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98-647 CERTIFICATEC>F OCCL�I''Al`3 +CY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK June 23 99 Late 19 98647 This 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 27 ARBERGER EDR . l.exation SPRAGUE , ELIZABE'TH Owner TAX MAP NO . 14 $ . - 1 - 8 By Order Town Board Director of Bldg. do Cole Enforcement l BUILDING PERMIT VALUE S 70000 TOWN OF QUEE 'NSBURY No. 986AI _- TAX MAP NO . 140 . - 1 - 8 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to SPRAGUE ELIZABETH OWNER of property, located at 27 ARBERGER DR . Street. Road or Ave. in the Town of Gueensbur o To Construct or place a SINGLE FAMILY DWELLING 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 Queensbury Building and Zoning Ordinance. t. OWNEWS Address is 2105 OYSTER BAY DR . VERO BEACHr FL 32963 2. CONTRACTOR or BUILDERS Name BARNABYr BOB 3. TbVT PAT rRVOAD R S Address WEEGANSEVOI NY -Q. rnvutl'`y"'r'C Name COMMONWEALTH ELECTRICAL AGENCY 5. � I3V�5'f Y7 brass HAGUE , NY 12836 6. TYPE of Construction IPiesso indicate by XI SINGLE FAMILY DWELLING f Y Wood Frame I I Masonry f I Steel r I 7. PLANS and Specifications S 1640NQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATION40 a w. ,sae use SINGLE FAMILY DWELLING 192 October 26 2000 PERMIT FEE PAID -- THIS PERMIT EXPIRES 19 $ Ilf to longer or period is required ury �danp expiration 1cW an date.) ensiart mvst be me& to %hit Building and Zoning inwector of the 26 October 1998 Dated at the Town of Queensbury Da this � y of Iis for the Town of Gueensbury SIGNED BY t3uiid and Zoning tnqpae[or Building .Permit Application JTOWU Of Qilt3enSbUry - Dept. of Community Developtr:ent, 742 ,bay Road, Queens-bury, NY 12804 r17451-8256/ BUILDING etc CODE ENFORCEMENT NOTICERequirements prior to issuance �j 9 A r rmit must lx obtained before of this permit: PERMIT FILE NO. Z`.> beginning construction. No inspections PERMIT FEE PAIL? $ � will be made until applicant has received Zoning Board Action a 'VALID BUILDING PERMIT, All Are f Use RECREATION FEE PAID $ applicants* spaces on this application V'�" MUST be completed #A& the signature Pkzn tag Board Actlim REVIEWED BY: of the applicant must appear +on the SPR / Subdivision / Other BW41rng fms cvc.• lication form. rwmA yn Recreation Pee Payment Applicant: .r�r / " 16 L :I.V A Aa &46 Owner: �' fL-: .L c�,+'�ilr/'�i .6' CJL Address: oC4' 'r�t?dvirt ' Fd2 7'-GdQ. .' /7 Address: agt ! 15°C'/f+ LG+"+"Jt 5P /' 'e��� '�r( Ae Phone # Phone # ( 4507P-_) .t7j�^7 - .,,�?L7 Property Location: +'� ie C :' � Tax Ma ]'dumber Aye' Subdivision Name: C _ { , �r_ ' p - Secti<» Block 1 A)t NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE _L4oOo* New Building ! CONSTRUCTION : $ residence / commercial Addition to �Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building . Primary Building - - - residence / commercial _��Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwellin}g98 office ()CT i'S [[�� Other Work ( describe below ) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE : [ If ADDITION , what will use lst Floor . . . . . . . ( sq . ft . of new, addition be ? : Other Floors . . . . . �Q � sq . ft .pokoK ( not unfinished cellar or basement ) ACCESSORY SUILDINIGS : Detached Garage I. , 2 car TOTAL FLOOR AREA : , A(9 SQ . FTw Attached Garage 11 2 car Private Storage Building _ SIZE__OE' _ NEW STRUCTURE : Commercial Storage Building 499, FEET XC7 FEET Other /0 .A trr- P 7e 4F. 7 Foundation _ Type : jO[Sax4 Cog-1G,04 7 will any second-hand or ungraded Number of Stories : lumber be used ? If so , for what ? ( habitable space only ) Height ( grade to ridge ) : � feet TYPE OF` _ BEATING SYSTEM : Number of fireplaces and/or woo stove ( circle all which lies ) to be installed : NU �tJ �7 Electric [ Oil / Gas / WoodtCForced Hot—Air / aseboard / Other Person resptt��,n8ible for supervision of work as regards to building codes is . AO /P/ZrAd5j 44.1& X! O wtl' uoo Name Addressa Phone Builder : f . AC& &"Z-zw Plumber . A10A**'PrW4C.e &Prw fAoOt ft 71r4 W {OV=.4su 7k js�!r".33'^SC���" Masan : 46-tS eP.E0**ad41!5% /1.� 4;;'o Electric -tan: S S' A=_ !4ff CT` i G .,?,r- Al C� Zol T1JACE J r ,Fw&7 &,,0s✓d1c J ,,7"V 4`23 3 DECLAP.473rON Please sign belmv after you have careflu ly 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 Cade, the Zoning Ordinance and all other laws pertaining to the proposed work shalt be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy' or Certificate of Compliance being issued, an AS 13 IILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: (owner, owner's a ent, rchitect, contractor} { t11:``1. Xo'k 11..L-1 1 i' ! x T w✓a tiJw a..�a a6 .a a Waterfront Residential IA & 3A zones This worksheet must accompany all Building Permit applications in WR- lA and V* R-3A zones , except docks : Revised regulations for these zones were finalized October 8 , 1996 . Section 179 --16 of the Town of Queensbury Zoning Ordinance now contains a provision which relates building size to lot size . It is called a Floor Area Ratio _ More information can be found in the Zoning ordinance . This worksheet will help you and the Community Development staff determine whether your project complies with the floor Area Ratio px-ovisions . Your figures may be compared to those in the Assessment office * LOT SIZE � Y'3 Acres x 43 , 560 ( sf/acre ) = �� '� sf lot size X . 22 — /0ZO 4 sf allowed forbldgs . HOTJS E Main f loor = /3 GCS s . f . "BTIFL.Di'Vi 'G SQUARE FOOTAGE, TOTAL (Added 2nd floor = s . f . loa7-i996 by L.L. No. 6a19961 Lower level= _- - s . f . (1) The combined floor area of: Porches w= re and covered covered , enclosed s . f _ (a) All floors of the primary' str CIF- porches, including the basement when at least ( not open decks ) s, . f „ three (3) feet in height of one (1) wall is exposed Sofa and the space meets the requirements ents for living Garage = s 0 f space as described in Section 711 and 712 of the New York State Building Code. Guest house or apartment = s . f . (b) Detached storage buildings greater than one safe hundred (100) square feet, and detached garages. Detached sheds = safe (2) Fsaciuded from "building square footage" are open ( One shed s • f - decks, ,clocks and that portion of covered docks which ¢ 100 sf _ s -f extend into the water and one (1) shed of one is exempt ) hundred (100) square feet or less. Any additional TOTAL Building sf f JfQ _ sheds will be included, Allowed Square footage ( FAR ) /� +� ( a ) minus Total Building SF _ r� ( b ) /°E'r� /acrsA Nr f�ays'�-' Equals Additional Square Footage allowed a�?!ZE Q. ( c ) A6e1 l 4-r 'dire i o Proposed addition or new structure square footage ( d ) If ( d ) is greater than ( c ) , your plans need revision or you may seek a variance from the Zoning Berard of Appeals . Office Use Only F.A.R. Okay Not Okay Reviewed By: Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Permit No. Dept. of Community Development Building &c Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: o;2 7 6 jkEk 6E e Q/ Property Owner's Name: & IAE- L 77 c_ A�C c/-e� Property Owner's Mailing Address: Installer's Name: d4 A14(4 $ 14G L!dr Phone # S 'd' 7(K 7 ^z !7' 1 Number of bedrooms (if residential): Total daily flow: J.O0 (residential - compute 150 gal.lbdrm.) Topography: rI flat, rolling, steep slope % of slope Soil Nature: d, oam, clay, other I depth: Ground water: at what d th? L feet ! Bedrock or Impervious Material: at what depth? . feet Percolation test: not required required [ rate min, per inch ] Domestic water supply: municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank: gallon (minimum size: 1 ,000 gal-) Tile field: each trench 4 +Q feet 1 Total system length: 168� feet Seepage pit(s): number of I 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: a-allons Alarm sysw m and associated electrical work to be inspect+ed by a codified agmzy. For your protection, please note that pursusrxt to Section 136-29 of the Code of the Town of Queenabury, any permit or approval granted which is based upon or is granted in relia..,.d upoK:L any .material misrepresentation or fulum to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have react the reg,tabons with rasped to this applicatkon and agree to &bids by theee and all regcrirecaents of the Town of Queensbury Sanitary Sewage Disposal Ordoluce, Signature of responsible person: Date: ENERGY CODE COMPLIANCE APPLICATI T TOWN OF QUEEN'SBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods : PART 5 - Acceptable Practice Method - 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 : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - le yQ square feet 2 . Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled ? Yes No r .. 4 . Percentage of area of windows and doors Over 17 % (-, ' Under 179s 5 . tt-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : a . Roof R 2� b . Exterior walls R _ / 9 co Glazed areas R .2 . d , Exterior doors R _ '� e . Floors over unheated spaces R _ 30 f . Edge of slab on grade ( heated building ) R Al/ ,j g . Basement / cellar walls ( above grade ) R h . Basement / cellar walls ( below grade ) R 41 AN i . Heating/ coaling--ducts -piping in unheated space R �' 6 . Service ( domestic ) hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED A li.ca t Signature Date Phone Number INSPECTOR. ' S REMARKS : TOWN Or QUEENSBURY BUILDING 6 CODE ENFORCEMENT 531 SAY Ro"LD Q;jEE (518 ) 745- 4441 DEPART : INSP = J-----' YIIfAL Il7SPECTro " REPORT C,OygRCIAL ---�__ MULTIPLE D►iELLIN4 UEST C ED '. DATE INSP ION RE4 NAME LOCATION PERNII IF DATE TYPE OF STRUCTURE pLU17BING� FOOTINGS BACKFILL��. p FRMING�_ INSULATION N A ;ES RO CHI NEY all B " V NT EIGHT p UMBING V NT FIXTURES NG R it FINIS HE T H T WATF. R 1rr 7EF VALVF FLOORS FOUH AT GN IR35ULA'T�Q13 ------ OR STAIRS RA L NGS STOC RUO ENCLOSU E �~ DE SE WALLS PENETRATION .J----- IR AMPERS I ING PI S pPPING v D OR C SE S E I DOO H DW R ----- T S S RAI S L T O E VATOR A AC SS AP ({ ICA P D P RKIN - -- ---- ---- -- --- -- - ------- FINAL ELECTRICA -_-- S __---- SU VE!l_R' OT Pz.-- IF_R�F. TO ISSUE C O OR C C COMMONWEALTH ELECTRICAL. INSPECTION SERVICE, INC. Main Office 357 Ehvyn Terrace — Manheirn, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Beard No. . ................ . Cert_ 59240 Cut-in Card No I �� �° .7 Owner . .. .... ........a 1?.! ,?.........xs. .P.f'Z. tc .4!,4'. ._-..... ... . . ..,.. .............. .... .. ...,, . . . . . . . . . . . . .. .. Occupant ........ ......................... .. .. . . . . ...... ............... . ... . ..... ....................... . . . . . . . .. . . ._ ... Location ---a-1---....., dl !A.13..Q G.C!M.40:L. O.-t: "A7.V! Installation Consisting of ._f:; Cd C? ! '..7...5 "J.y.. 3. .. �'�, ;....J�?1s.h.44 N _ . cf?.1....5. �}?s7K. . . .. T--. ' ! ?„fie• 'H. + ? . . . . . . . .... .. .........................._. .._....... . ., .... . . . . . . .... Installed By . ... f.t$ ... . 4ccl! . Lic. #............. ...... . _. . -. . .... ... The conditions following governed the issuance of this certificate, and any certificate previously issued is cancelled: — This certificate only covers the electrical equipment and installation conditions as OV datc. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its. rules are violated, the /Company shall have the right to revoke this certificate. Date _ ... ....... ... INSPECTOR ember N.F.P.A.. LA.E.1. GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: --- � � � Building & Code Enforcement 742 Bay Road Gar Queensbury, NY 12MM Arrive arn/pm Depart! " Inspector's Initials . NAME: --4 PERMIT # < • ` '�" LOCATION: DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COhNILNI'S FootinJPiers Monolithic Pour Form Reinforcement in Place The contractor i responsible for providing pro 'on from f v=e for 48 hours follo i ng the p nt of the concrete. Materials for this an si Foundation/WallINRU Reinforcement in Place FoundationlDampproafin Bac Apg3roval P bit Under Slab lumbing VentlVents ' Place ugh Plumbin Heating Rough-Its k7rftsulation, Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- PreTierVent. Attic Vent Framixe Jack Studs/Headers Br=irig/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour. Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin O GENERA IN� , 10N+ REPORT k o Town of Queensberry - Dept. of Community Development Date inspection request received: .Building & Code Enforcement 742 Hay Road Queensberry, NY 12804 Arrive am/pin Depart * am/n n l aspector's Initiate G� NAME: �� PERMIT # LOCATION: DATE : '^ .�f-- `? 'TYPE OF STRUCTURE: a �, RECHECK N/A 'YES NO COMMENTS FaotingsJPiers f Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from g for 4$ hours flowing the ment of the concrete_ Materials far this purpo Foundation/Wall allpour Reinforcement in Place Foundationfl]3m Backfill Approval Plumbing Under Stab Plumbing Vent/Vents in Place A;.,li�gh Plumbing �nJ57i4 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- Vr6per Vent, Attic Vent VFrami Jack Studs/Headers Bracing/Bridging a;' r�U2 ~V Joist Hangers Jack PostsJMain Beam. Aiur Infiltration Barrier Fire Separation 1, 2, 3, hoax Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAac '�I©N jtBTMT ---�` Town of Queensbury Dept. of Community Development Date inspection request received* Building & Code Enforcement 742 Bay Road ^} , Queensbury, NY 12804 ve Deparic- InspeC 's Lritiatls NAME: C PERMIT # LOCATION: ' DATE OF STRUCTURE: RECHECK \N/A YES NO CO S Footings/Piers N 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/Wallpour. Reinforcement in Place Foundation/Da mpprooFin Backfili Approval Plummbing, Under Slab ,,/Plumbing Vent/Vents in Place �r p V Rough Plurnbin 1 1'.4�-< /�.�AS 1 A > Heating Raugh4n Insulation Foundation Walls Interior R- Foundatian Walls Exterior R- Floors R- Walls Ceiling R- Duct work or pip g in unheated s R- Proper Vent, Vent min tL2 +� ,c Jack tudss/Headers BracingBridgin /Joist Hangers Jack Posts/Main Beam Air Infiltration Barsn er 1 W.QCC �C �4,212 i E /�' f r JL Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour Firestoppin TOWN OF QUEEwSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Q+ueensbury MY 12804 (518) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date SOIL TYPE: Sand- Loam- Clay. Results of Percolation Test. ( if applicable ) Rate-Minute,/Inch TYPE OF SYSTEM: ABSORPT FIELD : Total Le Length of ch trench Depth of tren Size of stone SEEPAGE PITS : umber-1` --- Size - ft . x ft . Stone 57ze PIPING : Saze ype i Bldg . to Tank Tank to Dist . Box uis BOx to Field,/Pit f Openings Sealed ? Yes o art7a LOCH TI ON/SEPARATI Otis Foundation to Tank Foundation to Absorption feet Separation of Pits feet Conforms as eet LOCATION OF SYSTEMoON�PROPERlan No ( circle one) . Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : SYSTEM 1.15E APPROVED: YES no A rri Depa ed : sP for T 011 Q o . f vNn w 77 J < ' 77 . fir. ;,^r.- � � � 1 `� ,•. CC cj a= I . • •. . © �� f o � � • ' • �C - a ti - _ c;K o N Lo 1+� ��Fj ' ':i :-<' `.s• •t_ ,q .t �Y •„ V �,t'�i`-•�, ;f,. '..`t�:iLr'r. . '�} • ' �1,� �,.� ^ �Z�� � °h�i F� ,.'�' t'Y.I,;;� ml, .L. •{ .��w.,k nt {1 � ;� .L �,- C `r �,.TM•� �/ .�.�:5"'iF t�.. '� T�R'Y�,#v4 1 d. r `k' rk .� ��� ♦ �p�Y? ��• �i' rt #t ��.� � � �.1'+�r � �f � r �: '{• w Ei i�J�r}. .•ri�" f 'S� .;:.� }t -Y', y� � �� 4,,r9F�s �- M� �_�I•l•t+°�.,F�,N l�'�a_� y.�,�.r�. �w'�S�����'.i- � 1 � { {.�I�•�:1 • '�� �'+..�"�•`�,lrs�;'; ,t-:•_,• ` `t _.,. j..••�`� ti7�����"�',���:`-��:1 2.� two,,,_ aJY� .s•�t��t• y.+'a q; ° Y;�x sty,,,". �'` .ti�1•,� ''�_4"i' �,', , :i � + �r� �a�� �`���-'��`�� ' ^fr �n"f�� `,� -�. 4 r i !; +5`�•.�sQ}: •,+w. /'i j�yQ��..r -';,;, t ,�S� � t ; fit? �- •jt,_' "�'� }� • j• '_Dy�,tt^`��• �tA9�•�y-,,SY,. �.'S�I.�a,. .... � ^' •- .�u.�"_�'lr�i r- ,• .r ti a. _ _- .� '.r •>; rr..« .!•^- r t�1 r�ry y..J y.. 1.1�4.'{.✓!'�J�+6i�. i ».,�d `t .i �r .Y �/ y. l`'' rib w►�A:-... ..a+• .. .. - GENERAL N REPORAll Town of Queensbury ONepL of Community Development ©ate inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12844 Arrive j�� Depart Inspector's ++,� NAME; PERMIT # {`T LOCATION: DATE : - 1 TYPE OF STRUC URE; RECHECK NIA YES NO COMNIEN'I'S FootingslPiers 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 on site FoundationlWallpour Reinforcement in FoundationlDampp llApproval Plumbing Under Stab Plumbing VentlVents in Place Rough Plumbing. Heating Rough4n 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 BracingJBridgin Joist Hangers Jack Posts/Main Beam Air Infiltration, Harrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Fi,retnpp_ng TOWN OF QUEEMSBURY BUILDING & CODE ENFORCEMENT 7422 Bay Road ] Queensbury MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION I � Name Location r Date Permit #r SOIL TYPEa?am-C1 ay- Results of Percolation Test- ( if applicable ) Rate-Minute/ inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Length ,U 7L— Length of each trench ��, �C 141\ EQ7 LOOPED Depth of trenches Size of stone SEEPAGE PITS : Number- Size - fte x ft . Stone size I PIPING : VEPTrMS-,* Size Type Bldg . to -r-{06 Tank to Dist , Bot ►'� p Openings artlal LOCATIONFoundati r c- feet Foundation cc_C feet Separation o+ Pits feet Conforms as per Plot Plan Y� LOCATION OF SYSTEM! ON PROPERTY: ( circle one ) Rear - � Right Side d Fr4nt - MQ -Rear COMMENTS: 'CAA ��-- SYSTEM! USE APPROVED : Y Arrived : ' Depa Bui i ng i r1 p GENERAL MPE,C770N RE EVRT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ) Queensbury, NY 12804 Arrive am/psn Depart Inspector's Initials NAME: I PERMIT LOCATION: TYPE OF STRUCTURE: RECHECK f N/A W ZNO COMMENTS 00 Monolithic ur Form t y,t}3� ,� ) C] Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement oe of the concrete_ Materials for this purpose on si Foundation/Wallpour Reinforcement in Place Foundation/DampprooEng BackftR Approval Plumbing Under Slab Plumbing Ventf Vents 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 R- ProWr Vent,, Attic Vent Framing Jack Studs/Headers.- Bracing/Bridginig Joist Ha]Cxl;ers 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 Date inspection request received: Building & Code Enforcement 742 Bay Read , Queeuabury, NY 12804 Arrive am/Pm Departf 4_ &Wpm Inspector's Innitials NAME: �t- PERMIT # 'i — �J LOCATION. � 7 t04-+^5.�'s DATE : TYPE OF STRUC VRE: RECHECK c�lder!f N/A Y54NO COMMENTS ?�rxtitings/Pier^s I � ,�~ Monolithic Pour Form Reinfor"riment in Place ��~~` The contractor is responsible for re:"c c) .rL O , C4 A; i providing protection from for 48 hours. following the ent of the concrctc, Materials for this on site Foundation/Wall _ Reinforcement ' Place Foundation/ pproofing�,_ B acldill. PlumbinjUnder Slab Plumbing Vcnt/Vcnts in Plane Rough Plumbin Heating Rough4n Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or pipinj in unheated spaces R- Proper Vent, Attic Vent ----- Jack Studs/Headers� Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3, 4 hour Firestoppin