98-407 CERTIFICATE OF OCCU A.N CI
TOWN OF QUEENSEURY
WARREN COUNTY, NEW YORK
October 14 98
Date
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
52 CAROLINE ST .
Locttion
CLUTE ENTERPRISES , INC .
£7xncr
TAX MAP NO , 131 . - 8 - 5 By Order Town Board
TO OF uE� u
r //
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 55000 TOWN OF tQUEENSBURY No. 98407
TAX MAP NO . 131 . - S - 5 WARREN COUNTY, NEW YORK
PERMISSION ;s hereby granted to CLUTE ENTERPRISES INC .
OWNER of property located at
52 CAROLINE ST . Street. Road or Ave.
To Construct or place a SINGLE FAMILY DWELLIN
at the above
l cationOueen in a plans and other information hereto filed and
at the above location in accordance to application together with plot
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance.
t' ?JNIE
DAWN RDi=
QUEESNBURYr NY 12804
2. CONTRACTOR or BUtLOER S Name
CLUTE ENTERPRISES , INC .
3, c�N RACTOR or BUILDER'S Address
13 DAWN ROAD
QUEENSBURYr NY 12804
4. ARCHITECT'S Name
COM40NWEALTH ELECTRICAL AGENCY
S,YV CML Urr"Ils
HAGUE , NY 12836
6_ TYPE of Construction — (Please indicate by X1 SINGLE FAMILY DWELLING
I wood Frame ( I Masonry ( I Steet ( l
7. PLANS and Sctecificstions
864 SQ_ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS
S. Proposed Use
SINGLE FAMILY DWELLING
108 July 13 1g2000
$ PERMIT FEE PAID — THIS PERMIT EXPIRES
lIf a longer period is required an application for an extension must ba made to the aullding and Zoning inspector of the
town of Oueensbury before the expiration date.}
13 July 1998
Dated at the Town of Queensbury this
Day of t9
for the Town of Queensb+ury
SIGNED BY
Building and Zo Irrspeetor
Building . t.,ortilit Application
Town of QIIG'G'I1S Jll1y - Dept. Of Col:nrt:ttr4y Develolsuent, 742 I3rty Road, Queentbury, NY 12804 I761-82561
DUILDING & . CODE ENFORCEA? ENT
NOTICERequirements prior to issuance
A permit must be obtained berate of this permit: PERMIT FILE NU. _
11c8inning construction. No inxlrectia:ts
will be ulnda until ■pplicant Inns received 7ibrdrrg Board rlcdon PERAfIT FEE P.41D $
n VALID BUILD1140 PE Rivirr. All Area / Llae
applicants, spaces on tlsis application It ECI2G.iTTQN FEES r!�
MUST IV completed and. lbe signature Q Plarushig Board Acllote REVIEWroD BY., �
of the applicant mtut appear on ilea Sink 1 Subdiviairat / oilier 8,rrfd►rig ti.y.rcror
licntion form. rn,..t ,y. Recreation Fee Payment
Applicant: . C_ ( . J�tv Owner:
Address: _ ._ ►. � ?�C:a.. 0 Address:
w rwwwr. ww•rww wo-....w 'if.w F.r rn�r wN+w .w wuwwrl rr.rw.wr..w
Itroporly Loolilfttlit C ,,-,�Lr.,,E. _
Subdivision Nalttcs0 `t'ax Malt Number-
' Section Block I ,nt
HATAJRE OF PROPOSED iiOltK = ESTIMATED MARKET VALUE OF THE
New Building : CONSTRUCTION * $
residence / commercial
Addition to Building :
residence / cottuaercital OCCUPANCY XKrortMATIONt
Alteration to Building : Pr ry Building --
residence / commercial >Single family Dwelling
Residence / commercial Two Family Dwelling
no change to exterior size Family Dwelling
Other Work ( describe below ) Office
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE !
Lot Floor . . aq . . ft: . if DITION , wit �tT1 us $
2nd .Floor . . . . . . . eq , ft . of now Itt,1 � a ? :
Other Floors .. . . . sq . fte
( not unfinished cellar or basement ) ZCES18103RY BUILDIN[iBt T
Detached Garage 2 car
`TOTAL FLOOR AREA * a: ����/ SO * F T & ached G It 2 car
Pri orage Building
SIZE
rOF NEW STRUCTURE : Co c Storage FDuilding
cry [ FEET X FEET her
Foundation Type : c „v-r�� r Will anyy second-hand or ungraded
Number of Stories : �_ lumber Ise used? If no , foir what7
( habitable space only ) Ntt=ZA2
Height Grade to ridge ) �,�s feet TAPE OF' , HEATING SYSTEM !
Number o fireplaces and/or woo stove ( circle all whic li�o )
to be installed : Cle❑ Can /irlood
' arced Hot -Air ase oard / Other
Person responsible for supervision of work as regards to building •
coded lop (, r� r��-r t'C
Name llddreass Phone
IDuilder :
Plumber [
Mason :
Electrician :
DECLAM7TON.• Please sign below q/le) you have carefully read lite staternelri.
To the best of my knowledge ilie statements contained in llds application, together with the plans
and specifications submillcd, are a true and complete s(alemenl of all proposed work to be !lone on
the described premises and that all provisions of Ilse Building Code, the Zoning Ordinance and all
ether laws pertaining to the tro asccl work shall be complied willt, whether specified or noted , and
that such work is aulh ed o l e owner. Furlber, it is understood Ihat I/we shall submit prior to a
Certificate of Oc ancy'or cert flcato of C fiance being issued, an AS BUILT PLOT PLAN by
a Iircttsed at ar; drawn to s te, sh :ng ttta anon of project on premises.
Signatur .
wtter, o tter's agent, architect, contractor)
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury
Dept. of Community Development Permit No. IJ
Building & Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation:
Property owner's Name:
Property owner's Mailing
Address: [ ` �. . . -- a
Installer's Name: �..�• G, Phone #
Number of bedrooms (if residential): Total daily flow:
(residential - compute 150 gal./bdrm.)
Topography: to rolling, steep slope % of slope
Soil Nature: sand, loam, clay, other / depth:
Ground water: at what depth? feet 1 Bedrock or Impervious, Material: at what depth? feet
Percolation test: not required, required [ rate main. per inch)
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank.: gallon (nunimum size: 1 ,000 gal.)
Tile field: each trench feet 1 Total system lend: feet
Seepage pit(s): number of / size each: ft. by ft.
Size of stone to be used: # �.'._ / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: Gallons
Alarm system and associated electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Simon 136-29 of the Code of the Town of Queenabury, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to makes a
material fact or circumstance known by or an applicant, shall be void.
I have read the rogulatiiom with to this applic n and a de se and all requirements of the Town of
Queensbury Sanitary Sewage posal
Signature of respons' le rson: Dater
/Mm V
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURYe WARREN COUNTY
mom 04N 9000 HEATING DEGREE DAYS
Campliance ,Methods ; PART 5 - Acceptable Practice Method -
1 & 2 Family Dwellings ( only )
- PART 6 * - Thermal 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 - - �" 6Y square feet
2 . Type of Heat - Electric Oil -ZGas Other
3w is building mechanically cooled ? Yes No
4 . Percentage of area of windows and doors Over 17 % Under 17 %
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED :
a * Roof R ,
be Exterior walls R _ 1,�
c . Glazed areas R _ L4.
d . Exterior doors R
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 mac:
6 . Service ( domestic ) hot water heating device
Conf or to minimum efficiency per code Yes No
MPERAT RE CONYMCM MAXIMUM SETTING 1400 - -WILL NOT BE EXCEEDED
Ga n s S i attl. ' e
PhAan umber
IN'SPECT0 ' S REMARKS :
i
TOWN OF QUEENSSURY
BUILDING & CODE ENFORCEMENT
142 DAY ROAD I
QUEENSSURY NY 12604 l
DEPART ! INSP
ARRIVE : : f
- RESET XAL�
FINAL INSPECTION REPORT
DATE INSPECTION REQUEST REC VEUs k
NAME
C IV
L,OCAT I O N
P a�
I �
PE" IT
�
DATE v
TYPE OF STRUCTURE
BAC'1KFILL FRAMING
pOOTINGS FOUNDATION INSULATION
B
ROUGH PLUMING SEPTIC
FINAL ELECTRICHL WOODSTOVE OR FIREPLACE
'+ N A INNS NO
11 B V N /He G T
I!Liumal,N
r�crNG
a5a
O S
R O S RA IN'GS
L V V S
A O W T O TI G
V C D OR
S
G T
,I
S SW E E
T ER S C P TEDED
gma7�n. CLEAR]�. I'CEranYt INGS
O DES
N
U G U S
T S O
G P NG
a E
rt �iAi ELEC-mv rc
I E A ANCE
L U V T L N
OR TO I S U -Co C C
MAP REFERENCE:
MAP OF A SURVEY MADE FOR
VILNIS NEILAN
DATED: AUGUST 3
LAST REVISED: SEPTEME
BY: VANDUSEN & STEVES, I
an D u s
& Steve s
Land Surveyors, LLC
37 Chester Street Glens Falls, New York 12801
(518) 792-8474 New York Lie. No. 50135
1NMUIIIO M ALISRAAMM OR AOOM TO A SwvEY
IW BEARMO A LICENSD LAND Slr*-t i SEAL R A
YEOLAM OF SECTION 770k Sia-DINSOLL $ OF HE
NEW TORE SWE ELRRICATIQI LAVL•
'OLY COMES FROM ILE ORUONAL OF M SJRWY
MAR U WM AN OPOINAL OF ILK LIND SALVEYORS
SAL SHALL BE CONSOOIm TO K YALD TM CQIEL'
'CORlRATIOIS NDICAIM HUMN SNRY THAY
INIS SURVEY W PRIPAIKD N ACCORDA CE MIX AK
FJdSTNO CODE OF MAC= FOR LAID SNVEYORS ADM=
BY W NEW V= STAR AMOATION OF FROFlSOOIAL
LAND S#MIERS SAD CERTNICAHONS SHALL ISM ONLY
ID 7HE P10" FOR WAN THE SURVEY R PREPARED, MID
ON HIS BEHALF TO INK RILE OOLPANY. SWAMMUL
A99W AND L DMM OffnM" LUSRD MtEft AND
m THE ASIO EES OF INE LE)CM N3111NR0L'
131-8—
Map of a Survey made for
CLUTE ENTERPRISES
Town of Queensbury, Warren County, New York
NO. I DATE
DESCRIPTION
N
oQte, UU I UBLK 14,
cale 1'=50'
S-1
1)ar-1l
CLUTE
DWG. NO. 94126-C
RESIIIENTILAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 Dilate inspection request received:
Building +& Code Enforcement
Kept. of Community Development Arrive amlpm Depart
Town of Queenshury Inspector's Initial
742 Bay Road
Queenshnny, New York 12804 Q
NAME Y PERMIT #1 �J •
LOCATION DATE
TYPE OF STRU C CAt l
N/A YE NO COMMENTS
Chimney ighU^'B11 Vent/f]irect Vent Location
Fresh Alt In eVJA
Plumb Vent ough roof or
Roof Complete
Exterior Finish C plete
Interior/Exte 'or dings 30" to 3 '
Exterior Handrails, lconies, 1 ding 18 ' t. or more_ - —
Intenor Handrails staff bath es 3 or ore risers
Grade 2% awav from fo on
8" clearance to sill plate
Gas Valve shut-off a regulator 18" above grade_ ._..--
Gas Furnace shut-a thin 30 feet or within line of site
Oil Furnace shut-o at entrance to furnace area
Furnace/Hot Wa Heater operating
Relief Valves) � talled
Headroom, 6 ft. 6 in. on stairs
Basement stairs, 6 ft_ 4 in.
Handrail exterior stairs both sides more than 3 risers
interior privacyltrirrJdoors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconiewl a nding 18 in. or more
Railing across window in stairwells
Smoke Detectors
every level
every bedroom
outside every bedroom
inter connected VA
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per room
Safety glaring I W1 or 1 ss fiabrn floor
Final Electrical 6) t
Site Plan/Variance required
Final Survey Plot Plain
As Built Septic System layout required
Okay to issue CIC (Certif. ofComplianc e)
Okay to issue temp. CIC)ririan (C of Occupancy) ��� rlAMpe —
Okay to issue peent CIO/O (Ccrtif. of Occupancy) f
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. C,
Main Office 357 Elwyn Terrace — Manheim, PA 17545 +
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 6
'7
Panel Board No- ._.............. . /Cyert. 59380 Cut-in Card No. .. _ _
. .. . . +/
owner ....- .�..!!4 pzla� l . ..t,�: CAA _7`L-07 .- .. ...... . . . . . . . ... .. ........... ..........
........
Occupant . . . . . ... .. . . . . ...... . . .... .. . . ... .... . . .._.. ... ..... ..... ..... .._- . . . . . .. . -. . . . . .. f
Location ,ZD.
. ..-. t . T�.
Installation Cunsisling of - -.....,_r . . ..... ..... ... . ... . I' ... . ._ �
...... . ... .. ........... ..... ----- . . ., ----
.Lie. se-- . . . . . . ..... . .
Installed B .._..._
...... ._
The conditions following governed the issuance of this certificate, and any certificate previooNly
issued is cancelled: —
This certificate only covers the electrical equipment and installation conditions as ol` elate. 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 inspecti s'at any time, and if its
rules are
violated, �thee3C'roX,mpany shall have the right to revoke t rti -
Llafe .- 7,'.f..'.. *.. 4 ................ INSPECT ..-......-.-.....--... — . . .,, -
Member N.F.P.A.,
Al'C
GENERAL INSPECTION AEF,QRT �� q
Town of Queensbury
Dept. of Community Development Date inspection request received:
Lei
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12WW Arrive am/pm Depart`
Inspector's Initials
NAME:NAME: GC] G ' i ' '- PERMIT #
LOCATION: Z� DATE
"TYPE OF STRUCTEJRE:
RECHECK
NIA YES NO COMMENTS
Footings/Piers.
Monolithic Pour Form
Reinforc=ent in Plane
The contractor isAvsvonsible for
providing pro 'on fromnpmcnt
for 48 hours lot wing theof the concrete.Materials for this on
Foundation/Wallpo
Reinforcement in PWk
FoundationADaGmpp
B ;n -Pn
Approval
Pg Under Slablg Vent/Vents in lace
Rlumbrin < e
Heating Rough4n
aL
Fotion Walls I teriar R-Fotion Walls xterior R-
Floors R.-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent Vr
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
Firestoppirn
TOWN OF QUEENSBURY
d
BUILDING & COME ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location
Date Permit # -
SOIL TYP ;` Sand, oam- Clay-
Resul is of Percolation Test-
( if applicable ) Rate-Minute/ Inch_
TYPE OF SYS
ABSORPTION FI r Total r h
Length of each tren
Depth of trenche
Size of stone
SEEPAGE PITS : umber-
Size - ftm x ft .
Stone size
PIPING: Si Type
Bldg . to Tank
Tank to 'Dist . Box ='
Dist . Sox to Field/ . �
openings Sealed ? ( Yes No Partial
LOCATION/SEPARATI
•
Foundation to Tank {G feet
Foundation to Absorption feet
Separation 0�, Pits eet
Conforms as per Plot Plan es No
LOCATION OF SYSTEM ON PROPERTY :
{ circle
ea Front - r left Side - Bight Side
Middle t - Middle Rear
COMMMEN'NTS
OYES
SYSTEM USE APPROVED : NO
Arrived:
Departed: �
Building Inspector
I j
I
I
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i Y
4 � I
I J
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07 PM
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n
GENERAL A P i NI REPDRT �---~�
Town of Qu+eensbury
Dept of Community Development Date inspection request received*.
Building & Code Enforcement
742 Day Road -
Queensbury, NY 12804 Arrive am/pm Depart
Ltspectoes Lnitials. ��-
NAME- PER Orr #
LOCATION: CA42ocj tV — ' DATE
: JV.277723
TYPE OF STRUCTURE: -
RECHECK
N/A YES NO COh4MENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
Providing protection from freezing
for 48 hours followin the placement
of the concrete.
Materials for this n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampp
Backfill Approval
Plumbing Under Slaty .
Plumbing Vent/Vdnts 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-
oper Vent, Attic Vent
fV�,,�✓ Fratnin
Jack StudslHeaders / }
Bra inZ ridgin �G7c c1 .+ ] r
Joist Hangers
Jack Posts/Main Beam. LAc� A'A�) t C A,�c `7 w, ai► -1
Air Infiltration Barrier.
Fire Separation 1, 21 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppm
GENERAL INSPECTION BEEQRT
Town of Qu+nensbu ry
Dept. of Community Development date inspection request received:
Building & Coda Enforcement
742 Bap Road De xrt
Queensbury, NY 12804 Arrive IQ# it p
ds
NAME: PERMIT # l 07
LOCATION: DATE
TYPE OF STRU
RECHECK
NIA YES NO COMMENTS
FootingsfPiers
Monolithic Pour Form
Reinforcement in Plane
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
FoundationlW'allpour
Reinforcement in Place
FoundationlDampproofin
Backfill Approval
'S.--^Pr"umbing under Slab
Plumbing VentlVents 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/Bridgin
Joist Hangers —
jack PostslMain Beam
Air Infiltration. Barrier
Fire Separation 11 29 3. hour ,
Penetration Sealed
Fire Wall 2. 3, 4 hour
Firestoppin
GENERAL INSPECTIQN REPC)RT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road w r
Qaeeasbary, NY 12804 Arrive C� �•+�•*' '�
Inspector's Ini
NAME: M PERIT #
C C
LO ATION: DAB
TYPE OF STR
RECHECK.
N/A YES NO CC*AMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor, is respo 'ble f
providing pro on fro freez' rent
for 48 hours fol 'ng
of the concrete.
Materials for this
Foundation/Wallpour
Reinforcement in Plact
Foundation/Darnpproo
Back fill Approval.
Plumbing Under Slab
Plumbing Vent/Vents
Rough ins
Heqt&g Rough-In
anon
Foundation Walls Interior R-
Foundation Wails Exterior R-
Floors R.-
Walls R-
Ceilin,g R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framin
Jack Studs/Headers
Bracing/Bridging
,foist Hangers
Jack Posts/Main Heatn
Air Infiltration Harrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2. 3, 4 hour
Firestoppin
GENERAL IN, WC 70N ,REPORT
Town of Queensbury
Dept, of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, NY 128" Arrive '336 arn/10i De,,art 2 a
Inspector's Lain '
NAME_ PERMIT #
LOCATION. DATE : :- I
TYPE OF STRUC
RECHECK
N/A YES NO COMMENTS
Footin ers
Monolithic Four Form
Reinforcement in Place
The contractor is responsibi or
providing protection from ing
for 48 hours following the p t
of the concrete,
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin
Back ill Approval
Plumbing Under Slab
Pl ng Vent/Vents in Place
gh Piumbin l -s
Heating Rough4n
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
Jack Studs/Headers
Bracing/Bridging
Joist Rangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENER L LN I N �I
EE.I+I!!T
Town of Queensberry
Dept.. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensberry, NY 12804 Arrive Depart
Inspector's lnnitiaal_
L C _Q
LOCATI DATE : ?:�a SA -'�`n
TYPE OF STRUCTURE: S� �
RECHECK
N/A YES NO CONDAENTS
FaotingslPiers
Monolithic Pour Form
Reinforcement in P
The contractor is risible for
providing protection in freez'
for 48 hours followi a went
of the concrete.
Materials for this p on site
Foundation/W
R.einfo ent in Place
Foundation/Dampproofing.
}, r $�cicfil i Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbin
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
Firestoppin
GENERAL INSPECTION REPORT
11
Town of Queensbury
Dept! of Community Development Date inspection request received; d
Building I& Code Enforcement
742 Bap Road _
Queensbury, NY32804 Arrtive( FjEim Depart
C J l I-�'� �'�` '}� Inspector's Lz' ,�(
NAME. PERMIT # -" 1b /7
LOCATION: .aF ,Z c 6c, e S7`:" DATE : _ _ 5-Y -z7
TYPE OF STRUCTURE:
RECHECK _
NIA YES NO COMMENTS
Footings/Piers �
Monolithic Pour Form
Reinforcement in Place
The contractor is respoNpmcnt
providing protection fr
for 48 hours following of the concrete.
Materials for this purpose
Foundation/Wallpour
Reinforcement in Place
FoundationfDampproofing.
Backfill Approval
Plumbing Under Slab
Plumbing Vcm/Vents in Place
Rough Plumbi
Heating Rough-In
1sulation
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 INSPEIZZIQN REPORT' 7'
Town of Queensbury
Dept.. of Community Development Date inspection request received: q
Building & Code Enforcement
742 Buy Road i
Queensbury, WY 12804 Arrive am/pm Depart F '' � Ip n
f�� Ins pe�cto '
NAME: '�-'{,t.e C ✓ # 7
LOCATION: s! d DATE :
T YFE OF STRUCTURE:
RECHECK
N/A S NO CD
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 Place
Foundation/Dampproo
plluvTll App,roval
ng Under Slab -
Plumbing Vent/Vents in Place
Rough Piunibin
Keating 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
Framin
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
lack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1 , 2, 3, hour
Penetration Sealed
Fire Wall 2. 3, 4 hour
Firestoppin
r2)FV
GENERAL INSPECTIQN REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive
am/pm Depart`
Inspector's Innitha. ]
NAME: C U i ,
PERMIT # /CJ'
LOCA77ON: �' _ �df l��r DATE
TYPE OF STRUCTURE:
RECHECK
NIA NO CC'MMENTS
/Footings/Piers i
Monolithic Pour Fo
Reinforcement in
The contractor s responsible for
Providing protection front freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampprooftng_ _
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbin
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-
P'roper Vent, Attic Vent
Franu
Jack Studs/Headers —
racing/Bridgm
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier _
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 37 4 Hour
Fimstopping