2001-726 TOWN OF QUEENSBURY
w
742 Ba Road ueensbu NY 12 2 2�� y ,Q ry, 804-590 (518) 761 8 01
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010726 Date Issued: Thursday, December 22, 2005
This is to certify that work requested to be done as shown by Permit Number P20010726
has been completed.
Tax Map Number: 523400-316-005-0001-012-002-0000
Location: 35 EAGAN Rd
Owner: DENNIS DAKE
Applicant: DENNIS DAKE
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Residential Addition
Issuance of this Certificate of Occupancy DOES NOT relieve the (re1441)
�1.
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
• TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010726 Application Number: A20010726
Tax Map No: 523400-316-005-0001-012-002-0000
•
Permission is hereby granted to: T)F,NNTS DAKF,
.
For property located at: 35 EAGAN 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: DENNIS DAKE
3 5 EAGAN Rd Garage-2 Cars Attached
Residential Addition $17,000.00
QUEENSBURY, NY 12804-0000 Total Value $17,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
JEFF SEALY
NY 12804
Plans&Specifications
2001-726 Paid $25 on Oct. 20, 2003 to extend permit for another year until December 5, 2004
480 SQ FT RESIDENTIAL ADDITION AND 780 SQ FT 2-CAR ATTACHED GARAGE AS PER PLOT
PLAN SPECIFICATIONS R(2)<-
$153.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Mo day, December 05, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcem fficer
of the Town of Queensbury before the expiration date.)
Dated at the Town`of.Queen ry'; / e r p esday, October 03, 2001
SIGNED BY `f> � for the Town of Queensbury.
Director of Building&Code a nforcement
TOWN OF QUEENSBURY
A 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
f��
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010726 Application Number: A20010726
Tax Map No: 523400-316-005-0001-012-002-0000
Permission is hereby granted to: DENNIS DAKE
For property located at: 35 EAGAN 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: DENNIS DAKE
MEGAN SCHERER Garage-2 Cars Attached
35 EAGAN Rd Residential Addition 17,000.00
Total Value 17,000.00
QUEENSBURY,NY 12804 •
Contractor or Builder's Name/Address ElectrieaLInspection Agency
JF,FF SEALY
NY 12804
klAkitAJ -
Plans &Specifications )
2001-726
480 SQ FT RESIDENTIAL ADDITION AND 780 SQ FT 2-CAR ATTACHED GARAGE AS PER PLOT
PLAN SPECIFICATIONS
)'
$153.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: riday,December 05,2003
(If a longer period is required,an application for an extension must be made to the code E cement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow Queensb ; W dnesday, October 03,2001
SIGNED BY for the Town of Queensbury.
Q ury.
Director of Building&i ode forcement
44,64 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010726 Application Number: A20010726
Tax Map No: 523400-316-005-0001-012-002-0000
Permission is hereby granted to: DENNIS DAKE
For property located at: EAGAN 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: DENNIS DAKE Residential Addition 17,000.00
MEGAN SCHERER Garage-2 Cars Attached
35 EAGAN Rd Total Value 17,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
JEFF SEALY
NY 12804
Plans &Specifications
2001-726
480 SQ FT RESIDENTIAL ADDITION AND 780 SQ FT 2-CAR ATTACHED GARAGE AS PER PLOT
PLAN SPECIFICATIONS
$153.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, October 03,2002
(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 thernf Qu s , nesday, October 03,2001
.
SIGNED BY • for the Town of Queensbury.
Director of Building& ode Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File N6W6 l -T`
No inspection will be made until applicant has received a Fee Paid p3:70
valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the Reviewed By:
application form.
Applicant: /li)1.6 2._. Owner: '-0 ,1n15
Address: Zotcie.pi ler) Address:
aweers%r^r i I a'
Phone#(Sit ) 7y5- // Phone# ( ) -
Property Location: Lot Number: / House Number / Q' al,
Subdivision Name: Tax Map Numbe
❑ New Building: residence /commercial Estimated Market Value of CoS.A i c2o6: Aaq/.tee
', Addition: residence/ commercial If an Addition,what wi f addition be?
❑ Alteration: residence/ commercial Qbarr7 �i�I� UEENSEURy
❑ No change to exterior size: residence/co '1 __A
ND AND CODE
❑ Other work(describe )
Check Occupancylnformation 1st Floor 2nd Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
V Single family dwelling / )
❑ Two family dwelling 10
ti
❑ Townhouse
❑ Multifamily dwelling
of units
❑ Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
o 3 car detached garage
❑ 1 car attached garage
V.2 car attached garage 79 0 7&( '
a 3 car attached garage
❑ Storage building-
commercial
O Storage building-
residential
a Other
What is the proposed height of the structure 13 feet inches
Will any second-hand or ungraded lumber be used? If so, for what? /V L� )
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: 01
Number of Fireplaces to be installed 0 Number of Woodstoves to be installed O
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder J e�F Scram� O ull)(a— 5)- G 7g2--622FiggrOaCK
Plumber
Mason Sec/y
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 new construction.
�q� � cite_Ot.J cite owner,owner's agent,architect,contractor
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205 -
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date /1' 4,, _ ` '; , 20 Permit No 0 " 70'4
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: 't="rI�I w c——. - Stove: wood coal pellet .gas ,/
Fireplace insert
Address: r ;psi Fireplace, factory-built: wood gas
Fireplace, masonry: wood gas
! Furnace: wood gas oil
•
Phone: 7
t-/ �;.
If non-masonary applicance,please provide
Owner: • Manufacturer Name:
Address: .Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
_ Flue tile steel size: inches
Exact Address: 3 e; el, /I
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: ^Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate (circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting
Chimney Liner
C'asi htiex-'sis]7eles tm izt—Taw o.f fi8uee.xs,erbuz-y, .Piew Nrizatri.147.
Fire Marshal Code# $Collected $Refunded Received fi•am (refunded to): , WIN 1 S
ac, 00 address:A 173 3389 (190) Public Safety _
A 233 2655 (230)Minor.Sales
DATE: .r
oi:yrueetwte•— 7oww Ci e.zh
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: U, , VUam/p . De.art: am/p
Date Inspection request received: Inspector's Initials: .,�, I _
(0
NAME: ' 5�-1 h_� PERMIT#: O�
LOCATION: DATE: -05
TYPE OF STRUCTURE: ��Se1� f
Comments
Yes No N/A .77z444„.0
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet (/*/
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below 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
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/a hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure J'
Final Electrical V
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
_Flood Plain Certification,if required
Okay to issue C/C or C/0 [Temporary/Permanent] /.izC1 ' I ®�
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. �) CCert.A 0 89894 Cut-in Card No
Owner t
Location 3 5 ` ��,� - -
S^Installation Consisting of v i�u I� '7'5 ,-~70 /� 7C.9
re J - tip -
Installed By �, C Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making in tions at any time, and if its
rules are violated,the Company shall have the right to re o this tic e.
Date V 1-6 INSPECTOR
Member N.F.P.A..1.A.E.I.
k ' V-(1c-T'cOb
, ----//Avut
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspectio equestOP-d: � vs� fQueensbury Building&Code Enforcement Arrive: am/p epart: '
742 Bay Road, Queensbury,NY 12804 Inspector's In tials:`' /
NAME: b3 ` f V`l PERMI'T#:
LOCATION: -3 S� (� 7 i N ' - INSPECT ON:
TYPE OF STRUCTURE:
Y 1_v I N/A COMMENTS
Framing
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in. 44I
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 ''/ (w) 16 gauge(8) 16D nails each side •
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center j /
tli /Ice and water shield 24 inches from wall
'i ire separation_l, 2, 3 hour �� -\
4), .
,,,,.Fire wall 2, 3,4 hour `--
0 I firestopping -. 4- �, t 'C61e X
Penetration sealed �_
16 inch insulation in cavity min. I � 6
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X "c2 \\\
Ceiling/wall ��
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade `
5.0 sf grade j 0�
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: . , A;
Queensbury Building & Code Enforcement Arrive: am/p D rt: ,4211earpm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: Q5 \r 'a \°—�-'\ 1S-e PERMIT #:
LOCATION: �c& INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction
Pressure Test
Drain / Vent
Air / Head
5 P.S.I, or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head , j g19
50 P .I for 15 minutes
ulation / Residential Check / Commercial Check ii/;/
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
C
1L
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/p t e? part: l U "am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: J
--a?r4
r .
NAME: 4mfN\ A PERMIT #:
LOCATION: - � �' INSPECT ON: / - /, 3-a j
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
1 % inch min. Drain Size
Washing Machine Drain 2 inch nun.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
Ins 'on/Residential Check/ Commercial Check
roper Vent, Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
•
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at dine:q1
Dept. of Community Development Request received: / Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbuiy, NY 12804 ARRIVE am/ na: DEPART (( am/pm otes° .
I
(518) 761-8256 Inspector's Initia s
NAME: _______C -�� PERMIT# 1) ) 7(3-(.p
LOCATION: C CA`� " INSPECT ON(date): 5 1 6-VD-
TYPE OF STRUCTURE: . es , \ (5-- ---„
CHECK,
,; � 11V- YEAif N/A 0 COMMENTS .
ofttu Piers 1 - C 0(--/rlv`--
Monolithi our 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/Dampproofmg
Backfill Approval
Plumbing Under Slab , •
Plumbing Vent/Vents in Place
Rough Plumbing _—
He g- ough In ! ' '`
��.sulatian � - I Vet__oundation Walls Interior R-
Founda ion Walls Exterior R- 0F rs R-
17-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
oper Vent,Attic Vent /
Framung,® f
Jack Stnds/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
Office Use
GENERAL INSPECTION REPORT Inspector:
Ready at time:
Town of Queensbury ,—
Dept. of Community Development Request received: ,. l%�0 Meet:
l
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: Q il 11 t S A Yam' PERMIT# ON—79-6
LOCATION: C EA(3v\Ni 2 D • INSPECT ON(date): ---C79 0.2--
TYPE OF STRUCTURE: G a G-(�
RECHECK
:14N/A YES NO COMMENTS �` t 1
Fit-gs/P-iers ��
i ono 'thic ur Form MIMI PRO 01 l'C' 12- K 1 Z x ( 2-- Pi C''1
Reinforcement in Place U�O^� --4- --K
�K -Y`S
The,contractor is responsible for V
providing protection from freezing
for 48 hours folio , :a the placement
of the concrete.
Materials for this p •ose on site
Foundation/Wallpo 4 l
Reinforcement in Pia e :/C7 ! �� k d U�l` ��b )"
Foundation/Dampproaf`g MI
Backfill Approval ��
Plumbing Under Slat A-Li-- '•—a iQ IP Gk‘ke C-I l
Plumbing Vent', -nts in Place MN
Rough Plumbing
Heating Rough-In --
Insulation _M
Foundation Walls Inte or R-
Foundation Walls Exter.or R= ISM
Floors .-
Walls '-
Ceiling R
Duct work or piping in
unheated spaces R-
eParn `pen ent,""Atic VentV
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
•
GENERAL
/� T INSPECTION REPORT
Use
GENERAL I ► PECTIO REPORT Inspector:
RC Ready at time:
Town of Queensbury
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road �I
Queensbury, NY 12804 ARRIVE am/pm: DEPART Uc am/pm Notes:
C
(518) 761-8256 Inspector's Initials < r11)v
NAME: -c) (\r v 5 PERMIT# C> _
LOCATION: INSPECT ON(date): —)5- 0
TYPE OF STRUCTURE: 60 ,( 1
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
Reinf. ement in Place
F..s dation/Dampproofing
ackfill 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
GENERAL INSPECTION y� / r Office Use
REPORT �� Inspector:
Ready at time:
Town of Queensbury
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbufy, NY 12804 ARRIVE am/pm: DEPART)0-Z&pni Notes:
(518) 761-8256 Inspector's Initials
NAME: S N‘N( 1,S �� PERMIT# Q-O D •
LOCATION: ?j C� �� INSPECT ON(date): 9- 0100
TYPE OF STRUCTURE: P. , Nc)b , l `, -Ca-v. t3z v-ck..
RECHECK
N/A YES NC COMMENTS
o tings/Piers
Monolithic Pour For
Reinforcement in P =ce t1 L���i P6-6,14 ,i cf, ; 4(,) oom
The contractor is respo ible for
providing protec on from freezing
for 48 hours folio. ing the .lacement
of the concrete.
Materials for this pu ose on-ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi •
Backfill Approval
Plumbing Under Sin.
Plumbing Vent/Vents in Pla
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
•
Office Use
GENERAL INSPECTION REPORT Inspector:
Ready at time:
Town of Queensbuiy
Dept. of Community Development Request received: Meet:ij 9 _ phk
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART "am/pm Notes:
(518) 761-8256 Inspector's Initials t_1 '_
NAME: Dpk e PERMIT# 6( — 72-6
LOCATION:—3-'i `Ai y3 . INSPECT ON(date): `r\-k(O a----
TYPE OF STRUCTURE:
RECHECK
N/A YES CFO COMMENTS .
0o tings/Piers 1/
Monolithic Pour Forme
Reinforcement in Place
The contractor is respofisible\for
providing protection fr.0 free�sing
for 48 hours following t e placement
of the concrete.
Materials for this purpose o site •
Foundation/W allpour
Reinforcement in Place
Foundation/D ampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vet s in P1 •e
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 J
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\GF,NERAL INSPECTION REPORT.doc
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