2002-396 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 128M902 (518)761-8201
Community Development-Building&Codes (518)761.8256
UIX I IF1%rji11TjL E OF nOrCCUPANCY
Pernut'Number. P20020396 Date Issued: Thursday,January 29,2009
This is to cerdi -that work requested to be done as shown by Permit Number P20020396
has been completed.
Location: 73 HICKS Rd
Tax Map Number, 523400-290-000-0001-001-002-0000-
Owner. JOSEPH&CHRISTINE MCGUIRE
Applicant: JOSEPH&CHRISTINE MCGUIRE
This structure may be occupied as a:
Garage-2 Cars Attached By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of-Occupancy DOES NOT relieve the p
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,
r
`~tWl'°�T C!F LTFELiTSBURY
Q" - -
_742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 — T
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
-Permit-Number:- P20020396 "Application Number: A20020396
Tax Map No: 523400-290-000-0001-001-002-0000
Permission is hereby granted to: T0SFPf&C ffRTSTTNE MCCT1 TTRE.
For property located at 73 HICKS 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 JOSEPH& CHRISTINE MCGUIRE Garage-2 Cars Attached $12,800.00
73 HICKS Rd - Total Value $12,800.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-396
872 SQ FT 2-,CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
I
$87.20 ., PERMIT FEE PAID'-THIS PERMIT EXPIRES: S day,MayX28,2005
(If a longer period is required,an application for an extension must be made to the code Enforc of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Tuesday,May 28,2002
SIGNED BY for the Town of Queensbury.
Director of Building od nforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020396. Application Number: A20020396
Tax Map No. 523400-290-000-0001-001-002-0000
Permission is hereby,granted to: JOSEPH& CHRISTINE MCGIJIRE
For property.located at: 73 HICKS 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: JOSEPH& CHRISTINE MCGUIRE
73 HICKS Rd Garage-2 Cars Attached 12,800.00
QUEENSBURY,NY 12804 Total Value 12,800.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-396
872 SQ FT 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
$87.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,May 28,2003
(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 To of eens *1W,111ay 28,2002
SIGNED BY for the Town,of Queensbury.
Director of Building&Cade 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 No.c;tCO
No inspection will be made Until a pl' t $
P, I nmvf F:D Fee Paid
is Rec. Fee Paid $-j
valid building permit. All applicants' V.9
application must be completed and must appear on the Yj
Reviewed B
application form. MAY 1 5 2002
S -t S Q yw E Y Q�,U Le-,F-
Applicant-�YGSt-�J-)Li E CI610 �U�Address: 7,3 Wt 2n-,O,r) MZss: 7.�
Q(3) Ju_Y. -1 2 8 oN CR-G-1.
Phone#(5ib Phone# (-57,12>) CGS-__-Lc&
Property Location: Lot Number: House Number-7.3
Subdivision Name: Tax Map Number:.
ca New Building: residence i commercial Estimated Market Value of Construction: $406-
Addition: commercial
If an Addition,what will use of new addition be.?
Q Alteration: res-id-e`nce commercial
L3 No change to exterior size: residence com'l
C3 Other work(describe
Check OccupancyInformation I"Floor 2'd Floor Other floor -Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling
C3 Two family dwelling
Q Townhouse
Q Multifamily dwelling
#of units
U Offide
U Mercantile
U Manufacturing
U 1 car detached garage
0 2 car detached garage
L3 3 car detached garage
U 1 car attached garage
2 car attached garage
C3 3 car attached garage
U Storage building-
commercial
0 Storage building-
residential
U Other
What is the proposed height of the structure feet CJ inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil gas t wood I forced hot air baseboard other:
Number of Fireplaces to be installed Number of.Woodstoves,to-be installed
-pe -r List-below rson(s)responsible supe-for- visi on-ofwork asreg4rds to building codes:
Name Address Phone Number
Builder — I(VC,- ,,(C -7-3 bEL eica 9
Plumber
Mason up,0,V-'
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 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 b I e complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that J/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the g
Zonm' '
Adrni,nistrator 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 owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Fy'iql Inspection
Office No. (S1t3)769-8256 Arrive: q (�a N1 h a pm
Date Inspection request received: Inspector's Initials: /'
NAME: MIT#: C/�" 4p
LOCATION: t XTE:
TYPE OF STRUCTURE:
Comments: -.
Yes No WA
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/E)dedor Finish Complete
Platform at all exterior doors
Handrail 4 or more'risers
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
nte. 0dedo ill 34 inches inches
Deck Brawn /Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off a ed/regulator 18 inches above grade
Interior 1 trim/doors 1 main entrance 36 inches
Bathroom/Kitchen watertight
Safe glazing1 Window in stairwells safe 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 sq.IL-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
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
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Va s installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs dosed 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 Surve Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas'Pipe Bondin
As Built Septic System/Sewer Dept.Inspection Slicker
Site Plan /Vadance'required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
LABuilding&Codes FormslBuilding&CodesUnspection Forms%Residentlal Final Inspection Form revised 100405.doc;Revised
January 7,2008
` !®67,,
Queensbury Building & Code Enforcement - Residami 'nal Inspection
Office No. (518)761-8256 Arrive: M.
Date Inspection request received: Inspector's In i
.NAME: _ AA
IT M
LOCATION: : _ , I L—
TYPE OF STRUCTURE:
Comments * ,S'Ada-
Yes No N/A
Building Number/Address visible from road <�✓� �i 1 �14�Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake llf
3 inch Plumbing Vent through roof minimum 6 inches
Roof Com lete/Exterior Finish Complete '
sej
PIatform 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: Batte backu :
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, 1 s .ft.-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 Eade
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/%hour fire door/door closer
Duct work Sealed properly
Gas Las 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 re wired /
Okay to issue C/C or C 1 O[Temporary/Permanent
L:lBuilding&Codes Forms\Building&CodesUnspection Forms\Residential Final Inspection Farm revised-100405.doe
4
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INCi Aft
Main Office 176 Doe Run Road of M nheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. NO 7 9 5 12 Cut-in Card Not lglHi/tttrHiNiit.liiittN/.ff fit
10%1 A
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InstallationConsisting of it1 fif titt.t/tirool/fftfifoii lrirttu ittrHlfittialitffffllt,j.ftfittifffli,tt/1.l1ItiN.itftiit/tti1o11//tlifltfHrli/tl.ffi
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The conditions following governed the issuance of this certificate, and any certificate previously issued is
cancelled, -
This certificate onlycovers the electrical equipment and installation conditions as of date. Upon the
I
introduction of additional equipment or alterations, application shall he promptly made for inspection.
of thisCompanyshall have the rivile a of 'rig inspections at any time, and if its
Inspectors privilege
rules are violated, the Company shall have the rigokc this ertifica
.
Date#of fot/Hf OfiNio11i11if1ti/it-1)ltfpNNfflffflllfi INSPECTORty
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Mamhar N R P i I All
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Town of Queensbury
Fire Marshal's Office
742 Bay Road
tueensbury, IVY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request Q SCHEDULE
Received: Permit# a 3 `4' INSPECTION ON:
Name; AM PM NYTIME
Location. l c-IL S
APPROVED
N/A► YES NO COMMENTS
EXITS ----�
AISLE WIDTHS �,ti, , t 3
EXIT SIGNS-NORMAL
4, 1 I k
. BATTERY C o��
EMERGENCY LIGHTING r 'L 21 12'
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM tiv �'Vt
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE ._.._,._.._f.--- ._. �.`L��I'Q,�i,Y''�,�r"`•
COMPRESSED GAS _
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE ',p'
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROU HIN
FINAL \
CHIMNEY ���
FACTORY BUILT ROUGH IN
FINAL +tYIQ
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE RoUGH IN
FINAL
FIREPLACE ROUGH IN J F CO NOT OK
t41ASONRY OK THIS DATE
FINAL.
FIREPLACE INSPECTED BY
BUILT ROUGH IN
FINAL
COMl3EV/CI•iRl jIWORDILETTERS20011FIREMARSHALINSPECTIONREPORT1YELLOW
10220 i -OCCUPANT COPY
SU9L0j%r1 DEPARTMENT COPY
d ,«
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
tt
Received: - _Psrmit# 10-09- 'AL INSPECTION ON: � -I,b ��--
r
Name;_.�.. �� 1{ _ AM ANYTIME
Location: -
APPROVED
N lA YES NO COMMENTS
EXITS 1
AISLE WIDTHS '�^
EXIT SIGNS—NORMAL
- BATTERY �• l�l � l!OA "—In-
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
1¢�R� ►1�4 A SYSTEM `
FIRE SPRINKLER SYSTEMS PA
`�_pL- �IL�AC
FIRE SUPPRESSION SYSTE
HOOD INSTALLATION \
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE
TO HE N ERs ,� � ;�� � J%faf06� �� 3
UNITS
CLEARANCE TOE ECTRICAL � ,�C � )itE"R" r
�
REQUIRED SI N AGE 1 ��.
EMERGENCY PLAN,
MAICIMU'M OCCUPANCY SIGN }�✓� >��p� �`� �i'1 ����
CHIMNEY /
MASONRY ROUGH IN
. FINAL
CHIMNEY
FACTORY BUILT ROUGH IN �2 1 �QA '
FINAL
WOOD
STOVE ROUGH IN
FINAL
r— �
VENTED GAS
APPLIANCE — ROUGH IN �� �FINAL
FIREPLACE ROUGH IN NOT 0K
HiasoNRY � Qt�"'I•MlE► DATE �1t FOR CO
FINAL.
01
Fii2EPL.tACi: }
v FACTORY BUILT ROUGH IN PSI .P ED BY
FINAL 1
11022001
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111- 9E—I3i]ei-DVaQUAKMENT C®PY
- Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437 f1�� C
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# INSPECTION ON:
Name: P 1i6 �, ,�"(C) D AM KM ANYTIME
Location: ,� l C 7 }
_ APPROVED
_ N/A YES NO COMMENTS
EXITS
AISLE WIDTHS —kZQ+5e�
EXIT SIGNS—NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM q
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE ._ i+1 S��j'Q r%f S
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICALS C ( e
REQUIRED SIGNAGE
EMERGENCY PLAN C 1£q 20tgn�,--3
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL L'-� � re—
CHIMNEY BUILT ROUGH IN
FINAL �"2 { i y-i cAj s, {
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS a.1 f `L iL'�I'1 `i T- GI YVL;-
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY_ ROUG IN ,OK THIS OAT FO CO NOT OK
FINAL
FIREPLACE r
FACTORY 13UILT ROUGH IN INSPECTEID BY
FINAL
,at,l*rjp,OILETrERS200111=1REMARSHALINSPECTIONREPOR 22001
YELLOW OCCUPANT COPY
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Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury I Ready at time: !!X`'M
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE))L,M a �P _ a m Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT#
LOCATION: 73 /U INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
NIA 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/D ampproofim
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
04rsulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- I Q _
Ceiling 4 R- `
Duct work or piping in I
unheated spaces. R-
Proper Vent,Attic Vent
Framing
Jack Studsllleaders
BracingBridging
foist Hangers
Jack Posts/Main Beare
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fi all 2,3,4 hour
'vfirestopping
L:4SueHemingwaySitilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
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Office Use
GENERAL WSPECTION REPORT Inspector:
Town of Queensbttfy Ready at time: Qm
Dept. of Community Development Request received: � � Meet:
Building& Code Enforcement / At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE--amlpm: DE ART ' amlpm Notes: .
(518) 761-8256 Inspector's Initials
NAME: C PERMIT# dGCl o� ' raj
LOCATION: 73 INSPECT ON(date): IPM. 11129
TYPE OF STRUCTURE:
a
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
F'oundation/D amppro ofmg
Backfill Approval
Plumbing Under Slab
umbing en6 ants in Place
o g 3 Plumb-.ing -- _
iea` g 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-
Pro er Vent,Attic Vent
'Framing J�,
ack Studs/Headers Y�'C-r
Bracing/Bridging — j��2st1 tQ� IAJ 0 -
Joist Hangers
Ja k Pos in Beam
dfA�r ignf�laation Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed J
Fire Wall 2,3,4 hour 8,,0,e(A>6 6&-'Z)C,/—,j
Fires oppin
s
L:\Sueffemingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECIIPRErPiT.doc
o fftce Use
GENERAL INSPECTION REPORT Inspector:
Toivn of Queensbury
Ready at time:
Dept. of Community Development Request received.• �,�1 � Meet:
Building&Code Enforcement At time:
742 Bay Road
Queensbury,lVY 128(14, ' ARRIVE��a pm E T�am Notes:
(51 8) '761-8256 Inspector's Initials
NAME: M G ``R-� PERMIT# cUO `j a
t
LOCATIOM -73 W}G V-S Q INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A S11 O 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 corlc ete
MaterWs for this purpose on site
FoundatiomVallpour
Reinforcement in Place ._
Foundation/Dampproofing '
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
RoughPlumbing
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 t
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:tiSueHemingway\Bui]ding.Codes.Inspection.FO jS\GENERAL INSPECTION REPORT.dac
09,57." ota,7 \lee Office Use
GENERAL INSPECTION REPORT Inspector:
To-wn of Queensbuty Ready at time:
Dept. of Community Development Request received: Meet
Building& Code Enforcement At time:
742 Bay Road :s ga
Queensbury, AT 12804 ARRIVE amlpm: DEPART I-'j36amIpm Note
(518) 761-8256 Inspector's Initial
NAME: 6,j ;a PERMIT# - 6 2
LOCATION: 7'5 INSPECT ON(date): 7/34)0-...-
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/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Stab
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-
P uct work or piping in
unheated spaces R-
roper Ven ttic Vent
Framin
Jack tuds/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam L/ I
Air Infiltration Barrier
Fire Separation 1,2,3,hour
jPC ation Sealed_
;e a,11 2,
top
.tiQn.F0RMS\CjENE,RAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT In ct 0r-Ins
Town of Queensbury Ready att e.
Dept. of Community Development Request received:
forcement
Building chi Code En Meet:
742 Bay Road At time:
Queensbury, NY 12804 ARRI'VE am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME-. -'C-1 ULUL-0— PERMIT#
LOCATION- INSPECT ON(date):
-001
TYPE OF STRUCTURE:
RECHE(;K
N/A YES XO COMMENTS
fiugs/Piers
Monolithic Pour F
Reinforcement in Place
The contractor is respo sible o
providing protection fro freezi g
for 48 hours following t place gent
of the concrete.ur
in F Place Form
cc
tor Is respo
protection fro
following
th
u
Materials for this purpose o si
11pourl
i Foundation/Wallpourl
Reinforcement in PlaA
Foundation/Dampproofing—+—
Backfill Approval.
Plumbing Under Slab
Plumbing Vent/Vents 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
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
Firestoppmig
L:\SueHemingway\Building.Codes.Inspection.FORMS\GF,NERAL 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 R at Notes:
(518) 761-8256 Inspector's InitialLE--
CQon (0
NAME: %--�
PERMIT#
LOCATION: INSPECT ON(date): D
TYPE OF STRUCTURE:
RECHECK
NIA YES NO COMMENTS
2tg s ip-i e r s
Mpnolithic Pour Form
k6ffiforcenient 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
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rou
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-
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORT-doe
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