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2000-815 TOWN OF QUEENSBURY 742 BayRoad Queensbury, NY 12804-5902 (518) 761-8201 Community Development = Building & Codes (518) 7614256 CE RTIFIAT EF �AI� Y Perm�itNumber. P20�00815 Date Issued: Monday, March 12, 2001 This is to certify that work requested to be done as shown. by Permit Number P20000815 has been completed. � � . � � -�� Tax Map Number. 523400=148=000-0003-05740-0400 Location: 28 DANFORD Ct Owner. HUDSON POINTE INC. Applicant: MICHAELS GROUP This structure may be occupied as a; By Order of Town Board Single Family Dwelling TOWN OF QUEENSBM Garage - 2 Cars Attached Fireplace Director of Building & Code Enforcement TOWN OF QUEENSBU'R'Y 742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000815 Application Number: A20000815 'I'ax map No: 523400- 148-000-0003-057-000-0000 Permission is hereby granted to: MICHAELS GROUP For property located at: 28 DA.NFORD Ct 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 Queenshury Zoning Ordinance. Type of Costruction Val n _-ue Owner Address: HUDSON POINTE INC. Single Family Dwelling 157,500.00 300 ERIE BLVD. W. Garage - 2 Cars Attached SYI2ACUSE, NY 13202 Fireplace Total Value 157,500.00 Contractor or Builder's Name / Address Electrical Inspection Agency MIC14AELS GROUP LLC THE NEW YORK BOARD OF FIRE UNDEI 10 BLACKSMITH Dr MALTA. NY 12620 Plans & Specifications 2000-815 2012 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS, Lot 57, House 28 Danford Court, Hudson Pointe PUD, Phase III Hudson Pointe PUD, Phase III $267,00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, November 01, 2002 (Ifa longer period is required, an application for an extension must be made to the code Enforcement Offieer of the Town of Queensbury before the expiration date.) Dated at the To of eens ryij W a ay, November 01 , 2000 SIGNED BY for the Town of Queensbury. Director of Building & Code Enforcement Building Pennit Application Town of Queensbury - Dept. orconrr►+ruxily Develo1uuent, 742 Bety goad. Quernrbierv, NY 12SO.4 1761 -82561 BUILDING & . CODE ENFORCEMENT Requirements prior to issuattce A porrnit must be obtained befora of this permit. PEtfM1T FIGF fvo. beginning construction. No inspectiOns .` will be made until applicant has reccivccl Z<7rafitg I3acrrd Acllort PEItMf!'T f EC PrflU S a VALID BUILDING PERMIT. All Area I Use RCCRlsrtTlc7N FEE ri! �applicants' spaces on this application MUST be completed ar5d the signature [] PlcuutTsig Board Action RE►/lEWBD l3Y. Of the applicant• mrut appear cut the Pt 1 Subdivision 1 Ott i "application fora[. 7w.,xcan II�rft rn( Ir.s� crnr i l n er Recreation Fee Payment Applicant: TV41E rit' 5 Ln' ?t.�2"tt � _ OWA ner: Address: - k r � i` r+ a. , t2t:'I� Address: Phone # ( �` ,_) $ ! Phone # Property Location : CLSv�'J` --- l'nx Map Number Subdivision Nantc _ Section f3lock 1lti NATURE OF PROPOSED WORK ; ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ _ _ 1 � � �ti residence / commercial Addition to Building : residence ! commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence ,/ commercial �{_ single Family Dwelling Residence / Commercial Two Family L r ■V/ � � no change to exterior size Fatnil Office Other work ( describe below ) Mercantile OCT 2 U 2000 Manufactur " Other h e � ''ru OF QUEl�ntsBt.tP., CROSS AREA OF PROPOSED STRUCTtRE r 13UfLDIl4G A1YD CU,DF. 1st Floor * . . . . . . . _ c> sq . £ t. . S�C) If ADDITION , what will use of new. addition be ? 2nd .Floor . . . . . . . • � '5'2so'L sq • Other Floors . . . . . sq . ft . 3 ( not unfinished cellar or basement ACCESSORY BUILDINGS : �-- -- Detached Garage 1 , 2 car TOTAL FLOOR AREA : ,�i +Q� , w SQL Attached Garage 1 , 2 car Private Storage Sui SIZE OF NEW STRUCTURE : �� Commercial Storage Building FEET X wit FEET Other Foundation Type : [-i�Rti~l' > _ _ Will any second - hand or +ingraded Number of stories : % lumber be used ? If so , for what ? habitable space only ) p Height ( grade to ridge ) . feet ',TYPE OF BEATING SYSTEM : Number a £ .Fireplaces and/ or wood stove ( circle • all which a plies ) to be installed : Electric / Oil J as / Hood Forced Hot ,Air / Baseboard / Other Person responsible for supervision of work as regards to building codes a. s : 'FA, .►, m e--k net v �^st l..a_ __- lvR '5;r� . '% N6` a c3 A dre s Phone - Builder : l Plumber : - 60 Mason : 1 l Electrician : 2'L DELL ARA770M Please sigh belmv after ,you lrave 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 witli , whether specified or noted , and that st+ch work is authorized by the owner. Further, it is understood [lint i/we shall submit prior tb n Certificate of Occupancy or Certificate of Compliance 'being issuer[ , an AS BUILT PLOT PLAN by a licensed stuwveyor; dra Bowing actual location of project on premises. Si;nnture• (owner, owner's qAjVht, architect, contractor) Application far Permit — Septic Disposal System To wi i of Qnuwishtel y 742 Day Road Querrvsbtery, N)' 12804 f51 81 761-.!f256 1 . OWNER INFORMATION: ................................. . . ........................................................ /'+, office use Location of installation: '� ! C C. File Pennit No. ,_•"+ Tax Map No. I 1 Fee Paid Owner's Name: Tyr. C. Address-, �\ C s 2. INSTALLER'S NAME �UG� 1('S U2 yy PHONE NO. 3 . RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedroom(v) and multiply 0 of bedrooms with applicable gallons per bedroom to equal tural dacha floly) Year of HQusg' Na of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrin = 1980 - 1991 x 130 gal/bdrm = _ 1991 - present 3 x 1 10 gal/bdren Garbage Grinder Installed yes . / no Spa or Whirlpool Installed yes ! no 4 . PARCEL INFORMATION: (circle applicable information & indicate measurements) To LFFaDIIN Soil Nature Q round Wat r Bo rock gr Impervious Material Domestic Water Supper ` lo7at QVon at what depth at what depth rrrrrrriciprrl 1 Rolling loam 'ac� feet feet Slurp .slope clay tf'well; wafer supply �% .slope other fi-on) [rr?v selrric-s} ,stern depth.: _ ab.+•runptrrur is other Percolation Test: (T it he erimplcarecl by licensed pr'erfe•.+`.+`lr�rrcrl etrginccr rrr rrrclrircctf - __. . ._._ Role: _ _..� ._. _ ._ ___ rrrintrtc• per Nac`h 5 . PROPOSED SYSTEM: For New Construction: AlI individual sewage disposal systems nuist be designed by a liecnsed professional engineer or architect (unless installcd in a Planning Board approved subdivision). Add 250 gallons to the sire of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: 10W gallon (min, size 1, 000galj Tile Field: each trench "' l f?. Total System Length: Seopage Pit(s): number of size of each: f?. by — fl. Size of Stone to be used: 11 _ _ —� / depth or thivhness Bed System Size: x Alternative System: _. _ length and/or .sizc• 6. HOLDING TANK SYSTEM: (if required) Ntianber of tanks: .N`A ,,,- / Size of each: gallons I 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. jQ Signature of re)6pA#s1bId person JDate G3 c1r�rJ�rJ� cJ'c Tr�r�r� cJ'1 r�c,TrJ�rJ�rJ� c nrlr r�rJ�rJr.Pr� *J�r�cJ'3rJ�rJc! a:P�.Pc 0 BY THIS CERTIFICATE OF COMPLIANCE THE S S NEW YORK BOARD OF FIRE UNDERWRITERS � BUREAU OF ELECTRICITY 40 FULTON STREET NEW YORK, NY 10038 � S CERTIFIES THAT Upon the application of upon premises owned by FOREVER ELEC/BOEL ELECT, . THE MICHAELS GROUP WILLIAM D. MCPARTLON 28 DANFORD 2446 JAFFREY ST. OUEENSBURY, NY 12804 SCENECTADY, N.Y. 12301 , SLocated at 28 DANFORD OUEENSBURY, NY 12804 Application Number: 1012730 Certificate Number: 1012730 S Section: Block: Lot: Building Permit: SDC: A239 Described as a Residential occupancy, wherein the premises electrical system consisting of S electrical devices and wiring, described below, located in/on the premises at: S Basement, First Floor, Second Floor, Attached Garage, S was inspected in accordance with the National 'Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 14th day of March 2001 S i~iame [STY Rate Ratin¢ Circuit Typpc SAlarm and Emergency Equipment Sensor 6 0 Smoke Appliances and Accessories Bell Transformer 1 O Furnace 1 0 Gas 5 Hydro Massage Tub, Residential 1 0 S Exhaust Fan 3 0 Future Appliance Feeder 1 0 Wiring and Devices Fixture 32 0 Incandescent Receptacle 45 0 General Purpose •�. C1 Receptacle 1 0 30 Special Receptacle 1 0 50 Special Receptacle 5 O GFCI S Service rl� 1 Phase 3'W Service Rating 150 Amperes Service Disconnect: 1 150 cb seal Meters: 1 r+,7 1 of 1 � This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ® cTi�rJ�cJT�c.I� cfIrJcl�rJ� cfarJ�r [rJ�cJ�rJ�rJ� r nnnrs r� rs�Tra,T.'� �atr�r�a -� o RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received Building & Code .Enforcement Dept, of Community Development Arrive am/pni Depart Pro Town of Queensbury Inspector's Initials 742 Bey Road Queensbury, New York 12804 NAME c w PERMIT q LOCATION DATE 3 i a- i TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightPW% Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior R ilin s 30" to 36" Exterior Handrails, balconies, landing 18 in- or more Interior Handunls stairs both sides 3 or more risers C'n•mde 2% away from foundation 8" clearance to sill plate Gas Valve shut-off expnsedlregulatos 18" above Gas Furnace shut-off within 30 feet or within line f si Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater opera Relief Valve(s) installed Headro`rn, 6 & 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than. Interior privacy/trim/doors/main en' ce 36' Floor Finish Bathroom/Kitchen watertight Interior Handrails Balcnnfeallg ding 18 ' . 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 fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing I8" or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic 'System layout required Okay to issue C/C (Certif. of Compliance) Okay to issue temp. CIO (Ceriif of Occupancy). Okay to issue permanent C/O (Cerlif' of Occupancy). �1 yt RESIDENTIAL FINAL INS PECTION REPORT Office No. (518) 761-9256 Date inspection request received: _ Building & Code Enforcement ,/��'f Dept. of Community Development Arrive an Ipan Depa � Town of Queensbury Inspector's Initials 742 Ray Road Queensbury, New York 128D4NAME PEPJ%ffT # 0 CATION DATE LOCATION TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney Heightr WS Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof CompEete Exterior Finish Cwnplete Interior/Exterior Railings 30" to 36" Exterior 1landmils, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2% away from lbUndatton +� p" cleararwe to sill p Gas Valve shut-off exposed/regulator 18" above grade Gas Furnace shut-off within. 34 feet or within line of site Oil Furnace shut-off at entrance to fnrvace area Furnace/Hot Water Heater Relief Valve(s) iirstalled 1-t,G .mm, 6 R. 6 irr. on sta.' Basement stairs, 6 f1. 4 in. Flandrail exterior stairs both ides more than 3 risers Interior privacy/trim/doors! en 36 Floor Finish Batlnoor i/Kitchen watertight Interior Handrails Balconi 18 in. or more Railing across window in LIs Smoke Detectors; every level every bedroom outside every inter connected Bathroom fansf Plumbing fixtures Cair•.s��3`�'-' Lfj,� �I� , d v 7" Foundation insulation JP�Jr,r,�,bd uJ 3/4 hour fire door/door closer Garage fireproofing. Garage penetrations sealed Furnace in separate room pra (in garage) Light ventilation per room. Safety glazing 18" less oor Final Electrical Site Plan/Vanance required Final Survey Plot Plan As Built septic System layout required Okay to issue C/C (Ceutif of Compliance) Okay to issue temp. C/o (Certif. of Occupancy)_ Okay to issue permanent CIO (Certif. of Occupancy) FIRE MARSHAL. TC71NN OF 'QUEENSBUSY RY QilEE Ir 761-g205 �'16N'Irt FIRE MARSHAL INSPECTION REPoR � - 7 PERMIT # REQUEST RECEIVED NAME LOCATION �..�• - _- l SCHEDULE 1N18PE.GTION ON A P A Y '14AE APPROVED �I� � WA. YES � t EXITS K_ AI$LE VgtDTHS — -- mT SIGNS _ — EMERGEt3CY LIGRTING _ 4 FIRE EXTINGUiSHERS - FIRE ALARM SYSTEM -- FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION I R FINISHES ItdT'ERIt7 _ STORAGE:LEARANCE TO SPRI KLERS �EpRAiVCE TO V4lEAl ING UNITS REQUIRED SIGNAGF- Cli1MNEY WOOD STOVE FIREPLACE - MASOtgRY + ywh L FIREPLACE. - FACTORY 9UIL T _---------^ J-�-`�-�'�� K TO 11 THIS DATE REMARKS: INSPECTOR ' }}19'P91.4P.P'Ud RESIDENTIAL FINAL INSPECTION REPORT Offilce No. (518) 76141256 Date inspection request received: Building & Code 'Enforcement Dept. Of Community Development A rrlve am/Fun Depxrk Town of Queensbury Inspector's Initials 742 Bay Road +Queensbury, New York 12 J NAME 1 PERMIT' LOCATlO DATE - 1 ;�- TYPE OF STRLIC NIA YES NO COMMENTS Chimney FleightP'B°' Vent/Direct Vent l ovation © '� Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Hwndmils, balconies, landing 8 in. or m Interior Handmils stairs both sides 3 more n Grade 2% away " foundation 8" clearance to sill late Gas Valve shut-off xposed/negulat 18" a grade Gas Furnace shut-o within 30 feet wt line of site Oil Furnace shut-off a trance to area Furnaoelliot Water Heater o Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, b ft. 4 in. Handrail exterior stairs both sides m than 3 risers Interior privacy/trirn/doorshnain entr Lrice W' Floor Finish Bathroom/Kitchen watertight Interior lisndrails Balconicat a 18 in. or more Railing across window in stairwells Smoke Detectors: every level every beclraom outside every bedroom. inter connected Bathroom fans Plumbing fixtures Foundation insulationx 1/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 Ptan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C (Certif of Compliance) Okay to issue temp. CIO (Certif. of 0oetrparuzy)_ /y��r Okay to issue perniane xt CIO (Certif. of Occupancy) `�` G !d �F-f° c" 1 —29-2001 1 : ASP'M FROM STEVES/MACE/MILLER 518 792 8511 P. 1 NACE ENGINEERING, P . C . 1.69 Haviland Road, Queensbury, NY 12804 Phono - s 18.745-4aoo Fax - s 18=792-8s 11 c�) January 29, 2001 Mr, Steve Dygon VIA FAX - 899-6260 The Michaels Group 10 Blacksmith Drive S �7 Suite ICz- Malta, NY 12020 ©v RE; Hudson Pointe PUD Construction Services RECEIVED File #46109 FEB +0 1 2001 Dear Steve, TOWN OF QUEENSBURY On January 23 d I performed a percolation test on lot #57 in the Hu BU G C � test was performed in behind the house in the area of the proposed leach field, at a depth of 30 to 36" below ekisti.ng ,grade. The soil at the location of the ,percolation test is fine loamy sand. The stabilized percolation rate (after adequate presoaking) was one minute. Please call me if you have any questions. Sincerely, �-- -� Thomas W. Nace, RE, GEIVF.R4L INSPECTION REPORT. ( 518 ) 761 - 8256 Town of Queensbary Dept. of Community Development Date inspection request 'received: Building & +Code Enforcement 942 Bay Road De art GR ` Queensbury, NY 12804 Arrive �l� p Inspector's Initials { NAME: PERMIT # G�L�C LOCATION: Ivi DATE r TYPE aF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingsfPie" —� Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the place of the concrete. materials for this purpose on site Foundation/Wallpour Reinforcement in Place FoundatiotU empproofin Ball Approval Plumbing Under Slab _ Plumbing Vent/Vents in PL Rough Plumbing H in Rough-In5�— Qmr�lnsulation n tion Walls Imeri r R." Foundation 'Walls Exte or R- ��- Floors R- Walls R.- Ceiling R- Duct work or pipi in unheated spaces R- Proper Vent, Attic Vent Framing Jack StudslHeaders Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, Dour on Sealed FEreszoaMming ll 2, 3, 4 hour TE / -- 1 _____-- �� tom. GENERAL IN PECTIO ORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: c + Building & Code Enforcement -4 r ........ 742 Bay Road t --� Queensbury, NY 12804 Arrive • an art Inspector's Initi NAME: �' Lr rt t �*- PERMIT # v D(7 ' S S i3OCATION: _ �c (� A nJ �v fL C> L o&6 i DATE : l i O TYPE OF STRUCTURE: RECHECK 1 NIA YES NO COMMENTS FooringsfPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible fo providing, protection from freez ng for 48 hours following the pl of the concrete, Materials for this purpose on site Foundation/Wall pour _. ._..... Reinforcement in Place. r FoundationJi7ainpproafil Backfill Approval Plumbing under Slab i Plumbing VenttVents in Place Rough Plumbin Heating Rough-In Insulation Foundation 'Walls Interior R.- Foundation Walls Exterior R- Floors R- Walls R- Ceilin,g R.- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent **eFrasming Jack Sxucisllieaders00 Bracing/l3ridgin Joist Hangers__... Jack Posts/Main Beam. Air Infiltration Barrier , Fire Separation 1, 2, 3, hour. Penetration Scaled Fine Wall 2, 31 4 hour, Firestoppin (MVERAL .rVS ECrION REEERT ( 51 8 ) 761. - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: �to� Building & Code Enforcement 742 Say Road Queensbury, NY 12804 Arrive � ar�i� Cpm Depart spector's 1<nitial NAME: M i G�7�1 .�' � �-� • PERMIT # Q . LOCATION: .4 8 .0!9n ,�ad � � _ DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO Ct]1wIlVdENTS Footingslf+ien 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 si FoundationfWallpour Reinforcement in Place Foundation/Dampproofin Backfil Approval Plumbing Under Slab Plumbing Venl/Vents in Place Rough Plumbi Heating Rough-In Insulation P� ti �"cy � £' ► `� av � 4E Foundation Walls Interior R- Foundation Walls Exterior f R- `'] Floors R= Walls R- Ceiling R- Duct work or piping in .' unheated spaces , R- Proper Vent, Attic Vent ✓Framin Jack Studs44ea Bracing/Bridgin joist Hangers Jack Pbsts/Main Beam Air Infiltration Barrier ,r Fire Separation 1. 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppui 00 BUILD,o"LIF QUEEIrsBwar CI 742 g�y �ad RCEWNT Queensb rrY NY 12804 f51s} 761,9256 SEPTIC BISPpSAL SYSTEM INSPECTION Name Location Date I . SOTt ] �.p permit # Results oi�am-Clay_ ( if a percolation Te t� TYPE OF S cable) Rate. ASSo"7-j YSTOV: to/Inch--�� Len ON FIEED, lot pe gth of each tr stone ench Length l}. Size th of trenches Of sEEPArx Pin . Size _ 9 um er_ Stone s s z e, f t . X Stol Ns: - ---- Bldg. Dist .• to Tank Size to 1BOX3 I Wype LIiCRTn9Sjr0N Seal F ? l d/Pi tOPeni ~ Founda /sEPA TIOIFs ��lo� art . Foundation on ItTank Separation Absorption feet Conforms fits feet -OCATIpr US per plot plan fe {c i rc I e on S YSTE-M ON pROpE sr No F t Middle a Left Side _ C7YTs: e T ht Sx N4 SYSTEEt. USE APPROVED: Arrf v DePa +end: r lr -` ul ding ectu t ( 518 ) 761 - 8256 GENERAL INSPECTION Town of Qucensbury Dept, cof Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 112804 Arrive am/pm Depart I Pm / Inspector's initiallsr j ,I NAME: ? �i PER MI LOCATION: r DATE : �I TYPE OF STRUCTURE. RECHECK i• J NIA YES NO C6MMENTS 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 colicrele. Materials for this purpose on site FoundationlWallpour_ Reinforcement in Place _ Foundat ampproofing B I Approval lumbing Under Slab Plumbing VentlVents in Place ' Rough Plumbing___ _._ Heating Rough-In_ Insulation _ Foundation Walls Interior R- Foundation Walls Exterior R- J Floors R- _ Walls R- Ceiling R- Duct work or piping in unhealed spaces R- Proper Vent. Attic Vent Framing-_- _-_ Jack SludsAleaders -__-- - Bracing/Bridging_ Joist Hangers-- - -----�__ _ _- Jack Posts/Main Air Infiltration Barrier Fire Separation I . 2, 3_ hour- Penetration Scaled��_ Fire Wall 2. 3, 4 hour_ --- -� Firestopping ___ - I " P/ GENERAL JNVPECTION 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'% Initials ` NAME: PERMIT # O J LOCATION: C1._ DATE : TYPE OF STRUCTURE: C..1C YJ RECHECK. - NIA. Y NO COMMENTS F r ngs/Piers onolithic Pour Form _ Reinforcement in Place Jam ^ The contractor is responsible for providing protection from freer.ing for 48 hours following the placement of the concrete, Materials for this purpose on site Foundatiori/Wallpour_.__..-._ -_ Reinforcement in Place - Foundation/Dampproofing Backlill 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 - lack Studs/[ leaders Bracing/Bridg,ing__. - ---------- - y _ Joist Hangers___M _ - Jack Posts/Main Beam Air Infiltration Barrier _ Fire Separation 1 , 2, 3, hour Penetration Scaled Fire Wail 2, 3, 4 hour Fi restopping - AS - Buyl S4pkrtc� Pze^LT y 607 RoimrL D ! Sax 3e 1 "I have seen or observed, or believe I saw evidence of, / gall )hjecis such as houses, wells, t,rees, fences, etc., / 5}�c4PI On this `acnMnt. I also represent that I have T ly �lllta� ed the distances set forth on the diagraCl S ATURE 6ATE `f JVED J T MAR 2 20R t _ 31va I 32iniVNJIS \ ane4 q 'kaa os ohs slf� Au _ 4 � yy Lam} Y\` � �_�� •` �Y� � ��'.1.\77 V. ti a��\•�ry� � sip 75f. "ftE"` f� . I --.' �`'7 } "4 .af" �: f�' �,.`f �y- •1 1 . 11 \�+, �. -�,\� ; � 'N'.: ,1 LO � ►rS HCIk15E I t i. ^. `Js,.3O � ? r '. 1 ! 7 +��r � i � r f• � + � � ` 't r ', .9 1 • 1 r � } � f f r� �� f � f � r i � , r r r �- 6U r^ Y T�rr1Ll s lL C7�-YID -�""- 3 ! 4 !E J�+� •' rri /J^f r r ! C' ! !.�-' f r ,:- � �. � � 1 1 1 � ref � .�� • . 7 ' .=t r + �; + r = r:, r I l ail Jr y f F {{ +mar �ud3s rr can r- ; n+ s-�d c� e