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2002-285 TOWN OF QUEENSBURY 742 BayRoad,Qaeensbury NY 12804.5902 (518)761.8201 Community Development-Building&Codes (518)761.8256 nr utRTIFICATE OCCUPANC%dvi. Permit Number P20020285 Date Issued: Tuesday,March 17 2009 This is to certify that work requested to be done as shown by Permit Number P20020285 has been completed. Location: 103 MEADOWBROOK Rd Tax Map Number. 523400-297.017.0001-013-000-0000 Owner., SHEILA BAPTISTE Applicant: SHEILA BAPTISTE This structure maybe occupied as a: Residential Addition 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: P20020285 Application Number: A20020185 Tax Map No: 523400-297-0.17-0001-013-000-0000 Permission is herebyranted to: g SHF,TT,A RAPTTSTF, ' f For property located at: 103 MEADOWBROOK Rd 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: SBE' LA BAPTISTS 103 MEADOWBROOK Rd Residential Addition $4,OOOAO Total Value $4,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency ROBERT S PRATT 17 OI TEENS Ln OITEENSBIYRY_ NY 12804 Plans&Specifications 2002-285 80 SQ FT GARAGE ADDITION AS PER PLOT PLAN SPECIFICATIONS $20.06 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,April 24, 2005 (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 Queensbury; Wednesday,April 24,2002 SIGNED BY for the Town of Queensbury. 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: P20020285 Application Number: A20020285 Tax Map No: 523400-297-017-0001-013-000-0000 Permission is hereby granted to: SHEILA BAPTISTE For property located at: 103 MEADOWBROOK Rd 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: SHEILA-BAPTISTE Residential Addition 4,000.00 103 MEADOWBROOK Rd Total Value 4,000.00 QUEENSBURY,NY 12804 Contractor or'Builder's Name/ Address Electrical Inspection Agency ROBERT S PRATT 17 OUEENS'Ln OUEENSBURY,NY 12804 Plans &Specifications 2002-285 80 SQ FT GARAGE ADDITION AS PER PLOT PLAN SPECIFICATIONS $20.00 . PERMIT FEE PAID- THIS PERMIT EXPIRES. Thursday,April 24,2003 (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 Qu ensbuty; Wednesday,April 24,2002 SIGNED BYE, for the Town of Queensbury. Director of BuilV97-'Nde Enforcement 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 NoCR :No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Rec. Fee Paid # `application must be completed and must appear on the Reviewed By: !:application form. Applicant: J 6 beef- Owner: 5"h e_-,%t (Io Address: ! ? 0tt<!--eot s' L. .+tUe. Address: /dam .���r✓bEa •tSPo6r <'�rve Phone#Q L) 9 a - Oo 7 Phone#(_) - t Property Location: Lot Number: I House Number,/ Subdivision Name: Tax Map Number:. ?' ❑/ New Building: -residence /commercial Estimated Market Value of.Construction: $ L4, a-z�c� t� Addition: reside - commercial If an Addition,what will use of new addition be? ❑ Alteration: res commercial &M RAjL� CAM), ❑ No change to exterior size: residence/com'1 ❑ Other work(describe ) f Check OccnpaucyInformation V Floor 2 Id Floor Ot o r Below sq.ft. sq.ft. sq.ft_ quay i eet APR 8 20M { Single family dwelling o Two family dwelling TOWN OF 01 JEENSBURY ❑ Townhouse al.n@ncr' .,"F3 0ODE ❑ Multifamily dwelling #of units Cl Office i ❑ Mercantile j ❑ Manufacturing {. ❑ 1 car detached garage { ❑ 2 car detached garage �. ❑ 3 car detached garage. ❑ 1-car attached garage ❑ 2 car attached garage Cl 3 car attached garage ❑ Storage building- f commercial I ❑ Storage building- -residential t� Others 5� What is the proposed height of the structure�_feet inches Will any second-hand or ungraded lumber be used? If so,for what? y>� Type of Heating System: electric/ oil / gas I wood. /forced hot air/ baseboard/other: 710-nta Number of Fireplaces to be installed Number of Woodstvves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder j f} Plumber Mason Electrician 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 io be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and an 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 k jwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature: Z�Oi -t f/ owner,owner's agent,architect,contractor i COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main Office 176 Doe Run Road -Manheim, PA 17545 MUNICIPAL CERTIFICATE on ELECTRICAL APPROVAL ? r Perrnit No.tfU f4f4t1 tir4r4?46161041114i+.+��! �NO I10 11 Cut-in Card No.#tfrt,111{I#auRffl#IIIIuf#fr4lfii 1 1 00ol Owner,,44444fftetfeli ftilfflrr! off of nr ! ill+real!ftfril.iiffattftrltrlrutitt!lltrr!lluttt! ltft#!llrttlflllittlrll441iipiii/{N4fffp{trt {H!r !oiler r• Aj + r Locationm, t44rififlR1#49ttifoP.-.0)toototooldoofpUt4,tiriitlff,iN41lt! i?04 l4tifretelt4p#fe1ltlff4gilefff4a#teloifiq{lRftt4e4ffMofN4iiilll4t114tt, it{fltet4efrrf ;(�y4 ! # f T 7* �J Installation on•+isting ` f4irrf! Itf44f,tflfifrlrtf1f4444ifffffff4iiffRffffutlfllttff4lNllt{e4ifi1fl ret4etrt4liirftiffitu4eftlli4t4rirr4tlNlllrrrifrNf,t still 11i i444iR4f 111{t4tffrll MtooRr{iif4{ff Rfff4fiff l fffNifi96 . 4 t tlIlllltr4i•144fe 4 t�,YtRHlNHMlr41 if i ##tell#640#144 Rolf N4N{fl 16404 #iof lfooi M14##il141tffR e4904404 iof4.4ff##{f44rlot Iloilo oe44lglie R o tool mmoot##l4{4ee{4414/i4#106#411o4$$###so 640#0414 m moil tiNNf#It,H44 InstalledByifi4ee#.fell#fff#u#n4II#fR#ueeRffaicellN4o4t4filRfit!!truer„,Iltfi4•rfu#fr•f4rrirli I11o# No. ###fellerfit##tl4ifii1lfNl!lf4R11,#Nl4ff#ffrtl,r The conditions following governed the issuance of this certificate, and any certificate previously issued is cancelled: - This certificate only covers the electrical equipment and installation conditions as of date, Upon the introduction of additional equipment or alterations, application shall he promptly made for inspection, Inspectors of this Company shall have the privilege ofpa '. nspections at any time, and if its rules are violated, the Company shall have the right t r v -kificater Datef,4411411ff4#4{flNfiflf4lr4riitN4,1#4frN4r114!# �NSPE T*/Rf1 offIRIR IIf11{i1RelIfii{I/ifi{Iifillet1f44#f{1 #molffR Wfool1041N4144f4 mpmhar N PP.A.. i.A.F.I. J Queensbury Building & Code Enf&cement a Residential F' I In Ction Office No. (518)761-8256 Arrive: P , am/pm Date Inspection request received: Inspector's Initia NAME: ER #: �- LOCATION: V6 a DA TYPE OF STRUCTURE; Comments: �. Yes No NIA 4" 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 Handrail 4 or more risers Guards at stairs decks atios more than 30 inches above rade' 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 Deck Bracing/Handicapped Ramp Compliant 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/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety.glazing/'Window in.stairwells safety glazing Interior Smoke-Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Batte backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access,l sq.ft.-,I 50 s .ft.vents Bathroom Fans,if no window Plumbin .fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 siq,ft. Emeraency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Fumace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler. Relief Values installed/He Tra /Water Tem 110 Enclosed Stairs Shestrock Underside minimum'A"Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fire roofs /%Hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Surve' Plot Plan Arc Fault Breaker in Bedrooms _ Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 Tempordry I Permanent LABuilding&Codes FormslBuilding&Codesllnspection FormslResidential Final Inspection Form_revised_100405.doe;Revised January 7,2008;Revised 6/26/08 Queensbury Building & Code Entorbement - Residential Fin I spection Office No. (518)761-8256 Arrive: d-. m part: amlpm Date Inspection request received: Inspector's Initials: 'NAME: Ale,- t PE #: LOCATION: D TYPE OF STRUCTURE: Comments: Yes No NIA 4° 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 Handrail 4 or more risers Guards at stairs deckspatios more than 30 inches above grade Guard at stairwell at 34 inches or more p l v Guard at deck,porches 36 inches or more r Handrail Termination at Newell Post or Wall i InteriorlExterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant 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/trim/doors/main entrance 36 inches %A?--S Bathroom/Kitchen watertight t _ Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents ' Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification 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 Fumace/Hot Water Heater operating Low water shutoff boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'"Gypsum 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 Final Electrical Final Survey Plot Plan Are Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C 10 1 Tem ora /Permanent L:\Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 r Queensbury Building & Code Enforcement - Residential ina spection. Office No. (518)76.1-8256 Arrive: °o rt: am/pm Date Inspection request received: Inspector's Init' I . ` NAME: f PER IT#: V-T—� LOCATION: - DAT /V TYPE OF STRUCTURE: cot'Inilmehts: es No NIA 4" Building Number Address visible from road �12 4 0" Chimney Height/"B°VentlDirect Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete S4TV3 Platform at all exterior doors �1 Handrail 4 or more.risers Guards at stairs`decks patios more than 30 inches above race Via)F ST f,��y�._ ��~ �7yy Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall FoS�- JQYeQ� 6��Y�vE➢ interlorlExterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ram Compliant Grade awe from foundation 6 inches with 10 feet 6 inch clearance to sill late Gas Valve shut-off exposed/regulator 18 inches above grade interior p6vacy I trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safely alazing/Window in stairwells safety g1weing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected. Battery backup: Attic access 30 inches x 22 inches x 30 inches ei ht in accessible area Crawl Spaces 18 inch x 24 inch access 1 sq.ft.-150 s .ft.,vents'. Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emeraency egress below grade Gas Furnace shut-off within 30 feet or within line of site t � p %�� Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating AA A\3 E OV- � Low water shut-off boiler Relief Valves installed/Heat Tra 1 Water Temp 110 Enclosed Stairs,Sheetrock Underside minimum'/"G sum 1{='1 r Vo �cep Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Ductwork Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding . As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,.1ti2qKed Okay to issue C I C or ermane t UBuilding&Codes FormslBuitding&Codesllnspection FormoResidential Final Inspection Form revised_100405.doc;Revised January 7,2008;Revised 6/26/08 --5 7 A Tub' . Queensbury Building & Code Enforcement - Residential Final inspection Office No. (518)761-8256 Arrive: 2 a / ep E�a M Date Inspection request received: Inspector's Initi s: NAME: l�S _.. A LOCATION: ATE: -- TYPE OF STRUCTURE: Comments Yes tdo tdfA ) ,`�/��� 4" BuildingNumber Address visible from road 'L7' `y `-�-> Chimney Height 1"B°Vent/Direct Vent Location Fresh Air Intake �'rA 3 inch Plumbing Vent through roof minimum 6 inches > Roof Complete 1 Exterior Finish Complete Platform at all exterior doors L9 r-,� Handrail 4 or more risers JJ Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,pgrches 36 inches or more Handrail Termination at Newell Post or Wall lnterior/Exterior Railings 34 inches to 38 inches Deck Bracing I Handicapped RampCom liant Grade awa tram foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off a sed/regulator 18 inches above grade Interior privacy 1 trim/doors I main entrance 36 inches Bathroom/Kitchen watertight Safety glazigg1 Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: ,Every Bedroom: Outside every bedroom area: Inter Connected: Bgeq backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft:150 sq.ft.vents Bathroom Fans,if no window Plumbingfixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. � Emergency ress below grade Gas Furnace shut-off within 30 feet or within line of site �C t3J�Qi t�J Oil Furnace shut-off at entrance to furnace area Fumace/Hat Water Heater operating Low water shut-off boiler a Relief Va s installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum Gypsum 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 Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C 10 Temporary/Permanent LABuilding&Codes FormslBuilding&Codestlnspectlon Forms\Residendal Final Inspection Fork_revised 100405.doc,Revised January 7,2008 & Code Enforcement- Resid Final Inspection Enforcement - 1(eSId Office No.(518)761-8256 Arrive: e Date Inspection request received: Inspector's Initials: ml ,2 NAME: ERMIT#: LOCATION: F10 DATE:TYPE OF STRUCTURE: Comments Yes No N/A Building Number/Address visible from road Chimney Hei&/"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 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/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(height)in accessible area Crawl Spaces 18 inch x 24 inch access, I sq.ft,150 sq.ft.vents Bathroom Fans,if no window E66 0 PE TecKI-0 LE�&- P�Z Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.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 Fumace/flot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp, 110 Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum 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 Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/?1rr—naneqL45:--' L:\Building&Codes Forms\Building&Codes\Inspection Fonns\Residential Final Inspection Form revisedI 00405.doc Ma Queensbury Building & Code Enforcement - Residential Final Inspection K 0J 7, Office No.(518)761-8256 Arrive: p D a r a pm �- Date Inspection request received: Inspector's Init' s: NAME: � J IT M _Z� ._ LOCATION: ��_C� -S�CLLxa� 1� � } ATE: �l --t�A--0 TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more cr,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. T-V Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Shectrock Underside minimum ''/a" 1 Gypsum Grade away from foundation 6 in.with 10 ft. f� 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 Valves installed/Heat Trap/Water Tern 110 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: / Batted 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/'/4 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, I 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 required Okay to issue C/•C or C/© Temporary/Permanent L:\PamW\Building&CodesUnspection Forms\Res. Final Insp.form 2.docLast printed 2/12/04 Office Use ..GENERAL INSPECTICJWMEP M Inspector: Town o,f Queensbury Ready at time: Dept. of Community.Development Request received: � 1 Meet: Building& Code Enforcement At time: 742.Bay Road Queensbury, AT 12804 ARRIV �, a E A a m Notes: (518) 761-8256 Inspector's Initi Zs' / NAME: ��� i✓� P RMIT.# LOCATION: SPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form �G� 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 F'oundation/Wallpour , Reinforcement in Place Foundation/D ampproofing 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 mi unheated spaces R- Pro er Vent,Attic Vent Jack Studs/Headers BracingBridging Joist Hangers - Jack Posts/Main Beam Air Infiltration Barrier Q \Z 1--L "A t3Ct vt—,:,6 Fire Separation 1,2,3,hour = .T*t> b 1 i Penetration Sealed Fire Wall 2,3,4 hour Firestopping �r vq L:\SueHemingway\Buiiding.Codes.Inspection.FORMS\GENERALINSPECTION REPORT.doc _ � � (� FFInspector: ce Use GENERAL INSPECTION REPORT Town of QueensburyReady at time .Dept. of Community.Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY '12804 ARRIVE DE A T a Notes: (518) 761-8256 Inspector's Ini als NAME: PERMIT# 00— LOCATION: INSPECT ON(date): TYPE OF STRU RECHECK N/A�YENQ COMMENTS otings/Piers Monolithic Pour Form Reinforcement in Place 'R, \� The contractor is tresponsibl r providing protection from fre zing for 48 hours following the pl ement of the concrete. Materials for this pure se o ite Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing VentVents in Place Rough Plumbing Heating Rough-In , Insulation Foundation Walls Interior Foundation Walls Exterior - Floors R Walls R- Ceiling R- Duct work or piping in. unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers BracingBridgmg 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\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury dy atturo 30 Dept. of Community Development Request received. Meet: Building& Code Enforcement At time: 742 Bay Road Motes; Queensbury, NY 12804 ARRIVE a M - In A mL-", . .EP (518) 761-8256 Inspector's Ini NAME: PERMIT LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHEC N/A YES 14 COMMENTS otings/Piers Monolithic Pour Foini, Reinforcement in Place Pour F -In Place Fo il a I HEC C/ otlngsipi( ce The contractor is respo ible f providing protection fro freez ng for 48 hours following th plac ent g of the concrete. ju it Materials for this purpose on ite 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 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 Beani Air Infiltration Barrier Fire Separation 1,2, 3,hour�_ Penetration Sealed Fire Wall 2,3,4 hour Firestoppin L.-\SueHemingway\Building.Codes.Inspection.FORMS\GFNERAI,INSPECTION REPORT.doc —ENS ,nhU ' BUILDING D T, QUO) `� REVIEWED BY ID MATE �' d APR 18 2002 TOWN OF QUEENSBURY t3U11_.01MC- Amr)CODE t OF(M., IS;' ZY 6U!;.L:Ei-G DEPARTME T 'c Ba'sed on our I nited examination, � compliance wi our comments shali not be constru as indicating the plans and spe nations are in full opliance wit the code. 6� �f G ,sd 000� .�i�zvo7 �NQt x ob >po/;# atv-v'"7 ph ��►rny;d Pe ssn�.Z