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2000-392 TOWN OF OUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&_Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: 2000392 Date Issued: Thursday, September 21,2000 This is to certify that work requested to be done as shown by Permit Number 2000392 has been completed. Tax Map Number: 523400-048-000-0007-006-000-0000 Location: 35 FIELDVIEW SO. Dr Owner: CERRONE BUILDERS,INC. This structure may be occupied as a: Single Family Dwelling By Order of Town Board (7:w EENSBUR Director of Building&Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Day Road, Queensbury,NY 12804 County of Warren (518) 761-8256 ALUE .1600`00 Building Permit No. M�P 4? ­7 ­ Permission is hereby granted to ,lERRCIDINE BUITLDERS , INIC . Owner of property located at L C'_1 6 BERR4: PATCH L;RTV�' in the Town of Queensbury,to construct or Place a aINGLE 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 Budding Codes and the Queensbury Zoning Ordinance. Owner's Address: 66 SUNSET TRAIL QUEENSBURY, NY 12304 Contractor or Builder's Name: CERRCANE BUILDERS Contractor or Builder's Address: 66 SUNSET TRAIL E E;�___�S U a,__,' , 141 E W Y 0 R E 12804 Electrical Inspection Agency: ­,MM'_NWE-:ALTH ELECTRICALAGE C` PC) BOX -706 HA(3'=, _'7 Type of Construction: GL E E'AMILY DWELLING Plans and Specifications: O S "'I" SINGLE FAMILY DWELLING WIT.,-i _- BAR ATTACH EL) ire AG A_'� -P-IR P_1_.8T PLAN SPE'C'IFICATIONS Proposed Use: SINGLE FAMILY DWELLING $ 2 6&-RMIT FEE PAID—TIES PERMIT EXPIRES june 13 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 of Queensbury this 1 3 Day of n e 2 0 0�3 SIGNED ELY. for the Town of Queensbury --Code Enforcement Officer Build ng .P'er"init Application Town Of Qi'.EeensbU1y - Dept. of Community De t,elopment, 742 Ba,.1 Rend, Queensbury, NY 12804 1761-8256] NOTICE BUILDING & . CODE ENFORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE No. beginning construction. No inspections will bo Horde until applicant has received Zoning Board Action PERMIT FEE PAID a'VALID BUILDING? PERMIT. All Area /Use +<' ~" � applicants* RECREAT! D $�pp spaces on this application ��I MUST be completed and-the Signature Q PZwtning Board Action REVIEWED BY.- o f the applicant must appear on the SPI2 / Subdivision /Other plication form. BuildingInr crnr n ,e. recreation Fee Payment Applicant: / Owner: Address: l�.tC� � L,Z Address: Phone # ( ) �1�` Z6 Phone # Property Location: AM` 411 Subdivision Name:' 23� Tax Map Number ' Section Block Tot NATU,PC OF PROPOSED WORK: ESTIMATED MARKET VAL OF THE L,/ New Building: CONSTRUCTION: ,-'residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Pr, ary Building - residence / commercial ✓ Single 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 STRUCTURE: ^� �G�j If ADDITION, what will use lst Floor. . . . . . . ,/o S9 sq. t, 3� of new addition be? : 2nd .Floor. . . . . . . ./o 2�_ sq. Other Floors . . . . sq. ft. (not unfinished cellar or ba eme ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: -00 96 S / Attached Garage 1, 2 ca Private Storage Buil ing SIZE OF NEW STRUCTURE: Commercial Storage Building e4k FEET X � FEET Other Foundation Type: Will any second-hand or ungraded Number of Stories : -7-- lumber be used?, If so, for what? (habitable space only) & Height (grade to ridge) : +Gi feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woo stove (circle all which , plies) to be installed: j' c / Oil / Ga / Wood Forced Ho Ai / asebaard / Other Person retspon able sor supervision of work as regards to building ' codes is : G. Name Addr ss Phone ��� Builder: Plumber: Mason: Electrician: DECL ARA770N.• 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 BLTMT PLOT PLAN by a licensed Surveyor; drawn to scale, showing actual location of project on premises. Signature: (o Her, owner's agent, architect, contractor) TOWN OF QUEEN,SBURY 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS , Date ,19 Permit APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance and/or chimney. 1-2 Applicant '. � APPLIANCE (check appropriate boxes) Address / J iit%A,o1 / Qi,� �j ❑ STOVE: ❑Wood ❑ Coal ❑ Pellet ❑ Gas ❑ FIREPLACE INSERT Zip o i(FIREPLACE, FACTORY-BUILT: ❑ Wood er"Gas Phone / � ¢ ❑ FIREPLACE, MASONRY: ❑ Wood ❑ G as Owner ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil Address --mow- ,, IF NON-MASONRY APPLIANCE: Manufacturer: Zip Model: Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed Enstruction /f11 ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone A0 I FLUE: ❑ Tile ❑ Steel ��r Size: inches C7 CONSTRUCTION / INSTALLATION MUST FACTORY-BUILT' CONFORM TO NYS FIRE PREVENTION & Manufacturer: .r/ w 4�yr Model:,4 BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑ riple Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated Er Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 (190) Public Safety ' A 233 2655 (230) Minor Sales Fee Collected From or Refunded to: Address: Dated: " `7 Town Clerk or Deputy(, White: Applicant Green: Tire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Dept. of Community Development Permit No. Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: Property Owner's Name: Property Owner's Mailing Address: Installer's Name: Phone --2 7S--Z Number of bedrooms (if residential): Total daily flow: (residential -compute 0 150 gal./bdrm.) Topography: rolling, _ steep slope _ 7. of slope , Soil Nature: sand loam, - clay, ---other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet Percolation test: not required z requi ed [rate'"r - min. per 16 - inch - �- Domestic water supply: municipal, 'well, other If domestic water supply is a WELL, water supply from any septic absorption is,Z492 feet. PROPOSED SYSTF-N1 Septic tank- gallon (mdnimum. size: 1,000 gal.) 1-7 45 PER 5'A,-<. Tile field: each trench feet Total system length: -4 feet Seepage pit(s): number of size each: & by ft. Size of stone to be used: depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: -aIloas Alarm system and associated electrical v.Kyrk to be inspected by a certified 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 uxpon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance kno-om by or on behalf of an applicant, sh-11 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 of responsible person: Date: TOWN OF QUEENSBURY BUILDING 8 CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSSPECTION REPORT - RESIDENTIAL DATE IN C/TTION[�R/E'�QUEST RECEIVED: NAME �-p��*" LOCATION ,ry'7� DATE a "" PERMIT #�V TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE_ N YES N CHIMNEY HEj9HTjB VE T HE GHT P ING NT ROOFING XTE F N S DECK/PORCH/STEPSLRAILIN RELIEF VALVES ,____T FURNACE/HOT WATER OPERATIN INTERIOR TR PRIVAC DO RS EINISH FLOORS: BATH/KITCHMN_M&T3ATX9HT OTHER FLOORS S E P O HE OOR C ET STAIR CLE RANCE RAILINGS SMOKE DETECTORS S PLUMBING-FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL LAN V IANCE R N L SURVEY P T AN OK TO ISSUE C OR C C MAP REFERENCE: FINAL SUBDIVISION PLAN PHASE 2 DATED: JULY 26, 1999 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC LOT g LOT g LOT 7A F ti�lF �. o zoos �� R :'4 t�•V Y � an Dus eh Steves Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12801 '518) 792-8474 New York lAc. No. 50135 E" a C4 44 CB W O N In co z q ELEC TEL 'UNAUfl ERRED ALTERATION OR ADDITION TO A SURVEY MAP REARING A LICENSED LAND SURVEM M SEAL 13 A VIOLAMM OF SECTION 7200. SLID-WNSION % OF IK NEW MIN STATE EDUCATION LAW *ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WTH AN ORDINAL OF THE LAND SURVEYORS SEAL WINL BE CONSWERED M BE VALID MW COMW 'CERMICATKNS INDICATED 1flE0N SKNWY TNAT THIS SURVEY 00 PREPARED N ACOMANC:E WIN INE OWING CCOE OF PRACTICE FOR LAID SIMVEYORS AD0P`= BY TINE NEW MARK STATE ASSOCIATION OF PROFENIONAL LAND SURVEYORS SAID CENWICATK1NS SHALL RUN ONLY M THE PERSON FOR WIOM INE SURREY IS PREPARED. AND ON HIS SEHALI` TO THE 1111E COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUMON US= NOWA . AND TO DE ASSIGNEES OF INE MOM INSMIKN.' LOT 16 FIELD VIEW � SOUTH p0 S�560 14C 7' L 31, 0. ru 3Z39' �181.48' N83'S3�W LANDS OF BETTY B. ZVERBLIS Mats of a Survey made for ROBERT & DEBBIE WELCH Town of Queensbury, Warren County, New York F TRANS CTV NO. I DA TE KWNMX low LOT 17 LOT 5 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 TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: ROBERT & DEBBIE WELCH FLAGSTAR BANK. IT'S SUCCESSORS AND\OR ASSIGNS FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK CERTIFIED BY. MATTHEW C. STEVES. LLS NYS 50135 DATED: AUGUST 8. 2000 DESCRIPTION e 1 "=30' S-1 %wr 1 OF 1 CERRONE DWG. NO. 96081-6 FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION PERMIT# SCHEDULE INSPECTION ON AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY W OD STOVE FACTORY VlflREPLACE 0MASONRY FACTORYBLT. 1 -OUGH-IN I FINAL REMARKS: - 0 OK TO THIS DATE -- INSPECTOR INSPSLIPPUB - � 0 RESIDENTIAL FINAL INSPECTION REPORT OMce No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart,. Town of Queensbury Inspector's Initials (_ 742 Bay Road Queensbury,New York 12804 NAME PERIL #k LOCATION DATE q � TYPE OF STRuc YES NO COMMENTS Chimney Height/'W"Vent/Direct Location Fresh Air Intake 1 Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" _ Exterior Handrails,balconies,landing 18 in.o ore Interior Handrails stairs both sides 3 or more rise. Grade 2%away from foundation ,'y 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 s/4 hour fire door/door closer Garage fh*eproofnng Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"°Jg wpm floor Final Electrical Jsj ) Site Plan/Variancd urea ��� ��b�*1 Final Survey Plot Plan As Built Septic System lay�q--rfd Okay to issue C/C(Cextif. linceOkay to issue temp.C/O(C ccupancy)_Okay to issue permanent C/Oftof Occupancy) lJ GENERAL IN (518 ) 761-8256 SPECTION REPQRT Town of Queensbury Dept,of Community Development Date inspection request received: Building&Code Enforcement yal,/;�ew 742 Bay Road M���- Queensbury,NY 12804 Arrive ft' am/pm Depart am/pm Inspector's Initials�m ' NAME: PERMIT# t/"`'' ✓' LOCATION: DATE : TYPE OF STRUCTURE: RECHECK Footings/Piers N/A YES NO COMMENTS � Monolithic Pour Form Reinforcement in Place The contractor is response a for providing protection from ing for 48 hours following the ent of the concrete. Materials for this purpose o to Foundation/WalIpour Reinforcement in Place Foundation/AD n Backfill Approval Plumbing Under Slab Plumbing Vent/Vents ' Place Rough Plumbing ough-In �isulat 0 aundation Walls tenor R- Foundation Walls xterior R- Floors R.- Walls R.- Ceiling R- Duct work or piping in unheated spaces R.- Proper Vent, Attic Vent Frantin Jack Studs/Readers Bracing/Bri 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" IVA-EUTRICALINSPECTION SERVICE,INC. ain Office 176 Doe Run Road-Manheirn,PA 17145 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL '0<:)- Panel Board No..............................Cert. Owner.... 69419 Cut-in Card No. Location.....15.- ............ ............... ...... ........ ez ............................ ..... Installation Consisting ............... ............. .A vu 'eu ............... ................... .............. .............................. ................... Installed By -Z ............... .........Lic.No....... certificate,and any certificate previously issued is The conditions following governed the issuance of this certifi ......... cancelled:- This certificate only covers the electrical equipment and installation conditions a of date, Upon the introduction of additional equipment or alterations,application shall be promptl 0 S e privilege Inspectors of this Company shall have the In of rnaki�"n y made for inspection. rule are violated,the Company shall have the right sPections at any time, and if its Date..... ............. INSPEcTOR... Member N.F.P.A_LA E.I. I Maln Orrice 76 DCTRICAI INSPECTION SE MENICIP oe Run Road-Manheiln, RVICE,INC. AL CERTIFICATE PA 17545 Panel Board - ELECTRICAL Apppi No..............................C`.ert tJwner..... � CZ/2,U / - p c e% Cut-in Ca N0-......... rd Location, -7 6 ....."" .............�t/'� 5.............Installation Consistin ` ........ .7� .... ....... a ............i r :,o ... .. }.......g,G, ,s .. nv�Installed B ����•�•..."' y...........� ...................................................... The c '���................... cancelled;conditions follow' b governed - """"'•-•'u>g rned . ........I_ic.No. theissuance ................................................. 'This certificate uance of this certificate,and an oaddi only covers the electricalY certificate introduction of additional a previous) 9uiPment e9urPrnent and installation Y issued is Inspectors of this Com or alterations,a conditions rules are violated, the C pany shall have the PPlrcation shall be rom as of date. U a omPany shall have the privilege of makin - p Pdy made for inspecption the Date•„_.1_-2.Z ng leg, nsPections at any time, .................'`. ......... INSPECT ft�l_..(aJ- Ce ific�. and if its I,q Member .................................. N.F.Pq„ E.1. 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 I ,I5 Inspector's Initials wum NAME: 1-1 cl� E `'� \l s a_ # PERMIT#Q C) LOCATION: p DATE : TYPE OF STRUCTURE: RECHECK N/A S NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible f providing protection from freezi g for 48 hours following the place ent of the concrete. Materials for this purpose on site Foundation/Waiipour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing CHIatm u n lion Foundation Walls Interior R- 1 u F Foundation Walls Exterior R- Floors R- Walls R- Z- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framin Jack Studs/Readers 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 FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME ---- - PERMIT# ,�LJ--- E-rz�2o,vC— I LOCATION SCHEDULE INSPECTION ON AM PM ANYTIME E APPROVED EXITS WA YES NO AISLE WIDTHS EXIT SIGNS �`--- EMERGENCY LIG ING FIRE EXTINGUISHE FIRE ALARM SYSTEM FIRE SPRINKLER SYST M — -- FIRE SUPPRESSION SYS EM_ HOOD INSTALLATION -- INTERIOR FINISHES STORAGE: ------- --- CLEARANCE TO SPRINK ERS CLEARANCE TO HEATING NIT REQUIRED SIGNAGE — �-�IMNEY t CdZl�c�- WOOD STOVE " `F�EPLgCE-MASONRY — `FIREPLACE-FACTORY BUILT C4 , ,v �"�`► Esiic �vR LT REMARKS: OK TO THIS DATE INSPSIIP.Pus INSPECTOR n'Lo-n 4 : C1-b ayku �l ? (518 ) 761-8256 GENERAL INSPECTION REPORT Town of Queensberry Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart aral pin Inspector's Initials -Zlr� NAME: ee-R n p t PERMIT# p , ` 9 LOCATION;,( 3r!o DATE : " - TYPE OF STRUCTURE: RECHECK 3.S' F.e/d✓.e d - Footings/Piers N/A YES NO COMMENTS -_....._ � Monolithic Pour Form Reinforcement in Place ��— The contractor is responsible r providing protection from g for 48 hours following the place t of the concrete. Materials for this purpose an site Foundation/Wallpour Reinforcement in Place_ Foundation/Dam pprool ng ackfill Approval lumbing Under Slab �lumbNing 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 ;#F 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 Q ,00 - 030 T AF�ENSBURY .b_COD BUILDING E ENFORCEMENT 3 742 Bay Road Queensbury NY 12864 (518) 761-8256 SEPTIC DISPOSAL SYSTEM IN5PECTION Name �( Location Date 7-�, - rm i t # SOIL TYPE: Sand- oa Clay- Results of Perco ati Test- (if applicable) ate- nute/Inch TYPE OF SYSTEM- ABSORPTION FIEL : Total ength, Z6 / Length of each re chi 5- Depth of trench Size of stone SEEPAGE PITS: N mber- Size - f x ft. Stone size PIPING: - Siz Bldg. to Tank 14 Tank to Dist. Box Dist, Box to Field/ LOCATION/SEPARATI s Sealed? es o Partaa Foundation to Tank Z-- feet Foundation to Absorpti n 2 feet Separation of Pits f Conforms as per Ploaft t Pl n es LOCATION OF SYSTEM ON P OP R I (circle Front - ear Left S1 e; - Right Side Middle F t Middle Rear COMMENTS: ` CJl�j M r i t�j V 1 G_ "r'-- c twV RAT) J SYSTEM USE APPROVED: YES NO Arrived: Departed: Building Inspector GENERAL INSPECTION REPORT (51$ ) 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".m! m -v Inspector's]Initials NAME: t �P_. 9 ~ PERMIT# G7-r'��'3�/o►�_ LOCATION: U DATE TYPE OF STRUCTURE: RECHECK �- 7-d N/A YE NO COMMENTS ootings/Piers -W1XU11LXUG Pour Form Reinforcement in Place The contractor is responsible fo providing protection from ng for 48 hours following the p ement of the concrete_ Materials for this purpose on s" Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin ElackfiQ Approval Plumbing n� Plumbing Vent/Vents in P1 _ Rough Plumbing Heating Rough-hn Insulation Foundation Walls In or R- Foundation Walls E rior R- Floors R- Walls R- - Ceiling R- Duct work or pi ' g in unheated R- Proper Vent, Attic ent Frami 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 ( 518 ) 761-8256 GENERGENERALINSPECTION REPORT Town of Queensbury Dept.of Community Development Date inspection request received: Building&Cade Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depaz �}, Inspector's Initials /� NAME: PERMIT - LOCATION: K' DATE: — TYPE OF STRUCTURE: , RECHECK Footings/Piers N/A YES NO COMMENTS Monolithic Pour Farm Reinforcement in Place The contractor is responsi le for providing protection fro freezm for 48 hours following the placen�nt of the concrete. ` Materials for this purpose%n site Foundation/Wallpour f Reinforcement in Place Fo on/Uampproofin -\PwOkfill Approval — Plumbing Under Slab Plumbing Vent/Vents in Rough Plumbing Heating Rough-In Insulation Foundation Walls Interi r R- Foundation Walls Exteri r R- Floors - Walls _ Ceiling R_ Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frami 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 (518) 761-8256 GENERAL INSPECTION REPORT Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depa.� Inspector's Initials (� NAME: PERMIT##`�oU l LOCATION: DATE : TYPE OF S UCTURE: RECHECK ers N/A YE NO COMMENTS itngs/Pi I Monolithic Pour Form Reinforcement in Place The contractor is responsible for Providing protection freeaing for 48 hours followin the cement of the concrete. Materials for this purpo on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo - Backfill Approval Pluhibing Under Slab PI ng Vent/Vents in PI Rough P Heating Rough-In Insulation Foundation Walls Interior R- 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/Bridgin Joist Hangers Jack POSts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed — Fire Wall 2,3,4 hour Firestopping rage seen or observed,or Wave 1 saw evids lcm of �',lects such as house;weflfs,tr+ras„>Mpp�, . mn on this document i aW represent go II Msve sonall easur diisbaM go ft&W qw SIGNATUREDATE e 74) J�J 1 2oL© 'T°Tim-- 4 � M'PJ ges- S"2 70 ' 4' tx' l75; '