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2002-488 y TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-.Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020488 Date Issued: Wednesday, September 04,2002 This is to certify that work requested to be done as shown by Permit Number P20020488 has been completed. Tax Map Number: 523400-301-005-0001-015-000-0000 Location: 4 SAWN Rd Owner: JESSE&DIANA STOCKWELL SR Applicant: JESSE&DIANA STOCKWELL SR This structure may be occupied as a: By Otdet of Town Board Single Family Dwelling TOWN ofui;NSBtrizY Director of Building&Code MotcemInt - TOWN OF QUEENSBTURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020488 Application Number: A20020488 Tax Map No: 523400-301-005-0001-015-000-0000 Permission is hereby granted to: JESSE STOCKWELL For property located at: SAWN Rd 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. Twe of Construction Value Owner Address: JESSE STOCKWELL Single Family Dwelling 65,000.00 SR. &DIANA Total value 65,000.00 R.D. #2 SAWN Rd QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency COMMONWFALTH ELECTRICAL AGF, PO BOX 706 HAGUE.NY CI.I TTF FNTFRPRISFS. INC. MAUMbnf" ess: 4 Sawn Road 1008 SQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS $120.96 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 24,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer j of the Town of Queensbury before the expiration date.) Dated at the Town of Quee nd Z?L4for 002 SIGNED BY' the Town of Queensbury. Director of Building&Code Enforcement Building Perm V pplica to � Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-5256 . A permit must be obtained before-beginning construction. Permit File No. No inspection will be made until applicant has received a Fee Paid $ valid building permit. All applicants' spaces on this Rec. Fee Paid application must be completed and must appear on the Reviewed By: r application form. Applicant: CA�—E::!nj } Owner: _ FIF(- � Address: Address: 'Z-. . .. _ l Phone#(J tom)-711 7 Phone#( ) - w�-7 TOWN OF OUEENSBURY Email Address: ���y =��' � = Email Address: ull�pl��AND CODE Property Location: Lot Number: / House_Number J �L{ e� Subdivision Name: Tax Map Number: ❑ New Building res�idenpn commercial Estimated Market Value of Construction: $ ❑ Addition:' residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'I ❑ Other work(describe ) Check OccupancyInformation I"Floor 2"d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet o Single family dwelling X c � ❑ Two family dwelling Ea Townhouse ❑ Multifamily dwelling #of units ❑ Office o Mercantile a Manufacturing a 1 car detached garage ❑ 2 car detached garage o 3 car detached garage ❑ 1 car attached garage ❑ 2 car attached garage ' a 3 car attached garage a Storage building- commercial ❑ Storage building- residential ❑ Other. What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? -If so,for what? Type of Heating System: electric oil ! gas/wood forced hot air baseboard/other: n Number of Fireplaces to be installed azz Number of Woodstoves to be installed G List below the person(s)responsible for supervision of work as regards to building codes: -.� Name Ad Tess Phone Number Builder. 5 Plumber Mason \ Electrician 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 co Iett statement of all proposed work to be done on the described premises and that all provisions of the Buil � Code,the Zo 'ng Ordinance and all other'laws pertaining to the proposed work shall be complied with,whether spe zed or noted,and tha such work is authorized by the owner. Further,it is understood that Uwe shall submit;prior t a Certificate of Occupa y o _ ertificate of Co ance being issued,as requested by the Zoning Administra r or Director of Buildi Co an f1s Buil e by a Zz'c"8r l�surveyor;drawn to scale,showing actual - location all new_cons Signa e: owner,owner's agent,architect,contractor I Application for Permit—Septic Disposal System. Town of Queensbury 742.Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: Tax Ma Noa4 b 05 1 File Permit No p . 1 kd - Fee Paid Owner's Name: er� ............................ ------...........,........................._ ................._....................... . Address: 2. INSTALLER'S N � �� ��� PHONE NO. —7 >7— 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 9 bedroom(s) and multiply# of bedrooms with,applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older;- x 150 gal/bdrm _ 1980- 1991. x 130 gaUbdrm 1991 ;present x 110 gal/bdrm = cam. Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes /. no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) ToROREVhy Sail. ature Ground Water Bedrock or Lmpervious Material a is a Su ply a sand at what depth at whatdepth unici al -Rolling `loam feet feet well Steep slope clay if well;water supply %'.;slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction:' All individual sewage disposal systems must be designed by a licensed professional engineenor�architect(unless installed in a`Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: \.00'0 gallon(min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: ft. Seepage Pit(s): number of ;i size of each: _ ft. by l.CZ) ft. Size of Stone to be used: # _ / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required), Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a'Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) � 5TR 1-_' 1 POND -.------�'- "='"-;,�' wrs is n•, cA51*1(j � • l_ �, - `ter wf _ _ �' ,(f'�� 1 11-1 t nfl , • . . .AaY.rtntf'Ilt•-11 7. SIGNATURE &INFORMATION FOR RE,AIVNb s,�r,rcX%,3WLl k lVa-�..,,..�; . I C3 ENERGY CODE COMPLIANCE APPLICATIONI✓7�W TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods:Part 5 -Acceptable.Practice Method— 1&2 Family Dwellings (only) Part 6*- Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings (3 Stories or less) Part 4*- Design by Component Performance, Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APP ICANT'S NAME: PROPERTY LOCATION. PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- i 0 O`f square feet 2. Type,of.heat- Electric � Oil Gas Other 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 3� b. Exterior walls_ R X c C. Glazed areas R Lj d. Exterior doors Rom_ e. Floors over unheated spaces R £ Edge of slab on grade(heated building) R g. Basement/cellar walls (above grade) R k9 h. Basement/cellar walls (below grade) R 11.1 i. Heating/cooling-ducts-piping in unheated space R q,~ 6. Service (domestic) hot water heating device Conforms to minimum efficiency per code Yes . No TEM TURECONTRO MAXIMUM SETTING 140—WILL NOT BE EXEEDED pp c t' gn e Date Phone Number INSPECTOR'S ,MARKS: RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: _ Building&Code Enforcement y Its Dept.of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 c� `' 0�7 NAME U l PERMIT# LOCATION 5"4tJ Al DATE 6 7 TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36' /- Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate / Gas Valve shut-off exposed/regulator 18"above 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 Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" -Floor Finish BathroomMitchen watertight Interior Handrails Balconies/Lauding 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fareproofmg Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or le s om oor / Final Electrical Site Plan/Variance reqbitdd 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) zVo . RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart am/pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME PERMIT# LOCATION © DATE TYPE OF STRUCTURE N/A YES NO COMMENT Chimney Height/"B"Vent/Direct Vent tion Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.orlTore Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 34 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. 1 Handrail exterior stairs both sides more than 3 risers 1 Interior privacy/trim/doors/main entrance 36" Floor Finish BathroornXitchen watertight 1 Interior Handrails Balconies/Landing 18 in.or iore� Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom niter connected Bathroom fans Plumbing fixtures Foundation insulatio 3/4 hour fire doo oor closer Garage fir of ng Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required *i nal Survey Plot Plan c9 , 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) MAP REFERENCE: LEGEND: MAP OF A PORTION OF LANDS OF O IRF = IRON ROD FOUND R. ARTHUR & MAUDE M. STEWART O IRS = IRON ROD SET/TO BE SET DATED: OCTOBER 6, 1962 _ x = WIRE FENCE REMAINS BY: G.C. TRIPP, JR., C.E. — o = WOOD FENCE LINE 1� 4 1 Ve0 �. oo Si, LANDS N/F OF DIANA STOCKWELL 498/505 IRS sj6 "�� 14 "E AREA 39,607.56 sq.ft. 0.91 acres N�40 LANDS .N/F OF DOUGLAS & DONNA SAWN 1191/5 "V Du ji S t e v e S Surveyors, LLC 169 Haviland Road Queensbu New York 12804 ry, AL=Ar4M qC ADDI=M TO A SPIRY MAP IEMMIO A UCtM$tD LAID IMYVEYOMS SEAL IS A VIOLATION OF SECT M 72019, SLID-DMSICM 2 OF THE NEW VgMt STATE EDMI M LATIL• AW 7 m �L a,aWNW MMFID WRH AM DNGMLQ TL! WO 9MRMORD SAL 90U K COIISDEM TO DE VAA IWE COPES.' 'CERVICATWMS PCKA= HM M SOM" THAT TMS "VEY WAS PWAIIED IN ACCOMDAMCE " THE BY THE MEW � PACYMTATE A �>oLT LAM.OF PR D"S �°L BY 111E IICW Ygdf STATE AlSOQA11p1 OF PROFESSIOIIAL EXILand LAW SUWAMOMS SAD CEIMr"TLDMS Sou KIM OILY M THE PE M FM 1" M NE SAWN IS PREPARED. 00 04 MS KHAF 1D THE 111LE COWAMY,M7VTDwaffk WTM A"D `E'CP ""n"""°" ffLM HEREON. "'° m m A>e>M aF,HE InDIMD EISTIMIOM 518 792-8474 New York Lic. No. 50135 Map of a Survey made for BRANDON T. STOCKWELL Town of Queensbury, Warren County, New York 1 7/30/02 NO. DA TE V.5 �1 IRS C� F lam`/ W ,3 `' b � O *^1 40 y r Scale 1'=30' S --1 II$T 1 OF 1 HOUSE LOGATION STOCKWELL C817 DESCRIPTION DWG NO. 02174 LO I Ui 0 LO I rj v rn 90-3-15/301.05-1-15 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518) 761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive l)- Depart Town of Queensbury tor's Initi 742 Bay Road Queensbury,New York 12804 PERMPf NAME LOCATION _ Y71 DATE D TYPE OF STRUCTURET N/A YES NO COAS ENTS Chimney Height!"&"Vent/Du=t Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade t/ Gas Furnace shut-off within 30 feet or within line of site OR Furnace shut-off at entrance to fumace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36' Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells ✓ Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing v1, ` •/ ���777 Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site PlanNariance required Final Survey Plot Plan As Built Septic System layout requir d Okay to issue C/C(Ceil of Com "auce) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certit of Occupancy) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request zeceived: Building&Code Enforcement Dept,of Community Development Arrive�m epart Town of Queensbury ector's Iuiti s '742 Bay Road Queensbury,New j York 12804 ``,, (� N1�ME G 1� 1 PE # s'��2-- 1 LOCATION 441_( _ DA E e- ` . TYPE OF STRUC D N/A YES NO COMtvIl;NTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake - - Plumb Vent through roof �jEDs_ Roof Complete �4�-�j .a Exterior Finish Complete Interior/Exterior Railings 30"to 36" M%'b6 Exterior Handrails,balconies,landing 18 in.or more nJ�1 t7 Interior Handrails stairs both sides 3 or more risers I Grade 2%away from foundation 8"clearance to sill plate \b'� , Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off'at entrance to furnace area F% tJ Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doorslmain entrance 36" t Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Lauding 18 in.or more Railing across window in stairwells Smoke Detectors: - every level 1— 4^t iVKa every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation s/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protec in garage) Light ventilation per room Safety glazing 18"or less from floor 000, Final Electrical Site Plan/Variance required 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) Sloo, or. 4- 4-looto Iffool v ro 4\J CL z ,r I W � w aC N l� /n 11 I o I .0 S, }, it Q w b o ro ad I- c 4 ` , S. 0 -P `0 C Isis, u � r► X r, ,,H U1 +� 4 fU �r 0 A vn Q I 0 p 4J 4- 0UL Uc0 r- 00 - aV) p Fo 0 a Z 4� .A losoo LL ro 4-) 0 044-) 4J 0 if. Q A roV) vS. 0I- rocn +j4w w� �' U 9� +� +�H v f� �� cn V7 c l~ c ro 0 v � 0 'r- V) 4" U)A, N 0 X \ 0 00 0 w► pq �� 0 ' � (w r- H 0 f ,. � ,� a � to ash o �.w � �� � 0 � � +� �►� w � �ry �, 4J M /a ► p/. .c o I 0 4w c H ro, ro ro H � w a� ro a .J, w 0 0)4J y r t�. c Q c C it 4~ �, I4 '� w > � Q V) U i-) N 04-Off 0CQNWNOL -0r. 0Ou > � p. CU or- 0 -a i! ro v 0 0 Q1 or"�- 0 Q1 �r- W 'r- -W H r-• ro or* A.0 0 0 10 0 U ! ,rr 0 O� ti, -- - -- ------- - --- .Y- --- " ha. n- T-G d,-or eveA saw...evi e o -- _ a I ot'ec su o se w Its r - — - - +t— s owl on i qW um nt, I also represent hat I h ve p e al su e e s ances se h Oil th iagram. a R ' SIG AT AT i I -' ,-- -- _ -- - T— { E .j I 4 0 Use t�vv—zc—x\ f Use 0 GENERAL INSPECTION REPORT Inspecto'Pm Town of Queensbury Ready t time: Dept. of Community Development Request-received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbuty, NY 12804 ARRIVE NA�amlll EPART'UoD a ,Notes: (518) 761-8256 Inspector's Initia 3 NAME: PERMIT LOCATION. W-]-, INSPECT ON(date): 7/CVL�� - TYPE OF STRUCTURE: >57t-)2 r4 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 FoundationiWallpour Reinforcement in Place Foundation/Dampproofmg_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing__ Hearin Rough-m�x?��� r, _htion .J�tion� ns� 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 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, -Q� , �J- L:\SueHemingway\Btiilding.Codes.Inspccfion.FORMS\GENERAL INSPECTION REPORT.doe Offtce Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: / Dept. of Community Development Request received: ? s Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART1 6a-'m/pm Notes: (518) 761-8256 Inspector's Initials NAME: 5T U G PERMIT# gcPy LOCATION: 50 C,)A/ _ INSPECT ON(date): _ 7/Z s Z 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 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Uen dents in Place . Rou h Plum ing 77 eating 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- Pro er Ven, Vert ack Studs/Headers Bracing/Bridging Joist Hangers Jack ostsNain Bearn j enil iiBarierA 6 10 r eparation 1,2,3,hour Penetration Sealed Fire Wal �-3,4 hour � stop Ymg� L:\SueHemingway\Bui]ding.Codes.Inspection.FORNfS\GENERAL INSPECTION REPORT.doc GENERAL REPORT ( 518 ) 761-8256 Town of Queensbury Ce" Dept.of Community Development Date inspection request received: 4d- Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart Inspector's Initials NAME: PERMIT# LOCATION: DATE,: TYPE OF STRUCTURE:RE: RECHECK N/A YES NO COMMENTS 17) 1) Lp Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection ifiom freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dap=roofing-- Plumbing Under Slab Plumbing Vent/Vents in Place RoughPlumbing_ 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 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 Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbuty Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 17,Z'A 742 Bay Road Queensburj, ATY 12804 ARRIVE am/pm: DEPARTS m/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# L LOCATION: ko INSPECT ON(date): TYPE OF STRUCTURE: RECHECK I-400tings/Piers N/A YE 0 COMMENTS 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/Wallpour Reinforcement in Place Foundation/Dampproofang 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 Bracing/Bridgmig— Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemingway\Btiilding.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORT.doc