2002-1009 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Commututy Development-Building&Codes '(518)761-8256
CEPTIMP I TE DF OCCUPANCY
Permit Number; a20021009_ ; Date Issued: Tuesday;August 26,2003
This is to certify that work requested to be done as shown by Permit Number a20021009
has been completed;
Tax Map Number: 523400-295-020-0001-041-000-0000
Location: 170 FARR Ln
Owner:. IRA-TOM DEVELOPMENT INC
Applicant: THOMAS FARONE
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&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: a20021009 Application Number: a20021009
Tax Map No: 523400-295-020-0001-041-000-0000
Permission is hereby granted to: THOMAS FARONF
For property located at: 170 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
804 STATE ROUTE 9 Garage-2 Cars Attached
SinglGANSEVOORT,NY 12831-0000 Total Family Dwelling 175, 0
Total Value 175,700. 0
00
Contractor or Builder's Name/Address Electrical Inspection Agency
FARONE CONSTRUCTION
PO BOX 804 ROT JTF 9
GANSF,VOORT.NY 12831
Plans&Specifications
2002-1009 Lot 63, #170 Farr Ln.
Construction of a 1,862 sq ft single family dwelling with a 610 sq ft attached two car garage per plot plan
and specifications.
$284.44 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 Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queen ury; Tuesday,December 17,2002
SIGNED BY n for the Town of Queensbury.
hector of Building°&Code nforcement
n
-Buildiiig-I'er n t -Appl.ication
Town of Quecnsbury-Dcpl of C'onuliuiiity I?cvelopnicnt,742 Bay Road, QUeensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No.
No inspection,will Ile tlladc Until a 1)Meant has reccived a i
,t
1 I Ccc`Paid $,_ _2��
valid building permit. All applicants' vpaces.on this Rec. lice Paid � 4EC
application must be con7pletcd.ind must appcar on the Itcvicwc(-1 By: el, E
application form. 'A/h
Applicant: Thomas. Farone Owner: Thomas Farone
Address: ---�'- -.Box $04:,—f2oute_9 - "= -B D- u 9
Address: .
Gansevoortr NY 12831 ansevoort, NY-- 1
Pll0tle##(518)587 - -8989 Pllone#( 51.8) 5 8 7 - 8989
FAX: 518 584-2093 Office contact person: Geri Pastore
- Hous uberProperty Location: -Lot Number: m ' _ )i
Subdivision Nanic: Indian Ri�Ie . Itx Mal) Num'ba: q;A7
'
--
u New' Building: res�C.
conuucrciai' hstinlalcd Market Value of Construction: $
u Addition: resonmtercil,I Wall Additi(ln what Will use of new addition bc7
Li Alteration: residence t consnicrcial '
❑ No change to exterior size: residence/coni'l
❑ Other work(describe
Check ()ccupslttcylnftit ntaliun— -- �-
1'` 1�toor 2 Floor Oflier floor '1'otsl!
Below sq. ft. sq.U. titl,lnt e Feel
' Single farnily dwelling
❑ Two farnil' dwelling
❑ Townhouse
ci Multifamily dwelling
##of,units'
❑ of cc -- Ran
❑ Muctltitile _ —
❑ Manufacturing
❑ l car detached garage �] 1
❑ 2 car detached garage R, ,.c nt tFFNSBUR/
❑ 3 car detached garage -
❑ I cat•attaclied garage
_2 car•attstcitecl garage Ldj� �9 � -��
❑ 3 car sittaclied.garage
Sloragc building-
commercial `—. _ ----�- _-- -- -
❑ Storage building-
residential
❑ Other
Will any second-liand or.unbraded lumber be used? If so, for what? f(I
rype of l lealing System: electric/ oil / gas wood / forced hot air/ baseboard/olhcr:
Number of lfireJrlgce�v to be installed . Number of If'ovd.toves to be installed
List below the persons)responsible Ibr supervision of work as regards to building codes:
Nanle Address Phone Number
Builder Thomas Farone same as above
Plunther_ G & G Plumbing 654-7477 _
—_-
Mason Beath .Russell 796-3033
Electrician Modern Electric � 584- 8341
1)aclslratioll. please sign below alter'you have carel'olly read the statement:
1'o the best or my k:xnvlctlge the slalenreuts coutaineet in Ibis application,togellier with the plans and specitieations
submitted,are n true and coh7plcte statement of alt prop)sed work to be done oil the described premises and that all
provisions of the Building Code, lite Zoning Ordinaacc and all other laws pertaining to"tlic proposed work shall be complied
will,, whether specified or noted,and Ihat such work is.authorized by the owner. p.urtl)ci; it is understood that Ihve shall
submit,prior to a CCt'LilleatC t)f OCCUpaney Ol CCI-tit le. OI .0m,7llande being Issued,as quested by the 1..oaing
Administra toe or Director of l3uiIding anti Codes,ail As Bu ll Srtrvep bya Iiccnsed surveyor;drawn to scale;showing actual
localioiiofall new
' construction.
Signature: _Slnlit �Lt?c�G`t, owner,owner's agent,architect,contractor
Application for Permit-Septic-Disposal System
Town of Queensbury 742 Bay Road.Queensbury, NY 12804 (518) 761-8256
1. OWNER TNFORMATI,OIV:,Indian Ridge Subdivision- :__.....__......_...._..........._ __.._...._...._........._._ _
.
Office use ~
Location of installation:Lot No. (�l /- house :No./'7^ .
Road Name File.Peiznit No:. o.4- WO
Tait Map No.
Fee-Paid.
Owner's Name: 'Thomas Farone
Address: P.O. Box, 8 0 4 , . Route 9
Gansevoor.t, 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 dailyflow)
Year of House: No of Bedrooms x - 'Coinnputation Total Daily Flow
1980 or older x- 150 gal/bdrm.
-I980— 19911 x 130 gal/bdem
1991 —present x l I O gal/bdrm = :3 cQ
Garbage Grinder Itt9talled yes /.no
Spa or-Whirlpool Installed yes / no DEC, 1_1 20:OZ_
TOWN OF Qt1EENSBURY
4. PARCEL INFORMATION: (circle applicable information &indicate-measurements) BUILDING AND.CODE
Topography SoiLuature Ground Water: Bedrock or Impervious Material : 0 stio Water Su 1
at sand at wh�a_t�epth ai w�depth mruric`
olltng Darn [} �1eet feet well..
Steep slope, clay if well, ivater supply _
Vo slope other front airy septic-system
depth: absorption is fl:
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: A11,individuai sewage disposal systems must.-be dcsigned.by a licensed
professional engineer or architect(unless installed ina 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: l gallon,(ad". size 1,000gal_)
Tile Field: each trench X D fl:, Total System Length: it.
Seepage Pit(s): number of 1�:) size of each: fl. by
Size,of Stone to be used: # A,) / depth or thickness !feet
Lied System Size:- /-7 x
Alternative,System: � length andlor size
6. HOLDING TANK SYSTEM.: (if required)
Number of tanks / Size of each: /V gallons /TOTAL Capacity gallons
Note. Alarm System and associated electrical work must be-inspected by.a Town approved
electrical inspection agency.
7. SIGNATURE cea INFORIVIATIONTOR RESPONSIBLE PER96N(please read)
For your protection,please note thatpursuant`to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted ui
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.
31anature of resnansilofe nerson Dede,
I- _
I1GH-WAY Richard A.Missita
' ' - � Highway Superintendent ..
Home(518)798-5127
EPA.IRTM.EN'T
742 Raj Road Queensbury,NY 12804 Michaa F. Travis .
ice Phone (57&} 764-829! ( J QePmY Highway Superintendent
+ j_'j(� 2 .(518)798-04:3
Fax,s (548)"745-4466
DRIVEWAY PERMIT
DATE:'
APPLICANT NAME:. Thomas F arone
:TELEPHONE NO.:. 5 8 7—8 9 8 9 /
.ADDRESS TO BE INSPECTED' Lot .No_. /. House No. .J ORoad Name
RETURN ADDRESS: P.O. Box 804, .Ro,uta 9
ansevoorE, NY 12831
Applicant must show e:cact 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:
ram'
STEPa { )Preliminary Approval .
NEED: _ { )Slight swale
{ .) Level with the road. ��C' 20Q2
( )Deep swAle TO6"0*d OF'Q€.il*ENSBURY "
A 10rCODE
Size pipe to be used(if necessary) -
( )12" - O15" C )18" O24" ( )36"
Preliminary. inspection completed by DATE
Approval by Highway Supt.. Deputy Supt "
Ugon completion,please resubmit this approved permit for a final approval'
STEP 2: {`}Final Approval . .
C }Rejected--
DATE:,
Richard-?..MI ka,Highway.Superintendent - -
{
_ hftix i Y -
E
=y
.?.a}.
"4 ° '> Fy-✓ - 'r at { r'
lmk spty + r s . r
4P --.• y, t, ._ti,._ $ _. .� v1�.�v....._.<......;*z`",
-.. ��' •+ar � , ,..r •v' v- yr -
`v
45 EL(REV.11196) A.SEPARATE APPLICATION.MLIST BE,FILED FOR EACH SEPARATE-BUILDING-
THE„NEW YORK BOARD OF FIRE UNDERWRITERS CERTIRCATENG
DO NOT WR! HERE `FOR OFFtCE.USE ONLY
BUILDING PERMIT NO.
dp
CITY OR V GE - >IP COD - ' TOWNSHtP COUNTY.. .
STRE AN O.O,ji+ROAD
�r POLE NUMBER
11 BETWEEN WHAT TWO GROSS STREETS IS PREMISES LOCATED?, - SECTION
E LOT
` - OCCUPANT'S NAME - BUILDING OCCUPANCY .
OWNER'S E AND ADDRESS -
-'T` • HOME TELEPHONE NUMBER'
CURRENT SUPPLIED BY - - FROM THEIR OFFICE • WORK TELEPHONE NUMBER..
BUILDING IS - - - - - - ' �-^;
OLD�El WORK.IS NEW I� ApOITIONAI:❑ DEFECTS REMOVED C=
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED S
• NUMBER OF OUTLETS " No.at Fixtures& MOTORS HEATERS__, -BRANCH :OFFICE USE".
Loca- Lamp*Receptacles - CIRCUITS - ONLY
-tion " Side "a", H.P, Watts' A.W.G.
....
Getting Wall Recewis Switch .Pendant Bracket- No. Type .Each No. Each NO. Gauge tNiSPECTiQN
Off,
SIDE:.
SUB-
BASE
BASE-
MENT
3
1st D r." - i
FL.. tJ 1. - - -
- 2nd -
FL. I mot' _)
FL. sil 61F 6—AND ,ODD 1
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,ASS PROVIDED BY THE APPLICANT. -
_ st2E OF MAINS 'FEEDERS - -
Applicant affirms that there is-not an application for.electrical
CHARACTER OF WORK .EXPOSED. - -
�,....•• _ 000NCEALED inspection pending with a.qualified electrical inspection .
DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein.
This application is valid fora period not-exceeding one year
SERVICE ENTERS BUILDING
OVERHEAD- from the date received by_the Board. -
IS UNDERGROttND
.DATE INSPECTION REOUESTEO ON(OR AS NEAR AS POSSIBLE), 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_
FHINT NAME AND ADDRESS-
NAME OF APPLICANT DATE OF APPLICATION �SI LIRE OF APPLp,IN
T
STREET ADDRESS, - - -TELEPHONE NO.
CITY OR POST OFFICE - - ZIP CODE - LICENSE NO.WHEN APPLICABLE"
40.Fulton Street' ❑ 111 Washington Ave. ❑3291 Lake Shore Road 0 803 West Avenue [�"202 Arterial Road
NEW YORK,.NY 100,38 SUITE 704 SUITE 106
BUFFALO,NY 1d219 202ACUial Road
1-
(212)227-3700 'A 18),46 21 12210- I" (716) 827-1155 I ROCH ESTER,NY 1461 11
(518}463-2122 (716)436-4460 (3IS)463-8552 "
THE NEW YORK BOARD. 017 FIRE UNDERWRITERS
:�• s •. �{ k �. Y t > ? nd...l�''t _. ..fit` �� � � i e)
2
z 3
t
tt _ +__'i✓: __._._.,a.. .,...sa._.._._..,.I................:!�.z..�.s_._:.,xn .-....,x�_a>-._ ._-.. ..� ..., _ ...... ,. tI #E...._x
.l
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\l862-02 FARONE-BELLWOODE-LOT_63-170 FARR LANE-
QUEENSBURY.cck
TITLE:PLAN NO.1862-02 BELLWOODE
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric "
DATE: 11/05/02
DATE OF PLANS:OCTOBER 4,2002
PROJECT THOMAS J FARONB AND SON REyOVED
J.
LOT63-170 FARR LANE
QUEENSBURY
OFr 1 1 2002
COMPANY INFORMATION: TOWN OF QUEENSBURY
WILLIAMS&WILLIAMS DESIGNERS F-4 III DUNG AND CODE
509 GLEN STREET
GLENS FALLS,NEW YORK 12801
COMPLIANCE:Passes -
Maximum UA=317
Your Home=246
22.4%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 928 30.0 0.0 32
Wall 1: Wood Frame, 16"o.c. 861 19.0 0.0 38
Window 1:Wood Frame,Double Pane with Low-E, 168 0.320 54
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. 861 19.0 0.0 43
Window 2:-Wood Frame,Double Pane with Low-E 143 0.130 19
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1001 19.0 0.0 47
Furnace 1:Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
O
plans,specifications,and other calculations submitted with this permit application. The proposed systems have been
designed to meet the New Yj k State Energy Conservation Construction Code requirements. When a Registered
Design Professional has st p d and sined this page,they are attesting that to the best of his/her knowledge,belief,
and professional ju ent, 1 ecifications are in compliance with this Code.
estgne Date_
MECcheck Inspection Checklist
New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lc
DATE: 11/05/02
TITLE:PLAN NO.1862-02 BELLWOODE
Bldg.
Dept.
Use
I
Ceilings:
[ ] I 1. Ceiling l: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-19A cavity insulation
Comments:
[ ] I 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
I
Windows:
[ ] I L Window 1:Wood Frame,Double Pane with Low-E,U-factor: 0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [. ]Yes[ ]No
Comments:
[ ] I 2. Window 2: Wood Frame,Double Pane with Low-E,U-factor:0.130
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
I
Doors:
[ ] I 1. Door 1:Solid,U-factor: 0.130
Comments:
[ ] I 2. Door 2:Solid,U-factor:0.130
Comments:
[ ] I 3. Door 3:Glass,U-factor:0.330
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
I
Floors:
[ ] I 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity.insulation
Comments:
I
Heating and Cooling Equipment:
[ ] I 1. Furnace 1:Forced Hot Air,92 AFUE or higher
Make and Model Number
I V
Air Leakage:
[ ] I 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
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:
[ ] 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.
[ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
I the building plans or specifications.
I
Duct Insulation:
[ ] 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.
C ] Supply ducts in unconditioned spaces must be insulated to R-I 1.
[ ] 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
I (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
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.
C ] 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:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
I
Electric Systems:
[ ] I Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] 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.
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.
[ ] 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.
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.
I Heating and Cooling Piping Insulation:
[ ] I HVAC piping conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the
I levels in Table 2.
r
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 . 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thiclaiess in Inches by Pie Sizes
Piping,System Types Ran e F 2"Runouts 1" and Less 1.25"to 21' 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
Office No, (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ D _ Lrm
742 Bay Rd., Queeeen`sbury,NY 12804 Inspector's Initial
NAME: \�"� P IT#:
LOCATION: i--� Y�. DATE:
TYPE OF STRUCTURES
Comments
Y N N/A
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." 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 famace area
Furnace/1-lot 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/afety glazing
Interior Smoke Det ctors:
Every level: / very Bedr m: -
Outside every bedroom ea:
Inter Connected: l 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
3l hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(1u)In accessible area
Crawl Spaces 18"x 24"-access, 1 s ,ft,-150 s .ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required,
Final Survey Plot Plan
As Built Septic System/Sewer Dept,Inspection Sticker
Flood Plain Certification,if re uired
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Tem ora C 1 O Cert. Of Occupancy)
Okay to issue Permanent C J O(Cert, Of Occupancy)
L:1SueI-Ien ingway\Building.Codes.Inspection.FORMS\Res.Final Insp.farm 2.doc edited January 28,2003
f�
>4�
MOgN z W ' 0 a
..z•z0' � ,way
r4>4z � �c z
�W H H W
r%om Q H x
0UN� aI�w a ; w
I rt q 00 0 1 w w 4 H
z I~m It zI a m
U to H I H ' 1 H 0 H
0 z z 1 I !n w to "z w 0 z U
HH w 4 4 w 0 w z H z 0 W
0 w a 9 ' q a H a 0 a 1 w z t a u
] w Z 4 0+ 0 a w ] H H W H 0 a
H 0 0 H w �, H �, H H a m w 0 z w
q w W N x a 4 0 0 a � t� N W N m H u H 0
m x H H w a m a 0 w 9 a 0 wx x a z 0
z ,J ] u zw zH n00a HU, HHuHa4440
0 6 u 4 1 N " w 4 m a 4 N 0 g 4 4 u 9 9 u H a
m z H a a H u
H z I z z w H 4 z N w U 4 N w a d d
u : w H H > H w w x x m a g q q :+ > w w
a � z m > w 0 a, z N 0 w H 0 z w w w w u > a 0
w 0 z H a w x �+ a s a� w z x w
z , MH a > H a 0 z 0 0 a s ►� 0 w
w H 0 w 0H � z 0 0 0 H 0 0 w 0 0 0 H w a w H
H 0 H< w H z H z w M H g q z 0 q N 0 U U U
z M H a H w A !� N H H H H a a 0
H w w w w Hq Z w w H H 0 z w U w w a w H :+ H g q q 4 H
u H a 0 H g 0 H 4 4 0 7 H 0 w a H H H 4 z z z H H H x
' 4 A z 4 p H W H U N W W� H W U CAI W W' a x x a 0
MAP REFERENCE:
INDIAN RIDGE PUD
PRASE TWO
DATED AUGUST 27. 2001
BY VAN DUSEN + STEVE5
LAND SURVEYOR5. LLG
N39° 5 WE
10 ft WIDE
NO CLEAR ZONE
ALONG REAR LOT LINES -- — — —
ry- �
I `
I `
I `\
I �
63 62
As
I 27,141 sq.ft. \ N� ro
f 0.62 acres \ • ; \
64 ..
I AO
2 � \
45.90'
2 STORY \
WOOD FRAME HOUSE \
I CUNDER
I GON5TRUGTION) \
F I,GH J
J
, J
J� J
L___ __ t
ASPHALT
DRIVE
uTIUTIEs L 185•>36
75.00
LANE
FARR
Duse
.
�A IIHO M ALT UTM a"A"E'
NEARND A LNYNSED LAND
Map of
a Survey made for
A
&
VIOLAT" OF KC11M 7200. 90-DIVIM 2. OF NE
NEW YORK STAIE MICATM LA10
'OLYCOPRS FRCLI TNL OIOONhL OF IM OLIPM
SEAL94ALN AN M111 LamtAW VALID I R!
SAL 9NM1 S CdIS10Ellm ro eE VALID IRtE COPES.'
S
P
V e S
IIRS SURVEY WAS PWARED N AOCORDANCE.�MTN TIE
'
JESSICA M. DIXON
& RONALD W. DIXON, Jr.
Land
S u r V, e ors
IM OWE OF MACTIM FM LAND ,,,�
LA THE NEW M m C AS'SOCIATNN OF PROFESSIONAL
tAtO SURVEYORS. SAp CiRTK1CATKNS SMALL RUN dLY
169 Haviland Road
Queensb ury,
J
New York 12804
ro THE PERSON FOR FNON THE SURVEY s PRITT NM% AND
ON NIS SEIUILF TO TIE lIM COLPANY. ODYO IENTAL
AODICY AM IETIM ten'" LIM KKOK AM
roIIItAallrnoPTnEleo"ICNsnnlrlolc
Town of Queensbury, Warren County, New York
(518) 792-8474
New York
Lic. No. 50135
VED
AUG 21 2003
Tovp of ,
CODC
NO. DA 7E
o••a.
7 � j
DESCRIP77ON
S 1
SHEET 1 OF 1
DIXON
DWG. NO. R-G3
r
Rough Plumbing Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:-45?1
�k
Queensbury Building&Code Enforcement Arrive: am/pm�Da prn
742 Bay Road,Queensbury,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
Dfain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
gopper,CPVC,Pex One&Two Family
Xisulation/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:\SucHeming,A,ay\Buildin,-.Codes.inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing / Firestopping Inspection Report V
Office No. (518)761-8256 Date Inspection request received: Ivn(I
Queens'bury Building& Code Enforcement Arrive: a�k, De art."VYm/pm
742 Bay Road, QueensbUry,NY 12804 Inspector's Initials.
NAME: PERMIT#: DO
LOCATION: 1 -1 Q INSPECT ON: D
TYPE OF STRUCTURE: r
Y N N/A COMMENTS
eHeaders
c Studs/ ead
Bracing
Bridging
I
racing/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
F' e
irtopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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
1-5-10 sf gradP. m4
TIV,
eFemin-,way\Buj1di g.Codes.Inspecti,(;O>RMS\FrainiilgFirestoppin-,InspectioiiReport.doc January 2g,2003
01
ME
Irtu
169 Haviland Road; Queensbury,'NY.12804
Phone 518-745-4400 Fax -518-792-8511
Apri1.16, 2003
Job#46138
Mr. Glenn Bruso
New York State Dept. of Health- -
77 Mohican Street
Glens Falls,NY-12801
PE: Indian Ridge Subdivision- Queensbury(T)
Lot#=63-.Septic--System------ -- -=-- - - -
Dear Glenn:
This letter is to inform you that I inspected the,completed septic system for the house on Lot#63
in.the Indian.Ridge Subdivision on April.15 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 to-the requirements of the approved subdivision design drawings.
Please call me if you have any questions or concerns.
Sincerely,.
Thomas W.Nace,P.E.
cc: , Dave Hatin,Town of Queensbury
`Tom Farone _-_
Septic Inspection Report
Office No. (S 18)761-8256 Date Inspection request received:
Queensbufy Building&Code Enforcement Arrive: am/ epa f am/pm
742 Bay Rd.,Queensbuly,NY 12804 Inspector's Initials:
NAME: PERMIT NO.:
LOCATION: ICY INSPECT ON:
RECHECK:
Comments and/or diaer m
Soil T • S /Clay
Type of at : M nicip /Well Water
Waterline separa o istance _ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Siz Type
Building to tanker
Tank to Distribution Box
Distribution Box fiiyXield/Pit vt &4
Opening Sealed: N/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan N
Location of"S s n Property:
Front Rear Left Side Right Side
Middle Front dle Rear
S stem Use Statt
Approved
Partial.Approved and needs to be re-inspected,please call the Building&Codes Office
"Disapproved
L:4SueHemingway\Building.Codes.Inspection.PQRMStSep6c Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received*
Queensbury Building&Code Enforcement Arrive: am/p Depart: `U am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial
NAME: fj C-- PERMIT#:
LOCATION: L INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings Comments
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 Dampproofmg
Foundation/Waterproofing
Type of Dampproofmg/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil of 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.
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm - Depart: 4m/Pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: ooq
LOCATION: ?2 S,�cA. -C INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
eotings
Piers
Monolithic Slab
Reinforcement in Place P-"
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 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.
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -519-792-8511
a - ID0�
January 28, 2003
Job#46138
Mr. Glenn Bruso
New York State Dept. of Health
77 Mahican Street
Glens Falls,NY 12801
RE: Indian Ridge Subdivision Queensbury(T)
`Lot# 63 Septic System
Dear Glenn:
This letter is to inform you that I inspected the completed septic system for the house oil Lot#63
in the Indian Ridge Subdivision on November 15,2002.
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' cerely,
Thomas W.Nace, P.E.
cc. Dave^Hatmia=ovri of ueensb
Tom ne.
INDIAN RIDGE PUD
PHASE TWO
DATED AUGUST 27, 2001
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
10 ft WIDE
NO CLEAR ZONE
ALONG REAR LOT LINES
64 3
to
Lo
1n
to
Z
l(3)
a� e 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
Q A
VIOLATION OF SECTION 7209, SUB -DIVISION Z OF THE
/`\J/V
NEW YORK STATE EDUCATION LAW.•
ONLY COFlE9 MI OM TM ORIGINAL Or THIS SURVEY
MAID vIOI�ALa ��
Steves
SHALL
SEAL SHALL BE CONSIDERED i0 BE VM10 TRUE COPIES.'
'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
Land
Surveyors,
LLC
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
LA THE NEW YORORS. STATE ASSOCIATION S PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE DTI£ COMPANY, GOVERNMENTAL
169 Haviland Road
Queensbury,
New York 12804
AND LENDING L NGGINSTITUTION.'TM
TO
(518) 792-8474
New York
Lie. No. 50135
N39'15' 41"E
t
88.46 —
_ w
L-185 861
Rr
Mal
y0
i
i
i
l �
LANE
Map made for
E
C
tag
orn
Thomas J. Farone and Son, Inc.
Town of Queensbury, Warren County, New York
sz
NO. I DATE
►>,
DESCRIPTION
F.
le 1'=30'
S-1
SHEET 1 OF 1
FARONE
DWG. NO. IR-G3