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2000-847 TOWN OF OUEENSBURY 742 Bap Road, QueensburF,, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE OF OCCUPANCY Permit Number: P2O000847 Date Issued; Monday, Apri130, 2001 This is to certify that work requested to be done as shown by Permit Number P20O00847 has been completed. . �� n � Tax Map Number. 5234 0�$-� - 07'm00i9J- & M0000 00I Location. BERRY .PATCH Dr wner.{o CERRONE BUILDERS, INC. Applicant: CERRONE BUILDERS, INC This structure may be occupied as x By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Director of Building & Code Enforcement TOWN OF QUEENS13UR.Y 742 Bay Road, Queensbury, NY 1 2 804-5 902 (518) 761 -8201 Community Development - Building tic Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000847 Application Number: A20000847 Tax 11Iap No: 523400-048-000-0007-009-000-0000 Permission is hereby granted to: CERRONE BUILDERS, INC For property located at: BERRY PATCH Dr in the Town of Queensbury, to construct or place at the alcove 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. I ype of Construction Value Owner Address- CERRONE BUILDERS, INC Single Family Dwelling 140,000,00 66 SUNSET TRAIL Garage - 2 Cars Attached QUEENSBURY, NY 12804 Total Value 140,004.00 Contractor or Builder's Name / Address Electrical Inspection Agency COMMONWEALTH ELECTRICAL Al PO BOX 706 HAGUE. NY Plans +& Specifications 2000-847; Lot 9, Rouse No. 42 Berry Patch Drive 1970 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATION $275*00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday, November 09, 2002 (Ifa longer period is required, an application for an extension must be made to the code Enforcement Officer of the Town of Queensbuty before the expiration date.) Dated at the Town a sbury Thursday.) November 09, 2000 SIGNED BY for the Town of Queensbury. Director of Building & Co e En cement Buitainlg Pert"* .�Application/ � T©Wn of �G+��''�'nsbury - Daly, of C`urerluure De D elolvnel71, 742 Bav Rrwird. Qrrc errsJue t , NY 12804 1761-B25b/ ��wpm BUILDING & CODE ENFORCEMENT ILRequirements prior to issuance Lnmust be obtained before of this permit: PERMIT FILE NO g construction. No inspections ado until applicant has received Q .2iOning Boaerrd Acsion PERMIT FW PAID , �a��BUILDING PERMIT, All Area / ilea � rj�s" slMwess vn this applicntlon RECREA�EE D �e Completed mod- the aignaturePlruenlieg Bawd Atcticrrtplicant must appear co the REVIEWED BY.•n fbrm. v..4 sue. Si�R f 5ubxliviaix}n / Other B�rF(,ring lnsf+ccrnr Recreation pee Payment Applicant. Owner: � f,€ Address: 5+-tAddress: Phone # ( ` } �Cd� Phone Property Location: 'or S jt Subdivision Name: ys L � , Section Block lint NATU OF PROPOSED WCf14IC : ESTIMATED MARKET VA U OF THE New Building : CONSTRUCTION : $� , , za(y residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Buildings Pri y Building - /"'"u - e � sr--^ residence / commercial Single Family Dwell �- r Residence / Commercial STwoin Family Dwelling no change to exterior size Family Dwelling Nov Q LWA Office Other Work ( describe below ) Mercantile , TOWNOx �UEENS611 Manufacturng 9UIl.f)ilr. GODI y Other GROSS AREA OF PROPOSED STRUCTURE : 16t l± loor . . . . . . . . /4 -�d sq . ft If ADDITION , what will use 1_ dit ' 2nd .F1'o4r . , ...!�" . . . sq . ft . �� of new. ad be ? : Other Fluor" s . . . . , sq . ft ' { not unfinished cellar or basement ) r ACCESSORY BUILDXNGSt Cached Garage 1 , 2 car TOTAL FLOOR AREA : O SQ . FT . Attached Garage 10 2 car Privater_ Storage Building SIZE OF NEW STRUCTU 7RE : Commercial Storage Building �. FEET x 0- FEET Other Foundation Type ; � �,�-�,r,�.� per Will any second- hand or ungraded Number of Stories@ y lumber be us If So , for what ? ( habltable space ogly ) 111l Height ( grade to rXdge ) : feet TYPE OF HEATINC; SYSTEM2 Number,' of fireplace / err wocr stave ( circle all which lies ) to be installed *. 11 / Waseboard / Wood 4: Forced Hot Ai / / Other Person responsi for pervis .ion of wo k as gar-d s to buildin codes is : _ 722 �M�" r-r �A aye Name Addresse Ph Builder . 9!! _ Plumber : - Masans Electrician • DECLARAT,IClNE Please sign below after' you lutve carefully read the staternent. To the Crest of my knowledge the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all prolxascd work to be done on the described premises and that all provisions of the Building ewe, the 7,oning Ordinance and all other laws pertaining to the proposed work shall be complied with , whether specified or noted, and that such work is authoriized by the owner. Farther, it is undersl(xxi that I/we shall submit prier to a Certificate of Occupancy 'or Certificate of Compliance 'being issued, an AS BUILT PLOT PLAN by a licensed surveyor; d rs to scale, showing actual location cal• ,project on premises. 01 Signature: (owner, owner's agent, architect, contractor) Application for Permit -- Septic Disposal System Town ofQueensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1 . OWNER INFORMATION: _..,_............._ ,.,,__....._...........,.,.......,.,,,......................._,....................................... � Location of installation: , y Office Use Tax Map No. / _ File Permit No, Owner's Name, ,�[�. 'max /c ` yu�• Fee Paid ... ............... ..._..................__.._... ..................._....................... Address: 2. INSTALLER'S NAME : PHONE NO. 3. RESIDENCE INFORMATION; (circle year of dwelling, indicate # bedroom(s) and multiply # of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No of Bedrooms x &ompu(ation = Total Daily Flow 1980 or older x 150 gallbdrm = 1980 — 1991 x 130 gal/bdrm = 1991 — present 3 x 110 gaVbdrm = �3p Garbage Grinder Installed yes / no Ct- Spa or Whirlpool Installed yes / no L.- 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) TOO j2h i1 r Ground Mat r Bedrock or lrnper+ ous Material 1 omostic Water Supply an at what depth at what depth � mtrnic tlraf o ling loam feet feet well Steep slope c ay if well; water supply slope other from any septic-system depth: absorption is fl. other Percolation est: (To be completed by licensed professional engineer or architect) Rate: Cp — /0 minute per inch 5. PROPOSED SYSTEM: For New + onstructim 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: /�f/ gallon (min. size 1, 000 gat) Tile Field: each trench 5�5 ft. Total System Length: Seepage Pit(s): number of size of each: fl. by ft. Size of Stone to be used: 11 / depth or thickness Bed System Size: x A.hernative System: length andlor size 60 HOLDING TANK SYSTEM: (if required) Number of tanks: I Size of each: gallons f TOTAL Capacity; ,gallons Note.* Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency, ?. SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (please read) For your protection, please note that pursuant to Section 136-29 of the Code of the Town ofQueensbury, 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 ofth wn ofQueensbury Sanitary Sewage Disposal Ordinance. 3 gnature of responsible person ' 7 ENERGY CODE COMPIaMANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS Comtaliance Methods : PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( only ) PP?tT S * - Thermal Rating - Component Trade Offs 1 & 2 Family Dwellings ; Multi-Family Dwellings ( 3 stories or less ) PART 4 - Designs. by Component Performance Commercial Buildings -Hi Rise Residential *Rec7uires submission of worksheets APPLICAltiTT ' S NAME : PROPERTY LOCATION : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE * 10 Gross Floor Area - /-'L square feet 2 . Ty-0e of Heat - Electric Oil ems► _Gases Other 36 is building mechanically cooled ? Yes V NQ 4 . ? e _centage of area of windows and doors Over I7 % Under 17 5 . R-VALUES FOR INSULATION GIVEN BELLOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMT_ TTED : a * Roof R b . Exterior walls R Co Glazed areas R do Exterior doors R e . Floors over unheated spaces R = _ Edge of slab on grade ( heated bl ilding ) R g . Basement / cellar walls ( above grade ) R r . Basement /cellar walls ( below grade ) R i Hea.ring/cooling-ducts -piping in unheated space R 6 . Service { domestic } hot water heating device_ /'f Can = arms to rc.inimum efficiency per code [/ Yes No TE RATURE CONTROL MAXIMUM SETTING 140o - WILL NOT BE EXCEEDED App ' __t � s ignatnre %; e� P:sone ����G',�� WNSPEC `c :-R S RZMARXS . �,/ TOWN OF QUEENSBORY BUILDIN 742 CODEBAY ENFORCEMENT ROAD OUEENSOURY NY 12804 (518) 761-8256 ARRIVE % DEPART : INSP : FINAL INSPECTIPN Ru"RT CONliBR£IAL MULTIPLE VWELLI140 (hotel. motel, apt. complex) DATE INSPECTION REQUEST RECEIVED : Loll LOCATION/// I'll , Jill I �y Z",r =/ PERMIT # �'� r DATE �- TyPE OF STRUCTURE FOOTINGS BA.CKFILL� FRAMING PLUMBING INSULATION NAA xE5 NO C}; IMNEY / B " VENT/FIEIGHT PLUMBING VENT/FIXTU ES ItOO F I N G E7tTERIO FLNI H HEATING/HOT WATER RELIEF VALVES FLOORS FQUNDATION NSULATION INTERIOR STAIRS RAILING STOCKROOM ENCLOS RE TIRE/DEMISE WALLS PKNE:jRAION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS ICLOSERS EXJ DOOR 4lARDWARE - EXIT I�I R S 1 RA I ------- PLATP EI'EVAT R ANDI APPED C SS HANDICAPPED BAT S HANDICAPPED PARKING INAL E E TRICAL - ITE LAN lVARI NCE RE 'y FINAf. SURVEv vLOT PLAN . IF RE ❑K TO ISSUE C O OR C C� MAP REFERENCE: FINAL SUBDIVISION PLAN PHASE 2 DATED: JULY 26, 1999 BY: VAN DUSEN & STEVE LAND SURVEYORS, LLC D Stever Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12801 1518) 792-8474 New York Uc. No. 50135 LOT 10 911 25,.7r LOT 52,500 sq 1.20 ocr4 I"-�- -- ro n,a• DRIVE 47.44• 70 J5 .00, 0 p+eo S06'29'2 " ow ! LOT 8 LOT 7A RMAUIMORM N.7F7 I= 0 A001710M 70 A lMVEY MAP ILOW A UODOW LAID VJWA,VM KX 10 A VALA7MM OF SOMM 72M 141!-OIIOaI a, OY 1F[ NO VW ATA7L OUCANK IAVt' •ORY CW= FWW 7ME ONIOMAL OF *a U*4,V MAY® OW AM W MAL OF 7ME LAM NOROM IM SH" K COIUM 7q K VAM WK COMW NOW1*71014 UWAYM M711 = WNFY TWO I= SWAY t7A0 PRO% E0 M ACCORDOM V M 7ME 00:71MI MK 01 MACWZ FOR LNO *AT4V= ADOAW OY 711E M X VOAK WADE AMM10A7M1M Of PROFMOAL LAW Knw=L "a CfJtp1CA710K !ALL YM OLY 30 111E POWN flit tMOI YK 9U W K YMDAM ABC ON Mt WW 7019 lllli ml~. 00KYMYRAL AOFMCY AND Lf7MI 09MMIOM LOW M89ft AM 10 VME ANNIMM Of 7MK UAIOMD MMIWIW Map of a Survey made for W F Jaynes D. Pruiksma, Sr. & Marie A. Pruiksma Towns of Queensbury, Warren County, New York LOT 1G x FIELD F VIEW-Sourpri a / LOT G 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 TKE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: JAMES D. PRUIKSMA. SR. & MARIE A. PRUIKSMA FLEET NATIONAL BANK C/O FLEET MOR70AGE CORP., j� IT'S SUCCESSORS /ND\OR ASSIGNS \ FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK NO. I DATE O 3� MATTHEW C. STEVES. LAS NYS 50135 26, 2001 DESCRIPTION 1" x S --1 SHEET I OF 1 CERRONE DWG. NO. 96081-9 RESIDENTIAL FINAL INSPECTION REPORT Office No. (510) 761-8256 bate inspection request Tmeived: Building & Code Enforcement Dept of Community Development Arrive atn/pm I?e;frxrtd f f 1 Town of Queensbury Inspector's Initiall 742 Say Road Queensbury, New York 12804 NAME PF.Rrir IT #< LOCATION DATE TYPE OF STR 1CTURE c NIA YES NO COMMENTS �`�O w5S r f 0 U Chimney Heightf B" VeritlDirect Vent Location t ' 1 [ � Fresh Air Intake toor Plumb Vent through roof Roof Complete Exterior Finish Compiete Interior: Exterior Railings 3t1" to 6" Co V�__m ce -j& 2 I rJ +[ (.i.-'7 C_? (A-� Ace—"— Exterior Handrails, baleonies, in. or more �.— � �J Interior Handmilc stairs both si 3 or a risers I L CJ > c-<— [bade 20A away from foundation } {� 8" clearance to sill plate Gas Valve shutoff exposedl or l ' above grade Gas Furnace shut-off within 30 f or thin lute of site Oil Furnace shut-off at e7xtiance to cc area Furnace/Hot Water Relief Valve(s) installed Headroom,. 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides in than 3 risers Interior privacy/trini/doorsJmain en ee 36 Floor Finish Bathroorn/Kitchen watertight Intierior Handrails Balconies/Landing 8 in. or more Railing across window in stairwells ye 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 fireproofuig Garage penetrations sealed Furnace in separate room protected (in ,garage) Light ventilation per room Safety gla drag 18" or less f om floor Final Electrical ve Site P1an[Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue CIC (Cerlif, of Complinnee) Okay to issue temp. CIO (Ccriif. of Occupancy) Okay to issue permanent CIO (Certif. of Occupancy) i j � +Jui R.1e ELECTRICAI. INSPE+CTIl7N SERVICE Main Otir E I? MUNICIPAL CERTIFICATE Run Road - Manhelm. PA ra ' INC - ELECTRICAL P Panel Board APPROVAL Owner Cert. a................ Lr. 'IL't' �68752 C'ut-in Card Flo. ... Installation Consistin of,.-.. ........ t2ey??t-x�� cG` t rC !cz-c -io r In-stalled BY —'�� #,�..j. .. ........ .!�.. /.... The con ditions Follow•' ............................ Lie.cancelled: - rng governed the is 1+To. ............................................. serance of this certificate, and any certificate This certificate only covers t introductian aFadd,houal a he electric previously issued is goipment or alter ltions�pmenr and installation c<rnditions rules are Violated, of this the CnmrnPany shall have the pp"cat�on shall be prompt! as of date. UPon the inlaled, PanY shall have the privilege of Y mad for in 2 7" d mat0 inspections at an s e right to peciion, bate... �ejvake t te. ime, and if its r1R ..-.4. "rlember N-F-P.A., t.A >E.i. . RESIDENTIAL FINAL ]INSPECTION REPORT iac Office No (518) 761.8256 Date inspection request received: Building & Code Enforcement .Dept. of Community Development Arrive am/prn DepR Town of Queensbury lnspectm's 'Initials 742 Day Road Queeasbury. New York 12804 NAME PERmrr #LOCAT110 DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney IleightrW' VentlDirect Vent LOMtion Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete bnterior/Exterior Railings 30" 36" Exterior Handrails, baleonies, ding 1S in. or more Interior Handrails stairs both 3 or more risers Grade 2% away from foundatio 8" clearance to sill plate Gas Valve shut-off exposedf ter I9" ve grade Gas Furnace shut-off within 30 f or wi line of site Oil Furnace shut-off at entrance furnace Furnace/Hot Water Hester Relief Valve(s) installed Headroom, 6 fl. 6 in. on Basement stairs, 6 ft. 4 in_ Handrail exterior stairs bath sides m than 3 risers Interior privacy/trim/Mourshnsin en ce 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing I gin. or more Railing across window in stairwells Smoke Detectors: every level every t>adroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer, Garage firmwoofin Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per Spiety glazing l S" s floor u�al Electrical Z Site P1anlVarian req Final Survey Plot Plan Z- As Built Septic System Okay to issue C1C (Certif. of Compliance) Okay to issue temp. C/O (Certif. ofCDccupaney)_ Okay to issue permanent C/O (Certif. of Clccupaocy) GENERAL INSP"ECTIQN REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road �j . / Queensbury, NY 12804 Arrive am/pm Depart a inspector's Initials J NAME: a c- PER -1T # 06 /0� ` 7 LOCATION: � �T( -� DATE ¢ TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers � Monolithic Pour Form Reinforcement in Place The contractor is respo a fo providing protection fro freezing for 48 hours followving t placcme t of the concrete- Materials for this purpose o site Foundation/Walipour Reinforcement in Place Fostion/Darnpprooftn SackE'iil Approval Plumbing Under Siabr" Plumbing Vent/Vents in Plac Rough Plumbing �Ming Rough-In %/'Insulation Foundation Walls Interior Foundation Walls Exterior Floors R- Wails R- Ceiling R- Duct work or piping in unheated spaces R- proper Vent, Attic Vent Framin Jack Studs/Headers BracinglBridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour, Firestoppin //4 GENERAL INSP"E TION 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 pepar�w 2 `3 74/ Inspector's Initials NAME: PERMIT # 4)0 LOCAT1ClhT+ Y �1 -�e.2 f G t-{. DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COUNTS fovtingS/Piers -I Monolithic four Form Reinforcement in Place The contractor is reslw le for providing protection freezin For 48 hours followin the place at of the concrete. Materials for this on site Foundation[Wallpour Reinforcement in Place Foundation/D�uspproo n Backfill Pln :ng Under Slab P ug VentlVents n Place l'1 sting Rough-In nsulation ` { Foundation Walls I ftnor R- Foundation Walls Exterior R- Floars R- Walls R- ceiling R- Duct work or OLPM I in unheated spaces R- r Vent, Attic Ve t Ja.* Studs/Headers 99 raciingfBridging_ Joist Hatrgers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour. Penetration Sealed F` Wall 2, 37 4 hour, yirestoppi �� GENERAL INSPECTION RLIPORT ( 518 ) 761 - 8256 Town of Queensbury 4, Dept. of Community Development Date inspection request received: Building & Code Enforcement 4 ,/j 742 Hay Road �1.� Queensbury, NY 12844 Arrive am/pm Depart Pm Inspector's Initials !] NAME. PERMIT LADCATIO DATE : TYPE OF S I PuClnl�JRE: RECHECK N/A YES NO COMMENTS Footing&/Piers Monolithic Pour Form _ Reinforcement in Place The contractor is responsibl or providing prat on from ing for 48 hours foil ng the acerlient of the concrete. Materials for this se si Foundation/Wallpour Reinforcement in Place FoundationADampproo^fin B,ackf ll Approval Plumbing Linder Slab I I /may C Plum VentlVents in gh Plumbi Heating hough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walis R- Ceiling R- Duct work or piping in unheated. spaces R- Proper �Ient, Attic Vent �'" 041 +� Jack S � ��, �. � �-•�- � { F �-- '�-<-K Hracing/Bridgin8 Joist Hangers ,If Jack Posts/Main Beam. ✓✓Air Infiltration Barrier Fire Separation 1, 2, 3, hour Pe on Sealed F' Wail 2. 3, 4 hour irestoppin F TOWN OF WEE*SAURY -�"� • BUILDING_ & CODE ENFORCEMENT 742 Bay Road Queensbury_NY 12804 �(518) 761-8256 SEPTIC DISPOSAL SYSTEM I SPECTIONN Name Location Date 5 1 Pe it SOIL TYP Sand Loam lay- Q Results o Percp ation Test- ( if applic ble ) Rate-Minute/ Inch r TYPE OF SY ABSORPTION FIELD : Total Le h � Length of each,. trench 1 � Depth of trenches i Size of stone --C _._. ' i SEEPAGE PITS : NOW er- Size - ft . ft . Stone size — PIPINGO S �e Bldg . B1 dg to Tank r� �r ' Tank to Dist . Box r! 1 �� L? Dist . Box to Field/Pt r Openings Sealed ? as No PWF'ta LOCATION/SEPARATIONS . Foundation to Tank (rJ feet Foundation to Absorpti feet Separation of Pits at Conforms as per Plot an as ' No LOCATION OF SYSTEM PROPER ( circle ; Front - tea,V - of ide - Rig Side Middle Front - Mi dl a Rear COMMENTS: t SYSTEM USE APPROVED: ! YES No Departed. Building Inspector Rq "I have seen or observed, or believe t saw evidence of, al! objects such as houses. wells, trees, fences, etc,, -. -,wn on this document. 1 also represent that t have LL ionally a ured distances set forth on the criaArarq.000 S!GNATURE DAT t 1 70/� S5 r '5.7 f r U+� 1 1 r �J GENERAL ,INSPECTION REPORT �-~-� -�--- - ( 518 ) 761 - 8256 Town of Queensbury Date irtspect'son request received: Dept. of Community Devclnpmen# Building & Code Enforcement 742 Bay RoadTkii Queensbury: NY 12804 Arrive Depart spector's initial NAME: �' � — r PER.MFI' # �Y } LOCATION: &v PATE � TYPE OF STRUCTURE: RECHECK NIA YES COMMENTS 00tings+'1'i - u1`onolithic Pour Form i 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/13arftPPMOfm Backfll Approval. Plumbing 'finder Slab Plumbing VentNents in Place Rough P'lumbi Heating Rough-In Insulation Foundation Walls I or R- Foundation Walls rior R- Floors R- rWalls R- Ceiling R- Duct work or 'ng in unheated s R- proper Vent, A c Vent Frami Jack St rs Bracin ridgin Joist Hangers Jack PostwMai.n T3eam Air Infiltration Barrier___,_ Fire Separation 1, 22 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION )W " RT ( 518 ) 761 -- 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive - -- amJpm Depar (} - 1pm inspector's Initiais i NAME: PERMIT 4 o—R i 7 LOCATION: DATE : 1 - TYPE OF S'rRUC'I'URE: RECHECK N/A 'YES NO COMMENTS Footings/Piers Monolithic Pour Forth Reinfott em ent in Place The contractor is respons for providing protection fro ing for 48 hours following th placement of the concrete. Materials for this pu site Foundation/Wall Reinforcement in Place 71 Found orJDampproof ll Approval Plumbing Under Slab Plumbing VentfVents ' Place Rough Plumbin Heating Rough-In Insulation Foundation Walls tenor R- Foundation Walls xterior R- Floors R- Walls R- Ceiling R- Duct work or ng in unheated ces R- Prope;r Vent, A#c Vent Frarmi Jack Studslfleaders BracingBridgin Joist Bangers Jack Posts h4ain Beam Air Infiltration Barrier Fire Sep=tion I, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION REPORT ( 5 .1. 8 ) 761. - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement r 742 Road [�} t `—�'" Qu4wenscnsbury, NY128t14 Arrive �.^ am/pm Depa Inspector's Initials NAME. _ �y P 1T tl LOCATIC3N: ATE TYPE OF STRUCTURE: _. RECHECK ,s"� NIA YE NO COMMENTS \,/FocrtingslPicrs, _._ Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freerin for 49 hours following the placem nt of the concrete. Materials for this purpose ❑n site Foundation/Wall pour_--- -__- .-- -- Reinforcement in Place__- -- Fou ndation/Dampproofi ng._T_ Backfill Approval__. _ Plumbing Under Slab_ — Plumbing Vcnt/Vents in Pla Rough Plumbing—_. Heating Rough-In ___.__ Insulation Foundation Wails Interior R- Foundation Walls Exterior R- Floors R- - Walls R- - Cei 1 i ng R- __-- -- - Duct work or piping in unhealed spaces -- Proper Vent. Attic Vent --- - -.- lack Studs/1 leaders. _..— Bracing/l3ridging__ -.---- _-- Joist Hangers.--.._ lack Posts/Main Air Infiltration Barrier_ Fire Separation i . 2. 3, hour, Penetration Scaled__ —_ _ Fire Wall 2, 3. 4 hour____- Fireslapping`- _. _- v __ f ' i have seen or observed, or believe I saw evidence of. All objects such as houses, wells, trees, fences, etc., ,wn on this document, l also represent that # have ,: :,,r,a�iy a ured distances set forth an the dia ,. sicrvaruaE �nr V N s ' 00 r t,, fUDf� f. r � f 2