2000-254 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
1. C/O Number: 0000254 CIO Date: Thursday, August 31, 2000
Application Number: 2000254
Permit Number: 2000254
This is to certify that work requested to be done as shown by Permit Number 2000254
has been completed. ArN
1
III
This structure may be occupied as a Single Family Dwelling
Tax Map Number: 523400-074-000-0002-092-000-0000
Location: 56 SARMEN Dr
Owner: GUIDO PASSARELLI
By Order of Town Board
TOWN OF,09XENSBUW
Director of Building& Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 173900 Building Permit No. 2000254
TAX MAP NO. 74 . -2-92
Permission is hereby granted to
MICHAELS GROUP
Owner of property located at LOT 9 2#5 6 SARA-JEN DR.
in the Town of Queensbury,to construct or place. a - SINGLE FAMILY DWELLING
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
10 BLACKSMITH DR.
MALTA, NY 12020 12020
Contractor or Builder's Name:
MICHAELS GROUP, INC.
Contractor or Builder's Address:
JIM CHANDLER, PROJECT MGR 10 BALCKSMITH 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:
2280 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFCICATIONS
Proposed Use:
SINGLE FAMILY DWELLING
290 May 8 20-02
$ 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 8 _Pay Of May 2000
SIGNED BY _VNIn k�-q for theTownofQueensbury
C76VEdbrcemeni Officer
Building Per M" it Application ,
Town of Queensbury - Dept. of Community Dei,elopluent, 742 Bety Road, Queensbilly, NY 12804 176/-82.%,
BUILDING & . CODE ENFORCEMENT
J.YO� GE Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILL NO. �
beginning construction. Na inspections PE12M17'FEE PAID
will be made until applicant has received O Zoning Board Action
a VALID BUILDING PERMIT. All Area /Usc RECRLf1T1ON PEE 'rtlD$
applicants` spaces on this application
MUST be completed abd•the signature Pirwinin Board Action
of the applicant must appear on the g REVIEWED BY.,
SPR / Subdivision /Other Btiikling G«/xctnr
114� plicntion form. .. tt Recreation Fee Payment
Applicant: "lz Owner: S6 ilE' _.__..
Address:��`rntE�nl�a. � � ._,��( � Address:
Phone # { � _) , � - + _�� 1'ltone # ( }
Property Location: C<> St � ��Y� �� ----- ------.r'/ / G7�
Subdivision Name:* Tax Map Number
Section Block I nt
NATURE OF PROPOSED WORK: ESTIMATED} MARKET VALUE OF THE New Building CONSTRUCTION: 7
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY. INFORMATION:
Alteration to Building: Primary Building -
residence / commercial �_ Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile°E-01E5V D
A t^_"
Manufactur.in
Other gPR 2000
GROSS AREA OF PROPOSED STRUCTURE: a r-•,nt•,z r,r a e cMy
1st Floor. . . . . . . . sq. ft , If ADDITION, _�St .aitOPi�:w,i�lflti Guise
of new, addition be7 :
2nd .Floor... . . . . . = _ sq. ft.
Other Floors . . • sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached-Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. A_ Attached Garage 1, ca
Private Storage Buil ing
SIZE OF NEW STRUCTURE: Commercial Storage Building
S cr FEET X � 3 } FEET Other
Foundation Type: :kctNrtEr-> Will any second-hand or ungraded
Number of Stories : 0 lumber be used? If so, for what?
(habitable space only) N.ta
Height (grade to ridge) : o feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or wowoo stove (circle all which _applies)
to be installed: Electric / Oil / as / Wood
Forced Hot Air / Baseboard / Other
Person resp�o2ns
��ible for supervision of work as regards to building "
codes i s : +t1L rn e Ott , $r_y2K
Na' e A dre s ` Phone - ,t
Builder:, O
'Plumber:
Mason: 1
--:E 1 e c_t r.i_c i an-:_ 4=- - — 2Z -
DEG_ARAHON. Please sign beloui 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, arc 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 r/we shall submit prior to a
Certificatc of Occupancy'or Certificate or Compliance being issued, an AS BUILT PLOT PLAN by
a licensed stu-veyor rawn to ate sh wi actual location of project on premises:
l
Signature:
( wner, owner's agen , rchitect, contractor)
Application for Permit— Septic Disposal System
7;rlsvn of Qtivei?sb111y 742 Bay Road Qttealisbiti:y, NY 12304 (.5181) 76 1-.Y256
1. OWNER INFORMATION: ........... ............................................. ........................ .......................
01*11ce Use
Location of installation:5XQ O-QAJF - I
APD-1-1 File Perniit No. 4
Tax Map No. 11 Fee Pa I id
•
Owner's Name:-V"r
.......... ...... ........... ....................................... ........................
Address: �c,
2. INSTALLER'S NAME PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 9 bedrooni(y) and multiply // of
bedrooMS with applicable gallons per bedroOM to equal total dailyfli;)iv)
L—J
Year of House: No. of Bedrooms x Computation = Total Daily
1980 or older x 150 gal/bdrin = APR 9, 3
1980— 1991 x 130 gal/bdrin = , ov-C",ZSN—`:�3ZJRy
.1991 —present X 11.0 gal/bdriii = 41 q 4 N
DjNG 1,"L)c�C)DE
Garbage Grinder Installed yes _ no
Spa or Whirlpool Installed yes no
4. PARCEL INFORMATION: (circle applicable information & indicate measurements)
TSRo rraphy Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Mat satrc/ at_tuba!depth at what depth 17111171 1
Rolling loam --T9z3lr—
Steep slope clay ij'ivull; water supply
slope other
depth: absot*ptioi) Is
other
Percolation Test:
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems inust be designed by licensed
professional etiginecr 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: 2 09allon (nin, size 1,000 gal.)
Tile Field: each trench Total System Length: 7- 16
Seepage Pit(s): number of Size 0J'Ca0h:
Size of Stone to be used: fi depth or thickness et
Bed System Size: X
Alternative System:
length andlor size
6. HOLDING TANK SYSTEM: (if required)
Nuinbor of tanks: 1 Size of each: _gallons /TOTAL Capacity: gallons
li nil spected-by
-
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 i 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 of Queen )ury Sanitary Sewage Disposal Ordinance.
signfiture of responi-16le person Date
`Fire IN1.111-Slill,S oil ice TO%vil of QUCTIPSI)III-N., 742 Biy Road,
(518)701-8205
Application for Fuel Burning Appliances .& Chimneys
applicable to solid fuel & vented gas appliances
Date
Permit No.
Aj)j)lication is hereb made to the Building,& Co(jes pi ce/�) -. le issitance qfa Building and Use
/j. I I/
Permit pursuant to the Neni, York State Fire Prevention and Building Code, 7'lle qj)j)ji(,aj7j 01,011111el*
to contj)ly with all applicable hnts, ordinat,icey, jygulatiolls, (110al/conditions that are hart of
these.requirements and also will alloll, eiiierpremises to pel.-lb)-m reirjyii-ed inspections.
NOTE, to applicant: Rough-In and Final Inspections are required.
Applicant Information Fuel Burnin(y Appliance information
(circle appropriate words)
Name: Stove: wood coal pellet gas
Fireplace insert . I
Address: Fireplace, factory-built: wood teas.
Fireplace, masonry: wood "as
0
Furnace- wood gas oil
Phone:
If 11011-masonary applicance, please provide
Owder:— Mail U faCtUrer Name:
Address: <'-A rlr Model Number:
�171-.>
"T Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone-
Fluetile ,-s'7e7e ") size: inches
Exact Address:
Oftonstructiolt or inst(Illation Factory-Built
ManufaCtUrer name:
Model Number:
jVote: Listed By: Number'
Construction 1111stallation must
-Con Lorin to NYS Fire Prevention &Building Indicate (circle) chimney inateriaL
Code. Consult available Town of Queensbio),
Handouts regarding required inspections. Double wa/l, / Triple wall 1 'Insulated Direct venting
CN711nev Liner
Xz 4e 6 xxx-.5r, -Ark-,vzr V-,ait-lic
Fire Marshal Code# S Collected S .funded Reeeir(lt fi'01 O-qIiinded to
yz.
Ila—
A 173 3389 (190) Public Safen-
.4 233 2655 (230)Alinor'Sales
rX,
rot— 64�a 0.&
White(Applicant) i Green(Fire Marshal) Yellmv(Bldg, Dept.) f ?ink' &Goldenrod(Cashier's Dept.),
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MAP REFERENCE:
LEHLAND ESTATES SUBDIVISION
FINAL LAYOUT PLAN — PHASE 3
DATED: APRIL 27, 1999
BY. VAN DUSEN & STEVES
LAND SURVEYORS, LLC
� an D u s eh
Steves
Land Surveyors, LI
169 HavUand Road Queensbury, New Yoj
.'516) 792-8474 New York fAc. No
12801
50135
'IRAUIFIOIA= ALIMAIM OR AO0I11M TO A SIStKY
MAP DEAF" A UCSNSFD LAND SURYEN= SEAL 12 A
*CLAIM W =WN TSOS. SUB-OhO M 7. OF TIE
NEW YORN STATE E1WATIOI LAW
'ONLY COM FROM THE MM& CF VA RWWrY
VARIED WIN AN UVOWAL OF TIE LAND 91AWMRS
SEAL RIALL EE CONSIDERED TO TE VALID TREE COPW
'GUIIFlCAnws SIWCAIED H!H m awy TNAT
TSS SURVEY WAS P WAM W ACCORDANCE IM 1K
ETOSOW OODE OF PRAM POt LAND SURIEYORS ADW=
BY THE NEW TOTW STATE ASSOCLAIION OF FROFiMMAL
LAID awKNUM SMD ConSCAIlm !TALL RUN ONLY
M 1E PEASOII FOR 1S N TIE SURVEY 6 PREPARSD, AID
M WS OOIAti TO THE 9RE C(Ar OOVEI""TAL
AOENNCY AND L84MG SISTNnM USTW NT]IEON. AND
TO SE ANNOEES OF THE MON WSTb7UTIW.'
91
N16'44'30"W
235.78'
_ I
p 1
bb i
ci o5
92
35,961 sq ft ar s
0.83 acres
93
AUG
Map of a Survey made for
WILLIAM R. WASILAUSKI
BARBARA J. TOMKO
Town of Queensbury, Warren County, New York
I 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 717LE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADD17IONAL
INSTITU11ONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: William R. Wasilauski
Barbaro J. Tomko
Fidelity National Title Insurance Company
Trustco Bank. National Association, its
successors and/or assigns
CERTIFIED BY:
MATTHEW C. STEWS, LLS NYS 50135
DATED: August 14, 2000
M
S --1
emmlorl
WASILAUSKI/TOMKO
NO. DATE I DESCRIPTION DWG. No. 89423-92
RESIDENTIAL FINAL,INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement `
Dept.of Community Development Arrive am/pm Depart :��rrgg��p
Town of Queensbury Inspector's Initials .:'1�- ;,/
742 Bay Road
Queensbury,New York 12804
,
NAME _ � PERNIIT : �' ,'-`��`�
LOCATION DATE
TYPE OF STRUC S �1
N/A YES NO CON54ENTS
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"abo a de -
Gas Furnace shut-off within 30 feet or within ' e o ite
Oil Furnace shut-off at entrance to furnace ar
Furnace/Hot Water Heater operating ./
Relief Valve(s)installed
Headroom,6 ft.6 in.on s
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides re than risers .
Interior privacy/trimldoors/main entran 6'
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. r 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" floor
Final Electrical e :
4/61 4)'�
Site Plan/Variance equir
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} 1N
F I RE MARSHAL
CDlUr-=IEN,'=3E3UFZ-le-, N-ie- -128O4
(5-1 8) 76-1-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIV
NAME
LOCATION�= � PERMIT #
le0000,�
SCHEDULE INSPECTION ON le
Af0T—PM`----)o
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMEROENCY LIGHTING
FIRE EXTINOUISHERS
FIRE ALARNt-S—YSTEM
FIRE SPRINKLER—ISYSTEM,I
FIRE SUPPRESSION SYsTm
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
'CLEARANCE T SPRINKLERS
CLEARANCE T HEATING UNITS
REQUIRED SIC3NA4GE
CHIMNEY
OOD STOVEr—,"FIREPLAG I ASORY F-1 I`C-<GTORY BLT.
F :;, r%J P OJ;aH—IN
EXL.S<NAL
REMARKS: Q OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA(7 t
BUREAU OF ELECTRICITY
40 FULTON STREET,NEW YORK,NY 16038,
I�itl ',I' ' r' 1
Date � Applicado No:
� on file
THIS CERTIFIES THAT ' �wtJ�I;
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
THE W.ICRAOI S CROUP,, aG BABA JFW DR, , Pf LNW 2 y M.
in the following location; ® Basement 11 Xst Fl. ® 2nd Fl. GAR Section Block Lot
was examined on NIJI(i.1-S 16,2AX1 and found to be in compliance with the National Electrical Code.,
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AML K.W. AMT. K.W. AMT. K.W. AMT, K.W. AMT. H.P.
yl 8 :18 )8 3 �a
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 N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS
.SERVICE.DISCONNECT_ NO.-OF _n..� _S _ E _ ._ _R ' V. I C_ _ -E. ._
METER NO. CC COND. A.W.G. A W.G. A W G.
AMT, AMP. TYPE EQUIP, 10 2W 10 3W 3 0 3W 3 0 dW PER O of CC.CONI NO.OF HREG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
'150 CB X L 2 0
OTHER APPARATUS;
POST LEGHT-1
+ 'F , ._4
�JIITAH lax t41CPAR1100
2446 ''i~'I 1. 8T GENERAL MANAGER
Per
This certiticate must not be altered In any manner;return to the office of the Board it incorrect.Inspectors may be identified by their credentials.
GOPY FOR BU1LDiNG NT.•THIS •OF-CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER,
IF=IFP,'IF-= MARSHAL
TOWN OF ClUF=F=NSaUI=27Y
C)Ual=-N,SE3UF;P.`Y, NY 12804
4EEvw (518) 761 -8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME
LOCATION E R M I T 0,-JAZC- X`5
SCHEDULE INSPECTION ON
AM CP�M
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LI(3H NO NO
FIRE EXTINGUISHER
FIRE ALARM SYSTEM
FIRE SPRINKLER SYST M
Tj
FIRE SUPPRESSION SY EM
D
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE.
CLEARANCE TO SPF;Z)VKLERS
CLEARANCE TO HEATiNO UN"
REQUIRED SIONAOE
CHIMNEY
WOODST VE 1.100,
FIREPLAXE = MASONRY FACTORY BLT.
ROUGH-IN
E--] FINAL
REMARKS: OK TO THIS DATE
INSPSLIP.PUB INSPE
Al
GENERAL INSPECTION REPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NI' 12804. Arrive a m Depart 7a m
spector's Yniti
PERMIT## r
LOCATION: DATE -
TYPE OF STRUCTURE:
RECHECK —
YES NO COMMENTS
Footings/Piers -T I
Monolithic Pour Form
Reinforcement in Place
The contractor is respons le for
providing protection from ing
for 48 hours following the Iacement.
of the concrete.
Materials for this purpose on si
Foundation[ allpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing
Heatim Rough In
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- -O z f
Walls R-
Ceiling R- %
Duct work or piping mi
unheated spaces R-
Prope Vent.Attic Vent
ming
Jack Studs/Headers
Bracing/Bridging i
Joist Hangers
/'Jack Posts/Main Beam
✓Air Infiltration Barrier Ell-
Fire Separation 1,2,3, hour
Penetration Sealed
Fire Wall 2,3,4 hour
Fi opping
em
GENERAL 17VSPECTION REPORT
(518) 761-$256 _-
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive am/pm Depart `Z am/ m
Inspector's Initials la
NAME: n 0
7 t, PERMIT#,,2n b ';�6 7
LOCATION: — 1� BATE : — — eC7
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 Ven--t1,Vents in Place
gh I.lu Bing•
v [ alipg Rou ,jln.
on
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R
Ceiling R
Duct work or piping in
unheated spaces R
Pro ent, A "Tent 99�
Jack Studs/Fleaders
Bracing/Bridging I L L 14 AN(o C q C
Joist Hangers
// Jack Posts/Main Beam
�lAtr" litration Barrier L fF P ok
Fire epara on 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
flu G1ttP5 i J 5 a 1 f—' Fug
F=IF:ZP- MARSHAL
-T-C>WN C)F GkUf==lE=NSE3UF;,t")r
(::lUE=-IENSE3Uf:2"ir, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME
1%
LOCATION PERM(T #
SCHEDULE INSPECTION ON
AM
APPROVED
z N/A YES NO
EXIT
AISLE WI S
EXIT SIGNS
EMERGENCY LIC3 C3
FIRE EXTINOUISHE S
T
FIRE ALARM SYS
H E
(:3-
FIRE SPRINKLER S TEM�
FIRE SUPPRESSION YSTE11M
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO H FNKLERS TINGCLEARANCE TO UNIT
REQUIRED SI(3NA(:;E
CHIMNEY
WOOD STO E
FIREP [-I MASONRY E��'
LAC BLT-
aOUC3H-IN
O FINAL
REMARKS: 0 OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
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1
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road �`"
4�ucensbury,NY l2�(14 Arrive am/pmDepart L-ajpm
Inspector's Initials tiJ
NAME: i PERMIT# Cr_
LOCATIO : — DATE : -
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Forin
Reinforcement in Place_
The contractor is responsib for
providing protection from fr eing
for 48 hours following(lie pl cement
of the concrete.
Materials for this purpose on sit
Foundation/Wal 1pour
Reinforcement in Place
Foun on/Dampproofin,
fill 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 -
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 Scaled
Fire Wail 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT
(518) 761-8256
Town of Queensbury
Dept,of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road `
Queensbury,NY 12804. Arrive am/pm Depart ` m
Inspector' as
NAME;
PERMIT#
LOCATION: DATE:
TYPE OF STRUCTURE:
RECHECK.
N/A YE O CO NTS
�otings/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. 1
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 EZR"
Floors
Walls Ceiling Duct work or piping
unheated spaces
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Haxigers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
RECOVED
# 1 . APR 2 3 2000
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