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98-280 CERTIFICATE OF ' COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY. NEW YORK Da to 11 9 9 This is to certify that work requested to be done as shown by Permit No . 5f 8-2� has been completed . This structure may be used as a SINGLE FAMILY DWELLING Location Owner V INCENT PLACE ---. - PASSARELLI R GUIDO By order of Town Board TOWN! /0 QUIW S TAX MAP NC? . 12 5 . - 9 - 1 +6 Director of Building 6 Code Enforcement f , BUILDING PERMIT VALUE $ 11000IIMN OF QUEENSBURY No. 98200 TAX MAP NO . 125 . -9 - 16 WARREN COUNTY, NEW PORK � J PERMISSION is hereby granted to PAS Street, Road or Ave. OWNER of property located at LOT 16 V in the Town of Oueensbury, To Construct or Place a at the above location in accordance to application together wit fi plot plans arxf other information hereto filed and approved and in Compliance with the Town of Oueensbury Building and Zoning Ordinance, t. owNiER'S Address is 465 LAKE AVE . LAKE LUZERNEr NY 12846 2. CONTRACTOR or Bul Lm R"S Marne pLAMONT , MIKE % �T IiERPILD$ SQUARE UILDeWS ddrrsa QUEENSBURYr NY 12804 ,r.,;C"t I IIII. Marne NEW YORK BOARD �tT*ffR&d`9MRD OF FIRE UNDERWRITERS Ep�ewwwmfti struction — (plaese indicate by X) SINGLE FAMILY DWELLING Wood Frame [ I masonrySpecHications¢ FT SINGLE FAMILY DWELLING WITH 2 —CAR ATTACHED GARAGE bLKL PLOT PLAN SPECIFICATIONS . _ � SINGLE FAMILY DWELLING 211 June 3 2000 S PERMIT FEE PAID -- THIS PERMIT EXPIRES 19 [It a longer period is required an application for an extension must be n%de to the Building and ZOrtiryl inI of the town of oweembury before " expiration date.! 3 June 19 Dated at the Town of (]ueensfaury this Day of �__ for the Town of Clueenstwry SIGNED 8Y _... Buiidim and Zonirp irtspaater `. , Building Permit Application tiLeenSbUry - Dept. of Community Devekapnwia. /42 Bay Road, Queensbury. NY 124804 [761-82561 BUILDING CODE ENFORCEMENT �� Requirements prior to issuance .MJ of this permit: PERMIT FILE NC3. A be obtained before P$!- construction. No inspections PERMIT FEE PAID made until applicant has received 0 A8 Board ActtUvx .L.ID BUILDING PERMIT. All Area / Use RECREA71ON FEE ,,plicants' spaces on this application — MUST be completed and- the signature 0 pig Board Action REVIEWED BY.- the applicant must appear on the SPR / Subdivision 1 other Building &rspector plicatian form. r.,� „ Recreation Fee Payment Applicant: ! I Owner: 2Z2 Address: Z2IIJGcS L .p r`i� yEt1 P5 Address: Phone # AL10 .16� '� alLL Phone # ( _----} ----- ----__- Property Location: - c`�'� Irt�. � . r ��iePrJ r� /J1 c'i G A/ r Tax Map Number ) / Subdivision Name: /f� Y C.� �i c .? �'�- Section Block i ,nt NATU OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New 13u11 CONSTRUCTION : $ // , �`+C7f7 ,:: .id com enc / mercial Addition o Building : residence / commercial OCCUPANCY INFORMATION : Alteration, to Building : Primary Building - - - - - residence j commercial � ingle Family Dwelling Residence j Commercial Two Family Dwelling no change to exterior size Family Dwelling off ice other Work ( describe below ) Mercantile , Manufacturing _ 401 other GROSS AREA OF PROPOSED STRUCTURE :�,� t ^I � I £ ADDITION , what will use 1st Floor . . . . . . . _ sq . £t ` • of news addition be ? * 2nd .Flexor . . . . . . . sq : ft . D Other Floorsad . - sq . fte ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : Detached Garage 1 , 2 car�'� TOTAL FLOOR AREA ; /�40 p� SQ . FT . ✓ Attached Garage 1 , car Private Storage Bui. ang SIZE OF NEW STRUCTURE : Commercial Storage Building Other l FEET X c f FEET Foundation Type : 'o Will any second-hand or ungraded Number of Stories : lumber be used? If so , for what ? ( habitable space only ) Height ( grade t ridge ) : 7 feet TYPE OF BEATING SYSTEM * of fireplaces and jorstove ( circle all which a lies ) to be installed : ctri Oil / a� Wood ed Hot Ai / Baseboard / Other Person responsilale for supervision of worts as regards to building codes "is _ fir.- E 29 /4 o Name Address Phone Builder * Plumber ; Mason : S r9 Avg Electrician : w DECLAR'.AT rON. Please sign below after you have carefully read the swfemextt. 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 Uwe shall submit prior to a Certificate of Occupancy-'or Certificate of Compliance being issued, an AS BUILT PLAT FLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: (owner, er's agent, architect, contractor) Application for r SEPTIC nISPO SAL PERMIT � SI"AMP REiC:I?1 I .rrcal'sc+it esl" Irrr:lr4rly Ix,r in:+l:xllalixrn_ •r°'idl�Ifr �E.' �84� ��1/� ��--''+``��1 C)wncr 's Nanlx: rJr 4r"J � K� � Yt��. Z.. + N i111 :1 f r Owncr's Mailing Address: Zjq fIJ� d r' L rr✓ rat i �rrtl — � y irlifi VAll) Con lnstaller's Name: 414 �1dfy l'lsc+ne Number of tludrooms (if resiilClllinl ): � r :rj 14r+tai Jaily Ilc>w (residential - ee.nsl+ulc ty 150 g:tl. lie l+cdrex)ru): I'trlx+graplly: � l'lal 1Lc+ETin1. slccp 31(+lle n,+ tat SEc+l+c Seth Nature: Sand Q I.ttant Clay Other ll.]cl+thm. GrOLlnd Water: at what deptll? fact Bedrtxk or Iml+ervioty; Material : at wll:lt delith ? taut I'crceli:rliisn 'i'e:sl: N„t lL�:sluire.tl F itetloirVEIfItnit III lr, l,e•r iitVlt I,)rrnlcstic W;ttcr Srtilply: Well �, hiller If domestic %vatur supply is In WIitj = water sul+lrEy frOill ally selrtic al+sarl�ti"It is fact PROPOSED SYtiI`lilN : Septic tank: OL9 gal, (ininimullt xizc-. 1.000 gnf_) 'leis Mcld: malt trends ,�Q rect. I tulnl system langlll rccl, Seepage Pit($): nulstt+cr of size each: ft. x ft. Size or SICNIC to tic used: # / depot or thickltess fact. I I C3LD I NQ 'l'ANK 5YS'1"i3i'++1 : (i r required) NOUIS11ber of tanks- Sizc of cacls: gal. Ut Alarm syslerrr and a.ssocicttett electrical work to be itrspected by rt certifted agetrey. I••rtr yottr prrrtlrctirstr, please note thtrt prtrrmtctrrt ttt Section 136-29 ofthe Crttle ofrhe Town of Queenshttry, ally lternrit or cI plrrorrol gran tell lt•Iric h is ltersctl ttlroit or is ,Grtttrtetl in relirrerr'e uputt ally materrul mi•srppreseWatiorr or frtilrrre to ttrrrke a trenterr'al fact or cireumstatrce known by or ott behitIfofan rrltlrlicorrf, shall lre v©itl. I brave react the rrr rrinriatrs wills respect to tlris a pplicarlon aird agree In abide hy- these fald etll retltrirerrrerrtr of (lie To "Pit Of (ptrcrtsbary .Sanitary Sewage Disposal OrdiittrIsCe. Sig rtatrtre ofrespr)rl sib 'e persott; . &&t I !Jute. _ L=.'NI:.'Itt3x cvLjrs CJ{JMFxaTnIJ+CI.: l+tFk*x, xG`n*3.`xiiN �. TOWN 01" QUI': I!:MS1JURVor W11ItitMN COUNTY 1,1IaC�1L1!.'1!;_ 1) S C10111pllance 14aLkludu L'AILT ti _ 11c. c [ €fl: G� 1J1. [! Praut- IC. e Mel;- hud - • _ i_'ART G " -- '1haj_111aJ. Itat: 3. 119 - C V111 jotle *YI9tr 1 lit -1. & 2 I"a111.i1y Ljwel . 111gurr Mu a. - :.11111 7 IJwo11, 1_ ttc� s ( 3 s 4orl. eg cir. lcr3r3 ) I.' fll2T el Or - Isce13 i. clit by C<3111ponoltl. F' at Co ,rnirtttc. r.. C omllterc .i. a3 Utji lcl :cttye - kli ItiQe iteslcle �tl: lal * lttaclul. 1: efit ru1,1111 _ ssiwrt of Works lice t o E'nll'L' r ML'A'II+UU or c:UMI.'mien UY ACCEPTABLE F1tnC:l'10E « 1 . Gzass ls' loar fircaa - f1�7 myuctr, e feet 2 Type of Ilemt - _ F.'•: .I, i3r: l; r i_ 4 w (J _1. l Gae C) 1, itCj: 31 :Ca bu11c1 .1. 119 afloc: lta11 .i. cr (j .L .I. y csc3t3 .i od ? _ YC'1a _ L/_'� N0 / 4 . ParcenLaye cff clruu of w .l. fidowut cmU dupure over 17 % Lam'' U1tci+Qx 17 5 . It- VALUMS Folk INSUI-PAA' .I. UI:i CGlvl!:rd UULOW MUST CORRESPOND TO It - VALURS AS SHOWN ON PLANS 5UDMA111110MLj s a . Roof It _�G7 be l.. xLer. .i.o1. wn .l. .i_ r3 it Co . Glazed area " It _ c3 . Exl: erior. docirtt It /,p. J ow la' ioolre oven cletilecll_ ecl Slt.xC013 It / 4 f . laclye of a iraU ojt yt- ac3e ( IjuaL: ed bILIJUcli. jlg ) 4t _ g . 13neemeltL / c: ellar walls ( nbove grade ) 1t ----- lt . Unsementr / co .l. letr walls ( L.► ulow yracle ) It _---- i . 11eaLi ny/ coaliltcl -clue Ls - pljy #: ttq In unheated space It _ ej�. 3 66 Service ( do11tesL- i. c: ) hot- water. heating device, �.r``� Cottl'_ ortns Co 111111intuln effi. clettc:y pear code k/ YE3s No TEMPI IMMURE CVI]:I I1Qj.. M IkKI. MUM S1 TT.INU 140n -- wxbL rJo'.I.' im rxc:cct)ED 11Lf�r ,l. 1. r_ j11: � r , 3 ltutr : *= ----�� I:• llotte Nu�u/i+LJf/cz >< .S. NSI?1SC'1:C]IL ' S [tliMllltKS THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8072681 BUREAU OF ELECTRICITY 111 WASHINGTON AVE-, SUITE 704, ALBANY, NY 12210 AUGUST 2-1 , 1998 39fi4998 L-.J tt 452126 L Date Application No. on !e CDSTHIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant na a on the above application number is in the premises of C, . M9SAREI= , 16 VINCENT , QUiEY.'ENSBURY , W in theffollowing location; ® Basement �•- � Ise Ff. ❑ 2nd Ff. GAR Section Block Lot was examined on AUGUST 24 ° 1998 and,found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES CoOKINO DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCEN FLIMMESCENT OTHER AMT. K.W. AMT, K.W. AMT, K.W. AMT. K.W. AMT, H.P. 29 ar, 24 27 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS SYSSTEMSTEMS ET MULT DIMMERS AMT. K.W. OIL H.P. GAS H,P. AMT. TIO. A. W. G. AMT. AMP. AMi. AMPS. TRANS. AMT. H.P. NO, OF FEET AMT. WATTS 1 F 1 SERVICE DISCONNECT NO. OF S E R V I C E METER NO- OF CC COND. A. W. e, "�^ W, �• NO. OF NEUTRALS A. W- G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 AW PER 0 OF CC- CON D. HO- OF HI-LEW OF HI•LE6 OF NEUTRAL 150 cs X OTHER APPARATUS' S14OKE DETECTOR : —5 27 PI,ATT ST . GEORGEP NY , 12845 GENERAL MANAGER 2 39 per LLAKE must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their Credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. k l TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEEN'SBURY NY 12004 ( ! (518) 761-8256 ARRIVE : DEPART : INSP . , FINAL INSPECTION REPORT - RESIDENTIAL _ 4 DATE INS TION REQUEST RECEIVED : w NAME � I LOCATION DATE { PERMIT TYPE OF STRUCTURE FOOTINGS FOUNDATLO SAC FILL F ING ROUGH PLUMSINa S£ TIC INSULATION FINAL ELECTRICAL OUSTOVE OR FIREPLAC N A Y NO CHIME T B V N I PLUMBING Neu-- AXTPRIQ N SH pECK O H ST S LI GS . 1?EL F VALVES FURNACE T WATER OYE INTEP V C D R S i BAT W E T O WE ABLE OTHER F R C RP T p E RANCE ZINGS I S1401SE PETBATH 29M F Ng N F U S FOUNDATI N SU O E F E P OO IN asER .-_ Fsf3riL EL$C c r TE P�U... V O Ll 1�_.... I K ISSN O OR C-JeC i I � 1 M Lli ci <O z Z CO ::D . C5(7) c-, L� "e -4 E-� o moo ag HE L'i M<z UZI M"z 0 09 z F-M zO S,, Z M==W z 0< F- Lol 0 U. 0 0 8< ow< N �z II s .Z.3 p LL- z 0 < H< _j w D 0 < r4D ....... , �0< C)< -m< ow z T=v 0 w IU-4 CS m D 0 wz w aw� C)w w ry -18 m .0 voi Wm (n z Oi m z w I w Lw. uj 0 K -<- M,H xw Iffi n ,.g 00 0< I m cr X<Z' Z< 0010< 0:2 M < w �w '-Z'� 'o 0 w m a. m w z z z w Z 0 p =)� 0 3:�o , 0000 CL >- D to li w m w t z w mw a '4 Cf) < w U, .• z w 10 M C3 :2-w-<n m E << M m T 0 X<(n/)xw 00 C6 w Cli Nn C5 V) w 4r M Ln i'- z OZ .01 Ls 0 W 0 V) w En - '>'5 0 PON w 5 �uj z mm �m -0 m 0:) zo D Fo V) <to w z w w S w (nm:izm v 0 0 - < F- < < 'C"=3 0 cs IL 0 o z wo OKoZlol'u-.z oZO <0�z"N 9.QPOT-,Wx W'<gRoo'- C) 0 um-U. �! %='g E 0 LLJ <0 -00 0 W'-lZ W.<V)<V)<W LL uj o z M)-- w 3: m L 0 Ll w LIJ 0 0 O�Ko z OXZ03:� ow� 0 < Z'� �Zf� ~dWo CL w WW 0< < Zm g CL <P<'ww ME .0 < Iy Z- :Fu) t i TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12604 t " (518) 761-8256 ARRIVE : DEPART : in� L3� I FINAL INSPEC!rION REPORT — RESI ENT L DATE INSPECTION REQUEST • CE ED - � NAME Vjpm LOCATION L HATE P is MIT ITYPE OF STRUCTUREr CAR .� FOOTINGS FOUNDAT N BACKFI L FRA24ING _ ROUGH PLUMBING S PTIC IN LATION FINAL ELECTRICAL WOODSTOVE O FIREPLACE N ES NO CHIMNEY T V G PLumalk]g VENT ROOF IN!; XNTERIOR FINIkH DEMPORCH/STEES ILI RELIEF VAJIVES FURNACEIROX TINY INTERIOR M P IV DOO W ER FWORS SWE QTHER FLOORS CARPETEEI STAIR CLE N E S SMOKE DETECTORS PLUM BATHROOM FA FOUNDA ON U ON CpARAGE F E F NG DOQR O FINAL CT glTE P N VA C FINAL S V Y P N K T ISS C R C C RESIDENTIAL FINAL INSPECTION REPORT' office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arrive.. a"1'-36P Town of Queensbury incmrtnr's initials 742 Bay Road Queensbury, New York J'3Unj NAME PERNIIT LOCATTO ATE TYPE OF STRUCTUPE A 'YES NO CON&ENTS Chimney Height/"B" Vent/Dire t Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete hiterior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing in. or more Interior Handrails stairs both sides 3 or re risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" abo e Gas Furnace shut-off within 30 feet or within 1' of 'le Oi�tace shut-off at entrance to furnace area %V i'v ,. hint Water Heater opera �HEP1N1 � of Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than risers j 4ntenor privacy/tritrildoors.Imain entrance V Floor Finish Bathroom/Kitchen watertight Interior Handrails Baiconiesi(Landing 18 or more Railing across window in stairwells Smoke Detectors- every level every bedroom outside every bedroom inter connected. Bathroom fans 71 Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate roam prat "gWarage).(inLight ventilation per roomSafety glazing 18 or less fro Final Electrical Site Plan/Variance: required utal Survey Plot Plan As Built Septic System layout required Okav to issue C/C (Cert& of compliatice) Okav to issue temp. C/O (Certif. of Occupancy) Okay to issue permanent CIO (Cestif of Occupancy) . ' TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT }Q ^•- 742 Bay Road (� Qureensbury MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION i Name Location �- Date Vloam11ql Permit 6LcPgrd . SOIL TYPE-, ' Loam- Clay- r Results o ercolation Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Len+grth Length of each trench i Depth of trenches 7�4 Size of stone 42 = _ SEEPAGE PITS : TV'umber- Size - ft * x ft . Stone size PIPING : izer Bldg . to Tank ✓ Tank to Dist . Box �* Dist . Box to Field Openings Sealed ? arts al LOCATI OK/SEPARAT Foundation to T k feet t Foundation to sorption feet Separation of its eet onforms as per Plot Plan es No LOCATION OF SYSTEM ON PROPER ( circle one ) Front - Rear - Left Side - ght S de Middle Front -- Middle Rear COMMENTS: F C E SYSTEM USE APPROVED: YES NO Departed Departed: Building Inspector r C*6 03 ot i s GENERAL PE Tj N RE�12T Town of eensbnry Date inspection request �' ---�'- Cm,unity Developme pept, of nt Building & Cade Enforcement Deta 7a42 Bay 1"d Y 12804 Arl7ve 'tars Queensburye NAME: t F,pCATION: TYPE OF STRU ItECI-lEM ,Cp�ENTS NIA YES NCl� FootinpslPicrs 1vMonofithic pour Form Reinforcement in Place ible r T he contractoris � & providing protection from t far a48 hours following the place of the concrete- on site Materials for this purpose rc;.::. » ur nlWallpa Reinforcement in Place FoundatianlDampproof Backfill Approval lab Plumbing Under plumbing Vent/Venis in Place Route, Plumbin pough-ln on or R- Faunclatian 'Walls In - Foundation Walls Eateri r �-- Floors R_ Walls R- ceiling Duct work or piping in unnra- ted spaces Proper Vent, Attic Vent Frarung lack. BracingBndging--�'�' joist fingers jack Posts/Main Seam Air Infiltration Sarni Fire Separation 1, 2,3 hour penetration Sealed Fire Wall 2. 31 4 hour Firestoppnn GENERAL IN,SPE N REPORT Town of Queensbury Dept. of Community Development Date inspection realest received: Building & Code Enforcement 742 Bay Road De ` � Arrive arnIpm Queensbury, NY 12904 Inspector's NAME: PERMIT LOCATION: DATE TYPE OF STRUCTURE: RECHECK. /A YES NO CO NTS Food ngsfPiers ! Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete_ Materials for this purpose on site Foundation/Wall Reinforw"a't'-tent-irk Place FoundatiorAampproofin Backfill Approval Plumbing Under Slab pl g Vent/Vents in Place CiPr� nJ [� L olxu *j 1z)P.Y �# y ough Hcating Rough4n Insulation. Foundation Walls interior R- Foundation Walls Exterior R- Floors R- Walls R- 'V,), k tk\ _ pKS�. h n�C c� '�. 7 '- �OAJ Ceiling �/ ;L/N ► � i� Duct work or piping in unheated spaces R- per Vent, Attic V nt � ng r Z qP r5 Jack Studs/Headers Bracing/Bridgin o c&Lt Ati?ttc /AirStration gers Posts/Main Beam - Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin GENERAL INSPECTI REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive �am/pm Deport Etop Inspector's Initials NAME: --- �,�¢ `i r,F '�GC.G _ PERMIT # LOCATION: DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS, Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsi for providing protection freezing for 48 hours followi t of the concrete. Materials for this on site Foundatio allpour Re'nfomement in Place OF F undation/Dartmpprooi6n %oBackfill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Quct work or piping in unheated spaces R- Prnror `went, Attic Vent Framin Jack. Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air In5ltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REnVRT Town of Queensbury Dept. of Community .Development Date inspection request received: Building & Code Enforcement 742 Bay Road t Queensbury, NY 12804 Arrive am/pm Depart ` Inspector's Initials CIN NAME: �k j- PERMIT 4R .� LOCATION: 4ffQ DATE : TYPE OF STRUCTURE: RECHECK N/A 'YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpo Reinforcement in }Fo 1 'o am Plumbing Un Slab Plumbing Ven ents in Place Rough Pl 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 "dent Framin Jack Studs/He uters Bracing/Bridgin joist Hangers Jack Posts/Main Beam. Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppurig. GENE L PZCTION RE.� QRT Town of Qu+eensbury i Dept. of Community Development Date inspection request rreceived4. 4: Building & Code Enforcement 742 Bay Road Queensbury, NY 128o4 Arrive �a� -- arnlpsn Depart ,, r r � 1n/Pm p Inspector's Initials ' Al, NAME: C . / PERMI"I' # LOCATION: k' DATE : TYPE OF STRUCTURE: RECHECK ooting%/Piers N/A COMMENTS I Monolithic Pour Form Reinforcement in Place The contractor is respo ble for Providing protection from freezing for 48 hours following the placement of the concrete, Materials for this purpose on site Foundation/Wal 1pottr Reinforcement in Place i aiuiaudtii1111"11,d,Inprd�lfln Backf ll Approval Plumbing Under Slab Plumbing Vent/Vents in PI Rough Plumbin 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 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, 31 4 hour Firestoppin