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2000-315 TOWN OF OUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518)761-8256 OCCUPANrA7 C E fiT"'I F I E 0 F Permit Number: 2000315 Date Issued: Tuesday, September 26,2000 This is to certify that work requested to be done as shown by Permit Number 2000315 has been completed. Tax Map Number: 523400-125-000-0009-07 -000-0000 Location: 5 JOSEPH Ct Owner: GUIDO PASSARELLI This structure may be occupied as a: Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY r R �r Director of Building&Code Enforcement ]BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-9256 VALUE $ 120000 - Building Permit No. 2000315 TAX MAP NO. 125 . -9-74 Permission is hereby granted to PASSARELLI, GUIDO Owner of property located at LOT 74 JOSEPH COURT 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: 465 LAKE AVE. . LAKE LUZERNE, NY 12846 Contractor or Builder's Name: LAMOTT, MICHAEL Contractor or Builder's Address: 92 NICOLE DRIVE QUEENSBURY, NEW YORK 12804 Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS . Type of Construction: SINGLE FAMILY DWELLING Plans and Specifications: 1600 SQ FT SINGLE. FAMLIY DWELLING. WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING . 211 May 18 2002 $ PERMIT PEE PAID—THIS 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.) 18 May 2000 Dated at the Town of Queensbury this Day of- SIGNED BY for the Town of Queensbury Code Enforcement Officer Building Permit Application Town Of QLtG'C'7Zsbu y - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-82561 BUILDING & ..CODE ENFORCEMENT NOTICE Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. beginning construction. No inspections will be made until applicant has received Q g Zonin Board Action PERMIT FEE PAID$ a VALID BUILDING PERMIT. All Area /Use RECREAT70N FE AI $ applicants' spaces on this application MUST be completed and.the signature Planning Board Action REVIEWED BY of the applicant must appear on the SPR / Subdivision /Other Building Inspector application form. a­k�,_ Recreation Fee Payment Applicant: Owner: Address: ro,4a. /f 1A Address: 1 Phone # Phone # ,-----} _ ----- �------- - --- Property Location. AsT J-,nt�P� n .�� l Subdivision _ Ps Tax Map Number Section Block T-ot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building CONSTRUCTION: $ r /, i9rr�f"Je� es n� eidec >/ commercial Addition to Building: residence. / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building — residence / commercial __LffSingle Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work (describe below) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURI? C If ADDITION, what will use lst Floor. . . . . . . �� 5C sq. ft 2nd .Floor. . . . . . . . �+7- sq. ft of new, addition be? Other Floors. . . . sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: f Detached Garage 1, 2 car TOTAL FLOOR AREA: (ot`�C� SQ. FT. �/ Attached Garage 1, car Private Storage Buildang SIZE OF NEW STRUCTURE: Commercial Storage Building ' FEET X Q-!? 1 FEET Other rr Foundation Type: ' Will any second-hand or ungraded Number of Stories : lumber be used? If so, for what? (habitable space only) ,.,�� Height (grade to ridge) : feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which apples) to be installed: Electric / Oil /CG'a's Wood j� rr` rced­-HoC Ii`ir�/ aseboard / Other Person - responsible for supervision of work as regards to building codes is: /Vl/1 c6—Alt)I/.. Name ` Addresss Phone Builder: rYVV ./tit'n16ggj,�.a r•yPa-� �J Plumber: ,__17A T9� -A ` Mason: d rQr� "rha3Yrl -- `Z .^ '� �I Electrician: H�tc. -��d.L `7°)10-tx rya s cbC©R'�r4 11 i-Sc� __ DECZARATION- 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 Uwe shall submit prior to a Certificate of Occupancy-'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. � R Signature: 91p� o. (owner, miter's agent, architect, contractor) Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury NY' 12804 (518) 761-8256 1. OWNER INFORMATION: ............ Offlee Use Location of installation: x�T File Permit No. Tax Map No. Fee Paid Owner's Name: ................ ................................................. Address: 75--A 2. INSTALLER'S NAME PHONE NO. Z5W 11S�17' 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 9 bedroom(s)and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdnn = 1980- 1991 X 130 gal/bdrm, = FED 1991 —present 4 :1 x 110gal/bdrm Garbage Grinder Installed yes no MAY 12 2000 Spa or Whirlpool Installed yes no TOWItiI C)F QUEENSBUfly BUILDING ANDS UI�L 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) -Topography Soil Nature Ground Water Bedrock or lmt)ervious Material Domestic Water Supply e-fta-r--2 Qan at what depth at what depth municipal '-7�6679 loam feet et Wi. — 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: � gallon (min. size 1,000 gal.) Tile Field: each trench , !I—C> fl. Total System Length: _g C!!>0 ft SeepagePit(s): number of size ofeach: _fl. 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 of Queensbury Sanitary Sewage Disposal Ordinance. Signature*+esponsible person Date ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 ' - Acceptable Practice Method 1.&2 Family Dwellings -(,only) PART 6* - Thermal Rating Component trade offs 1&2 Family Dwellings; Multi-Family Dwellings (3 , stories .or liss) PART 4* -, Ddsigii by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICIAINTIS NAME: PROPERTY LOCATION: 4gle'rXie, 7:r-4 r, 'Tasgph PIT. PART 5 METHOD OF COMPLIANCE BY -ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 461,)o sauare, feet 2 . Typeo,f Heat - Electric Oil 1,�`Gas Other 3 . Is building mechanidally cooled? Yes �No 4 . Percentage of area of windows and doors Over 17 _tZUnder 17% 5 . ft-VIA-LUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUE S AS SHOWN ON PLANS SUBMITTED: a . Roof R co?e) b . Exterior walls R 1cl C . Glazed areas R Q, R d. Exterior doors R 1p,A-1 e . Floors over unheated spaces R - jq Edge of slab on grade (heated build'ing) g. Basement/cellar. walls (above grade) R h . Basement/.cellar walls (below grade) R i . Heating/cooling-ducts-piping in unheated 'space R ' 6 . Service (domestic) hot water heating device Conforms to mini'-mum efficiency per code ZYes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 = WILL NOT BE EXCEEDED Appl - can` S, g atire Date, Phone Number ,9 V INS?ECT OR' S REMARKS : THE NEW YORK BOARD rEWCYORK, IRE -UNDERWRITERS, ; , A 84431 BUREAU OFTRIC Y 40 FULTON STREET,` N 10038 Date SEPTRUBER '> :p ' Application No;" In file 4 6 9 S 2' ;+r) 00 H 461732 THIS CERTIFIES THAT PERNIT NO, 2010-"A' only the electrical equipment as described below and introduced by the ap aft name the above application number,is in the premises of � ERA I�1A,� O'r LT ''OH CT, J,;ff 7Mbt, �1T��;la�iHORY, 11Y In the following location; �e Basement i4 1st Fl, � 2nd FL �;� Section Block Lot , 4 was examined on SMPTNIB ;R 4 r�;� } 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 AMT. K.W. AMT. K.W. AMT, K.W. AMT. K.W. AMT, H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT, K,W. OIL H.P. OAS H,P, AMT, No, A.W.G. AMT, AMP, AMT, AMPS, TRANS. AMT, I H,P, NO,OF FEET AMT, WATTS SERVICE DISCONNECT NO.OF S- E `.R V I C * _E _ METER NO,OF CC COND. A,W.0. A W G. A W Q. AMT, AMP, TYPE EQUIP, 10 2W 10 3W F HIAEG NO,OF NEUTRALS OF NEUTRAL OTHER APPARATUS; , TRR;' RAJESTIC INC 82:' HICV81 DR GENERAL. MANAGER QUER NSHURYr P1Y, 12804 Per This certificate must not be altered in any manner;return to the office of the Board It Incorrect.Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive 5&' am/pm Depart am/pm Town of Queensbury Inspector's initials;�IL0- 742 Bay Road Queensbury,New York*12804 NAME PERMIT# 01) LOCATION L4 DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP`B"VenMLct V en Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 3,6" Exterior Handrails,balconies,landing 18 in.or more. Interior Handrails stairs both sides or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off expos(xilregulatoril,8"above grade Gas Furnace shut-off within 30 feet or w"ithin line of site Oil Furnace shut-off at entrance to furnace area__ Furnace/Hot Water Heater operating-\ Relief Valve(s)installed k I Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in.' Handrail exterior stairs both sides more than 3 rikers Interior privacy/tim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balcomes/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 PlanNariance 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(CediE of Occupancy)__ e Okay to issue permanent C/O(Certif.of Occupancy)___±_ to RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: '� � Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart�m Town of Queensbury Inspector's Initials 742 Bay Road Queensbu ew York•12804 NAMES PERMIT 4 LOCATION DATE (� 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 'ore Interior Handrails stairs both sides 3 or more riser 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 V11 - Bathroom fans Plumbing fixtures Foundation insulation 3/a 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 PlanNariance 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) (0 4� 4-) 4J 0 0) tU or.. N 0 0 z 10 4J 4) 01 >1 4- 4- L^ $ u � z w �- 0) w w H 4} Q Or. V� w ul c w z II �. c9 ro 4J 01:H , 4J (UNC C ro a) 0) c1 V) U. 0 C. '0 ly. Q1 U C tl! 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H 0 W 0 0 x U) Zo Q-.0 N z � �a x z p 0 0 0 3Z W W o W zaZ H H w M Z W U OH A A H W OE 9 W �+ �+ HA a H HN z H w U a a 0 ul U a c► a �+ w 0 4 w w a H H z a > H �+ wx �+ w Wp * 0 9z9 x wa U wao az 0 x z4 O p 4 x a H a v, x o 4 9 4 o H 0 E+ 0oU E W w z W w 0 ] W to H H `.,' U N Z H x E H Z W W a x 0 N H z a H U a E+ 10A H 0 z z W w H a x o 0 H Z X H 4 ;H �+ H w H > �+ 0 U 0 o U d H W a 5 W w U W w 4 o E 0 H 9 4 4 W w , z U p H W aw x U HNNWE► 0HtowzaW w N z Maa U a x c� W a W C� H W 0 a 4 a 0 z o wUNQ � z000 w0 xauQ0z �+ waxH w H H 0 z w H Z H N w U H x x W W 0 H W U a H"a z 0 N a W a cn E x x w a (7 a a o H H w H d E H X x X Z 9 H z U o A H H U G H U a F+ p 0 0 0 E+ U p O H H H 0 ©p x 4 © w w ] z i �+ ►� 0 0 A z A �+ wxw ' a a w A w H w C w 10 0 GENERAL 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 m Depart = ai , inector's Initial NAME: RMIT# - f LOCATION: �� ?r�`.�"-,i �,2."c i ATE: ` •-f U C`� TYPE OF STRUCTURE: _ RECHECK N/A YES NO COMMENTS Footings/Piers �� I 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 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 Ja Posts/Main Beam Infiltration Barrier Fire Separation 1,2,3,hour ? Penetration Sealed Fire Wall 2,3,4 hour Firestopping AIN GENERAL MSP.rECTION REPORT A" (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay-Road Queensbury,NY 12844. Arrive am/pm Depart Inspector's Initiia`lls NAME: 174V6c6c t PERMIT# LOCATION:_ DATE : TYPE OF STRI TURF: RECHECK. NLk YES NO COMMENTS Footings/Piers I 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 VentlVents in Place Ro gh Plumbing tmg R_o_ugh-In Foutian`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 Framiing Jack Studs/ffeaders Bracing/Bridging Joist Dangers Jack Posts/Main Beam Air Infiltration Barrier IFire Separation I,2,3,hour enetration Sealed Fire Wall 2,3,4 hour irestbin� 0 0 TXW ivap GENERA, REPORT (518) 761-8256 Town of Queensbury ry Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pin Depart am/gm Inspector's Initials NAME: PO-5 S OL- I PERMIT# LOCATION: 9 H sP nh ('-+ DATE: TYPE OF STRUCTURE: 5Fb 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________-� Backftll Approval Plumbing Under Slab Plumbing Vent/Vents in Place- Rough Plumbing_ Heating Roughrj,# 7;:�wi Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- GA 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 hour pii R 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's Initials NAME: 7/ L ( PERMIT# LOCATION: DATE: `7 Z OJV TYPE OF STRUCTURE: RECHECK. N/A -'ES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placeme t of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing VenttVents in Place Rough Plumbing Heating Rough In Insulation Foundation Walls Interior R Foundation Walls Exterior R Floors R- Walls R- 1 1 Ceiling R- Duct work or piping in i unheated spaces R- Proper Vent, Attic Vent Framing l Jack Studs/Headers Bracing/Bridgin Joist Hangers ? Jack Posts/Main Beam ' Air Infiltration Barrier Fire eparation 1,2,3,hour P etration Sealed ire Wall 2,3,4 hour Firestoppin �00 �� �� 1717A. Own (11-7 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 0 f�a Inspector's Initials NAME: PaSSO&t PERMIT# &t?n r-,31S LOCATION: kd-f 7Y DATE : TYPE OF STRUCTURE: RECHECK 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 Vent/Vents in Place y a- lambing eating .R;t ghln Insulation � oun tion Walls Interior R- Foundation Walls Exterior R- Floors R- Walls f R- Ceiling R- Duct work or piping in unheated spaces R- Proper Ven c Ven Jack ders Bracing(Bridging Joist Hangers Jack Posts/Main Beam Ai iation Barrier Fire Separalxonh 1,2,3,hour P tration Sealed -irrp:Wall-2, .It,:, 0 GENERAL INSPEC770N REPORT ( 518 ) 761-8256 Town of Qucensbury Dept.of Community Development Date inspection request received: AD� Building&Code Enforcement 742 Bay Road Quecnsbury,NY 12804 Arrivcz°j a.t Depart Qf1 gn't. )p�c r's Ini e NAME: i PERMIT# LOCATION: C 014 L-1 DATE : TYPE OF �RUCTU�RE � RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Forrf Reinforcement in P'_ The contractor is r sponsible for providing protectio from freezin for 48 hours followi g the placem t of the concrete. Materials for this pu se on site Foundation/Wallpour-- Reinforcement in Place Foundatipil/Danipproof-i ackfill Apkroval Plumbing Undc-r-Sia Plumbing VenUVcnts in PI ce 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 Scaled Fire Wall 2, 3,4 hour Firestopping GENERAL 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 Depar� ' awm/.pm Inspector's Initials 0E-- 4 NAME: PERMIT# 5 LOCATION: 1 DATE: - c> 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 ± -- FoundationlWallpour Reinforcement in Place Fo dation/Dampproofing ' ` jXackfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place '. Rough Plumbing ti 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 Framin 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 s GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: v Building&Code Enforcement 742 Bay Road Queensbury,NY 12$04. Arrive pa pm spectar's Iui 1 s NAME: i�rt° � W S PERMIT# _ a LOCATION: :ti 6 DATE: a b v"`L TYPE OF STRUCTURE:.;,. l RECHECK. N/A YES XO COMMENTS C otings/Piers (( Monolithic Pour Form Reinforcement in Place The contractor is responsible 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 Floors 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 Firestoppin J I have seen or observed, or believe 1 saw evidence of, all objects such as houses,wells,trees,fences, etc., shown on this document. the'distanc also e set forth on theresent that I vdiagram." personally measured WAT NATURE f,0 T 41 Lo S B8*2Jr 1� .- 01 J• C�t � cn 1' LOT ? * 1t s 0) r J { 1 I cry 0 l..l.l (.4 ° `�' LOT 40 T 75 . 23, 94-1 .29 0,786-65 It. w 175. 00' S 80`10 _ " LOT 76 1701- n.