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2000-019 f t'rV4 Y.^A 'e' r tii, icate of " CY Occu all Town,of Queensbury r Warren County,New York Date Apr i 1 28,- 2 o a o This is to certify erti.y that work repested to be done as shown,by Permit No, has been complete, This.structure maybe occupied as a SINGLE FAMILY DWELLING Location LOT 32 #63 SURREY FIELD DR, Owner ' t TAX MAP NO$ 4 8 4 -8-3 2 By Order Town Board OF E Director of Buifdingvo-v Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (S 18)761-8256 VALUE $ 139900.. Building Permit No. 2000019 TAX MAP NO. 48 . -8-32 Permission is hereby granted to MICHAELS GROUP,THE L.L.C. Owner of property located at LOT 32 #6 3 SURREY FIELD DR. in the Town of Queensbury,to constructor 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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Owner's Address: 10 BLACKSMITH DR MALTA, NY 12020 Contractor or Builder's Name: MICHAELS GROUP, INC. Contractor or Builder's Address: JIM CHANDLER, PROJECT MGR 10 BAACKSMITH DR MALTA, NY., 12020 Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE. UNDERWRITERS Type of Construction: SINGLE FAMILY DWELLING Plans and Specifications: 1518 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS .Proposed Use: SINGLE FAMILY DWELLING 215 January 21 2002' $ PERMIT FEE PAID—TMS PERMIT EXPIRES (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 of Queensbury this 21 Day of January 2000 SIGNED for the Town of Queensbury Code Enforcement Officer Bt1 lfdlntg Permit Application Town of Queensbury - Dept, of Conununity Development, 742 Bay Road, Queensbury, NY 12804 [761-8256] BUILDING & . CODE ENFORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NQ OU0=0/ beginning construction. No inspection's / GCS will be made until applicant has received Zoning Board Action PERMIT FEE PAID$c:9 5- _ of a UILDING PERMIT. All Area /Use 'applicplica ani Bs RECREATION FEE PAID$154 spaces on this application MUST be completed �and.the signature qg> "'��` Plar:raing Berard Action R v By. of the applicant-must appear on the SPR ! subdivision !Other. plieation form. 77—*y : Building Inspector t Recreation Fee Payment Applicant: _r"E 14lt rii c' s nun Owner: Address: t�n�}kt.y Y2t��L6 Address Phone # (jtg-) g -(p1�-- Phone # Property Location: -- ~` _- � Q � Subdivision Name. SU Tax Map Number_ j 0 Section Block Lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE >( New Building: CONSTRUCTION: $ residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building Primary Building - residence / commercial _ Single Family Dwelling Residence / Commercial Two Family Dwel,l�ing � no change to exterior size Famil�4.y"T15,4tit'N'' c� ?� ' ' Office Other Work (describe below) Mercantile JAN 1 $ 2000 -Manufacturj.ng J Other TOVV O 4' ✓ts94Y GROSS AREA OF PROPOSED STRUCTURE: / � _�L11[__Dit\B�i A1,110 000E lst Floor. . . . . . . . 1,�j1 - sg. ft . If ADDITION, what will use of new, addition be? : grid .Floor. . . . . . . — sq t. f . Other Floors . . --- sq. ft. ..,� (riot unfinished cellar or basement) ACCESSORY BUILDINGS: Detached. Garage 1, 2 car TOTAL FLOOR AREA: SQ. FT. ZC_ Attached Garage 1, car Private Storage Bui SIZE OF NEW STRUCTURE: Commercial Storage Building _„494 _ FEET X �� _ FEET Other Foundation Type: Will any second-hand or ungraded Number of Stories: t lumber be used? If so, for what? (habitable space only) Kb Height (grade to ridge) : _Aca feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which a plies to be .installed:. Electric / Oil / as / Wood Forced Hot Air / Baseboard j Other Person responsible for supervision of work as regards to building codes is : �-2rn 6R �vr�2K �.-avtZ Na e A dre s Phone Builder: Plumber: '220 -2 Mason: Electrician: ' DECLARATTON• 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 BITtLT PLOT PLAN by a licensed sury drawn to scale, show' a actual location of project on premises. Signature: (owner, owner's agent, architect, contractor) Application for Permit—Septic Disposal System Town(?f Queensbury 742 Bay Road Quee"sbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: ...................... ................................................ Location of installation: I Office U ck File PeriitN4o00se—C)1 Permit Tax Map No. Fee Paid Owner's Nam Te: "'C-- ........... .................... ............................ ........... Address: kc) A-y 2. INSTALLER'S NAME (Li:41 1' 1-o PHON E N O. C� 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 4 bedroom(y) 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/bdrin = 1980- 1991 x 130 gal/bdrin = 1991 -present x 110gal/bdrii-i = Garbage Grinder Installed yes no X Spa or Whirlpool Installed yes_ no 1 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) vra 0 p Q . *rah Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Su Flat at what depth municipal--) izaC� p at what depth a5 (7�s feet Rolling —feet Steep,slope y 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) Rat(-,: - I _minute per inch 5. 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). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: ICCC gallon (min. size 1,000ga1.) M-1-7 Tile Field: eachtrench- ft. Total System Length: --Vgnr�- _J1. Seepage Pit(s): number of_ size oj*each: ft. by_ft. Size of Stone to be used: fi- depth or thickness fret Bed System Size: X Alternative System: IA.Al. length andleir size 6. HOLDING TANK SYSTEM: (if required) Number oftanks: Size ofeach: 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) 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 ofan 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 ofQueensbury Sanita Sewage Disposal Ordinance. Slgaature of responsible person Date 4028789 THE NEW YORK BOARD OF, FIRE UNDERWRITERS "_4 ' BUREAU OF ELECTRICITY 111 WASHINGTON AVE., S1.11,73W,AMIANY, NY 12210 APRIL 21 20 1 465,: aOO/ A 1'i033 Date Ap�plocation N . on fle THIS CERTIFIES THAT k''iOO-01 only the electrical equipment as described below and introduced by the licant named on the above application number is in the premises of THE MICHAEL9 GROUP r 63 SORR 1YF1:LIDS l(011��ii�al RY, N-Y in the following location, 9 Basement © rst Fl. El 2nd Fl. 1'AR Section Block 'Lot was examined on APRTL 1.912000 and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKs OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT, K.W. AMT. K.W. AMT. N.P. 28 38 26 28 t i; DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT, AMP. AMT., AMPS. TRANS. AMT. H.A. NO.OF FEET AMT. WATTS ' 2 1.4 1 SERVICE DISCONNECT NO.OF S E R V I C E METER NO. CC COND. A.W.,G. A W.G. A W.G. AMT. AMP. TYPE EQUIP, 1'0 2W 1 0 3W 3 0 3W 3 0 dW PER 0 OF CC.GOND, NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 150 CB 1 X 1 2/0 OTHER APPARATUS: POT LIGHT-1. SNOB' DETECTOR:—5 WI II.IIC1J.'1 D. d"dCP Al\TbON 2446 JAFFREY ST, GENERAL MANAGER SCHENNCTADYr NY7 12309 �3q Per This certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF. CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. T EACH SEPARATE BUILDING THE�NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO. DO NOT WRITE HERE- FOR OFFICE USE ONLY I 'BUILDING PERMIT NO. i l � TEMP.# DATE- i CITY OR VILLAGE ZIP CODE TOWNS IP CQUNTY STREET AND NO.OR ROAD POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LO ATED? SECTION BLOCK LOT OCCUPANTS NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS r - HOME TELEPHONE NUMBER CURRENT SUPPLIED JY FROM THE[R OFFICE WORK TELEPHONE NUMBER BUILDING IS NEW OLD ❑ WORK IS NEVADDITIONAL❑ DEFECTS REMOVED El LIST BELOW ALL EQUIPMENT WHICH YOO INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE Loco- Lamp Receptacles CIRCUITS ONLY tion Side Attach; H.P. Watts A.W.G. Ceiling Wall Recap'Is Switch Pendant Bracket No. Type Each N°' Each NO' Gauge INSPECTION OUT- SIDE SUB- BASE BASE- MENT i st FL. 2nd FL. 3rd FL, REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. THIS APPLICATION S INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT,AS PROVIDED-BY THE APPLICANT. . SIZE OF MAINS FEEDERS IIIApplicant affirms that there is not an application for electrical CHARACTER OF WORK ❑EXPOSED inspection pending with a qualified electrical inspection ❑CONCEALED p p g q p DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein. This application is valid for a period not exceeding one year SERVICE ENTERS BUILDING - from the date received by the Board. ❑ OVERHEAD ❑ UNDERGROUND > J - DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE] MUST ENTER APPLICANTS I 14 / ( I I I IDENTIFICATION NUMBER AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT , DATE OF APPLICATION SIGNATURE OF APPLICANT ti 0 Ix STREET ADDRESS TELEPHONE NO. - CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE ❑ 85 John Street 111 Washington Ave. ❑ 3291 Lake Shore Road ❑ 217 Lake Avenue ❑ 202 Arterial Road NEW YORK NY 10038 SUITE 704- BUFFALO, NY 14219 { ROCHESTER, NY 14608 SYRACUSE, NY 13206 (212) 227-3700 ALBANY, NY 12210 (716) 827-1155 I (716) 254-0141 (315) 463-8552 (518) 463-2122 r `-THE NEW- YORK BOARD OF FIRE UNDERWRITERS RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 'A �I .Building& Code Enforcement Dept. of Community Development Arrive\D94'tQpya Depart Town of Queenshury Inspector' 742 Bay Road Queensbury,New York 12801 '� �� NAME I�� PERMTT# LOCATION DATE TYPE OF STRUC 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 a regulator 18"above grade Gas Furnace shut-off 30 feet or within line of site Oil Furnace shut-off at en to furnace area Furnace/Hot at eater o ating Relief Valve(s)in led Headroom,6 ft..6 i .on s ' s Basem' t stairs,6 Handrail a or irs both sides more than 3 risers Interior privacy/ doors/main entrance 36" Floor Finish Bathroo�tchen atertight Interior Handrails alconies/Landing 18 in. or more Railing across win ow in stairwells Smoke Detectors: every level every bedroom outside every Broom inter connected Bathroom fans lumbing fixture Foundation insul tion Jr 3/4 hour fire door/door closer Garage fireproofing 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 vymal Survey Plot Plan Built Septic System layout required Okay to issue C/C(Certif. of Compliance) av to issue temp. C/O(Certif. of Occupancy) V/Okay to issue permanent C/O(Certif: of Occupancy) RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building&Code Enforcement Dept of Community Development Arrivev �eparl Town of Queensbury Inspector's Ini 742 Bay Road Queensbury,New York 12804 1 NAME �t 5 PERMIT# �J LOCATION DATE 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 Exterior Handrails,balconies,l ding 1 in. or more Interior Handrails stairs both si es 3 or m re 'sers Grade 2%away from foundatio 8"clearance to sill plate Gas Valve shut-off e sed/re ator 1 above grade Gas Furnace shut-off `thin 30 eet or 'thin line of site Oil Furnace shut-off at ce t ace area Furnace/Hot Water Heater openting Relief Valve(s)installed Headroom,6 ft. 6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sid s more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Lan g 18 in. or more Railing across window in stairwe s Smoke Detectors: every level every bedroom ✓ outside every bedroom inter connected Bathroom fans Plumbing fixtures ,,11 Foundation insulation ] ��uo 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed IJ Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor 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) -IrOW V OF QtjEENSISIJRY` BiUXUDING A CODE ENFORCEMENY '742 B.-R.y C u +c r�r Sb u rY My X 23304 SEPTIC DISPOSAL SYSTEM INSPECTION N ame LC)cati C>n eV f Date permi t r SOIU TYPE : Sand-- Loam- Cl ay- Restr� is of �'ercoQ�� nute/ Inch ( j -f applicable ) Pate TYPE OF SYSTEF4= ABSORPTI� FIE'--Ilren�ha� Length Length of Depth of -t enches Size of sto e SEEPAGE PITS _ R! umber-- ft . Size - Stone size Size Type PIPING :Bldg - tc Tank Tank tc) Dist- BOx - Di st _ Box to F`i el d/ t No Parti a pp en 1 n g s Seal ed ? es LOCATION/SEpARAT S anic feet Foundati c>n -Fee-t Foundation -tO Absorpti o feet Separat1 on of Pi -ts -YesNo Con-Fc)rms as per P`i o-t Pl a t-OCATI Cam[ OF SYSTEM ON PRO ERTY ( circle one ) Front - Rear -- Left Si de - R� ght Side Mi dc4,l e Frvn! - � ddZ e i2ear -le COMMENTS = P,--- " SYSTEM USE APPROVED YES ND Ar-r-i D ep as COY o cn a G� ro x N H ro x C � ro n ,"310 1 h a r z a 1 �H H o 0 q " [ m N x o r H Qo k 7 C > M Iq z o x 0 0 � � r n �a o c z z o ro g c z rt z# xM xy H q q > w M 2 Hy Z M �1 y �3 m m 7 nj n H { r 0 U 0 /� M N x x H N � � ti P H 1 1 `Z 4 w H h; �v ro n m > H o t x x H n H z H z o H H m c rr� r zotin om 000z ►� , mloN o z +, r cvro1 c� mr c 0 rr� z N � ;azNm o ►� � � Hr x n x tax row cc zroro � � rrhoao x ►� c n nz c ►� � c� H n oo o � +ac H �} H A. � n � H zq oo ► H c cnz Za �zron � r n � H ro z � u� N x z� � N � � � � � q � n c�o � � fl H roHn � �nc � n or > > ocx ro � roxc [ / zz ozr o n M N rzI N oan 11 V) > � H �1 acero [ H C . H C C m H zH mti � o 1 ,on r nr no v nro H z cnH c +� � C+ > 'zr Hy M M > �i r o n H 0 [ H O Z 0 z G3 H H t T z 0 O m m z+ r 0 z w 0 �3 x ro ^M Ox VI x �i o ff z� q o H H Gn N�i�o Ui 0<>0C H� r1 z M ozN, b oo z POH ., 020 " rC Nooc H H N Z H Q n►� 4 I z z �an ' ro Nro z � � r M MAP REFERENCE: SURREY FIELD SUBDIVISION MODIFICATION TO AN APPROVED SUBDIVISION DATED: OCTOBER 27, 1998 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC H.O.A. COMMON GREEN SPACE 30 � an D us en 8c Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Lfc. No. 50135 31 1NALITIMED ALTOIAIDI/ OR ADDITION TO A SURVEY MW 9:AIWO A UCENIND LMD SURVEYgY !AL 15 A VICLAIM W SEETDN 770111, 97F-OIYM01 .I. W 1W NEW VOW WAR OAIOAII011 LAW 'OILY CMU FVM THE ORDNAL OF IM SURVEY NMIED WIN AN ORMIAL W M END SURW M •JL WALL OE CONOM D TO W VALID W K W" 'COEIMICATANi NOICAIED HOMDII 9W" INAT INS SLOW WIS F WAARED N AOOORDANCE WTH IHE EMSIW0 CODE OF ►RACOCE FDA LAD 3UR1tti= ADMWD MY NNE NEW YORN STATE AMMAIHN OF PROFEMMM LAD SURYrAM SAD COnFICAIiOIA WALL RUN INLY TO DE PW= Fdt WDN WE 91NVEY ET PIMPARIA AID ON NO SCILAIF IO DE TIRE OWAIM OO.OMMDITAL AOEWY AND EDDMD 116MMON LOU NOEOIL AND TO THE A=MU OF 1W IDIDMD NSIINDOK' �y9 32 7312.71 sq ft Map of a Survey made for cola 33 9R1�E 10 ALFRED A. & BARBARANNE MILEN Town of Queensbury, Warren County, New York 34 APR 2a 2000 1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT ONI4M of NEW p n CERTIFIED TO. Alfred A. do Barbaranne MRen C. Chicago Title Insurance Company '' SDI95 CERTIFIED BY: LAND ` MATTHEW C. STEVES, LLS NYS 50135 DATED: March 24, 2000 Date, MARCH 23, Scale 1'=20' S-1 S'$T 1 OF I MILEN DWG. NO. 97061-32 NO. I DATE DESCRIPTION fiENERf$L INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: a Building&Code Enforcement 742 Bay Road Queensbury,NY I2804. Arrive W-. am/pm Depart Inspector's Initi NAME: 1 CAL CPERMIT# LOCA ON: DATE TYPE OF STRUCTURE: RECHECK N/A YES NO CO11fMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is re spo ible fo providing protection fr in freezi g for 48 hours following a place ent of the concret Materials for this urpose n si Foundation/Wallpau _. Reinforcement in Place Foundation/Dampproofing Backffll Approval Plumbing Under S1ab Plumbing Vent/Vents in PI ce Rough Plumbing Heating Rough In UIRsulation Nt C Foundation Walls Inten R- Foundation Walls Extern r R- Floors Walls Ceiling R Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Readers 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 GENERAL MSPECTIONREPORT ( 518 )761--8256 Town of Queensbury `� 1 Dept.of Community Development ,�-Da et inspection request reeeived:� Building&Code Enforcement 742 Bay Road Queensbury,NY 12804.Y, Arrive' _ m Depart i Inspector's Initi NAME: ' ' PERMIT#� 00-D 19 LOCATION: SUA DATE : %= Z -[ TYPE OF STRUCTURE: — RECHECK. ` rr N/A YES NO COMMENTS FootingsMers �! Monolithic Pour Form Reinforcement in Place . Y 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 n N Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R' Foundation Walls ExterioVR- Floors R- Walls /R- Ceiling / R Duct work or pipingrin unheated spaces' R Proper Vent,Attic Vent P-Traming r= Jack Studs/Hea ers Bracing/Bridging Joist Hangers + JackPosts%MainBeam ✓Air Infiltration Barrier ' Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping , V L i G.ENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement P) 742 Bay Road � , Queensbury,NY 12804 Arrive am/pm Depart am/pm Inspector's Initials e NAME: LOCATION: .' be/? I C-C, DATE : %UVROE TYPE OF STRUCTURE: RECHECK ` N/A YES NO COMME S Footings/Piers Monolithic Pour Forma 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 undation[Dampproofing V13ackfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In `= Insulation ; Foundation Walls Interior R- Foundation Walls Exterior R- s. Floors R- Walls R- , Ceiling R ,< Duct work or piping in ,x} unheated spaces - Proper Vent, Attic Vent Framing xz, Jack Studs/Headers BracinglBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping ve GENERA 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 am/pm part K m/pm Inspector's nitials NAME: L C�'� PERMIT# � LOCATION: "� G 3DATE : i:; darb TYPE OF STRUCTURE' RECHECK f t,h N/A YES NO 4ACOMAIENTS Footings/Piers !, I f � Monolithic Pour Form Reinforcement in Place, The contractor is responsible for a providing protection from freezing for 48 hours following the placement of the concrete. w Materials for this purpose on site Foundation/Wallpour N Reinforcement in Place ' Foundation/Dampproofing ` ackfill Approval er f o 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 r Joist Hangcrs Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queenabury,NY 12804 Arrive am/pm Depart am/ M Inspector's Initials NAME: PERMIT 1E LOCATION: INZ DATE : TYPE OF STRUCTURE: RECHECK N/A YE NO COMMENTS LFW ers---�gs/Pier� Monolithic Pour Form Reinforcement in Place The contractor is rest le for A providing protection fr m freezin for 48 hours fbUowin the place ent of the concrete., Materials for this on site Foundation/Wallpo Reinforcement in PI Foundation/Dampp fing- Backfill Approval Plumbing Under S Plumbing Venal is in Place Rough Plumbing Heating Rough-I Insulation Foundation ails Interior R- Foundation ails Exterior R.- Floors R- s R- 9 R- L7uct wor or piping in unhea ed spaces R.- Proper Ve 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 --