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2002-515 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERT IFICATE OF OCCUPANCY Permit Number: P20020515 Date Issued: Wednesday, September 04,2002 This is to certify that work requested to be done as shown by Permit Number P20020515 has been completed. Tax Map Number: 523400-309-006-0001-007.000-0000 Location: 28 VETERANS Rd Owner: CATHERINE DENINO Applicant: CLUTE,LARRY This structure may be occupied as a: By Order of Town Board Single,Falnily Dwelling TOWN OF QUEENSBURY 4 f Director of Building&Code Enforcement TOWN OF QUEENSBURY `'- 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 F loil L E Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020515 Application Number: A20020515 Tax Map No: 523400-309-006-0001-007-000-0000 Permission is hereby granted to: CLUTE. TARRY For property located at: ALTA Ave 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 Owner Address: CATHERINE DENINO Single Family Dwelling 65,000.00 6 DUDLEY St Total Value 65,000.00 GLENS FALLS,NY 12801 Contractor or Builder's Name/Address Electrical Inspection Agency CLUTF ENTERPRISES. TNC. 13 DAWN RD. OUFF5NBURY.NY Plans&Specifications BP 2002-515 Construction of a 864 sq. ft. single-family dwelling as per plot plan and specifications $103.68 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 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 M nda J e 24,2002 SIGNED BY ?7 1 P z �%p for the Town of Queensbury. r__ V7 Nh Director of Building&Code Enforcement Building Permit Application Town of Queensbury-Dept of Community Development,742 Day Road, Queensbury,NY (518)761-8256 W;F 10 A permit must be obtained before beginning construction. Pen-nit File 0 zooz No inspection will be made until applicant has received a Fee Paid- valid building permit. All applicants' spaces on this Ct Rec. Fee Paid $ rOWNO�. application must be completed and must appear on the .7 application form. Reviewed By: Applicant: Owner: lc-t- c CA e—.- C) Address: Address: Q V--, Phone#(_ - -7 12 Phone# Email Address: Email Address: Property Location: Lot Number: House Number Subdivision Name: Tax Map Number: -3 cR -ot..- 7 New Building: residence commercial Estimated Market Value of Construction: $ Q=)S o Addition: residence commercial If an Addition,what will use of new addition be? u Alteration: residence commercial U No change to exterior size: residence com'l C3 Other work(describe Check Occupancylnformation I"Floor 2" Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet 0 Single family dwelling 0 Two family dwelling L3 Townhouse C3 Multifamily dwelling #of units L) Office C3 Mercantile C3 Manufacturing U 1 car detached garage U 2 car detached garage ZI 3 car detached garage 0 1 car attached garage L3 2 car attached garage 13 3 car attached garage U Storage building- commercial U Storage building- residential U Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so, for what? U*-j-1-.1 Type of Heating System: electric/ oil er`ga. wood <orc-d hot A�aiaseboard/othet: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber Mason X Electrician A-I-Ap— 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 BW3� dmg-C7oJ`e-.-th-e-Z-'�2mg Ordinance and all other laws pe ing to the proposed work shall be complied with,�whether�cified or note'ZZ and that- c- h work is authorized by the wiie . Further,it is understood that Uwe shall submit,p5r" to a Certificate of Occu y or Certificate of Compli , e bein issued, as requested by the Zoning Ad i ator or Director of 1311' d Codes,an "ift vet,by a ensed surveyor;drawn to scale,showing actual loca"on of all new cons on ignature: owner,owner's agent,architect,contractor Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: _ q ..................................................... . ..y_ ... .. ..............., Location of installation: _ '7>47 `^� UN 2 02002 File Permit No. Tax Map No. I I �,•.o Fee Paid `1 OVil�d�1 a� Un,at E-s E3a36�Y c— Owner's Name: -l_._.C��c—�. C ..�.��.. - .O€3 Address: \--, 2. INSTALLER'S NAME : C ,,.-�c G cY� T t _ PHONE NO. ` 7 3 7 "7 7 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 4 bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation — Total Daily Flow 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = 2 Garbage Grinder Installed yes— / no Spa or Whirlpool Installed yes— / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topo&L4phy Soil Nature Ground Water Bedrock or Im ervious Material DomestjQ Water Supply son at what depth at what depth 'lolling oa feet feet e Steep slope clay if 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 designed by a licensed professional engineer or architect(unless installed in a Planning 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: 100 3 gallon(min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: ft Seepage Pit(s): number of size ofeach: ft. by k<zs ft. 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: I Size of each: _gallons I TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For 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 circum o by or on behalf of an applicant, shall be void. I have r�ga' th�lations wi respect to this a is ion and agree to abide by these and all requir8rnents of the To of ueensbury S . ry S age Disposal Ordinance. c,g, 2 jo nature responsible person Date (It rci0ttsl)ury Alrpmidix C 51;PARA' JON Iti�,tjC!IIZIPi1l1�:N'Pti S POND 1l S M1 'r L!-Lt_ SPAtrnrf it- r� is'..••i PI r t_t> 7. SIGNATURE &INFORMATION FOR RbspuNSusi.r-rcr..�.fiN t, jLv-- r ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY C)%a._5�f 9000 BEATING DEGREE DAYS REC.F17RIED Compliance Methods:Part 5 -Acceptable Practice Method- 1&2 Family Dwellings (only) JUN 2 0 2002 Part 6*-Thermal Rating-Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings (3 Stories or less) TOWN OF QUEEINSBURY Part 4*- Design by Component Performance, Commercial Buildings-H�UILDING- AND CODE Rise Residential *Requires submission of worksheets APPLICANT'S NAML. PROPERTY LOCATION: Jae Z,(Z( PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- square feet 2. Type of heat- Electric —Oil' Gas Other 3. is building mechanically cooled? yes No 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls R C. Glazed areas R�Jr d. Exterior doors R e. Floors over unheated spaces R 19 f. Edge of slab on grade (heated building) R 9. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R i. Heating/cooling-ducts-piping in unheated space R_. t-4 6. Service (domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEM TU CONTRO AXIMUM SETTING 140-WILL NOT BE EXEEDED pplicant's nat e Date Phone Number /0 S. INSPECTOR' MARKS: TOWN OF OUEENSBURY H I G H WAY Richard A.hIissita Highway Superintendent DEPARTMENT ' E 'EIVE Home(518)798-5127 742-BaY RR oad 0 Qtieensbury,NY 12804 ,,}(f Z�Q Michad F. Travis Deputy Highway Superintendent Office Phone: (518) 761-821! TOWN (518)798-0413 Fax; (518) 745-4466 DE QUEElt1S6URY D1.69LDING AND CODE DRIVEWAY PERMIT \ ` DATE: CO( _�0/0 Ar APPLICANT NAME: TELEPHONE NO.: ADDRESS TO BE INSPECTED: . RETURN ADDRESS: � � cl J�2v�.4��� Applicant must show exact location and width of driveway(s)to.be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed,this application. The following action has been taken: STEP 1: { )Preliminary Approval NEED: { }Slight.swale { } Level with the road ( )Deep swale Size pipe to be used(if necessary) ( )12" ( )15„ ( )IS,. ( )24„ )36;, Preliminary inspection completed by DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved permit for a final approval. STEP 2: ( }Final Approval { }Rejected DATE: Richard A. Missita;Highway Superintendent Det),h A RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement 7 Dept.of Community Development Arrive am/pm, Departt "3,0 jpm Town of Queenshury Inspector's Initials 74 2 Bay Road Queensbury,New York,12804 NAME PERMIT# LOCATION DATE "-Y 'X- TYPE OF STRUCTURE 7 1 N/A YES NO COMMENTS Chimney HeightPT"Vent/Direct Vent Location Fresh Air Intake -5 t P 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 waterti&_— 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) Li ht ventilation per r oin ety glazing 181, s in floor 000 I'W , & L /Mia"'I Electrical �41 rf)orc Site Plan/Variance 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)_ i I Okay to issue permanent C/O(Certif.of Occupancy) I V 4hm G�+ y o x i n Hro ►� � xron M�aHdrzd x H H H b C H m H H H z 0 C , C x 0 C x z 0 ►� 0 z H z z z H H H 0 H G 0 C H 0 C H N0 ro H n H ►� � o a H H H M r M M n N z 0 H H M ro [H y N m H 0 r r H 11 H N H x P 0 M H H H H ro n n 0 M 0 d z d 0 H P N 1z H z H � �z 0 H H � H N r M H 0 0* 0 M 0 0 H 0 0 0 z « Hn 0 z , m C r ro ro ro. 0 0 X 0 P H C 0 MtA z' to Z t� ro ro ro H H x 0 x 0 ua ro r•1 � cHaadrv� x � k� C� H CHH c� , = nn ` m vp n m Z N m z z H n H ro C p r n H z H n H ro w n n > 0 0 m p U) w m > H 0 or � � � HnHH H r0 [ Hz rox n0 0zrxxm0rc� 0 0 H n H N N � ro z N Ul ro H H x H HH G M ro G� H ro C� w H 0 t7 r 0 0 z C C C n z z zz %-s' z z 0 0 H I H ^ 0 0� �' 1 J z w N �1 � ONR+ � M n m 11-1 � 0 �C n I 0 H m"1 0 Q+ � 0 z z H H03H ;" WOK) z vo NPR vi H " z IN o � .., Ns3 ° re' 44' Hr �`�.�.. 128.4"'^ w� A _ STOMA DRivE 2 b• I ;I HOUSE _129.491 8V 3°1e` -4 W WEST GLENS FALLS VOLUNTEER FIFE DEPT. It i AREA, 8,676 sq.ft 0.20 acres. 9 tv 10 O 1 N ---%,4 OLT t Du ,e Steves Land Surveyors, LLC 169 plaviland Road Queensbury, New York 12804 (518) 792--8474 New York Lie. No. 50136 �,�, OR AOOITIOM 10 A „AF /DAMN, A „� LAND IU,V,,,� 0 A MaATM OF 9X" MR 241-O sm 2. OF M MR YM VAX IDWAIM LAW "OILY 0wn FR M 11E or 1M4 AW4"' MAMED ■M MV OWOft OF 7FE LAM 00 WWO X& WIM L K ,° EE %%" "M COFIES� 'MOF%VWS0101*MKAC0 04M'MIN na au�utr wa FAEPAOBD 04 wooaiow�cE �i1H liK M" 000E 0r MA000C FM LAM smrclm A9QItD LAM OJR " ML sAM 0lJRF1M as !WL" My Imfff "mmmNM M*E"°'°°A '� 10 THE FFROOM FOR 111101A 7ME 9URY�Y OD ►IIMTAIlD, ANb oM W W" " 1ME M 00LrOiJt Aw. AOMM. AMM AM INNO MMMM UM Hamill. Mo m - moan w m L0 aw m mOK.- Map of a Survey made for Clute Enterprises Town of Queensbury, Warren County, New York scale 1•=2o- S 1— 1 -� CWTE DWG. No. 02145B C-730 NO. DATE DESCRIPT70N RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 3D 6 Building&Code Enforcement Dept,of Community Development "vim--amfp rt(pm Town of Queensbury Inspectors Inn is _ 742 Buy Road Queensbury,New Yo k 12804 NAME PERMIT# �� LOCATION DATE + 2- TYPE OF STRIXAWE N/A YES NO COMMENTS Chimney HeightPa'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 21%away from foundation 8"clearance to sill plate Gras 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 Arnise -1 Interior privacy/tiimldoors/mam entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails BalconieslLanding 18 in.o Railing across window in stairwells (� 1 Smoke Detectors: every level I every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation s/4 hour fire door/door closer �-r Garage fireproofing VGA Garage penetrations seal Furnace in separate roo protected(in garage) Light ventilation per om Safety glazing 18" less from floor Final Electrical Site Plan/Vari 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) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code.Enforcement Dept.of Community Development Arrive am/pm Depart am/ in Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York,12804 NAME "J - PERMIT# 0 - ` LOCATION DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightfT"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 fimiace 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 BathroomMtclien 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 frreproofmg Garage penetrations sealed Furnace in separate room prat ted(in garage) Light ventilation per room Safety glazing 18"or less am floor Final Electrical Site Plan/Variance req ' ed Final Survey Plot PI As Built Septic Syst layout required Okay to issue C/C Certif.of Compliance} Okay to issue t p.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif of Occupancy) TOWN OF QUEENSBURY BUTUDING W-CODE ENVORCEMEWT 742 Say R"g-Ra My XZ9304 (SIS) 761-82-545 SEPTIC DrSPOSAU SYSTEM I NSPEC­7rI ON Named Loca -tion D a-t c- -7 /47 P e r7n 1 SOIL -ryp]E- Sand am-Cl ay- Resul is OF Percolation Test- ( -I -F applicable ) Ra e_- route/Inch TYPE OE SYSTEM ABSORPTION FIEL-D : -]Fo-t I Lang�th R D :qa Length 0-F each t--r- nch t Depth o-F trenchers Size cif stone SEEPAGE PI-r:S : N um t--- Size _F_t -f=-t St--one size PIPING : S­Sze T�yp e Bldg . -tc> Tan k- T - nk- 1_- _ x tc to Field 1 Openings Seal Ed ? es No Par-tial EOCA!-IOM,/SEPARA-yrr Founda-tion to Tank -F e-ea-t Foundation to Absavp -tlon -t f:,ao Se-par-at--lon of Pi is e-t Conforms as per Plo-t Plan Ye0 1_OCA-U1[ON OF SYSTEM ON F Y-on -t 0Rea -F-t Rightde - Right Side M1ddl0Z =:P:Z�*--_ m1ddle Rear SYSTEM USE APPROVED ]YE N 0 YES S_ Ar-r-1 -Cf Dc--p r--u- Z Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: 61�ooqn Dept. of Community Development Request received.- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPAR&':✓5 am pm Notes.,(518) 761-8256 Inspector's Initials NAME: De-/71'X7 0 PERMIT# 00 ?- Ds LOCATION: 0/11�9 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 Poundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Z Plumbing Vent/Vents in Place— a ns v7 a,* Found tio Walls Interior R- e Foundation Walls Exter* r R- Floors R- W W Walls s s I F n,x ten r tar r R- R_ Walls R- Ceilig R- ip_ i Duct work or pip g in es unheated'/spa s R- Proper Vent,Att' Vent_ Framing Jack Studs e!ders Bra cli n Joistrater'sgnig Jack P sts/main Beam Air lafilEtion Barrier Fire ISS aration 1,2,3,hour Pen ation Sealed i Wal l V ll 2,3,4 hour Firestopping_ L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc GENERALIMPECTIONREPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 7 Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive. am/pin Depart Inspector's Initial NAME: &146-0 PERMIT#.,;?00-?,rSAS LOCATION: I/-7-,q DATE : 7/is 1 a Z/ TYPE OF STRUCTURE: RECHECK N/A YE COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement L's of the concrete. Materials for this purpose on site— Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval -Olumbing Under Slab Plumbing in en ents in Place . gh umbing: t� Ua g Rough-In i rJ C� Ins Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- oper Vent, Attic Vent ac rs Bracing/Bridging Joist Hangers Jack Posts am Beam Fire epa on 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at9 time: Dept. of Community Development Request Freceived. Meet: ,(.50 C Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARPUVE�j Notes: (518) 761-8256 Inspector's Initi NAME: PERMIT# -.200 ?-I/S LOCATION: b I tA AX14A 4.) F-0142 INSPECT ON(date): ,2 TYPE TYPE OF STRUCTURE: JIT 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/Daropproofirig_ 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- V Duct work or piping m 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 P etration Sealed re hour Fire ire Wall 2,3,4 L.\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury Dept. of Community Development Request received.- Meet; Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPAR am/pm Notes: (518) 761-8256 Inspector's Initials NAME: GUT Al PERMIT# 0 0 LOCATION: INSPECT ON(date): GIZ<-10 TYPE OF STRUCTURE: J RECHECK N/A YES COMMENTS —pxootings/Piers L-101 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,hot Penetration Sealed Fire Wall 2,3,4 hour Firestoppmg L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION R60RT.doc 000 I It Z- ........... —rhaVE se E n at ob l 2 002 erved, r beli lieu I slwE * ncaiutq 20 W - v taf ff r es, 'en c es, - P-j 3011a sura�)-di EA.j�c gB 5!N run.. t I i -c oc-u men t.—hlso repro84-j t-th --'f hav -0 �*j y C es-set-forth-an-i h ia—gr am. UF