2002-969 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)161-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE -OF OCCUPANCY.
Permit Number: P20020969 Date Issued: Wednesday, June 25,2003
This is to certify that work requested to be done as shown by Permit Number P20020969
..has been completed.
Tax Map Number: 523400.308-016-0001-026-000-0000
Location: 2 STEPHANIE Ln
Owner: SAVINO'&DONNA D'ANGELICO
Applicant: PLINEY TUCKER .
This structure may be occupied as,a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage-2 Cars Attached
Single Family Dwelling
Director of Balding&Code Enforcement
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TOWN OF QUEENSBURY
742 Bay.Road,Queensbury,NY 12804-5902 (518)761-8201
I
Community Development-Building&Codes;(518) 761-8256 .
P
4
BUILDING PERMIT
Permit Number: P20020969 Application Nurriben. A20020969
- 6
Tax Map No: 523400-308-016-0001-026-000-0000
Permission is hereby granted to: PI,TNF.Y TACKER
For-property located'at: STEPHANIE Ln
P
in the Town of Queensbury,to construct or place C
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. Tie of Construction Value
Owner Address: STERLING&RUTH AKINS
380 CORINTH Rd Fireplace ,
Garage-2 Cars Attached
QUEENSBURY NY 12804
Single Fathily Dwelling 132,000.00
Total Value I 132,000.00
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Contractor or Builder's Name/Address Electrical Inspection Agency
PLINF,Y TITCKFR
41 DIVISION Rd
OIIFF,NSBTIRYY-NY 12804
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Plans&Specifications `
2002-969 2 Stephanie Lane per DH, 10-02. ;
Construction of a 1,511 sq ft single family dwelling with a 576 sq ft attached two car gar end.one
fireplace per plot plan and specifications.
$238.92 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,November 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.)
i
Dated at the Town o ensb 4 V(=the
5,2002
6
SIGNED BY O Town of Queensbury.
Director of Building&Code Enforcement
P
P
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road,Queensbi ry,NY I ��
(518)761-8256 C El
Nov
A permit must be obtained before beginning construction. permit File No. . 2002
No inspection will be made until applicant has received a Fee Paid $ TO WMV O
UES
valid building permit. All applicants' spaces on this Rec.Fee Paid $ UiLO1tVG AND C URy
application must be completed and must appear on the Reviewed By: - ��COp�
application form. `
Applicant: /rrV<.- y 4-. 1 �,�� Owner:
Address: 4l/ 0/ ry f Sj YE'ce_ Address:
7—
����S ti cr Y.I !�l •�!- /Z.$'oe� C.�A .tl�� v o�'�'T .(�+S�� t ZS'...� / .
Phone#{ ) Phone#(4 /�}2�,3_
Email Address: sr� Email Address:_ A IZIV--
Property Location: Lot umber: 13 I House Number Z / � %z 1z . �s r 1-�, C_
Subdivision Name: Tax Map Number: _
1
tf New Building: ciesidence /commercial Estimated Market Value of Construction: $ f 2 o o
❑ Addition: residence/ commercial If an Addition,what will use of riew addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describe )
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Check OccupancyInformation J."Floor 2° Floor Other floor Total
Below sq.ft. sq.ft. sq,ft, Square Feet l J
Single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
2 car attached garage ^-7
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,four what?
�
Type of Heating System: electric/ oil / gas wood I Co hot air baseboard/othei:
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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:
i
Name Address Phone Number
Builder lve ly �c�ezvsk�ur/
Plumber P � /a
Mason '.v e k_//e�a v c-
Electrician
Declaration: please sign below after you have carefully read the statement:
I
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 lae 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 new construction.
Signature: _ f ��d G - o— ewIner,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:
Office Use
Location of installation:
-R1
Tax Map No. L�?4_ J-2 File Permit . 8
I jV0V I
Owner's Name: Fee Paid_ �
.............. T
.................... .44V.0F ____............ ......................
Address: SUILDIN, QUEp/Vseu
P V_
7 NQU
2, INSTALLER'S NAME j A.,e%4 L -77 7
�7 _
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate 9 bedroom(s) and multiply# of
bedroom with applicable gallons per bedroom to equal total daily
yflow)
Year of House: No. of BodrQgms x Computation = Total Daily Flow
low
1980 or older x 150 ga]Jbdrra =
1980- 1991 x 130 gal/bdnn =
Q_991 -L iresent 3 x 110 gaYbdrm =
Garbage Grinder Installed yes no
Spa or Whirlpool Installed yes I no
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
T-0twgraRba Soil Nature Ground Water Bedr ok or Impervious Materi al I omestic Water SUgiiiy
�g
kEzaD sand at What depth a w. W depth 1��nunlcipal
Xj/ _ f t h a, th
Rolling loam feet
_;V�ze&
Steep slope clay if well;water supply
%slope other
from any septic--system
depth:
absorption is 11
f
other
Percolation Test. (Fo be completed by ftoensed��rqfessional engineer or,architect)
Rate:J_!Erge-G6'1-L-njft9we per inch
5. PROPOSED SYSTEM: For New 5LonitMOS! : All individual sewage disposal systems mustibe 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: 12 S gallon(min, size 1,000 gal)
Tile Field: each trench ft. Total'System Length: 0 C> ft
Seepage Pit(s)- number of size of each: fi by j
Size of Stone to be used:-ad:
depth or thickness feet
Bad System Size:
Alternative System: length and/or size 1
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of earl}: gallons TOTAL Capacity: I gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspe6tion 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 granteld 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 regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitiry Sewage Disposal Ordinance.
5a� K—T /V LIT I/
Si'q�zfture of refip6nsible person bate
'IO�Vat al' (ZuCratvintry
<-♦vcas :)sacl sewage I}issms.—t1 t:la:apter
AppvtIltiix is
. I
All-;;OM "VIOLA. 1"ll' ICI.?
,I?1'/\lLA'i'IC)N IL1i,L2t.7I 1LI;RI l�:f�i'1` i
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130U SE
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7. SIGNATURE &INFORMATION FOR IZ�`SYCUN�1fisL�rn�.,Lv �.c4.o.
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JOWN0FOUEENSBURY
Richard A. tIGHWAY Highway Supenisei
ent
Home(518)798-5127
DEPARTMENT
742 Bay Road - Queensbury,NY 12804 Michael F. Travis
Deputy Highway Sup
erintendent
Office Phone: (518) 761-8211 J (518)798-0413
Fax: (518) 745-4466 11
DRIVEWAY PERMIT VEL)
livo V I
DATE: 0 V TOWI 92002
OFQ
Ui �SBO
APPLICANT NAME: Q A�'ERY
TELEPHONE NO.:
ADDRESS TO BE INSPECTED: re 12 Ar4_A_�
RETURN ADDRESS: 1Z J_�Z t"&! AEL!d d" Y'
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" ( )18" ( )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
Fire Marshal's Office Town of Queensb'ury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
_. : • applicable to solid fuel & vented gas:appliances
t=i Date �. , ZO Tet�nztL'No.
Applicationn is hereby made to the Building& Codes Office for the issuance of aj-Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The appliedlit or owner
agrees to comply with all applicable laws, ordinances, regulations, and ail conditions that are part of
these requirements and also will allow all inspectors to enter premises toetforrn requited inspections.
NOTE'to applicant: Rough-in and Final Inspections are required.
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Applicant Information Fuel Burning,!Appliance information
(circle appropr ate words)
Name: :� 3 z1 �, l c 4 Stove: ;� wood coal pellet gas
r Fireplace insert #
Address: '1~i'replace, factory-built-' wood gas'
y` Fireplace, masonry: wood gas
Furnace: kwood gas oil
Phone: 3 ! f
t if non-masona y applxcance please provide
Owner: S, U A10 d- A, ,. ,a . �> ,��,M�u faeturer Nang e: ;
1 i
Address: r6 t xu . 1 ,/> zd' Model Number,:
AY 3
Chimney Information
Phone: ? -,�,1 'R `�9 (circle a proprtate words)
Masonry block brick Istone
Flue tiled steel size; inches
.4 c& i
Exact Address: e'-"-
of cion or installation ' Factory-Built I
Manufacturer mule:
Model Number:
Note: Listed By: i Number:
Construction IInstallation must �
eorz orrn to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury 3
Handouts regarding required inspections. Double wall / Triple wall I his•ulated / Direct vewitig
Clihimey Linei
'.r t C�,eEh�iear'ter pepMx4mm6esXxt Town of Queen rrbury,3\T��xozrlk
Fire Marshal Code# S Collected. �Rcfrndcd R(Xeived fioa ref a?t�crt to):� x ,f
f`1
address: 1 L
A 173 3389 (190) PuNic Saf%,ty _ f -
A 233 2655 (230)Minor Sales
DATE. �� ell
L!vc�' 41
� � ,�;.��_ �,vs,.`cep a2 ��.��•
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink K Goldenrod(Cashier's Dept.)
1
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ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only) /Val/
Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling;r'p 20
Multi-Family Dwellings(3 Stories or less) wNOP� U 02
$U Din �/v
Part 4*-Design by Component Performance, Commercial Building
IHi COB�
Rise Residential
*Requires submission of worksheets
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APPLICANT'S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: `
P
I. Gross Floor Area- l l square feet
2. Type of heat- Electric Oil Ga Other
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3. Is building mechanically cooled? L yes No
4. Percentage of area of windows and doors Over 17% Under 17% 0
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5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R '
b. Exterior walls R ,1 q i
C. Glazed areas R- 0 I/I
4
d. Exterior doors R I 7 j
e. Floors over unheated spaces R >
f. Edge of slab on grade (heated building) R /U/f
g. Basement/cellar walls (above grade) R_Lj I
h. Basement/cellar walls(below grade) R t
i. Heating/cooling-ducts-piping in unheated space R::4 j4-
6. Service (domestic)hot water heating device
Conforms to minimum efficiency per code Yes No'
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED d
lip ant's Signat� Date Phone Number i
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INSPECTOR'S REMARKS:
f
�7
Project Name: c°�i L U BP#
Address: �+ 2
Bui ding Permit Submission
SbN(&am lydvdlzng
Tuofi n-dy du&7g I
Checklist
All items below must be checked either yes,no or not applicable prior,to submission'of any building
permit to the Town of QueensburyBuilding Department. If any of the belowIitems are lacki!g,the permit
will not be accepted until such time as the application is deemed complete for submission.
I
1. Building Permit Application Completed ... ... ... ... ... ... ... ... ... ... ....... yes ❑no ❑n/a
I
2. Energy Form or CheckM&te Energy Code Compliance Forms Complete.. (dyes ❑no ❑n/a
3. Energy Code Inspector's Report from CheckMate Program... ... ... ... ... .. (K yes ❑no ❑ n/a
I
4. Septic application completely filled out(if applicable)... ... ... ... ... ... ... ... [bN yes ❑no ❑n/a
5. Solid Fuel Bunning or Gas Appliance Form... ... ... ... ... ... ... ... ... ... ... ... .(Oyes }❑no ❑n/a
6. Electrical Inspection Form... ... ... ... ... ...... ... ... ...... ... ... ... ... ... ... . [2yes [-]no ❑n/a
7. Two (2) complete sets of structural drawings... .. ....,. �ye Q ❑.. ... ... ... ... ... ... ... s no n/a
a)floor plan;b) foundation plan;c) cross sections:d) elevations; !
'e)window and door schedule I '
t
8. Two (2) site plans showing location of the structure to be built,... ... ...... [ yes 'Ono ❑n/a
location of well or water lines,location of septic system or sewer line. �.
i
9. Setbacks from property lines to new structure ... ... ... ... ... ... ... ... ... ..... ®,yes '❑no ❑n/a
E
10. Setbacks to neighboring wells and septic systems,including onsite well.... Oyes 'Ono ®n/a
and septic systems (if applicable)
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11. DrivewayPerrnit... ... ... ... ... ... ... ...,.. ... ... ... ...... ... ... ... ... ... ... ... ... 64yes o ❑
❑n n/a
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Date '
Staff Initial:
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L:\SueHemingway\Bugding.Permit.FORMS\Generic Checklistdoc
I
#�
' ermit Number
6
MECcheck Compliance Report Checked BytDate
Proposed New York State Energy Conservation_ Construction Code
MECcheck Software Version 3.3-Release lb
Data filename:C:\Program Files\Check\MECcheck\TUCKERcck
TITLE:TUCKER CONSTRUCTION
COUNTY:Warren - I
STATE:New York I
VEFO
HDD: 7635 NOV j I g 2002
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric TOW D F() EENS'6
DATE: l l/10/02 �VD COQe
ll
DATE OF PLANS: 11-10-02
PROJECT INFORMATION:
TUCKER CONSTRUCTION
COMPANY INFORMATION:. .
TUCKER CONSTRUCTION14
w- `
f
COMPLIANCE:Passes
v
Maximum UA=367
Your Home=278
24.3%Better Than Code
Gross i Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R Value U Factor UA
I
Ceiling 1:Flat Ceiling or Scissor Truss 1578 38.0 6.0 47
Wall l:'Wood Frame, 16"o:c. 1431 19.0� d-0 86
Basement Wall 1:Wood Frame,8:0'ht/7.0'bg/8.0'insul 1272 11.0 d.0 62
Window 1:Wood Frame,Double Pane 174 0.460. 90
Door 1: Solid 20 0.070 - 1
Door 2: Solid _ 20 , 0.070 1
Door 3: Solid 20 ? 0.070 1
Furnace 1:Forced Hot Air,92 AFUE 3
1
COMPLIANCE STATEMENT: The proposed building represented in this document isiconsistent with the
building plans;specifications,and other calculationp submitted with this permit application. The proposed systems
have been designed to TTJ the Proposed New York State Energy Conservation Construction Code requirements.
Builder/Designer � ��jUl Date �! D Z OF NEIV
CAP 4p KEJTy� �,9
T"n
4 os67 a
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E
5
MECcheck Inspection Checklist
Proposed .New York State Energy Conservation Construction Code
MECcheckSofrware Version.33.Release lb
DATE: 11/10702 ,
TITLE:TUCKER CONSTRUCTION
Bldg.
Dept.
Use
( 1
( Ceilings:
5
[ ] ( 1. Ceiling I:Flat Ceiling or Scissor Truss,R-�38.0 cavity insulation
( Comments:
I I
( Above-Grade Walls:
] ( 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
(• Comments:
( r
( Basement Walls: ;
[ ] ( I.- Basement Wall 1:Wood Frame, 8.0'ht/7,0'bg/8.0'insul,R 11.0 cavity;insulation
( Comments: s I
Wiadows:
[ ] ( 1. Window 1:Wood.Frame,Double Pane,.0 factor:0.460
( For windows.without:labeled U factors,describe features: {
( #Panes. Frame Type Thermal Break?j )Yes l )p No
( Comments:
(. boors:
] ( 1. Door 1:Solid,U-factor.:0.07-0
( Comments:
[ ] ( 2: Door 2:Solid,U-factor:0.070
( Comments:
[ ] ( 3. Door 3: Solid,U-factor:0.070 r
( Comments:
( Heating and Cooling Equipment:
] ( 1. Furnace 1:Forced Hot Air,92 AFUE or higher
( Make and Model Number
( T
(. Air Leakage:
[ ] ( 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�1C
( rated installed inside an appropriate air-tight assembly with a 0.5"clearance,from combustible
materials and 3"clearance from insulation.
( a
( Vapor Retarder:
[ ) ( Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
(,• Materials Identification:
] ( Materials and equipment must be installed in accordance with the manufacturer's installation
. 1
4
r
• I
0
a
instructions.
Materials and equipment must be identified so that compliance can be determined.
[ ] ( Manufacturer manuals for all installed heating and cooling equipment and service water heating
J equipment must be provided. . I I
[ ] Insulation R-values,glazing U factors,and heating equipment efficiency must be clearly marked on
J the building plans or specifications. l
J Duct.Insulation:
J
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] J Return ducts in unconditioned attics or outside the building must be insulated to R 6.
[ ] J Supply ducts in unconditioned spaces must be insulated to R 11.
[ ] ( Return ducts in unconditioned spaces(except basements)must be insulated to R 2.
jInsulation is not required on return.ducts in basements.
J Duct Construction: f
[ ] J All joints,seams,and connections must be securely fastened with welds,gaskets,mastics J
J (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
J Exception: Continuously welded and-locking-type longitudinal joints.and seams on ducts
J 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.
[ ] J Air filters are required in the return air system.
[ ] ( The HVAC system must provide a means for balancing air and water systems.
J
J Temperature Controls:
[ ] ( Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
J temperature set point of the largest zone.
J
( Electric Systems: ;
[ ] ( Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] J Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] J Fireplaces must be provided with a source of combustion air,as required by'the Fireplace construction
J provisions of the Building Code�of New York State,-the Residential Code of New York State;or
the New York City Building Code,as applicable: fi
J Service Water.Heating: .
[ ] J Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
J water heater has an integral heat trap or is part of a circulating system. J
[ ] ( Insulate circulating hot water-pipes to the levels in Table L.
(
Circulating Hot Water Systems:
[ ] J Insulate circulating hot water pipes to the levels in Table 1.
J. Swimming Pools: }
[ ] J All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
J of the heating energy is from non-depletable sources. Pool.pumps require a time clock.
J
J Heating and Cooling Piping Insulation:
[ ] ( HVAC piping.conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the
levels in Table 2.
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Table 1: Minimum 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) UP to 1" 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 i {
Table 2: Minimum Insulation Thickness for-HVAC Pipes.
Fluid.Temp. Insulation Thickness in Inches by Pipe Sizes.
Piping System Types Ran e F 2"Runouts 1"and Less 1'.25"to 2" 2.5";to 4."
Heating Systems - - I
Low Pressure/Temperature - 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200- 0.5 1.01 1'.0 1.5
Steam Condensate(for feed water)- .Any 1.0 1.0. 1:.5 2.0
Cooling Systems
ChiiledWater,Refrigerant, 40-55 . 0.5 0.5 0.75 1.0-
and Brine Below 40 1.0 1.0 1-.5 1.5
A
NOTES TO FIELD(Building Department Use Only) '
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RESIDENTIAL FINAL INSPECTION REPORT E
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement C
Dept.of Community Development Arrive am/pm Depart
Town of Queensbury Inspector's Ini ' s
742 Bay Road
Queensbury,New York 12804
NAME PERMIT 0
LOCATION b DATE,
TYPE OF STRUCTURE
i
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" l
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
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 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 E
Plumbing fixtures
Foundation insulation C
3f4 hour fire door/door closers
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)
MI I
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A1'54'3.5'
R=300.00'
L=10.00'
APPROXIMATE
LOCATlOM OF
UNDERGROUND
U71LI77ES
• FOUND IRON MARKER
O SET IRON ROD W/ TH CAP
O POINT
—E— POWER LINE
o STONE WALL
—_ - FENCE
ONLY COPIES fROV THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF 7HE LAND SURVEYOR'S
EMBOSSED SEAL OR AWED STAMP SHALL BE
CON-WERED TO BE VALID TRUE COPIES
Unauthorized Alteration to this map is o
violation of Section 7209, Subdivision 2
of the New York State Education Law.
2
Q
v
4WD 41ft
FOUND IRON
PIPE IN CONC.
o-- --O_
Pp
NM 1
PORCH
i
�O
w
61.6'
W'
s
.g
o�
Z�
FOUND IRON PIPE
N 85-42'50,v W
PP NYNEX 107
CORIN7H ROAD
LANDS OF
J HN & NANCY KELLY
CHAIN LINK FENCE
S 8225'47' Lr
�� 4ft4M—
O O --1-
�V
N
ELEC ME7ER BOX
.. 149.180
- O O ----
APPROXlMA7E LOCATI
OF SEP71C TANK
L - _-J
CHAIN LINK FENCE
4
h
e
MAP REFERENCES.,
1. MAP OF A SURVEY MADE FOR JOHN C. & NANCY A. KELL Y,
BY VANDUSEN & STEVES L.S, DATED JJNE 27, 1990.
2. WARREN COUNTY, TON9N OF QUEENSBURY. TAX MAP NO. 30B 16.
BLOCK 1. PARCEL NO. 25, L. 829 A 273.
_ LANDS OF
i STERUNG W. & RUTH a AKINS
s
C6
FOND ARON
PIPE IN CONC. '
•�
am - \ L
146.76 -- --
WLLIAM J.
CERTIFICATION
I HEREBY CERTIFY TO SAVINO J. D'ANGELICO AND DONNA M.
D'ANGELICO THAT THIS MAP HAS BEEN PREPARED IN
ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND
SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOC. OF
PROFESSIONAL LAND SURVEYORS, AS LAST REVISED.
c
WILLIAM J.WUIUC9 LS 49098
06/16/03
OF SURVEY
MAP
OF LANDS TO BE CONVEYED TO
SA VINO J. & DONNA M. D'ANGELICO
TOWN OF QUEENSBURY, WARREN COUNTY, NEW YDRK
c� SCALE: 1 " = 20' DATE: .NINE 12. 2003
`•o�ti ��oe
�FG LAND SJPy
LAND SURVEYOR NO. 49098
DWG LDS• G\03\03-133\DWG\03-1.UDWG
W. J ROUNM AMM ZS
Ubmsed Land Swwyora
im4 sorubw Ro" P,a am » 03-133
South Marta Fart N.Y. f2 W JOB NO.
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Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request r ved: h
Queensbury Building&Code Enforcement Arrive: a eart: ae�
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials
NAME: WL Nil P IT#: (A
AGI 0, C--4
LOCATION: TE: (LD —,;L"4
TYPE OF STRUCTURE:
Cofiments,
Y N N/A
Chimney It./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more vs\-�\vo z
Guard at deck,porches 36 in.or more
Exterior Finish Complete qpqqjEA,
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation V/
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detegfors:
Every level: / / Every Bedroom: v411
Outside every bedroo7rea:
Inter Connected: I Battery backup:
Bathroom Fans,if no window V/
Carbon Monoxide detector
Plumbing fixtures V/
Foundation insulation Al/
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below gjade
Basement stairs closed rise>4 inches
hour fire door/door closer V.
Garage fireproofin�
Duct work Scaled properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I sq.ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance requircd
Final Survey Plot Plan
As Built Septic System/Sewer Dept,Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert.Of Compliance)
Okay to issue Temporary C 0(Cert. Of Occupancy)
Okay to issue Permanent C 0(Cert. Of Occupancy)
L-\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Town of dueensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518)745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# INSPECTION ON:
Name: AIDV� /�;M��AN 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 SIGNkG-E
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK T DA 0 OT OK
FINAL
-FIREPLACE Qv/
FACTORY BUILT ROUGH IN r IN SP By
FINAL V7'
COMDEV/CHRISJtWORDILETTERS200I/FIREMA ALINSPECTIONREPOR 14192001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
I
I
f
Septic Inspection Report
1
Office No. (518)761-8256 Date Inspection request received: '
Queensbury Building&Code Enforcement Arrive: am/� geepart: am/pm
742 Bay Rd., Queensbury,NY 1,280 Inspector's Initials: �1 1
NAME: t N PERMIT NO.:
LOCATION: INSPECT ON: —=
RECHECK: 1
Comments and/or diaeram
Soil T e: San Clay i
Type of Wa r: Munici /Well Water
Waterline se aratl xstance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length Z ft.
Length of each trench ft. !
Depth of trenches '7.-- ft.
Size of Stone
Seepage Pits: Number ;
Size: x
Stone Size:
Piping Size Typq
Building to tank c b
Tank to Distribution Box k J
Distribution Box Id/Pit u ?
Opening Seale Y /Partial
i
Location/Separations
Foundation to tank D ft.
Foundation to absorption ft.
Separation of Pits ft. ;
Conforms as per Plot Plan Y N
Location of Syst on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear G
I
System Use Statu
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved ;
L:4SueHemingway\Building.Codes.Inspection.FORMSVSeptic Inspection Repart.doc January 28,2003
i
k
Septic Inspection Report
P P P
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p epart ;— am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: ` 6(�I r—o PERMIT NO.: 0 �
LOCATION: INSPECT ON: 15- r /� D
RECHECK:
Comments aniVor diagram
Soil Type: Sand 1 Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft. j
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft,
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
x
Stone Size:
ii
Piping Size T e ` L)
Building to tank
Tank to Distribution Box
Distribution Box to Field/Pit
Opening Sealed: Y/N/Partial
Location/Separations
Foundation to tank ft.
Foundation to abso tion ft. j
Separation of Pits ft.
Conforms as per Plot Plan I Y N
Location of System on Property: I
I
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Status:
App oved
P ial Approved and needs to be re-inspected,please call the Building&Codes Office
isapproved
i
I
i
Town of Queensbury
Fire Marshal's Office f
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-44371
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# INSPECTION ON: ��
Name: AIVI P ANYTIME
Location: off 't
-
APPROVED
N IA YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY ��� ✓
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
i
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL �� ?'& C/ ) ,Q
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN _ ��/
CHIMNEY
MASONRY ROUGHIN
s
FINAL
,etHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE a
MASONRY ROUGHIN :O:K THIS DATE OK FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECTEDi BY
FINAL
COMDEWCHRISJNVORDI1-ETTERS200ffIREM INSPECTIONRE 22001
WHITE-BUILDING DEPARTMENT COPY YELL -OCCUPANT COPY
Foundation Inspection Report j
Office No. (518)761-8256 Date Inspection request reccived:
Queensbury Building&Code Enforcement Arrive: am/ epari: _�m
742 Bay Rd., Queensbury,NY 12804 Inspector°s Initials.
k
NAME: SC O ��1 CZ> PERMIT#: ^ 9 �p
LOCATION: Q_ 1 INSPECT ON:
TYPE OF STRUCTURE:
Comments
I �
Y IN N/A 1
F tings !
Piers
Monolithic Slab . �� D
Reinforcement in-Place Z
The contractor is responsible er(( ��G�(� �� 41C j-
providing protection from freezing for 48 hours following the placemen _<
of the concrete. }
Materials for this purpose on site. k
Foundation/Wallpour 1
Reinforcement in Place
Foundation Dampproofing
i
Foundation 1 Waterproofing I
i
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone: I
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval ,,
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L;\SueHemingway\Building.Codes,Inspection,FORMS\Foundation Inspection Report.doc January 28,2003
� f
l �
E
i
_ I 1
� Rough Plumbing/Insualo -9pse�ion Report
1
Office No. (518)761-8256 Date Inspection request receive O
Queensbury Building&Code Enforcement Arrive: am/ D a
742 Bay Road,Queensbury,NY 12804 Inspector's Initia 1
NAME: � � �
PERMIT#: I
LOCATION: INSPECT ON: (1
TYPE OF STRUCTURE: I
' 3
Y N - N/A y
PVC: R-1,R-2,R-3,R-4 Drain/Vents U 1� t3j
Cast Iron,Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
- � t
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
o per Commercial
CPVC,Pex One&Two Family
Insulation/ esi ck/Coal Check
cam-
-Proper Vent,A ent
Duct/Hot Water Piping Insulation ! -To
��-
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
v
-'CZ�rr�F�t�c.� �j�
COMMENTS:
' 1
-L:\,SueHemingway\Building.Codes.Inspection,FORMS\Rough Plumbing Insulation Report.doc January 28,2003
I
I
Rough Plumbing Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: lc,6 am/pm Depart:
am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIi, #:
LOCATION: Lajlae� INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron,Copper Drain/Vent Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Dfain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
per Commercial
opper,CPVC,Pex One&Two Family
sulation/Residential Check/Con-unercial Check
-Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
:L.-\SucHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing 1 Firestopping Inspection Report
. I
Office No. (518) 761-8256 Date Inspection reques eceive '
Queensbury Building&Code Enforcement Arrive: �.L_IC> a e D art " ' a
742 Ba Road ueensbu NY 2 4
y , Q ry, 1 80 Inspector s Imtlals:
NAME: 1 PERMIT#: t_�Lff)d." i (09
LOCATION: a INSPECT ON:
TYPE OF STRUCTURE: ,�
Y N N/A I
aming COMMENTS
Jack Studs/Headers
Bracing/Bridging �eF� ��5 VZ
Joist hangers 1
Jack Posts/Main Beams
Exterior sheeting nailed properly
w
12"O.C.
Headroom 6 ft. 8 in. `
Stairwells 36 in. or 'more ��
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls "✓
Metal Strapping for Notches Top Plate /v�
1 %z (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall I
Fire separation 1, 2,3 hour P
Fire wall 2, 3,4-hour i
Firestopping P
Penetration.sealed a ,
16 inch insulation in cavity min. ; a
Garage Fire Separation
House side %-inch or 5/8 inch Type X
Garage side 5/8 inch Type X
-Ceiling/wall I
Windows Habitable Space J Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade '
LASueHemingway\Building.Codes.Inspection.FORNIS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/' { Depart. amlpm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: _ j�, '
NAME: (/��`� (LAC- � PERMIT#: {
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: A 0
Comments
Y N . N/A
Footings
Piers C
Monolithic Slab f
1
Reinforcement in Place r-
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 Dampproofmg
Foundation/Waterproofing
Type of Dampproofmg/Waterproofing
i
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab I
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- j
Rough Grade 6 inch drop within 10 ft.
a
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm ,, Depart pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ��
NAME: Gt � PERMIT#: `-��P
LOCATION: SPECT ON:
TYPE OF STRUCTURE:
Comments
t�
y7 Y, N N/A j
4wPwi
FT 1
Monolithic SI b
Reinfor e Ln Place k 2--
The contractor is respbnsi e or
providing protection m freezing
for 48 hours following the placement
of the concrete.
Materials for this, se on site.
Foundation/Wallpo Y .\
enforcement in Place/
__ � �rFYounc a fDamt�n�oofing � � ,
Foundation/Wateq-MGfing '
Type of Dampproofing/Waterbroofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing ,
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
I
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
i
I
i
Office Use
.GENERAL INSPECTION REPORT lInspecton,
Town of Queensbury iReady at time:.*.,
Dept of Community Development Request received:
i Meet:
Building& Code Enforcement lAt time: d41--b&e
742 Bay Road
Queensbury, AT 12804 ARRIVE am a iNotes:
(518) 761-8256 Inspector's Initi
NAME, PERMIT#
LOCATION: INSPECT ON(date):
Q2 fq4"
TYPE OF STRUCTURE:
RECHECK
N/A i YES NO COMMENTS
Footings/Piers
Monolithic Pour Form.
Reinforcement in Place
The contractor is responsibl 'for
providing protection fi-orn ezing
for 48 hours following the pl cernen
of the concrete.
fr e, g
pjt c -)icn
Materials for this purpose on si
Foundation/Wallpour
Re
inforcement Place------ 1k
.
Foundatior0arripproofin %
Backfill Approval tDE5—N
Plumbing Under SlabZ
Plumbing Vent/Vents in—Wise
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,\SueHemii)gwaylBuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe
Q we Use
.GENERAL, INSPECTION REPORT 1nspector:QT-1p-1�---
Town of Queensbury � AL),
Ready at time:;?
Dept. of Community.Development Request received: l Meet:
Building& Code.Enforcement At time:
742 Bay Road I
Queensbuty; NY 12804 ARRIVE am/pm: DEPART11)- z5aLlpm i otes:
(518) 76I-8256 Inspector's Initials �
V - �VV1
NAME: � PERMIT � •.
LOCATION: - INSPECT ON(date): l � D 1,
/
E
TYPE OF STRUCTURE: I
RECHECK
N/A YFS COMMENTS t
tin s/Piexs � �
}
onolithic Pour o
Re orcement in Place s
The contractor is responsible for
y
providing protection from freezing ;
for 48 hours following the placement
of the concrete. E
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place !
Foundation/Dampproofing ! /
Backfill Approval i /f
Plumbing Under Slab t
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- t
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing #
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam t
Air Infiltration.Barrier E
Fire Separation 1,2,3,hour
Penetration Sealed r
Fire Wall 2,3,4 hour
Firestopping _
LASueHemingwaytBuilding.Codes.Inspection.FORMSiGENERAL INSPECTION REPORT.doe
"I have seen or observed,or believe I saw evid66e of,
ail objects such as houses,wells,trees,fences,etc., _54 V r N J r d N �►'l
shown on this document,I also represent that I have
personally measured the distances set forth on the diagram"
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