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2001-874 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: P20010874 Date Issued: Thursday, May 30, 2002 This is to certify that work requested to be done as shown by Permit Number P20010874 has been completed. Tax Map Number. 523400-301-013-0002-079-000-0000 Location: 22 CHIPPEWA Cir Owner. SCHERMERHORN CONSTRUCTION CORP. Applicant: SCHERMERHORN CONSTRUCTION CORP. This structure may be occupied as a: By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling (--- 444P Director of Building&Code- nforce ent TOWN OF QUEENSBURY 1 - 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010874 Application Number: A20010874 Tax Map No: 523400-301-013-0002-079-000-0000 Permission is hereby granted to: SCHERMERHORN CONSTRUCTION CORP. For property located at: 9 CHIPPEWA Cir 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: SCHERMERHORN CONSTRUCTIO Single Family Dwelling 145,000.00 79 MASTERS COMMON NORTH Garage-2 Cars Attached QUEENSBURY,NY 12804 Total Value 145,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency SCHERMERHORN PROPERTIES INC COMMONWEALTH ELECTRICAL A( 15F BIRDIE Dr OUEENSBURY,NY 12804 PO BOX 706 HAGUE.NY Plans & Specifications �2001-874 2414 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $335.88 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday,December 03,2002 (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 wn Que b . 'o -�a December 03,2001 41 SIGNED BY r" for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before begi1 *_ n itc o " �4 Permit File No. /v(- No inspection will be made until applicant as received a gg Fee Paid $ valid building permit. All applicants' spaceothe 1 Zu,!/ ; Rec. Fee Paid application must be completed and must appear the application form. -coVNIQ � � R. Reviewed By' Applicant: s Owner: !S�4sec- vL--1vh Address: j.r" te- - vo!°i c - Address: I s- F ��- )cJ tcfrl s6vv- J fr/\/ t/ccfr s �v�v �/y Phone#( 'G/_) ' - 0671 / Phone# ( ) 7q2. - 6(71 Property Location: Lot Number: / Z / House Number. 9 / 4 r„eita.,rea 64-c.tc_ Subdivision Name: -7 , - Tax Map Number:. .30 f, /3-V-7, �D ' l�i� Sato.,./14 7 New Building: residence commercial Estimated Market Value'of Construction: $ ❑ Addition: resit ence/ commercial If an Addition,what will use of new addition be? / o Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l ❑, Other work(describe ) Check Occupancylnformation 15`Floor , 2"d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ) Single family dwelling 3 q� j p 2-4 2 �{/ �0 ❑ Two family dwelling • v o Townhouse o Multifamily dwelling #of units o Office o Mercantile ``.❑ Manufacturing o 1 car detached garage �� ❑ 2 car detached garage ‘6 , • o 3 car detached garage o 1 car attached garage fix 2 car attached garage 46 Z y Z o 3 car attached garage o Storage building- commercial ❑ Storage building- residential ❑ Other • What is the proposed height of the structure Z,g feet a inches Will any second-hand or ungraded lumber be used?•If so,for what? Type of Heating System: electric/ oil /et wood /forced hot air/ baseboard/other: Number of Fireplaces to be installed C. Number of Woodstoves to•be installed . 0 List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder �1oV-1l (:40v1s4lek/c4-10L. aucc."sZ . 718-067Y Plumber . t c..1c c Foie 4-1' 7 7qa—3007 Mason -4- ,Kvv4h //t_-• Z6O 1 /'/--- Electrician 'I 714.711 26�-1��6 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,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 of all new tons etion. Signature: owner,owner's agent,architect,contractor 1014Z- 41_ ENERGY CODE COMPLIANCE APPLICATION (%'elp ; 0, - TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS .fvII NOV 2 1 200i Compliance Methods: PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (ontWN OF=OUEENSBURV • PART 6* - Thermal Rating - Compone _ 'sCODE 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less) PART 4* Design by Component Performance • Commercial Buildings-Hi Rise Residential *Rernzires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: 52/7,-,-,,-40Vt, C,D`iSTwL-/-Jo� 2& + /3Z C4//p ,,w� (�`G/� PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - zzf/zf- scruare feet 2 . -tee of Heat - Electric Oil X Gas Other 3 . Is building mechanidally cooled? Yes , No 4 . Percentage of area of windows and doors Over 17% 4 Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R 3 0 b . Exterior walls R /c/ c . Glazed areas R 2-5- d . Exterior doors R /3 e . Floors over unheated spaces R N/A f . Edge of slab on grade (heated building) R a/A c. Basement/cellar walls (above grade) R /-0 h . Basement/cellar walls (below grade) R /V i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code X Yes No T E MP E RATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED APPl = s SI gnature Date Phone Nu_-abe- -2 -� l 718-- c56 74r6 INSPECTOR' S REMARKS: , Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: r'.E? tiffieeirko, Location of installation: La 7L `3 Z.— C4�1,/ cw C c-c% '°' `�'r l 0 ....1.) �,, r7 I Tax Map No. / / File P t' 200 i / / f Owner's Name: .SC 1 Ley,,,c, 4ov C�5-tvv c7-/o'er ` '�tl ''-PUSSUr-IY i Bllfl..D.lt,lr. „ �.. Address: /S /= Sr P-dli t `_ • 2. INSTALLER'S NAME : 5c,A c,_ p-,,,... h PHONE NO. 7 gr.-6672f 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#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 gal/bdrm = 1991 —present 3 x 110 gal/bdrm = 3 3 0 Garbage Grinder Installed yes_ / Spa or Whirlpool Installed yes� / g 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) To ographv Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply 1%lat rioi sand at whit depth at whJt depth municipal ing loam U/�} feet v/ 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 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: /)000 gallon (min. size 1,000 gal) Tile Field: each trench Sc) ft. Total System Length: 200 ft. Seepage Pit(s): number of size of each: ft. by 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) 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 o ueensbury Sanitary Sewage Disposal Ordinance. Lam?" I1^- .24",-- o / Signature of responsible person Date \—\,9-P7\11(-N RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: , Building&Code Enforcement Dept.of Community Development Arrive6 . + Dep., ��;J �• Town of Queensbury Inspector's 742 Bay Road Queensbury,New York 12804 ll NAME J0/�/JY10r( YY1 \ PERMIT# a J_ 7 1--/ LOCATIO C' osivp d t -3 C� DATE.5_-3 ) TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"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 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 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 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) COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 ' f D i MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL // Permit No. -�7 Cert. N 2 79078 Cut-in Card No Owner 6i S'/I LA e 2 Location)-v 7-/3 2. el-be P#'c--zo A- e/Q, Cieai 1 Installati n Consisting of.... J J •Y z, e -zet I2- 6 u 7z-�. Installed By elN Zi G 6-tee- Lie.No. The conditions following governed the issuance of this certificate,and any certificate previously issued it cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors:of this Company shall have the privilege of makint upections at any time, and if it; rules are violated,the Company shall have the right t r oke t flea . Date 'S IT° -6 INSPECTOI;ir M.mhwr NPPA_LA_F._i_ i •. RESIDENTIAL FINAL INSPECTION REPORT a C7 Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept of Community Development Arrive 2.J ani,i2Pepai a Town of Queensbury Inspector's Initia 742 Bay Road Queensbury,New York �Y�ork� 12804 NAME �e "uY AeYrt PERMIT# ) --:&& c� er1§12,(.5. LOCATION Q C7` , DATE 5--3D-^03____ TYPE OF STRUCTURE • N/A YV S NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake ,.J Plumb Vent through roof `7 � _ Roof Complete V Exterior Finish Complete TA 5 Interior/Exterior Railings 30"to 36" LAE.e,l Q� hid tQ--1J 1 Exterior Handrails,balconies,Ianding 18 in.or more I S /, Interior Handrails stairs both sides 3 or more risers ,/ C`CS� �`c_ ��N�� Grade 2%away from foundation 8"clearance to sill plate L�� f�:s�� ` Gas Valve shut-off exposed/regulator 18"above grade •� r6 5 Gas Furnace shut-off within 30 feet or wi hin line of site ,J Oil Furnace shut-off at entrance to furnace area :./f Furnace/Hot Water Heater operating Relief Valve(s)installed .z/ \ 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" 1 Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more V Railing across window in stairwells J1( Smoke Detectors: i every level ./, • every bedroom ✓ outside every bedroom I, inter connected t/ Bathroom fans V/ Plumbing fixtures I I Foundation insulation V % 4 t_ 17i j_ ‘ 3/4 hour fire door/door closer 6:AVZ- E Garage fireproofmg Garage penetrations sealed •,/ Furnace in separate room protected(in garage) i./ Light ventilation per room ,/ Safety glazing 18"or less from floor // Final Electrical ✓ Site Plan/Variance required ;/ ` Final Survey Plot Plan �/S As Built Septic System layout required V 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) Z C \\\". Office Use GENERAL INSPECTION REPORT-. ..;. " '- ' Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: T;�V Meet: Building& Code Enforcement At time: 742 Bay Road / Queensbury, NY 12804 ARRIVE 'D n . EP T �� a Notes: (518) 761-8256 Inspector's Initia' NAME: SC* kN. ni Coyl S PERMIT# a U 4 I - ri L( LOCATION: L o I ( 3a- Glr,,'n nei-- C vac(e INSPECT ON(date): 7/5/6 TYPE OF STRUCTURE: I / RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from free zing for 48 hours following the plac eme t - 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- s R- WallT:2 Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers i. 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.PORMS\GENERAL INSPECTION REPORT.doc ' 9Office Use GENERAL INSPECTION&--- ---,_ ,-ewA. 0 Inspector: Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE 1)1'_l a /pAiornP . ' a �Notes: J r-. (518) 761-8256 Inspector's Initia s NAME: o/OrnLQ )rvo-C� ,/ / PERMIT# • j06 I - E 7 Li LOCATION: `� , Lrk c`� INSPECT ON(date): Li :/ 0c) TYPE OF STRUCTURE: -‘( RECHECK N/A YES NO COMMENTS Footings/Piers VA tibC-Et-L(tt tZb 19-Q-i'� Monolithic Pour Form V W%oL 1-kiti26‘i• "E/ ki2=1 vf Reinforcement in Place kkpb The contractor is responsible for tH i_t 1 tL providing prote• 'on from freezing 00� �''�L�� - - 1,�� 1 ��e for 48 hours folio 'ng the placement \___�J C_DV-� L� �l u ,, of the concrete. (� � � �, ` Materials for this pu .o•e on site c C I°tfiP -c - G f\L L VCc Q-C�\ Foundation/Wallpou ,- Reinforcement in Play e "n L5 D 6 ra L 1--\0 L� Foundation/Damppro fin ^^, Backfill Approval �� Le 1 -(-). (J� �1 CC (��} Plumbing Under Slab / P1 I, ng Vent/Vents i, Place �/ 1.t 351-1 : ghPlumbin_ _ ti- ' `k"--. C LATE- - V�\ —L Heating Rough-In r_-_ - Z p Insulation F� Foundation Walls Interi I r R- Fitz .Aa , Foundation Walls Exteri• R- Floors '- Walls R Ceiling R Duct work or piping in unheated spaces R' Prop r Vent,Attic Vent Fr 'ng i Jack Studs/Headers I Bracing/Bridging ,, Joist Hangers ✓/ Jack Posts/Main Beam i Air Infiltration Barrier Fire Separation 1,2, 3,hour / Penetration Sealed Fi Wa112,3,4 hour irestopping / L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc •k...„ . TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT .. ;"� 0742 BAY ROAD `f `';',W.' " QUEENSBURY NY 12804 'Y �•' (518) 761-8256 ARRIVE: DEPART: INSP: (1/ FINAL INSPECTION REPORT Mt1 9J4INO (hotel, motel, apt. complex) DATE INSPECTION REQUEST RECEIVED: NAME (SQ.11UM- S Y n l ET `L ' LOCATION -c / -ja -t� Plyt=� ��c ic DATE �� _ ! -va PERMIT H ()f 7 7q • TYPE OF STRUCTURE FOOTINGS BACKFILL_ FRAMING_ PLUMBING_ INSULATION N/A YES NO CHIMNEY/"B" VENT/HE HT PLUMBING VENT/FIXTUtES ROOFING EXTERIOR FINISH HEATING/HOT WATER _ RELIEF VALVES __ FLOORS • FOUNDATION INSULATION INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENE • TION FIRE DAMPERS CEILING FIRE STOPPING , FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PL N/VARIANCE REQ. L SURVEY PLOT PLAN, IF REQ OK TO ISSUE C/O OR C/C TOWN OF QUEENSBURY _. BUILDING & CODE ENFORCEMENT .--; 77-- 742 Bay Road Queensbury NY 12804 (518) 761-8256 • ' SEPTIC DISPOSAL SYSTEM INSPECTION Name ' -1 G�� - hor)--- . LirrLe Locati e 4 1eu Date /`__ Permit #J ( P i/ SOIL T''E Sand- oam-Clay- Results o. Percolation Test- (if applicable) Rate-Minu /Inch TYPE OF SYS'EM: ABSORPTION F,. LD: Total eigth Cga:._ Length of eac' trenchL i Depth of trenc' 2- Size of stone -+ SEEPAGE PITS: N ber- Size - ft. x ft. Stone size PIPING: Sie Type Bldg. to Tank 4- "i)1L 5 Tank to Dist. Box k . ;, .,p 20 Dist. Box to Field ° A 41 ' Openings Sealed? No _ Partial LOCATION/SEPARATItNS. ' Foundation to _12Ta et Foundation to Ab •orption . --a., feet Separation of •Pi s • l-et Conforms as per Plot Plan ' ry,o-EQK LOCATION OF SY' EM ON PROPE'7 . ' (circle". Front - Rear Left Side - Rif t Side Middle - . Middle Rear COMMENTS: • ("H----- SYSTEM.USE APPROVED: YES NO Arrived: Departed: . Building Inspector . , J FlEcP-----..•77 . "I have seen or observed, or heti.. : • ' all objects such as houses, wells, , ...: .:,,,. etc., . . NOV 4: ) -;,••—.. shown . 4 '. tilii on this document. l.also P... .,.' t ; have • ..,.. • . • ...., oersonally measured the distance. . ,. • ..:1.11 on the diagram." • TOWN OF QUiFENSBURY . e (#.,, --- , . •::• BUILDING'RiT)COD / ....: • _ - • ATE 'SIGNATURE ..•• : .. . . . • • . • • • • r fo,,-,fr/ • ..,..• , . • .. ./,' _._........., v (1.....„,• ... 6.14-2,7,--,e_____. . ... .• • 1 • . •• . . .. ... • , . ,,.:.. . ... , 15-0, zte_ s-o-o . . ... • . •.• 7— ...I • Ce3 ' ,•;- _- IN . .„... .. :. .. • • • ..„:„, • • . • • :- .,.,... . „, . . .... ..,,;*,'. .,,,,.•••••::••••:,•;•••••,;.:-...,••••••••,:,,,:i.,, : ' :-. " '••: • ' 1••• ... •:-..P.::.-'. .:,.,::::., -: :::,;-..•••••••,.: •• . . . • . -• i'ik..r.L.;-!---;:-.•:•::-,-...,,;._--••:••',..•— : . • . , . • ,,,,,:::::, .•.. •.,. - - - • , • , .„.... : o• , :.:*::,': ,',.! '••••••,:••:: 1.•• . . : ' .._ , \ , I _ . . ,...;:"..;;•,••••:::.:,:-::: •....-.•10- •-. ,. • . . . ••••••f•;:•;,:,..::'•• ::::2.:-...v.:•.•:.•••• .:,„4 . • . , .,...,0 pAoposerP ..... . ..: ... .,, ... .. . • • . \i.:•!:, ::.....-....,:'. : --.::,:. •: ', ' .. 36.16/i "" tioUS / / / • • \ • • •> e If 1 -0• • . , • • • ,','5,f'..i3•.: ..: -:•••• :.•:• . . .. --0 . , . • . . . \ . 1 • . . -t- 3 0, -...- .: •'.-;,...,;:',ii••:..:....-::,:•• ....:•:•••-:::.:.:•: •: ...;.:: . : .. . . . . „..„,,,.... ....... :. . . . \ kii • . . . " , ..-.....„. ..•.,.. •. , . •. . - ,,. • ‘..-(,••.,,.,:.- -..:'.,..- •„,:::•:••.: .- - •,:z)... • - - ---- - - • • . . • , . . , --- . . •_. • izs /--,0" ........"..-: .••,. : . .. .. ••• - . . . • . -• GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road ' 7.k Queensbury,NY 12804 Arrive am/pm Departs am' /�m Inspector's Initials NAME: . (-,,�.,,zk,,&r2AU2 PERMIT# 0 . 7� LOCATION: DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsib f• providing protection from reezi g for 48 hours following th, place ent of the concrete. Materials for this purpose o site Foundation/Wallpour Rei rcement in Place undation/Dampproofing Backfill Appro v l 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 3J3Q GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road 2--U Queensbury,NY 12804 Arrive am/pm Depart": j pm Inspector's Initials ./ NAME: IQ)l C_� Q.'JI S2 1 Px `01PERMIT# 0 1 ' 7 LOCATION: C` Q uOR DATE : I — 0 TYPE OF STRUC : �—��)C� RECHECK \--F/ ..". N/A YES"N COMMENTS ootings/Piers ~1 V l Monolithic Pour Form Reinforcement in P1. 7i' The contractor is r. sible for providing protectio fro freezing for 48 hours followi g th- placement of the concrete. Materials for this purpo e on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents • P ace Rough Plumbing Heating Rough-In Insulation Foundation Walls Interi o r R- Foundation Walls Exte '•r R- Floors •- Walls '- Ceiling '- Duct work or piping in unheated spaces 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 aDOI- L _. ItT i have seen or observed, or bell: evidence ot, afl objecis such as houses wells; �, etc., s NOV t shown on this document. I also r +�E t ! have ��01 Persona measured the distant '.. ,. r, th on the diagram. �011ilil9>®F G �1aB(1R Ot� /j4°da� �1r. j//z_eis7_ZSIGNATURE • lS�o • r I f We. SD-o 0 �I ' r1 �1. 20 • O ' pRo(r,oscp / 3 -0"6 • �ouS� �, 36�0" N. • ` t • li' • 3.. - O/ !Z S � ' �.�iPPW� Ci,eL �• 07 /3 z ti a • ate' -