2001-150 iA TOWN OF QUEENSBURY
oro742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010150 Date Issued: Monday, May 24, 2004
This is to certify that work requested to be done as shown by Permit Number P20010150
has been completed.
Tax Map Number: 523400-308-005-0001-077-008-0000
Location: 121 LAUREL Ln
Owner: DAVID & KAYE CONLON
Applicant: DAVID & KAYE CONLON
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
a I 4
Director of Building&Code Enforcement
1
1�� TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010150 Application Number: A20010150
Tax Map No: 523400-121-000-0017-008-000-0000
Permission is hereby granted to: DAVID & KAYE CONLON
For property located at: 121 LAUREL 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: DAVID & KAYE CONLON Residential Addition 53,000.00
121 LAUREL Ln Total Value 53,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
WILLIAM WEAVER COMMONWEALTH ELECTRICAL A(
743-1288
6 HAZEN P1
FT EDWARD,NY PO BOX 706
HAGUE,NY
Plans & Specifications
2001-150
RESIDENTIAL ADDITION (LIVING QUARTERS/FAMILY ROOM)AS PER PLOT PLAN
SPECIFICATIONS
$104.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,April 18,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T o uee/,u ; d,/•s• • ,April 18,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queenshury, NY 12804 1761-82561
° BUILDING & CODE ENFORCEMENT
INOTICE' \ Requirements prior to issuance r
A permit must be obtained before of this permit: PERMIT FILE NO. 0.%,;,,k- �i 5u
beginning construction. No inspections PERMIT FEE PAID$ l �'t c,,
n
will be made until applicant has received Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use
applicant? RECREATION FEE 'AI?
pp spaces on this application
MUST be completed and the signature C] Planning Board Action REVIEWED BY: /
of the applicant must appear an the
SPR / Subdivision /Other / dlding Inspector epltcatian form. Think you. J Recreation Fee Payment J
Applicant: UJ i (L lA AA LU LAJEL Owner: DA 0lb+ kAUt6 4AIWA)
• Address: CO PA-2-41N) P`-., L 7 'EW',l°4✓) Address: 12-` l,.A UPS L- I,QJ ' 0}66,05-10r_
Phone # (n i) Z1/3 - 124/ Phone # ( s 1f ) 79 d - .9Z '76,
Property Location: 1 z-1 (._-A U/L6-c.., - q b 17 / 1 7- 6
Subdivision Name: C( � C5� %'�"'� _ T� Map Number _ �—/
+7►�i ` ��/ J 42 �� Section Block Tot i
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 5 3/dam
residence / commercial
Additio _ ding:
resii - / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primayry Building -
residence / commercial 6/Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
If ADDITION, what will u e
1st Floor 3 sq. ft . of new addition be? :
2nd .Floor. . ., 5?-4 — sq. ft.
Other Flouts sq. ft.
(not unfinished cellar or basement) ACCES RY BU DINGS:
D tac d Garage 1, 2 car
TOTAL FLOOR AREA: / -2 ?" SQ. FT. At ed Garage 1, 2 car
P ' to Storage Building
SIZE OF NEW STRUCTURE: omme cial Storage Building
3 7 FEET X 2 L--- FEET C-her
Foundation Type: (.1)A)(.46C-6. Will any second-hand or ungraded ,-,
' Number of Stories : • 2— ) lumber be used? If so, for wh
(habitable space only)
Height (grade to ridge) : 1� feet TYPE OF HEATING SYSTEM:
Number of fireplaCes and/or wood stove (circle all whic ies)
to be installed:_ / Electric Oil /_ / Wood
Gt'orced Hot Air :ase.oard / Other
Person responsible fpr supervise n of work a regards to building
codes is : 3llk LIJ VtO L- liA2 - -74/3 _il-rr
Name Addresss Phone
Builder: 2L( }61 t/d-t___ 4s 4a fv6-
Plumber: G. Cr. 1-(L,orr\IC0 -1- (ZS Pi‘C,.orzC I U66it/s U -71'2—,a2Z-0 441,oti/�.e�Jdr1
Mason: tT /rtil h A) l�yrrrsv /i/.' e /l i' 7T 2 469 ci
Electrician: h'ti.6i S{, C;F. � 2 O7ZC�
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a
Certificate of Occupa y'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor- yawn to sca howing actual location of project on premises.
Signature:
(owner, owner's agent, architect, ract r9
ti DI till.t3Y LUUt APPLICATIONS
�Y, 3 ENERGY CODE COMPLIANCE APPLICATION
- TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance hods : PART 5 - Acceptable Practice Method -
'= 1&2 Family Dwellings (only) ;4,
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings ( 3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION: rel n)D6�
W1 A vv., A Os fZ____ 1 z( Li41 ur�� CA,Q6 P [pai- P6 ,
L
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: .
1 . Gross Floor Area - / 2_ 4Th t square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors Over 17% Under 17%.
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 38
b. Exterior walls R
c. Glazed areas R -3�
d. Exterior doors R 7, 6
e . Floors over unheated spaces R
f . Edge of slab on grade (heated building) R
• g. Basement/cellar walls (above grade) R - ',�
h. Basement/cellar walls (below grade) R 4/
i . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App icant ' s Si ure at Phone Number
INSPECTOR' S REMARKS :
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,IN
Main Office 176 Doe Run Road-Manheim,PA 17545 L�%
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
'ermit No. (�`� �l� Cert. 0 7 6 0 7 9 Cut-in Card No.
)weer �°- .4 N 6_0
.ocation 1�I -/Q'��1 ....Z• (-A • rr
nstallation Consisting of uL L T �/U5 P l!'ill �2-
p,A4,4-�.- ADD 'i aN V-&A2. -
nstalled By "" Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
ancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
rtroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making i ctions at any time, and if its
ales are violated,the Company shall have the right to
cv(J/,e this .• ate.
)ate 5 - Z 7 _Q/ INSPECTOR Or
Member N.F.P.A.,I.A.E.I.
Queensbury Building & Code Enforcement - Residential Final Inspection
/,, 1
Office No.(518)761-8256 Arrive: am/p /2D�mart: Wm/pm
Date Inspection request received: Inspector's Initials: j'IK 9 ))
NAME: 1,s \ QS 1\�{��y� PERMIT#: c3Q?O/` 1 5C
LOCATION: f l 2 S=t c 2OC ,,t c>� y�� , DATE: — f) d `) / i
TYPE OF STRUCTURE: A �� / 4
Comments C-
Y N N/A
Chimney Ht./"B" Vent/Direct Vent Location
Fresh Air Intake3 A- G'7
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish 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
Enclosed Stairs Sheetrock Underside minimum '/2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 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/Heat Trap/Water Temp 110 ✓J
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:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. 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 required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res.Final Insp. form 2.docLast printed 2/12/04
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED _ PERMIT# -1 S O
(ji
NAME
LOCATIOV l
SCHEDULE INSPECTION ON '7_3 f
AM PM ANYTIME
APPROVED
I N/A YES NO
EXITS ( _
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTE
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNI S
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY -
FIREPLACE-FACTORY BUILT '-`(2 1-t
REMARKS: OK TO THIS DATE
S {9REiitoos 44.. 11P
i c
INSPSLJP.PUB INSPECTOR
FIRE MARSHAL C`r` Y 11k.
TOWN OF QUEENSBURY QUEENSBURY, NY 12804
(518)761-8205
FIRE MARSHAL INSPECTION REPORT )
REQUEST CEIVED PERMIT �/5O
I
NAME p Z:4)
LOCATION I a,\ c O
SCHEDULE INSPECTION ON (p- -
AM PM NYTIME
APPROVED
N/A 'YES ' NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHE
FIRE ALARM SYST
FIRE SPRINKLER S ST
FIRE SUPPRESS! STEM
HOOD1 T
INTERIOR FINISH
STORAGE:
CLEARAN E TO SPRINKLERS
CLEARAN TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
,6REPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARI 3 OZ -1j Kkk ❑ OK TO THIS DATE
il>vc4.6d �v l
D1 KOVLr7 - )72_ " c (06,5
\\' #)
INSPSIIP.PUB INSPECTOR
FIRE MARSHAL
TOWN OF QUEENSBURY
`� j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# a/ �.5U
NAME �D,NCDir/
LOCATION 12 L -v,? r C`"f
SCHEDULE INSPECTION ON 1' Zz_/oI
7;e7 AM PM ANYTIME
APPROVED
N/A 'YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM _
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE: _ I
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY /
FIREPLACE-FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
Of ,/
INSPSUP.PUB INSPECTOR
AO
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road J�
Queensbury,NY 12804 Arrive am/pm Dep V
Inspector's In''als
NAME:
PERMIT# — I)
LOCATION: U a DATE: —
TYPE OF STRUCTURE: S� t
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinfoiceiuent in Place
The contractor is responsible for
providing protection from -zing
for 48 hours following p •.-went
of the concrete.
Materials for this purpo on site
Foundation/Wallpour
Reinforcement in Place
Fonndation/Dampproofi .. __.._
Backfill Approval
Plumbing Under Sl•
Plumbing Vent/Vents in P
Rough P 'ng
g Roqgben
ation \N1Q• -
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R 1
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
60,441, e
FIRE MARSHAL '
41111ilkimpai TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# )
NAME \-----'Nj7t ll D—T-:O\r--p_\rN--
LOCATION /c I (La-c?�- ==� 1f -Q
SCHEDULE INSPECTION ON (-P JJ
AM PM ANYTIME
APPROVED
N/A 'YES I NO
EXITS i
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTE
FIRE SUPPRESSION SYS M
HOOD INSTALLATION
INTERIOR FINISHES--
STORAGE:
CLEARANCE TO S'` NKLERS
CLEARANCE TO H TING UNITS
REQUIRED SIGNAGE
CHIMNEY *DIQE<1
WOOD STOVE
FPLACE-MASONRY V p
FIR ACE-FACTORY BUIyT KD.R
REMARKS 1 6w� ❑ OK TO THIS DATE
Vkoutp& iJOt . / 7* *T,oA)
GENERAL INSPECTION REPORT (/
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 3,14 am/pm Depart pm
Inspector's Initials',
NAME: l % PERMIT# -4SJ
LOCATION: DATE: '
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers -;
Monolithic Pour Form
Reinforcement in Place
The contractor is r- .+nsible for
providing protection ' om freezing
for 48 hours followin_the placeme
of the concrete.
Materials for this purpo =on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dam•• •
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pl. -
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R
Foundation Walls Exterior R- 1'�
Walls ' ' R- `'J y ' J4k 4 raid G/f t�1�N t�t v
Floors Ceiling
R 36
Duct work or piping in
unheated spaces -
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 FirPeAela
Fire Wall 2,3,4 hourFirestopping ✓ v c/
e/Y)
_,�
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: ` i a/
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive /'?- am/pm Depart m
Inspector's Initials 7r/
NAME: /2 /
L ' / ��"� PERMIT# 4e'b
LOCATION: Late DATE: � 917t—e,,,C
TYPE OF STRUCTURE::
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is sponsible or
providing protecti.,n from freezing
for 48 hours folio 'ng the plcement
of the concrete. /
Materials for this • •• on to
Foundation/Wallpour
Reinforcement in Pl.•
Foundatio P: •• g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing
Heatin ough-In
(I'nsulation ✓
Pilo adatioii Walls I • 'or It-
Foundation Walls E riot- R- 0
Floors R- %C1,1
x , 6/5 j
Walls R- l(1 %,Ji��d�r�
Ceiling R- �� hfiJ� �'�
Duct work or piping in Cr.�
unheated spaces R- .fe l r t
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
0j 1
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement r"
742 Bay Road 7
'
05
Queensbury,NY 12804 Arrive am/pm Depart? _Lr'm
Inspector's Initials xii
NAME: Ce,- AJ PERMIT# le/—
LOCATION: t Z n,) DATE:
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers / \ 1 I I
Monolithic Pour Form
Reinforcement in Place l\
The contractor is responsible for \
providing protection from :-zing \
for 48 hours following the p .«-ment 1
of the concrete.
Materials for this purpose on si -
Foundation/Wallpour ,
Reinforcement in P ace
Foundation/Dampp ,.' ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
a on Iteatg Rough-in
(M
, /
Foundation Walls Interior R i
Foundation Walls Exterior R',Floors R- loi
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers r
Bracing/Bridging
Joist Hangers iI
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I,2, 3,hour
Penetration Sealed
pre Wall 2, 3,4 hour , fit J
Firestopping 1v K lC�"/3'
✓f^ ,..� 1 ,
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement /J/�
742 Bay Road �, y'
Queensbury,NY 12804 Arrive am/pm Depart • ..,,ttj
Inspector's Initials
NAME: \,.,._,_ "\\ - 'r\ • ,` w.s PERMIT#' `
LOCATION: `-i ) , : ' DATE: ., - '`''y
TYPE OF STRICTURE: /` ,
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is rest•nsi. e for
providing protection •m freezing
for 48 hours following a yilacement
of the concrete.
Materials for this purpose • site
Foundation/Wallpour ,
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval I
Plumbing Under Slab
Plumbing VentNen Place
Rough Plumbing /
Hea ' g Rot -1n Lec3
i. Foundation Walls Interims R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- /
per Vent, Attic Vent //
naming
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
2 10)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart s m
Inspector's Initials
NAME: C.0 N L 0 4 PERMIT# d — 5�
LOCATION: II_\ At..) RGt DATE : D /
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers l f 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl; for \
providing protection from ing
for 48 hours following the p. -ment
of the concrete.
Materials for this purpose on si - ,
Foundation/Wallpour ,
Reinforcement in Place
Foundation/Dampproofing
Backfill Appro
Plumbing Under
Plumbing Vent/Vents in Place
Rou Plumbing
ing„Roin
xan '�� T1+U �I
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
r Attic Vekt
Jack ds/Headers,/ �"//
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
enetration Sealed
ire Wall 2, 3c4 h ur
f
/44,4,)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road j
Queensbury,NY 12804 Arrive am/pm Dft D a m
Inspector's Initialsepa
N ,� . PERMIT# t—/50
LOCATION: � lJo,s‘ • (NC) . DATE : — 1
TYPE OF STRUCTURE: i 1 (f l-
RECHECK
N/A YE i/1V0 COMMENTS
ootings/Piers 1 z i
Monolithic Pour Fo ,Reinforcement in P . e", +^ 4-4—
The contractor is -sponsible for
providing protecti n from freezing
for 48 hours folio g theplacement
of the concrete.
Materials for this purpo-- on site
Foundation/Walipour
Reinforcement.,n Place
Foundation/Danwroofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
) 3o 4P :
t.
0 y kle___
p ,
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury /'
Dept.of Community Development Date inspection request received: (----
Building&Code Enforcement
742 Bay Road J�`
Queensbury,NY 12804 Arrive am/pm Depa
Inspector's Initials
NAME:/ 6D-Viii
C 4c-e
1 PERMIT# 6 D/-f 3 8.
LOCA7TO 102/ ( DATE: 2�/
TYPE OF STRUCTURE: a,,,,a,RECHECK i� / . e Vit--44'J
N/A YES NO COMMENTS
kiontingsCer l I C X® CAN c)( _/�
Monolithic our Form
Reinforcement in Place
The contractor is responsible for
provi•'- protection from freezing
for 4: hou following the placement
of the oncre -.
Material• for thi-purpose on site
Foundati• all,,.ur ,
Reinforce ,ent in 'lace
Foundatio•1 I am,,•roofing
Backfill Ap' ov.'
Plumbing U v Slab
P bin!, V ents in Place V
✓ C v'w�Pu4;C— %0 .k I AJ
Heating Rough- / -- /11 Ar t c PC-ifi&
Insulation G�✓ __.
Foundation W. Interior R-
Foundation Wall,Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping 1,
unheated spaces R-
Proper Vent, Attic Vent
61. lack Stud Headers (.57- eitri.6.
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U Q J Joist Hangers //
�(�'` Posts/Main Beam �/ f
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battalion Barrier' J
Fire Separation 1,2, 3,hour
Penetration Sealed -
Fire Wall,2, 3,4 hour /";64L- 0 - E J
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