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2002-524 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 . C,ERKIRFICATEDF OCCUPANCY Permit Number: P20020524 Date Issued: Friday,November 08,2002 This is to certify that work requested to be done as shown by Permit Number P20020524 has been completed. Tax Map Number: 523400-290-017-0001-022-000-0000 � � A, P Location: 35 MASTERS COMMON SOUTFI ''% �� Owner: MICHAELS GROUP LLC THE Applicant: MICHAELS GROUP LLC THE This structure may be occupied as a: By Order of Town Board, Fireplace TOWN OF QUEENSBURY Garage-3 Cars Attached Single Family Dwelling Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Copy F1 Community Developtntut-Building&Codes (518) 761-8256 ................ BUILDING PERMIT Permit Number: P20020524 Application Number: A20020524 Tax Map No: 523400-290-017-0001-022-000-0000 Permission is hereby granted to: MICHAELS GROUP LLC THE For property located at 35 MASTERS COMMON SOUTH 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. T Value of Construction Owner*Address: MICHAELS GROUP LLC THE Fireplace I 10 BLACKSMITH Dr Garage-3 Cars Attached MALTA,NY 12020 Single Family Dwelling 259,900.00 Total Value 259,900.00 Contractor or Builder's Name Address Electrical Inspection Agency Plans&Specifications BP 2002-524 Lot 22, House No. 35 Masters Common South Construction of a single-family dwelling with fireplace and 3-car attached garage as per plot plan and specifications. $445.48 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 25,2003 (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 ensbu �ay 25 002 SIGNED BY for,the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Qucensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518)76 1-8256 A permit must be obtained before beginning construction. Permit File No.'tea No inspection will be made until applicant has received a Fee Paid $ valid building permil. All applicants' spaces on this free. Fee Paid $ 4 ��y application must be completed and must appear on the Reviewed I3y:l application form. 'JU �Olr� � 4 Z0 02 Applicant: {? S Owner: _ �,-". QF fv Address: 1Q �"' .S1[t11t�n Y2s3.>_- Address: .,A/Vt)�oURY Phone#{� ) Ll� - 1�3�l Phone# (�) Property Location: Lot Number: House Nurnbel Subdivision Name: Tax Map Nun)ber: G• t-7'�—a New Building: residence /comrnet'cial Estin)ated Market Value of Construction: $ AI&15 ❑ Addition: residence/ conunercial If an Addition, what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence t com'I ❑ Other work(describe Cheek Occnpancyinformation I" Floor 2"` Floor Other floor 'Total Below sq.ft. sq. ft. sq.ft. Square Feet Single family dwelling ism ❑ Two family dwelling ❑ Townhouse l� ❑ Multifamily dwelling v #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage O 3 car detached garage ❑ I car attached garage r , ❑ 2 car attached garage X3 car attached garage ❑ Storage building- commcrcial Cl Storage building- residential ❑ Other Will any second-hand or ungraded lumber be used? If so,for what? . Type of I leating System: electric/ oil / gas wood /forced hot air/ baseboard/other: Number of Fireulaces to be installed I Number of Jf'oodstaves to be installed �• . List below the person(s)responsible for stipGl-vision of work as regards to building codes: -�g� Name t Address Phone Number "tinder 1�'LL' "1G.iVzc-k1S—_S�' •SC.('3 `��l�`laA ,��_�y1�. PlL1I23bGl' —� CJ��3�"'.F �_Z A Mason N( �snx^ca O.� r��3►yc� i3 L'�.�t s�1p�� 4-LI— <28tf) 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 be complied with,whether 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 ol-Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes, an its Built Survey by a licensed surveyor;drawn to scale,showing actual location of all tic w sanction. Signature. __ owner,owner's agent, architect,contractor } fire Alar•shal's Office `own ofC�treensiiun. rN%742 13a�' Road,Quec�tsbur�`, NY (518) 761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel.& vented gas appliances Date c" r 20 Permit N Application is hereb},nrurle ter the Buil(Iirr`-cr C pffic fur-the isstrrritee ofC1 Building card Use Pei-'nit pursuant to the New York State Tire Prevenzi>rl rural Building Code. The applicant or oisWer agrees to comply with all applicable!emus, ordinances r grrl(Itions, and all co),c tions that Cure Blurt ref these requirements and also will allow all ild1kc101"s 1-6-err'i`i "pr enn.se, to pelfiorrll required inspeeiions. NUT'S`to applicant: Rough-its and Final Inspections are required. Applicant Information' Fuel Burninb Appliance Information (Circle appropriate words) Name; i °. Stove ivood coal pellet, gas Fireplaceinsert Address: Fireplace, factory-built: wood <rcrs a M Fireplace, n)asonry: wood gas` . Furnace: wood gas- oil Phone: If non=inasonary applicance, please provide„ .. Owner: f Manufacturer Name: .Address: Model N.Limber: Chimney Information -phone `' .(circle appropriate words) ' Masonry block , brick- stone Flue file �teel size: inches Exact Address: � afcorrsrlatctie!tr dry rs rllrtt'err Factory-Built � .�• Ivlaliitfa'ctttrer name:`. :,Model Ntmrber: :Vote: Listed By: Number: COIISt7-lictroil j histallcttiol-7 11111st*, con orin to NYS Fire Prevention &Building Indicate (circle).chinineymaterial: ' Code. Consult available Town ofQueetisbury , HandoattS regal-ding requii-ed inspectioils. Double wall Triple i>>CrII TI. Irrsrrlcned / Dir-eel venting Chi nael'Liner- l Fire Alarshal Code 4 S'Collocied S Rc�firrrClecl IZLt i!it c tf Ji oin lre f inded iq�� .4 173 3389 (1911) Public Safeti .4 233 655 (3311)Minor Sales 021dG o2.Da�csx1. White(Applicant) ;` Green-(Fire Alarshal') P Yellow(13Idt-. Dept.) Nnk&Gi idenrod(Cashiers inept,) JJ RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: G �Z Building&Code Enforcement ` Dept of Community Development Arrive `� Depart ar m Town of Queensbury toes Initi s 742 Bay Road Queensbury,New Yor�k� 12804 NAME t -ut�tJ'!K '' PERMIT# LOCATION 3,5 M-a &Ltrn DATE it TYPE OF STRUCTURE N/A YES 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 stair's both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off ex posed/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 i•� 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 Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) 4E:zk� `.L'OWN OF QUso"SBURY nvTr-l�rxNc; & COL?E ENF'+ClRCEMEN'T` 742 snY IZOAD QUEENSSUEZY NY 3.2804 (518) 761-8256 Ark RR XV E D E A R T a N S P x FINAL 2NPECTZOB? REPORT COMMEACTIIL ---- IIy3LILT=PLE DHELL]CN[� �Zzotal. motel. apt_ complex) L3ATE TNSPECTSONj;/{REQUEST RECE_VED - NI1.ME ■ r 1 '� r -A7 �//�Ji L Lv.-�. BATE � U PERMST # -Zoe � 4 - TYPE OF STRUCTURE �> �� F•Oc3TTrxGS BACKF'TLL MZNG PLUmoTNG TNSL.TL.?'�.TTON n+r!a 1r.43 :a 0 CFISMNEY/ " 13 VENTIIiETG11T PLUNiBTNG VENT FIXTURES ROOF=NG EXTERIOR F'TNTSH H EA T T N G/HOT WAT E R R E L=E F VALVE S FLOOR S F O U N DA T T ON T N S U LA'i ION T N T E R T O R S TA Tits/RAT L,T N G S STOCKROOM ENCLOSURE F-IRE DEMT SE WALLS PEN TIZ,�U.TT F T RE DAMPER S C E T L T N G F T RE STOPPING aF`TRE DOCJRS fCLOSERS EXIT DOOR IIAIZE)WAI2.E EXIT STAIRS RA S L S PLATFORM E LE VATO R I-1AN D T C A P P E D A C C E S S FIANDTCAPPED BATI-IS HANDICAPPED P ARK T NG FINAL ELEC`T'R=CAL S T T`E PLAN VA R T AN C E R E "- FTNAL SURVEY PLCDT PLAN TF RE OK TO TSSUE C O OR C C MAP REFERENCE: MASTER'S COMMON SOUTH DATED: AUGUST 26, 1987 BY: VAN DUSEN & STEVES FILED: MARCH 10, 1988 DRAWER 17 FOLDER 1 LOT 23 RECEIVED NOV (i 7 2002 TOWN OF OUEENSBURY BUILDING AND CODE I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: JON N. & DIANE M. SWANSON CHARTER ONE BANK, N.A.. IT'S SUCCESSORS AND/OR ASSIGNS UNITED GENERAL TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. STEVES. LLS NYS 50135 DATED: OCTOBER 23, 2002 a� D us j-� ^ /V/\/��-I Steves Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lie. No. 60135 A�,WA K,ML �,M M13AO A MM " W A TM Z LANC -QM �K q A MOLAT�M � �CT10M 7i00. xD-OINYOI l 0� M NEW "M STATE UWAlM LAB.' 'ONLY OWM FMM TINE 00WOL Oi *a "WY MARWX M IL AN O9MMLHMME D THE LAID 7Ut1ELbR! 1LAL a�w1 !E cCN�OD�EO TO E YALD " CWW %F "u sIn�EY Iwa F7@AAED N AOOOIDANCE rM THE "�``�°�°""Wr'T EAS" cm OF FRW= Rx LAND w Wym MW= LAND SAD CFIFA1C11TIOIl6 slxi � al�r "T EN -OM MN TW"IMW "` To AIE K"SOII FCN K TIE 9D1 .O PgEP"T AID ON Nq YElwi m THE TITLE COPAIIY. GOIEPIYIiTAL n imV "'D'�'DM WMn" M UM A1° A TME mown a THE Nano elm- Map of a Survey made for Jon N. & Diane M. Swanson Town of Queensbury, Warren County, New York atel , 2002 Scale 1'=30' _— R� 1 N PI SWANSON DWG. NO. MCS-22 NO. DATE DESCRIPTION L4L-I a-?\ RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depa ` � am/ m Town of Queensbury Inspector's Ini 742 Bay Road Queensbury,New York'12804 ,^ / ? NAM C.�E ('0 C- PERMIT#1 LOCATION 5 /�'L�S`l�-Y� Ccm&"ci„ K DATE TYPE OF STRUCTURE N/A YES NO CONEVIEKNTS d Chimney Heightl"B"Vent/Direet Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete 141 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 t.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 1/1 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 carter 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 roo Safety glazing 18"or e o floor Final Electrical t Site Plan/Variance r uir Final Survey Plot Plan As Built Septic System layout required A t Okay to issue C/C(Certif:of Compliance) Okay to issue temp.C/O(Certi£of Occupancy)_ Okay to issue permanent C/O(Certif:of Occupancy) Town of Queensbury Fire Marshal's Office ! 742 Bay Road Fire FF Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437__ Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# INSPECTION ON: W7 Name: AM PM ANYTIME Location: APPROVED —, N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY Sid—KI CHIMNEY MASONRY ROUGH IN FINALCHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD . STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS DATE FOR OK NOT OK FOR V e(REPLACE FINAL r7/ FACTORY BUILT ROU7G�V6 INSPECTED BY FINAL FI COMDEV/CHRISJIWORDILETTERS20DI/FIREMARSHAUNSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Office Use GENERAL INSPECTION REPORT Ins- ----- dW pector: 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: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials.-Aw NAME: PERMIT#7_WZ::5Z, e? LOCATION: 644ffl 1�m 14A A-.,a INSPECT ON(date): TYPE OF STRUCTURE: RECHECK Xf 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 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/Bridgmig- 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\J3uilding-Codes.Inspection.FORMS\GENERAL 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 DEPART ARRIVE am/pm: DEPA 1) am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: INSPECT ON(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 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 1�augh Plumbing Hearing Rough-In Vz tie, t-- U P0 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/BridgingJoist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppig- L:\SueHemingway\Building.Codes..Tnspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Ready attime: Town of Queensbury Dept. of Community Development Request received. Meet: Building& Code Enforcement At time: 742 Bay Road Notes Queensbury, AT 12804 ARRIVE am/pm: DEPAR am/pm � w 01 -o-ow, (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: 1\1\ INSPECT ON(date): TYPE OF STRUCTURE: RECHECK_.............. 1 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 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 ac1Z 9l'udsNeaders Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour enela'on Sealed jr 12 e al hours, CF tp'Wg L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc F=IF:ZE-= MARSHAL -rC>%"N C)F= C?UE-=aF--JSE3LJF2lr (aUaE=-MSE3UF,"')r, M"V I2804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT 0 NAME VSA-u 0f?-ttA4----t� C--A, LOCATION SCHEDULE INSPECTION ON -- - PM ANYTIME APPR40VEID N/A YES NO EXITS AISLE WIDTHS EXIT SIC3NS, EMERGENCY LIOHTIN(:3 FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYS M '3H-HE SYST EM SYST M _ION FIRE SUPPRESSION YSTEM _rf tj HOOD INSTAL-LATI N INTERIOR FINIS S STO RAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIC3NAGT > ,t CHIMNEY %4 WOOD STOVE F EPLACE - MASONRY 60000 41EPLACE - FACTORY BUILT kl-ol C&4 A<j(f __ ( _>V_;_S r REMARKS: Ui?rC:)K TO THIS DATE INSPECTOR 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 Notes: Queensburj; AT 12804 ARRIVE-amIpm: DEPART am/pm (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footing`R.jers"' ' 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/Danipproofing_ Backfill Approval Plumbing Under Slab Plum Qi ll QVents,in Place 6-CfflhP b, 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- S&L-Clt c Vent < Fhbo Lp,-C- T-ULL- ack Studs/Headers Bracing/Bridging- Joist Hangers VYZ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed vock- Alec all-2. our Fires........e s Y, ;A. 171,� L:\SueHemingwaylBuilding.Codes.hispection.FORMS\GF-NERAL INSPECTION REPORTAOC Office Use GENERAL INSPECTION REPORT Inspector: Toivn of Queensbury Ready at time:Yadj_ajjJ Dept. of Community Development Request received: Meet: Building& Code Enforcement A,time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART am Ipm Notes: (518) 761-8256 Insp ector's In itia Is v--L- I NAME: PERMIT# 0-5 S"A V LOCATION: INSPECT ON(date): 1� TYPE OF STRUCTURE: RECHECK N/A YES i 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 I Reinforcement in Place r--j Foundation/Dampproofing_ 40ackfill 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/BridgingJoist 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\Btiilding.Codes.Inspection.FORNIS\GFNERAI,INSPECTION REPORT.doe GENERAL INSPECTION REPOR ( 518 ) 761-8256 Town of Queensbury Dept of Community Development Date inspection request received: ed* Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive Aj.')Q Depa rl 0�m am CM-p-e-c-t-orislai , NAME: PERMIT# LOCATION: DAM : 7& TYPE OF STRUCTURE: RECHECK N/A.YE NO COMMENTS fings/Pie 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 VentfVents 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 AirInfiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping &00% OW*41 LL alp 3FCEI 'IL04 "0 '�h 2 4 2 S P r 1. s -:"41! TOWN OF CU-71FLENSBURY