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2002-759 TOWN OF' QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERTIFICATE OF OCCUPANCY Permit Number; P20020759 Date Issued: Wednesday,April 16,2003 This is to certify that,work requested to be done as shown by Permit Number P20020759 has been completed. Tax Map Number: 523400-295.020-0001-036-000-0000 Location: 196 FARR Ln Owner:— TRA-TOM DEVELOPMENT INC Applicant: TRA-TOM DEVELOPMENT INC This structure may be occupied as a: By Order of Town Board i Garage-2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Directo of Building&Cod Enfor ment p TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020759 Application Number: A20020759 Tax Map No: 523400-295-020-0001-036-000-0000 Permission is hereby granted to: TRA-TOM DFVFI,OPMFNT TNC For property located at: 196. 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 $04 STATE ROUTE 9 Garage-2 Cars Attached GANSEVOORT,NY 12831-0000 Single Family Dwelling 165,000.00 Total Value 165,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency THOMAS FARONF; PO BOX 804 ROUTF,9 GANSF.VOORT.NY 1 283 1-0000 Plans&Specifications 2002-759 Lot 68,Douse No. 196 Farr Lane,Indian Ridge,Phase 2 Construction of a 1,530 sq ft single family dwelling with a 528 sq ft two car attached garage per plot plan and specifications. $236.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 18,2003 (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 To n of ens September 18,2002 SIGNED BY for the Town of Queensbury. j Director of Building&Code Enforcement Building-Permit Application Town of Quecnsbury—Dept. of C'omnuutily Development,742 Bay Road.Quecnsbury,NY (518) 761-8256 _ r A permit must be obtained before beginning construction. l'ei'nlit File No.�7 No 111speeliolt will Ile matte until opplicaui ilas received n I cc 11:1iti $ Q ;1 2(]QZ valid buildillt; permit. All aplltie:inls' spaccs tlsi ibis Rec. tct:c 111114.l 9, jCl applic:ilioit 111tist be cornplcletl anti 11.1ust appear on the. Reviewed I TOWN Q'QUEENSI:URvi application form. qU"-rM_'G Thomas Farone Owner: Thomas Farone Applicant: _._-P.:.G._,_ lit- 9 R2o . F�04 ute -9 Address: Address: Box =---- — ansevoort, NY-^ Gansevoort, NY 1.2831 Phone/E (518)587 - 8989 P11one1l (. 518) 587 - 8989 FAX: 518 584-2093 office contact .person: Geri Pastore Proporty t.ocatioll: Lot Number: / 1-Iouse Number / Stibdivision Manic: . Indian Rid e Tim Map Number: l,*"dainmmed Markel Valtie ofConshuction: $�Ncw 3uilting: A., cc1mcrcial cn Aition,(dtlllion; n what will use til'ncw addition Uc'l - - Alteration: residence/ commercial ❑ No change to exterior size: residence/coul'I — - u Other work(describe 'Ile eIt' Occti lstit cy In t'` 41nor 2ii11 lour Other 11oor 1'oisit . liclove 1 sd. ft, sit. 11. sq. t-I. tiquarc Feel o Single Family dwelling Cl Two family dwclliilg ❑ Townhouse Q Multifamily dWclling - ❑ _Office _ - ❑ Mcrcatllilc _ -- • ❑ Manuficluring __._ ___ — o I car deruched gsirage_: C1 2 car detached garage ❑ _3 car delne1serl garage. -_ —__-___ ❑ I car attached garage '— — --- � ❑ 2 car.atiaeficd garage ❑ _3 csir stitachetl garagt:—� — — --_ - Commercial o ilor:tgc Building- residential ------ Cl olhcr Will any scco(td-band or ungraticJ lumber be useW? If so, for wllat7- Type of I Icaling System: electric/ oil / Is :wood / fosccd hot air/ baseboard/other: Number o "Mr, rlrrcce to be illsl.11letl Number of Wourllycwes to be installed t� Ft-,Av I f tRG List below (lie person(s)responsible lilr•supervision of work as regards to building codes: Name Address Phone Number E3uilt cr Thomas Farone -- same as above _ PluinUcr C & G Plumbing_ �- 654-7477 _ Mason Heath Russell - 796-3033 Elcclricia►1 Modern .Electric — _ - --y-___— 584-- 8341 !deli Lilt: iticasc sign below titter yutt have carefully read the staicnicut: TO the best of my knowledge tlu.stalentenls eom(aiued in this:ry,pticalion, together Fviih the plans and spccilications submillcrl,are a it-tic and complete sinlemcnt of all proposed work to be dune oil the described premises anti that all provisions of(Ile Iluililiog Code,ilia Zoning Ordinance and all other laws per(aioitig to(lie proposed work shalt beet,mplied wilts, whciher specified or noletl,ant) that such work is authorized by the owilcr. I"urther, it is tilldcrstood Ilia( I/we shall submit,prior to it Cerlilicgilc of Occupancy or Certificate of-C'o111111iaucc being issued,as requested by the Zoning Adminislralor or Director of I3tsildiug and Codes,an Its ByiII S.m-vel,by it licensed surveyor;drawn to scale,showing aclit:ll location of all tidy coils lruelion. owner,owner's agent,arcliiiecl, contractor -zo-o 2 --1, �. Application for Permit- Septic Disposal System Town of Queensbury 742 Fay Road Queensberry, NY 12804 (518) 761-8256 1.%OWNER INFORMAT.LPN: i n d i a n" Ridge Subdivision ____..............__...................._.....:...........-----•---------._.......... _._.._. trace Use Location of installation:Lot No. / House No. Road -Name: File To it No Tax Map No. / / C?' 2002 Fee Paid Owner's Name: Thomas I crone _......_TOW1t..:..:'.:...::.......:-- -coy,int._...........-..._........._.:_. • Address: P.O. Box 804 , Route 9 Gansevoor_t, NY 12B31 . 2. INSTALLER'S NAME.: PHONE NO. 3. RESIDENCE INFORMATION:••(circle year of dwelling, indicate #bedroom(sJ and multiply fl nr bedrooms with applicable gallons per bedroom to equal total dailyfo►y) Year of House: No of Bedrooms x Computation - Total Daily Flow 1980 or older x 150 gal/bdrm 1980- 199 l x 130 gal/bdrm = 1991-present " x 110 gal/bdrin Garbage Grinder IrWtalled yes / no "- Spa or Whirlpool Installed yes / no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Tonoirraoliv Soil Nature Ground Water Be,�c rock or Impervious Material ater Su I !%7n rdh: at what ete th qt ►that depth untcipa! o1!lrrg- et �.Jeetwell Steep slope if►yell; wafer supply %slope fr•orn any septic-system absorption is" ft- other Percolation Test.: (To be completed by licenser(pre fessional 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 lank and leach field for each Garbage Grinder,Spa or.Whirlpool Tub. Septic Tank: _ gallon (mina. size 1,000 gal.) Tile Field: each trench u" Q�fl , Total System Length: f. SeepagePit(s): number of �h _;-� size ofeach: __f. by -f. Size of Stone to be used: 11 �Q� / depth or thickness _—JLet Bed,System Size: r t z Alternative System: f22 114 " length and/or-size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: galloi►s 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 Queensbdry, 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 al_I requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. `3idni4ti a of 1esporlslbl �sersorl at . sEP ® � 2002 7 U�ktfv OF ! QUEENSBURY C;QpF ,.�.. .... ram.- _ •..,. ;... �.. _.► �.- � .a. -...- . 44 EL(REV.i use) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING o EATIFICATE NO._-., s THE NEW Y:ORK BOARD OF. FIRE UNDERWRITERS _ -.-DO NOT;WR!Ti,HERE-':;FOR OFFICE USEONLIF '`` ". BWLDING PERMIT NO. TEMP.R _ DATE CITY R VILLAGE 'IF COoE ' TOWNSHI CDVNTY /�y(� 'S7ReT A OR fl0� Poc-a NUMBER E I BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT ` OCvUPANTS NAME - BUILDING OCCUPANCY { , OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER F r"` CURR NT SUPPLIED BY FROM THEIR OFFICE • WORK TELEPHONE NUMBER _ BUILDING IS - NEW OLD ❑ WORK IS NEW El ADDITIONAL DEFECTS REMOVED LIST.BE OW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.Of Fwures& MOTORS HEATERS `BRANCH .OFFICE USE.. -, Loea- Lamp Receptacles CIRCUITS ",.Lx C1NLY''•- >;;-_ lion Sid. ABach•t vTNt H.P. Wens ' A.w.G. INSPECTION '.: Cadi.9 Wall Rac 0. Switch Pendant bra- -No. T Each No' Each No' Gau . OUT. 1 SIDE ) SUB- aASE • BASE- MENT - FL. 2nd FL FL. , REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. i ` THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS •_ FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER- THE ADDITIONAL EQUIPMENT,Ab`PROVIDED BY THE APPLICANT. 512E OF MAINS FEEDERS - Applicant affirms that there is not an application for electrical J CHARACTER OF WORK EXPOSED inspection pendingwith a qualified electrical inspection �„_.•_•_..r ❑CONCEALED p DATE:PORK TO BE STARTED DATE COMPLETEDauthority, for the installation listed herein. This application is valid for a period not exceeding one year SERVICE ENTERS BUILDING from the date received by the Board. OVERHEAO V UNDERGROUND - DATE INSPECTiCN REQUESTED ON(OR AS NEAR AS POSSIBLEI MUST ENTER APPLICANT'S IDENTIFICATION NUMBER),- AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAXIE AND ADDRESS- -- ' NAME OF APPLICANT DATE OF APPLICATION S 7URE OF APPLICA ' STREET ADDRESS _ TELEPHONE NO. CITY OR POST OFFICE LP CODE - LICENSE NO,WHE APPLICASIE Q 40 Fution Street ❑ 111 Washiri ton Ave. 3291 Lake Shore Road Q 803 West Avenue ❑202 Arterial Road NEW YORK,NY 10038� SUITE 70a BUFFALO.NY 14219 SUITE 106 SYRACUSE.NY 13206 (212)227-.3700 ALBANY.NY 12210 I ❑ (716)82i-1155 ROCHESTER,NY 14811 (3i5}463-8552 (518) 463-2122 (716)435-4450 THE-NEW YORK BOARD OF FIRE UNDERWRITERS stp .. row ° Poor/V 0 r B(t E TOWN OF QUEENSBURY'. H I G H�W'A''�' Richard upA. rinten e Highway Superintendent Home(518)798-5127 DEPART.MEN T Michael R Travis 742 Bay Road - Queensbury, NY 12804 Deputy Highway Superintendent CW-gce Phone: (5fS) 764-821 t (518)798-0413 Fax. (518) 745-4466. DRIVEWAY PERMIT DATE: APPLICANT NAME: Thomas, Farone TELEPHONE NO.: " 587-8989 ADDRESS TO BE INSPECTED: Lot No. /. House No. 19�Road Name IeZAA RETURN ADDRESS: P.O. Box 804 , Route 9 ansevoort, NY 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•Tovm of Queensbury has.reviewed this application. The :. following action has been taken: STEP I: ( }Preliminary Approval NEED: (_}Slight Swale O 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 ( ) Rejected DATE: Richard A. Missita,Highway Superintendent Project Name: BP# Address: x Building Permit Submission M dtip Duding & Coffm?;,dd P24eets 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......... ... ......... ... ... ... ... ..... Qno ❑nla 2. Energy Form or Checl;Mate Energy Code Compliance Forms Complete ... s' ❑na Qnla 3. Energy Code Inspector's Report from Checkmate Program... ... ... ... ... /❑yes Ono Oda 4. Septic application completely filled out(if applicably ... ... ... ... ... .. Dyes Ono ❑n.la 5. Electrical Inspection Form... ... ... ../&. ❑ ❑.. ... ... .. s no nIa 6. Two (2) sets of plans showing the following: ... ...... ...... ...... ............ ...Kg", Qno ❑n/a 6a. Floor plan(s)...... ... ... ... ............ ... ... ............ ... ... ...... ... Dyes Qno nda 6b. Foundation plan...... ... ... ... ... ...... ... ............ ... ... ... ... ...... .•Dyes Ono ❑n/a 6c. Cross section(s)... ... ... ... ... ......... ...... ... ...... ... ...... ... ... ... ... Dyes Ono ❑n/a 6d. Elevations ... ... ...... ... ... ... ... ...... ... ... ......... ... ...... ... . Dyes ❑no Dda 6e. Design loads including floor,snow load,and wind load... ... Dyes Ono ❑n/a 6f. Seismic design(required after Jan. 1,2003)......... ... ... ... ... ...... Dyes Ono Oda 6g. Plans signed by registered architect or engineer,signed... ... .... Oyes ❑no Oda and sealed by a registered architect or engineer 6h. Window and door schedule......... ... ... ... ......... ... ...... ... ... Dyes Ono ❑nla 7. Two (2)site plans showing location of the structure to be built, ... ... ... '�-,6s Ono ❑da 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) Dyes - Qno nnla 9. DrivewayPermit. ... ........ ... ... ... ... ...... ... ......... ... ... ... ... .... s Ono ❑nla Date: Staff Initial:' L:\SueHeming=y\Buil 4.Pern iitFORMS\Generic C hed&t.doc r � zoo2 2,0 S� U Permit Number. 131 OF ( llC� 1 MECcheck Compliance Report Checked By/Date New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release I c Data filename: C:\Program Files\Check\MECcheck\PLAN NO. 1530-01 CA.MDEN LOT 68 QUEENSBURY.cck r TITLE:PLAN NO. 1530-01 CAMDEN COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:09/04/02 DATE OF PLANS:AUGUST 6,2002 PROJECT INFORMATION: THOMAS J.FARONE AND SON,INC. LOT 68-QUEENSBURY COMPANY INFORMATION: WILLIAMS&WILLIAMS DESIGNERS 509 GLEN STREET GLENS FALLS,NEW YORK 12801 COMPLIANCE:Passes Maximum UA=233 Your Home=215 7.7%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 776 30.0 0.0 27 Wall 1:Wood Frame, 16"o.c. 754 19.0 0.0 34 Window 1:Vinyl Frame,Double Pane with Low-E 87 0.320 28 Door 1:Glass 42 0.330 14 Door 2: Solid 21 0.130 3 Door 3:Solid 35 0.130 5 Wall 2: Wood Frame, 16"o.c. 776 19.0 0.0 41 Window 2:Vinyl Frame,Double Pane with Low-E 85 0.320 27 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 743 19.0 0.0 35 Floor 2:Alt-Wood Joist/Truss,Over Outside Air 11 19.0 0.0 1 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 subinitted with this permit application. The proposed systems have been i designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Profession as st ed and si ed this page,they are attesting that to the best of his/her knowledge,belief, and professional j 0nt, hrl ecifications are in compliance with this Code. tt tti esigne Date s -10� AIECcheck Inspection Checklist New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release I c DATE:09/04/02 TITLE:PLAN NO, 1530-01 CAMDEN Bldg. Dept. I Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] I 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 2. Window 2:Vinyl Frame,Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Doors: [ ] I I. Door 1:Glass,U-factor:0.330 #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments:. 2. Door 2:Solid,U-factor:0.130 Comments: [ ] 3. Door 3: Solid,U-factor:0.130 Comments: I I' Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: [ ] I 2. Floor 2:All-Wood Joist/Truss,Over Outside Air,R 19.0 cavity insulation Comments: I - Heating and Cooling Equipment: [ ] I 1. Furnace l:Forced Hot Air,80-AFUE or higher Make and Model Number I Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a z I 3"clearance from insulation. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating I 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. I . . Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R 11. C ] 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. I 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. f ] I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space I temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] 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 ofldew York State,the Residential Code of New York Stare or the New York City Building Code,as applicable. I Service Water Heating: L ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] 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/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I ' Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 T 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 V Up to L. 5" 1.5"to 2.0" ' Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 - 0.5 1.0 1.5 100-130 0.5 0.5 0.5 .1.0 Table 2: Minimum Insulation Thickness for 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 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.) Residential Final Inspection W&n am Office No. (518) 761-8256 Date Inspection request received: --Z Lan Queensbury Building&Code Enforcement Arrive. am/ Depart:1 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT M �' t J LOCATION: DATE: TYPE OF STRUCTURE: Comments Y j'N NIA Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete' Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate I/ Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30.ft. or within line-of site Oil Furnace shut-off at entrance to furnace area /r Furnace/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: — / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping fmished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 34 hour fi re 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"acqess, I sq.ft.-150 sq,ft.vents Building No./Addreki visjWe_from rp, d Final Electrical Site Plan /-Variani fegukred Final Survey Plot Pran Vj- 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 1 0(Cert. Of Occupancy) Okay to issue Permanent C 1 0(Cert. Of Occupancy) L-\SueHeniingivay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 H z I w W ✓L a) U) W r+ a y NO rq H 0 z z 0 0 � WWI u1 �oLl z aQ �z oo a H I aa�i ,� w H z 0 I w 0 0 c� '0 U,N� a ivW a N w 0 z z 0 zU �A w a H a 0 4 w z a a U w w w a w ch a w w x a N a � 1 0 W H u p 0 �+ H ►� N a W 0 W x x a z 0 z ] U z �4 0 a H� 0 H E+ U H 4 4 a 0 0 v 'r 9 W 4 0 4 U 9 U H a w U M H HV1 z H U 4a > �i L� a H U 0 z z w H 4 z w w U w a U w w H �) p w w x w z > 0 a z cn V� W w t W W w w w ul > a a N 0 x 41 0 H a W ['r' H a a a w z x z vaw 0 > H Z 0 z 0 0 4 a a a a O N II z 0 t7 H z 0 0 0 H 0 0 w 0 0 0 w H H 0 z9 W H z H z w N H A A z 0 Q c 0 0 0 0 a > 'r Ha z M HI w W 0 W xN H W H H w 4 a 0 H w w 9 W w H0 z w W E+ H 0 z W U W W a w H H 0 0 0 4 W W H 2 U H a 0(A H 0 0 H a 0 0 H 0 a w w H z z z H 9 0 0z a 0 W a 0 z H H H a 4 9 w H x 0 z 4 0 H WH U a a W w H N W N U G� W a x x x w w 0 r INDIAN RIDGE PUD PHASE TWO DATED AUGUST 27, 2001 BY VAN DUSEN & STEVES LAND SURVEYORS, LLC \ �r r rr off, 69 ,rr ;/2 STORY WOOD FRAME HOUSE C UNDER CON5TRUCTION 3 PORCH NO DRIVE 0 l `z ati �`1 Y� 68 22,795 sq.ft. 0.52 acres 67 10 ft WIDE NO CLEAR ZONE ALONG REAR LOT LINES • • • • . UTILITIES • • tOFEj�/y� r• g ��EW C.SjF 'pf•'. . 4 ! ` \ \ \ \ \ \ \ \ I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FELD SURVEY. THIS CERTIFICATION 5HALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING IN51TRMON LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TOa JULIE E. AUSTIN % COUNTRYWIDE HOME LOANS. NC. IT'S SUCCESSORS AND/OR ASSIGNS CHICAGO TITLE INSURANCE COMPANY CERTIFIED BYt_ M MATTHEW C. STEVES. LLS NY$ 50135 DATEDe JANUARY G. 2003 u S /1 `i`/„/.�_/ S t e v e s. Land Surveyors 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lic. No. 50135 •uNw,HOR12E0 ALTERATION OR ADDITION TOVE A suRY NAP �APoNG A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209. SUB-pAS10N Z OF THE NEW YORI STATE EDUCATION LAW.' tlHLY COM r%CW THE ONGINAL Or THIS SuRV[Y MAKI= WITH AN ONGN/AL or PC UND SULVLNOR9 SMALL BE *CERTIFICATIONSCONSIDEREDATE TO RE N SIG TRUE COPIES • RVEYWAS PREPARED HEREON DANCE THAT THIS ING O WAS PREPARED O ACCORDANCE M7H THE EIOSTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED LA THENEW YORI STATE ASSOCIATION S LL RUN ONLY LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR YHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. AND TO WASSIG.OM Or THE u=M sOmn0N! Ma made for p J U LI E E . AUSTIN Town of Queen8b11ry, Warren County, New York ate: JANUA , 2003 Scale 1'=30' S -1 AUSTIN DWG. NO. IR—GS NO. DATE DESCRIPTION Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm a art.: f 742 Bay Road,Queensbuty,NY 12804 Inspector's Initials: NAME: PERMIT#: 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 Water Supply Piping Copper Commercial Copper, CPVC,Pex One&Two Family Asulation/Residential ChNk/C miner ial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COTMMENTS: ,L:\SueIiemingwayNBuildfng.Codes.Inspection.FORMS\Rotigh Plumbing Insulation Report.doc January 28,2003 Rough Plumbing/ Insulation Inspection Report Office No.(518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: aT�Vm De 742 Bay Road,Queensbury,NY 12804 Inspector's InitiA NAME: PERMIT#: 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 Water Supply Piping Copper Commercial Copper, CPVC,Pex One&Two Family NJ 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:\PamW\Whiting\Rough Plumbing Insulation Report.doe Framing/ Firestopping Inspection Report *16 Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ ep rt: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: .:.,x NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: f l [/ Y N N/A COMMENTS Frami '� " Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. �J Stairwells 36 in.or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'Iz(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 ire wa112, 3,4 hour 1~II�eSt(tpp11Ai _k Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: i-//I Queensbury Building&Code Enforcement Arrive: m/1 epart: K/&/am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials*P NAME: PERMIT#: LOCATION: 239 42�-111 1, INSPECT ON: Z4, Ct TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3, R-4 Drain Vents Cast Iron, Copper Drain/Vent Comm. PImbing Vent/Vents in Place fRough Plumbing/Nail Plates V/ Head or Air Supply Test Drain and Vents 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:\Pamw\Whiting\Rough Plumbing Insulation Report.doe v Q) 0 z r C + 4- t H 41 'r I ' N z U W I N ,.� r C m 9 ~ >1 � � � td � C C U C ro I QJ -C S. - �� 4J Z V) 4) ill � W >1 ti � a 4J 4J - C 4 �, . � o � p H 6�M } } W r � to S. N � p Xr, Msi C 04JCLW U. W; i 0 Q +J 4} �4- 0 N�- f- ro Sx U n �+ �} ,C cif 'rr "a �h 0 N r 6Sl M� U C 4} �* .Y r- Q C 0 4- ON) d, o, a .�I ro w Co C -P 0 roa -p � , CL ro - �- row4jvW ro0.0 H I 4- 0-8 4J -P H N f� 'r- V) 0 C C C M � w�v /1 r �i- N �y a p 0 q 0 ++ (A if �. v Yh r. H 0 4-- r 0' 0 0 �r�I'"r�.. Z # H 0 w iLU 0 4-W In 4J 0 CO MO 'W 4-) 4J 0 0 I }� r Iw 4J 0.0 L C 00 4J 1 H it.0 0 H r- 0)Z n � Lp 4-) r 0 14JZ it 0'Z • .,rI.. Vti �. C3I- U •JrrW w > (a QI �• W0CW0L0) CH0).i. +� iwe. CC (d itS. C�� . � N E U H 04�-11ACDAWNa1TJC U) N (, :33Or.U'rC} � ro 0 a M 4) v 'r-W-r- 4-) H Q,O 0 0 tU 0 Q U a ;;•,. � .� 0 N �� .�A��NCn�. fill-� AC7W �. lLNC,}��i� (..? U9 �Q ' y \ 10 ft WIDE NO CLEAR ALONG RE r \ 89 23 F 69 1-111111�11-1 IN 68 tK- / 22,795 sq.ft. 0.52 acres / 4 \ /Y ary \ I / I� Office Use -GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time. Dept. of Community Development Request received: G 4 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARNTE� s V DE W Notes: (518) 761-8256 Inspector's Initi s. NAME: PERMIT# LOCATION: L fii, INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES i NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for/ providing protection fi.0 I nj responsible n for 48 hours following the cement of the concrete. Materials for this pi ose'll/isite .Foundation/Wallpou Reinforcement in Plac Z_ Foundation/Dampproo 9 �ent in lac D mp *0 pp val 7kBackfill Approval U S Plumbing Under Sla V ts Plumbing Ventt/Ven inPla p Rough Plumbing Heating Rough-In h_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 Firestopping L:\SueHemiiigway',Buildiiig.Codes.Inspection.FORMSkGENERAL INSPECTION REPORT.doc Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready atle. Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbuty, NY 12804 ARRIVE amlpm: DEPAR,5r am/pm Notes: (518) 761-82M Inspector's Initials NAME: PERMIT LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES INO COMMENTS Footings/Piers ;Z Monolithic Pour Form. Reinforcement in Place 1— 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 Backffll Approval Plumbing Under Slab Plumbing Vent/Vents in Place 7 Rough Plumbing_ Heating Rough-IrL_ 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/Bridgmig— Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4-hour Firestoppm' g— L:\SueHemingway'Building.Codes.lus))cction.FORMS\GENERAL INSPECTION REPORT-doe NACE_ ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 3� 75 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# 68 Septic System Dear Glenn: This letter is to inform you that I inspected the completed septic system for the house on Lot#68 in the Indian Ridge Subdivision on December 24, 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. S' erely, ' Thomas W..Nace, P.E. cc: Dave�Hatin, Town of"Queensbu-ry Tom Farone