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99-657 \ TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 - Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. 99657 Date Issued: Friday, April 21, 2006 This is to certify that work requested to be done as shown by Permit Number 99657 has been completed. Tax Map Number. 523400-252-000-0001-020-000-0000 Location: 185 LOCKHART Rd Owner. PATRICK & CAROLE GERUSO Applicant: PATRICK & CAROLE GERUSO This structure maybe occupied as a: Unknown By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the (" )j W 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. BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 0 Building Permit No. 9 9 6 5 7 TAX MAP NO. 23.. -1-28 Permission is hereby granted to GERUSO, PATRICK Owner of property located at 185 LOCKHART RD. in the Town of Queensbury,to construct or place aRESI DENT IAL ADDITION at the above location in accordance to 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. Owner's Address: P .O. BOX 3475 LENS FALLS, NY 12801 Contractor or Builder's Name: ERUSO, PATRICK Contractor or Builder's Address: Electrical Inspection Agency: Type of Construction: RESIDENTIAL ADDITION Plans and Specifications: 1000 sq ft RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS Proposed Use: ESIDENTIAL ADDITION 80 October 21 2001 . $ PERMIT FEE PAID—THIS PERAIIT EXPIRES (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.) 21 October 1999 Dated at the To of QueensbRla�u Day of SIGNEDti- for the Town!of Queensbury Code Enforcement Officer Building Permit �p AAA liq V E Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbuly, NY 12804 1761-82561 BUILDING & . CODE ENrORCEAIENACT 151999 NOTICERequirements prior to issuance ` OA 1 U of this permit: BU,I_DI'Rr'RM/T;FII--Ej1V0. 9 A permit must be obtained before — beginning construction. No inspections PERMIT 1%E13 PAID$ (:Fi9. 06 will be rondo until applicant has received Zoning Board Action a VALID BUILDING PERMIT. All Area /Use RECREATION TEE P D$ applicants" spaces on this application MUST be completed attd•the signature �] Planning Board Action REVIEWED I1Y. of the applicant-moat appear on die Planning 1 Subdivision /Other Urrl!<ling Lulxcror placation form. n , -,,,�+v_ � Recreation Fee Payment Applicant: VG�a�v� '0 C/NK�V� �� Owner: 2SL'"""`r Address: � ' ' L Address: Plione # (51 ) 66 'G'7� T Phone # ( ) Properly Location: �S��E �. Tax Map NumUer_ Subdivision Name: Section Block T.nt NATURE OF PROPOSED WORK: ESTIMATED MARKET A E OF THE New Building: CONSTRUCTION: $ residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Pr mary Building - residence / commercial Single family Dwelling Residence / Commercial Two family Dwelling no change to exterior size Family Dwelling Office Other Work (describe below) Mercantile Manufacturing nn[ Other GROSS AREA OF PROPOSED STRUCTURE: /69 `%[AOLS If ADDITION, what will use 1st- Floor. . . . . . . 6 to sq• ft . of npw addition be? : 2nd .Floor. . . . . . . O0 sq. ft. Other Floors . . . sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: ?i_� Detached Garage 1, 2 car TOTAL FLOOR AREA: SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building ` 0 Other "30 FEET X J TWEET Foundation Type: Will any second-hand or ungraded Number of Stories.: J lumber be used? If so, for what? (habitable space only) _ 1/10 Height (grade to ridge) : feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or wooZIstove (circle all which Oil lies) to be installed: d Electric / / / Wood Forced Mot: Air / aseboard Person res a.b),,e for supervis n�of work as regard��� codes is : Name Addresss Phone Builder: _ Plumber: Mason: -- Electrician: DECLARATION.- Please sign belmv alter 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, whetlier specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy'•or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licens s e t scale, showing actual location of project on premises. Signature: (owner, owner's agent, architect, contractor) Inspector's No. Date 19 COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC. (Consulting and Fire Inspection Services) (Incorporated in the states of Maryland,New York,Pennsylvania,Delaware and West Virginia) Desiring Certification of Approval, application is made for inspection of electrical installation in the premises described below. On demand,applicant agrees to pay for inspection service in accord with schedule of charges. PLEASE PRINT,. Bldg. El O Owner ... Type dg. DWG ther ........:............. :...::.................................................................................................t.................�..............- Occupant ..............:..... Building Permit No. ....,...,::.:.......... JobLocation .........:::::.......... ...........................................,.. ity...............•. ....-............ ........ _....... ........:......C State County :...:...:: r:..:::::......:............................Twp........................................M/C#......................:........:.,........ Swimming Pool—New, Old 0 Directions to Job Site ...........:............................................................................................................................................................................................... . ..........:.....•............:...............:..............:..........,.....................................................,:........................................................-............................................................ ...........................................................................................................................:...................................................................... Application For Rough Wiring f j Fixtures C7 Service i-J or .............................................................................................................................. Work—New 'I Additional❑ Bldg.—New 0 Old D Ready for Inspection ..............................................................:............... APPLICANT'S SIGNATURE LICENSE q PERMIT p PLEASE PHONE M' PRINT NAME APPLICANT'S NAME OF ADDRESS UTILITY OFFICE TO CITY STATE - ZIP CODE BE NOTIFIED' ROUGH WIRING SPACE BELOW FOR USE OF INSPECTORS ONLY OUTLETS' AMP SERVICE PUMP EQUIPMENT S HEAT OVEN WITCHES PUMP RECEPTACLES SURFACE GARBAGE UNIT DISPOSAL UNIT MEDIUM BASE RANGE FIXTURES MOGULBASE WATER DRYER FIXTURES HEATER FLUORESCENT AIR AMP, RECEPTACLES FIXTURES CONDITIONER MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER FRAC,H.P. QUARTZ FIXTURES I VENT FANS MOTORS,H.P 1120 11112 1 1110 118 116 114 113 112 314 1 11-1/21 2 1 3 Ti 10 15 20 25 30 40 50 75 100 MARK NUMBER1 OF EACH SIZE Inspector's Comments: 014 LCI Z f P.O.EOX 706 (61S)V3.0724 OFFICE ]USE ONLY WORK INSPECTED REPOR- cc —I o FEE PAID NOTIFIED TED U O SERVICE DATE CON- TOTAL $ Date Received: TRACTOR R.W.DATE OWNER CHECK NO. FINAL DATE OCCUPANT CHARGE Certificate No.: CERTIFICATE NEEDED AGENT CASH Date Sent: 0 YES C3 DUP ELEC. LT.CO. INSPECTOR Progress THIS A_'PPLICATION EXPIRES ONE YEAR FROM DATE MAKE ALL FEES PAYABLE TO C.E.I.S.1NC. WHITE/OFFICE PINK/INSPECTOR CANERY/OFFICER GOLDICUSTOMER ENERGY CODE COMPLIANCE APPLICATION / TOWN 9000UHEATBINGYDEGREEEDAYSUNTb,� ��I OCT 15 1999 Compliance Methods: PART 5 - Acceptable Practice Method - 1&2 Family Dwellings j(q",jy'FQUFH`NSBURY PART 6* - Thermal Rating - Compete' -'l'_rzd_eLL`0rt E 1&2 Family Dwellings; Multi-Fa.-nily Dwellings ( 3 stories or less) PF_ZT c* Design by Component Performance • Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLtC.A�iT' S NAME: PROPERTY LOCATION: ?4TZ� 6A �cxNc� Nkkok_ PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - ' (,00b scruare feet 2 . `type of heat - Electric Oil -Gas Other 3 . _s building mechanically cooled? Yes No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-V_=DUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS S-O-W T ON PLANS SUBMITTED: a . Roof R 3 b . Exterior walls R c . Glazed areas R a ®i{p d. Exterior doors R ,, � e . Floors over unheated spaces R ( _ Edge of slab on grade (heated building) R c . Bas enient/cellar walls (above grade) R 4 . Basement/cellar walls (below grade) R i . Heati ng/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heatinc device Conforms to minimum efficiency per code Yes No TEMP TURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED s Signature ItiS?= =CR' S REMARKS: f� Queensbury Building & Code Enforcement - Residential Final Inspection r Office No. (518)761-8256 Arrive: • " " a7lin �epart: am/pm Date Inspection request received: Inspector's Initials. pl- NAME: PERMIT#: 9 -- LOCATION: DATE: TYPE OF STRUCTU : }/J Comments Yes No N/A Building Number/Address visible from road _ Chimney Height/"B"Vent/Direct Vent Location Q Fresh Air Intake V 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete � � Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers e U-) Grade away from foundation 6 inches with 191bet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches 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 Attic access 30 inches x 22 inches x 30 inches(hei ht)in accessible-area Crawl Spaces 18 inch x 24 inch access, 1 s .1-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet 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 Enclosed Stairs Sheetrock Underside minimum%z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/Y4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan / As Built Septic System/Sewer Dept.Inspection Sticker ��r Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/®[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form—revised-1 00405.doc Queensbury Building & Code Enforcement - ReVnialal Inspection Office No. (518)761-8256 Arrive: , a m Date Inspection request received: Inspectors Initial : NAME: P IT#: / LOCATION: l SL..� c' D E: —/ 3--C> TYPE OF STRUCTURE: Comments Yes 'No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location /—, Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall T F Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy `) f/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight F Safety glazing/Winda in stairwells safety glazing Interior Smoke Det ors: Every level: Every edro m: V PC �. Outside every bedroom ar ��// / Inter Connected: Batte backup: 14 V ©� Z. Carbon Monoxide Detector � �t k Attic access 30 inches x 22 inches x 30 inches(height)in accessible area c Crawl Spaces 18 inch x 24 inch access, 1 s . ft,150 s .ft.vents Bathroom Fans,if no window \�� ��,J f�`17 Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below gade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical p M `} ► �`�+ Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required ►` W Flood Plain Certification,if required Okay to issue C/C or C/® [Temporary/Permanent z L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doe 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. Arriv pm Depa spector's Initi NAME: PERMIT# LOCATION: J' DATE TYPE OF STRUCTURE: RECHECK � � YES O COMMENTS VFootings/Piers ��C I Monolithic Pour Form Reinforcement in Place The contractor is responsible for \ providing protection from freezing for 48 hours following the placeme of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing 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 BracingBridgin ,\ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping 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 Lpectorls Depart Initia NAME: QJ PERMIT# / LOCATION: Fd DATE TYPE OF STRU TUBE: ((oYCP RECHECK A YES NO COMMENTS Ve mgs/Piers c LvZ6 ' Monolithic Pour Form Reinforcement in Place The contractor is responsible or providing protection from ing for 48 hours following the pla ement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing 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 N unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Readers 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 GENERAL MSPECTION REPORT (518) 761-8256 Town of Queensbury ,r L �I •-���G Dept.of Community Development Date inspection request received: `� p`� Building&Code Enforcement 742 Bay Road � Queensbury,NY 12804. Arrive Depart in Inspector's In la NAME: PERMIT# ( _ l V'��' l LOCATION: -<I- l4� DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form_ Reinforcement in Place The contractor is responsible for providing protection fr zing for 48 hours follow in the Iacement of the concrete. Materials for this purpo e o site Foundation/Wallpour Reinforcement in Place Founds' proo ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In �sulation Foundation Walls Werior 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 hifiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INVPECTION REPORT O�� �3 ( 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 epart nspector's Ini ' Is NAME: PERMIT# LOCATION: ©� ATE : 3 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers NI Monolithic Pour Fonn Reinforcement in Place The contractor is responsib a for providing protcctio -from reeling for 48 hours follow,ig th placement of the concrete. Materials for this purpose Foundation/Wallpour Reinforcement in Place_ Foundation/Dampproof i n [_ Backfill Approval Plumbing Under Slab Plumbin in Place A L-V-.,ff1EJ7 II) ough Plum i Heating Rough-In V- =Mf,71 iz: �i it �j 1- Insulation �� Foundation Walls Int for R- Foundation Walls Ex rior R- Floors R- Walls \R- Ceiling R- Duct work or piping in unlieated spaces R- e 7 �C, rIV -f Proper Vent, Attic Vcnl___ — •-�-��� � �������N Framing � - Jack Studs/Hcadcrs Brac,ng/Bridg,ng__ Joist Hangers Jack Posts/Main.Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3,4 hour FirestoppingMe-,—A Ai GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 5--7D1 am/pm.-,.--, Depart --T --T b/ part I Initi lnspec4o�r7s niti NAME: PE #PERMIT LOCATION: I ATE TYPE OF STRUCTURE: RECHECK N/A YES NO aCOMMENTS Footin ers Monolithic Pour Form Reinforcement in Place The contractor is resp6nsible for providing protection fr6m freezing for 48 hours following the Placement of the concrete. Materials for this purpose on ? Foundationfftllpour .. `, Reinforcement in Place Foundation/Darripproofing 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- t. Ceilimg R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Va C-r--iL-L-A V2 Vk\ raming AN 1)1.1 �\z E Jack Studs/Headers Bracing/Bridging C- NZ Joist Hangers Jack Posts/Main Beam I L ,T L C Z-LJ iA Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping t l _ 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 Depawb `dam/ m/ Inspector's Initials NAME: C- \ PJ� C�J PERMIT# 5 LOCATION: DATE : TYPE OF STRU TURE: AAA RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible f providing prote lion from free.ting for 48 hours foll wing the pl cmcn of the concrete. Materials for this pu se on s' e Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi ng Backlill Approval Plumbing Under Slab Plumbing Vent/Vents in PI a c Ro gh Plumbing eating Roug n nsulation Foundation Walls Intc r R- Foundation Walls Exte for 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 Scaled Fire Wall 2, 3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 / C 'town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement JOAO 742 Bay Road Queensbury,NY 12804 Arrive v ^ m Depart r spector's Initia - f� Q NAME: l� r✓t� iu U ;rE 1T# ! (O LOCATION: '� : 9 TYPE OF STRUCTURE: I RECHECK N/A YES O COMMENTS /ootings/Piers i( — 1 Monolithic Pour Form Reinforcement in Place The cont4SIa r is res n ible for providinection ro freezing for 48 hollowin t placement of the co . Materials fos pu e n site Foundationpour Reinforccm Plac Foundationpr �g _ - - Backfill Apl Plumbing U SlaPlumbing Vent in Place Rough PlumHeating Ron Insulation Foundation Wall Interior R- Foundation Wall 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 Scaled Fire Wall 2, 3,4 hour Firestopping � A GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road t � Queensbury,NY 12804 Arrive 1an6' Depart Inspector's Init' G NAME: PERMIT# I &O-T7 LOCATION: l $ pGI- jMa LA4 D�a 5 TYPE OF STRUCTURE: .� RECHECK h' N�A YES-NO COMMENTS Footings/Piers rI k I Monolithic Pour Form Reinforcement in Place 1 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/Dampproof i ng 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 - Duct work or piping in unheated spaces R- __ Proper Vent, Attic Ven Framing _ Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Scaled Fire Wall 2, 3,4 hour Firestopping GENERAL INVPECTION REPORT ( 518 ) 761-8256 . Town of Quccnsbury. Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Quccnsbury,NY 12804_ ,, Arrive am/pm Depart'� am/pm — Inspector's Initials 1� NAME: Gg U 'O PERMIT# r LOCATION: ! CT DATE : a TYPE OF STRUCTURE: RECHECK N/A YE NO COM11,MNTS Footings/Piers 6 X/�P r Monolithic Pour Form l) Reinforcement in Place — The contractor is respoi sible for //rJ$PTC� providing protection fr m freeing for 48 hours following I is placctlient of the con rete. Materials fort is purpose on site Foundation/WaI ur Reinforcement in ce Foundation/Da npproo Backfill Approval Plumbing Under.Slab s Plumbing Vent/Vcnts in lace_ Rough Plumbing . Heating Rough-In. Insulation Foundation Walls Int rior R-. , Foundation Walls Ea rior R- Floors R- Walls R- Ceiling R- Duct work or piping n 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 Scaled Fire Wall 2, 3,4 hour Firestopping