2002-452 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
F1`1LE
Community Development-Building&Codes (518)761-8256
CERT IFICATE OF OCCUPANCY
Permit Number: P20020452 Date Issued: Wednesday,November 27, 2002
This is to certify that work requested to be done as shown by Permit Number P20020452
has been completed,
Tax Map Number: 523400-308-010-0002-059-000-0000
4
rJ
Location: 41 NICOLE Dr `r
Owner: GUIDO PASSARELLI �
Applicant:
GUIDO PASSARELLI
This structure may be occupied as a:
By Order of Town Board
Garage-2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Director of Building&Code Enforcement
TOWN OF QUEENSBURY F ILE COPY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020452 Application Number: A20020452
Tax Map No: 523400-308-010-0002-059-000-0000
Permission is hereby granted to: GUIDO PASSARELLLI
For property located at: 41 NICOLE Dr
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. Tne of Construction Value
Oxvner Address: GUIDO PASSARELLLI Garage-2 Cars Attached
465 LAKE Ave Single Family Dwelling 135,000.00
LAKE LUZERNE,NY 12846 Total Value 135,000.00
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2002-452: Lot 132,House No. 41 Nicole Drive,Herald Sq. Phase 3
1274 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$196.88 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 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 Town ofbury,p F iV 2002
SIGNED BY _4W for the Town of Queensbury.
Director of Building&CodeT-nforc nent
1uilding Pei"init Application
Town of Queensbury-Dept of Coinlnunity Development, 742 Bay Road,Quecnsbury, NY
(518)761-8256
A permit must be obtained before beginning constructioll• Permit File Not=-XQ0
No inspection will be made until applicant bas received a Fee Paid $ t
valid building permit. All applicants' spaces on this Paid $
Rec. Fee Pa
application must be cornplelcd and must appear on the Reviewed id -�
application lorm.
t
4
Applicant: T�y'rr�- �tF-' '��f e���G-t Qwncr:
Address: j'� ����- t� c f/ ��, Address: f N j
Phone,d� (_}� 'ys�, f Phone# (_
Property Location: Lot Number: / House Number 7
Subdivision Name: �-/� _ �- Tax Map Number:
t�cw Building: esiclence commercial L`slimated Market Value of Construction:
u Addition: -c-sMencc/ commcrcial I f an Addition,what will use of new addition be? '
u Alteration: residence/ commercial
u No change to exterior size: residence/coni'l
Q Other work(describe }
Check o«ttp�tucylttr0�nt.ttiott^ �i't MOOR* ----a"a t 1c,l,r-- --t)Ll�cr(7oar� 7'ui:�l�j
Below stt.ft. sq.U. sq.ft. Square Iteet
Single family dwelling 6
o, Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
It of units
❑ Office
a Mercantile
❑ MalltIfacturing
u I car detached garage
a 2 car detached garage
0 3 car detached garage I
u 1 car attached garage
w ' 2 car attached garage
❑ 3 car attached garage
:u Storage building-
conunercial
u 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-,/. cd,bot air baseboard/other:
Number of Fireplaces to be installed Number of 111podstoves to be installed
List below the persons)respoilsible for supervision of work as regards to building codes:
Name Address Phone Number
i3uilder ��t'� f` e �s 7</u/"`- 6;11 aZ
Piunlbor �,:
Mason /��
Electrician
Declaration: please sign below after you have camfully,read the.statemeut
To the best of my knowledge the statements contained ill 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(hat all '
provisions of(lie Building Code, the Zoning Ordinance and all-other laws pertaining to the proposed work shall be complied
with, whetlicr specified or noted,and that such work is authorized by the owner. Further, it is understood(hat 1/wc shall
submit,pHor to a Certificate of Occupancy or Certificate of Conipliance being issued,as rcqucsled by the Zoning
Administrator or Director of Building and Codes,an its Ruili 3rrri,ey by a licepsed 5III'VCyOI';drawn to scale,showing actual
location of all new construction.
Signature: !per/a2� Jmz owner,Owner's agent,architect,contractor
Application for Permit—Septic Disposal System
RAVII of Qzteensbtq'y 742 Bay Road Queensburj4 NY 12804.(518) 761-8256
1. OWNER INFORMATION:
r............................ ........... ..............................................
Location Of installation: ,42T 13 _Ah C-e,7 y-, office Use
Tax Map No.
File Permit
Fee Paid
Owner's Name: 2:
Address: 13'9
0,:S 1, a
2. INSTALLER'S NAMEPHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate ##bedrooin(s) and multiply ff of
bedrooms with applicable gallons per bedroom to equal total dailyflow)
Year of House: No. of Bedrooms x computation Total Daily Flow
1980 or older AQW x 150gal/bdrm
1980- 1991 x 130 gaL/bdrm j
1991 —present x 110ga"driii
Garbage Grinder Installed yes no
Spa or Whirlpool Installed yes j no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
TopQmri by S it Na ure Gr52uiid Water Bedrock or impervious Material Q-011VI-4- tic Wate Supply
C�V- Qagd_) at what depth at what depth mli�
cipat
Rolling loaln feet
Steep slope clay _ftet we
if iv
%slope other ell; waiter-st I�Y),]-,ly
depth: fi-oin any septic-system
absorp
tion isl ft.
•Percolation Test: (To be completed by licensed profession I al engineer or architect) other
Rate: minute per inch
5. PROPOSED SYSTEM: Far-New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer orarchitect(unless installed in a Planning Board approved subdivision). Add250 gallons to the size
oft he septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: :6z90 gallon(nrim size 1,000 gal.)
Tile Field: each trench (To ft. Total System Length: e r,9
Seepage Pit(s): number of size oj*each: ft.by
Size ofstotieto be used: /I depth or thickness
Bed System Size: X
Alternative System:
length andlor size
6, HOLDING-TANK SYSTEM: (if required]
Numbe.r-oftanks: I Size of each: gallons TOTAL Capacity: gallons
Note: Alann System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PE 'read)
PERSON(please
For your protection,'please no.te that pursuant to Section' 136729 ofthe Code ofthe Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation orfakfure to make a material fact or
circurnstance,luiown by or on behalf ofaii'applicant, shall be void.'
I have read tl'ie regulations with respect to this application and agree to abide by these and all
requirements ofthe Town,of Queensbury-Sanitary,Sewage Disposal Ordinance.
Signatures"cp responsible person Drate
I QE'iGx CODE COMPLIANCE APPLICA'1'Ioll
OWN OF QUEENSBUR.Y, WARREN COUNTY
1 �QOt) IlEllx'ING llEGIZEE
CompliallCc tletllo-? : PART 5- - Acceptable -Practice Method
1&2 Family Dwelli
ngs (only)
PART G* --Thermal Rating -- Component: Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings (3. stories or less)
PART.' 4* = Design by Component Performance
Comercial Buildings-IIi Rise Residential
submission submission of worksheets
IiPPL l C11ii'1" PROPERTY LOCA`i'ION:
I-1E'.l'110D OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floo.. Ire scruaxe feet .
2 . Type of llc .i 1. - _ Electric Oil L/ Gas Other
3 ., is buildinct Iuecltauically cooled? Yes .
a . Pe._c'entage of ure a cif windows and doors Over 17% Under 17%
5 . R-VJT�LUES FOR INSUi,A`l'ION' GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS .SUDMI`i"1'ED:
a . - Ro u f It
b . Exterior walls Rom_
C . Glared area:; R
d. Exterior do•)I:s R '
e . Floors over unheated spaces ' R
� . Edge of slab on grade (heated building) R
g. ;Basement/cellar walls ' (above grade) R �~
h . I3o s ement/cellar walls (below grade) R ._.._,
i . ;lit ati.ng/coulinq-ducts--piping in unheated space
G . Se_vit e .(dulnestiC) lioL- water heating, device
Con-.-onus; to IlllII luutll efficiency *per code 1>/Yes No
TEMJ'E''1\'TURF CONTROL MAXIMUM SETTING 140.0 - WILL NOT E3E EXCEEDED
Appl = tea' ' s IS yj tit Da e, Phone I+icttttber
i
INSPEC 0.R' S REMARKS .
rf r
RESIDENTIAL FINAL INSPECTION REPORT
Ale)
//
Office No.(518)761-8256 Date inspection request received:/V(11j r
Building&Code Enforcement
Dept of Community Development Arrive am/pm Depa C'
Town of Queensbury Inspector's Iuitial-s�
742 Bay Road
Queensbury,.New York 12804 -�tu�tr�
NAME n TT PERMIT# a
LOCATION ei' DATE � QpL
TYPE OF STRUCTURE �
L 0 `��C. �� N/A YES NO COMMENTS
t
Chimney Heightt"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 firepixoofmg
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or'qbs fro tlo r
Final Electrical lit I 2
Site Plan/Variance req ired
Final Survey Plot Plan 6
As Built Septic System layout r uir
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
MAP REFERENCE:
MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION
MADE FOR HERALD SQUARE SUBDIVISION LAYOUT
AND UTILITY PLAN", DATED 5/20/96 LAST REVISED
10/2/96, PREPARED BY VANDUSEN & STEVES, LS.
FILED IN THE WARREN COUNTY CLERK"S OFFICE ON
DEC. 31, 1996 IN PLAT CABINET B, SLIDE 85,
MAP #185.
LOT 133
LOT 7
NCO "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
Le
VIOLATION OF SECTION 7209, SUB —DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW."
�1�� "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
I.R.F. MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES."
zomrlpp p0,
LR.F.
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Chi
^� GARAGE
ry
HOUSE a
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LOT 131
RECEIVED
NO V
LOT 132
20,798 +/ SQ.FT.
N8t --0S�pQ•W 35.00'
76 X S8378'50"W BD
J o j vF�o
CHA/N UMK FENCE
LOT 6^N0 ag��a
�F N
"„IIUl
TOWN OF Q FENS
BUiLptNO AN
#)oe w xedl
MAP OF A SURVEY OF LOT 132 HERALD SQUARE ,/4u3
MADE FOR
TERRE MAJESTIC, INC.
TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK
DA VID J. BOLSTER
LICENSED LAND SURVEYOR
342 MAIN STREET, HUDSON FALLS, NEW YORK 12839
DATE: NOVEMBER 19, 2002 SCALE: 1" = 30' N.Y.S. LIC. NO. 49534
DWG. NO. 02-199 B
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TOWN OF QUEENSBURY'
z4 5 — - (IC L�
3
too
a� 7or4
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1
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ill have seen or observed,or believe!saew evidence"
of,
s,etc
all objects such as-arouses,wells,treess
shown on this documenk:! also represent that on the.diagram.,'
personally measured the distances set forth
S A"fU E
ATE
GENERAL INSFECTION 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:t Depart
Inspector's M
nspector's Initial
F7Z
2 -
NAME: PERMIT#
LOCATION: J DATE :
TYPE OF STRUCTURE: A
RECHECK
N/A YES NO COMMENT
Footings/Piers t
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
—
FoundationA3arapproofing_——
Backfill Approval_——
Plumbing Under Slab
Plumbing VentNents in Place
ugh PI mbing
in eatingRou. -in
Insulation
nsulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- V/17
Ceiling R-
Duct work or piping in
unheated spaces R-
r Vent,Attic Vent
/Frao=
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
JackPosts/Main Beam
Air infiltration Barrier�__
Fire Separation 1,2, 3,hour
Prc a t ti n Sealed
17 11o2,3,4 hour
'n 7i
Firestoppmg_=:�=—Vi—J'
OCT-15-02 TUE 16 :08 HERALD SQUARE VLG lbbr f-. ni
QUAN TYPE SPAN P1-HI ]OV�ERIU'11�113.9TOB3 N�Q 3SQ00{! 7020 47 TERRE ##132 C-Q R3997
sL 2a-la-oz B SL 20.10-01
HO 6,16 HD 6-10
k2 4x4 4X 4
Sk67
S3 64 ,
;1.00=10 2G5\\ 2x5// " .
Sx6= Sx6=
A C
�] F S2 E S2 D
3x4 3x& 5xB 3x6 3x4
' e o
G 6
TC 6-03 11 5-10-03 t 5-10-02 1 9-10-02 1 5-10-03 1 6-03-11
$C 9-02-13 8-09-03 16-09-03 9-02-13
3�-00-00
UdiSear -- version 40.0.612 PLATING CONFORMS TO TPI NOTES:
RUN DATEi 8- 7-02 VERIFY PLATE VALUES WITH I. TRUSSES MANUFACTURED BY
R09BIN9 ENGINEERING. SARATOGA LUMBER TRADERS
CSI SIZE LUMBER 1.15F3 GRIP BASED ON SYP/SPF LUMBER 2. ANALYSIS CONFORMS TO
TOP 0.50 2X 6 SPF-##2 1310 USING GROSS AREA TEST METHOD, BOCA (ANSI/TPI 1-1995}.
BTM 0.94 •2X 4 SP-VI 2130 PLATES - 20 GAUGE LOCK 3. WIND LOADS - ANSI/ASCS 1--
was 0.90 2X 4 SPFS-STU 759 GRIPPING 581-250 PSI PER PAIR TRUSS IS DESIGNED AS A
EXCEPTIONS: INCLL"DES 15.0t INCREASE MAIN WIND-FORCE RES SYSTErl
SI-E 2X 4 SP-42 1720 TENSION 1339. 465 PLI PER PAIR WIND SPEED - 70 MPH
E-S2 SAME AS S1-S SHEAR 784- 506 PLI PER PAIR MEAN ROOF HEIGHT - 25-
REPETITIVE MEMBER STRESS USED. EXPOSURE CATEGORY C
JT TYPE PLATE STE8 X Y GCCUPANCY CATEGORY - 1
LATERAL BRACING: A 2001 5.00 X 6.00 5.6 3.5 OCEANLINE DIST - 100 MI Eg
TOP CHORD - CONTINUOUS B 30GIR 4.00 X 6.oa CTR CTR 4. PREVENT TRUSS ROTATION AT
DIM CHORD - CONTINUOUS C 2001 5.00 X 6,00 5.6 3.5 ALL BLARING LOCATIONS.
ONE RPAC£ - H-E E-B E-I D 1010 3,00 X 4.00 CTR CTR 5. ANCHOR TRUSS FOR A TOTAL
TRUSS SPACING - 24.0 IN. L 1070 5.00 X 8_00 CTR CTR HORIZONTAL LOAD OF 228
F 1010 3.00 X 4.00 CTR CTR
LOAD CASE 41 G 10�01 2.00 X 5.00 CTR CTR
LUMBER STRESS INCREASE: 25.0% H 1010 4.00 X 4.00 CTR CTR
PLATE STRESS INCREASE: 15.04 I 1010 4,00 X 4.00 CTR CTR r• p `��,,II y �+,•
LOADING LIVE DEAD (PSF) J 1001 2.00 X 5.00 CTR CTR /y�+J 7YI, # //�j° �'s j s
TOP CHD $0.0 10.0 91 1100 3.00 X 6.00 CTR 0.2
RIM CUD 0.0 10.0 S2 1100 3.00 X 6.00 CTR 0.2 /y
TOTAL 50.0 20.0 70.0 S3 1100 5.09 X 6,00 CTR 0.2 f t 1 m 0 0)11 c
SUPPORT CRIT99XA 54 1100 5.00 X 6.00 CTR 0.2
JT REACT WIDTH JT REACT WIDTH
LBS IN-SX L8S IN-SX R . PLATE IS ROTATED BY 90 DEG
A 2455 S- 8 C 2459 5. 8
LEFT RIGHT
HEEL OIN - 4SX *IN - 4SX
MEMBER FORCES (LBS)
TOP CHORDS
A-G - 4004 C 0-63 . 3563 C
S3-H 3563 C H-8 - 2477 C
B-I - 2477 C I-94 . 3563 C
S4-J - 3563 C J-C - 4004 C
BOTTOM CHORDS Of NZ W
A-F - 3454 T F-91 ,. 2807 T �� r
S1-9 - 2807 T E-S2 - 2807 T
s2-0 - 2907 T D-C . 3459 T
WEBS
G-F - $13 C F-H - 709 T
H-E 1050 C E-B 115S I r.
E-I - 1050 C I-D - 709 T
O-J 613 C j0
DLaLL DEFL - 0.35" IN 0-I ip
LL DEFL - 0,22" 4 BRG-SPAN/360
SPAN/DEFL (DLtiLL)
AUG , 8 2002•
Of rece Use
Inspector:
Town qf Q"eensbu7-y Ready at tirne:
-Dept. of CommunityDevelo�pmenl Request received: Meet:
Building <V-- Code -En.foreemei-it At tirne:-
7-42.Bay Rc�,acl
Queensbury, A71' 12804 Inspector:
s:
-cac P Meet:tim
e;
(-518,) 761-8256 -Inspector's Z"itz s
PPF-RMI-F A# 00�
A -I ✓ INSPECT ON(date): y XT
TYPE OF S-171?-UC=R_E:
RECI-
-1%T/A YES NO COMM13-111-rS
Footings/Piers
Monolithic Pour For ntt
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
P-einfordemnent in Place
Foundation/E)arnpproofin
]Backfill Approval
P1 b* Linder Sl b t�T1 ing
c= in Pla,..
Heating Rough-In
Insulation
Foundation Walls Interior P--
Foundation Walls Exterior a-
Floors* P--
Walls P--
Ceiling R-
]Duct work or piping in
unheated spaces I?-,-
Toper Vent, Attic "%,ren .....
Jack StudsMeaders
Bracing/Bridging
Joist Hangers
Jack Posts/Main 13earn
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Pe Seale"1 2, 3,Sealed ire our
irestopping_
T-:\SucHeTningway\13uilding.Codes-Inspection.FOI,?-NIS\CiF,WER-AT-INSPECTIOW REPORf.doc
4 Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code,Enforeement At time:
742.Bay Road
Queensbury, NY-12804. ARRIVE am/pm: DEPAR am/pm Notes:
T
(518) 761-8256 Inspector's Initials'�--,
N,4,ME: `Q/1,4 a/!.¢,Q.Q,y PERMIT# ®2Oe),2 — qS ao
LOCATION: IA40 oS rl INSPECT ON(date): -
i
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
F'oundation/Wallpour
Reinforcement in Place
Foundation/Damp proofing
ackfill 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 orpiping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
BracingBridgIng
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation11,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT-doe
GENERAL INSFECTI(11i�REFORM'
( 518)761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road ,
Queensbury,NY 12804 Arrive I'�aarn/ Depart
pector's lniti
NAME: �• R � (�,� l—I PERMIT# — Z,
LOCATION: Z 1 DATE
TYPE OF STRUCTURE:
RECHECK
N/A YE N COMMENTS
Footings/Piers E
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 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
C(5�
JUN 0 2002
TOWN OF QUE
AN,P GOOD E
76
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11�Ds0
;__! have seen or observed,or believe'l saw evidence of,
well
,trees.fences,
all objects such as houses, alsosr present that f have
shown on this documents
personally measured the distances setforth on the diagram:
S ATU E