2013-495 TOWN OF QUEENSBURY
o742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130495 Date Issued: Monday, May 05, 2014
This is to certify that work requested to be done as shown by Permit Number P20130495
has been completed.
Location: 26 CAITLIN Dr
Tax Map Number: 523400-301-017-0003-060-000-0000
Owner: KELACO, LLC
Applicant: COLLETTE CONSTRUCTION
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Single Family Dwelling
Issuance of this Certificate of Occupancy DOES NOT relieve the property j
owner of the responsibility for compliance with Site Plan, Variance, or L
.�
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code forced nt
or Zoning Board of Appeals.
01011".
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130495 Application Number: A20130495
Tax Map No: 523400-301-017-0003-060-000-0000
Permission is hereby granted to: COLLETTE CONSTRUCTION
For property located at: 26 CAITLIN Dr
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: KELACO, LLC Fireplace
35 FRONT St Garage Attached
LAKE GEORGE,NY 12845-0000 Single Family Dwelling $305,000.00
Total Value $305,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-495
SFD 1st Flr 2,266sf w/attached Garage 960 sf
$597.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 30, 2014
(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( iie�e�zsbur ; f` Wte a October 30, 2013
SIGNED BY �.. .,),`u" ,. V A". for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes Received:
T Map ID: 3011 i h -R-/ V
PRINCIPAL STRUCTURE APPLICATION OCT 18 �� mit No.: 1 3 ` 5
A permit must be obtained before beginning construction Permit Fee: $ ,59 r7 0 --I-,c) F&
*Rec Fee:
65°6- -
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling Site Plan No.:
units, including single-family dwellings,duplexes or two-family dwellings,multiple family
•
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including mobile homes. This is in addition to the permit fee.
Date /0/16/1 3 -N\ Applicant Ce t'/p 0 6^)j -&
Tax Map ID 36 i• l 7 " 3 - - to 0 Address 3 - Ci,//c 1 -
Zoning 2 )4 \ /1 SON PAIS A) _y,
Phone/E-mail -1'/vin,?MAl<;r0 ii P 61/efp ( i4, Com..
Property Owner k a('La Contractor/Agent 6i/ff /' `
Address 33' f iZc'kI 5f' Address SAThr
i.n ke 6 U
Phone/E-mail Phone/E-mail 7 y(-//
2-0
Contact Person for Building&Code Compliance: I<eA) (66 Jto Day Phone: ?65'.P,P2'Z
Building Street Address: c--A)-rt/PI 7f -
Subdivision Name: P& ) sf Lot#: /3 Historic Site: Yes ✓ No
Estimated cost of construction: $ 3oS,Gm>
Type of Construction:
Check all that apply Please indicate measurements as required below:
z
1st Floor 2nd Floor Other Total Height
a
?
< <
Single Family J `).--c�(b 22-4 b "d'
Two Family 4 C3.
Multi-Family(#of
units_)
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(#3) 76v' g o
Other
-4- iii-
Town of Queensbury Building&Codes Principal Structure Packet
518-761-8256 s—a0,,
•
If commercial or industrial indicate name of business
Proposed use of building or addition ( N•
,l/p ,��1
Source of heat(circle one) OilPropane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" ./Yes No
Are there structures not shown on plot plan?
Ne>
Are their easements on the property?
U c
Site Information •
f?'2 5� 0/Y//5/Olt) PiA4)
a. Dimensions or acreage of lot
a ki,.
b. Is this a corner lot? tu 0 /
c. Will the grade be changed as a result of construction: Yes )/ No
d. Public water or Private well
e. Sewer or Private Septic System
5Pc/'
Value of all work to be performed(labor and materials) $ - 5- cr37-,
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. 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 that prior to occupying the facilities proposed, I or my agents will obtain a
certificate of occupancy. 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 the above.
Print Name: c't'N
Signature: 11; Date: P://7r/13
FOR OFFICE USE ONLY:
Operating Permit Issued: _Yes _No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Office Use Only •
Town of Queensbury Building & Codes
Received:
ID:
PRINCIPAL STRUCTURE APPLICATION PN
Peerrmit t No.:
A permit must be obtained before beginning construction Permit Fee: $
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $
units, including single-family dwellings,duplexes or two-family dwellings, multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.: _
homes,but not including mobile homes. This is in addition to the permit fee.
Date lie Applicant
Tax Map ID Address
Zoning
Phone/E-mail
Property Owner Contractor/Agent
Address Address
Phone/E-mail Phone/E-mail
Contact Person for Building&Code Compliance: Day Phone:
Building Street Address:
Subdivision Name: Lot#: Historic Site: Yes No
Estimated cost of construction: $
LibType of Construction:
Check all that apply Please indicate measurements as required below:
c =
o
D 1st Floor 2nd Floor Other Total Height
Z a a
Single Family
Two-Family
Multi-Family(#of J/
units )
Townhouse
Business Office
Retail-Mercantile
Factory Industrial77\-7,1'
Attached Garages(# ) (.2't
Other
Town of Queensbury Building&Codes Principal Structure Packet
518-761-8256
Office Use Only
Received:
ZIJ
x Map ID: /
Town of Queensbury Building & Codes .: / 3 )5
SEPTIC DISPOSAL PERMIT Permit Fee: $
A permit must be obtained before beginning construction Approvals: •
,,�
Applicant: J�JAco InstallerlBuilder (,(4-$ reNs J rk OCT igif 2013
`1 Address: 3 C fP 1 -57. Address If CI-var./4; tN •
Phone: )` I /0-a Phone 74/6 //'
Owner: 6/!c/42 6,,us .rAfz- Location of Installation C ,11,/0 az.
Address: ? (. f(r w o•
/l /
Phone - i/C /1 S'
-
Contact Person for Building&Code Compliance: VP/0 G//efr r Day Phone: "3b C .9'2'
Residence Information:
Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow
1980 or older x 150 = Garbage Grinder installed? No
1981-1991 x 130 = Spa or Hot Tub Installed? it)c)
1992—Present ✓ x 110 = 3 3o
Parcel Information:
Topography Flat Rolling _Steep Slope %Slope
Soil Nature Sand _Loam _Clay _Other
1-(' *
At what
Groundwaterdepth?
Bedrock/Impervious Material At what depth? "'
Domestic Water Supply ✓Municipal Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate- per minute per inch(Test to be completed by a licensed professional engineer or
architect) ptti p/Ar.)
Proposed System for New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or
architect(unless installed in a Planning Board approved subdivision).
Tank size /Doo gallon(minimum size 1,000 gallons),add 250 gallons to size of septic tank for each garbage grinder,spa or
whirlpool tub
System Type: Absorption Field(with#2 stone) Total length ft.
Each trench a-- X 5-0
Seepage Pit(S)(with#3 stone) How many? Size?
Altemative System Bed or other type?
Holding Tank System Total required capacity? Tank size? #of tanks?
NOTE: 1) Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified
Electrical form on Town website;2)Effective as of March 23,2006 Septic System-As Built Plot Plan: The Building Department will no longer
allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed
system must match the septic system layout on file. There will be no exceptions.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted
which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known
by or on behalf of an applicant,shall be void.
✓I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury
Sanitary Sewage Disposal Ordinance. /
Print Name: i2NN-t1-4 C //e7 Date: 1%6//2
Signature:
6-16.4a Date:
RV/et/3
518-761-8256
Town of Queensbury uilding&Codes Principal Structure Packet
lo4it'a3
( 713 * °(
Town of Queensbury Highway Department 3
DRIVEWAY PERMIT
Michael F.Travis, Highway Superintendent Thomas R. Van Ness, Deputy Superintendent
Home: (518)798-0413 Home: (518)745-0929 OCT 14.
Office Phone: (518)761-8211 Office: (518)761-8211
Fax: (518)745-4466
Building Permit#:
Date: l O1/G/i 3
Tax Map ID:
Applicant Name: 1/6 Crivsf 1/1}0
Address to be inspected: a6 CizA) 414-
Return Address: 3 /lei* AN • I111 h /I b
Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes at the
specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has
been taken:
Step 1: ( ) Preliminary Approval
Need: ( ) Slight swale
( ) Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( ) 15" ( ) 18" ( )24" ( ) 36"
Preliminary inspections completed by: Date:
Approved by Highway Supt: Deputy Supt.:
Upon completion, please resubmit this approved permit for a final approval.
Step 2: ( ) Final Approval
( ) Rejected
Date:
Michael F.Travis, Highway Superintendent Thomas R. Van Ness, Deputy Highway Superintendent
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Office Use Only
Town of Queensbury Building & Codes Received:
Tax Map ID:
FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.: 13- 9,3--
Permit
- 95Permit Fee: $
Application is hereby made to the Building &Codes Office for the issuance of a Building& Use regulations,mt pursuant
d talhconditions thatr ve part ention&
Building Code. The applicant or owner agrees to comply with all applicablelaws,
of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
Important Note To Applicant: Rouqh-In and Final Inspections Are Required:
Date lb -1‘ -i2
Owner W-Q f Aco Installer/Builder re,//e 77 (MIJ 1A:c
Address 'a 5- Fiz.:, 51-, Address 3 - (RIle IliP v"'
4-41l/Jr Oci"-E'P
,4(# coN ra 1A
Phone 7 YA f f do Phone 7 yC 11
Location of proposed construction and for installation: ' 4 CA11 LJA -I)n,
Contact Person for Building &Codes Compliance: 14A; CO//p
Subdivision Name: enp`r� west
Fuel Burning Appliance Information
Wood Coal Pellet Gas Oil
Stove
Fireplace Insert
Fireplace,factory built*
Fireplace,Masonry
Furnace,(Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: J-ke,i. 6 I Model No. 36 DV
Listed By: Number:
Chimney Information
Masonry" one k Brick _
✓check Block— —
Flue /check one _Tile _Steel Size in Inches
Triple Wall Insulated Direct Vent I _Chimney Liner
Material "check one —Double Wall P —
** If Non-Masonry,please provide: Manufacturer Name: Model No.
ON & BUILDING
DE
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION
T AVAILABLEST TownONFORM of QueensbONYS FIRE ury HANDOUTS REGARIDING REQUIRED INSPECTIONS.
0 AND/OR
MANUFACTURER REQUIREMENTS. CONSULT
Town of Queensbury Building&Codes Principal Structure Packet
518-761$256
f t' 01 A yDnA
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pmart: fZ 1 J m/pm
Date Inspection request received: Inspector's Initials: C 1...>
NAME: 6ZCD 0 PERMIT#: 13- ,
LOCATION: C-{°cc--�,ICA DATE: 41
TYPE OF STRUCTURE: S {�
Comments:
Yep; No NIA
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors I main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures �.�',,
Foundation insulation to floor/Sticker on PanelaZo
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade ---
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating _
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 1/z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent] ;'
L:\Building&Codes FormstBuilding&Codestlnspection Fomts\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26108;Revised 12/22/10, Revised 04/13/11
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: _G
NAME: Kp jot h
LOCATION: � Cp CY,CT ;!1
PERMIT#: /3 •- 9 3
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
j),0
Craig Brown, Zoning Administrator
Notes: 440 the Luc A'`no
fl�V .
L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
MAP REFERENCE:
POINTE WE5T 5UbDIVI510N
DATED JANUARY 15, 2008
REVI5ED JUNE 12, 2009
5Y: VAN DUHN T 5TEVE5
LOT 14
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LOT. 13
97,080 sq. ft.
2.23 acres
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Queensbury Building & Code Enforcement - Residential Final Inspection /-3
Office No. (518) 761-8256 Arrive: /! t. am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: 1- i?
NAME: 1 e ,)Q C=0 PERMIT#: /3- <-195
LOCATION: t; to d 4 1,1 I(1,, q--?o/f
TYPE OF STRUCTURE: _S I' Q
Comments:
Yes No N/A
Building Number Address visible from road / ���� /f � L� ,,, �
Chimney Height/"B"Vent/Direct Vent Location r%
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete /
Platform at all exterior doors
Handrail 4 or more risers V /
Guards at stairs,decks, patios more than 30 inches above grade �!
Guard at stairwell at 34 inches or more /
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall ✓
Interior/Exterior Railings 34 inches to 38 inches ✓
Deck Bracing/Handicapped Ramp Compliant / ✓
Grade away from foundation 6 inches with 10 feet t!/
6 inch clearance to sill plate ✓!
Gas Valve shut-off exposed/regulator 18 inches above grade ✓�
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight t/
Safety glazing/Window in stairwells safety glazing
Interior Smoke Deteptors/Carbon Monoe Detectors
Every level: V Every Bedrogm:
Outside every bedroorp-area: ✓ `
Inter Connected: V Battery backup: ✓ `
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area v
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window ✓
Plumbing fixtures fAC !fir
Foundation insulation to floor/Sticker on Panel 1/ i.ti�1a fi r�y •
` cL
G Duct work sealed properly/Blower Door Test Certification
/
Floor truss,draft stopping finished basement 1,000 sq.ft. ►/ ✓ ^"t/
Emergency egress below grade �✓�
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area ✓ Vr
Furnace/Hot Water Heater operating t/Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 ✓/
Enclosed Stairs Sheetrock Underside minimum W Gypsum J
Basement stairs closed rise>4 inches /
Garage Floor Pitched ✓!
Garage fireproofing/3/4 hour fire door/door closer ✓/
Gas Logs in Sealed or Glass Enclosure ✓!
Final Electrical; Energy Saving Light Bulbs 50% ✓/
Final Survey Plot Plan ✓/
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles 14
Flex Gas Pipe Bonding O! ,+ L i F_
/
As Built Septic System I Sewer Dept. Inspection Sticker ,! ALA o ` "'' ,��ec`-
Site Plan /Variance required t/ ,5-4 It_ s
Flood Plain Certification, if required �/ //
Okay to issue C/C or C/O[Temporary/Permanent] J
L:\Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6126/08; Revised 12/22/10, Revised 04/13/11
/ I - ( /1
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received: t V / \.,
Queensbury Building &Code Enforcement Arrive: am/pm
���epart: L ` =m/pm
,
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: =
NAME: Y\ci 0 L 0PERMIT NO.: f 3 —719S
LOCATION: 767 C r r 1 L- i 1,--- INSPECT ON: -i iy)61
RECHECK: IJ
./--', Comments and/or diagram
Soil Type Loam / Clay
Type of Water: ( nicipaf1 Well Water
Waterline separation distance / ft_
Wellseparation distance 1 i IfS ft.
Other wells: / ft.
Well Casing Length 50' + / - Y N N/A
[150'to well required if NO]
Absorption Field: Total length '- ft.
Length of each trench STT ft.
Depth of trenches -2_...t. _.. . ft.
Size of Stone ______A-:-\, -Z
Seepage Pits: Number
Size: Ox, 1' \I C1' "
Stone Size: j - I kfir
Piping Size Type — If,1-3 J-��?,,:-t \
Building to tank V �' ,,,1_,:k_. E._ ,,
Tank to Distribution Box _ -` CV
Distribution Box to Field / Pit `t� '-1-2-i,_,`"1-<-1
Opening Sealed: N
End Cap N
Inlet/Outlet Pipes& Baffles Y N
Manholes 12"or less below grade _Y N pc
[provide extension collar if Yes] _ Y - N
Location / Separations --
Foundation to tank / U ft. r,„-----,
Foundation to absorption -2 ft.
Separation of Pits tri
Conforms as per Plot Plan • Y
Engineer Report and As-Built Y t , N
ETU Maintenance Contract Y N
provided
Location of System on Property:
Front Rear ; Left Side Right Side Middle Front Middle Rear
System Use Status.
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report_03 29 10.doc
f/\- L -3
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection re st received:
Queensbury Building & Code Enforcement Arrive: �Z am/pm
742 Bay Road, Queensbury, NY 12804 Inspect° s Initial :
NAME: i ekcke-v PERMIT#: I ►►,,'��
LOCATION: aLe ( c I (A INSPECT ON: E�:it �
TYPE OF STRUCTURE: S f'
kdolirt
Y N N/A «,po
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I. for for 15 minutes A-N\
,_,,,,,is - Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
Blower Door Test
Air Sealing
COMMENTS: c?
Rough Plumbing_Insulation Inspection_02 05 13
-rue,_s /&
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Ins ection request received:
Queensbury Building & Code Enforcement Arrive: \ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector' [nit als:
NAME: XP I Q eD PERMIT#: J — /95
LOCATION: d.Lg CCS i-11 i r1 INSPECT ON: y
TYPE OF STRUCTURE: S
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head ,
50 P.S.I. for for 15 minutes
Insulation /Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
COMMENTS: I—L-3 €
rL1 uzdA-t4.4--$ P—A55‘)/‘1,0-31-1
Rough Plumbing_Insulation Inspection_02 05 13
Town of Queensbury Building & Code Enforcement - U r✓S 0.—c)
Office No. (518) 761-8256
Framing / Firestopping Inspection Report
Inspection request received:
Name: !C{ e C7 Inspected on: a /
Location: c)1(0 C 6 f +( i vl Arrive: J a.m.l p.m.
Permit No.: / 3 - <-1 9 S Inspector's Initials: far
TYPE OF STRUCTURE: 6
Y N N1A COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing/Bridging
Joist hangers
Jack Posts I Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft.8 in.
Stairwells 36 in,or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour )iç,'J5E
:21).
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min. �"� ` - , A ,
Garage Fire Separation ��L�/�'
House side 1/2 inch or 5/8 inch Type X � ���V v'�
"
Garage side 5/8 inch Type X
Ceilinglwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in.(W)
5.7 sf above I below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Ins'ection re r .est : I!'
Queensbury Building & Code Enforcement Arrive: '- — a�r
742 BayQueensbury, NY 12804 .1
Road, Q y, Inspector's Initia _
NAME: K_LCL PERM . #: 11 —1-195
LOCATION: 2_19. c, PERM C_BIT1-110 DR\\)E INSP'CT O I: 'Z_— I O-11—\
TYPE OF STRUCTURE:
2___ A 1 - —)\2 lk albt
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
0 / Air/ Head
Z/50 P.S.I. for for 15 minutes
7 Insulation /Residential Check/Commercial Check �F C�1E,�ri � _�
Window Sealing �h --E�
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent /
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Du work sealed properly/ No duct tape
Du
Door Test �1 11
ir Sealing
Ap�� QP°
t / ( 1C26A
COMMENTS: z
Rough Plumbing_Insulation Inspection_02 05 13
Town of Queensbury Building & Code Enforcement 1rIJ a / L—A
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received:
Name: I\ 2kkco Inspected on: 02
Location: a Lo, b r Arrive: "a a. p.31,2
i
Permit No.: 13 JA5 Inspector's Initials: s
TYPE OF STRUCTURE: r
Y N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing I Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft.8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches I Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour y,
Firestopping $?V E tr'-(C_ ki C377�"\T '�iP�T i't� �1 grla kt
Penetration sealed `
�� �`J
16 inch insulation in cavitymin. yU�„ .� i7 N rr'tl1--7\ cci
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X -vb Vt.��
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in.(H)
20 in.(W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing/ Firestopping Inspection Report
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection requ•st r;, • ved:
Queensbury Building & Code Enforcement Arrive: " + af�'7 '
742 Bay Road, Queensbury, NY 12804 Inspector's Initial- r
NAME: fr< 6(ac-c) PERMIT#: /
LOCATION: o� In i�"(m ( t- INSPECT ON:
TYPE OF STRUCTURE: S FL
Y N N/A
Plumbing under slab
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
Insulation / Residential Check/Commercial Check
Window Sealing Loo-.. c=c
R.1Z-0)
Tyvek or Similar Exterior Sealant M ���
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
VIYYt-k)-3 a��
Duct/Hat Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace iF� ATA
Duct work sealed properly/No duct tape
it
Blower Door Test
��
Air Sealing
COMMENTS: LLEiL1a. vet? ii
D toVA
ctik
c) izaVc,
Rough Plumhing_Insulation Inspection_02 05 13
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Insp.ctio t. uest received:
Queensbury Building & Code Enforcement Arrive: 1i` am/pm
742 Bay Road, Queensbury, NY 12804 Inspecto liti' a :
NAME: ft e,I�c PERMIT#: f 3--9 `45
LOCATION: ate C a t l{'I i;1 INSPECT ON:
TYPE OF STRUCTURE: S F i�
Y/ N N/A
4:Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place k
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head �---��
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
Insulation / Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
COMMENTS: "��✓r' •�� �2' t'T - ��Z
Rough Plumbing_Insulation Inspection_02 05 13
1 A.,,,,i c;,t!,,f C� I.
�f Town of Queensbury Fire Marshal
w � 742 Bay Road
Queensbury, NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance. No deviation from the manufacturer's
V C, instructions or specifications is allowed.
Permit# / 3 — 1 / Schedule Inspection Time . U ampm anytime Inspector C' 1
� �,• � Y P
Name
E 1 a C_o Address ACQ,1'•-i'1 i) Rough InFina I
1-7 ./2.._
Appliance Manufacturer Model# l
41, t'
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments Comments
Floor Protection t/
Clearances to Combustibles (all sides) ,-4 `i�>--av cza .......
Firestop(s) Vertical Chase i Z- l .k \t 11--`-(
Wall Penetration
t
Vent Clearances to Combustibles
Vent/ Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any) --.../
Mantel
Height above f/p opening
Witness Operation 7
Tank Placement(if LP)
CO Detection d
-24 c t,NI -
CSST Bonding V
White—Building Dept. Yellow—Customer Pink—Fire Marshal
of Queensbury Building & Code Enforcement rr i dc>p 1 C3-f
„e No. (518) 761-8256 U
Framing / Firestopping Inspection Report
Inspection request received:
Name: jc0 1 c es o Inspected on: ti`s kA, \A
Location: RL2 OraitiCh Arrive: 10%ic' a.m.I p.m.
Permit No.: / 3-4-/Q5' Inspector's Initials:
1.1\A"\-)
TYPE OF STRUCTURE: -S r
Y tO NIA COMMENTS:
Framing
Access x 30"minimum
Jack Headers 4 I VC ,
Studs/ C/ ,t, c I -7�✓�',
441
Truss Specification Provided R'0 lll 2 \IAX
Bracing I Bridging
Joist hangers / RTC')
p
Jack Posts!Main Beams "�`
Exterior sheeting nailed properly 1- I — `p c S- \, ,�4 2
12"O.C. 1 ;�
Headroom 6 ft.8 in. 1,-)elk; f� -- Rk
Stairwells 36 in.or more Ili
N --� ,�.-
Exterior Deck Bracing /�'
Headroom 6 ft.8 in. C57: -. =4)Notches 1 Holes 1 Bearing Walls �_,.�r�Metal Strapping for Notches Top Plate c` . s - Z,
1 1/2(w)16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses22 7" -- 4-te.,
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall 6t 12S= C --,t-D
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour (..:
Firestopping "'C"C") --) c
Penetration sealed FO-I v E /1 --
16 inch insulation in cavity min. 1 jL
Garage Fire Separation c2-1.-44- ' f�`- "4
House side Y2 inch or 518 inch Type X ...rr- .-
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms �7 k
H �J�-�I-.. l`-C�� �� �-e7` ►v
24 in.
( )
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing I Firestopping Inspection Report
fir,cL 0443
ID
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 1, v
Queensbury Building & Code Enforcement Arrive: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:/..
NAME: & C.d PERMIT#: - '' 5
LOCATION: a.u2 C Gt‘c-t'i;e r INSPECT ON: I- --/V
TYPE OF STRUCTURE: S� 'F 6
Y N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum
Jack Studs/ Headers �I
Truss Specification Provided
Bracing/ Bridging V
Joist hangers
Jack Posts / Main Beams — - ' r-Z7\I C
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing �-
Headroom 6 ft. 8 in. v� 11 5' \ tc'
Notches/ Holes/ Bearing Walls 1 Ao0 /, '\A[R(4)
Metal Strapping for Notches Top Plate
11/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice ans water shield 24 inches from wall
Fire separation 1, 2, 3 hour •
�=
Fire wall 2, 3, 4 hour
Firestopping r�
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space /Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above /below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 05 13
uesciack
Framing I Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspectiorlrequest received:
Queensbury Building & Code Enforcement Arrive. am/pm
742 Bay Road, Queensbury, NY 12804 Inspecto 's Ini ials ,V 1
NAME: )2(el 14 e—D PERMIT#: 73-Lick
LOCATION: La C__c2.1-1 i' INSPECT ON: I;L-3 r—id
TYPE OF STRUCTURE: S f 6
Y N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum
Jack Studs /Headers
Truss Specification Provided
Bracing /Bridging
Joist hangers
Jack Posts/ Main Beams
Exterior sheeting nailed properly
12" 0.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches / Holes / Bearing Walls
Metal Strapping for Notches Top Plate
11/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses /J
Anchor Bolts 6 ft. or less on center (1\/
Ice ans water shield 24 inches from wall Z--�
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space /Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 05 13
k•61,6 3 p
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins ectionequest received:
Queensbury Building & Code Enforcement Arrive:--- L-/ am/pm
742 Bay Road, Queensbury, NY 12804 Inspectoris Initials�' u'�
NAME: kt Fe) PERMIT#: /3- 145
LOCATION: I C./1 INSPECT ON: _ I D--
TYPE
- -TYPE OF STRUCTURE:
Y N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum
Jack Studs / Headers
Truss Specification Provided
Bracing / Bridging
Joist hangers
Jack Posts / Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches / Holes / Bearing Walls
Metal Strapping for Notches Top Plate
11/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice ans water shield 24 inches from wall -- �i'ry �" --
Fire
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour �cz)v7 )
Firestopping � � � �� c)(.30--
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X "��7
Ceiling/wall vu L !vf/
Windows Habitable Space / Bedrooms a&_41`'`" 55DcPt
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 05 13
1-2_
-z r►�
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: 11 24 %
Queensbury Building&Code Enforcement Arrive: am/pm D epart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,,.y
NAME: V\k-e ` 0 PERMIT#: / L
LOCATION: 319('./N INSPECT ON: 1111EDI
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
-i, 6 mi poly or wet a—i s under slab
Bac 4l+proval
Under Slab
'VC/ ( : t/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buliding&Codes Forms\Buliding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
00 - 3 ry..,„
Foundation Inspection Rep�r
Office No.(518)761-8256 Date Insfpf,ctijon,request received: 17/i�l�3
Queensbury Building&Code Enforcement Arrive: : am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's InitialsGi4)
NAME: Ke-I v ((J r PERMIT#: ) 1 ((/`S
LOCATION: v(p (14-7-1 i, t i INSPECT ON: ) !/i`//i 3
TYPE OF STRUCTURE: . /
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofmg �
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
* ackf ll Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspecction Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
g -/D
Foundation Inspection Report 11. 3
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Dep am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials &<
NAME: (Oja ('
PERMIT#: / 3_ '/9,')
c
LOCATION: (Lj i4 l'. i i• r- INSPECT ON: 1/-1 —/
TYPE OF STRUCTURE: � ,(S
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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 V�
Reinforcement in Place
Footing Dowels or Keyway in place j
Foundation Dampproofing v 1A5 2t--, Z'- .
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buliding&Codes Forms\Bulding&Codes\Inspection Forms\Foundation Inspectioon Report.doc
Last printed 12/20/2005 9:24:00 AM
C (SSC -To Iz
Foundation Inspection Report
ff
Office No. (518)761-8256 Date Inspection reque.i . ••
Queensbury Building&Code Enforcement Arrive: fp. Depart: IT pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
dr
NAME: Vs\ j �}( 'ERMIT#: _5 L S
LOCATION: (o C Nr k vP INSPECT ON: my"
TYPE OF STRUCTURE:
Conlmentt
Y N N/A
_' ootings \
\-Piers
Monolithic Slab
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
Footing Dowels or Keyway in place
X00 `7 N, tJ 5
Foundation Dampproofmg VLAN
Foundation Waterproofing
Footing Drain Daylight or Sump VC.Le_.._ 2 4N 47 7€1?-- C
Footing Drain Stone: p Q-EC_KD
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report 3
Office No.(518)761-8256 Date Ins, ;on :. , ecer'
Queensbury Building&Code Enforcement Arrive: - 'e:C; 'repart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Intl: s:
NAME: K e,1 C4 PERMIT#: / 3 <4 5
LOCATION: /0 Lai 4-11`() INSPECT ON: // -')'-/3
TYPE OF STRUCTURE:
Comment4
Y N
Footings
Piers
Monolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Fonns\Buiiding&Codes\1nspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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