Inspection Report Request SCHEDULE -7 16-7 7 Received: Permit# Z,- -77 Z- INSPECTION ON: 7 3' T Name: AM PM ANYTIME Location: CA) APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM--,, FIRE SUPPRESSION SYStEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLRRS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAVI REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY .--RO-/UGH I� MASONRY - G y to C1 - 3(- FINAL (CHIMNEY 1 q FACTORY BUILT St 6UGH IN WOOD �✓�-���-GL ��t'!r'r'�'' FINAL STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS DATE OK FOR CO NOT O K —9(EPLACE WIFACTORY BUILT UGH IN INSPECTED BY FINAL COMDEV/CHRISJ/WORDILETTERS200I/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Dep rfr �a pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: i µ NAME: PERMIT#: LOCATION: tt INSPECT ON: TYPE OF STRUCTURE: K�> Y N N/A COMMENTS wMai0iW --- Jack Studs I Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly Headr000m 6 ft. 8 in. Stairwells 36 in. or more _ Headroom 6 ft. 8 in. , �� Notches/Holes/Bearing Walls Metal Strapping for Notches Top la'e 1 lz(w) 16 gau a(8) 16D nails ea h ide Draft stopping 1,000 sq.ft.floor trUsses Anchor Bolts 6-ft.or lesson centlr Ice and snow shield 24 inc from wall Fire separation 1`2,3-hour Fire wall 2, 3,4 hour Firestoppin� . Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/z inch or 5/8 inch T e X Garage side 5/8 inch Type X Ceilin wall Windows Habitable Space/Bedroo s 24 in. (H) 20 in. (W) 5.7 sf above/below_ grade // 5.0 sf grade / 1 Y A/ F 169-Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -5 1 8-79245 1 1 aq 5,'D-V-1._ 4 , .� January 28,2003 Job#46138 Mr. Glenn Bruso New York State Dept. of Health 77 Mohican Street Glens Falls,NY 12801 RE: Indian Ridge Subdivision- Queensbury (T) Lot# 5 Septic System Dear Glenn: This letter is toinform you that I inspected the completed septic system for the house on Lot #5 in the Indian Ridge Subdivision on November 13, 2002. 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 with the requirements of the approved subdivision design drawings. Please call me if you have any questions or concerns. Si erely, Thomas W. Nace, P.E. cc: N Dave Hatin, Town of Queensbury Tom Farone ' � f d� � nl-Nrr� u,-� -� �oa �Iao � cncn � cnar ��.�A 0ro000� -�, G �-' � c+ �, n'1 -', rorop� ,�;�, ro 0 o �► � 0. 0 �.� *0 -C 0 N 0 ct w 73 0 r� rn � 1 U) 'll 0 0 - f -1 x 0 0 0 0�`� X C7 ~ V1 0 n � u 0 C+ C+ a�0 C+ z �� a ro Z0 m3m .1ON RI rfi 0 rl X tt c V) oo I T1 N0 a fD ro to X „ , @ ro ! Ct ro pigo o m ro x � ro or 00 a s � rororo c � ro 0 rh tN r� �� ro .� ` .r y , y l N a +) +) +)z -0 0 a a +P aj0) � w ro 4- z try .0 � W � � �` � �' 0 C ►N 21 U CO m I N -P a W � W J w c '� ro. F- C 0 ro o Fed LZw C19 i>- U C t{ I ,� n/, it ► i a I a I Tf Sr Y Q` �" W , Jolin I ci � (D wcu Eo� X E1. Q ar- UCa 9 , r Q. � 004- WM 0 $o- clo- 0 (0 L 0 4.) /7 J10,00 loom Cr 4- 0 ►rV� 4� 0�, N � 0 ?� � 0 Q, p C a fl o w Q `, r W 0 t{. IN 0 a 0 or or►r t!j '}i�' S. a I 0 e W iie ► o aW �► 0 4-�W ► +a Cp M 0) +� �" ro 0 rr� Q zw WO 4 '0 r.-0 u -P k + � + rr- (0 -iu4 0" w > V) 0 LOCONWN01 .0C: oO 2 :5aC ' 1�0 Qrw ,r W , 0 .rp. 0a) OC) u � 'r . J 0 V) LY�� J0(4V) V) V) LM - 00JLLu.0 �..},� I,I p , Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time-.. Dept. of Community Development Request received:J47 Meet: I e Us e Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE amlpm: DEPAR "am/pm Notes: (518) 761-8256 Inspector's Initials it NAME: PERMIT LOCATION: INSPECT,ON(date): TYPE OF STRUCTURE: RECHECK N1A YES NO COMMENTS Footings/Piers Monolithic Pour Form 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 Founda roofing kfill Al proval Plumbing Under Slab Plumbing Vent/Vents in Place- Rough Plumbing_ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls it- Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracinoridgmig- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemiiigway\Building.Codes.Inspection,FORMS\GFNERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT -Zl Inspector: Town of Queensbury IReady at time:A74ff—<��- - Dept. of Community D 6 2 .Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Notes: Queensbury, NY 12804 ARRIVE—am/pm: DEPART am/pm (518) 761-8256 Inspector's Initials NAME: cc—y-0— PERMIT# -00--77Z LOCATION: /qrt 4KI-1, INSPECT ON(date): TYPE OF.STRUCTURE: RECHECK N/A YES kO COMMENTS Footings/Piers Monolithic PdurTorm Reinforcement in Place `2 Th6 contractor isr'**esponsible for 7 providing-'protection from'freezing --for 48,hourshilowing the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval- .. Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing-_ Hearing Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R­ Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging_ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppmg_ L:\SueHemingway\Building.Codes.Inspection.FORMS\GFNERAL INSPECTION REPORT.doe Permit Number MECcheck Compliance 6p rt 4= T y Checked By/Date New 'York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release Ic Data filename:C:\Program Files\Check\MECcheck\1932-01 LARKSPUR REVERSED-LOT 5- QUEENSBURY.cck TITLE:PLAN NO. 1932-01 -LARKSPUR REVERSED COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached I or 2-Fly HEATING TYPE,Non-Electric DATE:09/03/02 DATE OF PLANS: SEPTEMBER 2,2002 PROJECT INFORMATION: THOMAS J.FARONE AND SON LOT 5-INDIAN RIDGE COMPANY INFORMATION: WILLIAMS&WILLIAMS DESIGNERS 509 GLEN STREET GLENS FALLS,NEW YORK 12801 COMPLIANCE:Passes Maximum UA=294 Your Home=271 7.8%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R Value R-Value U-Factor UA Ceiling 1:Fiat Ceiling or Scissor Truss 1000 30.0 0.0 35 Wall 1:Wood Frame, 16"o.c. 932 19.0 0.0 46 Window 1:Wood Frame,Double Pane with Low-E 108 0.320 35 Door 1: Solid 21 0.130 3 Door 2: Solid 21 0.130 3 Door 3:GIass 21 0.330 7 Wall 2: Wood Frame, 16"o.c. 1000 19.0 0.0 51 Window 2:Wo6dYrame,Double Pane with Low-E 146 0.320 47 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 932 19.0 0.0 44 Furnace 1:Forced Hot Air,80 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 y i designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professio al has sta ed and si d this page,they are attesting that to the best of his/her knowledge,belief, and professional ent, h I s or s cif.cations are in compliance with this Code. esigner Date , ' MECcheck Inspection Checklist New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release I c DATE:09/03/02 TITLE:PLAN NO. 1932-01 -LARKSPUR REVERSED 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"oxi,R-19.0 cavity insulation Comments: '2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: 1. *Window 1: Wood 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:Wood Frame,Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: 1. Door 1: Solid,U-factor:0.130 Comments: 2. Door 2: Solid,U-factor:0.130 Comments: 3. Door 3:Glass,U-factor:0.330 #Panes Frame Type Thermal Break? Yes No Comments: Floors: 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: 1. Furnace 1:Forced Hot Air, 80 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 I 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. I 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. I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics I (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. C ] 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 temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. 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 ofNew York State,the Residential Code of New York State or I 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 I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105°F or chilled fluids below 55°F 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 Ran e F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) Project Name: BP# ! l Address: Building Pernyit Submission Multxp Dz¢Rbg & Qnmrzrrxl PIe Checklist All items below must be checked either yes,no or not applicable prior to submission of any building 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... .................. ... ... ... ... ... .. y6s- [:]no ❑n/a 2. Energy Form or CheckMate Energy Code Compliance Forms Complete ... Qyes Qno Qn/a 3. Energy Code Inspector's Report from Checkmate Program.. ... ... ...... 's Qno Qn/a 4. Septic application completely filled out(if applicable)...... ... ... ... ... ... eyes ❑no Qn./a 5. Electrical Inspection Form . ...... ... ... ... ... .. Flyes ❑no Qn/a 6. Two(2)sets of plans showing the following: ... ...... ...... ... ... ... ... ... ... ... Qno Qn/a 6a. Floor plan(s)... ... ... ... ... ... ... ... ... ... ... ...... ... ... ...... ... ... ... yes ❑no Qn/a 6b. Foundation plan... ... ... ...... ... ... ...... ......... ... ... ...... ... ... ..... yes -]no Qn/a 6c. Cross section(s)... ... ... ... ...... ...... ... ...... ... ... ...... ... ... ...... ... des ❑no Qn/a 6d. Elevations ...... ... ... ......... ... ... ...... ... ... ...... ... ...... ... . ERyes Qno Qn/a 6e. Design loads including floor,snow load,and wind load... ... ESI/Yes [-]no Qn/a 6f. Seismic design(required after Jan. 1,2003)... ... ... ... ... ... ... ... ... Qye ❑no Q'n/a 6g. Plans signed by registered architect or engineer,signed... ... ... . Nyes ❑no nn/a and sealed by a registered architect or engineer 6h. Window and door schedule... ...... ... ... ... ... ... ... ............ ... yes ❑no Qn/a 7. Two(2)site plans showing location of the structure to be built,... ... ... C J.yes Qno [In/a location of well or water lines,location of septic system or sewer line with, all setbacks and separation distances shown,and all improvements to the property. { 8. Solid Fuel Burning or Gas Appliance Form(if applicable)...r : ,�:.. . yes -]no Qn/a 9. Driveway Permit... ... ... ... ... ...... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . #JyeS Qno Qn/a Date: Staff Initial• j L.\S.1-k yNy ugdi g.P,rn it.FORMS\Generic CheckU t.doc INDIAN 'RIDGE PUD PHASE TWO DATED AUGUST 27, 2001 BY VAN DUSEN & STEVES LAND SURVEYORS, LLC 30 ft WIDE NO CLEAR ZONE ALONG REAR LOT LINES � an D u s e� 8c Steves Land Surveyors, LLC 169 Haviland Road Queensbury, New York 128 (518) 792-8474 New York Lie. No. 50135 n OF__q \ 5 ' 28,568 sq.ft. / \\ 0.66 acres Ap 011 \ [ 3` 11 •LMAUIM 2ED ALTM14TIM OR AOOMO1 TD A SUFIVEY YAP BEAPNG A LICENSED LAND NNVEIDRS UAL 19 A MOLAWK OF KMM 720E. SO-NMEM111 2. OF THE NEW VOW STATE EDUMMIN LAW 'ONLY COPIES FROM THE QIMRNK OF *0 SURWY MARKED'M7M AN ORONAL OF TIE LAID SIR,EIORS SEAL "tL K MODEM 70 LE YAW 7RLE COPRS• COCIIFD m" SMNICATED ► M NDRFY THAT TES SURVEY WAS PREPARED N ACCORDANCE N"M THE E)OSiMFO ROE OF PRACIIQ FOR LAID SUR1tTCRS ADDPTED In TIE NEW YORE STATE ANbCKIM OF PROFESIMAL LAID SUNVERNS. SAD CERIFICAIMNS MNALL RUN ONLY 70 TIE PERSON FOR NION 'ME WRIEY IS PREPARED. AND ON IRS MU F TO DE TITS MPANY. GOVFARMUL AOEWY AND LOCNO NSRIUITDN LOM ME7EM. AND TO THE ASOMM OF THE WOW PWW7MEL' Map made for Thomas J. Farone and Son, Inc. Town of Queensbury, Warren County, New York NO. I DA TE DESCRIPTION el JLV I LMBLK, le 1'=30' S-1 SHMT I OF I FARONE DWG. NO. IR-5