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2008-669 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTI F I CAT E OF OCCUP AN CY Pennit Number. P20080669 Date Issued: Monday, February 09, 2009 This is to certify that work requested to be done as shown by Permit Number P20080669 has been completed. Location: 819 STATE ROUTE 9 Tax Map Number. 523400-302-006-0001-049-000-0000 Owner: MICHAEL & WILLIAM FREEBERN Applicant: MC DONALD'S This structure may be occupied as a: Commercial Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080669 Application Number. A20080669 Tax Map No: 523400-302-006-0001-049-000-0000 Permission is hereby granted to: MC DONALD'S For property located at: 819 STATE ROUTE 9 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: MICHAEL& WILLIAM FREEBER ROBERT, DOUGLAS &GEOFFRE Commercial Alteration $40,000. 0 C/O RENEE REARDON Total value $40,00000 PO BOX 4510 QUEENSBURY, NY 12845-0000 Contractor or Builder's Name/ Address Electrical Inspection Agency HILLSON CONTRACTORS 1032 ROUTE 119 RINGE,NH 03461-0000 Plans &Specifications 2008-669 72 sq ft commercial alteration $50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,January 16,2010 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To of Qu ensbu FdAy,January 16, 2009 SIGNED BY / s�J for the Town of Queensbury. Director of Building&Ede korcement i; _a___.____r____ _________ IC US> 2008-669 ------ Off TAX MAP NO. 5�' PEI FFFS. PERMIT RECREATION F (11 applicable) i -aa______..__-__ aee___.-P-__-_a____-_____..-____._ __,.______--P_f___a�._ PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: jq J l So" OWNER:Qs vt< e_ Or ao-otd✓► ADDRESS: fo 2. 2 T !!9_ .Ild s t- ,v H oYNG l ADDRESS: Ib i3,.x a37a . Qce'r e."s�x.r PHONE NOS. (pol It- 3/! PHONE NOS.r,$ - het Y -&5-.r.T CONTACT PERSON FOR BUILDktjG&CODES COMPLIANCE:U1d s si c.+.��T PHONE: vj C Csof-J61-G7N9 LOCATION OF PROPERTY: 12 7' -9 4hdiee, nG.ld-h t% SUBDIVISION NAME: /" c-b o� l at .� /2 s Tim,u K T PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW. CHECK ALL THAT z APPLY TO YOUR Z O0 a O dCl) UJ u w PROJECT O 00 p w ¢ 2=m o z ¢ Q :-rii Nv�i Ori �LL aics SINGLE FAMILY TWO-FAMILY MULTI-FAMILY(NO.^, TOWNHOUSE BUSINESS OFFICE RETAIL- ✓ �� C MERCANTILE J FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER A Town of QI eensbury ° Cc,lttll unit:t Decelopment Office ° 742 Bay Door, Qateenslj o°I!r N1r' 12804 r f•q�Y;. ,.�+���i Z _1 1�� n-.. ^. ^W" �+. _s'X�[.t+};4;J.� t.31�.',�a�•,C:{.,F1 �:�1,�L'7 ,t"i �..). .1 f�U d•�]1 {�i; )., �.• �.', .q. -� y ♦y.a 11,� < i1 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:_ ESTIMATED CONSTRUCTION COST: `P th , FUEL TYPE:_1V/�J HEAT TYPE? -HOW MANY FIREPLACE(S)—e,/d AND/OR WOODSTOVES(S): 4-'bj-- ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? iS THIS A HISTORIC SITE? &Q PROPOSED USE OF BUILDING OR ADDITION: Ta ilr4 ft c. K« sney :e- 17-v l-4 44-- 1-llc,t,;,v ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? / I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building.laws and ordinances, and in conformance with local zoning ' regulations. I acknowledge that prior to occupying the faciiities proposed, I or my agents will obtain a certificate of occupancy_ I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constricted facilities prior to issuance of a certificate of occupancy. I have read and agr o the ab ve. Signed 17 Director of Building & Codes: 61-8256 (for questions -� QUESTIONS? CALL 7614266 OR EMAIL regarding Building Permits, construction codes or septic systems) VISIT OUR WEBSITE FOR MORE INFORMATION Zoning Administrator. 761-8218 (far questions regarding MTML-gueensbua-net �f required permits, the permit process, application requirements or to schedule an appointment) a--a a----a--aria---r--------------a--r-------t ---r-----------a-----a-------r-s a--------- This application/proposed action described Permission is hereby granted to the above a herein is found to be in accordance with the Applicant to erect or alter the building described zoning Laws of the Town of Queensbury. herein in accordance with said Application: 4 t t d f ¢ a 1 p a e d i ' t a ZONING APPROVAL DATE r BUILDIN C S APPROVAL i d d t —---------I---- ----a-a-------r-a- .tea-? ------------ a .. ..-. . d ?o-U,n trNut'ens�m-u �.o€.'tmun'�y Dev lt�t��'?ent Office 742 Bay jloa �, t?f'<'1tS�11. jy, L ���, !�:c���^3` 1 FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW 2008 669 McDonalds— Rt9 1/16/2009 I have reviewed the submitted drawings for the above project, and offer the following comments 1) Fire extinguisher locations to be discussed 2) Any exit signs or emergency lights displaced shall be replaced. 3) Owner to verify with fire alarm contractor that all devices are still in the proper locations. 4) Contractor to provide for maintaining operation of fire alarm system during construction, without contaminating devices. 5) Any changes / modifications to cooking lines will require submittal of new layout and an inspection by Ansul certified agency to verify the suppression system. Fire Marshal Michael J Palmer 742 Bay Road Queensbury NY 12804 518 761 8206 firemarshal@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437 -flrentarshal@queensbuitt.net • wzuzu.queensbury.net ---- ant una%,nLLL GUMPANIES 191002 I 2008-669 IMPORTANT---------- ------ If the certificate holder Is an ADDITIONAL INSURED,the pollcy(ies)must be endors M.A statement on this Certificate does not confer rights to the certificate holder in lieu of such endon::ement(s). If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certiflcate does not confer rights to the ceMcate holder in fieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a co itract between i the issuing insurer(s),authorized representative or producer,and the certificate holds^r,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the polici+is listed thereon. 1 I ` ACORD 25(2001/08) I i CERTIFICATE OF L i 23`" PRO MxeR (978)897-7773 FAX (978)897-153 MAA110N TM GeuMll Companies Insurance Services. ] 2008-669 973 Great Road. Suite 102 T�°OR PO Box 844 Stow, NA 01775 _ -- - - - Am a Iwom Hillson Contractors Inc - - - - LWER A. St Paul Travelt::rs 0060 70K Striping. LLC 8' 2032 Route 119 INSURER C. Rindge, NH 03461 WSUAERD: �(Nl16R E' i THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO_iCY PERIOD INDICATED.NOTWITHSTANDING ANY REGUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W PTM RESPECT TO W HIO THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM a",EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. I SR ADWL TYPI of INSURAWA POLICY NUMBER POLICY EXPIRATW LHNTB GENERALLIASILIrr DT-0-0916L649-IM-08 03/02/2008 08/01/2009 EACHOCCIIRRENCE s 21000.0001 X. COMMERCIAL GOOK LaelLm GAMA.GE TO ROM s 300.0001 CLAIMS MADE XX OCCUR MED V(P(Any a.r PAN i 5.004 A PERSONAL A ADV NAM S 1.000. r3ENERAL AGGREGATE 3 2 000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPW AGG s 2 000. POLICY I LOC AWOMOAI.ELAKORM DT -810-7S60L281-00E-08 08/01/2008 08/0wZ008 =NWOMMEUmIT x AaYAUTO "ammem) l o00 ALL OWNED AUTOS 80DILY INJURY s SCHEOUL6U AUTOS IrNn PIINwni A X HIRIID AUTOS BODILY INJURY $ )( NON-OWNED AUTOS IPNKscddwb PROPSRTY DAMAGE _ (PIISaidgnq GARAGE CRY AUTO ONLY-EA ACCIOENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCHSWUMBRELLAUASILITT DT -CUP-7560L293-TXL-08 08/01/2008 08/0l/2OOS EAcHOCCURR0x4 a 1,000 x OCCUR Q CLAIMS MADE A0GREGAT6 $ 2.000.000 A s DEDUCTIBLE s 1 X RETENTION s 10,000I wDRIwIa COMP@IIATpM aNS WC sTATu- x OMPIAM11MLIAeanr DTNUB-S708868-2-0S 08/07./2008 05/01/2009 E.L.EACHAcOMW S 500,004 p ANY Lv c11TME E.L.DISEASE-eA EMPLOVEE s S00 0 M �F30 3 , ILL DISEASE-POLICY LIMIT s S00. OTHER DESCRIPTION OF OPUMTIONS I LOCATIONS I VEHICLES I E=L.UIIONS AM=IY UNCOMIIIIIIINT N SPECIAL PROVISIONS SHOULD ANY OF THE MOVE MCI MEG POLICIES OE CANCELLED 11"ORe THE W~T1O1 DATE THEREOF,THE ILI3U NG NNIURER WILL®pF.AVOR TO MAIL 10 oAYs woTTEN Nomca ro Tm cjiRT rATI:HOLDM NAM PTO THE LEFT- ToMm of Quuensbury LIT S FAILURE TO MAIL SUCH NOTNG:SHA616IAPOW NO OBLIGATION OR LIA KITY Attn: Building DepartMent or Any Rwo UPON THR*W)RS"L"-zAGENT11ORI W$EwATWr m Queensbury. NY 12901 RSPRESERTAiA1e �1 `�7 ACORD 26(20010e) GACORD C0 TON 19ee Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection st ecei Queensbury Building&Code Enforcement Arrive: Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initi s: NAME: McD .�J PERMIT. : �'j�--(Q� LOCATION: DATE: COMMENTS: Y N NA Chimney/"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish/Grade Complete 6"in 10' or Equivalent Interior/Exterior Guardrails 42 in. Platform/Decks _ Interior/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq. ft. All Doors 36 in.w/Lever Handles/Panic Hardware,if required Exits At Grade Or Platform 36(w)x 44"(1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator 18" Above Grade Floor Bathroom Watertight/Other Floors Oka Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft. or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/z doors > 10%> 1000 s .ft. 3/a Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping,3,000 s . ft. Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" Smoke Vents Or Fan, if required Elevator Operation and Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ramp/Handrails Continuous/12 in.Beyond[Both sides] Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway Water Fountain or Cooler Building Access All Sides b 20' /Driveable Surface 20'wide Oka To Issue Temp, r Permanent C/ Okay To Issue C/C L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc F 1 0 �. Inspection for Permit to Occupy Fire Marshcd's Office Request Rec'd d�2 I(-) 9 Permit No. 669 Town of Queensbury 742 Bay Road Q Queensbury,NY 12804 Scheduled Inspection Date: S / Time: Phone: (518)761-8206 Business Name: Fax: (518)745-4437 Location: G"e C f T T of 111UPOC&M N/A US No EXITS: Exit Access Exit Enclosure COMMENTS Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Si -normal / Sign-battery EVAC signs in rooms ! TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun inspection of extinguisher FIRE ALARM SYSTEM , Fan Shutdown Fire Sprinkler System Fire Suppression-kitchen Fire Suppression-Gas Isiah Generator Hood Installation Elevator Interior Finishes Storage Compressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wiring Enclosed/Labeled Combustible Waste Vehicle impact Protection Knox Box F.D.Si na e-Wility Rooms No Smoking Signs Maximum Occupancy Sign Emergency Evacuation Plan Approved (If no other approvals apply,the B&C Office will is et Certi at of Occupancy) Li Denied / call for Recheck Inspected By: L:\FireMarshal\New Folder\permitto occupyform.doc Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection re s �.eceiv : _ Queensbury Building&Code Enforcement Arrive: epart: Z / n 742 Bay Road,Queensbury,NY 12804 Inspector's Initia NAME: �G��o PE T —CO LOCATION: 2J`�=�i'f'AT'rE q DA — COMMENTS: Y N NA Chimney/"B"Vent/Direct Vent Location Plumbing Vent Throug Roof 6"/Roof Complete Exterior Finish/Grade Complete 6"in 10' or Equivalent Interior/Exterior Guardrails 42 in. Platform/Decks Interior/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in. /Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 s . ft. All Doors 36 in.w/Lever Handles/Panic Hardware,if required Exits At Grade Or Platform 36(w)x 44" 1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Oka Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft. or Within Line Of Site �A�► \�L� Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %z doors > 10%> 1000 s .ft. ���-/1 3/4 Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping,3,000 s . ft.Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" Smoke Vents Or Fan,if required Elevator Operation and Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ramp/Handrails Continuous!12 in.Beyond[Both sides] Active Listening System and Signage Assembly SpaceA� Final Electrical lJ _ Site Plan/Variance required Jb Final Survey,New Structure/Flood Plain certification,if req. � 4 As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway Water Fountain or Cooler Building Access All Sides by 20' /Driveable Surface 20'wide Okay To Issue Temp. or Permanent C/O Okay To Issue C/C 91 1 L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc Commercial Final Inspection Rep Office No.: (518) 761-8256 Date Inspection r ue t r cc' e Queensbury Building& Code Enforcement Arrive: �epart: am/ 742 Bay Road, Queensbury,NY 12804 Inspector's Initia s: NAME: A V _ Q PERMIT#: — LOCATION: _ 1 DATE: --� COMMENTS: Y N NA Chimney/"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish/Grade Complete 6"in 10' or Equivalent Interior/Exterior Guardrails 42 in. Platform/Decks Interior/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in. /Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 s . ft. All Doors 36 in. w/Lever Handles/Panic Hardware,if required Exits At Grade Or Platform 36 w)x 44" 1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator 18")Above Grade Floor Bathroom Watertight/Other Floors Oka Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum l� Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For BoilersO Gas Furnace Shut Off Within 30 ft. or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/2 doors > 10%> 1000 s . ft. 3/a Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping, 3,000 s . ft. Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" Smoke Vents Or Fan, if required Elevator Operation and Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ramp/Handrails Continuous/12 in.Beyond [Both sides] Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway Water Fountain or Cooler Building Access All Sides b Surface 20'wide Okay To Issue Temp. ermane Okay To Issue C/C LABuilding&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection req Queensbury Building&Code Enforcement Arrive:j1, J-f a rt: 742 Bay Road, Queensbury, NY 12804 inspector's Initials NAME: ��:� ,�``� _ ERMIT#: LOCATION. _ INSPECT ON: -- TYPE OF STRUCTURE: Framing Y N WA COMMENTS• AM-Kc-cess,22' x 30" minimum Jadc Studs/Headers Bracing/Bridging Joist hangers Jadc Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 h 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 water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side's inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. eM 5.7 sf above/below grade 5.0 sf grade LABuiiding&Codes Form9-=\8ui1dN&CodesWnspec ion FomisTraming Firedoppinq Inspecxion Report.doc Revised January 7,2006 . , ., �- _ _�, ?L — .-. <. . , a _ .. _.__ _ _— __ . Rough Plumbing / insulation kTioection Report Office No. (518) 761-8256 Date Inspection reques eceived: Queensbury Building &Code Enforcement Arrive: 12�DD a _a pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: '�° PER t i LOCATION: r INSPECT ON: TYPE OF STRUCTURE: Y44 NIA Rough Plumbing/ ail Plates /Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet 1 change of direction P eT t e rai nt /Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If r uired unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Inspecti n Report Office No. (518) 761-8256 Date Ins ecti r s ived: ,�„ Queensbury Building &Code Enforcement Arrive:�a f art: • an�� 742 Bay Road, Queensbury, NY 12804 Inspector's Initial i t M C� �1� PER I e #: NAME: LOCATION: _ �t��h � �.ST�—�. INSPECT ON: Z—L-—tit TYPE OF STRUCTURE: Y N N/A Rough Plumbing /Nail Plates Plumbin Vent/Vents in Place 1 Y2 inch minimum Drain Size Washing Machine Drain 2 inch minimum leanout every 100 feet/change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above h' hest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation J Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Dud/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Dud work sealed properly/No duct tape COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008