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1992-088 r r . CERTIFICATECJF COCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Bate tir _ 19 �2 92-088 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a Single Family Due 111ng Location ck��Amethyst Drive Owner Forest Moots H es By Order Town Board TOWN OF QUEENSSURY Director of Bldg. & Code Enforcement BUILDING PERMIT X TOWN OF QUEEMSBURY No. 92-ass WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Forest Mood Hanes fa OWNER of property located at Lot #13 Amethyst Dr! we Street. Road or Ave. in the Town of Clueensbury, To Construct or place a Single Family Duel l i n 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 O.ueensbury Building and Zoning Ordinance. 1 , OWNER'S Address is � HC-02 Box 286€" � Warrensburg, NY 12885 C+ qSq 2. CONTRACTOR or BUILDERS Name p, Forest Mood Hones N 3_ CONTRACTOR or BUILDERS Address 1- 4, ARCHITECT'S Name r-r W 5. ARCHITECT'S Address '*C V7 PF 6. TYPE of Construction — (Please indicate by XI C f6 { X wood Frame { 1 Masonry { )steal I I 7, PLANS and Specifications No. 1940 sq ft Single Family DiMelling, as per plot plan specifications i and application N 8. Proposed Use ~ um t4 Single Family dwelling m $ 264-00 PERMIT FEE PAID - THIS PERMIT EXPIRES March 24, 19 93 we (If a longer period is required an application for an axtension must be made to the Building and Zoning inspector of the town of Q.ueensbury before the expiration date.) Dated at the Town of Oueensbury this 24th Day of March 19 92 ... um r SIGNED BY for the Town of Oueensbury uiIdtog and Zoning I nspector TOWN OF QU19ENSSIURY REVIEWED BY : _ 4iatFEE PAID : r` �r a 444 ,//. �1`C1WN OF QUEENSBUNi PERMIT NO . : r(id'c7 RECEIVED MAR 2 0 1992 BUILDING PERMIT APPLICATION BLDG. & CODE DEPT* A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT , All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application , Owner of Property : r - ,y P . O . Address : o - ot-2 ;Tax lc;i ; f�' !{1R ► ez"V €¢tcet4-I—• fa�'�� _ PHONE Property Location : -_Tax Map No . Has there been any split of this property since October 1 , 1988 ? Yes No ✓ If yes , Planning Board Review is necessary , Subdivision Name , if applicable : tl i r " _`:^ ,4r - _ Lot No . f THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : y NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION : $ Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : �!20 ft . x % 4 ft . Other work ( describe ) * Existing Building Size : * ft . x ft , * i'p sec! building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : * 1st Floor Sq , Ft . �"` ` /©�k * Front Yard ft , Rear yard ft , 2nd Floor Sq . Ft �� �' -f Side Yards ft . and .a.]" ft . � " If on corner , setback from side street- :' ' * ft , Other Floors Sq , Ft , S ( not cellar or basement � .�: : OCCUPANCY INFORMATION : TOTAL FLOOR AREA : I Sq . Ft , � * Primary Building - * ��� Size of New Structure : One Family Dwelling y 7 ft . x 3 ft , * Two Family Dwelling Foundation : �� * Multiple Dwelling/No . of Units Pier/Slab/Crawl /Partial ,�Full ( Circle One ) * Business * Industrial No , of stories ( Habitable space ) _ * Other Height ( grade to ridge ) s ft . If residential , no . of families : * If addition , what will use be ? No . of rooms ( excluding baths ) : No . of bedrooms : No . of bathrooms : ? * Accessory Building : Primary heating system : * detached Garage - One/Two - Car . Type of fuel : * „ Attached Garage - One,i wo Car No . of fireplaces to be installed : * Private Storage Building Will a woodstove be installed ? : r :, * Other Central Air Conditioning : Yes No ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Type of construction : wood frame , fire safe , etc , Will any second- hand or ungraded lumber be used ? If so , for what ? t, Foundation Wall Material Thi ckness 6 _ Depth of Foundation below grade ( to bottom of footing ) : ~ Will there be a cellar ? Heated or Unheated ? Floor Sq , Footage : Will there be a basement ? l !F : — Will any portion be used as living space ? _r,-,cp _ If so , what portion ? Sq . Ft . Type of Else ? ~ Type of Roof : Sloped /f.lat/Shed/Other Material of Roof 14 Size , wood studs " x " ; spacing 3 " o . c . ; length 4 ft . 7 Joists ( floor beams ) : Ist Floor x " ; spacing ��_ o . c . ; span fJ ft , Joists ( floor beams ) : 2nd Floor " x " ; spacing o . e . ; span _ ft . Overlays { ceiling beams } : x '" ; spacing °' o , c . ; span ft . Roof rafters : " x " ; spacing o . c . ; span ft . Roof trusses ( pre-engineered ) : spacing y " o . c . ; span : ft , Exterior Wall Finish : of what material . Interior Wall Finish : AM, .r . r If a garage is to be attached , describe materials to bef used for FIRE SEPARATION : Is there to be 'an opening between garage and dwelling ? If so , will a Fire- Rated door , enclosure , self-closing device be provided ? _ Will a flue- lined chimney be installed? Height above roof ft , Depth of chimney foundation below grade ; ft , Depth of fireplace hearth : ft , in . Water supply - .Municipal` ,.,6r private well : SEPTIC SYSTEM : Distance from any private well ( including adjoining properties ; rift . (A separate application is necessary for any repair or new installation of septic system . ) NAME OF BUILDER & ADDRESS : t +• r• ,R r - ` f < -PHONE NAME OF PLUMBER & ADDRESS ; PHONE NAME OF MASON & ADDRESS : f u _ • , PHONE r NAME OF ELECTRICIAN & ADDRESS : DECLARATION To the best of my knowledge and belief 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 not , and that such work is authoriz by th owner , Signaturef` [Owns w er s agent , architect contylctor SPECIAL CONDITIONS By: Code nforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBUR , TOWN OF gIIEENSBURYs WARREN COUNTY - 9000 HEATING DECREE DAYS RECEIVED MAR 2 0 1992 Compliance Methods . BLDG. & GaoE DEPT. PART S - 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 PART 4 & 6 - Compliance Methods Require Submission of Worksheets In dc APPP L CANT S KAIE P O PRTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area Sq . Ft . 2 . Type of Heat - Elec . Base Board Other 3 . Is Building Mechanically Cooled ? YES 4 . Percentage of Area of Windows and Doors Over 17% t,,00l_Under 17 % THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D THE R-VALUES SHOWN ON PLANS sUBMITTM Baseboard 5 . Insulation Values : Actual Shown Elec . Heat Other A . Roof & Floors exposed to ambient temperatures R, 3 B . Exterior Walls R^ fT C . Glazed Area R D . Exterior boors R [ Ct E . Floors over unheated spaces R _ F . Edge of Slab on Grade ( Heated Building ) R f • ; G . Basement/Cellar Walls (Above Grade ) R H. Basement/Cellar Walls ( Below Grade ) R 1 . Heating/Cooling - Ducts - Piping in Unheated Space R 6 . Service ( Domestic ) Hot Water Heating Device A . Conforms to minimum efficiency per code YES NO TEMPERATURE CONTROL MAXIMJM SETTING 140" - WILL NQT BE EXCEEDED APPL6ZANWOS SIGNATURE lPATE TELEFH0HE'NIJMBEK INSPECTOR ' S REMARKS : NU&NTOWN OF QUEENSBURY OF dP9kW6RN FOR SEPTIC DISPOSAL PERMIT Permit # RECEIVED Fee Pa i d Date : ? . Reviewed -�, LOCATI0fiLf�b.P&(:�,PbUEY L5iggTINSTALLATION : J0 Owner ' s Name : Owner ' s Mailing Address : tit - ,n 0 J. y f ' S -�+r a- �n �„+ � -y�,j .'YI - Installer ' s Name : _ ^ rcS Phone # : b� Number of bedrooms ( if residential ) : Total daily flow ( residential - compute @ 150 gal . per bedroom ) : Topography-Circle One : Qfao Rolling Steep Slope % of Slope Soil Nature- Circle One : §an, 1L Loam Clay Other /Depth : Ground Water-At What Depth ? Feet .�, .ice, r �# 'f.c� ,., Bedrock or Impervious Material -At What Depth ? Feet Percolation Test- Circle One :, equirel Required/Rate Min . Per Inch Domestic Water Supply-Circle One : -MU icipa!D Well Other If domestic water supply is a well - Separation : Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank jbt3ca gal . ( Minimum size : 1 . 000 gal . ) Tile Field : Each Trench Sfeet//Total System Length PCs feet Seepage Pit ( s ) : Number of / Size each : ft . x ft . Size of Stone to be used : # / Depth or Thickness feet HOLDING TANK SYSTEM IF REQUIRED No . of Tanks Size of Each Gal . Alarm system and associated electrical nark to be inspected by a certified agency. I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of �Queensbury Sanitary Sewage 'Disposal Ordinance . �i SIGNATURE OF RESPONSIBLE PERSON : ..;^J0 DATE : 3 � � Septic System Inspections : A . All applications for septic system installation , alteration or repair , as required by the Town of Queensbury Sanitary Sewage Ordinance , shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing : 1 ) the proposed location of the system 2 ) location and distance to lot lines 3 ) location and distance to structures 4 ) location and distance to a� water supply 5 ) size and dimensions of all tanks , distribution boxes , the fields and/or drywells B . No system shall be cowered before inspection and approval by the Building Inspector . Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $ 250 . 00 . Co An approved copy of the plot plan shall be available on the construction site . Failure to produce said plot plan at time of inspection may result I n an immediate work stoppage . D . Should unforeseen problems during construction prevent proper installation , alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction . Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks : .. T. .. Say at Haviland Roads, eenebury, N.Y. 12ftl1 9725 APPLICATION FOR SOLID,mFUEL BURNING APPLIANCES AND FIREPLACES R i Date �' Permit I x A Pi'i..ICATI0N IS HEREBY MADE to the Building Department for the issuance of a Building and .Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with ;ill applicable laws; ordinances, regulations and all conditions that are part of these requirements and also will tallow all I nspectors to enter premises for the required inspections. Applicant 's Name ? r , : a' p, , .,;� x APPLIANCE TYPE Stove Coal Wood Furnace Hot Air Boiler Zero Clearance Circulating; Unit Zip Phone E •h .r, If Non-Masonry: Owner's Name Manufacturer Add g css Model l3utlet Sine Zip _ Listed by Number l'h<>gtic P CHIMNEY TYPE a ... Masonry: Block Brick St ogle 1 Vroperly location or proposed construction Flue: Tile Steel Size: Factory Built: Manufacturer Model Size COPY OF MANUFACTURER SPECIFICATIONS IS Height - - -- -- - Listed By Number itl.QUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall AND CHIMNEYS. MUST BE INSTALLED Insulated ACCORDING TO SPECIFICATIONS. COPY OF Estimated Cost $ ^ryt CONSTRUCTION DETAIL REQUIRED FOR MA- Fee $ SONRY FIREPLACES AND CHIMNEYS. CASHIER*S UIEPARTMENT TOWN OF QuLrENsBuitye NEW YORK DV,Uartment: Fire Marshal Amount Collected Amount Refunded E Code Number Title A173 3389 (190) Public Safety A233 2655 (230) Minor Sales 4 ue ,C(jllected Prom or R funded to: Dated: C f Town Clerk or utyZj klit: .tq+&coal Yellow and PoR Cos W ler's �af Gotdearod: Fide Afarxhal TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED LOCATION DA PERM IT# `1" .,� qe� APPROVED EXITS N/A YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO . EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO . SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE : CLEARANCE TO SPRINK ERS CLEARANCE TO HEATI UNITS REQUIRED SIGNAGE CHIMNEY : WOODSTOVE ,F.1REPLACE-MASON ✓FIREPLACE- FACTO BUIL REMARKS : OK TO THIS DATE 2/Q15 INSPECTOR TOWN OF +QUEENSBURY 531 BAY ROAD QUEENSSURY , NEW YORK 12804 07 'TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED -4q� aroCaT I DATE-4A/!9z PERMIT# TYPE OF S�T`R`_IJCTURE b _ RECHECK FIRE MARSHAL APPROV { COMMERCIAL STRUCTURE ) FOOTING �OUNDATIO �BACKFILL "FRAMfNG ROUGH PLUMBING Yl� NAL ELECTRICAL SEPTIC INSULATION -WOODS OVE /F , REPLACE REMARKS APPROVAL CHIMNEY HEIGHT/LOCATI N NI # YES NO 8 VENT/LOCATION r PLUMBING VENT ROOFING SIDING -- DECK/PORCH/STEPS/RAI NGS RELIEF VALVES FURNACE/HOT WATER OPE ATIN ff BASEMENT INSULATION/D CTW INTERIOR TRIM/ PRIVACY DO S . - FINISH FLOORS : -- �- BATH/KITCHEN WATERT T ✓ OTHER FLOORS SWEEPA E OTHER FLOORS CARPET STAIR CLEARANCE/RAIL S v HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS /WHOL HOU E ANS ALL PLUMBING FIX RES PERATING GARAGE FIRE PROD NG DOOR CLOSERS - P OTHER FIR £ SEPA ATION FIRE/DEMISE WA S _. DUMPS TER SITE PLAN/ VARI NCE R EQU ` REMENTS p FINAL ELECTRIC L 5_ lt OK TO ISSUE C/O OR C/C_ COMMENTS : ARRIVE_ , ' DEPARTl'/]= / 4S4 MEN THE NEW PORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY dT STATE STREET. ALBANY,. IVEW YORK 12207 Date 3l i) a I 0,* Application o, on fi THIS CERTIFIES THAT ? �l-V%o only the electrical ; ,; • . � - ' . ,- .:equipment as deserlbed belaw 0'W f,troduced by t na+ned on the Obave applleation number iae the pr+enrasaes of . �} f�r1 ►SAll , l�Y in the following loeatlon; Be+e+reent ,'. let Fl. Bred Fl. ,. eoaa examined an I�Q Section Block Lot F [ on[l foearad to be in compliance with the requirements of thia Board. FIXTURE ACLRS SWITCHES RXTURES OUTLETS NCAMMSCENr r RANGES COOKING DEC" OVENS DISH WASHERS EXHAUST FANS 23 �C IYOK!`$[tPn OTHER AMT. K. w, AMr. K. W- AMr- K.w- AM DRYERS FURNACE r I Z 2 � MOTCIRS FUTURE AMLIANCE FEEDERS SFtiC1AL REC'FT TNME CLOCI[S �—Dun T DIMMERS AMT K. w. do ti. P. OAS H. P. AMt- MU UNIT HEATERS M NO. AMr. AM►. AMr. AMPS, TRANS. ,year. H, P. NO. OF FEET AMr. wATTa y SETEMS RVICE DISCOMmECT NO. � 5 E E AMT. AMP. TV RE *CKM. i .r 2w i ATsw a 0 3W a .e aw No. nr cc. COND. A w. V 1 C E /yam PE# A' Of GC. &D. NO. Of MAEG No. or NEUTR,yLg �uif OF AL iirM1� 1 '4/C] I 240 OTHER AFFy/UtAT615. �e 461 CC,A �: sl 9 410 0:7. C. j S—Z. Arco M EIU'r w ft1G 12302, BRANCH MANAGER This cerrificwe must not be altered in an m 'IDrr MEN y annerr roturn ro the office of the Board if incorrect. Inspectors may he identified by (heir credentials. ` COPY FOR 8!1lLD1MG DEPARTMENT. THIS COPY OF CERTIFICATE MtdST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY � FIRE MARSHAL QUE,ENSBURY , NEW YORK 12804 TELEPHONE ( 5I8) 745, 4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAMELOCATION DATE - DATE PERMIT# APPROVED EXITS NIA YES NO AISLE MfIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS ' AUTO . EXTINGUISHING S STEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE : CLEARANCE TO SPRINKLE CLEARANCE TO H£ TING ITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONR IREPLACE- FACTORY LT REMARKS : OK TO THIS DA E INSPECTOR �rl � TOWN OF QUEEIiNSBURY V f BUILDING AND CODES DEPARTMENT � I 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745-4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION [� S�* 4 ys DATE .� � PERMIT # - #,2 ,R TYPE OF STRUCTURE RECHECK APPROVED N/A IYES NO 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_ ,F� MATERIALS FOR THIS PURPOSE ON ITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL .ROUGH PLUMBING PLUMBING VENT/VEATS IN LR E PLUMBING UNDER SLAB ,�FRAMI NG : JACK STUB7HEAD BRACING/BRIDGIN JOIST HANGERS JACK POSTS/ N B HEATING ROUGH- N INSULATION : FOUNDATIO L INTERIOR R- FOUHDATI WALLS EXTERIOR R- FLOORS R- WALLS R. CEILINiY R- DUCT WORK OR PIPING IN UNHE E SPACES REMARKS : ARRIVE DEPART ' I SPE 70 9U�f1 .LNG and ZONING DEPARTMENT Bay and HaViland FFload, R. D. 1 Box 98 ( )ueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME Z7 LOCATION DATE / / �` PERMIT NO. �C7t�i SOIL TYKE Sans'[,j - Loa Clay - Percolation est Required? YES Percolation rate - Min/Inch ` TYPE of SYSTEM: T Absorption field. , tota length � Length of each trench Grp - -�- -- Depth of trenches -----_ _ size of gravel_ SEEPAGE PITS4biminber of) -- Size- ft. X ft. Gravel size PIPING : Si Bldg . to tank pType Tank to diet. box /pit Dist& box to field � '-- ---- y Openings sealed? YES Partial LOCATION/SEPARATTONS : { Foundation to tank Foundation to ft' absarpt ' n ` ,ft . Absorption to lot lin Separation of pits t ` _.- LOCATION OF SYSTEM PROPERTY hear" Front � ( . role one) Left ide - Rightaide - CCVY MENT 3 3 3 SYSTEM USE APPROVED YES Bui in Inspector 01/0 S and vl 1�.0i 1 4 �[ £' OMN OF QUEENS URY BUILDING AND CODES DEPARTMENT 531 SAY ROAD QUEENSBURYNEW TELEPHONE } ( 518 ) 0RK 792- 58324 BUILDING INSPECTOR` S REPORT REQUEST FOR INSPECTION RECEIVED_ NAME LOCATION DATE PERMIT TYPE OF STRUCTUREl,��,�. ► �` RECHECK APPROVED N/A YES NO OOTINGS/PIERS - - ONOLITHIC POUR FORM _ REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPON. IBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURSjFOLLOWING THE PLACEMENT OF THE NCRETE . MATERIALS FOR THIS PU OSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/ DAMPROOFING BACKFILL APPROVAL 11 ROUGH PLUMBING ` PLUMBING VENT/VENTS N P E PLUMBING UNDER SLAB FRAMING : JACK STUDS /HEADERS^ BRACING/ BRIDGING _ JOIST HANGERS --- JACK POSTS /MAIN BEAT FIRESTOPPING WALLS CEILING rm FIREWALLS HEATING ROUGH- i INSULATION : FOUNDATION ALLS IN ERIOR R- FOUNDATIONe ALLS EXTERIOR R- FLOORS R- WA LLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : ��--�4 fin QAtwn z ltry Poo ARRIVE ' ( , " DEPART NSP TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT - 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTOR ` S REPORT REQUEST FOR INSPECTION RECEIVED NAME � r. d LOCATION DATE PERMIT # e 'J Fg TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESP695I8LE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE f ,FOUNDATION/DAMPR{ a iNG RCKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/ VENTS IN PLACEI PLUMBING UNDER SLAB FRAMING : JACK STUDS /HEADERS BRACING/BRIDGING v _................................_.. JOIST HANGERS A _..,._.. JACK POSTS /MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH- IN INSULATION : FOUNDATION WALLS INTER R R- FOUNDATION WALLS EXTER OR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING N UNHEATED SPACES REMARKS : ARRIVE�� DEPART_�r1 INSPECT TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUE€NSBURY , NEW YORK 12804 TELEPHONE { 518) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEFYED NAME C3 f f? LOCATION DATE PERIMIT # TYPE OF STRUCTURE �<2 - <N;�: ] RECHECK APPROVE I G / NIA YES NO MONOLITHIC POUR R - REINFORCEMENT IN PLACE THE CONTRACTOR IS RES IBt -FOR PROVIDING PROTECTION FROl1 FRE€ZING FOR 4a HOURS F LOWING THE PLACEMENT OF THE C CRETE. MATERIALS FOR THIS PURP SE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPOOOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/V N PLUMBING UNDER SLAB FRAMING : JACK S AD BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAA1+}-8 HEATING ROUGH- IN INSULATION : FOUNDATION L E _ FOUNDATION WALLS XTERIOR R- FLOORS R- WALLS CEILIN R- DUCT WOR I I G EA $ SPACES R ARRIIIE� S _ DEPART A INSPECT v *1r;f If$ tows .r rL�:fii Lf, wut�3� {j{ OF OUEENSBuhI PECEIVED1 2anincPkAdm4 trac Or BLDG. & CODE D T lit i y f ci Y 'M amt14ysf yea AY-ivt -