95-693 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 95693
TAX MAP NO. 152. -1-3 No.
WARREN COUNTY, NEW YORK
WHITEMAN, ROBERT F. &
PERMISSION is hereby granted to
36 BEAN RD.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
SINGLE FAMILY DWELLING
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.
1. OWNER'S Address is
36 BEAN ROAD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUI LDER'S Name
PARENTEAU, MATTHEW
3. CONTRACTOR or BUILDER'S Address
43 HEARTHSTONE DRIVE
GANSEVOORT, NY 12831
4. ARCHITECT'S Name
NYB
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
893 9Q FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
$ 108 PERMIT FEE PAID —THIS PERMIT EXPIRES January 2 19 98
(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 this 2 Day of January 19 96
SIGNED BY ,Q for the Town of Queensbury
ilding and Zoning In or
rtment of Community Development Reviewed By:
• Ming & Code Enforcement 1__i Buildi nsn
Ira of Queensbury f ' Permit No.
Bay Road q J Gl
en.sbury, New York 12804 Fee Paid $
8) 745-4447 Building Permit Application (T / o8, '
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 application form.
Applicant: Qi,\i a,,- t(2. +1 u►ti\20"kr, Owner: 1)ecA ,1Z \•; t;..ihi cr,(„-,
�(c •?ttr` 'CZ Address:
Address: ,
Phone # ( il`ic ) t,:'S(, - Yi l'honc # ( ) -
I'roperty Location: Stw CV't. 0- i�<:�•�e .11 i3``j .N'I i. J I i l
Tax Map Number _ !S� 3
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET UE OF THE
>c New Buildin CONSTRUCTION: $,� � (100.
esidence / commercial
Addition to-Building:
residence / commercial OCCUPANCY INFZ'RMATION:
Alteration to Building: Primary Building -
residence / commercial Y: Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
_ Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor TO sq. /O� p r . If ADDITION, what will use
ft ./ of new addition be? :
2nd .Floor sq. ft .
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1 , 2 car
TOTAL FLOOR AREA: SQ. FT. Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
1 , 0 Other
1-14,-1 FEET X ( 'w FEET
Foundation Type : C,:0,re Will any second-hand or ungraded
Number of Stories : 1 lumber be used? If so, for what?
(habitable space only) AID
Height (grade to ridge). : ., feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which - .plies )
to be installed: C r, .ectrjx...__/ Oil / 0 / Wood
(Forced Hot Ai ;2 / : . seboard / Other
Person responsible for supervision of work as regards to building
codes is : �`'ir.tk�.;.,^.: CctreyNi'k;.., Li 3iie(•.; w,i,: -,‘? l), C`,,,,°;�v:.t., + t,y Ws'3 t "; 7: () lc;
Name Addresss Phone `, 8I— 7 911 CC✓
Builder: I'tLtttvw,,,, P:.rmke:,_..
Plumber: r\ , _ r41cri�,, F=r ,..%. ct, � �,, ,i (m
Mason: tAt r t,. ' h r- Pam; �
Electrician: i?):-,,it.<-- ifSesc' G,
DECLARATION: Please sign below after you have carefully read the statement. \. -
To the best of my knowledge 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 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 issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
CSignature: i 1
(owner, owner's agent, architect, contractor)
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date D2 ( ,19 99' Permit No. 7` v �`
APPLICATION IS HEREBY MADE to the Building Dept. 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
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant Ro1 C.\ APPLIANCE (check appropriate boxes)
Address 3 A r' ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
❑ FIREPLACE INSERT
!` v e zAS be —1 Ai Zip (2 8'✓ y FI REPLACE, FACTORY-BUILT:
r ❑ Wood rx Gas
Phone C ' c l 0 FIREPLACE, MASONRY:
❑ Wood o Gas
Owner Sarr 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer: FJr;i - u- C. o
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
� ❑ MASONRY: 0 Block 0 Brick 0 Stone
36 i3 ems,. 1`0 c4 FLUE: ❑ Tile in Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title
A 173 3389 (190) Public Safety
A 233 2655 (230IMinor Sales
•
Fee Collec ed Fro Refunded to: .Q 6!rei . ' ee"_-
Address:
Dated: Town Clerk or Deputy:
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
61 5
q5....
•
►lj 4 ENERGY CODE COMPLIANCE APPLICATION
�;%' 'TOWN orOUP:ISiI SUtJRY, WARREN COUNTY
lam:—• 9000_..IIEA'1'I,NG-Ulat�ttlsl� U11Y5
•I ;..
Compliance McLhodc : PAlt'.L' 5 •- Accept:nbJe tract:i.ce I1eLItod - ,
• Iti7. EnmlIy Dwellings (only)
L'i\It'1' (i " -- 'I'Irernral. ItoLing - Component: 'node Oils
I r 2 Enmi_1y Dwellings; Mu.I.LJ.•-P'ntn. .1.y
Dwellings ( 3 stories or less )
PART 4 '• -- Design by Component Performance
CommercieJ. Buildings-11i Rise Residential.
',Requires submission of worksheets
J\1?1.'1_,ic;1\t1T' S HAr-it': I'RUL'i!:IU.I'Y I,UCA'.L'ION :
QCJrtir\- ri2-\li``- (ii`^t\ e ry,., 3 ' l ct YCc' 1 1// 124'1
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE !
l. . Gloss Floor Area - ,S 3 square feel
2 . Type of Heat •- - l:.l.ecl:r- i.r. o-i-J. Gas DI het
3 . .is buildi-ng mechanically cooled? K Yee No
4 . Percentage of area of windows and doors Over 17% Under l7%
5 . It-VALUES FOR .1NSUhA'I' I OiI GIVEN N Ii1;LOW MUST CORRESPOND TO It -VAI,UES AS
SHOWN OH PLANS SUBMITTED: ""
a . Roof it
b . I;xLer. .i.or walls it `el_. -
C . t>1azed .rear; it - _y . .,
c) . Exterior. doors It —
e . Floors over tiniteal:ed spaces It
C . Edge of slab on grade ( IlenLed building) It
g . IlasentenL/celJa.r. wal.l-rr (above grade) it J3
t► . IiaeemenL/cei..lar walls ( below grade) ' it i 3
i_ . IleaLiny/coo1 -ipiping-ducL-S- Fd1,3ny in unheated space it 1 3
6 . Service (domesLic ) ItoL waLer IteaL±ng device
Conforms Lo minimum efficiency per. code '- Yee No
TJ t1I'i ItATUttt? COII'I'fOt-, MAXIMUrI iSF'TTINO 140o - WILL NOT HE EXCEEDED
/\pp I -.c7at 1 ' ra ` , ,yrtaLu t:c' t.e Phone number:
- - - �9_ -- & _ qs9_--------- --
Li151-'ii:t:roit ' S UIf:I1AItk S :
FIRE MARSHAL
TOWN OF QUEENSBURY
`` j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL) SPECTION REPORT
Gov
REQUEST R IVED S '�/���ERMIT# J
NAME /14
LOCATION
SCHEDULE INSPECTI NON .5 e�
AM M ANYTIME
�n_ � APPROVED
,r -;revN/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRIN ER SYSTEM
IF
FIRE SUPPRESS 0 - -
HOOD INSTALLATION _
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINK RS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD OVE
F PLACE-MASONRY
FIREPLACE-FACTORY BUILT I,L
REMARKS: [K TO THIS DATE
irisaWa.aua INSPECTOR
- -"----__A . 4 itl
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 5 . Ili)/
Building&Code Enforcement t{ v'
Dept.of Community Development Arrive am/pm Depart ►1 am/pm
Town of Queensbury Inspector's Initials sJ�-ems
742 Bay Road
Queensbury,New York 12804
NAME AA i►,.0'`'" 12 .t.,1------
PERMIT# . .,....„6"q 3`
LOCATION J-( Ili- DATE yfreD,
TYPE OF STRUCTURE 7 . ,....------
WA YE O COMMTTS
14 '1-T iti e---e.------"
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake ti///
Plumb Vent through roof ✓f
Roof Complete ✓✓/
Exterior Finish Complete ` �
Interior/Exterior Railings 30"to 36" /
Exterior Handrails,balconies,landing .8 in.or moi
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation _
8"clearance to sill plate
Gas Valve shut-off expo regulator 18"above gr de _ y
/Gas Furnace shut-off within 0 feet or within line site ✓�
Oil Furnace shut-off at entrap a to fumice area
Furnace/Hot Water Heater o ting _
Relief Valve(s)installed P
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. i /
Handrail exterior stairs both sides mom than 3 risers ,/!
Interior privacy/trim/doors/main entraLce 36" ✓/
Floor Finish , y Bathroom/Kitchen watertight , "
Interior Handrails Balconies/Landing in.or more /
Railing across window in stairwells ,/ /
Smoke Detectors: �//
every level ✓/
every bedroom it,
outside every bedroom %/
inter connected
Bathroom fans
Plumbing fixtures �
Foundation insulation { �/
3/4 hour fire door/door closer ✓
Garage fireproofing ✓// `-r ij/t-e-tL n Lc___ (1u4R1 Ft L4.-
Garage penetrations sealed �/ / `
Furnace in separate room protected(in garage) / -1 o n.) rl A.14 L 50:2 061
Light ventilation per room fr 7-7-
Safety glazing 18"or 1 ss o floorFinal Electrical 5- Z) 0/ A.)r
Site Plan/Variance r uired
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif of Occupancy)
.4....„---"'(..-) ‘'''A)11)
FIRE MARSHAL
O TOWN OF QUEENSBURY
3A4 � QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED�
NAME �- J f�\ _,-(,,Z . )
&12QA*-
LOCATIONS tai9 \ ii. PERMIT%
SCHEDULE INSPECTION ON ,S--A)'- ,0C-,
3 AM l
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS '+ _
EXIT SIGNS '
EMERGENCY LIGHTING ' _
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM \
FIRE SPRINKLER SYSTEM PPP' II-
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRI KLERS
CLEARANCE TO HEA ING UNITS
iR QUIRED SIGNAGE
CHIMNEY
W D STOV
IREPLA ❑MASONRY FACTORY BLT.
ROUGH-IN C j-ti°- &a0
❑FINAL 1 i.- 75Z R<P
REMARKS: 4. 32_5- 1 ' OK TO THIS DATE
JOL
INSPSLIP.PUB INSPECTOR
Wa..'-- - /.4119,--
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road 21,y
�
Queensbury,NY 12804 Arrive am/pm Depart /I -m
Inspector's Initials `J q
3
NAME: V.i1C AA-) PERMIT# 5
LOCATION: ft-•.% R-r-) - DATE : l2).
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers > ~, I I
Monolithic Pour Fo
Reinforcement in P
The contractor is nsible for
providing protecti n from freezing
for 48 hours folio ' g the placement
of the concrete. t
Materials for this purrose site
Foundation/W ur)
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Pl bing Vent/Vents ii Place
ough Plumbing
In Co • j NC
Insulation Ci lgh- o4k R . " /Grtd ✓
Foundation Walls Inte or R-
Foundation Walls Exte 'or R-
Floors R-
Walls "It-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging _
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
it 7Y1I) ,1111?
At"
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road45
Queensbury, NY 12804 Arrive am/pm Depart I ` 1 Jr/
x, ` 1-- =---
Inspector's Initials l
NAME: \tV \t" Ok, PERMIT# 5--- C
LOCATION: DATE : — ..).O D
TYPE OF STR CTUR :
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place \
The contractor is respon•ble for \\
providing protection fro freezing i
for 48 hours following t c placement
. of the concrete.
Materials for this purpose In site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo'ft-_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in PI-cc
Rough Plumbing
HepilIg Rough-In 7R --•\tkoLi'&
_
lation l�'d�,d,FI PA,,,PIS /4.1S/, Ls!—
Foundation Walls Interior R- n
Foundation Walls Exterior - I O(--``� G`"� t4 cl.NC.E:-4 "�� CY-
Floors R- / F4-$
�'`� `
Walls R-
Ceiling R- 5_Ag
Duct work or piping in (01A..l PI--�`' 1 t 'A-iS CD (
unheated spaces R-
roper Vent, A is Vent 4/0
f/ti41- ' p er t
gaming 4 M f%C i G� --- /"Z , (p (>C602v -
Jack Studs/Headers / CA-4- P‘0ny\
Bracing/Bridging_
Joist Hangers_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour. �)41", ` 1 =
Penetration Sealed 'd,1 ', O t,O L�,.x
Fite Wall 2, 3,4 hour /
irestopping_ J
1 (7\i,„/_\ ,, , , ,,,,,„,
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive O= m Depart
Inspector's Initi
NAME: , ��PERMIT# C l 3
LOCATION: "3 Q r_, DATE: I , L j0
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour
Reinforcement ih Place
The contract r is respo ible for
providing p on fro freezing
for 48 hours following the lacement
of the concret4.
Materials for thi' purpose on ite
Foundation/Wall
Reinforcement in Place
Foundation/Dami proofin
Backfill Approval
Plum ' g Under S
Plumbing ants in Place
Rough Plumbing 1:
Heating Rough-In t V 1 t i Gt.E1-1Q-s 6
Insulation G�he `‘c3t
�
Foundation Wal s Interior R- � '-\ -13\ IFD
Foundation W s Exterior R-
Floors R- 41 *AR t‘.. IZF Cx_Efl�R
Walls R-
6Z V6V____
Ceiling R- () a\ U\ -.- Fb b,3
Duct work or pi 'Jig in
���
unheated s R- \ � ,��\�llll
Proper Ve 'c e t V-Col \ 1=j` '�-�1�IJ .
F ng -c�
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping 4-0 Q�1P t�-‘ E \►JVt
1�� � vJR�
-_- 11JC 1 WL }u
'' 'i -1-1-\04-4-kkvvi ‘1,\60__Frook)
c V a 'w\ - i ik, A LL CEI a,
Ply
GENERAL INSPECTION REPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive\% - m/pm Depart ! 'rpm
Inspector's Init'
NAME: i✓� PERMIT# �j 3
LOCATION: .3- p �C\ DATE: _ :,- '' t'
TYPE OF STRUCTURE: �4.��
RECHECK J
N/A YES NO COMMENTS
Footings/Piers ' I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respons' a for
providing protection fro freezing
for 48 hours following the placement
of the concrete.
Materials for this ot�site c I�
Foundation/Wallpour .' \ N—D
Reinforcement in Place : E/`
Foundation/Dampproofing
Backfiil Approval �
Plumbing Under Slab ib 7--‘5
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In � f��`�
Insulation \�'‘/ ��'
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls j R-
Ceiling R-
Duct work or . ' g in
unh spa s R-
Prope ent, Attic f ent
F ng
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive r m Depart s t'i,+r ,.
Inspector's Initial•
NAME: PE' •.. ' 7`4
LOCATION: A Rrc s ATE : i —2_3
TYPE OF STRUCTURE: F p
RECHECK
7N/A1SNO CONTS
Footingsiers
Monolithic Pour Form
Reinforcement in Place
The contractor is respons'ale for
providing protection from "" ing
for 48 hours following the plac-• ent
of the concrete.
Materials for this purpose on site
Foundation/Walipour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing �(
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers J �/
Bracin[dg =L�;'- C3 E>t i� li t l,�� - 1 `7
Joist Hangers t*�'3TP11� \-\c I E2b :) 6 l'
Jack Posts/Main Beam v‘e_RD , �
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping 1 t� Pt L _ ` CJCt4,
;, ,. ,
GENERAL INSPECTION REPORT -0-
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 9 lio q
Queensbury,NY 12804 Arrive , tg `; I Depart m
Inspector's Initi
NAME: w t-)t -T`F1J1 A w 1 E PERMIT# - r
LOCATION: C`-3(c) F__f PD DATE :
TYPE OF STRUCTURE: A F-V)
RECHECK
N/A YES NO COMMENTS
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 "t
Foundation/Wallpour
Reinforcement in Place
oundation/Dampproofing rT
ackfill Approval -- ___,'
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation 2 ViN Ark v►,Fw2 '6t i ,
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floorss 51._AP7 ,;,;,Gut. tr) No/
Walls
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2,3, 4 hour
Firestopping
1011 PIL1
GENERAL INSPECTION REPO
( 518 ) 761-8256
Town of Queensbury
Q �
Dept.of Community Development Date inspection request received: " 14-D-cren
Building& Code Enforcement
742 Bay Road .�[
Queensbury,NY 12804 Arriv(2,pm t epart =' f ...moo
nspector's Initials —
C'l V
��)k � , l'
NAME: PERMIT#
LOCATION: ATE : stir_,A., '
TYPE OF STRUCTURE:
RECHECK '
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form —
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 ho s .11owing the placement
of the co cret .
Materials $r thi purpose on site_
Foundatio Wallitour_
Reinforce' nt in 'lace ________
Fou ••tion Da '•proof'ng_
___-_/k. ) V.-.E-A -V-- C.e-0 TA V-OLWEEV__
Plumbing U •er t/Vcnts in Place Slab
Plumbing Ve U 'iAVC--- t � VOC37%0-7 Rough Plumb g - — u.Rl_l 6. C &--��-EL�J V7b -
Heating Roug . In C-2_1Ac_ Ga.p�. �F _)
Insulation 1''� L1 p '' .n
Foundation ails Interior R- )D f �
OF env Fo z 10 Pp‘) _E\),
Foundation ails Exterior R- 6
Floors R-
Walls ' R oNI,_ C.D13 - ! Z)V-. VNE-
Ceiling R- _
Duct work or piping in kaL.L G ` 1,EI"C�'•-() F p c-J
unheated spaces R- 1 Gh- S- 1�
Proper Vent, Attic Vent E-106% - _ ,
Framing
Jack Studs/Headers
Bracing/Bridging_
Joist Hangers__
Jack Posts/Main Beam ____
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
1 i t , 1 1 : t i ' '
I
1 ' 1 I r .-. 11 ' , i i •1 I t
f 1 (-- -1. �- 1-. , , I'll A-oasi 3n°As NMO 1
I ',
I I . 1 . _1. - 1 11 1 lrG1
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