2002-926 (2) /f
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; P20020926 Date Issued: Wednesday,May,21,2003
This is.to certify that work requestedao be done-.as shbwn--by Permit Number , N � �..P20020926,
has been completed.
Tax Map Number: 523400.295.020.0001-045-000.0000
Location: 161 FAR.R Ln
Owner: 'IRA-TOM DEVELOPMENT INC
Applicant: TRA-TOM DEVELOPMENT INC
This structure may be occupied as a:
By Order of Town Board
Garage-2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Director of Building&Me E cement
-------------
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020926 Application Number: A20020926
Tax Map No: 523400-295-020-0001-045-000-0000
Permission is hereby granted to: TRA-TOM DEVELOPMENT INC
For property located at: 161 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 Garage-2 Cars Attached
804 STATE ROUTE 9 Single Family Dwelling 169,000.00.
GANSEVOORT,NY 12831-0000 Total Value 169,000.00
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2002-926
Construction of a 1407 sq ft single family dwelling with a 440 sq ft attachedlwoNcar garage an eplace
per plot plan and specifications.
$212.84 PERMIT FEE PAID-THIS PERMIT EXPIRES: ThuridAy. ,*ovember 13,2003
.3
(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 November 13,2002
SIGNED BY r7;vry* yZ for the Town of Queensbury.
Director of Building&Code Enforcement
"Building•Perinit A►"ppll,c,tioiaY 46
6
merit 742 Bay adl; uccnsbur NY
1 own of(Zueensbury—Dept of Convnunily I�cv(,1(ll y I2` , Q Y�
(5I8) 761-8256 p
A permit must be obtained before beginning construction., Perinit File No.
No itlspection will be Made 1111til alllllicallt IMS 1•cceiveO a Fee raid $ '
valid building permit. All applicao s' space::on ibis Rce. Fcc Paid
application trsust be completed arld trust appear tin the Reviewed By:
application form.
Applicant: Thomas Farone owiler: Thomas Farone
Address: -_g' Box $�_4_, 12oute 9 - A(tdress:�".�'—Ba-x'-8`Q ;`pouf.- 9
Gansevoort NY 12831 ansevoort, NY 831
Phonc#(51.8)587 - 8989 Pllone#( 518) 587 - 8989
FAX: 518 584-2093 office contact person: Geri Pastore
Property location: Lot Number: / q/ House Nuinbcr�LC�'/1 -���/l 4 �-
Subdivision Nan)e: Indian Ridge Tax Map Number:
_-----��j
New I3uildin : ' resit t c(»nniercial Estimated Market Value of Collstructioll: $
u Addiliotl: residctice/ Colntncrcial Iran Addition, what will use orriew addi RECEIVED
��
❑ Alteration: residence/ commercial
❑ No change to exterior size: residcucc I coni'l
4 C?ihcr work(describe } •
OCT 3 1 2002
TOWN OF QUEENSBURY
BUILDING AND CODE
Cheek ()CCll l)ati_Cy ltl hOI't 11allQn —
1'loos Other Floor rols{1
Iletoly sq. 1'1. stl. 1'1. sq.I't. tiqusrre Meet r�
Single family dwelling
❑ Two family dwclliil
❑ Townhouse
❑ Multifamily dwcllii)g
• tl(il'units
❑ _Offcc
❑ Mci-cantile _ —
❑ _Manufaetliring
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
U 1 car attaelted garage u
2 car attaclicd garage , -
ct 3 car attacbed garage
storage building-
c(smlllcruiai -
❑ :Storage building-
residentinl
❑ Other n
Will any second-hand or ungraded lumber be used? If so, for w11at? l "G
Type of I leafing System: electric! oil ood /forced h(il air/ baseboard t other:
Nuinber of 1firenlaces to be installed � — Number of Woo(tvt(1sw to be installed
List below the l)ersoil(s)responsible fin`sltpervision of work as regards to building`codes:
Name Address Phone Nutiiber
Builder- Thomas Farone same as above
Plumber- C & G Plumbing 654-7477..
Masoll Heath Russell 7.96-3033
Eicclrician Modern Electric _ 584— 8341
Dcettsralio!I: please sign below aller ye111 have enrclistty read the stalcmcut, "
To tile.best of my knowledge the stalcnicnts contained in t(tis allplicaliotl,togellicr with the pI,ADS.and specifications
submitted,-area true acid complete statement o£all proposed work to be done on the described preolises and that all
provisions o£llle Building Code, the 7,oning Ordinalice and all other laws pertaining to the proposed work'shall he complied ,
.with,wbeilier specified or noted,and that such work is authorized by(lie owner. I urlhcr,it is iuutclslood that IAva shall'
submit,prior to a Certificate of occupancy or Certificate of Compliance being issued,as rcgiicshxl by the Toning
Adutinis(rator or 1)ireclor or Building and Codes,an As llailt Surs,ee by a licensed surveyor;drawnYo scale,slulwing actual
location o£all new construction.
Signature: owner,owner's agent,architect,contractor
Application for-Permit—Septla,Dtsposai.Sys tem'
Town of Queensbury 142 Bay Road Queeixsbury, NY 12804 (519) 761 8256 ,
1. OWNER INFORMATI,ON:. Indian Ridge Subdivision ---n
Location of installation:Lot No. / / House No.
_ [� �Office Use �
Road --Name: , File.Permit No.
Tax Map No.
Owner's Name.
Thomas Farone; Fee Paid
Address P.O.' Beox' 904 , " Rou:te 9 '
Gansevoort, NY 12831 .
2. .INSTALLER'S NAME PHONE NO.
3. RESIDENCE INFORMATION: -(circle year of dwelling, indicate#bedroom(s)and,multiply# of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of Ho use: . No of Bedrooms x 'Computation — Total Daily Flow
1980 or older x 150 gal/bdrm
1980 1991 x 130 gal/bdrm
1991 —present ::3 . x 110 gal/bdrm
Garbage Grinder Installed yes_ / no RECEIVED
Spa or Whirlpool Installed yes— I no
OPT 3 1 zoa2
4. - PARCEL INFORMATION: (circle applicable information & indicate measurements
T N{OF QUEENSBURI!
UIL I AIdD CODE
rah of Nature Ground Water Bedrock or Impervious Ma ter m s is ater Su 1
1%la[ s at what depth at what depth municipal
ling m let feet Well- ,
Seep slope." clay if well; water supply
_%slope. other" from dny septic_-system
depth: absorption is ft
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: ��gallon,(min. size 1,000 gal.) .
Tile Field: each,trenchT Total System Length:
Seepage Pit(s): number of size of each: fl. by
Size,of Stone to be used: #_// /� /.depth or thickness Meet
Bed,System Size:
Alternative System: / length and/or size .
6. HOLDING TANK SYSTEM: (if required) ,
Number,of tanks:. / Size ofeach:--n-gallons /TOTAL Capacity gallons
Note: Alarm'System and associated electrical Work must be inspected by.a Town approved✓ ,
electrical inspection agency.
7. .. -:SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that.pursuant to Section 136-29 of the-Code of the Town
of Queensbdry`any permit or approval granted which.is based"upon or is granted in
reliance upon any material misrepresentation of failure to make a material fact or -
circumstance known by or on behalfofan applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.,
—Signature of responstble person Date
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel &vented gas.appliances
Dater ,20 j - CiZe7fT_Sluance
t No
Application is hereby made,to the Building& Codes Ofcc for of a Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all-applicable laws, ordinances, regulations; and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words).
Name: r� ' Stove: wood coal pellet gas
r:< Fireplace insert
Address: Ot `` � Fireplace, factory-built: wood fgas
§ Fireplace, masonry: wood -gas
Furnace: wood gas oil
Phone: `: - � If non-masonary applicance,please provide
Owner: Manufacturer Name:
Address:
r �l •'^ a`� Model Number: #} '
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue tile steel size:1 inches
d
Exact Address: '
f
of construction or installation Factory-Built
Manufacturer name:
Model Number: ` ,
Note: Listed By: Number:
Construction IInstallation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Cod?cult available Town of Queensbury ---
Handouts regarding required inspections._ Double wall / Triple wall ! Insulated Direct vcratirrg,
Chimney Liner
_ � C`�srhe�is�t-'rac Z��paz-tmez�et--T��rru•o,f`Qu��n�bzzry, N��Y'"or�
Fire Marshal Code# $Collected $Refunded Received f vin (r tr ec1;.to):� A V' J:
t address::
A 173 3389 (190) Public:Safety 2S /
A 233 2655 (230)Minor Sales l
DATE:
White(Applicant) / Green fire Marshal / Yellow Bld= De t. f/`x ink' �t Qiiroci. .ashie�'s Ds t. O
TOWN,OF*QUEENSBURy, :*
ELM_V _ _ Rickard A.Missita
. --- -- -
. AN
Superintendent
DEIP���MEN Home(518)79&517
742 Bay Roast •'Queeiisbury NY 12804 Michael F. Travis
Deputy Highway Superintendent. - ^t
Offs-ce Phone: 018) 76-1-8211'
(518)798-0413
Fax: (518) 745-4466- _
DRIVEWAY PERMIT
- DATE:
APPLICANT NAME- Thomas Farone
587-8989
TELEPHONE NO.:
ADDRESS TO BE INSPECTED: Lot No. House No..X(�71 Road Name . r
RETURN ADDRESS: P.0. 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 Town of Queensbury has reviewed this application. The
following action has been taken: RECEIVED
GD
STEP I: O Preliminary Approval ,
Off 2002
NEED: ( )Slight swale TOWN QF QUEEIVSBURY
( )Level with the.road BUILDING AND CODE
O 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 fora final approval..
STEP.2. { j Final Approval _
{ )Rejected
a
DATE: ,
M
Richard A Missrta,Highway Supenntendent
j
y t } y15i ] Ott' k � F $ ••h \ t� J t1 t 1 dR��t.,Y {h
2,g
46 EL(REV. 1/96) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
'
THE NEWYORK BOARD OF FIRE UNDERWRITERS CEFmFICATE NO
DO NOT WRliE HERE'FOR OFFICE_UPg'.0NLy----
4
BUILDING PERMIT NO.
: r5 . / y t
—9 va�
-Pl 7
CITY OR GE 71P CGCE�e) TOWNSHIP COUNTY
LQ���
POLE NUMBER
BETWEEN WHAT TWh CROSS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S NAME BUILDIN OCC CY
OWNER'S EAND ADDRESS
HOME TELEPHONE NUMBER
CUR EN SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS
NEW OLD ❑ WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS -BRANCH !.OFF
Loca- ICE
Lamp Receptacles CIRCUITS Y'.
.tio Side Watts A.W.G.
Ceiling Switch Pendant Bracket No. Type H'P' No. No, Gauqe
Wait =,is Each Each INSPECTION
..............
CUT-
SIDE
SUB-
BASE
BASE-
SE�
MENT
1st
FL
2nd
FL
3rd
FL.
'714
0 KS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE
RECEIV6
On
IS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUNQ ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER-
TOWN OF QUEENSB13WITIONAL EQUIPMENT,A9 PROVIDED BY THE APPLICANT.
BUILDING AND F AINS FEEDERS
Applicant affirms that there is not an application for electrical
CHAAACTEA'OF WORK DEXPOSED
C]CONCEALED inspection pending with a qualified electrical inspection
DATE WORK TO BE STARTED DATE COMPLETED authority, 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.
0 OVERHEAD Q UNDERGROUND
DATE INSPECTION REOUESTEO ON-tqR As NEAR AS POSSIBLE) MUST ENTER APPLICANTS,
IDENTIFICATION NUMBER>-
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS-
NAME OF APPLICANT DATE OF APPLICATION v TURE OF APPLICA
I 4z
STREET ADDRESS TELEPHONE NO.
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE-
C]40 Fulton Street ❑ "l a shington Ave. 13291 Lake.Shore Road ❑ 803 West Avenue 202 Arterial Road -
NEW YORK. NY. 100381 SUnW7C4 BUFFALO,NY 14219 SUITE 106 SYRACUSE.NY 13206
(212)227-3700 ALBANY.NY 12210 (716) 827-1155 ROCHESTER,NY 14611 (315)463-8552
(518)463-2122 (716)436-4460
THE NEW YORK BOARD OF FIRE UNDERWRITERS
4 '
Permit Number
MECcheck Compliance Report Checked By/Date
New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release I
Data filename:C:\Program Files\Check\MECcheck\1407-02 JONATHAN-LOT14-161 FARR LANE,
QUEENSBURY.cck
TITLE:PLAN NO. 1407-02-JONATHAN ECI b\'
ELJ
COUNTY:Warren
STATE:New York Q C 7 1 20 02
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family TOWN OF QUEENSBURY
HEATING TYPE:Non-Electric BUILDING AND CODE
DATE: 10/21/02
DATE OF PLANS: OCTOBER 19,2002
PROJECT INFORMATION:
THOMAS J.FARONE AND SON
LOT 14-161 FARR LANE
QUEENSBURY
COMPANY INFORMATION:
WILLIAMS&WILLIAMS DESIGNERS
509 GLENSTREET "
GLENS FALLS,NEW YORK 12801
COMPLIANCE:Passes
Maximum UA=317
Your Home=292 1
7.9%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 1407' 30.0 0.0 49
Wall 1:Wood Frame, 16"o.c. 1407 19.0 0.0 69
Window 1:Wood Frame,Double Pane with Low-E 98 0.500 49
Door 1: Solid 42 0.130 5
Door 2:Glass 112 0.480 54
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1407 19.0 0.0 66
Furnace 1:Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans,specifications,and other calculations submitted with this permit application. The proposed systems have been
designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered
Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,
c
and professional julftnt,s ns pecifications are in compliance with this Code.
Builcie 'esxgne Date �^' -0$
MECcheck Inspection Checklist
New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lc
DATE: 10/21/02
TITLE:PLAN NO. 1407-02-JONATHAN
Bldg.
Dept.
Use
Ceilings:
1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
Comments:
Above-Grade Walls:
1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Windows:
1. Window 1: Wood Frame,Double Pane with Low-E,U-factor:0.500
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:Glass;U-factor:0.480
#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,92 AFUE or higher
Make and Model-Number
Air Leakage:
Joints,penetrations,and all other such openings'in the building envelope that are sources of air
leakage must be sealed.
Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3"clearance from insulation.
Vapor Retarder:
Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
Materials and equipment must be identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
c
n
[ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R 11.
{ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
{ ] Supply ducts in unconditioned spaces must be insulated to R-11.
{ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] .I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
(adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
{ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
{ ] Cooling ducts with exterior insulation must be covered with a vapor retarder.
{ ] Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] ( Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
5 temperature set point of the largest zone.
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
{ ] E Fireplacesmust be installed with tight fitting non-combustible fireplace doors.
[ ] j Fireplaces must be.provided with a source of combustion air,as required by the Fireplace construction
provisions of the Building Code of New York State,the Residential Code of New York State or
the New York City Building Code,as applicable..
E Service Water Heating:
[ ] ( 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.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
{ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] 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.
Heating and Coaling Piping Insulation:
[ ] ( HVAC piping conveying fluids above 105 V or chilled fluids below 55°F must be insulated to the
levels in Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot Winter 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 HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Ping S sty em Types Range F 2"Runouts P and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 LO 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)
y
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:
Name; AM PM ANYTIME
Location. 71
APPROVED
N IA 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 ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD .
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN Off(THIS D TE OK FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECTED EIY
FINAL
COMDEV/CHRISJ/WORDILETTERS200!/FIREMARSHALINSPECTIONREPOR��LLflW-OCCUPANT COPY
WHITE—BUILDING DEPARTMENT COPY
NOW
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/Sn papart:ZL-". am/pm
.
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials. — Z� I .
NAME: PERMIT#: 0
LOCATION: DATE:
TYPE OF STRUCTUR5--
Comments
Y N N/A
Chimney Ht./'S"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
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler f
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 finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
-3/4hour 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./Addrp4visiVe from ro_aa, 4 /1
Final Electrical k& AIY9—
Site Plan /Variant Vrejifired
Final Survey Plot Plan
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 Occupancy)
Okay to issue Permanent C 0(Cert. Of Occupancy)
L:\SueHeniin*gway\Building.Codes.Inspection.FORMSNRes.Final Insp.form 2.doc edited January 28,2003
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INDIAN RIDGE PUD
PHASE TWO
DATED AUGUST 27, 2001
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
JlQ:
UTILITIES
I
I
I 1 STORY
WOOD FRAME
44.26' n 11025E CUNDER
GON5TRUGTION)
15
S84023'10"E
224.93'
I43,10'
K O O
CO
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/
236.26 T -- _ / / / /
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30 ft WE
NO CLEAR ZONE
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S t e v e S
Land u r v e y o r s
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lic. No. 50135
"UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY]
MAP BEARING A UCENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.'
'ONLY COPIES PROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEri7R.9
SHALL BE CONSIDERED TO BE VAUD TRUE COPIES."
SEHEREON
"CERTIFICATIONS INDICATED SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR MOM THE SURVEY IS PREPARED, AND
ON HIS ND S BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY ALENDING INSTITUIRON LISTED HEREON, AND
ToTHE As "CESOFTHE U!NDINGIN9mUTION
a�i �f a N7urVeV made for
✓
Thomas J . F a r o n e and Son, Inc.
a
Town of Queensbury, Warren County, New York
liartel Ah'K1L if4, ifUUJ
Scale .. "=30A
1
1
SST 1 OF 1
FARONE
DWG. NO. IR-14
NO.
DATE
DESCRIPTION
Rough Plumbing 1 Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: .
Queensbury Building&Code Enforcement Arrive:' am/p De A , am/pm
742 Bay Road,Queensbury,N5' 12804 Inspector's Initials: '
NAME:
PERMIT#:
LOCATION: Win. INSPECT ON:
TYPE OF STRUCTURE: L
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
Qdpper,CPVC,Pex One&Two Family
sulation/Residential Check/Commercial Check
Proper Vent,Attic Vent =
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:\,SueHemingway\13uilding.Codes.Inspection.FORMSIRough Plumbing Insulation Report.doc January 28,2003
Framing l Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building& Code Enforcement Arrive: am/ party ' l a pm
;r
742 Bay Road,Q ueensbury,NY 12804. Inspector's Initials: -
NAME: ���c ts� .. 5" PERMIT#:
LOCATION: ���\ YX— INSPECT ON: —
TYPE OF STRUCTURE:
Y N NIA COMMENTS
Jac10'S't''"'ds TIdaders '
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams �L.
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2(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
F' e wall 2, 3, 4 hour
, .'esp l tea Q ��1J
Penetration s�ea eld
16 inch insulation in cavity min.
Garage Fire Separation
House side t/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASuel-Iemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
' V�! ti+V A.VV4r i�V VVV
im,
Riverside jL russ
April 3,2005
.Joe �re J McGui 1?
84 Lumber Company#t0631
2403 route 9
Ballston Spa, NY 1202
re; Girder r-russ nailing for Lot 14—161 Fart Lane,Indian Ridge Development, 647
Quoensbury,NY, your R.O.no.44511.
Dear Joe
Can March 3l ",Riverside rep.Ma*Shiel inspected the project referred to above,at your
request, Otte of the issues raised concerned nailing of the bottom chord plies of girder truss
GT2 4-ply. The engineered drawing specifically states that the bottom chords are to be nailed
with one row of 12d cournron nails at 2"on center. -
Sp,speak w by phone with the engineer who sealed the truss drawing,-Scott Schurwan,he stated
that_ he,iatent of this-nailing requirement is to have 6 nails every 12 inches into each ply_The
gu=ber'of rows of mails is not important as long as they are adequately spaced to pmvent splitting
of they 1 umber.
After logk ng at the.digital-pictures Mark took at the job,it is difficult to discern whether or not
these roiling r+equirernentsbave been satisfied. However,Uwe take the 25' foot truss length and
multiply by six,the result indicates dW Were are approximately 150 12d common nails required
xn thee bottom chord of each ply of the OT2 4-ply girder trus&
If you have any additional questions or concerns regarding this matter,or you need further >_
clarification of tiv.s.rdattor,please give me a call.
Tim l blee
Manager
.S
385 Riverside Station Road
Riparius, NY 12862
518-494-2412 fax: 494 4234
1I1 'd 19tE'ON S$U1 3MHAN N.M;6 MZ I ',O `.
TOTAL PRGE.01
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
Factory built Gas Fireplace/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
11 instructions or specifications is allowed.
Permit# ao6a_ ( "6Schedule Inspection - �- TimJ am pia anytime Inspecto
e i Nam C- {� Address 1 C7���C Rough In Final—)
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated::/
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Nall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel
Height above f/p opening
'Fitness Operation
Tank Placement(if LP)
white—Building Dept Yellow cuss r Pink—Fire Marshal
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Pate Inspection request received:
Queensbury Building&Code Enforcement Arrive: 45(0 am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: 0. PERMIT#:
LOCATION: INSPECT
TYPE OF STRUCTURE:
Y N N/A
� aming COMMENTS
Jack Studs Headers
Bracing Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C. real)ed lzaj') 4or P NeJ
Headroom 6 ft. 8 in.
Stairwells 36 in. or more - ,U4
Headroom 6 ft. 8 in. I okiv )4
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
I V2 (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour 01
Firestopping
Penetration sealed
16 inch insulation in cavity min,
Garage Fire Separation
House side V2inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framiilg Firestopping Inspection Report.doc January 28,2003
I169 Haviland Road, Que- ensbury,NY 12804
Phone-518-745-4400 Fax 518-1 92-8511
gin Do-1- L45
00 �—
January 28, 2003
Mr. Glenn Bruso Job#46138
New York State Dept. of Health
77 Mohican Street
Glens Falls,NY 12801
RE: Indian Ridge Subdivision- Queensbury(T)
Lot# 14 Septic System
Dear Glenn:
This letter is to inform you that I inspected the completed septic system for the house on Lot#14
in the Indian Ridge Subdivision on January 16, 2003.
The septic system as.installed was for a four bedroom house and consisted of a 1,250 gallon
septic tank and 220 lineal feet of absorption trench constructed with stone and perforated pipe.
The system conforms with the requirements of the approved subdivision design drawings.
Please call me if you have any questions or concerns.
Singerely,
Q 0
Thomas W.Nace, P.E.
cc: Dave Hatiirjown of Queensbury
Tom Farone
4�w
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request ed:
Queensbury Building&Code Enforcement Arrive: IM a n it: a In
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: J
NAME: � v 1 P NO.:
-9c9,L)
LOCATION: 19
�} / G. SPECT OIV: — -
RECHECK: CD
Comments and/or diagram
Soil T e: an Lo Clay
Type of Water: nici 11 Water
Waterline separation qttst4nce ft.
Well separation dista ce ft-
Other wells: ft.
Absorption Field: Total length `,Z-ZO ft.
Length of each trench ft.
Depth of trenches Z— ft.
Size of Stone -Z,
Seepage Pits: Number
Size:
Stone Size:
Piping Size Type
Building to,tank
Tank to Distribution Box
Distribution Box to Fie LA �i
Opening Sealed'Y /Partial
Location/Separations
Foundation to tank O ft.
Foundation to absorption ft.
Separation of Pits r ft.
Conforms as per Plot Plan
Location of System on Property:
Fron Rear Left Sid fight Sid -
Middle Front Middle Rear
System Use Stat :
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
03Ar303�1
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Foundation Inspection Report
re u
Office No.(518)761-8256 Date Inspection est,received:a "VPM
Queensbury Building&Code Enforcement Arrive: a Depart: zt(a
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation I Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofmg/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Bac,k2l1—Appro-v--aT---,,
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road r.
Queensbury, NY 12804 ARRIVE-am/pm: DEPAR �m/pm
Notes:
(518) 761-8256 Inspector's Initials
PERMIT# )-Q
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE.
REC , CK
N/A YES COMMENTS
zootin,gs/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is resp ibke for
providing protection fr ezing
for 48 hours following t e p acement
of the concrete. /I o ;to
Materials for this purpose
Foundation/Wallpour- i
Reinforcement in PlacJ--4
Foundation/Darnpproofing_�_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-In,_
Insulation
Foundation Walls Interior -
Foundation Walls Exterior -
Floors R-
Walls R
P-
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
Firestoppin
L:ISueHemingway\Building.Codes.Inspection.FORMS\GFNERAL INSPECTION REPORT.doc
L