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98-710 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YQRK March 30 99 Date 19 98710 This is to certify that work requested to be clone as shown by Permit No. i has been cornpleted. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 36 # 73 SURREY FIELD DR . Location M I+CHAEL S GRUU P , THE L . L . C . 'FAX MAP NO * 4 8 . - B - 3 6 By Order Town Board TOWN OF QUEENSOURY Director of Bldg. & +Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 9 $71 VALUE $ 123900 TAX MAP NO . 48 . - 8 - 36 WARREN COUNTY* NEW YORK PERMISSION is hereby granted to OWNER of property located at T nT 36 * 71 4L17$Fy an Street. Road or Ave. in the Town of Queensbury, To Construct or place a 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. 1. OWNER'S Address is 1810 STATE RT . 9r SUITE 3 LAKE GEORGEe NY 12845 2. CONTRACTOR or RUILDER'S Name MICHAELS GROUPr INC . 3. CONTRACTOR or BUILDERS Address JIM CHANDLER . PROJECT MGR 1810 ROUTE 9 LAKE GEORGEr NY 12845 4. ARCHITECT'S Name NEW YORK BOARD S. ARCHITECT'S Address NEW YORK HOARD OF FIRE UNDERWRITERS 6. TYPE of Construction (Please indicate by K) SINGLE FAMILY DWELLING I I Wood Frame { I masonry { i Steel I I 7. PLANS and Specifications 1315f'% Q FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE 8. Proposed Use SINGLE FAMILY DWELLING 191 November 17 2000 g PERMIT FEE PAIL] - THIS PERMIT 'EXPIRES Ilf a longer period is required an application for an extension must ba made to the Building and Zoning inspector of the town of Queensbury before the expiration date.} Dated at the Town of Queensbury this 17 Day of November 19 1998 SIGNED BY �l ' for the Town of Queensbury Suibding and Zoning Inspector Building Permit App►liccxtion Town of QdL'G'!Z".5bury - Dept. of Coiiurrunity Develop pent, 742 Bay Road, Queensbury, AT 12804 176I-8256] BUILDING & CODE ENFORCEMENT J!N!P0T10E Requirements prior to issuance of this permit: PERMIT FILE No. l ! A permit must be obtained before [� beginning construction. No inspections PERMIT FEE PAID $ LqL ?yrtire �giowd Action will be made until applicant has received 0 EC a 'VA►LrD BUILDING PERMTr. All Area / Use RECREA77ON FE PAID .$ � applicants" spaces on this application y� MUST be completed and, the signature CI Planning Board Action REVIEWED PAID of the applicant must appear en the SPR 1 Subdivision 1 other Building inspeceor lication farm. 7ha&Ayv Recreation Fee Payment �r^ Applicant: Owner: Address: "` [��� Address: ^ r Phone # , Phone # Property Location: d 1T1 J7sd � Tax Map Number Subdivision Name: Section Block I cat X RE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ IZZ2 O DC) residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : PnImary Building - residence / commercial Single Family Dwellings Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling. , :�; ( )C>E 1998 office other Work ( describe below ) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE : f� . # t` If ADDITION , what will use lst Floor . . . . • . . sq it • of new addition be ? : 2nd .Floor . 4640011 sq .• ft . / other Floors . . . . o sq . ft . / ( not unfinished cellar or basement ) /j ACCESSORY BUILDINGS : C Detached Garage 1 2 car TOTAL FLOOR AREA : � Se SQ . FT . �. Attached Garage in car Private Storage uilding SIZE OF NEW STRUCTURE : Commercial Storage Building S1 Other 1 FEET X Lq I T FEET Foundation Type : Will any second-hand or ungraded Number of Stories : lumber be used ? so , for what ? ( habitable space only ) Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces a /or woodstove ( circle all which lies ) to be installed Electric / Oil / Ga / Wood Forced Hot Air seboard / other Person responsible fo supe vision of wor as ards to bu ' ldi g { + codes is : '- CG Builder : Na, } e ddresss Phone "�Y-f Y �� Plumber : +1C Mason. : Electrician _ " ' `' DECLARATIC?N. Please sign below after you have 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 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 rtificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; dra to Cale, sh g actual location of project on premises. Signature.: (owner, owner's agent, architect, contractor) TOWN OF Q U E.E.NtSB URA'' � 742 Bay Rd., ©ueensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS 4 .r� / 19 *'9'� Permit No . Date I APPLICATION IS HEREBY MADE to the Building. Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill our additional form if more than one appliance andlor chimney. Applicant -Dd +vs /fug 0 APPLIANCE (check appropriate boxes) Address 42k 0 STOVE: ❑ Woad ❑ Coal ❑ Pellet ❑ Gas , X FIREPLACE INSERT l , ,s Zp12kv )l c:j FIREPLACE, FACTORY-BUILT: ❑ Wood ❑ Gas Phone 7y 5 s ❑ FIREPLACE, MASONRY: ❑ Wood © Gas Owner /V/r/.r�f / 0az1v i Pt4t ❑ FURNACE: I❑ Wood ❑ Gas ❑ Oil Address IF N© WMASONRY APPLIANCE: . Manufacturer: Qu.A 0/<d Zip poy Model : Q v a Phone 2 '�'� boxes CHIMNEY {check appropriate ) * EXACT ADDRESS of proposed construction ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTION / INSTALLATION MUST E] FACTORY-BUILT: Model . CONFORM TO NYS FIRE PREVENTION & Manufacturer: Number: BUILDING CODE. CONSULT AVAILABLE Listed BY TOWN OF QUEENSBURY HANDOUTS C] Double WaII ❑ Triple Wall REGARDING REQUIRED INSPECTIC]NS. o Chimney Liner Direct Venting Cashier' s Department Town of +Queensbur�y, New mount York d Amount Refunded Dept: Fire Marshal ^� Code Number Title A 173 A389 ( 190) Public Safety _ A 233 2655 (23(}) Minor Sales I Fee Collected From or Refunded to : Address: Dated : / ;_ _ Town Clerk or Depu nrod: Cashier's Dept. Applicant Green: Fire Marshal 'Yellow: Bldg. rPink & Golde - . Application for SEPTIC DISPOSAL PERMIT ' Town of Queensbury Permit No. r G `' Dept- of Community ]Development Building & Codes Office Fee Paid $ 742 Bay Road Queembury, NY 12804 Location of property for installation: Property Owner's Name: Property wner's Mailing Address: Owner's (� Installer's Name: Phone # Number of bedrooms (if residential): Total daily flow: y� / (residential - compute 0 150 gal.lbdrm.) Topography: ✓ flat, rolling, steep slope Y of slope Soil. Nature: ✓ sand, loam, clay, other I depth: Ground water: at what depth? W feet 1 ,B.-e-�drock or Impervious Material: at what depth? �, feet Percolation test: not rewired, t/ required rate I 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 (minimurn size: 1 ,000 gal-) Tile held: each trench feet I Total system length: 11ko feet Seepage pit(s): number of I size each: ft. by ft. Size of stone to be used: # �C�� / death or thickness feet FOLDING TANK SYSTEM: (if required) Number of tanks: I' ) Size of each.- (Ali in system and associated electrical work to be inspected by a carbi6ed agency- For your Pmtac'tismv please now that pursuant to Section 136-29 of the Code of the Town of Queewbury, any permit or approval granted which a8 based upon or is grantedinreliance uPcn any material nuarepresembehan or failare to make a , material fact or cirutrmstanco known by or on behalf of an aPpliC4UA, shall be void. I have naiad the regulations with respectto t]tis a tic ' and agree abide by these and AU r6TUreM0E0 of the Town of Quoensbury Sanitary Sewage DisPoW Signature of responsible person: Date: RESEDENTfAL F "qAL INSPECTION REPORT office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement ,^ Dept. of Community Development Arrive Dep Town of Queenshury Inspector's irtt 742 Bay Road Queenshury, New York 12804 PERMIT # �}1 NAW DATi LOCATION TYPE OF STR C NIA "YES NO COMMENTS Chimney Height/"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete interior/Exterior Railings 30" to 36" Exterior Han s, balconies, Ian g 18 in. or ore Interior Handrails ' s both side 3 or more sers Grade 2% away from tion ft 8" clearance to sill plate Gas Valve shut-off exposed/re ator 18" above grade_ .. Gas Furnace shut-off within 3 feet or within line of site Oil Furnace shut-off at on to furnace area Furnace/Hot Water Heater Ling Relief Valve(s) installed Headroom, 6 ft. 6 in. on Basement stairs, 6 ft. 4 in. Handrail exterior stairs bo sides more than 3 risers Interior privacy/trimldoors/niain entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails BalconieslLanding 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 s/4 hour fire floor/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 plan/Variance required Final Survey Plot flan As Built Septic System layout required Okav to issue C/C (Certif. of Compliance} Okay to issue temp. C/O (Certif. of Occupancy) Okav to issue permanent C/O (Certif. of Or_cupancv) TOWN OF OUEENSBURY BUILDING & CODE ENFORCEMENT 742 BANSBURyY ROAD . 4UE( 5IB ) 745N4447S44 r,r.r I �----- FINAL INSPECTION REPORT - Rv XD'E TIA GATE INSPECT ON 'REQUEST RECEIVEL1 : NAME r . LOCATION �" f Pl8 IT LATE TYPE OF STRUCTURE FRAHING FOUNDATION BACKFILLSTOV FOOTINGS_,__. IC INSULATION ROU GIi PLUM SEPT BING woo OR PXRI:PLACE FINAL ELECTRICAL. CfIIMNEY HE GH B VENT B IG T PLUMS NG V NT OOFING EXTERIOR FINIS PECMj'pORCES /ST PS RAI INGS RELIEF VALV S FURNACE HOT W Co) E TI IN RIOR IM P V CY DOOR FIN 'H LCTC]RS 9ATii KI HEN WATER GHT C)THF.R FLOQ S 'SW EPAHL C7THER FLOORS CARPETED STAIR`CL.EAI'tAIaCE RA ZINGS Sb CJK. ETECTO 'S B THROOM FANS p UMB_NG FIXTUR S FOUNDATION INSULA ON GAF-A E -IRE PROQFIVG DOOrLSE'RS FLvAS, 'ELECT—RICAL SITE PI.AN.,(VI:RIri� N_.C R>; (+ ✓p I NA�y PP LOT P LAN OK T ISSUE CJO�OR -Z'G '' C MAP REFERENCE: SURREY FIELD SUBDIVISION DATED: APRIL 27, 1997 LAST REVISED: SEPTEMBER 2, 1997 BY: VAN DUSEN & STEVES LAND SURVEYORS H.O.A COMMON GREEN SPACE S88'58'12"E 76.44' w 3 HOUSE „� 0 3 0 34 35 INO N 3'70� of 38 13.13' ice— 0 N 36 7,111.97 sq ft� 12aa' 0.16 acres (_ ctva o L��I.23' RECEIVED TEL R=7 5.00' MAR 2 5 1999 TOWN OF QUEENSBURY BUILDING AND CODE SURREY FIELD DRIVE I HEREBY CERTIFY THAT THIS MAP WAS PR ARED 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 RECEIVED INSTITUTIONS OR SUBSEQUENT OWNERS. RECEIVED CERTIFIED TO: ESTATE OF RICHARD S. HAVILAND GLENS FALLS NATION ANK do TRUST COMPANY, MAR 2 5 1999 Irs SUCCE 449NGS CHICAGO TITHE ANY TOWN OF QUEENSBURY 5 fi S BUILDING AND CODE 4 � CERTIFIED BY• MATTHEW V . 35 DATED: MARCH 18. 1999(gNp , Q ate, MA 1 , 1 D �-% ""AUnOMM ""MAT°II (Xt ADWM ro A s SCale 1'=30' UM BEARM A ERASED LAID �''0� IM 1e A Map of a Survey made for %x"TM a sEm= rAw sue-WIMM y w W OM YORH SEAT: EJ7 "7= LAU' S t e v e S �Y�T&NTR� "ARIND wTl AR awwK aF TE LARo werErnas 7MSU LLeE meE MMOAMV" WP,E`• ESTATE OF RICHARD S. HAVILAND CEJt1Y1GTONe NO"= HEM go" TNT TiIS 9tlIt1EY wa PREPARm N ACCONDAi10E wTt TIE Land Surveyors, LLC °'°�°`°�'""°'�F"`"'°SURWIMM° BY TK Hew PORK sIATi A7eOCNTOH a PROiE3S1011A1 LARD "%1D= NO MWM WM Sma RRH ONLY M TIE PE M M *ft THE S *-f M PREPARED. AID /�� M Ile eEHAV M W I E CdlW GDOMMMULSHEET �" 37 Chester Street Glens Falls, New York 12801 AI° NM O LMW 7K UD °I' `K0 T0L" "'° Town of Queensbury, Warren County, New York m TIE A%7tl1EE5 ar TIE IEIIaHc wsAIUTDL- MICHAELS GROUP (SURREY FIELD) (518) 792-8474 New York Lie. No. 50135 1 1N0. DATE DESCRIPTION DWG. NO. 97061-36 TOW OF QOEENSBIlRY 3 0 BUILDING & CODE ENFORCEMENT � 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL `SYSTEM INSPECTION Name _ � d` el d Locat on Cam' Date 73 Pern1i t ! E�! SOIL TY E: Sand- a Clay- Results of Percolation Test- ( if applicable ) Date-Minute/ inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Length Length of each trench Depth of trenches Size of sto e ^ SEEPAGE PI umber ft . Size _ ft . Stone size_ Siz .Ype PIPING: Bldg . to Tank _ Tank to Dist . ` Dist . Box to F el y openings Seal d? es P rrti a LOCATION/SEPA TIONS : feet Foundation to Tank -- feet Foundation t. Absorptz on " fe t Separati on °t Conforms as per Pi plot Plan Yes1 0 LOCATION OF SYSTEM ON PROPERTY : ( circle vear Front - Mift ddle ddl ei Rear Right Side Middle F COMMENTS: SYSTEM" USE APPROVED : YES VILD/ Arrived : _ .+ Departed . �- Building Inspector �716 MAR TOWN OF QU EN BU Y BUILdIri1C d G cdClemente Latham o Concrete Corp . 40 River St., P.O. Box 448 Bus. Otc. 270- 1767 Troy, NY 1 21 8 1 -0448 Dispatch 272-5750 +a, o +�•f c� iC1 �r Q ` j s "-j"" -' _.s fE30� i S GCS r ,� f THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 FL;B IJAI.f' gct �13F39'_�,' 4r:+ DateA` l�+C Ei 1" on'�`�Q 7i E3 THIS CERTIFIES THAT +�aVptlly� the electrical equipment as described below�ra�!n♦d�antradated 1 naxm�reydr on the above application number is in the premises of THE HT(-!L44-ELaS (S<EL.U r f +..+[�Lj1SL t t''.i.L�L,I.�F L�Ci . L(i 71 36 , r in the fallowing location; © Basement M Ist Ft. ❑ 2nd pl- " Section BlockJAkUAP I of was examined on - and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS LE OUTTS INCANDESCE FUIOREscmr I OTHER AMT, N.W. AMT, K.W. AMT. K.W. AMT. K.W. hMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMF. K.W- O1L H.P. 6AS H�^.P. AMT, NO. A. W. S. AMT. I AMP. AMT. I AMPS. TRANS. I AMT. I H.P, NO. OF FEET AMT. WATTS J. G SERVICE DISCONNECT NO. C7P S E R V I C E METER NO. 4F CC COND. A. W- G- A. W. C3. A. W. @ AMT. AMP, TYPE EQUIP. 1 0 2W 1 A 3W 3 0 3W 3 ♦a +IW PER 0 OF GC. COND. MO- OF NI-LEG OF HI-EfG NO. OF NEUTRALS OF NEUTRAL `;0 CL3 I OTHER APPARATUS: —4 SPPpOh'11 DETECTOR : 5 FOREVER E7LEL IDOFL ES.EC'T. LTC. # m '3 L IIf.I=1AH 9. HCFART-LON ;'446 .TAr-EVEY ST. GENERAL MANAGER S(:'HfJ1Y.Fw(=IAl7f', t,Ef•r 1 .� tt�Iy -'-;*a per This certificate must not be altered in any manner; return to the office of the Board if incorrect. inspectors may be identHied by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. GENERAL I�VSPEC TI NI REPORT Town of Queensbury 1_ _f Dept. of Community Development hate inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 128" Arrive am/pm Depart am/nm Inspector's Initialss NAME: PER. IT # LCCArnON: DATE : 'TYPE of STRUCTURE: RECHECK N/A YES N€7r CO1 tMENTS Faoti.ngslPiers � Monolithic Pour Farm Reinforcement in Place The contractor is respo le for providing protection fro f v=in for 48 hours following th P1 nt of the concrete. Materials for this purpose on st Foundation/Wallpour Reinforcement in Place Faundatian/D aznpproofin Baakfill Approval _ Plumbing Under Slab _ Plumbing VentfVents in PI Rough Plumbing. Rough-In tion 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 BracingMridgi.ng Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation I, 21 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping Z_ ► 1'N8 Ecv 1 C)oj > GENERAL INSPECTIQN REWRT Torun of Queensbury f ti M1 J I Dept. of Community Development Date inspection request received: !, ! Building & Code Enforcement /I 742 Bay Road Queensbury, NY 12804 ArriivecAtr,� jj Depa a Inspector's Initi l NAME: ``�``. , " ��'.�f�._\ , ' `. �''; �t � PERMIT # r _-- LOCATION: _ 7 -^—� ti `� DATE : TYPE OF STRUCTURE: r RECHECK. NIA YES NO COMMENTS FootingslF'iers � Monolithic Pour Form Reinforcement in Place The contractor is respo!bsle r providing protection fm ing for 48 hours following m of the concrele. . Materials for this ' FoundationlWallpour Reinforcement in Place FoundationfDam Backfill. Aiproval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing, ring Rough-In 4ation Foundation Walls Interior R- Foundation Walls Exterior R- Walls R- ^— i��, L�s1`j P�H '-� M \ `�S 1 1 L a v"F'► 'C' Ceiling R- 1t� f�' c s Duct work or piping in L`It T � e V= } unheated spaces R- ,F� RT4 ►. , "lx�s Proper Vent, Attic Vent - �1 r L_ ,tis � ,i r� ►c `' „� Framin Jack Studs leaders '� ► vJ 1w�ti�i,�i a Bracing/Bridging IAPtJ% p s I=O c Joist Hangers �-- Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin A 1 )'0 GENERAL .LN PECff REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pin Depart ! Inspector's iuitiah NAME: PERNII'i # LOCATION: DATE : TYPE OF STRUCTURE: RECHECK NIA, YES NO COMMENTS FootingslF'iers 1 Monolithic Pouf Form Reinforcement in Place The contractoris responsib for providing protection fro in for 48 hours follo -ng pla ent of the concrete. Materials for this purpo on site FoundationfWallpour Reinforcement in Foundation/D roofing Backfill Ap�praval - Plumbing Under Slab Plurabing Ventf Vents in Place C., sough 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 V6nt, Attic Vent Jack Studs/Headers Bracing/Bridging ,? Joist Hangers f,nJ 5 j�- 1 r5 1 N T _ "' C /AAiir Jack Posts/Main Seam Infiltration Harrier Fire Separation 1, 2, 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour V, Fin.stoppin GF_1YER9 L 1N,SFEG7'IQN R+ELMRT Town of Qe�eens6nry Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Ronald ; 06 Queensbury, NY 12804 Arrive am/ptn Depart Inspector's Initials NAME: y _ 1 l � � pFRMTT # _ 61 LUCAnON: v'" LV DATE TYPE OF STRUCTURE: _ RECHECK N/A YES NO ['C&UViENTS Footiags/Piers Monolithic Pour Farm Reinfilreement in Place Theleentractor is resppr6ible for pro" tectio from m for 48 ho t Of flee con r/ Materials for se on site Found 3b all Reinfo Place Foundation Dampproo6n w .8aef 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 Went Framin Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire .Separation 1, 4 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPE may REPORT l `� f3 'town of Qneensbury , Dept. of Community Development Date inspection request received: Building a'1"i Code Enforcement 742 Bay Road Qhueensbury, NY 12804 Arrive am/pm Depart/11 Inspector's initials NAME: i `�1 N C5 PERMIT # - 7 0 LOCATION: DATE : 4 TYPE OF STRUCTURE: RECHECK NIA YE O COMMENTS tings+'Wiers I Monolithic Pour Form Reinforcement in Place The contractor is responsible providing protection from ing for 48 hours following the to t of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in P FoundationMwapproofinid Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in lace 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 Framin Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Harrier. Fire Separation 1, 2, 3, hour Penetration Seated Fire Wall 2, 31 4 hour Firestoppin