2002-895 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20020895 Date Issued: Friday,December 20,2002
This is to certify that work requested to be done as shown by Permit Number P20020895
has been completed.
Tax Map Number: 523400-308-011-0001-050-000.0000
Location: 383 LUZERNE Rd
Owner: ALAN DE CESARE
Applicant: ALAN DE CESARE
This structure may be occupied as a:
By Order of Town Board
Residential Addition 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: P20020895 Application Number: A20020895
Tax Map No: 523400-308-011-0001-050-000-0000
Permission is hereby granted to: ALAN DE CESARE
For property located at: 383 LUZERNE 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: ALAN DE CESARE Residential Addition 9,000.00
3 83 LUZERNE Rd T
QUEENSBURY,NY 12804 otal Value 9,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
SCMJSTERTTSCH. MICHAFT,
24 LADY SLIPPER DRIVE
OIJEENSBURY.NEW YORK
Plans&Specifications
...........
2002-895
Construction of a 288 sq ft residential addition per plot plan and specifications.
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 29,2003
(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 T wn of uee I October 29,2002
SIGNED BY gt7l for the Town of Queensbury.
Director of Building&C. ode Enforcement
I
Building Permit Application M=%_-M V I— L-0
Town of Queensbury—Dept of Community Development,742 Bay Road, Queensbury�NY
200Z
(518)161-8256 .0:CT
TE).WN OF QU ENSBURY
ID CODE
A permit must be obtained before beginning construction- permit File No.
No inspection will be made until applicant has received a Fee Paid D2_-,YVS
valid building permit. All applicants' spaces an this Rec.-Fee Paid,1' ,5
application must be completed and must-appear on the Reviewed 13
application form.
Appl,ic; 0 Owner-
41-.,
Address: !q yr�, Z., Address:
02K-42?0 Y
6)Uc_-
Phone#(C1T ) 9?3 - dj*2� Phone#(&t7_y)jyL- S-4
Email Address: rjAXesct&. SOS 1.6-0^ Email Address: dec e,�ck�� Se) 4V cat, . cam
Property Location: Lot Number: 1 House Numberj?r3
-Subdivision Name: ............. Tax Map Number:
u N_,e)w Building:(6 commercial Estimated Market Value of Construction: $
r , ce c-'—Addition: 2-I!denc�te>commercial If an Addition,what will use of new addition be?'
13 Alteration: residence/ commercial 4 el;
U No change to exterior size: residence com'l
El Other work(describe
Check OccupancyInformation 1"Floor 2"d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling t( 60
U Two family dwelling
13 Townhouse
U Multifamily dwelling
#of units
0 Office
0 Mercantile
o Manufacturing
c3 1 car detached garage
&r--2 car detached garage 7Z
U 3 car detached garage
0 1 car attached garage
0 2 car attached garage
L3 3 car attached garage
U Storage building-
commercial
U Storage building-
residential
Other V-6<-
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?ram 100
Type of Heating System: electric/ oil IKX;I wood forced hot air t aseboard othet:
Number of Fireplaces to be installed Number of Woodstaves to be installed
List below the person(s)responsible for supervision of work as regards to building codes,:
Name I - Address Phone Number
I -
Builder__ &c A o S7P/1 SC-tv - �w 45i� a-
Plumber V v
-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 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 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 n onstMc_tion.
Signature: C?6e, owner,owner's agent, architect,contractor
96--
Pe ritm Ir
MECcheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Constr tion Code
MECcheck Software Version 3.3 Release lb
Data filename:Untitled NED
TITLE:DeCesare Addition RE-
EC
OCT ZOOZ
COUNTY:Warren
STATE:New York TOWN Of QUEENSBURY
HDD:7635 BUILDING AND ODE
CONSTRUCTION TYPE:Detached I or 2 Family
HEATING TYPE:Non-Electric
DATE: 10/22/02
DATE OF PLANS: 10/22/2002
PROJECT INFORMATION:
Alan DeCesare
383 Luzerne Road
Queensbury,NY 12804
COMPANY INFORMATION:
Michael Schusteritsch FILE COPY
24 Lady Slipper Drive
COMPLIANCE:Passes
Maximum UA=59
Your Home=44
25.4%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 288 30.0 0.0 10
Wall 1:Wood Frame, 16"o.c. 344 19.0 0.0 18
Window 1:Vinyl Frame,Double Pane with Low E 24 0.025 1
Door 1:Solid 20 0.067 1
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 288 19.0 0.0 14
Furnace 2:Forced Hot Air,78 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans,specifications,and other cale a mi d with this permit application. The proposed systems have been
designed to meet the Pro osead tate servation Construction Code re 're
.Builder/Designer Date
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release I
DATE: 10/22/02
TITLE:DeCesare Addition
Bldg.
Dept.
Use
Ceilings:
[ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
Comments:
Above-Grade Walls:
] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
I
Windows:
[ ] I 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.025
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ j Yes[ ]No
Comments:
Doors:
] I 1. Door 1:Solid,U-factor:0.067
Comments:
I -
Floors:
[ ] I 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation
Comments:
I
Heating and Cooling Equipment:
[ ] I 1. Furnace 2:Forced Hot Air,78 AFUE or higher
Make and Model Number
I
Air Leakage:
[ j Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC
rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible
materials and 3"clearance from insulation.
f
Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
I
Materials Identification:
[ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] I Materials and equipment must be identified so that compliance can be determined.
[ j I Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications.
I
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
(adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape'is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
provisions of the Building Code of New York State,the Residential Code of New York State or
the New York City Building Cade,as applicable.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/offheater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105°F or chilled fluids below 55 T must be insulated to the
levels in Table 2.
Table 1: Minim um Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) U to o P Up to 1.25" 1.5" to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVACPipes,
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range F 2"Runouts 1" and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Coaling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Delta
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME C� Q' -- PERMIT'# �t?2.^`p
LOCATION 3 L c�. • DATE 12,Z"_/ S P
TYPE OF STRUCTURE „ ✓m ilfo t"t
N/A YES NO COMMENTS
Chimney Height/"&"Vent/Direct Vent Location a
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior RailingsIlan
Exterior Handrails,balco18 .or more
Interior Handrails stairs b mo risers
Grade.2°10 away from fou
8"clearance to sill plate
Gas Valve shut-off exposed/regulato 18"a ove grade _
Gas Furnace shut-off within 30 feet or line of site
Oil Pomace shut-off at entrance to 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 botlx sides more 3 risers
Interior privacy/! /main entrance 6"
Floor Finish
BatlnroomMtchen watertight
Interior Handrails Balconies/Landing 18 in. x 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 scaled
Furnace in separate roomprotected(in garage)_
Light ventilation per ro
Safety glazing 18" ryes frolgpr
Final Electrical !l a �Q
Site Plan/Variance 7q ed
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)
Of, e Use
-GENERAL INSPECTION REPORT Insp
Town of Queensbury Ready a time:.
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road 1 Queensburj,, NY 12804 ARRIVE am/pm: jDEPAR#i-,A/am/pm
— Notes:
(518) 761-8256 insp
ector's Initials4t--�
e �e<S�� S�MErrsthoNA : PERMIT
LOCATION; 3g5 J INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A i YES i 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
'FoundationfWallpour
Reinforcement in Place
FoundatioriMampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Moil
undat�o—nWail-s-I'aterior 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
FireSeparation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4-hour
Firestopping_
L:\SueHomitigway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INCs
Main Nee 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIICATE it ELECTRICAL APPROVAL,
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This certificate only covers the electrical equipment and installation conditions as of date# Capon th(
introduction of additional equipment or alterations, application shall be promptly made for inspection,
Inspectors of this Company shall have the privilege of making ' ections at any time, and if it�
rules are violated, the Company shall have the right to rev a thi ' I icatel
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Office Use
.GENERAL INSPECTION REPORT InspectoJ:
Town of Queensbury Ready at time:A)-4
;V\lc-
Dept. of Community Development Request received: )bLe Meet: 2t
Building& Code Enforcement At time:
742 Bay Road
Queensbui3,, NY 12804 ARRIVE T = am Notes:
(518) 761-8256 Inspector Initia
NAME: &"isef-e• 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/Darnpproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing-_
1<
;eafinWRough-In
s lat'on
E AT�C
oundationNallslnterior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- V X
Duct work or piping in
. unheated spaces R-
Proper Vent,Attic Vent
Framing___
Jack Studs/Headers Clk
Bracing/Bridgmg-
Joist Hangers
Jack Posts/Main Bcain
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppmg__
L-\SueHemiiigway',Buildiiig.Codes.Insp.cction.FORMS\GENERAL INSPECTION REPORTAOC
Office Use
.GENERAL INSPECTION REPORT rp—
Ffinspector:
-OdTown of Queensbury Readipt time.
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
a pm es:
Queensbuty� NY 12804 ARRIVE T U-
(518) 761-8256 Inspector's Ini
NAME: C4 PERMIT#
LOCATION:
Inspectors
INSPECT ON(date): I/4-z 14,>— r-e,
TYPE OF.STRUCTURE: h) i
RECHECK
N/A YES i 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
__—
Hea . Rough- _Ibn* I io
Foundation Walls Interior R-
Foundation Walls Exterior
Floors R-
Walls R-
Ceiling R.
Duct work or piping in
. unheated spaces R-
Proper Vent,Aj*�c Vent__
. '1��.C�-- -
Fran-dng
Jack Studs/Headers
Bracing/Bridging,�,=A,54q,
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,\SueHemiiigway\Buildiiig.Codes.Inspection.FORMSkGENERAL INSPECTION REPORT-doe
Offt U.,
-GENERAL INSPECTION REPOR�o Inspector:_
Town of Queensbwy Ready at time:.- ,; '
Dept. of Community Development Request received: Z Meet:
7 L/S
Building&Code Enforcement At time: //7 .0"
742 Bay Road A No'
Queensbury, AT 12804 ARRIVE am/pm: DEPART amlpm
MIN a J41
do
(518) 761-8256 Inspector's Initials Aiq// 11
Cis -NAME: 11PERMIT# 10
LOCATION: 3 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
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
rmmg
W—AWMWc Mt—udsffleaders
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam.
zr "nfiltration Barrier
it Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2 3 4.hour
L:\SueHemiiigway'Building.Codes.Insl)cction.FORMS\GENERAL INSPECTION REPORT.doc
Town of Queensbury
Fire Marshalls Office
742 Bay Road
Queensbury, NY 12804 F-i vk. A
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshals Inspection Report
Request sCHEDULE
Received: Permit# INSPECTION ON:
Name: I 0 AM PM ANYTIME LI (a co)
Location: —l'oyl9V,16!j nf�V.6
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING 0Aec+1M elk
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE tJ
COMPRESSED GASk
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEnNG
UNITS
CLEARANCE TO CT
REQUIRED REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY/SIGN
CHIMNEY
MASONRY IROUGH IN
FINAL----
CHIMNEY
FACTORY BUILT ROUGH IN 6yj
FINAL
WOOD
STOVE ROUGHIN t
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE -OK FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN
INSPECTED BY
FINAL
COMDEV/CHRISJAAfORDILETTERS200I/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Offwe Use
Z /
-GENERAL INSPECTIONREPORT Inspector:
Town of Queensbury Ready attime..-,',
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
am/pm: DEPARl' Notes:
Queensburj� NY 12804 ARRIVE— 2
(518) 761-8256 Inspector's Initials
NAME: PERMIT
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES i 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
oimdation/Waflpour
er"Reinforcement in Place
indatio pp roodn—gXckfilI ApprovalPlumbing Under Slab
Plumbing Vent(Vents in Place
Rough Plumbing_
Heating Ron
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
C.-iling 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:\SueHemiiigway\Building.Codes.Lnspection.FORMS\GFNERAL INSPECTION REPORT.doe
Office Use
.GENERAL INSPECTION REPO Inspector:
Town of Queensbury Ready at time:.*-'
Dept, of Community Development Request received: C2, Meet:
Building& Code Enforcement At time: :���
742 Bay Road Notes:
Queensbur NY 12804 ARRI EP m m
ERt
44/K
P
(518) 761-8256 Inspector's Initlia
rl\NAME: A PERMIT# Zbo
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YE Y NO COMMENTS
�Footings/Piers V.
Monolithic Pour Form,
Reinforcement in Place EA
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 Scaled
Fire Wall 2,3,4-hour
Firestopping__
L:\SueHemingwa5`Muilding.Codes.Inspcetion,FORMS\GENERAL INSPECTION REPORT.doe
j
Office Use
GENERAL INSPECTION REPOR Inspector: U �^^�
Town of Queensbury Ready at time:
Dept. of Community.Development Request received. � �� �� .-- Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRITIE mar EPA j) am Notes:
(518) 761-8256 Inspector's Initial —
NAME: PERMIT# t3 7
LOCATION: f INSPECT ON(date): GV L lfZ
TYPE OF STRUCTURE:
RECHECKP—�f ?�.
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
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
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc