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