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2001-700 07L-62,5 QCOPY TOWN OF UEENSBURY IL E 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20010700 Date Issued: Thursday, January 24, 2002 This is to certify that work requested to be done as shown by Permit Number P20010700 has been completed. Tax Map Number. 523400-296-058-0001-015-000-0000 Location: 42 GENTRY Ln Owner. VALENTE BUILDERS, INC. Applicant: VALENTE HOMES INC. This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached 4- 0,v1P44 Director of Building&Code Enforcement zr ` TOWN OF QUEENSBURY 04 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010700 Application Number: A20010700 Tax Map No: 523400-296-058-0001-015-000-0000 Permission is hereby granted to: VALENTE HOMES INC. For property located at: 42 GENTRY Ln 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: VALENTE BUILDERS,INC. Single Family Dwelling 140,000.00 153 SWEET Rd Garage-2 Cars Attached QUEENSBURY,NY 12804 Total Value 140,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency VALENTE HOMES INC. NEW YORK BOARD OF FIRE UNDEI 50 COUNTRY CLUB Rd OUEENSBURY.NY 12804 Plans &Specifications 2001-700 House No. 42 Gentry Lane,Baybridge Phase 3 (shown as Unit 95 on subdivision map) 1650 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $242.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, September 25,2002 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the of Qu nsbury; u.sday,.September 25,2001 /— SIGNED BY for the Town of Queensbury. Ntit Director of Building&Code Enforcement Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 (761-8256] BUILDING & CODE ENFORCEMENT NOTICE Requirements prior to issuance J/ . A permit must be obtained before 1 of this permit: PERMIT FILE NO. l beginning construction. No inspections PERMIT FEE PAID `1e O� will be made until applicant has received . El Zoning Board Action t a VALID BUILDING PERMIT. All Area /Use RECREATION FEE AID$ applicants" spaces on this application MUST be completed and the signature Planning Board Action REVIEWED BY: �. of the applicant must appear an the SPR / Subdivision /Other Btdldbig Inspector pplication form. n J I Recreation Fee Payment Applicant: VAt1 )1F?. / O/11 INS- Owner: j• t; . . . ' Address: 50 Cc, zt F6-v r3 (. Address: Phone # (Sly ) 7y43 r 5 7,0c7 IIl • t Phone # ( ) - Property Location: 6p/07-P'i ` - Subdivision Name: pSr3Y(jvYl�1`f�G� 1c�c wvf7ia�ES, cf-ko, 3--) Tax Map Number 2/4"�"/ / i� Section Block I nt NITjjRE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New_.uaa-di-rlg� CONSTRUCTION: $ /�o1 oc, residenc�/ commercial Addition to .Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial X' Single Family ((�� Residence / Commercial Two Family Dwe ling � � no change to exterior size Family Dwel� g Office 1 :LB:" 01 Other Work (describe below) MercantileManufFami lyn WN OF QUEUI;Y Other BUILDING AND CODE GROSS AREA OF PROPOSED STRUCTURE: • 1st Floor i65 sq. ft. If ADDITION, what will use 2nd .Floor. . ., sq. ft. of new addition be? : Other Flouts sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: • _ Detached Garage 1, 2 car ,o� TOTAL FLOOR AREA: i65(2 SQ. FT. X! Attached Garage 1 /car U-TC)1 g' Private Storage Bui ing SIZE OF NEW STRUCTURE: Commercial Storage Building Other '3(27 FEET X 5) FEET Foundation Type: ca,m06 cr.,.. t'eJF. Will any second-hand or ungraded ' Number of Stories : • lumber be used? If so, for what? (habitable space only) - Height (grade to ridge) : feet TYPE OF HEATING SYSTEM: Number of fireplace and/or woodstove (circle all which •lies) to be installed:. E is / n J /�/ Wood Forced Hot Ai . / :aseboard / Other Person responsible for supervision of work as regards to building codes is : Of--1- 0 V - "rc c 7tN? C 6'3 RD. "7C q> -5'106 Name Addresss Phone Builder: 4 7N4i i-r_. 40.4/t;5 That-. 71s-5 0 Plumber: riim+. -'jam -c/3gq Mason: Electrician: or, L0-Gwy 4yy-Z353 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 the proposed work shall be complied with, whether specified or noted, and that such work is au ior.ed by the owner. Further, it is understood that 1/we shall submit prior to a Certificate of Occu anc or Certificate f Compliance being issued, an AS BUILT PLOT PLAN by . a licensed survey() dr wn to cale, , h wing act . i`ori of project on premises. Signature: C ( , owner' agent, architect, contractor) • ' Application for Permit—Septic Disposal System Town of Queensbuty 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: • • • Location of installation: : s' 6rot"vu; i--A Office Use Tax Map No9 .6 / 1— /- )5— File Permit No,_( l —� . Owner's Name: i/Y %a7,� • i4�., s . e. • Fee Paid Address: 50 Cc.9vvitty CG.)G CD_ . • 2. • INSTALLER'S NAME : :U L Tx /4041r S ..tNC. -• PHONE NO. 7/S— 5 '° 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(s)and multiply N-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/bdnn = 1980- 1991 • x 130 gal/bdrm = 1991 —present - S x 110 gal/bdrm = 33c) - Garbage Grinder Installed yes '/ no Spa or Whirlpool Installed . yes / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements)- • ToP9.YtaDlw V.iUIRt1l19 t;7.t.QU9d WAt.9.L.._©Q01Cock.vr ItnPat'YiP►$A449. i,1l_.__Domnpstic_Watgr_$Jipply Nat sand at what depth at What depth • • municipal Rolling loam feet feet well Steep slope clay •' if well; water supply _%slope other • from any septic-system • depth: absorption is • fl. other . Percolation Test: (To be-completed by licensed professional engineer or architect) Rate: /tom. minute per Inch . • 5. PROPOSED SYSTEM: For.New Construction: All individual sewage disposal systems must be designed by n 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.. et Septic Tank: 1Z5e, gallon (min. size 1,000 gal.) To T) - �N�'o r�'S/ �i l� LFAH- ru5: Tile Field: each trench ft. Total System Length: •' fl. Seepage Pit(s): number-of size of each: fl. by fl. Size of Stone to be used: II • / depth or thickness.____._._____first Bed System Size: . . x . Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: . / Size of each: gallons /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 Quoensbury, 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 circumstance known by or on behalf Of an applicant, shall be void. • I have read the rog ati.ns with res&eat to this application and agree to abide by these and all requirements oft'', To n of Qu:e`I bury Sanitary Sewage Disposal Ordinance: g, / . . ' . At SI!r : ure . 11741 o responsible person Date . O0/ 0• As_/ - ENERGY CODE COMPLIANC APPLICATION jr TOWN OF QUEENSBURY W• - - -N COUNTY 9.00 HEAT ;ie1 DEG' EE DAYS wr Comoliance Methods : PA: 5 - ccttable Practice Method - 1& ily Dwellings (only) • PP b* e 1 Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings ( 3 stories or less) PART 4* - Design by Component Performance • Commercial Buildings-Mi Rise Residential *Requires submission of worksheets APPLICANT' S NAME : PROPERTY LOCATION: Iniii',- Id s ...1:nJc.:-. 9,4/25- r mt LM PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor A:ea - /6 square feet 2 . Tyae of Heat - Electric Oil A Gas Other 3 . Is building mechanida' ly cooled? Yes No 4 . Percentage of area of windows and doors Over 17% 2( Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R SS b . Exterior walls R 14 c . Glazed areas R 46 d . Exterior doors R y e . Floors over unheated spaces Ro Edge of slab on grade (heated building) a _ g. Basement/cellar walls (above grade) R _S__ h. Basement/cellar walls (below grade) R li i . Heating/cooling-ducts-piping in unheated space R An, 6 . Service (domestic) hot. water heating device Conforms to minimum efficiency per code Yes No . MPERA URE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Appg -• ' - .at, xe Da` Phone Number (7//7/0/ 7yQ -Sze INSPECTOR' S REMARKS : THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO. DO NOT WRITE HERE-FOR OFFICE USE ONLY t BUILDING PERMIT NO. t. f 4 j / TEMP.# - 1 , i DATE ' CITY OR VILLAGE (( ZIP CODE / TOWNSHIP COUNTY q / .�,w 1i-1.:>,:\t`'t IV-�t:'''."'!`` (.--',''tir/�. -Jl/ S ETE AND NO.OR ROAD � POLE NUMBER ) BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? - SECTION BLOCK LOT .:)(1`1 j`a.i. .)(� C L . -Zei 6: , / /. . OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER -)� ).•all)C_ )Vi '.''iiLI•,`-., i.NG. ` I�.3 - OO CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER BUILDING IS NEW❑ OLD ❑ WORK IS NEW❑ ADDITIONAL El DEFECTS REMOVED❑a LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles CIRCUITS ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION OUT- SIDE SUB- BASE j BASE- MENT 1st FL. 2nd FL. 3rd FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. • THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. SIZE OF MAINS _ FEEDERS i `) -- in(4)- Applicant affirms that there is not an application for electrical CHARACTER OF WORK ❑EXPOSED inspection pendingwith aqualified electrical inspection .©CONCEALED P P DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein. /I(,,I('_ /1,11 This application is valid for a period not exceeding one year SERVICE ENTERS BUILDING from the date received by the Board. ❑ OVERHEAD UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANT'S IDENTIFICATION NUMBER) AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT DATE OF APPLICATION SIGNA E OF APPL,eANT ,) ,.-XI(,cry X (j r_-f`.;1-,`-. STREET ADDRESS TELEPHON O. ,a Jr LA{i_i'i ?Vi. L,c/L/- (' '<. CITY OR POST_OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE ❑40 Fulton Street ❑ 111 Wasliuigton Ave. ❑ 3291 Lake Shore Road ❑ 803 West Avenue ❑ 202 Arterial Road NEW YORK, NY 10038 SUITE 704 BUFFALO, NY 14219 SUITE 106 SYRACUSE, NY 13206 (212)227-3700 ALBANY, NY 12210 (716)827-1155 ROCHESTER, NY 14611 (315)463-8552 (518)463-2122 (716)436-4460 THE NEW YORK BOARD OF FIRE UNDERWRITERS • TOWN OF QUEENSBURY ;:'. BUILDING & CODE ENFORCEMENT v ,s��; 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPE TION `RREEQUESTT RECEIVED: C _ NAME J tG jJf..c'k LOCATIOVVNI 4 664A DATE 01 U(] Lii(RERM H 1- G 73l� / TYPE OF S RUCTURE Jl/ FOOTINGS BACKFILL FRAMING P MBING INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER ("'\ RELIEF VALVES FLOORS • FOUNDATION INSULATION INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRpT ON FIRE DAMPERS /J CEILING FIRE •STOPPIU,6 FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. (,INAL SURVEY PLOT PLAN, IF REO 0J OK TO ISSUE CJO OR C/C • __----- C.,_./:____,----..... RESIDENTIAL FINAL INSPECTION REPORT i Office No.(518)761-8256 Date inspection request received: l : .,,,, ?/ Building&Code Enforcement _ Dept. of Community Development Arrive;`�1�,ain�epart 2,1t;p Town of Queensbury Inspector's Initials •� 742 Bay Road Queensbury,New York 12804 NAME tiQ,-'l PERMIT# l C 7°v LOCATION C DATE 3 " 2-- TYPE OF STRUC N/A YE/S NO COMMENTS Chimney Height/"B" r en II irect Vent Location ;/ Fresh Air Intake Plumb Vent through roof \ i Roof Complete 1 Exterior Finish Corn. ete \ ✓ Interior/Exterior '. gs 30" o 36" :/. Exterior Handrails,ba,conies landing 18 in.or more Interior Handrails sta. both sides 3 or more risers ;/, Grade 2%away from f«undation ty71,� 8"clearance to sill plat: <�,a)RK7 Gas Valve shut-off exp.sed/egulator 18"above grade Gas Furnace shut-off wi in 0 feet or within line of site 4.V ✓ Oil Furnace shut-off at e .'•ice to furnace area Fumace/Hot Water Heat' operating ,// Relief Valve(�insta • Headroom,6 ft.6 in.on s :irs 4i Basement stairs,6 ft.4 in. ,/ , Handrail exterior stairs bo sides more than 3 risers ;7 ,,aa Interior privacy/trim/doors ain entrance 36" t/ Floor Finish t1 Bathroom/Kitchen waterti el t i/ Interior Handrails Balton:. . ding 18 in.or more r Railing across window in • •irwells 1/ Smoke Detectors: every level vj, every bedroomi---- i/ outside every bedrop ,- inter connected i/> Bathroom fans ✓ Plumbing fixtures V' Foundation insulation •/ t. 3/4 hour fire door/door closer L/ Garage fireproofing a/ Garage penetrations sealed 1l Furnace in separate room protected(in garage) ✓ ✓ Light ventilation per room Safety glazing 18"or less from floor ✓,/ Final Electrical �/ Site Plan/Variance required i ` Final Survey Plot PlanElk 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) TOWN OF QUEENSBURY . BUILDING_ &_CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name NrA\-E_C5T- Location ` 4'7 . C�;-k-- 1f F Date 12-jQ-c i Permit # 2-��0\=rr)r) • SOIL TYPE: Sand-Loam-C�lJay- Results of Percolation;Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: i . ABSORPTION FIELD: Total Length Length of each trench; Depth of trenches Size of stone . ;f SEEPAGE PITS: Number Size - ft. x/ ; ft. Stone size PIPING: 11 Size Type 8idg. to -i- ' j 1-1f',19r4* -4s✓ �- Dist. Box to Field/Pit I • Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorptio feet Separation of Pits _ feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: SYSTEM USE APPROVED: YES 0 ' Arriv . De. .rted: , "i . , .:; 9 :� -%tor. 40 l 3a_. ,...,,,_,.,„ si O ..,q,-,- Y .{i ;e5=;fix r.., „...,,,., GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road b Queensbury,NY 12804 Arrive am/pm Depar " N` m Inspector's Initials/ /`� NAME: \ra1�� PERMIT# O/ 7V O LOCATION: a CTP c2 , DATE : AZ— —,-(ZO I TYPE OF STRUCTURE: /�\ RECHECK N/A YES NO I COMMENTS Footings/Piers I I I I 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 iPRumYbin giIi. eag oughmn d I �1at V Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- j9 ./ Ceiling R- :-C) ;/ 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 gile Walli243c4;bop--r „ -irestoppmgg s nP 1 tti-1446-:"-- • GENERAL INSPECTION 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 am/pm Depart ` ,am/ m Inspector's Initials 'L NAME: V Nt—&IS 1 C� \\ PERMIT# 6 LOCATION: /� (JC r1 1,() L N DATE : i 'Z TYPE OF STRUCTVRE. RECHECK N/A YES NO COMMENTS Footings/Piers I I I Monolithic Pour Form Reinforcement in Place The contractor is responsible f r providing protection from free ing , for 48 hours following the pla me t of the concrete. Materials for this purpose on sit Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing VentNents in P ce Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior 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 P / "�+'� etration Sealed ire Wall 2, 3,4 hour ' L (rn�f�j n6 �J�' _ Firestopping �'/1'� , nw Y L CC Uv iri GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury l4 / Dept.of Community Development Date inspection request received: IId-5 , — Building& Code Enforcement 742 Bay Road ' Queensbury,NY 12804 Arrive am/pm Depart 1 ' laamm/pn Inspector's Initials /C\ �r7/ NAME: / / bt" /ie d PERMIT# ( T O I/7706 LOCATION: r3r � - i 'TE : . I // / TYPE OF STRUCTURE: �" RECHECK ( ''t"95 Oki �,�, w�yz, sa I 0 iN _. / (11-' N/A YES NO COMMENTS g Footins/Piers � I r 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 /� iug nt/Vents in Place '✓: eating ough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R • - Ceiling R- Do ! - G f idot) (, or piping in unheat aces R- n r V.ent„Attic t •' 1.4 Studs/Headers Bracing/Bridging Wj Joist Hangers j ✓ ir1T;n �n�amer Fire Separation 1,2, 3,hour Penetration Sealed l re- s in hour V n, 1 5 14c-f 1 IC— _ � 14o Cis i& iZ 4 LA-1471 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Zj' Queensbury,NY 12804 Arrive am/pm Depart l�` '1 en Inspector's Initials f % NAME: V 1 PERMIT# LOCATION: I DATE : — U) TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place 1\\ 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 Fou tion/Damppro ng ckfill Approval '1(7/ Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- �t 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 rr) 1 , GENERAL INSPECTION 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 • pm {i •,� r ctor'separt Initialsi- NAME:\(X\ PERMIT It O D LOCATION: R_ DATE : — TYPE OF STRUC : RECHECK N/A YESf ENO COMMENTS F tings/Piers 1/ onolithic Pour Form Reinforcement in P .c- The contractor=s re ••nsible for providing pro ction from freezing for 48 hours f.11owing .e placement of the concret-. Materials for thi•purpos=on site Foundation/Wall..ur Reinforcement in 'lac- Foundation/Damp.r..Ping Backfill rov Plumbing Un er Sl.. Plumbing Vent/Vent. in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls In rior R- Foundation Walls E +-rior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces - Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping \ c"-\)0,0(2oe•-,S°• _C21;_r?"1•71117: I. \ ?--91z- - • u . . , . (Q _IV / 1 - 6 Le/,..e. <V7„:"'J. 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