2002-1010 F �M
TOWN OF QUEENSBURY
742 Bap Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: a20021010 Date Issued: Friday, September 12,2003
This is to certify that work requested to be done as shown by Permit Number . a20021010
has been completed
Tax Map Number: 523400-295-020-0001-038-000-0000
Location: 186 FARR. Ln
Owner: TRA-TOM DEVELOPMENT INC
Applicant: THOMAS FARONE
This structure may be occupied as a:.
By Order of Town Board
Garage-2 Cars Attached TOWN of QUEENSBURX
.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: a20021010 Application Number: a20021010
Tax Map No: 523400-295-020-0001-038-000-0000
Permission is hereby granted to: THOMAS FARONE
For property located at: 186 FARR Ln
in the Town of Queensbury,to construct or place
cc
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 792,840.00
GANSEVOORT,NY 12831-0000 Total Value 792,840.00
Contractor or Builder's Name/Address Electrical Inspection Agency
FARONF CONSTRUCTION
PO BOX 804 ROUTE 9
GANSEVOORT.NY 12831
Plans&Specifications
2002-1010 Lot 66,House No. 186 Farr Lane
Indian Ridge, Phase 2
Construction of a 1,932 sq ft single family dwelling with a 610 sq ft attached two car garage per plot plan
and specifications.
$292.84 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 17,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Office ''
of the Town of Queensbury before the expiration date.)
Dated at the Torl'S6�Jens �V es ay,December 17,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Rough Plumbing l Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: m/T4;
art: pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME:
(2,0 A_) PERMIT#: 07--7-/
LOCATION: INSPECT ON: 300/ 03
TYPE OF STRUCTURE:
V 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
Dfain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping -7
Copper Commercial
Copper,CPVC,Pex One&Two Family (x�
Insulation/Residential Check/Commercial Check__,77
-Proper Vent,Attic Vent V/
Duct/Hot Water Piping insulation
If required unheated spaces
Combustion Air Supply for Furnace
.Duct Work Sealed Properly
COMMENTS:
-L:\Sueliemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Building Te unit Application
Town of Quccnsbury-Dept of Conu-nunity Development,742 Bay Road.QuCCusbury,NY
(518)761-8256 f
A permit must be obtained before beginning construction. Pori-nit File No.
No inspection will h m e ade until applicant has received a Fee Paid $ Z- IRr
valid building ticrinit. All tynplicmn(s' spaces col ibis Itcc. Vcc 11tlid LSO
application must be Completed.aid must appear on the
. Reviewed By:application 1'orrn.
Thomas-Farone
Applicant: U4vncr: Thomas Farone _.
- -5 .Roe 9 �M.B OX ' S u gAccress: ox s:
Gansevoort NY 12831 ansevoor , NY I
Phone#(518)587 - 8989 - Phone#( 518) 587 = 8989
FAX: 518 584-2093 Ciffice contact person: Geri Pastore
Property Location: Lot Number: / House Number l,�/ cl
Subdivision Name:. Indian Ridge Tax Mali Number: �5,-2p-(- 38'
u New Building: icsidelle-• commercial Estimated Markel Value ofConstruclion:$ --2 V,- O`7
U Addition: reslilcnce/ commercial if an Addition what will use of new addition be?
Li Alteration: residence/ commercial '
o No change to exterior size: residence I coun'l
❑ Other work(describe _)
t.'bccIc OCeupli[ley III fornttnlietlr— — t`t Moor ---Z titour� Other Boner 3,401111
11elofv set. fl. ssl.rt. sit.ly. tignsu'e Iceet {f
Single.family dwelling --7�3-Q, 0 O 0
o Two family dwelling
a Townhouse .
Li Multifamily dwelling
ll of,Units
R
VE
❑ Mercantile
o Manufacturing 1--f-20$t—
❑ .l car detached garage TOWN OF QUEENSA1 M
D 2 car detached garage CODE
❑ 3 car detached garage
a 1 car attached garage:
'c< 2 car attached garage
0 3 car altnclied garage -
. u Storage building-
uontntcrcial
o- Storage building- _ _-
esidential
o Otlicr
Will any second-hand or.ungraded lumber be used? if so, for what' .!'1.JC>`
Type of i icating System: electric/ oil /-gas wood /forccd hot air/ baseboard/other:
Number ol'Fit'elduces to be installed Number o1'1Pvodslaves to be installed
List below the person(s)responsible for sulnci•vision of work as regards to building codes:
Nannc Address Phone Number
Builder Thomas Farone same as- above -
Plumber G & G Plumbing 6'54-7477
Mason Heath Russell 796-3033
131ccirician Modern Electric 584- 8341
lNwlprn 'ott: plettse.sign below alter you Inivc carefully rend live statement:
To tltc best or illy knowledge the statenneats contained in this application,togclhcr with the plaus and specilicalions_
submitted,are a trite and complete statement oral)propiused work to be done on tine described premises and plat all
provisions orthe Building code.ale zoning Ordinanec and till olher"laws pertaining to the proposed work shall be complied
witli.whether specified or noted,acid [hat such%vork Is atdborized by the owner. l-urthcr,it is Understood that 1/we shall
submit,prior ton Certificate oroccupancy or Certificate of Compliance being issued,as requested by-the Zoning. -
Adnsinislrator-or Director of building and Codes,an As lli+ttt Sus•rep by a licensed surveyor;drawn to scale,showing actual
location of all new coils(ruction.
Signattlre: tt /Z owner,owller's agent,ambitect,contractor
Application for Permit—Septic.Disposal System
Town of Queensbury 742 Bay Road Queensbury !Y3' 12804 (518) 761=8256
1. OWNER 1NFORMA3tC)N: Indian Ridge Subdivision . ---— - - --•------•-••-- -
Location ofinstallation:Lot No. House No.1,5&
Of eeUse ti
Road Name: File.Permit No..
Tait Map No.
Thomas Farone
Owner's Name: Fee Paid'
Address: P.O. Box 804 , Route 9 __� ___• _
Gansevoort, NY 12831 .
2. INSTALLER'S NAME PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate.#bedroom(s) and multiply ll of
bedrooms with applicable gallons per bedroom to equal total dadyflow)
Year of House: No of Bedrooms x •Computation = Total Daily Flo
1980•or older x 150 gal/bdrin =
1980— 1991 x 130 galibdrm
1991 —present x 1 1 O'gal/b rtp
Garbage Grinder his'talled yes F / no
Spa or Whirlpool Installed yes _ t no DEC1 1 2002
TOWN OF OUEENS3URY
4. PARCEL INFORMATION: :(circle applicable information &inilict'a'te�iiteaSurerients)_
>ra ture Ground ater Bedrock'or Im a ious Material D Water Supply
1%tat sand at what depth a!w!r t deluh )m ri�al
Rolling oam" 7 eel feet
Steep slope: clay if well; water supply
_%slope other from any septic-system
depth: any
is fl.
other
Percolation Test: (To"be completed by licensed professional engineer or architect)
12ate: minute per inch
S. PROPOSED SYSTEM: -For New Construction: All individual sewage disposal systems must be dcsigned 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 trench f/T. Total System Length:. . Jt.
Seepage Pit(s): number of C/ size ofeach: fl, by
Size,of Stone to be used: # / depth or thickness _feet
Bed System Size! / X.
Alternative System:_ ,QI/� 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 8c INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town .
of Queensbtry,any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure"to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
lam' ��"_��'...�� - /off /O T��Z•_"
Slanature of resrxonsl e�n D to
46 EL REV..I tf96) v T I� ` j •"� "" ® '+�'
( A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING-
THE .NEW YORK BOARD OF FIRE UNDERWRITERS °ER,r�FlNQ- i
DO NOT WRITE HERE 'FOR OFF►C>=:t1SE'ONLY
WD BUILDING PERMIT NO
16)j j' !
CITY OR VIWGE " II
SIP CODE TOWNSHIP
. \-- - COUNTY - J
�/J �O POLE NUMBER
' BETWEEN WHAT TWO CROSS STR S 1S PREMISES LOCATED SEC _ BLOCK r
GGGJJJ 10 LOT
T
f OC UPANTS NAME BUILDING OCCUPANCY
OWNER' EAND ADDRESS
HOME TELEPHONE NUMBER -
CURRENT SUpPtlED BY FROM THEIR - OFFICE - •BUILDING I$ WORK TELEPHONE NUMBER
. • r-
NEYI OLD WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED!_
LIST$FLOW ALL E4UIPIVIEN I WHICH YOU INSTALLED
Laca- NUMBER OF OUTLETS ' No.of Fixtures& MOTORS HEATERS -BRANCH '
Lamp-Reeeptacles CIRCUITS _=OFFICE USE-:.._:
-tion Side Attacnl '='c>=ONLY':,-_;,;
Ceiling Wall ReceD9s SWitCh Pendant Bracket No. Type H•P• No Watts No. /LW.G.
eur-
Each Each Gau a iNSPECTION
SIOE
' SUB- .
BASE t
BASE-
MENT
tat
FL.,
2FL_nd f TZ
3rd
FL..
- r
t ivv:ti SIN�:k�'n C{�i3�
fit)I1) l){I a_.
_
REMARKS:UST OTHER ELECTRICAL DEVICES MOT SET F EORTH ABOV - - i
` THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUTF AT TIME OF INSPECTION,THERE IS i FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER'
THE ADDITIONAL EQUIPMENT,A§PROVIDED BY THE APPLICANT. - -
SIZE OF MAINS FEEDERS _
CHARACTER OF WORK EXPOSED-
Applicant affirms that there is not an application for electrical _
❑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
VICSE OVERHEAD
ENTERS @UILDINC from the date received b the Board. _
❑ OVERHEAD �UNDERGROUND Y -
DATE INSPECT30N,REDUESTED ON(CRAB NEAR AS POSSISLE) MUST ENTER APPLICANTS.
IDENTIFICATION NUMBER>
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. '
FRINT NAME AND ADDRESS- -
z NAME OF APPLICANT ' DATE OF APPLICATION VSlG URE OF APPLIC
STREETADDRESS _ 1\ TELEPHONE NO.
CITY OR POST OFFICE - ZIP CODE UCENSE NO,WHEN APPLICABLE
0 40 Fulton Street Q 111.Washington Ave. C]3291 Lake Share Road 10 803 West Avenue 0 202 Arterial.Road
NEW YORK. NY 10038 SUITE 704 BUFFALO,NY 14219 SUITE 106 SYRACUSE•NY 13206
(212)227-3700 'ALBANY,NY 1221 O (716)827-11SS ROCHESTER.NY 14611
(SIB)463-2122 (716)436-4460 - {3tS)463.8552
THE NEW YORK BOARD OF FIRE UNDERWRITERS
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HIGHWAY.— Richard A.missita -
. .. ...... . . . • :H
`� ighway Superintendent
j�i7 Home(518)798-5127
DE MENT
742 Bay Road Queensbury,NY 12804 Michael F. Travis
Off ce Phone:.(5-1s)764-824t " Deputy Highway Superintendent
Fax: (548) 745-4466 (518)798-G413
DRIVEWAY PERMIT
DATE:
T— ho
APPLICANT NAM s FaroneE: -
TELEPHONE NO.: 587—8989
ADDRESS TO BE INSPEC I'ED: Lot NO. House No. l9-&Road Name��,t
RETURN ADDRESS: P.O. Box- 804 , Route 9
ansevoort, N .
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 1: O Preliminary ApprovalFE q
NEED: ( }Slight Swale RE f E
( )Level with the road. p F"p i 4 20 02
O Deep swale
TOWN OF QUEENSBURY
131J3!G_rINIG AND CODE
Size pipe to be used(if necessary) z
C )12" . O 15" ( )18" (-)24" ..C )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.Missifa,Highway-Superintendent
_....
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Project Name: IIP#
Building Permit SubmissionChecklist
items belo*,must be checked either submission no or not any bo��ug
poro�to the Town t bn�'Building the permit
will not bo accepted noUilsuch time uo the application is deemed complete for submission.
-~ Building Permit Application Completed `' ' ' ~ ' ^^ '
no n/a
-' Energy Form-' -----A--Energy Code Compliance Forms Complete- no n/a
�
]. Energy Code Tnunccto?s Report from C»rckMatc Program- ... ... ... ...-
4` Septic application comple , ,, ,,^., .,, .,,.,�, no
-^ Solid- --~-~----'o`- ^'~^~'^''^' `^^`�`-' -' -'
� I,,lyfMed
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no
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(� 3�}uot�cu}Tn«ne'�onI7oroz.- -'... -. -, -,-.-,,.-'-' .' .. -,-,-. -' -, [-�m [�zu/u
7� (2) of .- ...... ... ... .. .~... -, -,.- F��^ ��o/a
floor plan; r) cross sections:d) /
`/window and door schedule �
8. [-�^o [-lo/u
location u1 well ornmzorfines,location o1 septic system or sewer line.
'
9, Setbacks from Ixnyerty6esco new structure... ......... ... ......... ... ...- s
Ono [-�u/u
10. Setbacks to neighboring wells and septic systems, ozsitu well.., [-no F-Ln/~
and septic systems (if applicable)
11. DxivewayPennit,. _, .. ..~. ... .... ... ... ......... ... ...... .. .. ..... ... ... .. [-no [-n/a
�
Staff Initial-
GeneriuChecklt.doc
ennit 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\CheckllvmCcheck\i932-01 LARKSPUR-FARONE-LOT 66-186 FARR LANE-
QUEENSBURY.cck
TITLE:PLAN NO. 1932-01 LARKSPUR
COUNTY:Warren E C E� l�4' E
STATE:New York.
HDD:7635
CONSTRUCTION TYPE:Detached I or 2 Family DEC'T 1 ZQ OZ
HEATING TYPE:Non-Electric
DATE: 10/30/02 TOWN OF QUEENSPBU€Y
DATE OF PLANS:OCTOBER 30,2002 BUIINGD CC3I3E
PROJECT INFORMATION:
THUOMAS J.FARONE AND SON
=-SBURY
86 FARR LANE
COMPANY INFORMATION:
WILLIAMS&WILLIAMS DESIGNERS
509 GLEN STREET
GLENS FALLS,NEW YORK 12801
1 '
COMPLIANCE:Passes
Maximum UA=345
Your Home=272
21.2%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 1001 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 I08 0.320 35
Door 1:Solid 21 0.130 3
Door 2:Solid 21 0.130 3
Door 3:Glass 21 0.330 7
Wall 2:Wood Frame, 16"o.c. 1001 19.0 0.0 51
Window 2:Wood Frame,Double Pane with Low-E 146 0.320 47
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 932 19.0 0.0 44
Floor 2:All-Wood Joist/Truss,Over Outside Air 13 19.0 0.0', 1
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 stamp nd igned tkis page they are attesting that to the best of his/her knowledge,belief,
and professional in entsu p an s atiQus are in compliance with this Code.
-Builfle esgnn—12neb Date
Rvgn
MECcheck Inspection Checklist
New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release I
DATE: 10/30/02
TITLE:PLAN NO. 1932-01 LARKSPUR
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:
[ ] } 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation
} Comments:
}
Windows:
[ ] } 1. Window l: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:
(
Boors:
[ ] } 1. Door 1:Solid,U-factor:0.130
} Comments:
[ ] } 2. Door 2:Solid,U-factor:0.130
} Comments:
C ] } 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:
[ ] } 2. Floor 2:All-Wood Joist/Truss,Over Outside Air,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,l)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.
i
( 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,
[ ] f Manufacturer manuals for all installed heating and cooling equipment and service water heating
( equipment must be provided.
[ ] ( 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-1 l..
[ ] ( Return ducts in unconditioned attics or outside the building must be insulated to R-G.
[ ] ( 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:
[ ] ( 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
( temperature set point of the largest zone.
(
( Electric Systems:
[ ] ( Separate electric meters are required for each dwelling unit.
( Fireplaces:
[ ] ( Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] ( 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.
( 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/offheater 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 Cooling Piping Insulation:
rir
a '
[ ] HVAC piping conveying fluids above 105°F or chilled fluids below 55'F must be insulated to the
levels in Table 2.
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received- en -
Queensbury Building&Code Enforcement Arrive: arn/p3 I)epart: 7 , '2Z4rn/=
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: (3� PERMIT#:
e — . q —
LOCATION: �_ DATE:
TYPE OF STRUC'7:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete 01
Guard 30 in. or more @ stairs,decks,patios 11A,
Guard at stairwell at 34 in, or more
Guard at deck,porches 36 in. or more I/x
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in. (6 Of
Platform at all exterior doors )f
Interior Handrails stairs 2 or more risers Vj
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall Po/1
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
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in::::#
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing —7
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Bathroom Fans,if no window it
Carbon Monoxide detector
Numbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency eEess below grade
Basement stairs closed rise>4 inches
3/4hour fire door/door closer 01/
Garage fire proofing
Duct work Scaled properly 60,
Attic access 30 in.x 24 in.x 30 in.(lit.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft,-150 sq. ft.vents
Building No./Addre s v sib fro rD,;roqd A
Final Electrical
Site Plan /Variance W fired
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)
Oka to issue Permanent C 0(Cert. Of Occupanc-)
LASueHernin gway\Building.Codes.Inspection-FORMS\Res.Final Insp.form 2.doc edited January 28, 034
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Foundation Inspection Report
Office No. (51'8)761-8256 Date Inspection request rec �v
Queensbury Building&Code Enforcement Arrive: am/prn Depart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: na-
LOCATION: ' L p- INSPECT ON: 3—,;L �
TYPE OF STRUCTURE:
Comments
Y N N/A
otings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for 1
providing protection from freezing
for 48 hours following the placem nt
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing t
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior.
R-
Rough Grade 6 inch drop within 10 ft.
L;\SueHeningway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Framing Firestopping Inspection Report lc�
Office No. (518) 761-8256 Date Inspection request received: 1,
Queensbury Building&Code Enforcement Arrive: am/pis 7Dzpart:P-�aani/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
%fro
NAME: cR t PERMIT#:
/0
LOCATION: INSPECT 0N 0 13
TYPE OF STRUC
Y N N/A COMMENTS
Jack Studs Headers
Bracing Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 V2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2,3 hour
e wall 2, 3, 4 hour
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2.inch or"5/8 inch T e X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/ edrooms
24 in. (H)
20 in. (W)
10
5.7 sf above/belo grade
5.0 sf grade
%
t-t
" --
L:\StieHemingway\Building.Codes.Inspectioii.FOOS\Fi-aming Firestopping Inspection Report.doc January 28,2003
Septic Inspection Report
Office No. (518)761-8256 Date inspection re r ei edi--
Queensbury Building&.Code Enforcement Arrive: p e (� a m
742 Bay Rd.,Queensbuly,NY 12804 Inspector's Initial
O'k
LOCATION: --__ SPECT ON:
RECHECK: �� ^
�J Comments an/iagram
Soil T e Clay
Type of Water: Municipa / eli Water
Waterline separa ' nce rU ft
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ;p
Length of each trench
Depth of trenches ft.
Size of Stone
See pa e Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank 14" A
Tank to Distribution Box �}1t 'F,g4.,.-
Distribution Box J eld/Pit ,,.
Opening Seal : Y Partial
Location/Separations
Foundation to tank 10 ft.
Foundation to absorption ft.
Sep aration of Pits ft.
Conforms as per Plot Plan _ Y N \� � �� C ` d L
Location of System on Property:
Front Rear Left Side Right Side
Middle Fxon Middle Reax
�� .
System Use Status:
Approved
Partial Approved and ne s to be re-inspected,please call the Building&Codes Office
Disapproved
L:1SueHemingway\13uilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: . 42L
Queensbury Building&Code Enforcement Arrive: am/ epart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: /f' ®� PERMIT#: f r
LOCATION: INSPECT
TYPE OF STRUCTURE:
Comments
Y N N/A
l�
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation,/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil oly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.