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2000-618 TOWN OF OUEENSBURY 742 BaG Road, Queensbuxy, NY 12804-5902 (518) 761-8201 Community Development = Building & Codes (518) 761=8256 CERTIFICATE OF OCCUPANCY Permit Number: P20000618 Date Issued: Wednesday, November 08, 200 This is to certify that work requested to be done as shown by Permit Number P20000618 has been completed, Tax Map Number: 523400-093-000-0002-020-004-0000 Location: 4CT3 SHERMAN Ave Owner: SANDRA COMBS This structure may be occupied as a: Garage - 1 Car Attached Single Family Dwelling By Order of Tmn Board TOWN OF QUEENSBURY DirectAe ut tng C ment TOWN OF QUEENSBUR.Y CL 742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201 Community Development - Building & Codes (5I 8) 761-8256 BUILDING PERMIT Permit Number: P20000618 Application Number: A20000618 Tax Map No. 523400-093-000-0002-020-004-0000 Permission is hereby granted to; CLUTE, L.ARR.Y For property located at; SHERMAN Ave 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: SANDRA COMBS 1475 VIELE POND Rd Garage - 1 Car Attached WARRENSBURG, NY 12885 Single Family Dwelling 65,000.00 Total Value 65,000400 Contractor or Builder's Name / Address Electrical Inspection Agency CLUTE ENTERPRISES, INC. COMMONWEALTH ELECTRICAL AG 13 DAWN ROAD PO BOX 706 QUEENSBURY, NY HAGUE, NY Plans & Specifications 2000-618 1008 SQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS $151 ,00 PERMIT FEE PAID - THIS PERMIT EMPIRES: Friday, October 04, 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 Que Wednesday, October 04, 2000 =71/1 SIGNED BYfor the Town of Queensbury. Director of Building & CM e E rcernent Building Per► nit Application Town of Queensbury - Delo. rfCrnnrnurtdfy Develulsuew, 742 Brfy 1lr ado �7frr•erfclrurv, N}' 12804 1761-82561 BUILDING c!c C +C1L`lE ENFORCEMENT Requirements prior to issuance A permit mast be obtained before of this permit: PERMIT FILE NOo besinning conutruction. No inspections Gfb will lra mado until applicant hits "weived © Zoning Board Action 114#6RA 1T FEE PAID $ ��j�_ a VA1,10 BUILDINO PERIvirrI All Area 1 uric I2LCfILF g77(7N FEE .tJU appYicnnls' apwccaa on this application � Gla � MUST be completaxi d IIto oigII nture Q Plaruting Board Action REVIEWED BK of lire applicant moat appear an the SPR I St1hdivisiost I Gather e,.ff.►.n� f.1.(arrYrr lication farm. �.. Recreation [lee Payment Applicant: — LMQ (r _ C-�4s�. Owner: Address: '� C>QL� Address: Phone # ( ) - Phone # Property Locsatiow c ,I Sui�div' ion Name, Tax Map Number �� - I ovv Sly nryx La is a fllr,ck I nl riiA� T_ L7B>a OF f'ROPL73Ea WORK * ESTIMATED MARKET NA UE OF THE •, New Building : CONSTRUCTXON : c? � residence / comtnerci+al $ --- 5C C00) Addition to Building : residence / commercial OCCUPANCY XNFORMATIONs Alteration to Building : Primary Building residence / commercial single Family Dwelling Residence / commercial Two Family Dweya 'At ng . lie change to exterior sire FaFnlr' iDwellIllg . .. " . � Office other Work ( describe below ) Mercantile A�UG 20a0 Manufacturin P . Other GROSS AREA OF PROPOSED STRUCTUREt /C=Z / -� If A[DDITIONe what will use 1st Floor . . , . , . tyc� d sq . ft / of new addition be ? : 2nd .F1"oor sq . ft �gc Other Fluuts . . . . sq . ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGSMOO : Detached Garage 2 car TOTAL FLOOR AREA : I, QC7 . SQ . FT . eS Attached Garage 1; . 2 car Private'- Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building FEET X FEET Other Foundation Type : �. ss- �� will sing second- band or ungraded Number of Stories : �_ - - _ lumber 9 users ? If so , for what ? ( habitable space orayly lieight ( grade to ridge ) z.o feat TYPE of 11EATING SYSTEMS Number of fi. replaceo and /or woo stone ( circle all wlzicti Iles } to be installed :_ -- 6 Elec / Gas Wood orced Hot Air- Baseboard / Other Pelson responsible for supervision of work as regards to building codes .160 `+c--�- C. -- - - Name Addresss Phone Builder : Plumber Mason : Electrician : DECL.ARAT10N.P Please sign below miter you have carefully read the statement. Oro the best of my knowleclge lite statctnetrts contained in this application , together with the plans and slFlcii1 ,:.ations Sul>tttitted, area true and complete slalernent of :ill proix,sed work to be clone on the described premises and that prov -ions of the Building Code, the Zoning Ordinance and all other laws pertaining to it roposed w rk shall be complied with, w ther specified or notcd , and that such work is atstl tied by the cr. Ftirtlacr, it is uauterstVect at I/we shall suhsnit prior to a Certilicatc of Occ .aticy 'ar Certili of Coanpli.ance being is : AS nuiur PLC rr PLAN by a licensed sure or; draw* e, S wing actual location p ott premises. Signature• - owner, owner's agent, rchitect, contractor) Application for Permit — Septic Disposal System Town of Queer?sbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1 . OWNER INFORMATION: Location of installation: flfflce Use ! I File Permit No_ Tax Map No. t Fee Paid Owner's Name: '� . • Q; _.. ................._ Address: .....,...... 2. INSTALLER'S NAME : � C ��Q. y ,em s- =r � c e2—C tom_ PHONE NO. -mot ' 'S _7�D 77 7 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate At bedroom(s) and multiply # of bedrooms with applicable gallons per bedroom to equal total dailyflow) Year ofHousa; No. of Bedrooms x Computation — Total Daily Flow 1980 or older x 150 gallbdrm = 1980 — 1991 x 130 gallbdrm = 1991 — present �L x 110 galfbdrm Garbage Grinder Installed yes I no Spa or Whirlpool Installed yes I no 4. PARCEL INFORMATION: (circle applicable information c& indicate measurements) r coil Nttllarq } W _ c. _ v Y _ Supply !a Tarr � at what deptlr al what depth rr+itic i rcrl tt l7ng oam feet heel well Steep slope clay if well; water supply slope other from any septic-system depth: absorption is f?. other Percolation Test: (To be completed by licensed professional engineer or architect) Rafe: minute per Inch 5. PROPOSED SYSTEM: Far New Construction: All individual sewage disposal systems must be designcdby a licensed professional engineer or architect (unless installed in a Planning Hoard approved subdivision). Add 25i1 gallons to the sizc of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank; 10C)r� ,gallon (min. size 1. 000 gal.) Tile Field: each trench "Sb ft. Total System Length: J2 Seepage Pit(s): number of size of each: -ft. by ft. Size of Stone to be used; ft C f depth or thickness.__-�--feet Bed System Size: x Ahemntive System: length and/or size 6. HOLDING TANK SYSTEM; (if required) Number of tanks: I Size of each: gallons / TO TAL 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 re on ith respect to th' application and agree to abide by these and all VV requirements a To of Queensbury n' ry Sewage .Disposal Ordmi ance. n 1 sa,&0 Signaturorof responsible person Date ENERGY CODE COMPT IMANCE APPLICATION TOWN OF QUEENSSURY , WARREN COUNTY 9000 HEATING DEGREE DAYS Comc> l i ance Methods : PXRT 5 -- Acceptable Practice Method - 1 & 2 Family Dwellings ( only ) . PART 6 * - Thermal Rating - Component Trade Offs 1 & 2 Family Dwellings ; Multi-Farsily Dwellings ( 3 stories or less ) PART 4 * - Design by Component Performance Commercial .Buildings -Hi Rise Residential *Recsuires submission of worksheets AP.'D1j1CA..,'NT ' S NAME : PROPERTY LOCATION : lie PART 5 METHOD OF COMPLIANCE BY .ACCEPTABLE PRACTICE : l _ Cross Floor Area - E1DEZZ scruare feet 2 . Tyke oarm f Heat - Electric Oil Gas Other 3 _ ' s building mechanically coaled ? Yes _'**e' No A * ? erce :stage of area or windows and doors Over l7 � Under 175s 5 . R-V? TJES FOR I:NSUI,A 1ON GIVEN BELOW DUST CORRRES?OND TO R-VALUES AS SHMWIN ION PLAINS SUBMITTED : a . Roof R 3 ;Z) b . Exterior walls R C . Glazed areas R k-4 . 5 do Exterior doors R e . Floors over unheated spaces R --- Edge of slab on Grade ( heated bu ild.ing ) R c . Basement / ce? lar walls ( above grade ) R Lg h . Basement / cellar walls ( below grade ) R t i i Neatin.g/ cool inc—ducts -piping in unheated space R 0000004 . 490 6 . Se .;rice ( domesw c ) hot water heat-I g device S 4.0 MC � .i{5 I7Z er _ 1Ciency per CaCt� _.Yes No TEMr"'E TUR.E CONTR4 MUM SETTIIgG 1400 - WILL NOT BE EXCEEDED Ann _ __ na Da- phone Nusaoe_ i T_ NS = C C RFM�a.RRS : TOWN OF QUEENSOURY HIGHWAYHighway Richard As Superintendent Highway Superintendent DEPARTMENT Horne Michael Tray s 742 Bay Read • Queensbury, NY 12804 Michael F. deputy Highway Superintendent Office Phones (548) 764-8244 (518) 798-0413 Fax: (548) 745-4466 DRIVEWAY PERMIT DATE: l AUG 1 8 2000 APPLICANT NAME: TELEPHONE NO. : ADDRESS TO BE INSPECTED: RETURN ADDRESS: k7'+ Ot' )V-� Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of +Queensbury has reviewed this application. The following action has been taken : STEP 1 : { } Preliminary Approval NEED: [ ) Slight Swale I ( } Level with the road { ) Deep swale Size pipe to be used (if necessary) { )12 )15,. ( )24. ( )36 Preliminary inspection completed by DATE Approval by Highway Supt. Deputy Supt. Upon completion, please resubmit this approved permit for a final approval. STET' 2: ( ) 'final Approval � �+ { } Rejected DATE: Richard A- Missita, Highway Superintendent TOWN OF QUEENSBURY BUILDING S CODE ENFORCEMENT 742 BAY ROAD QUEENSSURY NY 12504 (518) 761-82M ARRIVE : DEPART : FINAL INSPECTION REPORT COMMERCIAL -----^-- MULTIPLE DWELLING (hotel . motel. apt. COMPlex) DATE INSPECTION REQUEST RECEI ED : NAME - LOCATION AAON DATE[ n "' ERMIT # �' - TYPE OF STRUCTURE FOOTINGS BACKFILL FRAMING PLUMBING INSULATION N/A YES NO CHIMNEY / " B " VENT/HEI HT �.-�-- PLUMBING VENT FIXTUR S ROOFING EXTERIOR FINISH HEATING /HOT WATER_ RELIEF VALVES FLOORS FOUNDATION INS TION INTERIOR STAIRSIRAILIN STOCKRnST.OPPINIG4-- FIREE FIREZDPENE�PRA ON FIRE D CEILINPI'NG FIRE DS EXIT' DE EXIT STAiRS +"RAILS FLATFORMyELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE FLAN /VA LANCE REQ • '%.'b`TNAL SURVEY PLOT PLAN,,_ IF RE OK TO ISSUE C!O OR MAP REFERENCE: MAP OF "THE HEATHERS SUBDIVISION" DATED: APRIL 24, 1999 BY: D.L. DICKINSON ASSOCIATES I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. TMIS 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 TOs ALFRED W. GREEN. I DONNA L. GREEN M T MORTGAGE CORPORATION. IT'S SUCCESSOR$ AND/OR .ASSIGNS OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY GERTV90 BYE---------------------- ---- MATTMEW G. 5TEVE5, LL5 NY$ 50135 DATED NOVEMBER G. 2000 � an. D u s e� 8c Steves Land Surveyors, LLC •UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY RAP A LICENSED LAID SURVEYORS SEAL IS A VIOLATION CF SECTION 720C SUB -DIVISION 1. OF THE MM YORK STATE EDUCATION LAW 'ONLY OOPES PROM THE ORIGINAL OF THIS SURVEY NMIS09 VMN AN ORDINAL OF THE I" SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPES• 'CERTRICATKINS ="TO HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED M ACCORDANCE SITH THE OUSIMO DOGE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAID CE7RTIFICTIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND UDiMO WITITUTION USTED HERE014 AND SHERMAN AVENUE O I O O p 00 c �Go C5 d- I 1 �i 1n ON O N Z I t N f 04 Iw �Q V 1 1 � cJ O\ 2 NIAGARA MOHAWK Map of a Survey made for ALFRED W. GREEN, DONNA L. GREEN S81'51'15"E 151.31' AREA 43,560 sq.ft. 1.00 acres N86T3- 50"W 105.79' POWER CORPORATION II EASEMENT It 0 N 1 N 1 F7 rn el NU V LMbLK b, CUM Le 1'=50' S_ 1 %*ET 1 OF 1 GREEN C349 DWG. NO. 9g241-1 169 Haviland Road Queensbury, New York (518) 792-8474 New York lAc. No. 128041 TO THE MSSIOQS Of THE U21M SUTNUIM 50135 Town of Queensbury, Warren County, New York NO. I DATE DESCRIPTION RESIDENTIAL FINAL INSPECTION REPORT Oftice No. (5110 761,8256 Date inspection request received: Building & Code Enforcement v Dept. of Community Development Arrive amlpM 'Town of Queenshury --'" _. lm4pactar's Initra 742 Bay Road r - Queensbury, New Ygr kt 12804 Q NAME PEFLMI' LOCATION.". 00AT I N. ' DATE TYPE OF STRUCn NIA YES NO COMMENTS Chimney Heipyhtr'B" Vent/Uirect Vent location Fresh Air Intake_. Plumb Vent throdAb roof Roof Complete Exterior Finish Compl interior/Exterior Railings 3(�, to 36" Exterior Handrails, balcornies;4#nding 18 in. or more Interior Handrails stairs both sid�es.3 or more risers Grade 2% away from foundation .. 8" clearance to sill plate Gas Valve shut-ofr exposed/regulator 18" above grade Gas Furnace shut-oil'within. 30 feet or within line.of site Oil Furnace shut-off at entrance to ftunace area Furnace/Hot Water Heater operating Relief Valve(s) installed Headroom, 6 116 in. an stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 riser)(. Interior privacy/trirn/doors/rnam entrance 16" Floor Finish Bathroom/Yjtchen watertight Interior Handrails Balcomiesn -nd ng lg in_ ore Railing across window in stairwells Smoke Detectors: every level every kxxlroorn outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofs Garage penetrations sealed Furnace in separate room tected (in garage) Eight ventilation per Safety glazing 18" or es it Final Electrical I Site Plan/Variance uir Final Survey Plot flan As Built Septic System layout required Okay to issue C/C (Certif. of Compliance) Okay to issue tamp. CIO (Certif. of Occupancy)_ Okay to issue permanent C/O (Certif. of Occupancy) y p r CAL ISPFCTION TRI ComMONW nAClffH F C 6 Run Roadnh nheim, pA 17 45M-A Sl � ' M[SNI+C:IP.AL CERTIFICATE - ELECTRICAL API'R(JVAI. N_ Cut-in Card T3u..t�.4.G3..�, �...�.... Panel Board No....................._.......tucri. 4 69245 ............._.._............................................................... Owner......._Ie.............ar.� L ..i� .»., � ccrr . h Location ........ . . t .........._ .�..1 ?.cYe.w? Art .... .!5!. .................... ` ! .. .......5...... � ...1! ...... ., Installation Consisting Of ...�." p.CJ ,. . S .. _.. .....w....S:y.......+L.7'�...�.s......art......../. )..+�'..f.._... . . . I Yt�".-}..��.f......1 .I."1�'. .,' /,' . ...... ..1.:!,....4.",�................. .... . 'i S' e3,{,C„ ._.....1.rf..: ./. ....................................................................................... .......... ...... ...-t'x'•�... installed Sy. .s + 1 [.T,/......�.4 r cR.4..Gr..................... i ic. No. ...................,.. ... ....................... The conditions following, governed the issuance Of this certitcate. and any certificate previously issucd is cancelled: - '� This certificaxe only covers the electrical equiprnenitland n shall installation conditions ado:as foranVe ti n'on e introduction of additional equipment or alterafionaPtr of making inspections at any timc, and if its Inspectors of this Companv shall have the privilege e rules are violated_ the Company . . h1ee N . .................�. shall have the right x/o�.r-e�] e this ccrtt i�a © C 7 ................ SPISPEC TOIi J.r� F.P.A., Date......�..1.Il..,Z........,,..... 0r1wmwww"w� .100 of CAE `pl�rORCET 742 Bay Road Qu US ry N� 12 (518) "1fi1-$256 I1ISPECTIOR SEPTIC DISP0SAL SYST :.C�_ A awe � c� ,. Location # _ e rmi t Date ' sand Loam-Cl SOIL TYPE Test_ Resents o colation nutellnch� l i cabl e) Rate-Mi . TYPE o To al t � TYPE CfF SYSTEE Lem PmSQR1'TIGH FIELt1: , Length of each tren Depth Of trenches Size of stone to r- ft . SEEPAGE PITS ft . Stone siSizere 5�iz� ~y;P pIP IN6�o 'lank -- w'� 61dg - to pint . Box -� " Tank to Field PO o artsa Dist, Sox vies open" ngs Seal ed 5S fry feet TI LOCaTIi3Rr/SEA an �- "�""` f eet foundation to Abs rption �-----feet Foundation ai Pit a No Separation of Pl an er P PROPEY � ATIt� pf SLOCYSTE* OK ( Circle Rear Le t Side w R, ,ght Side Front Front _ Mi7dl e Rear middle ddTS: IL 1 I{ USE AppROVED = (DES No srsTER �- u��= � Buil di n9 Inspector h, ro l Ore I BOO t001 �P , rya GENERAL JN, CTI N 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 1� Inspector's Initia NAME: PERWT LOCArn N: _ — c-,e ,, Arm_ l —G— z ANE : ee42 TYPE OF STRUC11JRE: RECHECK _ NIA YES No COMMENTS Footings/P'iers -�---- _�� Monolithic Pour Form Reinforcement in Place The contractor is respons►ble for; providing protection fro� f =iilg for 48 hours following t la_ceinent of the concrete. s {_ Materials for this purpose on site �.. Foundation/Wallpour. ' - _ Reinforcement in Place_ Foundation/Dampproof'i ng Backtill Approval Plumbing Linder Slab PI #xing Vent/Vents in Place gh Plumbin eating 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 Fratnin Jack Studs/Readers Bracing/Brid Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 22 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour, F'irestopping ( 518 ) 761 -- 8256 GENERAL LVSPECTI N REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement f 742 Day Road Queensbury, NY 12804 Arrive am/pm Depart ` Inspector's initials / NAME: r 1,,,&n woeR Le7 n 4s PERMIT # Z090 - LOCATION. - DATE : ! oi) TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingsJPiers 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/Wallpaur Reinforcement in Place Foundation/Dam Backf ll Approval Plumbing Cinder Slab Vumbing Vent/'wTants lA Place vkough Plumbi �. lv eating Rough-In = C nsulation Foundation 'Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper `dent, Attic Vent Frantiag Jack Studs/Headers Bracing/Bridging. joist I�ar►gers / lack Posts/Main Beam .d �,�, !� *'Air Infiltration Barrier f Fire Separation 1, 2, 3, hero Penetration Sealed VVIF�e Wall 2, 3, 4 hour restopsna �� L/ GENERAL VVS,PECTI N "PORT � pm ( 518 ) 761 - 8256 Town of Queenshury Dept, of Community Development Date inspection request received -Wd& Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive -i Yr�� Y er 3 Depart , Inaptor's Initial -- NAME- '' PERMIT iv � - ewe / � LOCA C M DATE : TYPE 0 STRUC'4TCTRE: RECHECK /A YES N COMMENTS FootingsfPiers I Monolithic Pour Form Reinforcement in Piave The contractor is responsible for providing protection from freezing for 48 hours foklowing the placement of the concrete- Materials for this purpose on site FoundationfWallpour, �Il Reinforcement in Place �} Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place i Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiiing R- Duct work or piping in unheated spaces R- Vent, Attic Vent ra � ac tuuls/Headers Bracing/Bridging_ ......_.. Joist Hangers Jack Posts/Main Beam / on 113jam ��! Fire on7 , 3, hour1 Penetration Sealed Fire Wall . 3, 4 hour GENER'A.L INSPECTION REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development slate inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12844 Arrive am/pm Depa Inspector's Initials -' NAME: C t cJ�G PERMIT # r LCfCAUON: � �A AA _ DATE : TYPE OF STRUCl"IJRE: RECHECK N/A_ YES NO C NTS 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 Fowndationf Wallpour Reinf rrmant in Place F 4infDampproofi g Fsfill Approval Plumbing, Under Slab Plumbing Vent/Vents in Place Rough Plumbing, Heating Rough-ln 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 Stud&41caders BracingBri Joist hangers Jack PostslMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Seated Fire Wall 2, 3, 4 hour Finestopping GENERAL INSPECTION REnVRT 1 ( 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 _..,� n Inspector's Initials =7 NAME �1( l �� PERMIT 0CA'nON= BATE _ L _ TYPE OF STRUC"iIME: RECHECK NIA YE NO COMMENTS �ingsfPiersV1 I Monolithic Pour Form Reinforcetnent in Place The contractor is nsibie for providing protection from freezin for 48 hours following the placemc of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing. Bwk6li Approval Plumbing under Slab Plumbing Vent/Vents in Place Rough Plumbing, Beating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wails R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Fxamin. Jack Studs/I-leaders Bracing/Bridgin Joist Hangers Jack PostsfMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping