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1998-004
CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK October 29 98 Date 19 98004 This is to certify that work requested to be done as shown by Permit No, has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 16 # 58 AUTUMN LANE Location 0Wner SCHERMERHORN CONSTRUCTION TAX MAP NOS - 121 . - 1 5 - 1 6 By Order Town Board �TC,7�W'N OF K2EJEEri58LJRY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 95000TOWN 4F QUEENSSURY No. 98004 TAX MAP NO ." 1214 - 15 - 16 WARREN COUNTY, NEW Y+OFRK PERMISSION is hereby granted to _ _SCHERMERHORS CONSTRUCTION OWNER of property located at 5 B AUTUMN LASE Street. Road or Ave. in the Town of Oueensbury. To Construct or place a — SINGLE FAMILY DWELLING 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. t. OWNER'S Address is CORP . 79 MASTERS COMMON NO . --� QUNNUSSUAT o MY-, 12804 2. CONTRACTOR or SU'lLDERS Name SCHERMERHORN CONSTRUCTION I CONTRACTOR or BUILDERS Address �V 17 W MAS TERW COMMON NORTH QUEENSBURY . MY 12804 4. ARCHITECTS Name —d. COMMONWMALTH ELXCTRICAL AGENCY S. ARCOAtTECT"S Address POL BOX 706 HiRf3i#/� NX w, 1283+6T . ..,. S. TYPE of Construction - (Please indicate by xi SINGLE FAMILY DWELLING . I i Wood Frame I i Masonry [ Serrl ( 1 7. PLANS and Specifications 1531fi1,. SQ FT SINGLE FAMILY DWELLING WITH 2 -CAR ATT'.CMMD A3ASLPX&6 . ` * Ai/' PEW PLO2, PLAIt_ SPNCIFICA'TIONS B. Proposed Use SINGLE FAMILY DWELLING . SAW � .: � . .._. .: 211 . JanuarP S PERMIT FEE PAID — THIS PERMIT EXPIRES 19 (If a longer period is required on application for an extrnslon must be rnade to the Building and Zoning inspector of the town of Queensbury before sht expiration datr.l 9 January 98 Dated at the Town of Queensbury this . _ Day of 19 .�WeadoniiV for the Town of f]ue+ensbury SIGNED BY ib Inopeetor TOWN OF QUEENSBURY roft r,)E.P.AaTmeiwr OF COMMUNITY F BUIL IDINC* P .-'t_.RMIT NUMBSa Ai CAD I. . BASIC/BUILDING PERMIT INFORMATION: 1 . . , A licant/'Fame & Address Aeent/Name & Addr applicant ageut H W r TAX MAP NUMBER: I � f � w 2 _ PROJECT DESCRIPTION: ----------------------------- Plot plan (2 copies) —__...._ ........__ _--- -------- building plan (2 ) ________________ ______------ -------____-- sewage disposal energy code 3 . PROPERTY INFORMATION: electrical inspection driveway permit completed/signed ITIONN MIN FEE PAID Front Yard _30._ _.......... ._...__.._...__ Front ( if corner) .,...,,,_,_,_,__—_ Side Yard (1 ) . v ._--__.,_,_, NEW O ?NSTRLJGTIC?N Side Yard (2 ) a ADDITION Rear Yard a ALTERATION Width d MODIFICATION Depth CD SIC'*p+T YES NO NIA PROPERTY IS IN APPROVED SUBDIVISION Meets depth, width &. square footage requirement Preexisting, nonconforming lot with proper setbacks Required road frontage on public road Has required off-street parking Permeable area is adequate / e uired. % Building does not exceed maximum height / Max. fs _ Required setbacks from stream, lake and/or travel corridor meets requirement Buffer zones required ____ __________-- Is lot in a Flood Plain Zone`? 4. STAFF DETERMINATION. As per Section (s) of the Zoning Sign [= Subdivision Ordinance Ordinance Regulations r. 1 dft v 5. REVIEW REQUIRED BY ZONING BOARD OF APPEALS : ACTT ON FILE NUM9ER RPSOLUTI OK DATE 0 Use Variance Area Variance Q Sign Variance Other Comments: +6, REVIEW REQUIRED BY PLANNING BOARD . ACT] ON FILE NUMBER RESOLUTION DATE 0 Site Plan Review Subdivision F-3 Planned Unit Dev. 0 Other Comments: Building Permit Application Town Of Queenshhury - Depv of Canunwwy Developrneta, 742 Bay Road, Queenrsbury, NY 12804 [76 1-82 5 61 BUILDING & CODE ENFORCEMENT Requirements prior to issuance rX , . A permit must be obtained before of this permit PERMIT FILE NO, } beguwing construction. No inspections � will be made until applicant has received Zoning Ord Action PERMIT FEE PAID $ a -1-t— a VALID BUILDING PERMIT. All Area I Use RECRF 4TiON FEE PAID $ applicants' spaces on this application MUST be completed and the signature 0 planning Board Action REVIEWED BY. 1 of the applicant must appear on the SPR f Subdivision I other ,Buildfng frosivaor �pplication form. 7 . ,.... Recreation Fee Payment Applicant: C!Q, r%;C.A 'orJCore Owner: �-' Sa ••• Address: 11L L rb re o k L nr . Address: Phone # { t13 _) r1s - - 667Y _ Phone # ( ) - Property Location: - i I o I /(o A,.A," - Subdivision Name: S,�gi F �.. 0. �- 10- u S s Tax Map Number_ Secti ecti-o on Block tot NATURE OF PROPOSED WORK ; ESTIMATED MARKET VALUE OF THE V New Bu ' .din CONSTRUCTION: $ �- residence j commercial Additron to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building residence / commercial y Single Family Zbee-Iling Residence j Commercial Two Family Dweto � V no change to exterior size Family D r office other Work ( describe below ) Mercantile JAN 06 ' Manufacturing i other rowlk• .,or �aUEENSWRV GROSS AREA OF PROPOSER STRUCTURE : p/ , SUILDINQ AND CODE let Floor . . . . . . . 7(� � s ft `� If ADDITION , what will use 2nd ,Floor . . . . . . . 76 5 ski t �� of new addition be ? Other Floors . . . . . eq . f ( not unfinished cellar or basement ) � ACCESSORY BUILDINGS * �..Q/ ,/, ca0 Detached Garage Z , car TOTAL FLOOR AREA : /536 SQ . FT . K Attached Garage 1 , 2 car Private Storage Bui g SIZE OF NEW STRUCTURE : Commercial Storage Building ✓"� � FEET X FEET Other Foundation Type : Will any second- hand or ungraded Plumber of Stories : lumber be used? If so , for what ? ( habitable space only ) Nv Height ( grade to ridge ) : d feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ woo stave ( circle ail which 1 ' es ) to be installed : E 8=, aWood Forced Hot Air j Baseboard / Other Person responsible for supervision ofJ work as regards to building codes is : Name Addresss Phone Builder : -771r- 0 &-74/ Plumber : /W. '75° 7 - 5-6Pr3 Mason : e. Electrician : DECrAIZ 77ON 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 Uwe shall submit prior to a Certificate of Occupancy''or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: 40 '� P - �" — (owner owner's agent, architect, contractor) r•1 f1(t � M1 44 to V w FI TERMS � � t 1 t _ 1.1 C C9 d � Ott,v-4, or .� o z ti ro O g O C la 44 ..I to ININ p 63 0 H x ° ' u,c z CD ' N x a� ar n+ U to t H °1 b+ 0 0 0 .0 Lh� " ' as 4+ a u c .rt ,� ° rq u �j o s,� (3 � H u Y III art .ri .rt ti4 v '14 lr � p �I r # r✓ IJ r4 i ri O v Ou- } 0 � tl r�W z G1 U r I fA V 0 ,4 U t O .. of W N al b► al N 0'.4 O � : ,� Jl �I I u klr 41 U ! tz W pa t? tv a1 >r .-I [A Sri{+I Sri 0 a.r `d�+ dh! U Hp :U 'r) tj 't'# u# U Nt 1 0 A 14 jj ,4 •r# C i l 0 � � r�i r z t1,G, G4 r-I t7+ w .r1 (4 x 'o 11 '� V al H A I �. to 1-1 al G1 r-1 •ri u III lr 1J al a1 !� R} 04 Fl OWF+ UG1NdlN tl n! r.4 Nip U u x 0 0 A 1 i al G# to 0 r# •a ,c: � W W 1:# t* ri [i rt Q Q u �} 11 r-1 UI T U r01 A � �) u ill itl rC k; ,y U 0 Irl N 4 1t# A •rl 1,1 0 A # •rl 0 0 ;> Q1 v v 000 0 }� {d U 'tl 1-1 9) # 17 •«I U O * * !I u `1 �.I 1� 04. a1NUlN 1[1U :•I O rn UI +n a' �I k, �` N � .a Q •(j to f-1 r q H U a r I " I z [}1 al III r 1 •-1 U +r I z � a; A4r+ ,`� lil ttl t1 i r1-t H ++1 t7+ �1 O v Eel W N rI ra .+i I~ 14 li tP W. E-+ I Ii rt) f� m w InG0rdmU SCt-Ir W nl x: GI to sn - I w 0 .Q "I .4 l So .� °� W tf 14 tAo ta In r 'II Lrobttfl � � V In c �# ja a o: 2 GI N s, a u t1 ' o � a p 41 G c 0o a p+ 81 7, ►� O Jta + i+., Ri 'o C1 •rl rA O 0 al Car Sd .I.r � ) to w 1 e arl 0 N 4) {� � � R, r-I •tJ N sn 7 +Ia d1 to al p al Qr al U N o ki �lk u /I �I a 110 Q fay •1.1 N � 0 ry0 w to ill /N� f}(f-a, N V] a I „I 7 d N al [� U 1-1 i {li G# t"� W [4 W R} M ':4 . 4 0 iv 0 W V Qi 1 , }+ �I 1`I I lli W tl `U IU W IS At 04 id N � H `�{ {►} F+I f f f f f r W V 11 Application for SEPTIC DISPOSAL PETIT Town of Queensbury — Dept. of Community Development dJ'`i 1, —fio.r ✓ of Q?,i,. a» Permi m t No' .Building & Codes Office 742 Bay Road Fee Paid $ Queensbucy, NY 12804 Location of property for installation: Property Owner's Name: Property Owner's Mailing Address: ! '"f 3i'✓. • `o r b r ao ry • . Installer's Name: ��c k a r s 1 +o r v �b s ry gin.. r phone # Number of bedrooms (if residential) : Total daily flow: (residential - compute 150 gal,/bdrm.) Topography: V" fit, mpg, steep slope of slope Soil Nature: sand, foam, clay, other ; depth: Ground water: at what depth? feet / Bedrock or Impervicus Material: at what depth? _ feet Percolation test: not required, required [ rate thin. per inch I Domestic water supply: -A municipal, well, ccer If domestic water supply is a WELL, water supply from any segdc absorption is feet. PROPOSED SYSTEM Septic tank /oe Galion (minimum size: 1 ,000 ,gal.) Tile field: each trench feet I Total system le sgaatli: leer Seepage pin(s): number of 1 size each: fto by ft. Size of stone to be used: # 1 depth or tfnc feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of en h.- gallons Alarm, sy snd associated electrical work to to inspected br a certified agency- For your protector ,. please note that pursuant to 5ectxm 136-29 of the Cade of:be Town of Qaeembury, any permit or approval granted which is based upon or is granted in reliance upon any xnatextei zmareprosentabort or falum to make a material fact or circumstance known by or on behalf of an applicant, shah be vui& I have rend the regulations with respect to this and abide b► and all requirements of the Town of Quewasbusry Sanitary Sewage Disposal // Signature of responsible person: ` __ ate: RESIDENTIAL FINAL ]INSPECTI©N REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development ArriveCr.A%j pa De Town of Queensbury Lnsnect.or's Initials 742 Bay Road Queensbury, New York 12804 NAME PERMIT # cl<� v� t LOCATIO DATE kQ: TYPE OF STRUCTURE NIA YES NO COMMENTS Chinntey Heightr'B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete interior/Exterior Railings 30" to 36 Exterior Handrails, balconies, landing 18 in. o interior Handrails stairs both sides 3 or mor sers Grade 2% away from foundation S" clearance to sill plate Gas Valve shut-off exposed/regulat l8" a e ,grade Gas Furnace sh fI' within 30 f lime of site Oil Furnace shut-o a o ftunace area Furnace/Hot Water Heater a tiilg— Relief Valves) installed Headroom, 6 ft- 6 in. stairs Basement stairs, 4 in. Handrail e r stairs both sides more than 3 risers Intenor pri acyltrixn/doors/main entrance 36" Floor Finish Bathroom /Kitchen watertight Interior I•itmdrails 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 3l4 hour fire door/door closer {.garage fireproofing Garage penetrations sealedsz 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 CIC (Cenif. of Compliance) Okav to issue temp. C/O (Ccruf. of Occupancy) Okay to issue permanent CIO (Certif. of Occupancy) ' .. %7Y�wrT'•w�li RESIIIENTIA.L FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arrive.2'`yram/pm Depart am/pm Town of Queensbury lnspector's initials 742 Buy Road Queensbury, New 'York 12804 NAMEPERMIT # C Fj LOCATION I DATE TYPE OF STRUCTOIZF N/A YES NO CONiNi tm Chimney Heightl"S" Vent/Direct Vent Location Fresh .air Intake A4! :4 Plumb Vent through roof Roof Complete [ / cjJ .Exterior Finish Complete �i �f E�r�c r 70 Interior/Exterior Railings 34" to 36" /r w 0 V Exterior Handrails, balconies, landing 18 in. or more _ / • Interior Handrails stairs both sides 3 or more risers Grade 2% away from foun lion 8" clearance to sill plate Gas Valve shut-off exposedlreg a o e ' Gas Furnace shut-off willr.irr 3f� feet within line of site Oil Furnace shut-off at entrance furnace area • Furnace/Hot Water Heater Ling 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 Garage fireproofmg Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical WOOF- Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C (C'ertif of Compliance) Okay to issue temp. C/O (Certif. of Occupancy) Okay to issue permanent C/O (Certif. of Occupancy) COMMONWEALTHAL n Office 176 Poe Hun Road - M n heimOPA 1775445ICE, INC. MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL I ......0..Cert. o 66 9 Cut-in Card No. ........................ ... . ... Panel Board No. ....................... H 0 Aot ! '77 Owner.........5{'......1 �i�vH! 1� 12 fits ...........................u................,,,....,._....................,...........,,.....,.».�.� f ...... ................................. .............1........ ........... .. . Location . _.-.. C t b T........................ ...... , -ya installation Cons�istirn�g-of ... ,]-�ry..�.s�►am.{ ._ � .�� ........'��.rat-.! +............ .....................e...... j +.�j'.. '�"�,'�s... .�. -`..................�....-........ .......................................... .................................................................. �'.lef7r34 l� Lic. No. ..........................._..,...........,...... installed B u.................................,,. .... y. 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, Lfpon the introduction of additional equipment or alterations, application shall be promptly made far inspection. j inspectors of this Company shall have the privilege of maki spections at any time. and if its rules are violated, the Company shall have the right to oke th ficatc. en /e •z 3 L)ate................. - ? . .�. ... ...... MemTer N.F.P-A„ LA .... .............. GENERAL IN,SPECTI N REPORT Town of Queensbury Dept. of Community Development Date inspection request received* Building, & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive A ' a t/pm�Deoat-t = inspector's Initial NAME; , , .. �� ', ^;, , RIk�QT # LOCATION: TYPE OF STRUCTURE: n RECHECK NIA YES NO Cp11+04ENTS FootingsMiers 1 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/Dampproo5n Backfil. Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plutnbin Heating, Rough4n lnsulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R.- Walls R Ti r - Ceiling R- Duct work or piping in unheated spaces R.- r1roper Vent, Atti Vent Jack Studs/Headers Bracing/Bridgin joist Hangers F Jack Posts/Main Beam wwNy -- Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour - Fire GENERAL MS'PECTION JWPORT Town of ¢ueensbury 1) Dept. of Community Development Date inspection request Building & Code Enforcement 742 Bay Road Queensbury, NY 12904 Arrive k7 Depart Inspector's 1nit1 ,�'�} NAME: PERMIT # L-'` LOCAT1aN: -- TYPE OF STRUCTURE: RECHECK NIA YES NO CO S Footings/Piers f Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fieceing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backbll Approval Plumbing Under Slab Plumbing VentlVents in Place Rough P H g�nRough-ln C ViZ- � � - =� U Le Foundation Walls Interior R- � �J 1•�CTc�v Foundation Walls Exterior R- Floors R- ' C, Walls R- _ Ceiling R- Duct work or piping in unheated spaces R- Prvoper Vent, Attic Vent Framin lack Studs/Headers Bracing/Bridging ��E Joist Hangers Jack Posts/Main Beans ��:y�`�� ►-�'� t�� Air Infiltration Barrier Fire Separation 1, 2, 3. hour � - Penetration Sealed ' � Y Fire Wall 2. 3, 4 hour Firestopping GENERAL IINSPE . IQN� �REPrOItT Town of Quecnsbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart' ►pm� . Inspector's Initials�� 'I^{�-r" NAME: 1� PERMIT #E LOCATIO DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COUNTS 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 Foundationf Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing.Under Slab PI g t/Vents in Place ("► 41WGgh Plumbs Heating Rough-I Insulation Foundation is Interior - _.. Founda ' Walls Exterior R- Floo R- _ s R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent L.Ea=kn g J Jack Studs(Headers f— Bracing/Bridgin �° f4,,1,tJ&Te4ZS s9. ) 4t5T'S ' FO �JIIC7, Jolst Hangers [s v"C // Jack Posts/Main Beam rlN ✓Air Infiltration Barrier ��^" ► t '"` "�^'` ° �' Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 37 4 hour Fires toppin c- TOMN OFE�SguR1i T � gOI1.,DIN6 � Cif E!l'F©RGEI+EN 742 bay Road OUeensburY NY t (sis) z61-13256 INSPECTION SEPTIC DISPOSAL SYSTEM Na Loc a �--�`- Date �-' r � Pe rmit #_�� Sand-L am- C' SOIL �` Test' rcol ati °n Inch Results Rate'Mi nutel - --��'- ( if applicable} wo TYPE or SYST rLD: T al Length -- ASSORPTI each tr ch r Length of Depth Of trench Size of stop i r ft SEEPAGE PI 'Size _ ft . x �---_ stone ze ~�Siyp e 'G? PIP = �S T Bldg - to ank Tank to Dist • Box art� a Dist * Box to Field/ V No openings Sealed v feet LOCATI�/SEPARAank feet Foundation t° [ank AbSOrpti on .� eet Foundation oundatian ,. P i is es �° pi an Separation as per P1 of PROPER �OCpTIW F SYSTEM ON Left Side _ Right side ( circle Rea Rear Front t t441 ddl e Ci d Soo /50 L _ „-' 7 4"> ¢ �T � ALs 'fE5 NOSYS� USE APPROVED Arrived= .�Departed: ►'1�1 __�- diI ng~Inspe^ctor i r 9 IR rr AUTUMN LANE lr 4 ui da ' � 1 Pr+-r r { 4 Ale p IN 246 OW PO y j � ti1 L/ 41 Al 3 r r i ATPAOTnn UPn" AUTI"ITT Of n Rx Sf9.VT1OU xrnri R q U d rl • : 2 • ? er TUC rr.xrm reams 11oA m -TUE. Tcmti +ar +`pn ri:r rnve`x, nrw mPx. L. GENERAL k5AEECTI N' REPORT - Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ,.. Queensbury, NY 12804 Arrive am/pm Depar amf Inspector's Initials . NAME: PERMIT # LOCATION: DATE : TYPE OF STRUC u RECHECK N/A YES NO COMMENTS FootingsJPiers 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/WallVimn our Reinforcement in Foundation/Dam Back ill Approva Plumbing Under `� PI ,g VentlV f on Plumbinit Heating Rough-In insulation Foundation Walls I rior R- Foundation Walls E 'or R- Floors R- Walls Ceiling R- Duct work or piping in unheated spaces R- I Vent, A c Vent lj7"uo Uti,�,e 4bk , Cg ,¢e,<. sfr► r �c�c__- ming wig . 0'tv L Jack. Studs/Headers l,t4 faTc✓,� 7—ea' 14% aw� Bracing/Bridging. Joist Hangers F t, Jack Posts/Main Beam Air Infiltration Harrier C c?��L' j t v' � •' j t;it {r' c c I Fire Separation I, 21 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION REPORTC t r c Town of Q►ueensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road � __��-,,,,,�� Queensbur�y, NY 128l14 ArrivetL_ /lbam/pm Depart .. am/pm Inspector's initials NAME: PERM7T # LOCATION: f ,w . . DATE TYPE OF STRUCTURE: RECHECK N/A NO CONWIENTS (6lWootings/lhers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing proteMtion from freezing, for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundati onfDampproofing Baclfill Approval Plumbing Under Slab Plumbing Vent/V znts in Plane Rough Plumbing_ . Heating Rough-ir 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/Bridgin Joist Hangers. Jack Posts/NU in Beam _ Air Infiltration Barrier Fire Separation 1 , 2, 3. hour Penetration Sealed Fire Wall 2. 3 . 4 hour Fi restopping GENERAL INSPECTION REPORT Town of Queensbury l o r� DepL of Community Development pate inspection request received= Building & Code Enforcement 742 Bay Road /�; `. `a Queensbury, NY12804 Arrive/s- / `� amlpm Depart Inspector's Initials ^._ NAME: + 4� �'� d � DA=TEI`i # � LOCAUON: .LEI ►��? DATE TYPE OF STRUCTURE: CZ RECHECK N/A YES NO CON4 E1+NTS 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 Reinforcement in PI Foundation/Dampproo vAMEO'll ,Approval Plumbing tinder Slab. Plumbing Vent/Vents in P Rough Plumbing Heating Rough-In insulation Foundation Walls interior R.- Foundaiion 'Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper gent, Attic "gent Framin Jack Studs/Headers BracingA3ridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2. 3_ hour Penetration Sealed Fire Wall 2. 3. 4 hour Firestopping