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2000-936 TOWN OF OUEENSBURY 742 Bay Road, Queenshury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761=8256 CERTIFICATE OF OCCUPANCY" Permit Number: P20000936 Date Issued; Tuesday, July 03, 2001 This is to certify that work requested to be done as shown by Permit Number P20000936 has been completed. Tax Map Number, 523400-301-014-0001-045-000=0000 Ucation, LOT 25 MC ECHRON LANE Owner: MICHAEL J . VASILIOU , INC . Applicant: NUCHAEL I VASILIOU, INC. This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Fireplace Director of Building & Code Enforcement TOWN N OF QUEENS13UR.Y 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building Los: Codes (518) 761-8256 BUILDING PERMIT Permit Number. P20000936 Application Number: A20000936 Tax Map No: 523400- 121 -000-0001 -002-000-0000 Permission is hereby granted to: VASILIOU, MICHAEL. INC. For property located at: PEGGY ANN RD.,OFF 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 Liniform Building Codes and the Queensbury Zoning Ordinance_ 'Type of Construction Value Owner Address: VASILIOU, MICHAEL, INC. Single Family Dwelling 14 STONE PINE Ln Garage - 2 Cars Attached QIJEENSBURY, NY 12804 Fireplace Total Value Contractor or Builder's Name / Address Electrical inspection Agency COMMONWEALTH ELECTRICAL Al Plans & Specifications BP 2000-936 THE GROVE; LOT 13 MC ECHRON LANE SINGLE FAMILY DWELLING, 2 CAR AT14AC14ED GARAGE, FIREPLACE AS PER PLOT PLAN AND SPECIFICATIONS $311000 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, December 27, 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.QUee%ksburyj Wednesday, December- 27, 2000 SI(.sN D B S' for the Town of Queensbury. Director of Building & C e En rcernent Buitain,g Permit Application Town of QLteenSjJ'ury - Dept. of Community Development, 742 Bay Road. Queoubury, NY 12804 1761-8256] BUILDING & CODE ,ENFORC ,EMENT Requirements prior to issuance _ Jr A permit must be obtained before of this permit: PERMIT FILE Jvl. beginning construction. No impections PERMIT IEEE' PAID $ J iP .t7 17 will be matte until applicant has received Q Zo►tLng Beard Action /Ac/ a VAI,Il:7 BUILDING PERArirr. All Axca 1 Use *`J RECREATit 3N FEE applicants' spaces on thus application . AID MUST be completed abd- the signaiure Q Plwznhtg Board Action REVIEWED BY.P of the applicant must appear on the SPR 1 Subdivision / Other SNllding Gu,r actor plication f Recreation Fee Payment Applicant; C C !_1� l "' Owncr: Address: `-�� � '"`lA._ "�i_( ` � ,��!"I+! Address: Phone # ( /' _) G = ■ � 1cj ' Phone # Property Location: "-~� `--"r t t'' Wax Mai) Nu nibcr Subdivision Name; - Section 131cx:k i ,nt NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ residence J commercial Addition to Building : residence / commercial OC Alteration to Building : Pr residence / commercial . ing Residence / Commercial ! 1 3 no change to exterior size _ Lng Other work ( describe below ) GROSS AREA OF PROPOSED STRUCTURE : If ADDITION , what will use 1st Floor . . . . . . o sq * fto of new. addition be ? : 2 nd .Floor . . . . . . . . 1 1 !'?n sq . ft . Other Floors . . . 0 * sq . ft . ( not unfinished cellar or basement. ) ACCESSORY BUILDINGS : Detached {Garage 1 , 3 car TOTAL FLOOR AREA : � 36n SQ . FT . Se''lAttached Garage i , C�2"�`�car f 's Private Storage Building SIZE OF NEW STRUCTURE : ! � Commercial Storage Building 7 FEET X � FEE, T other -�' Foundation Type : ?ou a&32 Will any second-hand or ungraded Number of Stories : -> lumber be used ? I € so , r what ? ( habitable space only ) , (" .- Height ( grade to ridge ) * feet: T h?'TYPE O ' IiEATINa SYSTEM : Number of fireplaces and/or woo stove ( circle all which lies ) to be installed. : E1ectrin � ^ = '� as Wood T • arced H� / eboard j Other Person responsible for su ervision of wor as regards to building codes is : �1�✓Z [ C_fft9 =1 c . 1 3r t i . tX' . acne Addresss Phone Builder : t= Plumber : ' 'i ; F Mason : Electrician ., ,ar DECLARATION.d Please sign below after' you have carefully read the statentent. 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 .1/we shall submit prior to a Certificate o yf Occit ancy'or rtificate of Compliance being issued, an AS BLJ11LT PLOT PLAN by a Licensed surveo a n t scale, sho ing actual location of project on premises. Signature: (own er s agent, architect, contractor) Application for Permit — Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1 . OWNER INFORMATION : ..............._._................. office Use Location of installation: ZC'7% Tax Map No, File Permit No +�►'"" rt 4 V i ,yy � F Fee Paid Owner's Name: /,mot e E# I - e/, �r�•� /� 41re7cJ lc r C • _...._... -- Address: .za� -s 2xj A/ 6-c e,/,7 C, 1ZSy5 2, fNSTALLER'S NAME ,,_,iaem PHONE NO. 2 3 . RESIDENCE INFORMATION : (circleyear 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 Computation — Total Daily Flow 1980 or older x 150 gallbdrm = 1980 — 1991 x 130 gal/bdrm 1991 — present !rf x 110gal/bdrm Garbage Grinder Installed yes l no Spa or Whirlpool Installed yes / no ?— 4 . PARCEL INFORMATION: (circle applicable information & indicate measurements) Toposgraphy Sol Nature Ground Water Bedrock or Impervious Material Domestic Water Suppl al and at what depth at what depth municipal _�, A. , Cie, Rolling loam feet Jeer well Steep slope clay j` PP r well•a water supply slope other c�5 - from any septic-system depth. absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5 . PROPOSED SYSTEM: For New Construction: 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: gallon (min. size 1, 000 gal.) Tile Field: each trench �ft- Total System Length: 2s Jt. Seepage Pit(s): number of size ofeach: fi. by fi_ Size of Stone to be used: # / depth or thickness feet Bed System Size: X Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each : gallons ! 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 13+6-29 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 Qu nsbury Sanitary Sewage Disposal Ordinance, der 5 //// Signattar responsitt a erson Dale ENERGY CODE CIOMPT,TAWC:E: .APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS Como ? iar_ ce Methods * PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( only) • PART 6 * - Thei me a. l Ratting - Component Trade Offs 1 & 2 Family Dwellings ; Multi-Family Dwellings ( 3 stories or less ) P:RT * = Design by Component Performance Coramercial Buildings -Hi R=se Residential *Reaulres submission of worksheets APPLICANT ` S NAME : PROPERTY IsOCATION : L/ 2L PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRkCTICE : 1 . Gross Floor Area - sauare feet 2 . 'l"ype of, heat - Electric 0il Gas Other 3 . .4s building mechaziidal lv cooled? Yes No a . ? e =cen Cage of area or w=ndows and doors Over ?? __ Under 1796 5 . ?- ?SUES FOR INSUL.'-'_ TOti GIVEN BELOW MZIST CORRESP0ti7 TO R-VALUES AS S ±.0--oN ON PLANS SUBMITTED : R .3 Exterior walls R Z2 __� c . C- lazed areas R 3i $f- c . Exterior doors R •2, AP- el Floors aver uaheated spaces R - - f . Edge o £ s lab or grade ( heated b u il di-ng ) R c . Basement/ cellar wells ( above grade ) R I - ies ? Basement /cellar walls ( below grace ) R 1_ i . F: eating/ cool inc-duc s -piping in unheated space R 6 . S . . Vice ( domestic ) hot weter heating device Co -nf- o =ms to rr,.,n .'_ia`lum e _ _ _Ciency per code YeS No T EMPEM.PLATURE CONTROL KzLXZHUM SETTING- -14O0 -- WILL NOT BE EXCEEDED Ann ' ` s S al:U e Da v e P "C' e umber TOWN OE' QUSECNSSURY BUILDING & cons ENFORCEMENT 7.42 BAY RGA13 QUEE:t`TSB•UR'� NY 12844 INSPt APRIVZ ------"-' PUR'C - RSSIDmMTYAL FINIAL INSIPBCTIRTI RE IVEUS DATE I CTION REQUEST R � i 0-u LCYCATIC7f4 � ."-y'y^ FF MIT i1 p ATE .-,— „a¢`L_..i•% TYPE or STRUCTURE FRAMIi1G FOUNDATION BA4 ,,U -. Fpfy.TINGS._�-- SEPTI, INSULATION PLUMBING W[JOi75T'�3'VE. OR VIRIMPLACE ROUGH ELEC`TRICAIJ D FINAL C MNZY V N It H P U N F u I TEPSJ LNG i�z qEg VALES CE: a WAT 6P NG M V Cy ORS RIO 5 : r ER FLOORS SWa'.EPA pI,O S C E THEdd �a4CS_!_RAI iaZ G K DUT s,m0RS M G XTU S U O FI DO NG ItAAIA ECTR CA N V RIp110E 5 RV Y P OT N y K TO I SUE C O OR C C 1 4 1 4 Ir i RESIDEPiTML FINAL INSPECTION REPORT Date inspection request received: MI (]t'f[lce No. (518) 761-8256 } Building & Code Enforcement Arrive ainlpm Ilepxrt t t Dept of Community peveloprrrent ln. -leetor's Initials Town of Qaecnsbury 742 Bay Road QQ ueensbury, New York 12804 i } �J PERMI_T NAME iC DATE LClCATIp 'TYPE OF S`I RIJC 1 f3liE C0 3 TS NIA YES 130 ChimneY Heightr9W Vent/Direot Vent Lomtton Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete 30,. to 36" Interior/Exterior Railings landing 18 in. or more Exterior Baodrnils, balconies, Interior Handrails stairs both sides more risers Grade 20/0 away from foundation► v clearance to sill plate I above grade Gas valve shut-off exposedf in G line of site Gas Furnace shutrofTwitlun 34 f or oil Furnace shut-off at entrance to area Fumacrefl-lot 'Water Fleeter Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 4 in. F;andrail exterior s bo in than 3 risers interior privscYlttin�ldoos�lmain en 36 Floor Finish BathroondF:itcheu watertight l8 ' _ ar mose�, Interior Handrails BalcomesnAindix Railing across window in stairwells. Smoke Detectors: every level every bedroom outside every bedrnoin inter connected Bathroom fans Plumbing fixtures Foundation insulation s14 hour fire doorldoor closer Garage fireproof sealed Garage protected (in garage) Furnace in separate room p Light ventilation per room. Safety glazing 18" or less from floor ,fir Final Electrical w�t Site P1anfVariance required Final Survey Plot Plan As Built Septic System layout req iced okay to issue CfC (Certif. of Compliance)_, Okay to issue temp wnmt Cfp (CO (Ccrlif oertif. of Occ iwncy) Okay to issue Pe ty) R,ESYDENTIAL FINAL INSPECTION REPORT inspection request received: l _ Ofilce No. (5IS) 761 .8256 Date ixxs�c Building & Code Enforcement Arrive a1Wl pt`t a Deptof community Development �,gpertor's Initials , Town of Queensbury � ck Pin 742 Bay Road Queeusb ry, New York 12804 w NAME , DATE WCATI N TYPE OF S C NIA. YES NO COMMENTS Chimney I-Ieight/"B" Veal/Direct Vent Location Fresh Air Intake Plumb Vent through ttlof Roof Complete Exterior Finish Complete Interior/Extenor Railings 3 to 6" Exterior handrails, balconi 18 in. or more Interior Handrails stairs both 3 or more risers Crrade 2% aw4y from found& 8" clearance sill plate Gas Valve utOff gulator IS" above grade Gas F shut-off wi 3 feet or within line of site Oil Furnace trap to fl mace area F ce,lLlot Water Heater Relief Valve(s) installed Headroom, 6 ft. 6 its. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both s` more than 3 risers interior privacy/trim/doors/ma entrance 36" Hor Finish BathrcwmlKitchen. watertight Interior Handrails Baleoni 18 in. or more Railing across window in s#airwe Smoke Detectors: every level every bedroom outside every bedroom inter onnnect+ l Bathroom fans Plumbing fixtures Foundation insulation 3/a hour fire door/door closer Garage fireproofm C,&rage penetrations sealed Furnace in separate morn. protected (in garage) Light ventilatirxn room safety gtazirtg 1 v s fl / � Final Electrical %tJr2U' { site Plan/Variance u` 1v+ } 1+k.4 TJ ? Final Survey Plot Plan „E As Built Septic system lay+aut required Ar�, .yr- J r [ % J Okay to issue CIC (Certif. of. Compliance) fJt I [ T Okay to issue temp. C/o err t Cf. oof O u p at r� r+nLy) Okay to issue peramient C TKI� i TIR C,LC'Doe Road - 1t 5�rtnet.,.,�Art Y .- } CO C TA Mir ()Wltcet76O _ ELECT1r�1 ........................ 1 CER"t�i'FiCar u. ............ CYi`A U 7 3 2 5 4 cut- Cert. A .....�...;••y.......... - ...................�`.................. Pet-rnit No. .,._.•..,. � +� � (j ut .... fir � f.................... � .� � r"�� x_.........- tC � � cj,Nner.... u,.... ._ . .. ,e ............. i -...... . ,.. } a�atian .......,.... 06M� SW c dr �.i........... v€ .... ....... .. .. .. . ' tion cvnststtng [� �..... .._...��..... . .. Gi"T �.. ._..•.. .... � ..................................................... .,..-....... ......,.., `sued iS _ ► '�`:........_...... certificate prev'rou l 1 � and an y..... ...�1 ..C�---. .... a of da the p �. ._.... of this certificate. ' te_ Upon the issuance anditions a- it ectron' lnstalled B . �'... overned and installation c tl made for P if its � Collo.vin3 1l be promp e. and dition= ent a `, The can the electrical eantpm ;icat inn SAA ctions at any tim l cov'ers cancelled. certificate on Y c uiptnent or alxera%bc Praptege of ,nh . akin t This the P .. Of additional 9 any, shall have. - t to r vo t is cer the n131'` .�. .,. introduction oS this C'.osn any shall have ...... lnspect�rs the omP ... , . . •• Q.P.A.. S.A.E.S. violated, p{t ...... ,.- .' htemherti, i rules are � tT.154��T t RESIIyENTIAI. FIN AL INSPECTION REPORT Office No. (518) 761-8256 Rabe inspection request rec4eived: Building & Code Enforcement ; Dept. of Community Development Arrire am/put Iparts�Town of Queensbury Inspector's Initial 742 Bay Road Queensbury, New York 12804 NAME DATE I.,C7CATION TYPE OF S l.IC'1'[.7ILE __ NIA 'SEES NO COMMENTS Chimney HeightPW' Vent/Direct Vent n -, `— Fresh Air latake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 34" to 36" Exterior Handrails, balconies, landing IS in. more interior handrails stairs boot sides 3 or more s Grade 2% away from foundation 8" clearance to sill plate -we c Gas Valve shut-off exposed/regulator 1S" abo grade Gas Furnace shut-off within 30 feet or within 1' of site Oil Furnace shut-offat entrance to for ai a Fa�.,,ar Iot Water Heater open 1 Relief Valve(s) in_wtalled 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/maux entrance 36 Floor Finish Bathroom/Kitchen watertight Interior Handrails Balr�ye�n__ _ 18 in. or seers Railing across window in stairweus Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 1/a hour fire doorldoor closer / (� Garage fireproofing C;arage penetrations sealed Furnace in separate room protected (in 'garage) Light ventilation per roars Safety glazing 18" or less from floor P _ Final Electrical ��f%�E G�.. ,q �, �j f Site Plar"ariancie required � 6 Final Survey Plat flan yi l I��i , may ' As Built Septic System layout required — 1 A) �1 [ A) (a Okay to issue C/C (Certif, of Compliance) Okay to issue temp. C/O (Certif. of Occupancy)_ g Okay to issue permanent CKi (Certil o£Occupactcy) P` C r& y TOYN OF QUEFNSHURY BUILDING & CODE ENFORCEMENT 142 Bay Road Queensbury NY JZB04 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location r- oT a �AA, C:; � Date 5� d Permit # C►© '" �O SOIL TYPE: Sand- Loam- Clay- Results of Percolation Test- ( if applicable ) Rate-Minutelinch TYPE OF SYSTEM: ABSORPTION FIELD: Too 1 Length Length of each t nch ' Depth of trench s Size of stone umber SEEPAGE PITS : Size - t . f t . Stone s sze _ Size �j+'Pe PIPING: Bldg . to Tank _ - Tank to Dist . BOX — --- Dist . Box to Field Pit ______ _ arts a Openings Sealed . Yes LOCATION/SEPARATION feet Foundation to Tank — feet Foundation to Absorpti n feet Separation of Pits --4res ffo conforms as per Plot Pl LOCATION OF SYSTEM ON PROPERTY: (circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear cOMMENTS : SYSTEM USE APPROVED : YES NO Ar rived: Depart Departed w. Building Inspector it S'�RY -CCU �E OtVaC / '+ , u*lffi S. 42 �y p 1204 �s 5r 1,�SPECT'i� SEPTIG DISPOSAL SYS� y A aMe r Lacyta p eyVIi t Date ..� � San 1oam� SCllt F'ercOl at4Li0"telinG�'� .-, is of 'Rate' Resin lice e� Len t TYPE per` SYS��,�tD��oral T�.ClA b A en o f try c Defyth ch be5 stone SEApig' ', fsize t • x - -� _---'� " ype S' �, '�'• Size stone s �x to -� ank art, a Sldig 'Di St o T ank togoX to f v l 4 es {eet ,pi st opes Seal ed ,il feet l.E1C.�'TI['AtIS ank n et FO► T, anion to pbsorPt} es r10 oundati on of pits pl a 5eparati o as Per pl o pA ART onf o"'n's pp SYst�+ � i ht i de Rr�l a 0. 2 I of t Side rout rout Middle lea.-- jn i ddl e LIS SYS� 11SE ApPR�DV'ED ; Nrriw ed • --. gui ding �$Pe,cto . $ , sari bit off. 1�av� seen or al�seo weU res, � + xt*letts such a +�stl ,. E, un asr 4i s l also pp d j + fly measured t SIGMA 7 .� A)are XrST �*� 30 Iasi '' GE�VEIRAL INSPE I N REPORT c 51s ) 761 - 8256 eensbn ry on req received• Torrrr o'E Qu � ment Hate irrs{►eaeti Dept. of Community Deve p Building a Code Enforcement R depart 742 Bay Rba 2804 A6rTive i' Spector'& Queensbury+ NY 1 / PLST # NAME: J`.•"( [1f +�'"�'—"' 1�A'TE LOCAT10N: f11 TYPE aF S 1RaCrr RB_ RED � NIA YES NO COUNMNTS f Footings'pie s Form �_—_------- Nlonolithic pour Reinforcement in Place The contractor rcm e S Ta o grnding pro t for 48 hours following the Of the concrete- on ite Matcrials for thisupu Fou daUonJW all Po Reinforcement i Place Foun[lationfL''+a Backfill ApPrOval Plunxbing ab Vendet ents in Place Rough Plurab in iierttir► Rough-ln lnsu ati Foundation Walls Interior Foundation Walls Exterior Floors R_ Walls R- Ceiling Duct ,Mork or piping in unheated spares R r Vent, Attic Vent Frastsin rs �I Joist Haawrs Jack. Posts/Main Ream Air Infiltration Barrier Fire Separation 1, 2, 3, hour penetration Scaled Fire Wall 2, 3, 4 hour. Firestoppl cErvRR.�L �+r �RC�r�rON REPORT c5I. 8l761 - 8256 Town of Queensbury ;fate inspection Request received: Dept. of Community Development peck Building 8r Code Enforcement 742 Bay Road Awe swifep m Queensbury, NY 12804 is I niti PERMIT # ! ~t NAME: f LOCATION: TYPE OF STRUAA, RECHECK NIA YES NO COtvilrllEl`ZTS i FootingsfF'iers Monolithic Pour Form Reinforc meut in Place The contractor is responsible for providing protecwn from freeaing for 48 hours foliovAng the placeMcnt of the concrete. Materials for this ,purpowt9n site : FoundationlWallpour a Reinforcement in Place _ r Foundation/Daml5ro0fing---.— • ---- r BackPill ApprovalY Plumbing, Under Slab piu mbing Vent/Vents in Place Rough Plumbin �. Rough-In '�'�. +, ►,�-'-'�Ti� LL 11���C�iTy\C�s � �"btfl Foundation Walls Interior �J/ YC+ \1� Foundation Walls Exterior \1�l_ - E� '�`i - Floors R_ C� Walls R- , , �. Ceiling R- Duct work or piping in ov unheated spaces R : proper Vent, Attic Vent�_.�e__� > Framin Jack Studoleaders BracinglBridgin Joist Hangak lack Postsn m----- - Air InFdtratio er Fire Separation V; 2, 3, hour Penetration Sc4ed Fire Wall 2, 3� 4 hour Firestoppin Z, �....a . GENERAL INSFECTIOON REPORT { 518 ) 7b1 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building ,& Code Enforcement 742 Bay Read Queensbury, NY 12804 Arrive m�m Depart i �spe#or$$ Tn' NAME: PERMIT# � LOCATIO LE4r _ DATE TYPE OF STRUC7 RECHECK N/A YES NO COMMENTS Footings/Piers j Monolithic Pour Form s ,� Reiuforcement in lace t11 N11A 1 y The contractor risible for providing to n freezing for 48 hours foil 'ng placement s 1 1 t�lV C�t3 J (.) a of the concrete. Materials for this on si }rat- C�dt 2 VA Reinforcement in Place_ FoundationiVampproofin _ to 1 �'tj 1 1,� (> Backfill Approval ... � Plumbing Under Slab ►5 VL Plumb- g Venl/Vents in ace uuibing �?_-T3 F�J -�-Vw:) ing Rough-In Insulation � Foundation Walls Interior R- l Foundation Walls Exterior R- 1 R Walls R- Ceiling R- Duct work or pipring in �1 �t��"S B pcs-- unheated. spaces R- P,ent, Attic Vent min Jack Strs i �► Joist Hangers Jack Posts/Main Beam ,k�LZtza�_ Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealedvy� Fine Wall 2, 3, 4 hour. Firestoppin � ��4.�...- 4K-�: C>1, s j11,i p,ECTf N RT 4f9� on "gown Of 'f u ee"sbury�elaP�ent Xf's#e in�B Dept. of Community went Oultding & Code Enforce Impart r 742 Buy Road Arrive ._---- s�toX+s 10mals (�eensbur'y+ NY 1280 _ �y,� L + f �Yl �--C, L� DATE . Lv - S Np+Cp.TIUr3: � Ty Qi k OF S t R�CTti]ItE: gECMCK CC],MIVI 'NIA YTt?s �pyigs/piers Monolithic Pour Form Reinforcement in Place The contractor is poctstble for rotectior► from g providing P t for 48 hours following the Of the concrete- Materials site ttonlW alipou � Founds 'FLeinfomeinent in Place Foun,datioOl Pproofin Bacicfill Approval Plumi3ing Under Stab Plumbing Vent1V is in P F�toagh plumhin 1-Ieating p ough4n insulation walls alls Interior Foundation wails Exterior - —� Floors R- walls R_ �_- Ceiling Duct work or piping in unheated spaces Proper Vent, Attic Vent Framing Jack Siuds►Eiea�ders _— Bradin8/Bri'dgin Joist Hangers lackposislMatn Beam Air Infiltration Barrier hour qoa 1, Z FPen ire od ettr'aad Scaled - Fire Wall 211, 3, 4 hour _--------- FirestcypQiri -- GENERAL INSPECTION REPORT ( 518 ) 7fr1 - 8256 Town of uecn'sburY Date inspection request received* Q Dept. of Community Deveiopment Building &, Code Enforcement Depart 742 Bay Road Arrive axrd ' oes Initia s Queensbury, IVY 1L28"4 fnapect � -� PERMWffr NAME 4 ' DATE LA 3CATI(03N TYPE OF STRU RECHECK NIA YES No CC1M1vIE TS f FootingdPiers MonolitWc Pour Form Reinforcement in Place for The contractor is respo ng providing, protection fro t for 48 hours following Of the concrete- site Materials for this Purpo"a FoundatianlWallPOAT Reinforcement in Place Fa tiUnli7aTnl�praofin L F/ kftli �� pqunnbing Linder S __------ plumbing VentlVents in P --- Rough Plumbin - -" Ilcating Rough In Insulation Foundation Wells Irderio R- --- Foundatioan Walls Exteri —� Floors Walls R �` Coiling Duct work or piping in R unheated spaces -- Proper Vent, Attic "Vent Frami jack. Stucisl NTs-- BracinWBridging._-- joist 'Haawrs Jack.postg/Main Beam Air Infiltration Ba� Your Fire Separation 1, Penetration Sealed Fire Wall 21 31 4 hour Firestoppin GENERAL EVSPE I N MPogRr ( 518 ) 7 61 - 8 2 5 6 uest received: ---- - vrown of Queensbary }late wsspeLd req Dept• of Community Bevelopmeut Building & Code Enforcement wpm uep�� � 742 Bay Itoadr4y 12804 Arrive jaap�orl s Initials Queensbarys � / 4 PERMIT # 3 I.,NAME: ti` ATE LOCA'I ION: Z'yM OF STRUCTURE: RECHECK NIA YE O COMMENTS tings/pievs Monolithic Pour Form Reinforcement in Place for -- The Contractor is respo Providing Protection from fiec7ing for 48 hours following the pla+cement of the concrete• on site Materials for this purpose FouncatianlWallPma Reinforcement in Place Fotaidatson/Daml�pr°of*n Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumb's 1 1, Homing,Rough-In Id Insulation Foundation Walls interior . - Foundation Walls Exterior R- Walls R_ Ceiling L7uct WOW or piping in unheated spaces R proper Vent. Attic Vent Framin Jack. Studsflt's- ----- gracingJS rid g;n Joist Range Jack PosWMain eam._�-.-•--------- Air Infiltration ------ - --'-y Fire Separation 1, 2, 3, hour__ ---.- Penetmtion Sealed Fire Wall2, 3, 4 hour FireswMin