2000-128 1 OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201'
Community Development- Building& Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
C/C Number: 020000495 C/C Date: Friday, July 28, 2,000
Application Number: 2000128
Permit Number: 1.000128
This is to certify that work requested to be done as shown by Permit Number 2000128-•
has been completed.
This structure maybe used as a Residential. Addition—Living Room
Tax Map Number: 523400-142-000-0002-008-000-0000 .
Location: 6 BARDIN Dr
Owner: CLINTON&'JUDY TRAVER
By Order,of Town Board
TOWN OF QUEENSBURY
u' rig Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 12000 Building Permit No. 2000128
TAX MAP NO. 142 . -2-8
Permission is hereby granted to TRAVER, CLINTON & JUDY
Owner of property located at 6 BARDIN DR.
in the Town of Queensbury,to construct or place a RESIDENTIAL ADDITION (LIVING ROOM)
at the above location in accordance to 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.
Owner's Address:
6 BARDIN DR.
QUEENSBURY, NY 12804
Contractor or Builder's Name:
TRAVER, CLINTON
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
RESIDENTIAL ADDITION
Plans and Specifications:
504 SQ FT RESIDENTIAL ADDITION (LIVING ROOM) AS PER PLOT PLAN
SPECIFICATIONS
Proposed Use:
RESIDENTIAL ADDITION (LIVING. ROOM)
$ _ 40 PERMIT FEE PAID—THIS PERNIIT EMPIRES. March 31 200 2
(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 To eensbury this 31 Day of March 2000
.
ij
SIGNED BY for the Town of Queensbury
Code Enforcement Officer
Bu,i,-4(1it-j.g Per"Plit Application
Town of Qu ensbiu y - Dept. (f Cor,11,11 pity Des,elopment, 712 Uuy Itua/l, Qrr('envIluty, NY 12801 17a1-82S()f
� BUILDING ,tc . CODl3 �NFt?IZCC:A4ENT
Requirements prior to issu iF-B ,�r ;
>f this permit; r f �� rt
A per
mitlw obininc,! twfiiro _ -I'1f1.q Al/T/%/L.I3 NO.
lructwill Init applicurit lilts r,x:cfv,;,l Ii .��c/ttl/tb Dcxutl At,,,,,MAR `2 G tu VADINO PERMIT. All Area /Use
npptices o(i Uiis tipplicutioli t l�CpiEA7YONLr
MUS' pl,stc(! ,uhd•iho signntuio Q f�IRJt7tI/1�oaition form, u4k R I SllbtlIlV;1I9Xi0I11_4 /AoCf the applicant-:ll,tst appear cal tllo
fill
31ft tlJicJbr {�! �aF 1L t'QJ tL�•-t�=I ttal s Lu,.rrrw•
r-ce I'ityttietlt
Applicant: i2 Owner.
' Address: Address:
1'llonc # Phan- # _
Property LOCH lion: C m r c H t-- rA-y- {�i[i. � , ��. �, •'�
Subdivision Nmue:' -+ Tlix Map Nximtmr
-^Section Block iAlt
NATURE OF PROPOSED WORK: ESTIMIITI:D MARKET' VALUE OF THENew 13uilcling: CONSTRUCTION: $
residence / eonunere.ial ,
7� Additlon to I3uilcl3_n-,1:
residence / commercial OCCUPANCY INFORMATION:
A1L-eratl.on to mill.d.i.ng: Primary Lluild1lig -
resi.clenco / conutior.'clal. -� S,19.1.e Family Dwol.ling
Residence / Cominercl-al TWO 1"amll,y I)wc l.11.il(a
ilo cllango to oxterl:or s.i_V.o IN-milly Dwoll.iliy
Off *-c e
ff *-ce
Other Work (describe below) Mercantile
Manufacturing
'
GROSS AREA OF PROPOSED STRUCTURE: Other
lot: Floor. . . . . . . . S^oc sg. ft , If ADDITION, what will use
2nd .Floor... . . . . . . sq. L. of: new addition be7 :
Other Floors . . . . .
-�^--/ � sq. ft.
(not: unfinished cella or basement)
ACCESSORY 13t1ILDINGS:
DeL•acbed Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. Attached Garage 1, 2 car
Private Storage Btilldiitg
SIZE OF NEW STRUCTURE: Commercial Storage Duildirig
l I:•r•w✓'r x 2 t F
Other
Foundation Type: po Ar r-P co-,cr&10 will any socorlcl-llalitl or ungradod
Number of St:.ovlee : lumber bo used? If so, for wliat?
(llabltabl.e space oiil.y)
Ilelglit (Cjvacle to ridge) : feCt 1 XL'13 OiT 111 11i ING SY:i1I M:
Number of fireplaces and/or wooastove {circle' all which applies}
to be installed: Electric / Oil j Gas / Wood
Forced not Air J Baseboard / OLhe
Person responsible for supervision of work as regards to building
codes is :
Naiile Address Builder: Phone
P _
�f' s, �c�j• T'�y�r /o R . .��-. y^ , 7t'3 '71iPCC
Plumber: ti u
Mason:
tt �.
Electrician:
DECLA1?r1I70N• Please sigh helou, aflei'you have carefully /`earl the .stalen►e/tt.
'I'o the hest of my knowlmlge the siateuictits contatue(I ill this application, logether with the plans
and sliccifiemiolis snbinitted, arc :t Iirtie an(I complete slatemenl of ail prolx-)sc(1 work to be (lost- oil
the described premises and Iliac all lxovisiotis cif' Ili- Ituilclirif; (:'txte, the zonitil, C}i(lin;luce :uul all
other laws pertaining to the proposed work- shall be conil)lied with, wheltier specified or notecl, and
that such worlc is a,lt horizetI by the owiusr. I1111-1hcr, it is undel-mot>d Iliac 1/we shall submit prior to :1
Certificate of 0,:cup;ulcy'or Ccrtilicatc or Compliance bei(ig issue(!, all AS llUlL'l' PLO"I' PLAN by
a licensed surveyor; drawn to scale, skiawing actual location of project oil premises.
Signature:
(owner, owlier's agent, architect, contractor)
Fire lixt•slfat's Uftiec Town of Queetisbur"'.712 13ny Road,Quecnsliary;\1'
(518)701-820
'Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel,& vented gas appliances
.20oo
Date-- CZtr l ; 20 0 1) Peri.nit No.
AIJpliccltion isherehy indde to the 811ilc/ilt�d Cades OfJic.c/�lr the=issuance Ufa Building,and Use
Permit pursuant to theNety York State Fil-e PI-eventt(Jl7 itll(1 13tt1lcllllg Curie. 77te Uppllrctlt!Ul otf'ltet
agrees to coinply iyith all applicable lairs, ordinances l ��trl{rtious, ctttd t1II ColtdltlollS tlictt{71"e lJtlll!Jf
these requirentenis and also will allow all inspectors to elttei•pl enti.sc-s to pee form required inspections.
NOTE to applicant: Rough- nf and final Inspections are required.
Applicant Information* Fuel Burnin;Appliance Irlformation
(circle appropriate words)
Niiime:Al �, ell-',A 'j�v,,e Stovc: wood coal e et gas
��)) trep ace insert.
Address: �4d'1, ti L r' F1rep ace, factory-built: wood gets
r1� Y f 2_10q Fireplace, masonry: wood gets
! Furnace: hood gas oil
Phone: _� 7j -�
If non-masonary applicance, please provide
Owner: ' cs Manufacturer Name:
Address: Model Number: t 1 D d-7L
Chimney Information
Phone: (cir4lc appropriate words)
Masonry oc brick stone
p Lie steel site. _inches
Exact Address: =n��, r ;n �etE-LY7Y" i, �D
ofconstrttction oY install tft iolr Factory-Built
Manufacturer name:
Model Number:
!Vote: Listed By: Number:
Coltsti-uction IInstallation inust
con oi-lit to NTS Fire Prevention &Building Indicate (circle) chimney material:
Code. Consult available Toit.it of Queensb'zay
Handouts regarding required inspections. Double it-all ! Triple wall 1 /nsutclted Direct renting
Chunner Liner
I �rGatl�.��ar-'twt.,L7►,�,�aaaertatrat�tt--To�crrat, csf Q�►u+t~�,r�.,�r�b`rxry, .20T,��cr':Y"ox-..Xac
Fire:llarshal Cole n
Collected 5 Re
finidcd Receive(!from (reliuided to) fZ��
.4 173 3389 (190) Public Safer•
.d 233 05 (330)Minor Sales
�i a�
oa Dj,_-.r
�Jhite(Applicant) ;�"�G een(I+ire Marshal) ! . Yellow(Bido. Dept.) Pink-&,Goldenrod(Cashier's Dept.)
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY " ,
9000 HEATING DEGREE DAYS -t
`.: MAR 2 � 2C?JO
Compliance Methods: PART 5 - Acceptable Practice Method -7''vvvf.jUj-C3
1&2 Family Dwellings (only) 8 1LDJK;--ANL)Or)t
PART 6* - Thermal Rating - Component Trade Offs-- ---a$
1&2 Family Dwellings; Multi-Fami ly
Dwellings (3 stories or less)
PART 4* -' Design by Component Performance .
Commercial Buildings-Hi Rise Residential
*Reauires submission of worksheets
APPLIC INT' S NAME: PROPERTY LOCATION:
(2 U o eraw ]—',cc ✓e t' �� n J,, r
PART 5 METHOD OF`COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - '"D scruare feet
2 . Type of Heat - Electric Oil Gas Other �[`� 5fd��
3 . Is building mechanically cooled? Yes No
r R
4 . Percentage .of area of windows and doors ✓ Over 17% Under 17%
5 . R_ -VALUES- FOR INSULATION GIVEN BELOW 'NI-LIST CORRESPOND TO R-VALUES AS
SEO N ON PLANS SUBMITTED:
a . Roof R 3o
b . Exterior walls R /9
c . Glazed areas R &. b
d Exterior doors R 6, 7
e . Floors over, unheated spaces R
f . Edge of slab on grade (heated building) R. J�
g. Basement/ce lar walls (above, grade) R. ::j,1
h . Basement/cellar walls (below grade) R 41
i Heati.na/coaling-ducts-piping in unheated space R
6 . Se- rice (domestic) hot water heating device
Co-forms to mi::i gum efficiency per code Yes 2 'R- No
TEMPERATURE CONTROL MAXIMUM SETTING 14O0 — WILL NOT BE EXCEEDED
App? ca,-�i ' s Si gnatu-e Date Phone Nu:-nbe=
A� �2_e> cafe 'Z 9 3 'et
INSP E C=0E ' S REMARKS:
Eire tINI ll-sltaPs Offiec Town of,(,ltrce list)arY,732 Bay Road,Quiecilsbta-Y, NN
(a18) 761-c�7820--+
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances 1
Date Or 31 ' 0
, 2--0 0 Permit No. .
Alrplication is hereby made to the Building& Codes Q%Jic.e fnr the r'sstrartc-e cif ct 1311t"Itlirrg rrrtrl Use
Permit pursuant to the New York State Dire Pi-evenlion and Building Code. The applicant or otvilel.
agrees to comply with all aplalicable laivs, orclirtetrtees,.regttlatiorts, rind all conditions that.'tare part ref'
these requirements and also will allow all inspectors"to'enter premis-es to per form required insl7ecrions. "
NOTE to applicant: Rough-in q
and Final Inspections are re aired_
Applieant Information Feel Burning Appliance Information
(circle appropriate words)
Name:.J.20 1 r"r"rt"o; ` Ve stove: wood coal ' Aellet gas
Fireplace inset_L___:>
Address: tr;ADr. Fireplace, factory-built: wood gets
P qii S btcr , iU °,f 1. -a If Fireplace, masonry: wood gas
Furncc wood gas oil
Phone:
If non-masonary applicance; please provide
Owner: 12ql"611 Mantfacturer Name: C oW'-' P"'re
to
-__ :A-ddr-ess:- . - - - Model Number: 1/0 -C)
a, Chimney Information
Phone: ('circle: a ro)riate ,,voids)
asanr llo bi-ick, stone
ti_ 1 steel size: & inches
Exact Address: ,fit r ii i-,r t Ic
of construction o instalfation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction(Installation nttlst
con orm to NYS Fire Prevention &Building Indicate (circle)chininey material:
Code, Consult available Torun of Queensbuty
Handouts regarding regidi-ed inspections. Double isnll / Triple wall I Insulated / Direct venting
Chintnev Liner
J
j C,�.:�r.:+�at�r'�s.�►re�raa� at.,exaa;--�''o�rxz .a.aC'a�]►xz;��, b�c:�az;-�-, ,.Z17',��rr�'cs.:z*.�c f
i 1 I
Fire Marshal Code# � J
SCollected S Relirnded Received. i•orrr (rcfinrded tn) ,""�`^ "'� L � '
.d 173 3389 (19t1) Public Sitfen -- -- _—
.a 333 2655 (230)Alinor Sales 1
'0
,4! i jr' a1.�?r1.sfi�wLG —. lOwaU VL�Nt.02'`�rsjJta'x.}.
White(Applicant) ,` Green(Fire Nlarsltal) ! . Yellow(131d?g. Dept.) fink&Goldenrod(Cashier's Dept.) J
v l�}' -
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement ,'
Dept.of Community Development Arrive am/pm Depart r pm
Town of Queensbury Inspector's Initials
742 Bay Road
17
Queensb,u/ry,'Neww rk 12804 -7 13-7/ 8"?NAME` l�f"t/`-• `�'�-�� PERMlT#
LOCATION Lo DATE`7
TYPE OF STRUCTURE
:;N YES NO COMMENTS
Chimney Height/"B"VentlDirec Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Ext 10 Finish Complete
enor/Exterior Railings 30"to 36"
xterior Handrails,balconies,landing Win..or mare
—E V i
Interior Handrails stairs both sides 3 or mo risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above de �^ a
Gas Furnace shut-off within 30 feet or within line of 'te
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operatin 1
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/Lmding 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
.Foundation insulation
sl4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage) �S�
Light ventilation per room � N
Safety glazing 18"or less from floor vtil e.�
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(Cer f.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
xj
� s a
FIRE MAF;Z,3"^L.
TC>WN OF C) JEENSBURY
ClUEENSE3UFR.Y, NY 12804
4eaL (51 8) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAMES-tJt
LOCATION PERMIT #
SCHEDULE INSPECTION ON
M M
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIOHTIN \
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTE
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRIN L S
CLEARANCE TO HEAT} t3 U ITS
REQUIRED SIGNAGE �f
CHIMNEY
WOOD STOVE
FIREPLACWc)UGH-IN
� MASONRY 0 FACTORY BLT_
�
ESZ'FINAL N. Off
REMARKS: _ OK TO THIS DATE
1HSPs�ip.�us INS CTO
e-S- Alt
7f,2s
t
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 7 L
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York�12-804
NAME lr gVe—P— PERMIT# _/ Rif
LOCATION to Agagd,i 'M DATE
TYPE OF STRUCTURE_ ��6,71,i t Adaf
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 3
Exterior Handrails,balconies,Ian ' g 18 in.or mare_
Interior Handrails stairs bath sides or more risers \
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 8"above grade
Gas Furnace shut-off within 30 feet or 'thin line of site
Oil Furnace shut-off at entrance to fu nac area
Furnacelflot 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
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer V
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per ES
Safety glazing 18" r floorFinal Electrical row iloo,
Site Plan/Variance equ'
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)
F=IF:ZF—= MARSHAL
F C)V V N OF C;I U FEE a N EcS:3 EE31 LUJ F Z
C)UF—=ENSE3UF2')r, NY 12804
(518) 761 -8205
FIRE MARSHAL INSPEiCTION REPORT
REQUEST RECEIVED
----------
NAME 1 v-,e--
LOCATION
SCHEDULE INSPECTION ON
K.4
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYST
FIRE SPRINKLER SY TEM EM
FIRE SUPPRESSION SYS
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRIN ERS
CLEARANCE TO HEATI C3 UNITS
REQUIRED SIONAOE
CHIMNEY
WOOD STOVE
FIREPLACE =1 MASONRY= FACTORY BLT-
RQUQH—IN
FINAL
REMARKS: OK TO THIS DATE
INSFISLIF'.PUB I4hPE<,' OR
GENERA INSPECTION REPORT
( 518 )761-8256
Town of Queenshury
Dept.of Community Development Date inspection request received: 5 15
Building& Code Enforcement
742 Bay Road
Queenshury,NY 12804 Arrives&1 m�� DeI
ntIuspector's NAME: JQ °' PERMIT#LOCATION `,,, DATE : S
TYPE OF STRU TURE:
RECHECK ✓" ff
< -c?
N/A YES NO COMMENTS
Footings/Piers ---F i
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible r
providing protection from free ing
for 48 hours following the plac men
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Fou ndat ion/Dampproot i ng
Backfill Approval
Plumbing Under Slab
Plumbing VenUVents in Place
Rough Plumbing
eating Rough-In
Insulation
Foundation Watts Interior R
Foundation Walls Exterior
Floors R-
yJalls R-
`(Ceiling jjR-
Duct work or piping i
unheated spaces R-
oper Vent, Attic Vent
ifFraming
Jack Studs/Headers
racing/Bridging t
v joist Hangcrs -s
Jack Posts/Main Beam
Air Infiltration Barrier _
Fire Separation 1,2, 3, hour
Penetration Scaled
Fire Wall 2. 3,4 hour
Fireslopping
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 m
n Inspector's In'
NAME: C A PERMIT# M-
LOCATION: RDA DATE: �S" Cc
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 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 VentlVents in Place
Rough Plumbing
Heating Rough In
Insulation
Foundation Walls Interior R-
Foundation Walls Exteix r R- � �a
Floors R-
Walls R- �-Ceiling R- ft
Duct work or piping in
unheated spaces R- A
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 q 1`
Firestopping T-1 \0 'BE
G'ENERAIL 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 L" =6�p ) Depart a m
Inspector's Initia
NAME: L� PERMIT# —
LOCATION: ) DATE: ' k t
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is re le for
providing protection om ing
for 48 hours folio g the place ent
of the concr te.
Materials for pu se on site
Foundation/Wall ur
Reinforcement in P
Foundationamppro/D
Backfill Approval
Plumbing Under Sla
Plumbing Vent/Vent in Place
Rough Plumbing
Pleating Rough-In
Insulation
Foundation Walls nterior R
Foundation Walls xterior R-
Floors R
Walls R
Ceiling R
Duct work or pip ng in
unheated spaces R
/`Proper Vent, Attic Vent
�j Framing
Jack Studs/ileaders
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air infiltration Barrier � � _ �'C� (Q-,61(-A-
Fire Separation 1,2,3,hour ����
Penetration Sealed �
Wall 2, 3,4 hour
Firestopping
r
P�i
GENERAL INSPECTION REPORT
(518) 761-8256
Town of Queensburyy
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road x -
Queensbury,NY 12804. Arrive ' am/ epart al
Inspector's Initial J
NAME: PERMIT
LOCATION: Cb A DATE: `
TYPE OF STRUCTURE: 6, AAA
RECHECK. ,,
NIA YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is respons` le for
providing protection frord freezing
for 48 hours fallowing a placement
of the concrete.
Materials for this purpos on site
`0''aundation/Wallpour
Reinforcement in Place
Foundatio' -ampproo g- -
BacMI Appra
Plumbing Under Slab
r'
Plumbing Vent/Vent in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Wa Interior R-
Foundation W is Exterior R.-
Floors R-
Walls R
Ceiling R-
Duct work o piping in
unheated ces R-
Proper Vent,A 'c Vent
Framing
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT
(518)761-8256
Town of Queeusbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804, Arriv 6�a -DeDepart
Inspector's Initia
NAME: G PERMIT#
LOCATIO : DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES O COMMENTS
�oatings/Piers I
Monolithic Pour Form
Reinforcement in Place '
The contractor is responsi le for
providing protection from reez' g
for 48 hours following the errant
of the concrete.
Materials for this p on ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Damp
proofing
Backfill Approval
Plumbing Under Slab
,j
Plumbing VentlVents in Place
Rough Plumbing
Heating Rough In
Insulation
Foundation Walls Interior I;-
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
Firestoppin
Plat Plan
177.4 ft
le
Z
54,94 ft
b'
Proposed
135,76 ft House Addition Garage
144,96 ft
33 ft 44.13 ft
58 ft
N
Bar���Dr
��131,89 ft 41,08ft.