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2000-589 TOWN OF QUEENSBURY 742 BayRoad, Quueensbury, NY 12804-5942 (518) 761-8201 Community Development - Building & Codes (518) 7614256 P A TE 10"' OCCUPANCY JRL%TX 1H %6,d I Permit Number. P20000589 Date issued: Monday, December 18, 2000 This is to certify that work requested to be done as shown by Permit Number P20000589 has been completed. Tax Map Number. 523400-07 -000-000244-6 .0000 Location: 10 LOREN Dr Owner. GUIDO PASSARELLLI This structure may be occupied as a: Fireplace Garage - 2 Cars Attached By tkderof Town Board Single Family Dwelling TOWN OF QUEENSBURY ,y Director of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDINiG PERMIT Permit Number: P20000589 Application Nur-nber: A20000589 Tax Nlap No: 523400-074-000-0002-004-000-0000 Permission is hereby granted to: MICHAELS GROUP Owner of property located at_ LOREN Dr in the Town of Queensbury, to construct or place a Fireplace 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. Owner Address: GUIDO PASSARELLI 465 LAKE Ave LAKE LUZERNE, NY 12846 Contractor or Builder's, Name / Address Electrical Inspection Agency MICHAELS GROUP 10 BLACKSMITH Dr STE 1 MALTA. NY 12020 Type of Construction: Fireplace Value : $ Plans & Specificatilons 2321 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $r298*00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday, August 10, 2002 (Ifa 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 Bens ry; z st 10, 2000 SIGNED BY for the Town of Queensbury. Director of Building & Code Enforcement Building Permit .application 'own of Queensbury - Dem. ojCorIrrtt IkY Develaprrrrm, 742 Bay 14oad, Otterushrrrys NY 12so4 1761-82,561 NQTICE BUILDING & - C © DE ENrrORCEMENT Requirements prior to issuance A permit must be obtained7tinsspeections of this permit. PERMIT rILE NO,beginning construction. NYCI2MIT 1'EE I'A1L?wit! be made until applican 0 Zonhig Board Actiolxa VAI,II) BLIILS7IN( PER Atren ! flat REGRgriTIt3N FGE 1' 1] $applicants` spaces on this a MUST be completed sAd4the signature Q Phuming Board Action REVIEWED Dy. of the applicant- must appear an the SPR ! Subdivision ! Other Iluit<irng I+�.l+ee�nr n plication form. r -��;., Recreation Fee Payment ,''applicant: �,-"s Owner: .Address: Address: Phone #t Phone # Property Location: 10 kwsrcs L+7`r � ----- --- ____-- ! � �- Subdivision tl:tmc: Tax Map Nus7tbcr Secs iota Block l nt NATURE OF PROPOSES] WORK : luBT IMATEA MARKET VALUE OF THE New Building . CONSTRUCTXON .6 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 Manufacturing Other GROSS AREA. OF PROPOSED STRUCTURE : . r If ADDITION , what will use lst Floor . . . . llOsr sq . t o of new addition be ? : 2nd .FlOc7S . . . . . . . . -A {zt in sq . ft . Other Floors . . . . . sq . ft . - - ( not unfinished cellar or b semen ACCESSORY BUILDINGS & t Detached Garage 1 , 2 r TOTAL FLOOR AREA : �3 + � - SQ. _ Attached Garage If 2 car '� Private Storage Bui SIZE OF NEW STRUCTURE : 5 Commercial Storage Building ��-y Other FEET X FEET Foundation Type : ��ytig�-,� will any second - hand or ungraded Number of stories : 2 lumber be used ? If sot for what: ? ( habitable space only ) Height ( grade to ridge ). VEt, feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or- wooc�at.ove ( circle all which a plies )to be installed : t Electric Oil / as / Wood • n ce Hnt- A :"r3 / Baseboard / Other Person responsible for supervision of work as regards to building codes is : rt Ucs vtrz Nd" e A dre s Phone l Builder : I, Plumber : ^2 - Mason : � 1 ! � Electrician : C� `zoL DEC - RA7709* Please sign belmv afte'r you luxve carefidly 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 specil-ted or noted , and that such work is authorized by the owner, Further, it is understood that Ilwe shall subinit ,prior to a Certificate of Occupancy'or Certificate or Compliance being issuer[, nn AS BUILT PLOT PLAN by a licensed surveyor; dra to scale, sE owl tual location or project on premises. Signature: (owner, owner's agent, arc itect, contractor) Application far Permit — Septic Disposal System 7'c.0avll of Qito 'risbi":y 742 Bay Rorrcl giseensb i try, NY 1.7804 (5 /8) 761-822 5to 1 . OWNER INFORMATION: A .. ......_ .. ....................... .... .......................... Orlice Use Location of installation: _ to � � I Tax Map No, rr 4 I � I � File Permit No. � Owner's Name; '�i L-�S. '�`�'(t%C'� �� � Q ���, Fee Paid . I .... .. ..........» ........................... - ..3 Address: 2. INSTALLER'S NAME 1( PHONE NO. cp 3 . RESIDENCE INFORMATION: (circle year of dwelIing, indicate 9 bedroom(s) and multiply 11 o/' bedrooms with applicable gallons per bcdro,om to equal total daily floc+') Year of Hous ` No. of Be r o is x am utation Total Dail Flow 1980 or older x 150 gnUbdrin w 1980 — 1991 x 130 ,gal/bdrin = 1991 -- present ! x 110 gal/bdrin Garbage Grinder Installed yes . / no Spa or V4 1irlpool Installed yes / no 4 . PARCEL INFORMATION: (circlo applicablo inforellation & indicate ilioisllrelllelats) o o 'ra SRit Nature Ground Water Bedrock or Impervious Material Domestic Water St ppdy 1�7al` 'sand at whal depth at wheat depth naauiiLvj.?i / 1 Rolling loam feet feel r—•� Steep .slope clay ij,well; svotel- ,supply ^Yv .s /opc other fi•ofn crrry .5'c}1Jlic-.s}?sic'm depth: T _ cab.sorptiun is r,rher Percolation Test: (7 iJ l7 c' crfnalJJrtcd !7y ll4L'f7,Sed lJr`(J�e.S'.5'l iJnul efa4,if7CCr iJl' L7 AGlaal C'L•ll .. .. . .. ... . -. Rate: ...... Ininule par hich 5 . PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless insuallcd in a Plunning Board approved subdivision). Add 250 gallons to (lie sire of the septic tank and icuch field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: /2' - gallon (min. size I, 000 gal) Tile Field: each trench li Y .f1. Total System Length : Seepage Pit(s) : nirnaber cf size oj'each: Size of Stonc to bo used: 11 / deplh or thicknce's Bed System Size: x Alternative System: h1,k,____—._� —� length andlor size 6. HOLDING TANK SYSTEM: (if required) Nuanbor of tanks : ' ,� / Size of each : gallons I TOTAL Capacity: gallons Note: Alarni 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 1 36-29 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 belialf' of an applicant, small 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 anitary Sewage Disposal Ordinance. Ao Slgna ore of responslb a person Dat4 11 f i7 t ll :lr'S}i}it'ti C)ltirc l'oc.'rt of (lueert�fiuri', 742 llav lto}tcf„ (�ttcei} Yr{ire, \ S i� l ?S1 ?fit -:32ti� Application for Fuel Burning Appliances & Chimneys applicable to solid 'Fuel & vented gas appliances Bate {} �`3 Ycrr7iit No, 1 11 pfi[{rtiu7r !.s Ircr'chy' lrrrzrt rrr the !3tlilrlins C`r7rlei c /rtt- fhe i.s.srrrrirt e r) a f3rrilclrit,t rr+rrl {i. 'c f"Ori7rit prlrsilailt 10 Me I'detr York .state I- ii Preli &rtliol7 and Rut "e—Im, f 'rrrlt'. %7rc cl1�l lic:rr771 ei ' r;llg it to G'l1 i111�1L' ti irlr rrlf {rf3phC'rl171G' 1£f it',5', r)I'r!!73{rlrL'L'.ti, i"i:`,S idelriolls. emod rrll C'mldrlwn-5 (hew are pa r r1/ rlre"sc ropeiremc?)rts and afsu 11411 rt /ow all illspec'tOls ry enter Irre)wse-v fu l�cr fcrrwr i'CC�irf1'C?{I i11.1 7L'C'IlrJI7.i'. NOTE to applicant : ROU (Il1 - in and Finai frispe� tic3ns are required. f Applicaxit Info ,-nlatiorl Fllei Burning Alippliar) ce Irxtol-tIlativrl I { ,-ie41e :�1�E�ra'�1��'i:�t£e E4"ort3s) tt�vn{1 coal poll{�t �>rrs _.�3� �� � Fireplace ir•iscrt Address: faia�. � Fireplace, factory-built : vaca gus Fireplace. masonrv: Ivood gcra e� p Phone; Furnace: �;{r wcloc! s ail J ] "' �J ' If non-masonary ap�plicatice, please provide s ; Gl.s"nee-. IvI all ufacttirer Name: Address : Model Number: — Cllirtlnev Inf'oz rxzatiorr P11011e, (dire le app3rol)nate sti olds} Masonry hloc'k brick stone r 1L} tllC' Stee! size.- 177['1rC?S Exact Address ._ �,,,p�Z. k_ of corrstruCriorr or i fstallat� le Fac[ory-Boni Mallufactirrer name: Model Number: _ Vote: Listed By: Nlurnbcr: construction f histullatioll InIist -� c'prr orrll 10 NeYS Fire Prevention &- Building Indicate (circle) Chilliney material : Code" C'oilsldt available Town of Q:r�errshrrl7" HeWidolits regarding required inspectiolrs. Double 5Loll 1r'iUfc 5i'u1! : Ifln r11rf1c'ri L7r7'c'c'r i <iral7lt 1 Chi7rt77e•i' 1_i77c'r� I G'.�.,�x�F�x-',r�r �►,��pr.s�t �rn �sae� -- '�'o�-� of Qu�.r���r�srar.r-yam _�.V'"��sr- �''•az=.,� �..�—. __ ' l farshrrl Code y CO/lt'ciccl Sf r"/11 f7C1C'Cl !2 C'CC'I i'.'f t7 U77! f7'L'/ll iitl�+C1 !i)1." .-t 171 338V (1 9FJ) Prrhlic .5llfe rr __� s � - —..--_.....—___ _-• , ------- ,.._._ . i ?i 3 6j5 (2301 lfrlrP7" Srr1L'.S' — - - -- - -- ' "11�'f r'46N r•Ir'f G� F O av rL �GT'LfL d'L 'i�GIJ��•l•�7- NVIli£e ( Applic'ajtt) Green { } ire \ 1 '" shaY ) '1"c1low { 13icf I) P(. ) rink 1S Gt)kienrcicl {C7asleicr's i TOWN OF QUEENSBURY D(JILDING & CODE ENFORCEMENT 742; BAY ROAD QUEENSSURY NY 12004 (518) 761-82S6 ARRIVK - DEPART ; INSP : FINAL INSPECTIOR REPORT — RESIDENTZA DATE INSPECTION REQU "ST RECEIVE NAME t' S LOCATION / DnTe TYPE OF S UCTUR FOOTINGS OUNDATIQN SACKFILL " FRAMING ROUGH PLtI ING SEPTIC INSULn"IC1N —" FINAL E C'I'RICAL HOgDSWOVE OR Fr)IEPLAC *as no CH HEI H S VENTIHEI HT I?L H VHF NT EXTER.IQ'& ?jNISH DECK /n0 CI�`i�SrL^PSIRA�I,INQS RELIEF VALVE�r_` .. FUR-NAC84H T A R PE RI R RIM VACY R F H RS • TH K ` CH N WA IG OTHER FLOORS S EE AB OT S FLOOR C RP STAI CLEARANCE RA GS AMOK ar ET CT Q S BATHROOMFAN PLUMBING FIXTUR FF SIFIDATIO I O G42AGE Fig F NG OR CLQS RS F L ECTR L S IT PL V IANCE RE NA SURVE PLOT PLAN OK TO I SUS Q qft C C 'n MAP REFERENCE: LEHLAND PARK BY: D.L. DICKINSON FILED: NOVEMBER 3, 1987 CABINET A SLIDE 128 NO �oo SS9? bn 24,724 sq ft 0.57 acres 11 I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FEW SURVEY. THIS CERTIFICATION SMALL 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- John A. Draob Joanna M. Mule—Dwlc o First Messachusetts Bads. N.A.. Its successors and/or assigns Chicago Title Inswer" ComM 6 CERTIFIED BYE MATTHEW C. STEVE$. LLS NY$ 50135 DATED Decenber 14. 2000 D u s"UNAUTHORIZED ••J ('��� A.J t e v e S Land Surveyors , LLC 169 Haviland Road Queensbury, New York 12801 ALTERATION OR ADMION TO A SURVEY HAP 6EAIM A LICENSED LAND SURVEYORS SEAL IS A NOLATION OF SECUON "Od. SUB-DINSION 9. OF THE NEW YORK STATE EDUCATION LAW.' -ONLY OOHS FROM NHL O 1M ND THISSUM YORE NARIQD WRM AN OAOML a ,TNL LAID NJMYdRS SEAL SHALL BE CONSIDERED TD BE VAUD TRUE COPIES.' 'CERTRTCATIONS NOICATED MEREON SDNr/ THAT THIS SURVEY WAS PREPARED N ACCORDANCE NTH THE ADOPTED BY THE PRAA�t � LTM OPRYSMAL BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAID CERTFTCAMONS SHALL RUN ONLY TO THE PERSON FOR OM THE SURVEY IS PREPARED. AND ON HIS BEHALF W THE 'AXE COMPANY. BOft MMENTAL AGENCYAND KE6 O Nsmu� I UnWHEREONAND ro THE AENSInt¢s or TI! Iran NamunaL• [518) 792-8474 New York Lic. No. 50135 i A' 59'-Z'40 0, 0 N \� Map of a Survey made for John A. DiPaolo Joanne M. Mule-DiPaolo Town of Queenebury, Warren County, New York RV-1VED 8 zwo OUILQ1NG.AI4U COOE- DESCRIPTION 1 "=30' S-1 SHEEI 1 OF 1 DIPAOLO DWG. NO. 64423-4 to LoR� pf� 1 sa� ' nvkO RESIDENTMLL FINAL INSPECTIbN KEpORT [Dice No. (518) 761-8256 Date inspection request received: Building & Code Enforcement J{ Dept, of Community Development Arrive am/prn Depart/ Town of Queensbury hispertor's Initi s 742 Bay Roar! � Queensbury, New York 12804 NAME L.DCATIaN .__. DATE TYPE OF 4TRUCTTIRE NIA S NO CONUV1EMrs Chimney Heightr B" Vv6nt/Dlrect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Compl Interior/Exterior Railings " to 36" Exterior Handrails, balcrmi , ding 18 in- or more Interior Handrails, stairs both si or more risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed rregulator IS,, ve de Gas. Furnace shut-ofrwithin 30 feet or within ' ' f site Oil Furnace shut-off at entrance to furnace area Fiunace/Hot Water Heater Rchef Valve(s) installed Headroom, 6 ft. 6 in_ on stairs Bnsoment stairs, 6 ft. 4 in. Handrail exterior stairs both sides more 3 risers Interior privacy/trim/doors/main entrap 36" Floor Finnish j Bathroorn/Kitchen watertight Interior Handmils Balconi *8 im or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every beoirooxrr inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage frreproofm Garage penetrations sealed Furnace in separate room protected. (in garage) Light ventilation per Safety glazing l 8" r I sr,floor Final Electrical G ffU Site Plan/Variance req load Floral Survey Plot Plan As Built Septic System layout Okay to issue C/C (Certif. of Compliance) _ Okay to issue temp. C/O (CLTtif. of Occupancy)_ p Okay to issue permanent C/O (Certif. of C7ca upancy) u 'tfi } -- FIRE MARSHAL et TOWN OF QUEENSBURY QUEENSBURY0 NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVE© NAME LOCATION ! U2 is y^, ------� PERMIT # SCHEDULE INS ECTION ON ✓mot p PM . A ROVED EXITS IN! YES NO AISLE WIDTHS EXIT SIGNS ~ EMERGENCY LIGHTING !` FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION ` INTERIOR FINISHES STORAGE, CLEARANCE TO SPRlN ERS CLEARANCE TO HEAT G UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE _ FIREPLACE El MASONR IMF CA TORY BLT. 0 RO GHAN INAL REMARKS: I�,L A � } OK TO THIS DA NI� t, f Sti ► r 7D4 .5facll�e� � f) ot- L�,�c j ! z `" Abo v 5 rc c SPECTOR GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Comtttunity Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queenshury, NY 12804. Arrive am/pm Depart < ' anilpm Inspector's Initials DLL NAME: �! �il , f cz mac+ �7 PERMIT # 7,UX>" `CVO? LOCATION: � L� 1 c N2 � ,. ��_ DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMIVMNTS Footings/Piers j Monolithic four Form Reinforcement in Place The contractor is msponsible for Providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Founcia8on/VVallpour Reinforcement in Place FoundationlAampproofi Backfill Approval Plumbing Under Slab Plumbing 'Vent/Vents in Place Rough Plumbin Heating Rough-1n )insulation Foundation Wails Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- ,u Duct work or piping in unheated spaces R- r Pper Vent, Attic Vent rams � z �' C= f , P• Jack Studs/Headers Bracing/Bridgi Joist Hangers 1 (` , wS j 6-e t: C L /V Ui Jack Posts(Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour - ., Penetration Sealed /Fire Wall. 2, 3, 4 hm Firestoppin FIRE MARSHAL TOWN OF QUEENSBURY IN 4UEENSBURY, NY 12804 (518) 761 -8208 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME JIL c f:I !,✓ 1�' LOCATION PER IT [SCHEDULE INSPECTION ON [ 0 *2& ( } M P APPROVED EXITS N/A YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM - FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLER$ CLEARANCE TO HEATING LIN ITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE ✓FIREPLd,CE MASONRY FACTORY BLT. ROUGH-IN Lk .Ja` {{ <. ,r�(" 1. _ FINAL F.�j 10 c c�cc� REMARKS: ❑ OK TO THIS DATE I 1NSP8ldR" INSPECTOR �sr�wms" GENERAL IN, ►�PECTIO W REPOR'T ( 518 ) 761 --8255 Town of Queensbury Dept. of Community Development Date inspection request receivedz Building ,& Code Enforcement � 742 Bay Road -� Queensbury, NY 12MM Arrive anu+pm Depa L) ti Inspector's Initials �cPmj' NAME: PERMIT # T ` LOCATIOM. DATE : TYPE OF STR CTURE: lop RECHECK Fo NIA YES NO COMMENTS Monolithic /Piers hic 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 si Foundation/Wailpour Reinforcement in Place Foundation/13ampproofi Backfill Approval Plumbing Under Slab_ Pf robing VentfVents in Place ugh VjOmbing, Atleating Rough-In Insulation Foundation It- _ Foundation Walls Exterior R- Floors R- Wails R- Ceiling R- l7uct work or piping in u Bated spaces R- Vent, Attic Vent F lack Studs/Headers / =.���c t _ f� {.J i t c I<' Bracing/Bridging Joist Bangers // lack Beam it Inffl tiOn 'er Fire Separation 1, 2, 3, hour Penctr ga"n Sealed r all 21 37 4 hour ng GZAWRAL INSFECTIONIREP4RT ( 518 ) 761 - 8256 Town of Queensbury Dept, of Community Development Date-immPection request received: Building & Cade Enfareea�tnt 742 Bay .Road Queensbury, NY 12804. Arrive p Depart tri Y NAME: LUCATLCIN. /[ DA� TYPE OF STRUC �RECHECK � _ ♦� � /J} N/A YES NO � COMMENTS n Footings/Piers — �— j J C Monolithic Pour Forms �--��— I`�"�` Reinforcement in Place The contractor is responsible for providing protection from freezingk for 48 hours following the pdacemeil# of the concrete. Materials for this purpose on site FoundatiorslWall r ReinfOrcculCut in Place F 0Plan 11 pprov Flunftng Under Slab Plumbing Vent(Vents in Place Rough Plumbing_ Heating Rough-In Insulation Foundation Walls Interio R. Foundation Watts E or R- Floors R- Walls R- Ceiling R- Duct work or Bing in unheated s R- Proper Vent, ttic Vest '" Franc y ,lack rs g/Bri�. 7 st Hangers — Tack Posts/Main Ejee Air Infiltration Barrier_ Fire Separation 1, 22 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firvstoppi GEPdE.RAL LO PF'G'T�TQ11� R�`POR3" { 51 $ } 761 - 8256 -. Town of Queensbury / Dept. of Community Development Date inspection request received: Building & Code Enforcement / 742 Bay Road Queensbury, NY 1M4 Arrive Tlo..�s r _ speetorIs Initial c NAME: C r u PER.MIT �#' - b r�I LOCATION: DATE TYPE OF STRUCTURE: � RECHECK NIA YE O COMMENTS ootingslPiers '~�'— I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from froming for 48 hours following the nt of the concrete_ Materials for this purpose on si Foundatiox!Wallpour Reinforcement in Place__ Foundation/Dampproofin Bacicf ll Approval Plumbing Cinder Slab Plumbing VentMents in I}Iace Rough Plumbin Heating Rongla-In Insulation Foundation Walls Interior R- FoUndation Walls Exterio R- Floors - Walls Ceiling Duct work or piping in ; - unheated spaces R- Proper Vent, Attic Vent Fraxni Jack Studs(Headers ; Bracing/arid Joist Hangers Jack Pkrstsllvlain Beam Air Infiltration Barrier _ Fire Separation 1, 2, 3, hour PcncU ueon Sealed Fire Wall 2, 3, 4 hour Firestopping C75 have seem or observed, or believe i saw evidence of, #i objects such as houses, wells, fences, etc., snow on tMSwdocenneErt. Lalsa +" t that ! have `�""�•�, perso y mea ed a distsnoes fartfl e arn."� ~- ~`"`""■•.� ILp SIGNATURE it -CC7L �c i +� v► � '„rye Ny 4 "►.. "� be �/ T >