2011-050 etil% TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110050 Date Issued: Friday, April 15, 2011
This is to certify that work requested to be done as shown by Permit Number P20110050
has been completed.
Location: 1457 STATE ROUTE 9
Tax Map Number: 523400-288-000-0001-057-000-0000
Owner: BASKET BARN OF LAKE GEORGE INC
Tax MViap Number: 523400-288-000-0001-057-000-0000
pphca t: ORVIS
Owner: BASKET BARN OF LAKE GEORGE INC
This structure may be occupied as a:
Commercial Alteration By Order of Town Board
TO OF QUEENSBURY
(--
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan,Variance,or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
►�IONI..
TOWN OF QUEENSBURY
f ! .
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110050 Application Number. A20110050
Tax Map No: 523400-288-000-0001-057-000-0000
Permission is hereby granted to: BASKET BARN OF LAKE GEORGE INC
For property located at: 1457 STATE ROUTE 9
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: BASKET BARN OF LAKE GEORG Commercial Alteration $5,000.00
25 MILLBROOK Rd Total value
PUTNEY, VT 05346-0000 $5,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2011-050
ORVIS - interior commercial alteration
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, March 08, 2012
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town ofQueensbur j, 'I, 'sday,.March 08, 2011
5cSIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
7'` c____ OFFICE USE ONLY
TAX MAP O. ``' -�� �- r�
PERMIT NO. 1,� 0 S
' _� /
FEES: PERMIT RECREATION
ENGINEERING 'ifs,:' '! :� L�`t,j?
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: `j all_ W(jcc Wo ,N a
________________u. ../—r--Li c-OWNER:
ADDRESS: P'O 13 3 /77i 0Qtt G NUtll f,
�-1 -by2- q 70ci 6US �1 6,iq ADDRESS:
PHONE NOS. 5-1,6_ (S'S 0 3 2 0 C r 1
PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Joe C o IC hi')IPHONE:S18-6 Li")-q.7.09
LOCATION OF PROPERTY: PO U I e CI L ii ke Gears() N, y_ 1 28C )
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ;2' NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR Z 0 cL r cr
d p
PROJECT 0 < O O cn d w u_ I
F W OJF- OI— cc co 0F:w
f— IL u_ u' _ I-I— Cl. = 0
Z <UJ 0 Q u)U' NQ OLL OF- OIZ
SINGLE FAMILY
_
F- u_ � _ �
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
, \
TOWNHOUSE ige to.
___
_ -
BUSINESS OFFICE
RETAIL- J
MERCANTILEcbAtgtert+
/( 13, 776 L/ 70 L/ oL-/-tv-ez z
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
I •
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: 6 Ui 5 C001 pp-iAi
ESTIMATED CONSTRUCTION COST: D 1 VOO, FUEL TYPE: CA' S
HEAT TYPE: W � *HOW MANY FIREPLACE(S): AND / OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION:
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
Town of Queensbury • Community Development Office • 742 Bath Road, Queensbury, NY 12804
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge thatrior to occupying
facilities proposed, I or my agents will obtain a certificate of occupancy.
the
ccupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy. •
I have read and agree to he above.
Signed Id' Ge
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above ; This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
Zi • J7/
r
/i/A&
BOO G & CODE 'PROVAL
'; ZONING APPROVAL
''3--3-11
ATE
DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(c?aueensburv.net
Office Use Only
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www.queensburv.net
Occupancy Type: t-J E{ZC_1\t.1Z Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbun/ • Communihj Development Office • 742 Bay Road, Queensbury, NY 12804
STATU
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection reque14-iv; :
Queensbury Building & Code Enforcement Arrive: V:-c aVa i Depart: 62...7:1D a /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: '% .:7:
NAME: Or'V l 3 PER #: /i-C,,So
LOCATION: / 41 57 P.)-9 DATE: 14-
COMMENTS:
Y NNA
Chimney/ "B"Vent/ Direct Vent Location
Plumbing Vent Through Roof 6"/ Roof Complete
Exterior Finish/ Grade Complete 6"in 10'or Equivalent
Interior/ Exterior Guardrails 42 inch Platform / Decks
Interior/ Exterior Balusters 4 inch Spacing Platform / Decks
Stair Handrail 34 inch—38 inch / Step Risers 7"/Treads 11"
Vestibules For Exit doors > 3000 sq. ft.
All Doors 36 inch w/Lever Handles/ Panic Hardware, if required
Exits At Grade Or Platform 36"(w)x 44"(I)/ Canopy or Equiv.
Gas Valve Shut-off Exposed &Regulator (18")Above Grade
Floor Bathroom Watertight/ Other Floors Okay
Relief Valve, Heat Trap / Water Temperature 110 Degrees Maximum
Boiler/ Furnace Enclosure 1 hour or Fire Extinguishing System
Fresh Air Supply for Occupancy/ Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1/z doors
> 10% > 1000 sq. ft.
3/4 Hour Corridor Doors &Closers
Firewalls/ Fire Separation, 2 Hour, 3 Hour Complete/ Fire Dampers
/ Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft. Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/ Shaft Sealed
Handicapped Bathroom Grab Bars/ Sinks/Toilets/ Mirrors
Handicapped Bath/ Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 inch, Checkout 36 inch
Handicapped Ramp/ Handrails Continuous/12 inch Beyond [Both
sides]
Active Listening System and Signage Assembly Space
Final Electrical/ Flex Gas Piping Bonded
Site Plan /Variance required
Final Survey, New Structure/ Flood Plain certification, if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4"
Water Fountain or Cooler
Building Access All Sides by 20'/ Drivable Surface 20'wide t \ 1-1
Special Inspections/ Engineer or Architect Approval U�
Okay To Issue Temporary or Permanent C/O
Okay To Issue C/C
Commercial Final Inspection Report revised 11-27-2012
Commercial Final Inspection Report
Office No.: (518) 761-8256Da#e Inspection request received: 7/ (/ ll
Queensbury Building &Code Enforcement Arrive: VS am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .)/-
NAME: �' ;&V (f5,.�-5d1� .� /�:''-s2 �) PERMIT#: 1 / — �,.
LOCATION: 1- DATE: 75)/ ///
COMMENTS:
Y N NA
Chimney I'B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6" in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior I Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.-38 in. /Step Risers 7"I Treads 11"
Vestibules For Exit doors > 3000 sq. ft. _AsAWSsMsINFo:
All Doors 36 in. wlL.ever Handles l Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44" (I)/Canopy or Equiv. u L r - c
Gas Valve Shut-off Exposed &Regulator(18")Above GradeeE/ ,i/
Floor Bathroom Watertight I Other Floors Okay - r�« fi
Relief Valve, Heat Trap I Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 '/Y doors
> 10% > 1000 sq. ft.
3/ Hour Corridor Doors&Closers
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/ Fire
Dampers/ Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft.Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond [Both r/ s 4// 1: 1
sides]
Active Listening System and Signage Assembly Space �� f ' .` 4), //.C
Final Electrical/Flex Gas Piping Bonded _ — 5
Site Plan/Variance required
Final Survey, New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
_Building Number or Tenant Address on Building or Driveway 4'
Water Fountain or Cooler •
Building Access All Sides by 20' I Driveable Surface 20'wide _ F [/e�i i
Okay To Issue Temp. or Permanent C/O I / �c / '/� '`
Okay To Issue C/C
L:\Building&Codes Forms\Buitding&Codes\Inspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008
Inspection Form
Town of Queensbury Fire Marshal CDPeriodic Inspection Date: //1/-518
742 Bay Road,Queensbury NY 12804 o Reinspection
518 761 8206/518 761 8205 COd, Inspection Permit#: (947/1-4)5Z.?
Fire Marshals Representative
— MJ Palmer Business Name: /c7,,/ ¶ 7TL7"-.
Location: / 7
GK Stillman Contact: 44'C A, :2i/9.1.,/
Type of Inspection N/A Yes No
ExlExi NOTES
Exit Access FC 1014
Exit Enclosure FC 1020 y
Exit Discharge FC 1024 „/
Sign Normal FC 1011 c
Sign backup FC 1011.5.3
AISLES:
Main Aisle Width FC 1024/1025
Secondary Aisle Width FC 1025 :%
FIRE EXTINGUISHER:
Hung FC 906 ,
Insp of extinguisher FC 906
EVAC SIGNS IN R ooms FC 404.6 1/_
TRUSS ID SIGNAGE FC 505.3 ,,r
EMERGENCY LIGHTING:
Interior FC 1006 r ,-,/
Exterior FC 1006 I/
Clearance to Electrical FC 605.3
Compressed Gas FC 3003 ✓
Knox Box FC 506 r c;)r, c cc (
F.D.Signage- FC 510 ;`!,
No Smoking Signs FC 310.3 ,,,
Storage FC 315 ;'
Electric Wiring Enclosed/Labeled FC 605.3.1 L.'
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804 /
Smoke Detectors FC 907 ;/ _
CO detectors FC 610 /
Clearance to Spr./Ceiling FC 315.2.1
18"/24" f
Exterior Storage FC 315.3 , .
Operating Permit
Vacant Buildings FC 311 i j'
Vi/ell )
_ 1016,� 4 REINSPECTION DUE APPROXIMATELY
21 DAYS
SYSTEMS: FC 901 Imp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation _
Elevator Semi Annual
FIRE ALARM Annual 10 e: DATE: OK NC
HVAC Shutdown
Sprinkler System Annual Q fa) \/
Sprinkler FDC ^
Kitchen Suppression Semi Annual Fuel Island Suppression Semi Annual. &rii .---- (,) G
Hood Cleaning 3-b
Ari506.64i/..24/1..
4/b/w
�-// :fir-,s,4 /*/:°0
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Pe it No. //- 454,,, ,a_.
Town of Queensbury
742 Bay Road j / /fes
Queensbury,NY 12804 Scheduled Inspection Date: / • Time:
Phone: (518)761-8206 Business Name: fir ) V IS
Fax: (518)745-4437 Location: g g7 9
Type of Inspection N/A Yes No
EXITS:
Exit Access '! COMMENTS
Exit Enclosure
Exit Discharge ✓ ge G j izL fro&
AISLES: ' )) Ce,S•
Main Aisle Width 1/
Secondary Aisle Width a/ 00/4 614/e
EXIT SIGNAGE
Sign-normal
Sign-battery 1/ pet
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING t/
FIRE EXTINGUISHER:
Hung Q Fk„,,,. ,jG //,^, :17:5T L
Inspection of extinguisher
57 9r 11.-°°"4"147/7
FIRE ALARM SYSTEM 1/
Fan Shutdown ern�I 14 e(251/2?Fire Sprinkler System (FDC)
Fire Suppression-kitchen
Fire Suppression-Gas Islan t/
Generator t/
Hood Installation ✓ / _
Elevator 1/
Interior Finishes t/
Storage ✓
Compressed Gas V
Clearance to Sprinklers
Clearance to Electrical ✓
Electric Wiring Enclosed/Labeled v/
Combustible Waste
Vehicle Impact Protection t7 00-0` /de, / k $ 415 e1/50..)S5-Ce
Knox Box j/
F.D.Signage-Utility Rooms V ,
No Smoking Signs
Maximum Occupancy Sign �
Emergency 'I/ R-6VS6 �0,9L Evacuation Ptan 4 -694?v55,-,r,
O Approved (If no other approvals apply,the B&C Office will issue the Ce 'icate of Occupancy)
Denied / call for Recheck
Al.07(
I ns ect, • By: 4.1 ma _
L:\FireMarshal\FM Forms Masters\permitto occupyform.doc
(7f1
Commercial Final Inspection Report •
Office No.: (518) 761-8256 Date Ins ctio9 't - ed: z
Queensbury Building & Code Enforcement Arrive: ( arp/ m Depart: t %1> aryl/pm
742 Bay Road, Queensbury, NY 12804 Inspector's !nit . II
C.
L
NAME: '� k, 1 PERMIT,-:
LOCATION: . Z DATE: 1 — 4/1"/
COMMENTS:
Y N NA
Chimney I'B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6" in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform I Decks
Interior/Exterior Ballisters 4 in. Spacing Platform I Decks
Stair Handrail 34 in.-38 in. /Step Risers 7"1 Treads 11"
Vestibules For Exit doors> 3000 sq. ft.
All Doors 36 in. w/Lever Handles/Panic Hardware, if required 1
Exits At Grade Or Platform 36(w)x 44" (l)/Canopy or Equiv.
Gas Valve Shut-off Exposed &Regulator(18")Above Grade
Floor Bathroom Watertight I Other Floors Okay
Relief Valve, Heat Trap/Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1/2 doors
> 10% > 1000 sq. ft.
'/.Hour Corridor Doors&Closers
Firewalls I Fire Separation, 2 Hour, 3 Hour Complete I Fire
Dampers I Fire Doors
_ Ceiling Fire Stopping, 3,000 sq. ft.Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets Jo
Handicapped-Bath-/-Parking Lot Signage ?5�hh t,J{; c ON, V
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond [Both
sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4' E
Water Fountain or Cooler i
Building Access All Sides by 20'I Driveable Surface 20'wide ,7i\ C-�a
Okay To issue Temp. or Permanent C/O v'
Okay To Issue C/C
L:\Building&Codes Forms\Building&Codes\Inspection Forrns\Commercial Final Inspection Report.doc Revised January 7,2008
---7-4/ %/7.�,s
Inspection Form
Town of Queensbury Fire Marshal °Periodic Inspection Date: ":", 1,-;)))/i
742 Bay Road,Queensbury NY 12804 o Reinspection 'f
518 761 8206/518 761 8205 , /
COa-CO Inspection Permit#: '"A7`--
Cire,Marshals Representative
MJ Palmer Business Name: O.I) _
Location: //7---3_7 , /'- /74--- 9
)(GK Stillman Contact: -, 1-- -- '2 )i 11
Type of Inspection N/A Yes No
EXITS: NOTES
Exit Access FC 1014
Exit Enclosure FC 1020
Exit Discharge FC 1024 -1/1._ k. S ^-
Sign Normal FC 1011 L-[r; '��?h Z1� T� r�j
Sign backup FC 1011.5.3 ,
AISLES: - j
- n
1
Main Aisle Width FC 1024/1025 ' ,' t*-r+,- - 1 �..L:f-` ,
Secondary Aisle Width FC 1025 /
FIRE EXTINGUISHER:
Hung FC 906 -�;
it JT
)
lnsp of extinguisher FC 906 �`7t.J l T , `fir���'�`�S
EVAC SIGNS IN Rooms FC 404.6 t"�_ . s/5",- : ; Cr':Cid-;z-:-, -
TRUSS
"TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING: tib `1 (( )-67`
Interior FC 1006 tT // , �',J ,1=� ./...,
Exterior FC 1006
Clearance to Electrical FC 605.3 ,
Compressed Gas FC 3003
Knox Box FC 506 k-r.
F.D.Signage- FC 510 `r l
No Smoking Signs FC 310.3 �'��cnCi " �` ��7j
Storage FC 315
Electric Wiring Enclosed/Labeled FC 605.3.1
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804 pT�k Js�tY Z --���[�1 LCI?EZ)
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Spr./Ceiling FC 315.2.1
'18"/24" -" -_
• Exterior Storage FC 315.3 I ' ! ,-Jld� ,r,_,,,-L1-,,„-, p# h� )�r 417,
Operating Permit
Vacant Buildings FC 311 -'-/--r,/_-1 • c-f- ,1 C. lam.-f ,-/- : ,Y An-s
REINSPECTION DUE APPROXIMATELY
21 DAYS
SYSTEMS: FC 901 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation _
Elevator Semi Annual i,`
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual }.,
Sprinkler FDC
Kitchen Suppression Semi Annual ,
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6
,
(ir-?z- pie,5-- _k_ -_,
Rough Plumbing I Insulation Inspect p Report
Office No. (518) 761-8256 Date Inspection r-• r ce' ed:
Queensbury Building & Code Enforcement Arrive: , a art: i ., am
742 Bay Road, Queensbury, NY 12804 Inspector's Initis s: � ,
NAME: k'&,,; PERMIT #: / / --- .
LOCATION: ) 1 //1-eoi —. ' /lc----1 J INSPECT ON: :"
TYPE OF STRUCTURE: _
ailor----- ---N
w.
„--N.-- -,--_,:::<•_A,__._------A,_,AL_) ...1_,
`A ~� _
Rough Plumbing / Nail Plates 7.\- ‘1/4\
l\ V / �
Plumbing Vent/Vents in Place �./ . ----- \ `5i4 a-
1 % inch minimum Drain Size / 1-\.\ F
Washing Machine Drain 2 inch minimum _ �,
Cleanout every 100 feet/change of direction 0 \-L r of L_
Pressure Test / t= t\ �i
p :in/ --Tit
/ ,'r f- ad
i ,''. A or 10 ft. above hi: hest connection for 15 minutes ;,/
'^�'ure Test
rater,Supply Piping
ead
',/
P.S.I for 15 minutes _
Insulation / Residential Check/ Commercial Check
Tyvek or Similar Exterior Sealant 1
_
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct I Hot Water Piping Insulation
If required unheated spaces
/-, .mbustion Air Supply for Furnace T-
',V )[h(Act work sealedjroperiy / No duct tape
1,.\". :_c_-__„ ..)-\S,--.7- 7._
COMMENTS:
41111111.117-
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
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1ON ALL PASSAGE DOC
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RoU7E„ c LI-1-Ke.: G r3' EXTERIOR DOORS
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