98-238 CERTIFICATE OF 0- CCUPA.MCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
August 4 19 98
Date
98238
u is to certify that work requested to be done as shown by Permit No.
i
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a
92 KNIGHT ST .
Location
CLUTE , LARRY
Owner
TAX MAP NO . 131 . - 8 - 7 By Order Town Board
'l'i)WN OF 4tlSE SBC Y
Director of Bldg. be Code Enforcement
BUILDING PERMIT
VALUES z� „ JQWN OF +QUEENSBURY
xAx tnAr NU . 1 :51 , — ts - ►WARREN COUNTY, NEW YORK
PER MISSI0N is hereby granted to t;LU1'r: r L"kty
OWNER of property located at KN'LumT.: bT . Street, Road or Ave.
in the Town of Oueensbury* To Construct or place a 51blujuk: YAMIIJ Y LjWt51..ts11 0
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance—
J. OWNER'S Address is
I J LJPL"M 1ttJ"
t;lUl=:1= MSltUKY r 14Y 11t31d4
2. CONTRACTOR or BUI LoeFUS Name
[.a.4wrt; td:14'1 zKIeltlSl;`.
3 CONTRAGT3O uat Awn L 1'�tupw ddre�
1
f tltlM:lr:N"..l' MUktY r MY 11t5Id4
4. ARCHMCT'S Name
t,,;t.)!11l11V14MIt";,Al..'1't1 151w' rG:'1'it1C:AL AUl5Mt.:Y
5. A,RCIiIT�"Sess� t46
"Juiuzr MY 11t53b
6. TYPE of Construction — (Please indicate by X) .�! 111t3LL t!'#4!!iL Y Lt"zLML1Mt3
l I Wood Frame ( I Masonry ( I Steel l I
7. PLANS and Speoifioetione
t$ b % bV P"'tti b.LNUJ61h; &rAM11LY L)W1!:LL114ta At$ rt;IK VlaLrr r1.AM :3rE:t:lt" 1t:A'F t)14u
No.
B. Proposed Use
SJLN,Ut 'r" i7'AI+1.11+Y L "1:LL.L14U
19OU flay 1V 1fOt}it19
S PERMIT FEE PAID - THIS PERMIT EXPIRES , 1S
f1f a longer period is required an application for an e■tenshm mutt be made to the Building and Zoning inspector of the
town or Oueensbury before the enpirstion daee.l
19 P3a]I 1 `J
Dated at the To *ensbury this Day of t9
941d-
SIGNED BY "wodZaninv
for the Town of (]taeenstlury
Inspeesdr
Building Pcpr► nit .Application
Town of Q11eensb111y - DeIN. of Corsariwdly Development, 742 Day Road, Qrree►>.rbury, NY 12804 1761-8256,E
BUILDING tit CODE ENTORCEhIGN7•
- Requirements ,prior to issuance
gtg
A permit must be obtained before of this permit: PERMIT FILE NO.
beginning construction. No inspections PERAtlT FEE PAID ?
will be nmde until applicant Ims received Zoning Board Action
a VALID BUILDING PHRMrr. All Area ! Ilse RECREA77ON FEE .AID $
applicants' spaces on this application
MUST W colnpleled an& tlto signature Q Planistrtg Byrd Action REVIC,WED BY.•
to live applicant roust appear on the St'slt 1 Subdivisinn I other s«+ldrs 1.rsrener
plicnlion form, n..a ri Recreation Fee Payment
Applicant: �_� l!!A ~ Ownen
Address: •, �.. Addrtsss:
- • -
l'llono # ry .i. ' lv�lfPllt?
w•r w.w w w
Prtllnohy l .tlunllom ...» e`wo ,,w,, mti .„� {� 1 7Subdivision Name: Tax Map Number, ---�-J L--
Section Black I "
HATNOF PROPOSED WORKI ESTIMATED MARKET VALUE OF THE
ew 'Building : CONSTRUCTION :
residence / commercial
Addition to Buildings
residence / commercial OCCUPANCY INrO.RHATIONt
Alteration to Building : Primary Building
residence / commercial --
Single Family.. Dweiling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwellyng
office
Other Work ( describe below ) MercattMAYa o 7 1998
Manufacturing „
GROSS AREA OF PROPOSED STRUCTURED/0
let i' loor . . . . . . . . r" sq , . ft . if ADDITION , what will use
2nd -Floor . . . . 4 a . sq * fto
of news addition be ? :
Other Floors . . . • sq . f to
( not unfinished cellar or basement ) ACC ORY BUILDINGSt
D clsed Garage 1r, .. - ear
TOTAL FLOOR AREA :' a Xo *6( SQ . FT . Atta ed Gar I ■ 2 car
Private rage Building
SIZE OF NEW STRUCTURE : Co a1 Drags Building
FEET O er
FEC•L' }C : .
Foundation Type ; o•'ia i'^tG.ti01• Will any second--hand or `ungraded
Number of Stories : lumber be used? If so , kor what ?
( habitable space only ) � - •.Carte
Height ( grade to ridge ) : UoV feet TYPE OP SEATING SYSTEMS
Number of fireplaces and/or woods 'tove ( Ccircle ' all. whi.ch ' a liggH )
to be installed : x Ele l / as rWood
reed Hot -A r e oard / Other
Person responsible for supervision of wcLrk ap regards to building
codes law
Naive Addresss Phone
Builders
Plumber : '7
Mason : l'
l; lectrician :
DECLARATI+DN.• Please sign below afte'r you have carefully read file staternent.
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 tile prouwwod work shall be complied with, whether specified or note(], and
that such work is authoriz y the caner. lFiryllver, it is understood that Ilwe shall submit prior to a
Certificate of [}ccup:t or Gerd ate of Cc lance beiv t sued, art AS BUILT PLOT PLAN by
a licensee! survey . drawn to s e, show' actu toe. n f project on premises.
Signature;
(owner, own is agent, architect, contractor)
Application for SEPTIC DISPOSA.L. PERMIT
Town of Queensbury Permit No,
,). 9!��
Dept. of Community Development
Building & Codes Office
742 Bay Road Fee Paid $
Queeasbury, NY 12904
Location of property for installation: C�`t,7C'i_D4�wf�+►.,/
Property Owner's Name: L GVi i� t [ � ..w�•K' � � [
Property Owner's Mailing .Address: us [�.�.►�, [� �j, -- -'►„ i�e'�y.�r� i�..1�.++' w"�
Installer' s Name: C.L..+ ...Xdt .s` Phone # A/
Number of bedrooms (if residential) : r Total daily flow: ���
(residential - compute Q 15+0 gal.Ibdrm.)
Topography: Lat, rolling, steep slope % of slope
Soil Nature: 4?! �sand, loam, clay, other / depth:
Ground water: at what depth? feet I Bedrock or Impervious Material: at what depth? ____ feet
Percolation test: not requir , required [ rate min. per inch ]
Domestic water supply: >4 mum pal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank:eallon (minimum size: 1 ,000 gal.)
Tile field: each trench feet 1 Total system length: �— feet
Seepage pit(s). number of ! size each: ft. by ft.
Size of stone to be used: # �� I depth or thickness feet
HOLDING TANK. SYSTEM: (if required)
Number of tanks: Size of each: gallons
.A1anv system and associatedd electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Quomsbury, any permit or
approval granted which is based upon or is liarice upon any material misrepresentation or failure to make a
material fact or circumstance known by or of an applic onto shall be void.
I have read the regulations with to this appli 'on toIied. o by these awl all recpuremeuts oftheTown of
(l�reensbury Sanitary SewageJ/_ter
Signature of responsibl person: Date: L '�°tL'/
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY , WARREN COUNTY MAY 7 1998
9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 - Acceptable Practice Methrzfd = -
1 & 2 Family Dwellings ( only )
PART 6 * - 'Thermal Rating - Component Trade Offs
1 & 2 Family Dwellings ; Multi -Family
Dwellings ( 3 stories or less )
PART 4 * - Design by Component Performance
Commercial Buildings - Hi Rise Residential
*Requires submission of worksheets
APPLICANT ` S NAME : PROPERTY LOCATION : ,/ ,� t
�7�" '�i-'ti.-r �5.�..�- �+c--�► �..r�.. f �L.���-„ +art
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE
1 . Gross Floor Area - tp square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled ? Yes No
4 . Percentage of area of windows and doors Over 17 % Under 17 %
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED :
a . Roof R p
b . Exterior walls R
c . Glazed areas R _ ► i,
d . Exterior doors R
e . Floors over unheated spaces R
f . Edge of slab on grade ( heated building ) R
g . Basement / cellar walls ( above grade ) R —^
h . Basement / cellar walls ( below grade ) R �-
i . Heating/ cooling-ducts -piping in unheated space R S
6 . Service ( domestic ) hot water heating deviclik �`
Conforms to minimum efficiency per code Yes No
TEM RATU GONTRO X SETTING 1400 - WILL NOT BE EXCEEDED
Appl . s S " gn e Date
Phone Number7 �Z�
I YVECTORf EMARKS :
TOWN OF QUEENSSURY
BUILDING & CODE ENFORCEMENT
742 DAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE : DEPART : INSP :
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INS ECTION REQUEST ECEIVED :
NAME
LOCATION ((� �],
DATE +LA '� PERMIT I
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N A TES D
CHIMNEY H B V NT
F&UMBING NT
ROOFING
EXTERIORFINIS"
p9cKlPoRga/s PS LIN S
RELIEF YALVES
jFURNAgEj T W T OP RR ING
!I O M P IV C OORS
SH F
�WATERTIG
jOTHER rLeQQRS SWEEPANLE
OTHER C RP TE
PTA7R CLFARANCElRA�i,INGS
SMOKE DETRCT-QS
I _
PLOMBIN
G F1 To S
FOUNDATIO S ON
9AARRAAGE FIRE p I G
E
EINAL E R CA
S V R AN E R
I A su u LO P N
K S E O C C
/0
MAP REFERENCE:
MAP OF A SURVEY MADE FOR
VILNIS NEILANDS
DATED: AUGUST 31, 1994
LAST REVISED: SEPTEMBER 18, 1996
BY: VANDUSEN & STEVES, LAND SURVEYORS
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37 Chester Street Glens Falls, New York 12801 " ""'M L°'°'NfRA 0 m11=0 m0Wmx MD
m ,Nc AMrMI�s K AR: LE1pR1 MRAINIOlL'
518 792-8474 New York lAc. No. 50135
131-8—
Map of a Survey made for
RIAN & LYDIA GORDAN DANAHY
Town of Queensbury, Warren County, New York
LANDS OF
AKINS
I.P.F.
NO. I DATE
rz
W
04
6*4
co
MON.
GHT
STI?.FET
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 THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWAdERS.
CERTIFIED TO: Rion do Lydio Gordan Donahy
Fleet Mortgage Corporation. Rs successors
and/a assigns
Old Republic Notional Title Insurance Cwnpa►y
CERTIFIED BY:
MATTHEW C. STEVES, LLS NYS 50135
DATED: July 31, 1998
DESCRIPTION
S-1
BHSET i CF 1
CLUTE
DWG. NO. 94126
RESUDENTIAL FINAL INSPECTION REPORT !+
Office No. (518) 76 t-8256 Date inspection request received: ^ /
Building & Code Enforcement
Dept_ of Community Development Arrive epatrt
Town of Queensbury Inspector's IM
742 Bay Road
Queensbury, New 'York 128W �, y��
PERMTT It I9 .....
NAME DATE u
LOCATION
TYPE OF STRUCTURE
NIA YES NO COMMENTS
Chimney HeightP38" Vent/ Direct V Location
Fresh Air Intake
Plumb Vent through roof
Root Complete
Exterior Finish Complete
lntenor/Exterior Railings 30" to 6" _....._
Exterior Handrails, balconies, g 18 in. or rnore
Interior Handrails stairs both side 3 or more risers_
Grade 2% away from foundation —_..
8" clearance to sill plate
-- Gas Valve shut-off exposed/regulaco 18" above grade _
Gas Furnace shut-off within 30 feet or 'thin line of site _.._.._
Oil Furnace shut-off at entrance to furn area
Furnace/Hot Water Heater operating
Relief Valve(s) installed
Headroom, 6 ft. 6 in. on stairs
Basement stairs, 6 ft. 4 in.
I landrail exterior, stairs both sides more than 3 ri
Interior privacyftmwdoors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior handrails Halcoruesll.,anding 18 in. or more
Railing across window in stairwells
smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/a hour fire door/door closer
Garage fnneproofmg
Garage penetrations sealed
Furnace in separate room, protected fin garage)
Light ventilation per room
safety glazing 18" or less from floor
'final Electrical
Site Pian/Variance required
Final survey Plot Plan
As Built Septic Svstem layout required
Okav to issue C/C (Certif of Compliance)
Okav to issue temp. C/O (Certif. of Occupancy)
Oka, to issue permanent C/O (Certif. of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INcC,, �y
Main Office 357 Elwyn Terrace — Manheim, PA 17545 7 £y yr
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel $bard,//No- - ----- -----------�C,eerrtt, 59 18 9 Cut-in Card No. .. .... .........
. . . . . . . .-
0Wner . .. .. .Jw ,. . -. -f'7---`-r-': :- -.-t,.•........ .. .. ... . . . . . . . . .. . .. . .
Occupant ._ . . .. .. ...... . ...�j.................. ....... . . . . . . . . . . .......................- ---�„��.,s� _ � �
Location -.-- .- . e.+, 0f,1 A-1,5" GyC�CGa'�
. - .... .. .......... ...... .. . . . . . . -7 ------------
--
[n7st�uilazicrn C,c��7nssszifngof -1�. ,r � �' ,!. Y"e .'r�..1. .Ie�C..... . . . . . �! . .. . .� . .a._.,r .___
y,..1,7 .4la.f. f.'r+!!4.+,��„ . . .o�... / ;......r.J..�r-- . '! . . . ....
.......... . . .. ...... ... ......... . ...... ..... .
Installed ------ Lic . #..... . . . . .. . . . . ..
The conditions following governed the issuance of this certificate, and any certificate previously
issued is cancelled: —
This c'•ertificate only covers the electrical equipment and installation conditions as of dine. Upon
the introduction of additional equipment or alterations, application shall be promptly made I'or
inspection- Q'
1 ..�..__...._ f.t. -Y. g ...... .. .........uny time. and if its
rules are violated, the Company shalt have the right to revoic t -er tc-
nspeetars n this Company privilege g
Date . .. "j (/� r � nm an shall have the
o ma ms Font a .. . . .. . ..... .
irr [ ember N_F_P_A.. I.A.£.1_
TOM OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
742 gay Read
Queensbury NY 12804 �1
(518) 761-8256 �,!
SEPTIC DISPOSAL SYSTEM INSPECTION
I
Name
Location Q
Date~7 G�! X ' L Permit #--
SOIL TYPE: ncd Loam- Clay-
Resul is of Percolation Test-
( if applicable ) Rate-Minute/ inch
TYPE OF SYSTEM:
ABSORPTION FIELD : Total L
Length of eac trench {
Depth of trenc s
Size of stone
SEEPAGE PITS :
Size - ft . ft.�
Stone size r�
PIPING: _- Si
e
Bldg . to Tank Yp
Tank to Dist . Box ►t + �7
Dist . Box to Fie 1
ie1 /P t , �<
Openings Sealed? Yes ;- Na Partial
LOCATION/SEPARATION . -
Foundation to Tank ? feet
Foundation to Absorption feet
Separation of Pits e#
Conforms as per Plot Plan Yes o
LOCATION OF SYSTEM ON PROPER
( circle ,
Front -rf' Reat Left Side - Right Side
Middle Front - Middle Near
COMMENTS :
SYSTEM USE APPROVED : YES NO
Arrived :
Departed :
Building Inspector
CO
! ; - Y
�l\{{tip{ j� . . _,. • { ��t _-_.
��-
-- -_ -------------- 1 !
- -
�- - -- - -
IT
3r
I f
GENERAL INSPECTION REPO T
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & +Code Enforcement `
742 Bay Road M(i
Queensbury, NY 12804 Arri� a�.: > rf
spector's Ini
NAME: PERMIT' 4
LOCATION: DATE :
TYPE OF STRUC
RECHECK
NI YES NO CCM+iMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible r
providing protection from g
for 48 hours following the p t
of the concrete.
rF I
Materials for this purpose on site
FoundationlWallpbur
Reinforcement in Place
Foundation/Da mpproofin
BackfY.11 Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation 'Wails Exterior R
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces -
Proper Vent, Attic Vent
Framing.
Jack Studs/Headers
Bracing/Bridging IL
Joist Hangers
I tsfMain B #rmn
Infiltration Ham
Fire Separation 1 , 2; 3. hour
Penetration Sealed
Fire Wall 2, 3, 4 hour.
Firestoppmg
GENERAL INSPEGT'ION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road /
Queensbury, NY 12804 Arriv am/pm DeparaE am/
Inspector's Initials '^`�
NAME: � �-. PERMIT #
LOCATION+ Wr DATE : 'l
TYPE OF STRUC
RECHECK
NIA YE NO COMMENTS
Footings/Piers 1
Monolithic Pour Forth
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 4$ hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo6n
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rouughhh Plumbing
He �
Rough-In
Foundation Walls Interior R-
Foundation Walls Exterior R
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
oller Vent, Attic Vent
Framin `"
. (ck StudsfHeaders
racing/Bridgmg G] g , S:5
Joist Bangers
Jack PostsfMain Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3. hour _
Penetration Sealed
Fire Wall 2. 3, 4 hour
Firestoppin
GENERAL EVSPECTION REPk?RT'
Town of Queensbury S"
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensberry, NY 12804 Arrive atQ�m=1� Deparf
Inspector's
NAME: Y PERMIT # rr4 3 X
LOCATION: DATE
TYPE OF STRUCTURE: _r
RECHECK
NIA YES NO CCENENfENTS
FootingslPiers I
Monolithic Pour Form
Reinforcement in Place
;Reinforce
o or is re ble or
din tectio in ing
hou oil ng the acernent
ooncre
ls far s purpose on site
io allpour,
ce cut in Place
` n/DampproofinApprovalg Under Slabg Ventf Vents in Place lumbin
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-
Xr Vent, Attic Vent
ng
lack StudslHeaders
Bracing/Bridging"Ft C 3Q- Fi g L ra CE ,1� Y�
Joist Hangers F�,� s►�*L *.`+f� F�At Lim- > H .-`c �rot,�-' - tc
Jack Posts/Main Hearn
Air Infiltration Barrier
Fire 'Separation 1 , 2, 3. hour
Penetration Sealed
Fire Wall 2, 3, 4 hourrT � ?L�
Firestoppin
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 .Bay Road
Queensbury, NY 12804 Arrive _Xir Depa
inspector's Initials 7
NAME PERK 1T #
LOCA N: DATE
TYPE OF STRUCTURE:
RECHECK
NIA YES NO COMMENTS
FootingsfPiers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours followin he placement
of the concrete.
Materials for this purpose s
Foundaition/W al 1pour
Reinforcement in Place
Foundation/Dampproofing
Bac pproval
'' Bing Under Slab _
Plumbing Vent/Vents in Place
Rough Plumbin
Heating Rough-In
Insulation_
Foundat ion Walls Interior R-
Foundai ion Walls Exterior R-
Floors R-
Walls R-
Ceihng R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent—
Franvng
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air infiltration Barrier
Fire Separation 1 , 2, 3. hour
Penetration Sealed
Fire 'Wall 2. 3, 4 hour
Firestoppin
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.. of Community Development hate inspection request received:
Building & Code Enforcement
742 .Bay Road —�
Queensbury, NY 12804 Arrive 6 pm Depart
Inspector's Initials
NAME: L PERMIT #
LOCATION: DATE :
TYPE OF STRUCTI.JR E:
RECHECK
NIA YES NO COMMENTS
Footings/Piers.
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi a for
providing protection from f ing
far 48 hours following the p ceme t
of the concrete.
Materials for this purpose on si
Foundation/Wallpour
Reinforcement in Place
Foundati on/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing VentlV rants in Place
Rough P mbing_
Hea Rou -lr
sulation "fit p t. V
Foundation Walls Interior R- `V'� �y►
Foundation Walls Exteri r R- -- - pvyl—
Floors
Walls R-
Ceiling R-
Duct work or piping i
unheated spaces R-
Proper Vent. Attic Vent
Framing
Jack StudslHcaders
Braci ng/Bridging
Joist Hangers.
Jack Posts/Ma in B rn
Air Infiltration Barrier.
Fire Separation 1 , 2, 3. hour
Penetration Sealed_
Fire Wall 2, 3 , 4 hour
Fl restoppi ng
(518) 761-8256
TOWN OF S?UEENSBURy BUILCIING 6 CQDe ENFORCRMENT
742 SAY an . QUEENSSURY NY Z2804
ri
INSPECTOR ' S REPO L:q
REPORT: ARR p
DEPpRr
REQUEST FOR INSp
NAME �
CTION RF'CESVEp ; - -y-y-
LOCATION
DATE
TYPE OF STRUCTURE : PERMIT !
RECffEC1C
APPROVED
O S -- 'i�r-ll�_ S NQ
ON Z.al C
U FD
FQR_CIS rN P CS
THE CONTRACTOR I,
PROVIDINO PROTE RffiS R S$ FOR
FO O
R 4 HOURS F TION FRO F EE'ZIng
lI,EH flF THE LI,ONIIVCi T a,CONCRETg, I'ACI'-
L R S PU p S
N E
OUN ON WALLPOUR
R N N
N PLACE
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Gj1 .NERAL INSPECYION REPORT
Town of Queensbury
Dept. of Community Development Date inspection ,request received:
Building & Code .Enforcement 000,
742 Bay Road '
Queensbury, NY 12804 Arrive )L*am/pm Depart ! ° am/pm
Inspector's Initials tTI C37
MAIvlE r # V
LOCATION: DATE
TYPE OF STRUCTURE:
RECHECK
N/A S O CO NTS
t. tingslPiers_
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible fo
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundati on/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/V vents in Place
Rough Plumbing_
Heating Rough-ir
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 Studs/Headers
Bracing/Bridging
Joist Hangers_
Jack Posts/Ma in Beam
Air Infiltration Barrier
Fire Separation 1 . 2, 3. hour
Penetration Sealed
Fire 'Wall 2. 3. 4 hour
Firestoppin,g
GENERAL INSPECTION REPORT
Town of Queensbury ��
Dept, of Community Development Date inspection request received:
Building &, Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive " am/pm Depart � p�m
Inspector's Initials-fir
NAME: PERMI I' �=�CT . '-J
LOCATION- DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO CON4MENTS
Footings/Picrs. !
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protea.tion From freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foun n/Dampproofing
lcfill Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing_
Heating Rough-Ir _
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Wall s R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent. Attic Went
Framing
Jack Studs/Headers
Bracing/Bridg.ing
Joist Hangers_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1 , 2, 3. hour
Penetration Sealed_
Fire Wall 2. 3. 4 hour
Fi restopping,
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