2002-070 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)..761.8256
P. . C ERTI F'I CAT E 0 F 0 C C L1 A N CY
Permit,Number: . P20020070 Date Issued: Monday,June 24,2002
This is to certify that work requested'to,be done as shown by Permit Number P'20020070
has been completed.
Tax Map Number: 523400-296-008-0001.010-001.0000
Location: 71 WAWRLY Pl-
Owner: MICHAELS GROUP LLC TBE
Applicant:, . 'MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Otdet of Town Board'
Garage,-2 Cars Attached TOWN OF QUEENSBUBY
Townhouse
Ditectot of Building&Code Enfoketait ,
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020070 Application Number: A20020070
Tax Map No: 523400-296-008-0001-010-001-0000
Permission is hereby granted to- MICHAELS GROUP LLC THE
For property located at: 71 WAVERLY PI
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. TVe of Construction Value
Owner Address: . MICHAELS GROUP LLC THE Townhouse 179,900.00
1:0 BLACKSMITH Dr Garage-2 Cars Attached
MALTA,NY 12020-0000 Total Value 179,900.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
MICHAELS GROUP
SUITE 1
10 BLACKSMITH Dr
MALTA,NY 12020
Plans &Specifications
2002-070 LOT#32'HSE#71 WAVERLY PLACE
1932 SQ FT TOWNHOUSE WITH.2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$318.78, PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,January 30,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date)
Dated at the T n of uee urvAW n day,January 30,2002
SIGNED BY for the Town of Queensbury.
urY•
Director of Building&'Codenforcement
Building Permit Application'
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No' l0
No inspection will be made until applicant has received a Dee,Paid �$� 7
valid building permit. All applicants' spaces oin this Rec. FCC Paid \$
application must be completed and trust appear on the Reviewed Bp,+
application form.
Applicant: IFlAy— Owner: �(�(!►'E,.
Address: � r,n�sc�., '� Address:
Phone#(5_e) Cg3\ 1 Phone#( ) '� AN
TOWN 01 OC}��R;SF3URY
Prop �►u.4Yl �'1 `=�� 1 ert Location: Lot Number: �/`� �/ House Number / �t, A.,;D 000E
Subdivision Name: \L"6y ks,4 1�-1ccE Tax Map Number:
New Building: residence /commercial Estimated Market Value of Construction: $
❑ Addition: residence/ commercial If an Addition, what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describe )
Cbeek Occupaneyinformation t"Floor 2"` Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
a Single family dwelling..
❑ Two family dwelling
X Townhouse ( 193�
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ I car attached garage /�3
X 2 car attacbeg_garage
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what? �•� .
Type of Heating System: electric/ oil / gas wood /forced hot air/ baseboard/other:
Number:ofFfrenlaces..to Number of IYoodstoves to be installed •�c.
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder E 'Nl%Ck l%
Plumber C- 1�1251� C�tk � J5 -ZACA-
Mason 5 3 G 42l— 55%&5
Electrician
Declaration: please sign below af1cr 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 lhe.I3ttilding Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whcllicr 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,as requested by the Zoning
Administrator or Director of Building n C es,an its Built Strrvey by a licensed surveyor;drawn to scale,showing actual
location of all n oastruc ' it.
Signature: owner,owner's agent,architect,contractor
Application for Permit—Septic Disposal System
Town of Queensbury 742,Bav Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Office Use -
Location of installation: 1 C
File Permit No. V Z'~ -76
Tax Map No. / I
ip°�A j! Fee Paid
Owner's Name: V crl Nu, V {
Address:
- `j1 .
2. INSTALLER'S NAME kC- PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate 0-bedroom(s)and multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House- No of Bedrooms x tghr potation Total Daily Flow.
1980 or older x 150 gaiibdrm = .
1980—1991 x- 130 gallbdrm =
1991 present x 110 gal/bdrm = =
Garbage Grinder Installed yes— I no
Spa or Whirlpool Installed yes t no
4. PARCEL INFORMATION: . (circle applicable information&indicate measurements)
Tonoaravhv Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Su_pSsls[
Flat sand at what depth at what depth municipal
Rolling loariz. fe
. et Meet well
Steep slope clay tf well;water supply
_%slope other from any septic-system
depth: absorption is ft
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate. .. minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be dedgnedby a licensed
professional engineer or architect(unless installed in a,i'lanning Board approved subdivision.). Add 250'gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: gallon(min.size 1,000 gal.) ��W
Tile Field: each trench ft Total System Length:
Seepage Pit(s): number of size of each: ft: by_f�
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System.and associated electrical work roust be inspected by a Town approved
electrical inspection agency. .
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
Tor your protection,please note that pursuant to Section 136 29 of the Code of the Town
[of Queensbury,any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall be void.
I have read the regulations with respect to this application and agree to abide by these and all-
requirements ofthe Town of Queensbury'SanitarySewage Disposal Ordinance.
Lam' Date
Signature of responsible person
TOWN OF QUEENSBURY i
�Pa
BUILDING & CODES DEPARTMENT —
APPLICATION FOR: PORCHES-DECKS- PernTit 11
DOCKS & BOATHOUSES Est. Cust _
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALI_ Of- Till 1=OLLOb1ING:
The undersigned hereby applies for a Building Perr11•i t to do i l o�x ,n(j�tiDk which will be
done in accordance with the description , plans and specifications Submitted, and such specia,
conditions as may be indicated on t_he' permit, TW{7- SEl'S OF STi —ANUr I Z SHALL 13E SUBMITTf
WITH THIS APPLICATION.
TOWN OF QUEEENSBURY
Owner of Property:
TH'� � /f fF�
P,O. Address 16 BI '0,cK 5&\rt1 Phone U
Property Loicati on t]' ,ur V t Y LOT ?. Tax Map, 11
Subdivision Name- (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: — ate Address Phonell
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse
(Circle one)
Size of Structure to be built (square footage).:
Foundation Material : Width "Thickness
Depth of Footing, below grade.
Size of Posts or Studs: x x Long
Size of Floor Joists: x x
span
Decking or Flooring Material :
Now will Porch or Deck be fastened to building?
m
If Roof Will Be Installed, Answer Following Questions :
Size of Posts or Studs: — x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacing) : Span
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION:
TWO •PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto , showing clearly and distinctly all buildings , whether existing or proposed anti
indicate all set back dimensions from property lines. Show location of Crater supply and
location and configuration of septic disposal area.
Size of Property: ft. x ft.
Existing building(s) : Site ft. x ft.
Size ft. x ft.
- -- --- Use of Existing hull ding(s-).:—
Proposed structure , distance from property line: .
Front yard ft. Rear yard ft.
Side yards ft. and ft
If on corner, setback from side street: ft.
DECLARATION
To the best of my knowledge and belief the statements contained in this apialication,
.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 Zoni-ng Ordinance , and all other laws pertaining to the proposed work
shall be complied with, whether specified or not , and that such work is ,rthorized by the
owne r.
DATE: 4er
�� U SIGNATURE
Owner s,Agency, 'Architect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
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RESIDENTIAL.FINAL]INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement ��
Dept.of Community Development Arrive am/pm Depart
Town of Queensbury Inspector's Initi s
742 Bay Road
Queensbury,New York 12804 ,p�
NAME �r�-C.�l a�.�s� PERNUT# (1 ,70
LOCATION -7/ JA&kAm cti DATE C>
TYPE OF STRUCTURE �—
N/A YES O COA0VMNTS
Chimney HeightP B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required ��
Okay to issue C/C(Certif,of Complian r
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
V
(:3o
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: / U�--
Budding&Code Enforcement i
Dept.of Community Development Arrive am/pm Depa �' ai prn
Town of Queensbury Inspector's Ini 'als
742 Bay Road �J
Queensbury,New York 12804 cf-5 76
NAME /h;C q PERMIT#
LOCATION `1 k ,rest i`I 0 DATE 144 ) ,p
TYPE OF STRUCTURE - P,
N/A �NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation t
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/him/doors/main entrance 36"
Floor Finish XV
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every levelG_IC
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
0
3/4 hour fire door/door closer
Garage fireproofing C �{
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"ores oym floo
Final Electrical
Site Plan/Variance u ed
Final Survey Plot Plan Q Lam°
As Built Septic System layo t quired ✓�✓�� `� �� A0/�f�6G�,¢-�.
Okay to issue C/C(Certif.of Compliance)
kay to issue temp.C/O(Certif.of Occupancy)
kay to issue permanent C/O(Certif.of Occupancy)
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE r., amlpm: DEPAR amlpm Notes:
(518) 761-8256 'Inspector's Initiats'S
NAME: cy-xn C)Qn Gil�o- PERMIT#
LOCATION:— 1 INSPECT ON(date):
L —3
TYPE OF STRUCTURE:
RECHECK
N/A YE NO COMMENTS
ting Piers
onoli 'c P r Form
Reinforce 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
S, NO
F 0 -lit r Form
it Place
la
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-In
Insulation
Foundation WallsInterior 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/Bridgmg—
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:\,SueHemingway\]3uilding.Codes.Inspection.FORMS\GFNERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town o,f Queensbury ,
Ready at time:
Dept. of Community Development Request received: Meet:
Building c& Code Enforcement At time:
742 Bay Road '
Queensbury, AT 12804 ARRIVE _am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: r / _ S PERMIT# C;)C, —L/ .. D
LOCATION: ,,PECT CON(date):
TYPE OF STRUCTURE:
C
RECHEC (}Z.��
N/A YES NO COMMENTS .
Footings/Piers _
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for-48 hours following the placement
of the concrete.
-Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place —
Foundation/Dampproofing
Backfill Approval ti
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Hea' Rou In
,sulation o R f2 G-G p N
ation 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
L:1Suel4emingway�Building.Codes.Inspection.FORMSIGENERAL'INSPECTION REPORT.doc
Office Use
GENEF L WSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE-am/pm: DEPART7A m/pm Notes:
(518) 761-8256 Inspector's Initials3�
NAME: PERMIT# /
LOCATION: `� �aCU( l-- � INSPECT ON(date): 44 7�
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers _
Monolithic Pour Form
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/W allpour
Reinforcement in Place
Foundation/D ampproofing
Backfill Approval
Plumbing Under Slab_
PI ing Vent/Vents in Place
R gh Plumbing
eating Rough-In
nsulation Ora
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,hotu
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Commutaity Development Request received: Meet
Building& Code,Enforcement At time:
742 Bay Road ,
Queensbury, NY' 12804 ARRIVE am/pin: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: ti { PERMIT# <>—ooa—0 70
LOCATION: 1 INSPECT ON(date): c f
TYPE OF STRUCTURE: ]
RECHECK
N/A YES NO COMMENTS
Footings/Piers'
Monolithic Pour Form
Reinforcement in Place
The contractor is responsib for
providing protection from ezing
for 48 hours following the p cem t
of the concrete.
Materials for this purpose on sit
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heatin ough-In
ationcrL�.._�G�--�G
Foundation Walls Interior R-
Foundation Wails Exterior R �
Floors R
Walls R
Ceiling R
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
BracingBridgmi g
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:1SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
1
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE-am/pm: DEPART (am/pm
(518) 761-8256 Inspector's Initials
NAME: PERMIT# 0 -C,-o7D
LOCATION: L INSPECT ON(date): #Z�� 6—�71
V
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
- "I L
Footings/Piers_
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible fo
0
providing protection from freezi g
for 48 hours following the place ent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour V
Reinforcement in Place A
Foundation/D amppro ofing
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
lack Studs/Headers
Bracing/Bridgmig-
Joist Hangers
Jack Posts/Main Beam
I 7
4-
ra hour V
Penetration Sealed 7-
e Wall 2 3 4 hour
01,
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPARTEl Pin Note j
(518) 761-8256 Inspector's Initials
NAME: C_ PERMIT#
LOCATION: INSPECT ON(date): 06�1--
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour F
Reinforcement in lac r
The contractor is es onsible for
providing protect ct on laorn freezing
for 48 hours follo, ing he placement
of the concrete.
Materials for this pure on site
Foundation/Wallpour
Reinforcement in Place
Foundation/D pr i g
Backfill Approval
Plumb' g Under Slab
PI ing Vent/Vents in P ace V
V,
_.eating ough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
P er Attic Ventrarn el
, gj*et
V
Jack Studs/Headers
Bracing/Bridgmg-
Joist Hangers
Jaek Post am Bearn
arrier
aration 1,2, 3,hour
ene a 'on �ed
Fire ..all 2,3,4 hour
5 0 I'll M
L-ISueHemingway\Building.Codes.Inspection.FORMS\GENEP,AL INSPECTION REPORT.doc
GENEEAL MSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development D ection-reque received:
Building& Code Enforcement
742 Bay Road 571,
Queensbury,NY 1280 Arrive am/pm Dep r
Inspector's In tials
NAME: C `� PERMIT#
LOCATION: Pt5 ' L DATE : Z l
TYPE OF STRU E:
RECHECK
N/A YES NO OMMENTS
Footings/Piers 1
Monolithic Pour Form_
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
Fo dation/Darnpproofing /
ackfilI Approval ,
Plumbing Under Slab /
Plumbing Vent/Vents in Place /
Rough Plumbing
Heating Rough-ln
Insulation !`
Foundation Walls Interior R-
Foundation Walls Exterior R- 1
Floors R- f
Walls R- /
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers f
Bracing/Bridging t
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: c�
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart m/ m
Inspector's Initials
NAME: � s PERMIT#
LOCATION: DATE : �-
TYPE OF STRUCTURE: Al
RECHECK
N/A YE O COMMENTS
Footin rsf
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible for
providing protection fro freezing
for 48 hours following placeme t
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
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
.. RECEIVED
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TOWN OF QUEENSSURY
BUILDING AND CODE
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