1993-153 -
CERTIFICATE OF C® : PLIANCE
• TOWN OF QUEENSBURY
WARREN COUNTY; NEW YORK
Date December 15 , 1994
;.
This is to certify that work requested to be done as shown by Permit No,. 93-153
has been completed.
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This structure may be used as a two can. attached gaAage
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Location oz 29 Mocfungb-ixd Lane, I.ru pL'Lc;Lon Pantz Subdi v- Lon ,
Owner K.Lmberl2w Taw.eo t
145-2-29 _- By Order of Town Board
TOWN OF .UEENSBURY
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Director of Building & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY 9 3-1 53
No.
WARREN COUNTY, NEW YORK
KIMBERLV TAYL01Z 'V
PERMISSION is hereby granted to
OWNER of property located at Lod 29 Mocfungb ihd Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a WU Cati attached ganage
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.
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1. OWNER'S Address is
-oame r—
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2. NCc8Rr-BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
RD#1
Font Edward NY 12828
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(x) Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
No. 30' x24' Two can attached gcurage a- put. p.2o-t p.2an, �pec.L�Lcctti.oiu�
and app.2Laa Lon.
8. Proposed Use
Two ccut attached garage
35.00 MAY 4 94
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 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 t Day f. M6�G� 1993
P-
SIGNED BY for the Town of Queensbury
uilding and Z ng Inspector
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: ®F C?CIEEd�Sk��.
RECEIl�ED
/J�� ENERGY CODE COMPLIANCE APPLICATION
�R 1993
�� TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS etcoDEDEpr
Compliance 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 - 7p'LZS square feet
2 . Type of Heat - Electric Oil Gas Other /ybii
3 . 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 e"' g2.-i
b. Exterior walls R R- f,
c. Glazed areas R
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
6 . Service (domestic) hot water heating device i'yOA,.,c
Conforms to minimum efficiency per code . Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Appl' c. t' s S' n2ur5 Date Phone Number
INSPECTOR' S REMARKS :
TOWN OF QUEENSBURY 1 ` REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING & CODE ENFORCEMENT y .' FEE PAID: ,35
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 PERMIT NO. g37J/.5.3
(518) 7457 4447
BUILDING PERMIT APPLICATION
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 MUSTAbOF wed and the
signature of the applicant MUST appear on the appalftgAften form.
OWNER OF PROPERTY: )5j;v +/JI/0 "-)- APR 1993
Mailing Address :
Telephone Number(s) : Work Home CODE 9 ier
PROPERTY LOCATION: / /8" f
Tax Map Number: Section Block Lot
Subdivision Name: A/Ipik 'a, k_ Lot No. �g
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ /616-01)
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY. BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse •-
Manufacturing
GROSS AREA OF PROPOSED STRUCTURE: Other qla0 -
1ST FLOOR '7;1-b SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT. 967/r� 1.-L/
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS :
Detached Garage - One/Two Car
TOTAL FLOOR AREA: 7 c O SQ. FT. Attached Garage - One/Iwo Car
Private Storage Building,
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
G FEET X �(9( FEET • . .
Foundation Type: m-r, g Will any second-hand or ungraded
Number of Stories : lumber be used? If so for what?
(habitable space only) D
Height (grade to ridge) : feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NAME OF BUILDER/ADDRESS/PHONE: 9161 A D- (c, LV 7i7
NAME OF PLUMBER/ADDRESS/PHONE: /1/,,,�,
NAME OF MASON/ADDRESS/PHONE:
NAME OF ELECTRICAN/ADDRESS/PHONE: SSA,- /-
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being i sued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of on I e ices .
Signature ,
�/
(Owner, owner' s agent, architect, -.ntractor
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
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APPLICANT COMPLETES THIS SECTION -. Date:
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City, Town or Township '• ..:77 f ' .,,••••'.-, '"•-; (4;(-4 '" (1 " ' ' • County:. ./ .1/r....1....;;? ,1., — State --7/
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Location/Address • . .
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• 4 ;,y-i,Ilt Located in Rural Area -Please AttaCti,iQitektiAriSY:.. '-',.--,.:,:-:-...:4).:.:' ,.:Lm.., A ;',.'.',,`.7•.'t nr'F.:-..t',',17':---1
j.,./ Pole *
Owner Ai 11-1 —7ocitioP1 ,.. r ' 'rr'r r'r-.'' ' r Permit # 9 -k./.5- 3
„. ,,•.•, ,. •yf r 71 c,
Occupied As '"hr-, ----) •-•1• •ti‘.• - ,--k-k.,Ii., .t. Aill bliw.9i)ii.)9 ei-f---.1 tf.53t-, .r. .•:.,',..*Z. ..- .:;., ..-,..Buildirig!31i.:Nekni '-.'i ;'z'..c,'Pk.:`Old n
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OrIF:e-SV.1 f tO81 i • ol.\h-..;hAtiificFArel in Building (Floor #,etc.): , al,, (..,.. -.5,
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App. for: Wiring El Service El or: \-$. -.1".'0 ':'( l',1-.'.1.--.;, 'Re-a.dy.ftir:Inspection:
Fee Rerriitt6di!-:$ kiii.r-l'imr.-0 li0 il:-_,.1i.:Cash[1] Check El .0M-11.11:01‘.4:2 it,' ''. ": : . :•'.. - i-iMakeiray,able7ot•IIVD.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outletsl ;3- Elect. Heat
(..“......1,...c- (-It.. 'InH 0...1011t1rb ,Cr,..6.c1,0 .'.',.:::;- . ..'-.-,. .,. ,-.-.: • : .::::)! i'',9 ,1-101.:1-1,:'
Switches -- • - - '' ----• -, — --? -• . , .
Lighting P,11:.S•-t2t)-9 (!'f.Y,.1 .. - Amp. Service . -?Surfacellnit-..-'::'' -` .' . .,- -, Dishwasher r.-- --- Range
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7 t,.'..t),-F....c.q.; (i'0!;) • .• - Water Heater . ,-, ,AinCprlditioner : — - -.. Dryer ,. . - Pump
Receptacles
Number of Fixtures . • Oven , " '41,,I. ,7G,Arct?pge Disposal 7:.:'..:Wiring and ContrclOpr , , • • purner
pflibi•!!.11-..i v?:ii..1-3.:-.) ni-Ailli tifier...\_V Amp..Receptacles .'.'-- -•••• Fractional',H.P. Vent Fans
rif)iflu;wir!,,\P,!0;..:i- Other EquIpment:I.T.s,- -.... ::,. ,/..5 fr.,. ..f i: .- .!-.1i"1.::.
.- ,,' •*°,, ,'...::'' •'; ;'""! " - ' ' ' --- •. ' - .... ..... . _ .. ,.,. ...
MOTORS H.P. - '- 1/201/12 1/101/8 -1/6, 1/4 .1/3 1/2 3/4 12... I1/2 2. '3- ,..5, , V2 7 10 15, 20'. '725-; 30 40 50 75 100 ''-'
Mark Number (IC fr.,- (2,-\ fi„}!r,,) .. .of Each Size ',...:-- 36,a, l..`-',.....:-:...'
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APPlicant's '''!,-'..:' n-if),.•41 ,riclibliii'.3 dotil-1 .
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Applicant's Address. '• - '- --..IP• ,
(City) • l'-i':;r3O-RP:A; .._
, (State) • . (Zip)3 (-6‘s. ( c-.).....-Service Request #
Phone # • • Electrician• ' . . . .. ril-10/ (..1 i c.,!•--. '-. •
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MDIA USE ONLY '-- '
DATCR'FaEIVED: ' ,. -' ... - . -,.'" DATE INSPECTED (.1.1 ' ,2 t ,:••(' ..17,'I.ifi''-'7 .
Correct Location: ','Sarrie:gAtiorv671 or: . (!toll ji.r..,:vrIpil•-!,;'-'.,:pli'il Ci.)(. ,• -...,-:..-,-,.' ': '":,-',-:,-- !,-.3'-;(..)f..',• 'ir•? .; i M
Red Notice Label DM ,.]rir-i•let--r . 0 IT: ;J ,' ,:. • :•."7.- --..', ' -.1.7_3;:--,,t. J.,..i:..si. ',i!.r...,
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Switches - . , , Range - • (!Pse:-.N:EIN..2,[3.',3)...'.-7 :::: :.:-.,.,-;:'.:,', - - Garbage Disposal
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Receptacles AIVPPi.4R-' Water Heater -,: ,.,..•,:-. '.-.- - .-•',.: .:: :-, -,.---'''.,: .-: :,- , Dishwasher
Fixtures • Air ConditidrifiFt RvO:11--3-.0i--- . -i'''' r-'T-:::'.."-'--:----. Di-Yer;',',Ir'`,1 ..--..',1'z'Fl,:,'''
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Amp. Service Conductor
- Pump N(g-T...3!)14,1 ..iel..-' Dbilti . ':. ....'`. .:'..:.::•••• Vent Fans
MOTORS H.P. QQ.:, 1/20 1/12 '1/10 11/13 1/6 1/4 1/3 1/2 3/4 1 11/2 -2t.; ",^.3,1...SS IiIW,10 45 20 :.,25 30 40 50 75 100
Mark Number :;.: ' tq.").,..a...-Te3 EON) ..- ' - . l',..••."it' .' if:',0 1
of Each Size
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FEE PAID
0 RW - Progress: r; ;Inc:El ' , ' ' 'I- .LKD CI .•-.., ,,i',--...;':-..::::: Contractor
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0 CFT -, '' -Violation: •.Work Comp.El . Inc' El .,..,'„.-,. .::,-..,- • , . - ,-, — ,•...,..: ..— -...- . . . .
CASH 0
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Date:. '. ' • '• , , - .. .`Otner!Side i ,_' -. 'Lltility.,.-- ' ' ".. ,,,,.-•,..-'''.,.:,••:-.— - ,. „. „
t., ., .-_,• •. .....-: ,, )1..ins.5'15.1:,:i IC (1(."InIk,i,f",(1 eiq bflP ;tIons:11Itylk„, v :I c To pi hi IL:or rw.l.y;):-:rz ,.k,tn.',C1.,vo.r-W .:iticni-•!! e--.1
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:..1p.., ,.. . - --t .. .- INSPECTORS SIGNATUREE Fin,pu ,, ;1 i4n *; 171nrpp.pFr-,
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APPLICATION FORM NO.250 EL 11/89
• ..
O L ) COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
i'S Main Office 357 Elwyn Terrace — Manheim,PA 17545
NICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. Cert.N° 3 6 5 41 Cut-in Card No.
Owner /"/ 771-7-Z-me
Occupant //G X-
Location ..L.p... Oe- 'AJ6I IJ D 4- = / 7 -
Installation Consisting of ' 7-�f�; �1�ecr, .6 t/ T&
6o /i-sus �.
Installed By eff tfi' Lic.#
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 makin inspect' ns t any time,and if its
rules areviolated,the Com any all have the right to revoke If erti .
/
Date / 2"^ /Z INSPECTOR
Member N.F.P.A.,I.A.E.I.
TOWN OF QUEENSBURY
SIMIK 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME /./ /G
LOCATION
- Lys-�
44Ø
•
DATE j PERMI4 F3/, -j
TYPE OF STRUCTURE 2 ( az;(7 ,_
RECHECK ✓
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
:FOOTING FOUNDATION i-BACKFILL ?FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
CHIMNEY HEIGHT/LOCATION N/A YES NO
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE .,r(). �15°
DEPART }�
I SP T
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME t:t4ift 1, 71 4 c/6?-L—
LOCATION 1,4- ,?lf 2)76vlai,7Cf�Ld /o- -2,
DATE 41 J/9,9 PERMIT I 9,, /..5._3
TYPE OF STRUCTURE Via/1W— pn4 4,7-
RECHECK APPROVED
N/A YES 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.
MATERIALS FOR THIS PURPOSE PN SITE ,.'
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL +~
ROUGH PLUMBING :'
PLUMBING VENT/VENTS IN PLACE/
PLUMBING UNDER SLAB
FRAMING: /
JACK STUDS/HEADERS /
BRACING/BRIDGING ,T ',
JOIST HANGERS
JACK POSTS/MAIN BEAM,
HEATING ROUGH-IN .s
INSULATION: /
FOUNDATION WALLS INTERIOR R- 'c,
FOUNDATION WALLS ,°EXTERIOR R-
FLOORS ! R-
WALLS / R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE /Wiaji
DEPART / �s:341 ci
INSPECT R
•
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 1'" '7 / y%-
LOCATION Lp gA7ii
DATE ;.6 6 PERMIT #
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES 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.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
[.QUNDATION/DAMPROOFING
ACKFILL APPROVAL ,
ROUGH PLUMBING
PLUMBING VENT/VENTS 'IN PLACE
PLUMBING UNDER SLAB '
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
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
REMARKS:
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INS ECM-
.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD ,
QUEENSBURY, NEW YORK 12804 GZZLe P.
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 57 W4r3
LOCATION 4j- ,?9 C 11
DATE 5//1 Q PERMIT # 9—/513
TYPE OF STRUCTURE „ ab aR l
RECHECK APPROVE-'
N/A Y 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. ./
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE 1 f
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BACKFILL APPROVAL
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PLUMBING VENT/VENTS IN PLACE
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BRACING/BRIDGING .` \
JOIST HANGERS 1,
JACK POSTS/MAIN' BEAM
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
REMARKS:
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