99-302 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date 1\7ntrcxm'h r 3 19 _ 99
This is to certify that work requested to be done as shown by Pennit No. A9G92
has been completed.
This structure may be occupied as a COMMERCIAL !NTERIOR ALTERATIONS
Location 284 DAY R.D.
Owner � 9�.7f'TnRTY 9'AYT ARL'YlT ]\�7�
By Order Town Board
TAX MAP PTO. 105. -1-8
TOWN OF QUEENSBURY
Director of Bldg. & Code Enfors,ement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 224500 No. 99302
TAX MAP NO. 105 . —1-8 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to CONVENIENT MEDICAL CARE
OWNER of property located at 284 BAY RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a COMMERCIAL INTERIOR ALTERATIONS
at the above location in accordance to application together with plot_plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
284 BAY .ROAD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
BULL CONSTRUCTION
3. CONTRACTOR or BUILDERS Address
360 FLAT ROCK RD
LAKE GEORGE, NY 12845
4. ARCHITECT'S Name -
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X)
COMMERCIAL ALTERATIONS
( )Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
4890NSQ FT- COMMERCIAL INTERIOR ALTERATIONS AS PER APPLICATION
8. Proposed Use
COMMERCIAL INTERIOR ALTERATIONS
245 PERMIT FEE PAID —THIS PERMIT. EXPIRES June 3 2001
19
$
(If a longer period is required an application for.an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 3 Day of June 19 1999
SIGNED BY ���3Q� for the Town of Queensbury
Building and Zoning Inspector
BuildingApplicationPermit
Town of Queensbury - Dept. of Cwnnwni/v Developmem, 742 Aq Road, Qeeelabmy, NY 12804 1761-82561
NOTICE
BUILDING c& , CODE ENI'ORCEUENT
Recliflrements prior to issuance
of this permit: PERMIT FILE NO. '
A permit must be obtained before
beginning construction. No inspections PERMIT FEE-PAID$ �/
will be made until applicant has received 0 Zonhig ,Hoard Action
a VALID 13UILDING PERMIT. All Area /Use RCCRCAT/ON FCC I'itlD$
applicants' spaces on this application
MUST be completed add•tho signature Plamting Board Action REVIEWED BY:
of the applicant must appear on die
5PR / Sulidivisicn /Other D.ri(dPng bu/xcur
plication form. Dw.k). Recreation [gee Payment Applicant: !r �o o''' Owner: l�
/�
oil-d a�� �r�;G�.� �a•�C�
Address: `� �� /�/���o��� �e✓ �, a .Address:
Pllolie (�/�) ��.P� ?�S''! Phone #
--- -- ---- ----- �� - --- --
Property Location: ,t'Sa a 'ssl",
fax Map Number. U --�--/-�
Subdivision Millie: "' Section Mock IAil
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OFTI
New Building: CONSTRUCTION:
residence / commercial
Addition to Building:
residence / commnercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelli ����
no change to exterior size Family Dwel
Office
Other Work (describe below) Mercantile JUN ® 2 1999 -
Manufacturing .
Other TOWN OF QUEENSBuRY
GROSS AREA OF PROPOSED STRUCTURE: SUING Aft®GOt717
If' ADDITION, . what will use
1st• floor. . . . . . . . ya eq. ft• of new addition be? :
2nd .floor. . . . . . . . eq. ft.
Other Floors . . . . . eq.. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: JP'�?d SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
other_
FEET X FEET
Al
Foundation Type: Ae a. 'I-vc1' Will any second-hand or ungraded
Number of Stories: lumber be used? If so, for what?(habitable space on1,y)
t-teighL' (grade to ridge) : feet '.rYPE Or HEATING SYSTEM:
Number of fireplaces and/or woo stove (circle all which a 00 lies)
to be installed: 0 EIec 41 / / Wood
Forced blot Air• / Baseboard / Ot leer
------------
Person responsible or supervision o - work asn regards t bu lding
codes i s : J l ry, l� 13 0/a ` OQo d� 4 C� ��
Nti�l o A dI; se ��hone
Builder: (�ons� /��2�59
Plumber: -- -- --
Mason:
Electrician: r r�
DECLARATION.• Please sign below afier you have carefully r d 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 or the Ituiwint; Code, lfc zoning Ordinance and all
other laws pertaining to the prolx)scd work shrill be complied will', whether spccilied or noted, and
that such work is authorized by the owner. Further, it is understood that 1/%ve shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance beinb issued, an AS BUILT PLOT PLAN by
a licensed surveyor; dr to scale, showing actual location of project on premises.
Signature:
weer, owt er's agent, architect, contractor)
/-E
COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arrive 0_33/ m Depart
742 Pay Road Inspector's Initi
Queensbury,NY 12804
NAME PE
L()C'ATION DATE
TYPE OF STRUCTURE , COMB Bla:EK
N/A YES NO COMMENTS
ChimneyP'B"Vert/Direct Veit location
Plumbing Veit
Roof Complete
Exterior finish grade complete
harior/exterior guardrails 42 in.platform/decks
hurior/exterior ballasters 4 in.spacingplatfom>/decks
Stair handrail 34 in.-38 in.
Step risers 7 3/s in.
Main door 44 in.
All others 36 in.
Lever handles
Exits at grade or platform
Canopy to cover req.exit doors
Gras valve shut-off exposed®ul Thurll
Floor bathroom wateatigltt
Other floors okay
Hot water relief valve
Boiler/fumace enclosure
<250,000 BTU N/R
250.000 BTU to 1,000,000 BTU's(
>1,000,000 BTU's(2 hour)
Gras furnace shut off within 301 or within 1' a of site
Oil furnace shut off at entrance to furnace arc
Stockroom enclosure(I hour),3/4 hour door
Storage/receiving/shipping room(2 how), 1 /z doors
I './z hour doors and closers
'.hour corridor doors and closes
Firewalls/fire separation,2 hour,3 hour q6mplete
Fire dampers,2 hour fire wall/separati or greater
Fire door/shutters 1 '/z hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.11.
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardware
Elevators
Elevator signage
Handicapped bathroom grab bars/sinks/toilels
Handicapped bath/parking Id signage
Handicapped service counters 34 in.,checkout 36 in.
Handicapped ramp/handrails continuous/12 in.beyond
Active listening system and sigaage assembly space
Final Electrical
Site Plan/Variance required
Final Survey,new structures
.A--built septic system layout required
Okay to issue temp.C/O(Certif.of Oc upancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okav to issue C/C(Certif.of Compliance)
CONFAERCIAL FINAL INSPECTION REPORT ,� }
Building& Code Enforcement Date inspection req received: ``'uVV
Office No. (518)741-8256
Dept. of Community Development
Town of Queensbury Arriv partLl
�-O
742 Bay Road tor's Initi ,
Queensbury IVY 12804 X
NAME �«er 'L �L4 PERMIT# �—
LOCATION n DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
ChimneyP'B"Veat/Direct Vent location
Plumbing Vent
Roof Complete
Exterior finish grade complete
Interior/exterior guardrails 42 in.platform/decks
haerior/exterior ballasters 4 in.spacing platform/
Stair handrail 34 in.-38 in.
Step rism 7-Kin.
Main door 44 in.
,all others 36 in. -
Lever handles
E.xits at grade or platform
Canopy to cover req.exit doors
Gras valve shut-off exposed®ulator gra
Floor bathroom watertight
Other floors okay
Hot water relief valve
Boiler/furnace enclosure
<250,000 BTU N/R
250.000 BTU to 1,000,000 BTU's(I hour)
>1,000,000 BTU's(2 hour)
Gas f imace shut off within 30 ft.or within lime of s e
Oil furnace shut off at entrance to furnace area
Stockroom enclosure(I hour),3/4 hour door
Storage/receiving/shipping room(2 hour), 1 '/z doo
I "z hour doors and closers
1,hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour complete
Fire dampers,2 hour fire wall/separation or greater
Fire door/shutters I '/z hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.ft.
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardware
Elevators
Elevator signage
Handicapped bathroom grab bars/sinks/toilets
Handicapped bath/parking lot signage
Handicapped service counters 34 in.,checkout 36 in.
Handicapped ramp/handrails continuous/12 in.beyond
.-active listening system and signage assembly space
Final Electrical
Site Plan/Variance required
Final Survey,new structures
A -built septic system layout required
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okav to issue C/C(Certif.of Compliance) t'1 Z��
3;W
COIRCIAL FINAL INSPECTION REPORT
Building.& Code Enforcement Date inspection request received. ,
Office No. (518)761-8256
Dept- of Community Development
Town of Queensbury Arrive 3ic6 am/pm Depart am/pm
742 Bay Road Inspector's Initials
Queensbury,NY 12804
A
NAME 0 �1—�----� PERMIT# . - 4i,
LOCATIONa_-DATE
TYPE OF STRUCTURE "
N/A YES NO COMMENTS
ChimneyP'B"Vent/Direct Vent location
Plumbing Vent J 1 L G%eA
Roof Complete 144//
Exterior finish grade complete a ✓Ck
hrterior/exterior guardrails 42 in.platform/dedcs
hmerior/exteriorballasters 4 in.spacing platform/ _ S/ �v/ /fi e >r 4 c,,4-1
Stair handrail 34 in.-38 in.
Step risers 7%m. `
Alain door 44 in.
,all others 36 in.
Lever handles �tla/"� r rQf>Ff�t� G�rf'4r cS��d
Exits at grade or platform
Canopy to cover req.exit doors
Gas valve shut-off exposed®ulator(18 in.)a ve gra �i� di- G,Jr f'( >sL L e
Floor bathroom watertight �� J
Other floors okay I
Hot water relief valve
Boiler/furnace enclosure
<250.000 BTU N/R
250.000 BTU to 1,000.000 BTU's(1 ho ) doc oAe,
>1.000,000 BTU's(2 hour)
Gas furnace shut off within 30 ft.or within l' a of site
Oil furnace shut off at entrance to furnace — �✓�r 1A Ju ;4— %ti 414 41-1?4
Stockroom enclosure(1 hour),3/4 hour d
&orage/receiving/shipping room(2 hour), 1 '/2 doors
1 14 hour doors and closers
14 hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour complete
Fire dampers,2 hour fire wall/separation or greater
Fire door/shutlers 1 '/z hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.ft.
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardware
Elevators
Elevator signage
Handicapped bathroom grab bars/sinks/toilets
Handicapped bath/parking lot signage
Handicapped service counters 34 in.,checkout 36 in.
Handicapped ramp/handrails continuous/12 in.beyond
Active listening system and signage assembly space
Final Electrical
Site P1anNariance required_ _
Final Survey,new structures
As-built septic system layout required
Okav to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okav to issue C/C(Certif.of Compliance)
a
CO RCIAI. FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arriv am/4!PXepa Q
742 Bay Road `�j � Q Inspector's Initial
Queensbury,NY 12804 ! o
NAME (PAN PERMIT# 1 C�
LOCATION DATE�� /
TYPE OF STRUCTURE
N/A YES NO CON94ENTS
Chimney/"B"VenVDirect Vern location
Plumbing Vent
Roof Complete
Exterior finish grade complete
Interior/exterior guardrails 42 in.platf decks
hicrior/exterior ballasters 4 in.spacing p atform/de
Stair handrail 34 in.-38 in.
Step risers 7 3/a in.
Main door 44 in.
,ill others 36 in. \ 1
Lever handles
Exits at grade or platform �-
Canopy to cover req.exit doors
Gas valve shut-off exposed®ulator(18' .)above gra
Floor bathroom watertight e�
Other floors okay �` \C\
Hot water relief valve
Boiler/fumace enclosure
<250.000 BTU N/R
250.000 BTU to 1,000.000 BTU's(1 hour)
>1,000,000 BTU's(2 hour) 1
Gas fiance shut off within 30 fL or within line ofke
Oil furnace shut off at entrance to furnace area
Stockroom enclosure(1 hour),3/4 hour door i
Storage/receiving/shipping room(2 hour), 1 '/z doors
I 14 hour doors and closers
14 hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour complete
Fire dampers,2 hour fire wall/separation or greater
Fire door/shutters 1 '/2 hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.ft.
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardware
Elevators
Elevator signage
Handicapped bathroom grab bars/sinks/toilets
Handicapped bath/parking lot sigrage ►.�^ 1 I 6t61 �
Handicapped service counters 34 in.,checkout 36 in.
Handicapped ramp/handrails continuous/12 in.beyond
Active listening system and signage assembly space
Final Electrical
Site Plan/Variance required C
Final Survey,new structures
.As-built septic system layout required
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Oocupancy)
Okay to issue C/C(Certif.of Compliance)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE NC.
Main Office 176 Doe Run Road-Manheim,PA 17545 7i
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No..............................Cert. N2 64895 Cut-in Card No.....................................
Owner........ ........... .................................I..............
�<
Location....................
�CC.c....�........................................................C...........�.....................................
Installation Consistin of.. .P� r .�.. ���.f 6 9C/T�g ) - .................... ...�......................... ,1...................
S 14Ck)U S �T G� T�5
......................&................................................ ....................................................J4................................
.............................. ..........................................................
Installed B �° U Tc��
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 inspections at any time, and if its
rules are violated,the Company shall have the right to r voke date.
Date.1.. �2 .r ...l................ INSPECTOR.. ............................ ........................................
M..... __N C V A TAPT
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 7 9—�30 7--
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No..............................Cert. N2 64897 Cut-in Card No.....................................
Owner.........( 0/U Ile Cr/U 1W6W/CA _
.............................I.................... ................................................................................
Location...................� ....... !................................................................�.' .�..............
Installation Consisting of.. .. (. ,r. - .2� ...6.5.�"P� f....................
...... . .......
................................... ......................�................... ..............
................
E7j2�/Zt..G. .�����....P .� 1 ! cZ?...........................................................
.............................
InstalledBy...........................................................................................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 i spections at any time, and if its
rules are violated,the Company shall have the right to rev a is rt' icate.
eci
Date..!�:7i 2.:..l....L............... INSPECTOR.......................... `' ...............................
NA.- -N C P A I A G 1
COMMERCIAL FINAL.INSPECTION REPORT w`
Building& Code Enforcement Date inspection request received: ->
Office No. (518)761-8256
Dept. of Community Development
Torun of Queensbury ArriveYDa:66am/pm Depart
742 Bay Road Inspector's Initial
Queensbury,NY 12804
NAME �lil '` Y" �� PERMIT#
LOCATION DATE c7 3
TYPE OF STRUCTURE
N/A YES NO CO S
ChimneyP'B"Vent/1 irect Vent location
Plumbing Vent
Roof Complete
Exterior finish grade complete
Interior/exterior guardrails 42 in.platform/decks
Interior/exterior ballasters 4 in.spacing platform/decks-
Stair handrail 34 in.-38 in.
Step risers 7 3/4 in.
Main door 44 in.
All others 36 in.
Lever handles
Exits at grade or platform
Canopy to cover req.exit doors it
Gas valve shut-off exposed®ulator(13 in.)above grade
Floor bathroom watertight _
Other floors
Hot water relief valve
Boiler/furnace enclosure {
<250.000 BTU N/R 1 � �
250.000 BTU to 1,000..000 BTU's(I hbur)
>l.000,000 BTU's(2 hout �D
Gas furnace shut off within 30 fL will 'line of site T�- r
Oil furnace shut off at entrance to I ,;area
Stockroom enclosure(1 hour),3/4 hour door
Starage/receiving/shipping room(2 hoar), 1 'h doors
I "z hour doors and closers tI
3,hour corridor doors and closers
Firewalls/fire separation,2 hour,3 ur complete
Fire dampers,2 hour fire wall/sep Lion or greater
Fire door/shutters 1 '/2 hour,3 ho
Ceiling fire stopping 3,000/5,000 ft.
Fan shutdown,smoke vents or f
Exit door/panic bars assembly hardware
Elevators
Elevator signage
Handicapped bathroom grab bars/sinkshoilets
Handicapped bath/parking lot signage
Handicapped service counters 34 in.,checkout 36 in.
Handicapped ramp/handrails continuous/12 in.beyond
Active listening system and signage assembly space
Final Electrical
Site Plan/Variance required__
Final Survey,new structures
As-built septic system layout required
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okav to issue C/C(Certif.of Compliance)
Diagnostic
Inc
A PSSIWorld Medical,Inc.Company
August 19, 1999
Convenlent-Medical Care
Northway Plaza
Czlens_Falls.,_Rew.York12804
To who it concern:
Qiagnastio lmaging suggests the-use of PVC pipingwith-chemical_processors.
Due to the corrosive material within the fixer and developer chemistry, drain
damage may occur. if PVC_is.not used.
Sincerely,
I iagnostio_Imaging
13 Commerce Drive Ballston Spa, New York 12020 (518) 884-2500 ••. Fax (518) 884-2590
,30
+u
GENERAL INSPECTION REPORTti
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive All—yoam/pm Depart am/pm
\ Inspector's Initials
r
NAME: L� 44e, PERMIT#
LOCATION: DATE : &1217
TYPE OF STRUCTURE:
RECHECK
N/A YES NO I COMMENTS
Footings/Piers I
Monolithic Pour Form i
Reinforcement in Place
The contractor is responsible for `A
providing protection from freezing 1
for 48 hours following the placement
of the concrete. r
Materials for this purpose on site
Foundalion/WalIpour
Reinforcement in Place
Foundation/Dampproofi ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vcnts in Place_
Rough Plumbing _ (, , ,��G� of J!�4 OUC7-�
Heating Rough-In /�� /-
Insulation fS a (✓%!�
Foundation Walls Interior R- /f al
Foundation Walls Exterior R- /Lj � �rfl G6a"
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent n
Framing_______ --- --- - � S2r/� �7p �" �—��rw `/oI �>��
Jack Studs/Headcrs
Bracin ng/Bri Brid�mg / L
Joist Hangers
— �
Jack Posts/Main Bcam
Air Infiltration Barrier_
Fire Separation 1, 2, 3, hour
Penetration Sealed
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 6
Queensbury, NY 12804 Arrive a� epart a an
Inspector's Initials
NAME: PERMIT#�,
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers ---Fj
Monolithic Pour Form
Reinforcement in Place
The contractor is responsib a for
providing protection from rceziing
for 48 hours following th placement
of the concrete.�,urpose
Materials for this n sit
Foundation/Wallp K—I
Reinforcement in Place
Foundation/Dampproofii g
Backfill Approval
Plumbing Under Slab _
Plumbing Vent/Vents in Place_
Rough Plumbing
Heat] Rough-In �
I a.ion 9
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- _
Ceiling `�r5\tR-
Duct work or piping in
unheated spaces R-
Proper Ve , ttic V nt
ding
Jack Stu /Headers_
Bracing/Bridging
Joist Hangers_ _
Jack Posts/Main Beam
Air Infiltration Barrier____
Fire Separation 1, 2, 3. hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&c Code Enforcement
742 Bay Road
Queensbury, NY 12804 ArrivANDGpm Depart "r
Inspector's Initia
NAME: C `TEDICRL C_Rft-- PERMIT# 3
LOCATION: RN RcTa o DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers —�
Monolithic Pour Form
Reinforcement in Place
The contractor is respo sible or
providing protection f m fr ring
for 48 hours followin the accmcnt
of the con etc.
Materials for thi u on site
Foundation/WalIpour
Reinforcement in Pl e
Foundation/Damppr ling
Backfill Approval �� t
Plumbing Under SI``}}b -—
Plumbing VenUVClnls in Place_
Rough Plumbing
Healing 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 I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
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 �, a► m— Depart
•pecWr's Initial
NAME: PERMIT#
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers —�
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this pu se on site
Founds lion/Wallpour
Reinforc- ent in Place
Foundation, ampprool ing
Backfill Appro a
Plumbing Under Slab
Plumbing Vent/Vents in lace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls In erior R-
Foundation Walls E terior R-
Floors R-
Walls R-
Cei ling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers ( ����
Bracing/Bridging
Joist Hangers C F3
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping LCR-riblZ6 I I
GENERAL d1 INSPECTION REPORT �i
Town of Queensbury
Dept. of Community Development Date inspection request received: 4
Building do Code Enforcement
742 Bay load
Queensbury,NY 12804 Arrive am/pm Depart am/pm
Inspector's Initials
T F
NAME: 6 ��o�i Le �_— PERMIT#
LOCATION: _ DATE : " —711 CZy j
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from fteezing
for 48 hours following the placeme of the concrete. "1 /)
Materials for this purpose on site J
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Hearing 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
GENERAL INSPECTION REPORT
Town of t2ueensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive ,'% am/pm Depart am/pm
Inspector's Initials Olt
NAME: E )�VQPERMIT# (:)9-
LOCATION: DATE : — Gl
TYPE OF STRUCTURE: i
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is resflacement
providing protection
for 48 hours followin Giver rn�&-.—+e. 4
of the concrete.Materials for this purpo
Foundation/Wallpour -t
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping