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2002-819 TOWN OF QUEENSBURY 342 Bay Road,Queensbuty,NY 12804-5902 (518)761-8201 Community Development Building&Codes (518)761.8256 CERTIFICAT E OF OCCUPANCY Permit Number: P20020819 Date Issued: Thursday,August.25,2005 This is to certify that work requested to be done as shown by Permit Number P20020819 has been completed. Tax Map Number: 523400-301-008-0002-089-000-0006 Location: 414 D1XON Rd Owner: FRANK&GERTRUDE MULCAHY Applicant, FRANK&TRUDY MULCAHY This structure may be occupied as a: Residential Addition By Otdet of Town Boatd TOWN 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 izectot of Building&Code Enforcement Planning Board or Zoning Board of Appeals, TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020819 Application Number: A20020819 Tax Map No: 523400-301-008-0002-089-000-0000 Permission is hereby granted to: BFANCONSTRUCTION For property located at: 414 DIXON 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. Type of Construction Value Owner Address: FRANK& GERTRUDE MULCAHY Residential Addition 17,000.00 414 DIXON Rd Total Value 17,000.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency BEAN CONSTRUCTION FRANK JFLLFY 227 KONCI Ter LAKE GFORGE.NY 12845-0000 Plans&Specifications 2002-819 Construction of a 221 sq ft residential addition per plot plan and specifications. $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 08,2003 (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 th ow f Qu a 8 October 08,2002 r"f SIGNED BY for the Town of Queensbury. .7 Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,7Z Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No.=--,) --6(v No inspection will be made until applicant has received a Fee Paid $ — valid building permit. All applicants' spaces on this Rec. Fee Paid SEY 2 7 20OZ application must be completed and must appear on the Reviewed B application form. rMN 0 O.UEENSBUPY k -JE(W y: Applicant: or, Owner: Fr_1Aj,)6 17-?uI�q17 , Address: 22—T K_or-Nci 1- c s � Address: 'FN- Do�" Rd, < efc>ca!sj lv-Yloc3zt,a 6k..-ee"5 Phone#(57 6 ) 1-761 -�6// ' Phone# Email Address: t-nCX-11) Email Address: Property Location: Lot Number: House Number PIY104-i Subdivision Name: e0e r-V r-en, 7A Tax Map Number: L3 New Building: residence /commercial Estimated Market Value of Construction: $ Addition: commercial if a- n Ad4itign,what will use of new addition be?_4a t� _fA 'all _7 o Alteration: residence/ commercial P67 C1 No change to exterior size: residence con.I C3 Other work(describe Check OccupancyInformation I"Floor 2 Id Floor Other floor Total Belo sq.ft. sq.ft. sq.ft. Square Feet ❑ Two family dwelling C3 Townhouse 1:3 Multifamily dwelling #of units C3 Office U Mercantile U Manufacturing 0 1 car detached garage 0 2 car detached garage 0 3 car detached garage U 1 car attached garage a 2 car attached garage 0 3 car attached garage c3 Storage building- commercial 0 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 othet: 01 Number of Fireplaces to be installed Q Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name [Saul le[LaY Address Phone Number -Builder o — 2_;_2 I &,nrf --sZ C( 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 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 Vwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location w CoS of all n n tru ti all TI)IN-A owner,owner's agent,architect contractor f� y>: Permit Number MECcheck Compliance Report Checked By/Date Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:Untitled TITLE:res. add. COUNTY: Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family BEATING TYPE:Non-Electric DATE: 10/08/02 DATE OF PLANS: 10/8/02 PROJECT INFORMATION: Frank Mulcahy 14 Dixon RD. COMPANY INFORMATION: Bean Construction Co. COMPLIANCE:Passes Maximum UA=63 Your Home=49 22.2%Better Than Code Gross Glazing Area or Cavity Cont. or Door. Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 221 30:0 0.0 8 Wall 1:Wood Frame, 16"o.c. 387 19.0 0.0 22 Window 1:Wood Frame,Double Pane 26 0.360 9 Crawl l: Solid Concrete or Masonry,4.0'ht/3.0'bg/4.0'insul 172 0,0 13.0 10 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the Proposed New York State Energy Conservation Construction Code requirements. Builder/Designer Date r f MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE: 10/08/02 TITLE:res.add. Bldg. } Dept. Use ( } Ceilings: [ ] } 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation I Comments: 1 } Above-Grade Walls: [ ] ( 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation } Comments: I } Windows: [ ] ( 1. Window l: Wood Frame,Double Pane,U factor:0.360 } For windows without labeled U-factors,describe features: } #Panes Frame Type Thermal Break? [ ]Yes[ ]No } Comments: } I Crawl Space Walls: [ ] } 1. Crawl 1: Solid Concrete or Masonry,4.0'ht/3.0'bg14.0'insul, R-13.0 continuous insulation } Comments: } Applies to walls of unventilated crawl spaces. } Exterior insulation must have a rigid,opaque,weather-resistant protective covering that } covers the exposed(above-grade)insulation and extends at least 6 in.below grade. i 1 } Air Leakage: [ ] } Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] } Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible } materials and 3"clearance from insulation. } } Vapor Retarder: [ ] I Required on the warm-in-winter side of all non vented framed ceilings,walls,and floors. Materials Identification: [ ] } Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] ( Materials and equipment must be identified so that compliance can be determined. [ ] } Manufacturer manuals for all installed heating and cooling equipment and service water heating } equipment must be provided. [ ] ( Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I } Duct Insulation: [ ] } Supply ducts in unconditioned attics or outside the building must be insulated to R-i I., [ ] } Return ducts in unconditioned attics or outside the building must be insulated to R 6. N [ ] I Supply ducts in unconditioned spaces must be insulated to R-11. [ ] ( Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on.return ducts in basements. I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics I (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. I Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g. (500 Pa). [ ] ( Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] ( Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] ( Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. 1 I Electric Systems: Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] ( Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction I provisions of the Building Code of New York State,the Residential Code of New York State or I the New York City Building Code,as applicable. I Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the I water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. 1 I Circulating Hot Water Systems: [ ] ( Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% ( of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation:. [ ] ( HVAC piping conveying fluids above 105 OF or chilled fluids below 55 T must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) U to o 1" Up to 1.25" 1.5"to 2.011 Over 2" 170-180 0.5 l`:0 1.5 2.0 140-160 0.5' 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by ki Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) 1pueensbury Building & Code Enforcement - Residential Final Inspection Office No. (51$)761-$256 Arrive: �e���` Date Inspection request received: inspector's Initi NAME: 1C"G } C IT#: �� C� LOCATION: ATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more(o),stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in. to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill 2late Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. 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 Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected; / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/1/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft;150 s .ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if re uired Okay to issue C/C or C/O Tern orar ermanent L:\PamW\Building&Codes\Insvection Forms\Res. Final Inst).form 2.docLast printed 2/12/04 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC, Main Office 176 Doe Ron Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE a ELECTRICAL APPROVAL Permit No#I iMrl;ii##4M;M######4MMMMMIof##Cert. 0 8 0 3 12 Cut-in Card No#elsoll I1ifi 11iHil/Rtt!ll�if�N i# CWnr1#rrli#ff###ff }1iH{ffitlRMifMfti!{MMMfR#4{rM{IMMff•f1fMl{Mffitfftffiftif#;iiftt4#i4iMiittiftt4{#MMIf1{tfflfnl#MMNMr#Mr1##r4#iMiil4fMRr rirrll /� F Location fM4r# ##frlrr{ H#IIr#rrrMNi{f#r1#f#rtf#fifr}IM#MitMf1#{rr1{MIN#i1141#r11riM1N1/#rrr#IMi1114##rf#}} 11#441tft #{MMMt IfUi#rrlllrr•tr1##f#111i Installation Consisting of #}M1519ifff4i fiffiffff{fif{iNiff#ff#ff1{{iffffflffiifiii{R�iRfiiff4rfrlr! 11;11 ifii ifii{ 4#ffiRf#}f}rr1 (t(J! WV ###tff i!!ff!lNilf{fa.... f4f{if11i �ii M�i4 ifii;f •14�{fiffi{Nfiffff#if1#iiiNlrr4fiOP } titto};i f ii f i}#! M110if4ffff}114###t'1r##KI#}#}1###MM #IMfrR#!#iitMNMi•NM#ifii#MfffNff###/fN�M�#rRa4f#ralM4aafa#IIa11#aa#ait7lRtaa+a####4RM#IIMsettee see 141MR!##04104aa#aaaafa4ilia#1{N11##l;iii#{#R;MIM11##M44#1#f4###Ili Insta�1 /�1 a �nj�r 4 No, lled RaarHiMif ii!#444#{##i#4114##1##if##f##1 #RR!!f4####11!!f4}}}}};iiM4MtiM}41#14i;t#Ip+" f 1}}ff}R#froiMf11{ifiiiif#i#4#4H#f#1#1#i1r14#r!# The conditions following governed the issuance of this certificate, and any certificate previously issued i.; cancelled: - This certificate only covers the electrical equipment and installation conditions as of date# Upon the introduction of additional equipment or alterations, application shall h romptly made for inspection, Inspectors of this Company shall have the privilege of ma 'ng in ections at any time, and if its rules are violated, the Company shall have the right P r ke is heat Ite;M{! {#4##1#tMi#1#r##rt#{tHtrlr#rrrrrrr#Irr11r1 INSPECTOR # 1##u4r rtr#1 Hi#fait#!! i{f{f4t#MM{tfftif{tflrrfM#1Mrffrr711#i###i!#Ilf4iffil#f11 Member NARA.. LAZI. opce uslel GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received. Meet: 0 "ce]Use " ff Inspector: e Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPAJ?� am/pm Notes: (518) 761-8256 Inspector's Initia NAME: PERMIT# LOCATION: —t>L-1/_0 R",gn INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in a e The contractor i responsible for providing protec *on in freezing for 48 hours folio ingo placement of the concrete. 11 Materials for this pu ose o site Foundation/Wallplour T Reinforcement in Place Foundation/Dampproofi 9 ?Back,fil .Approval�a nij PI ing Under Slab U um mbinj r ing VentPftsrs in PI c -,"e' Rough Plumbin c AV Heating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior 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 Firestoppin L-\SueHemingway\Building.Codes.Inspcetion.FORMS\GENERAL INSPECTION REPORT.doe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: -12 Meet.. Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART��mlpm (518) 761-8256 Inspector's Initials NAME: PERMIT#_-2AZ_NZ!7 LOCATION: .1 q- btA� INSPECT ON(date): TYPE OF STRUCTURE: U1 RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place_11�br The contractor is respo'15'blA for or providing protection fre zing fro m f for 48 hours following thipl Eat ement of the concrete. ,e Materials for this purpose on ite Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin ackfill Approval—Plumbing Under Slab MR ffibiA ng eat/Vents in Plac V mg ating Rough-In Fo " Walls Interior Foundation Walls Exterior Floors R� Walls Ceiling Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Frarning Jack Studs/Headers Bracing/Bridgmig— Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed F�F' Wall 21,,4-hour 0,%ng L-.\SueHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc Office Use GENEFAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time:. Dept of Community Development Request received: Meet: , 4 M Building& Code Enforcement At time: 1AVO r 742 Bay Road D4, Queensbury, AT 12804 ARRIVE am/pm: DERART/�• amlpm No (518) 761-8256 Inspector's Initlals�i2,L, NAME- AAA- PERMIT# 62--ff / LOCATION: INSPECT ON(date):TYPE OF STRUCTI JR —Y RECHECK N/A YES t 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 -Fou-ndation/Wallpour 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 Ft.- Ceiling R- Duct work or piping in I unheated spaces R- PrLz9-1,WiZV7Attic Vent ro gM Merk 9 Jack Studs/Headers Bracing/Bridgmig— Joist Hangers lack Posi1s/,M�1aB—ea-TT-T--% Ti 'at 0 Ai ,�Barffr�,,ivOlMoRBUfier-Sir Separation 1,2,3,hour enetration Scaled ire Wall 2,3,4 our arestopping L-\SueHemiiigway'Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT-doc -2- \Q��N�=-.�- \D��)-4 GENERAL INSPEeTION 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 � a part ' m spector's Initi s 19 NAME: CA ION: _ �t DATEE: O : TYPE OF STRUCTURE: ? RECHECK NIA 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 foi this purpose on site Foundation%Vtlallpour Reinforcement in Place Foundation/Dampproofing BackCill Approval Plumbing Under Slab Plumbing VentlVents in Place ough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- i Floors QjD}L R- 1 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 i I Office Use GENERAL INSPECTION REPOR 6 Inspector: 11 Town of Queensbury Ready at time: Dept. of Community Development Request received: /a 7il I �� Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury AT 12804 ARRIVE am/pnz. DEPART- —am/pm Notes: (518) 761-8256 Inspector's Initials AW NAME: � � crm,,+- PERMIT# ` 0 Qz-� LOCATION: ( 1 INSPECT ON(date): 6 d llzz TYPE OF STRUCTURE: `e,—s 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 �oundation/W allpour Reinforcement in Place F undation/Dampproofing kfill 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/Bridging Joist Hangers Jack Posts/Main Bearn Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road If 12804 ARRIVE am1ppw Queensbury, Al T3am/ m Notes: (518) 761-8256 Inspector's Initial NAME: AA=E� PERMIT# LOCATION:— H N D \ )LQ t,) INSPECT ON(date): \0— TYPE OF STRUCTURE: RECHECK N/A YE i NO COMMENTS Footings/Piers Monolithic Pout 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 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/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__ L:\SueHemingway\Building.Codes.Inspection.FORMS\GBNERAI,INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at me: D 62 ept. of Community Development Request received.- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbuiy, AT 12804 ARRIVE I V In�a R y<j�_�V Notes: (518) 761-8256 Inspector's Initial dle, NAME: &4 PERMIT# 2,402,—V LOCATION: I kOO INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS 7AFootings/Piers IL/ Monolithic Pour Form VReinforcement in Place 17 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 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/Bridging Joist Hangers Jack Posts[Main Beam___/l Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping__ L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAI.INSPECTION REPORTAOC LEGEND : tPF= tR©N PIPE i-ouND. � MAP REFERENCE: "EVERGREEN StJB61VtS1QN-SECT THREE" ECENED MADE BY JOHN B. VAN DUSEN DT X 8/6.169_ REV. 12ii8i73-FILED SEP 2 7 2002 c LOT NO s SHQWN HEREQN REFER TO SAto mAP3 T OF 0UF-IF - LANDS OF TARDIF 589-185 N-34"05=30=W 100.00' �PF DEED REFERENCE Y O HENRY TOSLE/G T N I O PALA-. G. SQKQ I I u7 UU) 671-659 5/3/89 In (2) b �o •4R,CA-15,000 s¢ ff a ca t2S" ► r_ °dx � se.so• h N Garage /-st. from¢ House I w . a �2Z=.. 7' port r-a,6s J �i ( `) d os5•so,,tnoeat of con•Mr � 5-34'-04=E tOGl07'to lPF Q 23.7a50'to csntsrlrnr of SIEDIXON S-34.05'30=E" 100.00' MIDNIGHT SCXJTH bunod fWL /e ROAD (2/'asphalf surface) e1 - I hereby- certify' to North- PLOT PLAN east Savings, FA; American Title Insurance Company—and showing, lands fo be conveyecd fo to Larry- W. Lewis , Sr. & 11 ilARJORIE LEWIS Marjorie Lewis that I did L�4RRY �,sR. a% perform an accurate field survey' of the premises shown TOWN of QUEENSBURY . WARREN. COUNTY, NEW YORK hereon, and that there are SCALE: 1"=30' JULY 10.1985 no encroachments or zoning violations , except as shown. PREPARED BY. WAYNE R. RAYMOND LICENSED LAND SURVEYOR Wayne R. Raymond, ,GLENS FALLS a LVEVERTOWN.N.Y. License no, 48988