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2000-812 TOWN OF OUEENSBURY Y 742 Bay Road, Queensbuy, NY 12804-5902 (518) 761-8201 Community Development = Building & Codes (518) 761=8256 CERTIFICATE OF OCCUPANCY Permit Number: P20000812 Date Issued: Tuesday, May 01, 2001 This is to certify that work requested to be done as shown by Permit Number P20000812 has been completed. 6(\ y Tax Map Number: 523400=120=000=0002-016=0004000 Location: 470 SHERMAN Ave Owner: LARRY CLUTE Applicant: CHARLES M VAN GUILDER This structure may be occupied as a: By Order of Town Board Single Family Dwelling wN Q Y Director of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bray Road, Queensbury, NY 12804-5902 (518) 76 1-8220 1 Community Development - Building St Codes (518) 761-8256 BUIEDING PERMIT Permit Nurnbcr: P200008i2 Application. Number: .A�20000812 Tax Map No: 523400- 120-000-0002-016-000-0000 Permission is hereby granted to: CHARLES M VAN GUILDER For property located at: SHEERAI N Ave in the 'town of Queensbury, to construct or place at the above location in accordance with application together with pint plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Co MAM91LOM Value Owner Address: CHARLES M VAN GUILDER Single Family Dwelling 65,000.00 290 COR.INTH Rd Total Value 65,000.00 QUEENSBURY, NY 12804 Contractor or Builder's Name / Address l lectrical Inspection Agency CLUTE ENTERPRISES INC. COMMONWEALTH ELECTRICAL At 13 DAWN Rd 'r QUEENSBURY. NY 12804 pp BOX 706 HAGUE. NY Plans +& Specifications ------------ 2000-912 864 SQ FT SINGLE FAMIY DWELLING AS PER PLOT PLAN SPECIFICATIONS $108.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, October 31, 2002 (I£a longer period is requited, an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration dare.) Dated at the Town Que sbu ues r 31 , 2000 SIGNED BY 'o r W for the Town of Queensbury. Ditect��o--r{{--o��''f Building & Code l nforcement Building Permit Application Town of +Queensbury - Dept. of Camntunity Development, 742 Bay Road, Queensbury, NY 12804 [761-82561 BUILDING & CODE ENFORCEMENT MD9 Requirements prior to issuance A pebtained before of this permit: PERMIT FILE NO. - ..I beginning construction. No inspections PERMIT FEE PAID $ will he made until applicant has received �$ + Actlon a VALID BUILDING PERMrr, All Area I use applicants' spewea on this application RECRF. 477ON FEE7PrD $MUST be card ttttd the signature Q phi$ BoardA� REVIEWED BY, - of the applicant moat appear an the SPR I Subdivision I Other r y y `� Bultdin Irrmsrceff r Mlicatum form. T. . . 3. Recreation Fee payment / ,r�� Applicant: Owner: 1' Ji ,2 ti.=.�"'t,- tl�f , ' Address: Address: Phone # ( `----} ` - - �7a j'7 Phone # ( ) - Property Location: _- T71r�.c�x' Fes..-.. �c-u•L' ----- ----- ------- Subdivision Name: Tax Map Number ( �`"'�" I ate- f �C,Q Section Block Lot MATURE OF PROPOSED WORK : ESTIMATED MARKET A E OF THE �keNew Building : CONSTRUCTION : $ residence / commercial Addition to Building : ---- - - -- residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial _ Single Family Dw �,q � i � r � � Residence / Commercial Two Family Dwell r4pFI / no change to exterior size Family Dwe ing office OCT 1 8 2000 Other Work ( describe below ) Mercantile Manufacturing TOWN OFOUEENSBURY Other BUILDING AND CODE {GROSS AREA OF PROPOSED STRUCTURE : /0 �y 1st Floor . . . . . . . . sq . ft . r If AI?DITIt � at will use 2nd -Floor . . .._ . . . . sq . ft . of new addit be ? : Other F' luufs . . . . sq . f t . ( not unfinished cellar or basement ) ACCES ORY BUILDINGS: D ached Garage 1 , 2 car TOTAL FLOOR AREA : �C& Y SQ . FT . Atta ed G ° e 1 , 2 car -` Privat..e� orage Building SIZE OF NEW STRUCTURE : _ Comm Cial age Building fit FEET X 7Lcr FEET { t Will an second-hand or ungraded Foundation Type : ' h�'a '� Y g Number of Stories : lumber be used ?/ 0f so , for what ? ( habitable space or.jly) �.._ Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM * Number of fireplaCe$ a d/ orr woodstove ( circle all which ies ) to be installed :, _ isle / Wood orced Hot / Baseboard / Other Person responsible f oxr supervisxon oJ,. work, as :regards tobu dins codes i s : � �`Y�--t L L B 7 Name 3kddresSB Phone Builder : Plumber : Mason : Electrician : 4 - Mns DECZ4RATION.• Please sign below after you have caret illy 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 authoriz the wrier. Further, it i n erstood that 11we shall submit prior to a Certificate of Occupan or Certifi to of Complianc ein issued, an AS BUILT PLOT PLAN by a licensed surveyor• yawn to sc sh wing actu oca ' n of project on premises. Signature: ner, owner's age . a chitect, contractor) Application for Permit -- Septic Disposal System TOW) Of Queen bury 742 Bay Road Q'ueensbury, NY 12804 (518) 761-8256 1 . OWNER INFORMATION: ,_ ................. ................. ._. _ Location of installation. CNf ee Use ^� Fite Permit No. Tax Map Nov I a" k / Owner': Names: _ `r T Fee Paid Address: - 2. INSTALLER'S NAME : - ay PHONE NO, T I cr _ ^7 7:0 �1 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 9 bedroom(s) and multiply H Qf bedrooms with applicable gallons per bedroom to equal total daily flow) Year of HQUSQW N.Q. f Be r m.pulation — Tgjal Daily Flow 1990 or older x 150 gal/bdnn 1980 -- 1991 x 130 gallbdrm = ^ � �►�� 199 I — present x 110 gallbdrm = arbage Grinder Installed yes _ / no OCTA 1 8 20U0 Spa or Whirlpool Installed yes T ! no TBU�N OF QUEENSBUR AN COl]E Y 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) TangL �r9 _Qmund Watvr__ _©cslrock .or�lnporsctQus_Mate!rial _ star Supply + atni sartcl Of +vl+err dcpIh cri wlrcrl cIcprlr rju I(�i7ling vim feet feet well Steep slope clay if well; water .sryrply �90 slope other from any .septic-system depth: absorption is other Percolation Test: (To be completed by licensed professional engineer or architect) Rate, minute per inch 5. PROPOSED SYSTEM: For New Canstructlen: All individual sewage disposal systems trust be designed by n licensed professional engineer or architect (unless installed in a Planning 13ohrd anwoved subdivision). Acid 250 gallons to (11c sirc of the septic tank anti leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank; c:lc�<�o gallon (min. size 1, 000gal.) Tile Field: each trench ft Total System Length: Seepage Pit(s): number of size of ecsch: T7. by J3. Size of Stone to be used: N / depth or thh:kne.sr Bed System Size: x Altarn+l dve System: length and/or size 8,... HOLDING TANK SYSTEM; (if required) Number of tanks: I Size of each: gallons I TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (please read) For your protection, please note that pursuant to Section 136-29 of the Cocle of the Town ofQueensbury, any permit or approval grailted which is based upon or is granted in rolianco upon any rnaterrial rnisrepresantation or failure to make a material fad, or circumstance known by or on behaSfofan applicant, shall be void, I have rea a regulations with respect to this a i tion and agree to abide by these and all require ents of the Town Queensbury Sani ry ewage Disposal Ordinance. Signature of sponsible person Date _ R ENERGY CODE APPLICATIONS _ - LJ ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY OCT 1 8 2000 9000 HEATING DEGREE DAYS TOWN OF QUEENSBURY BUILDING AND +CODE. Compliance hods : PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings PART 6 * - Thevival Rating - Component Trade Offs 1 & 2 Family Dwellings ; Multi - Family Dwellings ( 3 stories or less ) PART 4 * - Design by Component Performance Commercial Buildings -Hi_ Rise Residential * Requires submission of worksheets APPLICANT ' S NAME : PROPERTY LOCATION : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - M(4;211Y square feet 2 . Type of Heat - Electric Oil > Gas other 3 . Is building mechanically cooled ? Yes No 4 . Percentage of area of windows and doors over 17 % X Under 17 % 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS S11OWN ON PLANS SUBMITTED : a -. Roof R 3s;?_ b . Exterior walls R 1` c . Glazed areas R 4W-M5 d . Exterior doors R a e . Floors over unheated spaces R _ ( � f . Edge of slab on grade ( heated building ) R -- g . Basement / cellar walls ( above grade ) R h . Basement / cellar walls ( below grade ) R --- i . Heating/ cooling-ducts - piping in unheated space R 4"4 , 5 6 . Service ( domestic ) hot water heating device Conf ms to minimum efficiency per code Yes No MPERA 4RECONTRO XIMUH SETTING 140o - WILL NOT BE EXCEEDED A lic Rs atuL� Pho �Nmb �l SPECTORO REMARKS : TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 SAY ROAD QUEENgAbRY NY 12844 S ' tsts> 76I-8256 ARRIVE : .. . _ DEPART : INSP : FINAL INSPECTION REPORT - nNSIDENTIAL DATE INSPECTION REQUEST RECEIVED : NAME �. LOCATIO4 DATE ��,�r"'`_+., PERMIT ! TYPE OF STRUCTURE JJ FOOTINGS FOUNDATION BACKFILL FRAMING BOUGH PLUMBING SEPTIC_ _ INSULATION _ FINAL ELECTRICAL — WOOOSTOVE OR FIREPLACE rt xs� No CHIMNEY HEIGHT/S VEN HE HT PLUMBING YSNT ROOFING X ER F N 1'7EC[ IP RC}if EP8fRA TNGS �.R.ELIEF VALVi S FURNACE OT W T G RIO RIM I DQO I IS F S : j)ATjj/ ' CHE W CRT 0Tfi R FLOORS SWEEPA E OTHE FLOORS C PET STAIR CLEA CR ILIN S SMOItE DETEC C7 S PLUMBING SIX URES FQ,UkjVATjQN S ON GAEtA %79 FIRE PROQ_.. N QQpR, CLOSERS FIN L CTRICAL 1 SI P VARIANCE REO . ..� SU VEY PLOT pr,ftm OK TO ISSUE C O OR C C MAP REFERENCE: M AP OF "THE HEATHERS SUBDIMSION" DATED: APRIL 24, 1999 BY: D.L. DICKINSON ASSOCIATES SHERMAN AVENUE 0iVr. �0.0 9 10.71 ° GRAVEL Il i�a I �f eq a>a i5 i Qw II � 3 ` a 20.2• �+ c' LANDS NIF OF 00, GEORGE MABB I I Fri o z. AREA I'I 9,029 sq.ft. p ; 0.21 acres I t ` x ' 60.00' N83'51'25"W of NEW', C. I , LANDS N/F OF ° C::: GEORGE MABB ° mom 35 • tAW �.. - Ow - O( Steves Lard Surveyors, LLC 169 Haviland Road Queensbury, New York 12801 518) 792-8474 New York Lie. No. 50135 AUhOPM uTEUMN CR AW nffi M ASUM: M1k1M SEA" A UCDAM LMD *M*-MS SEu S A M LA7M fF SMON YM% �1"U" $ W 7W NEW YM S e EDYCl�MM IAA— A=0WT SIM i =ROM m f IM 0► IM 51XM wuaa Wm+ AN oRra0u o= m uNo wNSYwea 8Eu !HALL E CONED W ,PE VALID ME CONES! L SWVEAIIONS INDICATED 1NON S AW TINT THIS lURYEY VMS PREPARED N ACCC(m�uYCE NTH THE a6,Ra�a= `WA"WFRRjw&� ° BY llff NEW YDRK STATE ASOOWTION OF PROFE9810NAL LAND SIRWfM SAO CENTFUM A SHML RUN ONLY TO THE POWN FOR NWq/ TIE SURVEY IS PPEPARM AND ON HIS BEHALF TO TICE Inn COMPANY, DOVEWAMAL TTO Ult A 6 M I hb„ ' "'D Map of a Survey made for LA R R Y W. C LtJ T E Town of Queensbury, Warren County, New York Date, APRIL 13, 2001 Sale 1`=20' S.1 CLUTE DWG. No. 99241-2 NO. DATE DESCRIPTION 1 RES DENTIAa. FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received-. Building 8r Code Enforcement Dept, of Community Development Arriv p airt ' Town of Queensbury tor9s Initial 742 Bay Road 'r Queensbury, New.York 12804 NAMEf; # LOCATION r ry n 1 DATE TYPE OF STRUC N/A YES NO C 0A4N4FN`TS Chimney Hcightf"B" Vent(Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterlor Railings 30" to 36" Exterior handrails, bal g 18 in. or more Interior Handrails stairs 3 or mare risers Grade 2% away from €o tion 8" clearance to sill plate Gas Valve shut-off a 18" above Bade Gas Furnace shut-ofFwithin 30 f or within litre of site Oil Furnace shut-off at ce furnace area F Water Heater Relief Valve(s) Headroomv 6 ft. 6 in. on s Basement stairs, 6 ft. 4 in. Handrail exterior stairs both more than 3 risers Interior privacy/trim/ entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Ilandrails 'Balooni 18 in. or more Railing across window in Its Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom. fans lob Plumbing fixtures Foundation insulation % hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation, per room Safety glazing 1 v 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 (Certrf. of Occupancy)_ Okay to issue permanent C/O (Certif. of Occupancy) COMMONWEALTH ELECTRICAL fNSPECTfOTV SE Main 'Office 175 Due Run Road - Moinheim, RVECE MCINICIPAI. CERTIFICATE PA 17545 , INC. ELECTRICALAPiPROVA-i Panel Board rJa-...... Owner.-.. ............ ....Cert. 64401 1 . Cut-in Card Na. 7 Y....Location ,.. � ............._�........... .....,.uu.................,�........_.. 1.7..i'2...,.....5,. h.�. .�r� r0 ,-t Installation Consistin f..,V..S:. ....................�is..r!..z -T 1 y f� 'ti.... ...... g of.. ...ri r12 rJ ............. �.+.,� . ....,� t.....,.u.:r�.:...,!�•-a rt...�......�.,0.'2 r� r� L y..,....3...�3.....t�.�..�....�.L...,s.:.t.e�..` ..F,.J.!•�...};].4ele?s.�l+Si..�l..'� ./�.?_...-...... �r• CA# Installed $y_,,...(,�.1.Z�;�!•{..S_•IT� .- The conditions following Lic, No. ... canceilcd: - g governed the issuance ......... ..........•..............-.._._...... of this certificate and any certificate previou.si This certificate only covers the electric;ai introduction Of additional e Y issued is 4u�,Amenf or alterations and installation conditions as of date. U Inspectors of rhrs Company shall h aPPiication steal] h Pon the rules are violated, Cs�rrt have the r` a promptly made for ins the ,any shall have privilege of making irtspernP[I m a pection. the right to revoke this certificare- any time, and if Date..... '. — .,..__.� its ......... ..�. 1NSPEC'TOR.., .,: Mern her N.F:P.A.- r A c r .......,..•...... TOM! OF QUEEMSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPE ION Name Location Date 3 — WPerni t #_ ) SOIL TY San Loa Cl Results Percolation Te t- ( if applicable ) Rat Minu a/ Inch J TYPE OF SYSTEM: i ABSORPTION FIELD : To al L ngth Length of each trenc j Depth of trench�s Size of stone Se P e Size - f Y � ft . Stone size ?- ? PIPING: Si a ype Bldg . to Tank + Tank to Mist . Box Dist . Box to Fie? n Openings Sealed? o Partla LOCATION/SEPARATI { Foundation to Tank 2--' feet j Foundation to Absorpti n feet Separation of Pits et Conforms as per Plot Plan es o LOCATION OF SYSTEM ON PRoP (, circle one ) Front - Rear - Left Side - Right Sid Middle Front - Middles Re r COMMENTS : : 1 SYSTEM USE APPROVED : YES NO Arrived: Departed . I 3 _ Building Inspector OF '[UEEWSBURY BUILDING & CODE EltFORGEMENT yf 742 Bay Road Queensbury -- 12804 (51s) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Loca ti ors Date 2> 11 W Permi t SOIL TYPE ; Sand- Loam- Clay- Results lof P rcoRati Ainus / nch ( if app TYPE OF SYSTEM: ABSORPTION FIELD : Total engt Length of each trench Depth of trenches Size of stone SEEPAGE PITS , um er- f t . Size - Stone size S1z- ze —hype -' PIPING: Bldg , to Tank Tank to Dist . Box -- mist . Sox to Field/Pit -� Openings Sealed? Ye No ar a LOCATION/SEPARATIONS ; feet Foundation to Tank feet Foundation to Absorpti n ,feet Separation of Pits NO Conforms as per Plot Ian LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front - Rear - Left ide - Right Side Middle ront - Middle 'Rear cownffse SYSTEM USE APPROVED : YE5 NO Arrived= Dep ar^ted Suilding Inspector GENERAL VVSPECTION REPORT ( 518 ) 7sl -- s25s Town of Queensbu3ry Dept. of Community Development Date inspection request received* Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initials NAME: L_L *i PERMIT # --- IACAT3©N: _ Owt-g DATE : '=;E rZ C TYPE OF STRUCTURE: REC.'14ECK N/A YES NO 00?AMENTS Footings/Piers I Monolithic Pour Form _ Reinforcement in Place The contractor is respoasibl far providing protection from ing for 48 hours fallowing the lacem t of the concrete. Materials for th se on ite Foundation/Wall Reinforcement in PI Foundation/Dampproofin Backfill Approval Plumbing Linder Slab Plumbing Vent/Veuts in P Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio R- Foundation Wall s Exterio R- Floors R Walls R- Ceiling R- Duct work or piping in unheated spaces R- ,*- rol Vent, Attic Vent F'rami Jack. Sty Bracing/Bridgin Joist Ha geTs Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin + ') GENERAL IN.'CP ION REPORT ( 518 ) 761 — 8256 'Gown of Queensbury Dept. of Community Development Date inspection request received: Building & Cade Enforcement 742 Bay Roar! ,r Queensbury, NY 12804 Arrive am/pm Depart ``( ] _ Inspector's Initials NANIE CZ+, \_ �Ch t �_,Z-J PERMIT # Q 0 1 C LOCATION: fL ' DATE : T"k'PE OF STRUCTURE: � RECHECK NIA YES NO COMMENTS Footings/Piers �� T I Monolithic Pour Form Reinforcement in Pl The contractor is 1('.u r providing protectioning for 48 hours followiernent of the concrete, Materials for this Foundation/Wallpour Reinforcement in Place Foundatio Backftll Approval Plumbing Under Slab Plumbing Vent/Vents in P ace Rough Plumbing. HoMing Rough-In on Foundation 'Walls Inte or R- Foundation 'Walls Ext `or R- Floors R- walls R- Ceiling R- Duct work or piping i unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs+Headers Bracing/Bridging,f Joist I€angers ' /► Jack Posts/Main Beam V A,ir Irffiltration 'Barrier Fire Separation 1, 21 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopon +GE1VERf1L INSPECTI N REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: 3 ( Building & Code Enforcement 742 Bay ltooad Queensbury, NY 12844 Arrive am/p>in Depart Inspector's Initials NAME: PERMIT # .+D f c� LCA'TI []S I�.� + � nATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Y`��j Monolithic Pour Form Reinforcement to Place The contractor is responsible for Providing Protection from freezing for 48 hours following the Placement of the concrete, Materials for this purpose site F+oundaiionl W"allpour Reinforcement in Place FoundationAE)ampprooF Back&ll Approval ' Plumbing Under S1 , Plumbin Wert -n Ptu n y' softeating Rough-In Insulation. Foundation Walls Interior or R- Foundation Walls E or R- Floors R_ Walls R- Ceiling R- Duct work or piping n unheated spaces R- t, a Vent Jack Studs/Headers e[ pp S Bracing/Bridgin Vor Joist Hangers Jack Posts/Main Beset. Air Itration a � Fire Separation 1, 23, hour Penetration Scaled__ Fire Wall 2, 3, 4 hour -- >'restcipps C ,�c i` c GENERAL INSPECTIrD1+1T REPORT c sno a ueen say fir Town of 1 Queensbury Dept Of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road --•, Queensbury, NY 12804 Arrive anigi Depart m ctor's Initial NAME: PERMIT LOCATION: DATE : TYPE OF STRUC RECHECK X Iva cor rrrS N/A 4tings/Piers IV I I Monolithic Pour Porm Reinforcement in Place The con is responsible for prong pro i from freezing for 48 hours followi the placernent of the concrete. Materials for this purpose o -te Foundation/Wallpour Reinforcement in 'Place Foundation/DampprooSng Bacidill Approval Plumbing Under Slab Plumbing Vent/Vents in Place: Rough Plumbing, Heating Rough-In Insulation Foundation Wails Interior R- Foundation Walls Exterior R- Floors R_ Walls R_ _. Ceiling R- Duet work or piping in unheated. spaces R- Proper Vent, Attic Vent Frami Jack Studs/ffleaders l3racing/Bridgin Joist hangers Jack Posts/Main 7Ek="amAir Infiltration BarrFire Separation 1, 2 Penetration Sealed Fire Wail 2, 3, 4 hour Firestoppin f GENERAL INSPECTION REPORT / ( 518 ) 761 - 8256 400 Town of Queensbury Dept. of Community Development Date inspection request received: Building Br Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive'VZUDnm . Depart `= in Inspector's Initi NAME: ��_ PERMIT # LOCATION: DATE = `-- TYPE OF STRUC 1 RECHECK. N/A YES NO COMMENTS Footings/Piers —� Monolithic Pour Form _ Reinforcement ' The con r is risible for provi€ling, from freezing for 4$ ho following the placement of the cone MaLeriats far tIt purpose qn site Foundadon/WalI ur R�nforoenxent in ace Oe FO tion/I7arrrpp fin ckfill Appmval Plumbing Under Slab Plumbing Vextt/Vents in cc Rough Plumbing Heating Rough-In Insulation Foundation Wads Interior R- Foundation Watts Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated. spaces R- Proper Vent, Attic Vent Frami Jack Studw'Headers Bracing/Bridging Joist Hangers Jack Posts/Main Seam Air Infiltration Barrier Fire Separation I, 2, 3, hour. Penetration Seated Fire Wall 2, 3, 4 hour Firestopping GENERAL 1PVSPE 'T'IONN RLPQRT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received; Building & Code Enforcement Qu Hay Road j I G Queensbury, NY iZ8[l4 Arrive amlprn Depart ! ` v��i,"'�pi-n"'-. Inspector's Initials NAME: 1` —G- C� PERMIT # � TYPE OF TRIJC RECHECK. NIA _ NO COMMENTS 00 t Mono t c Pour Form Reinforcement in Place The contractor is responsible for providing protection from -ng for 48 hours following t of the concrete_ Materials for this purpose o site II Foundation/Wallpaur Reinforcement i Place Foundation/Dam Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in ce Rough Plumbi Heating Rough-In Insulation Foundation Walls Into r R- Foundation Walls Exte 'or R- Floors R- - Walls R- Ceiling R- Duct work or piping i unheated spaces R- Proper Vent, Attic 'Vent Framing Jack Studs/Headers Bracing;Mridging� -..- .- joist Hangers Jack Posta/Main Beam _ Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour_ Firestopprin i , I i .._L. r I , , I I r7i, 11,11,1114 R !oct ! asBUOLDING AN G DE ; { { I 1 I I { i a ' •. I i l i I � S � II i I i ,, I I I I I i I I I I I I I ' I , 1 II I I i I I I I I I I I ! I i I I i I � i I I � I � `. I { •.�'`—tea"' 1_ � � t k.._ — _ ..J_. . ve $eery or Obtaiv � ou i 1 sa�ilr l! a jecs s ch " fi trees. j ths1 pfielse $ha n o � € ; , i j , er rya 1 sfi th 4, n- sit ' 4 /Ou t ! € 1 + SIGNS I I low wool kq T' s ON& ow Vol �4 LAI Loll wool >tas 'Coc p p '-�k d. r. -- ----- C6 j I t I -lam two N 0=D if 4% row 0 1 lit su L D1 G NIC DE 07F