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98-764 ERTIFI+ A �� icAN�"Y TOWN or* +QUEENSBURY WARREN. COUNTY, NEW YORK April 19 99 l9 �[] ; Date 98764 This is to certify that work requested to be done su shown by Pet"'it Na- 0 has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 15 * 78 SURREY FIELD DR . Location MIC#dAELS GROUP , THE L . L . C . gy Order 'Town guard TAX MAP NO . 48 . - 8 - 15 TOWN OF RUEEI'+T^s8l3RY Director of Bldge do Code enforcement TOWN OF QUEENSBURY 742 Bav Road, Queensbury, NY 12804-5902 (518) 7Ci1-8201 Cornrnunity Development - Building & Codes (518) 761-8256 BZTILDING PERMIT Permit Numbers 98764 Application Number: 98764 {J_299-015-0001 -034-015-0000 17ax Map No: 52340 �- G C Permission is her granted to: MICHAE For property located at: 78 SURREY FIELD Dr in the. `town of Q11censbury, to con~ n stctact-p�-P��� — ueensbu Zoning; at the above location it, accl,ardancsyet h�� application C5.hifoorn�itBuilding clot od plans a hd the C�er isxfo>�anon hereto 'File and approved and in comp Txpc of �-,,.,gtin}ctio:t Ordinance. $ 153,900.00 Single Family Dwelling $15 ,9 0 - 00 Q C7wner Address. Rg SURREY FIELD Dr A ABBAI. Total Value QUEENSBURY, NY 12804 Electrical Itispectian Agency Contractor or builder's Name Address NEW YORK BARD FN'41CHAELS GR(]UP, INC . 10 BALCi�© PROJECT MGR MITH DR MALTA, NY flails 5peciFications AR SINGLE FAMILY DWELLING � LOT 19 PLAN SPEC¢ICAATI D ,A ,NSWELLINC� WITH 2-C ATTACHED GRA.GEAS PER P $255.00 PERMIT FEE, PAID - THIS PERMIT EXPIRES: Saturday, December 16, 2{!00 (If a longer period is required, an apPlication for an extension meet be made to the code Enforcement O cer of the "I"OW" of Qneensbury before the expiration date.) of ueenshuxy; W e�ri"�dRy' December 16, 1998 Dated at the Town Q f ueensbufor the 'I"osxm of 'Q rS'' SICiNEI7 By Director of Building & Code Enforcement BUILDING PEPAWer 1998 VALUE $ 153900 TOWN OF QUEENSBURY No. TAX MAP NO . 48 . - 8 - 15 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to MI Streit. Road or Ave. OWNER of ProPel';y located at LOT 15 7 the Town of Queensbr To Construct struct or Places a in the above location in accordance to application together with plot Plans and other information hereto Pled and in Building and zoning Ordinance. approved and in compliance with the Town of Queensbury u t. OWNER'S Address is 1810 STATE RT . 9 , SUITE 3 LAKE GEORGE , NY 12845 2, CONTRACTOR at BUILDER45 Name MICHAELS GROUP , INCa I III' 3. CONTRACTOR or iUlLOER'S Address JIM CHANDLER , PROJECT HGR 1810 ROUTE 9 LAKE GEORGEr NY 12845 4. ARCHITECT'S Name NEW YORK BOARD f5 A CHITECT'S Address NEn1 YORK BOARD OF FIRE UNDERWRITERS B. TYPE of Corrnructwn — (Piaese indicate by X) SINGLE FAMILY DWELLING I l Wood Frame { I Masonry { 1 steel { } i. PLANS and SpecifintiaHes 1930 l$Q FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Il fMoposasi Use SINGLE FAMILY DWELLING 255 December 16 19 2000 S PERMIT FEE PAID - THIS PERMIT EXPIRES (I# a longer Period is required an eppµealion for an extension rntret be "Wade to the SuBding and Toning inspec"W of the town of Queendwry before the srPlratioa date.l 1998 1 +6 December 19 Dated at the Town of Q ry this Day of for the Town of Queensbury SIGNED By Building and z nirq Ineaaceor Bur z r - I)r �r. rx/' t ,frxrrxxrr+rrily Ilrivfrxlrnrprrr, 742 I1rty Itrarrrl. Viteci;I tt3�• IVY 12tJU! f7GI I 'myll ,r,f [� l1c, 11III1:} 1 11 11 1 1 1) J IV C; •C C: tJ it Is Is N T' C7 1t [ G Af L' IV J Ao RCrlllilCr1101lx lniur {u isstulllce L�� 1LE 111 , — �- - ---^" LLi Ix�ltUlrininctl Ixc.irtrc T,xxrarrrg IJr>Yr►� rcitrn. Nix Irrslxtxliirris �`� 1UJV r•L I' 1nl"l+tir-rml Imn etL'L'1�'fLl Ai n 1VAI.lI) IItlII..I?iN(i l'S?Itltll r', h11 I.? 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Lira 1 . ii I.tr+ lrtanuni t c3Fti TW10 Cttmily Dwell t_ •' *s .i.tYr- rtc x' / lrctlt[ily Dwelling tfr, r; 3.tirrrc: ts / L,tatnrltcr. r: .les .l exLel: :ttat: ca3. 710 Office 3.c:Z`tercnttt:. l. ly clest: s: ilae below ) Muttu Lact:ur3 ttg T � � • IC398 UL i► er tivl: k { palter lot Willu e Q G1t[3JJ 1►itlri tJl" l` t[UE'U/`Sy}1"sll ����''��yy mADD Itr ION ews �tctcl3. l:.,i.+atl be ? = 1. IWA 8 1. 11. Ott t" of 4tar t l oars . . . !►[ [:ESSvIt]C t3UiLUI�tc35 a Z car [ nvl utti :tieited Collar or 1�aeetne � � { Detached Garage � ► � ] -� rir Lticltect Gztray 2 car e pill ] lrl.L119 rq,oluil SQ • �'i' • private SLcat 8g 1�u3.lding tu'lArx ihlttli� : Cvlrunerc ia3 5Lnrac e other 5 i 'Lla or tllaW 5'i'tttlC'l"UitG ' r + tI X - ii_-_ T L L'�r Will €ttty rarlod gecorscl- ltnrrdetlr rcv"ll� what"? Y'cxTrcrtTctl -[� tt 'I'}'l?v r'v[a11 t# lumber a ueecl? 1I p[t►tnracr caC 51:ur3- r. 9 : l ce4 xYl't tEri'x`wltficsx5, l '3 es ) ( t,illb. Liable r., Pace asIITy ] • � cirCle tall Woad 11e3. Cll[ t { yL ►r3e Lo r. 3.tlyE ) lecL >^ � ! '\ga�t�bo�rxci / Other: tL3 / ot' wcaae.Sgt:ove { . c.• f33- 1 11ILImtaer taC £ .i. rclx3. ace r orcecl rlo4 Air 1 [ t, l,e ittsl:tt .Liecl : tl o E work as Vsq- rd" t;,o building rty In Lot eitalarvi or Eric Rice f' .. pt� t rsott r p t[i"28 � � 5I8 - 668 - 337r c[xclen i. La ►►tltlresc* t� �ttlze Gguhr e. r trirt_ f�iicr[<z�eve_��5 Gnurcl� Talc_ 1. & 1U lzt2�7 ,-._.__.n t � GI 51 - ►VIOL r- �1 _�Gl� xcV �L ILt1$iS ��}JY T 'U`C•f"ls . r T $ - .'a 1 T -• '� 9 t' S, ttrnta L" t: i�.'4a Gt. r �l_.Ia flt_�! g��_1: .1 e c L t: :t.c .i_st st : „�_tz1[-�.v-r'-�--L�-t'-"<t,'�<i._c�,___7 fi�[..C:__.�cr•�i lt?i.ey__.�: •-.--- __ �_ 1J#�,C:I..ilTlrYJI(lN. 1'Trtl.sc a#gll 1seTv[v el•/T�'i• )'tiltc+rrref+Tly J•�tlr1 f#rc ,3lnlcrrtcrxcl]sor .with fl[c plans tot l'ta ilia best vC my krtvtivlcc4�o ISto siateEttcttis Ctaltl�trtctl tr[ this atalall [prop proposed ork t� [Ale llte 7uriikil� 010iltarrae vem aYY ilicaliLans sulattti[tcct. atC n Ittte �it�i qV txf lcetly 1tSiirnt taC tttl lattaiw� s c[icctt ura ILlitim acid sixid slxcc xruvi. rSclirinc.; "WI [Iitt[ lilt i w let [[tr. Llcsciilxccl t xital+txsed Work slmlt lac t unrtrlied wilts, txllrcr lntvs I:ciuollitrit to the l it is unctctsltwLt lltal ilwe s1s.r IILQ!i VLlAof lbyt klitic:ttc of f tarnlxtiaktcc iacitil; issttccY , ass AS 13ULt it:it 101" wcxxk t • :tlilllLriT7.Cft by ilia txW1iCY. t 't111t1Cix olvcq f crlitic:tlr. of Cleo+ atrtcy^ yt {iccllvcLt 9IltVC'4fi7Yi l :ti lCt c:tic, sltuwiltr; ciGltrtl ltrc::tliutt of Txrvjccl oil Yxl crt[Escs. Sig - (t}�YE1CC, (tWl1CC' S ,[�+C[[t, gtCl[ltCt: t Application for SEPTIC DISPQSAE PERMIT Town of Queeusbury Permit No. Dept. of Community Development Building 8c Codes Office Fee Paid $ 742 Bay Road (Zueensburr, NY 12804 Location of proFertY for installation: Property owner's Name: '��' CVl ►( �� Ll� [- Address: 1 � property gwner's Mailiss; _ R C I i 1r]x C1�_ Phone # 0 q Installer' s Name: Total daily flow: Number of bedrooms (if residential): (residential - compute 150 gai./bdrin.) Topography: ✓ flat, roffing, steep slope % of slope Soil Nature: ✓ sand, loam, clay, other f depth: at what depth? feet Ground water: at what death? � feet I Bedrock: or Impervious Material: � not r uircd7 ✓ required- rate � min. per inch ] Percolation test: �i mtutici al, well, other Domestic water supply. F I from any septic absorption is feet. If domestic water supply is a WELL, water supp y PROPOSED SYSTEM Septic rank: aailon (mini*nulYt size: 1,00E1 zal •) Tile field. each trench .(41 feet # Total system length: feet ach: ft. by size e fL Seepage pit(s): number of f s , . Size of stone to be used: #�� 1 depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each.- gaIIons Alarm sYB sad associated electrical vxnk to be hvrpected by a certified agency. section, please mote that puryusut to Secrkm 136-29 of the Code of tlse Town of ¢�buxy, any pew or For your pro material misses Or uxc to make a �c which is based Wa or sa of a elics�, sal a '" or an behalf PP be void. material fact or circumstance known by e�pas of the Town of i►cation agree to abide by these void an xequirem I have reed the regutatians with respect bn thsa app Queeosbury Sanitary Sewage Dwposal Cftdinavice• c Date: i�r2 J L Sig,nature of responsible person: RESIDENTML FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arrive v • o Depa " Town of Queensbury spector's Im 742 Bay Roxd Queensbury, New York 128114 f—�'' r �j C PERMIT # l GLl NAME I LOCATIONDATE TYPE OF STRUC 'T NIA YES NO COMMENTS Chimney Heightl"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior handrails, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2% away from foundation 34 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" alcove grade Gas F3�rnace shut-of ,within 3 t within line of site C]il F shut-off at en c e to area FurnaceJHot ater H opera Relief Valve(s s ed HPn�t+-r om, b ft n stairs Basement s s, 6 A. 4 in_ Handrail error stairs both sides more than 3 risers Interior vaey/trim/doors/main entrance 36" Floor sh Ba m/Kitchen watLrtigh! In or Handrails Balcomes/Landing 18 in. or more ;Rai ng across window in stairwells Sm)bke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation -3/4 hour fine door/door closer Garage fireproofm Garage penetrations scaled Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 187' or less from floor Final Electrical Site PlanlVariance required Final Survev Plot Plan As Built Septic System layout required Okay to issue CIC (Certif. of Compliance) Okav to issue temp C/O (Certif of Occupancy) Okay to issue permanent C/O (Certif. of Occupancy) TOW OF QUEENSBURY BUILDING 7A COD y EN FORCEMERT Road Queensbury NY 12804 (s 1s) -lei -$^scw) SEPTIC DISPOSAL SYSTEMS I"spECTION Name Location Datel P rmi t # SOIL TYPE: Sand Loam- lay- Results of Percolation ( if applicablee }) Rate TYPE OF SYSTEM. ABSORPTION FIELD : Total Length Length of each trench i Depth of trenches r y , Size of stone W rr- um SEEPAGE PITS : f x _ ---- f t . Size - PIPING: size Si` e ! PI►�I�t 91 7 s: -- 81dg . to Tank Tank to Dist & o t + Dist . Box to i el d Na Pa-rti al Opening $ Seal d? e LOCATION/SEP TION L� feet Foundation t Tank feet �lbsorpti on et Foundation t Pits Separation a er Plot Plan Yes No — Conforms as SYSTEM ON PROPE.RT :`' :'Front ATION rcle Rea - Left Side - Right Side Middle Rear tle Front M£1iTS /� r e' AAS E7 U iL TT / U fJ�D d�CT / i L t f .l•.ri. ci SYSTEM USE APPROVED : YES N Arrived: Departed= Building Inspector -1 r R Jr , r. fatal ms~e emew drt,•• .i • � �'� . R err.^ rry t t % & it 1 _ gag N� ttl it " } ' ry r } •, ip Q� Y " l Aq arat� --� , , f ,� C �..,,., Z ranr , , 20 Q rn CD 4 go • ; 1 nn 4 t y Na \ # all t St . l' a t go1 d% ` .� t c� It da tit • t ` . i & {toad ODE E"Rj6EMW Bl1I1DIN'6 742 Say MY 128a 4 Qu,een5'bury INSPECTIt SEPTIC DISPOSAL. SYSTEM tyamej �!L Location permit # Date Sand-Loam..cl SAIL T" Percolation Tsst_ ( ifResultslicable) Rate-M'+ nutelinch�--- T l f a OF SYSTEM= Length ---�" TYPE FIELD : Total l g ABSORPTICNteach trench Length of Depth of trenches Site of stone u7, 20��o SEEPAGE PITS : ft f i ze sia 5 ' te ype PIPI'NG:�+ldg • to aTank t0 11iSt . Oarti a Dist . Box to Fie Seal Openings SEP IONS * feet feet LpCATIOR/ Tank --�� feet Foundation t°o Absorption �---�� feet Foundation pits 140 Separation ° per Plot P1 an �'es Conforms as SYSTEM OR PROPERTT (1F _ Right Side ( circle one) _ Left Side Front - Rear _ Middle Rear t1i ddl e Front C6"MTS YI YES it pm 0 SYSTEM USE 1kPPR0VED = Arrived: Depwa'r`t"ed ' inspector Bull in TOW OF QUEENSSURY BUILDING & CODE ENFORCE""" 742 Road Queensbury NY 12804 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name C Location Lam_ � E u >�12 Hate Permit # � SOIL IWE: Sand-Loam-Cl ay_ Resul is RateiwMinute/ Inch�� n Test� ( if applicableble )) TYPE OF SYSTEM= Total Length ABSORPTION FIELD : Length of each trench Depth of trenches Size of stone Number- SEEPAGE PIT5: fu x f t . Size - Stone siz _ Size ype PIPING•. to Tan Banigc � to Dist . Box _- -- Di 5t . Box tCs F i el d/ i t N� arts a Openings Sealed? Yes LOCATION/SEPARATI S ' feet Foundation to Tan - -�"- feet Foundation try Ab rption � feet f Pi s Separation o des No Conforms as per lot Plan LOCATION OF sYS"fEN ON PROPERTY ( circle Pear - Left Side - Right Side Franc - Middle Rear Middle Franc COWENTS: _ -r - Off. SYSTEM USE APPROVED : YES NO Arrived: Departed: Building inspector TOWN. OF QUEENSBURY At gLrILDING & CODE ENFORCEMENT 742 HAY ROAD QUEENSBURY NY 12004 (518) 761-8256 ARRIVE : DEPART.' : ^_ INSPS FINAL INSPECTION REPORT - RESIDEN IAL DATE INSPE TI R • OUE S/T RECEIVED : NAME ON DATE PERMIT I TYPE OF ST CTURE FOO'f1NG5 FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _ H!A KE6 N4 CItIMNEY tSEIGHTlH VBNTlEiElGtiT PLUMBING VENT _. ROOFING EXTERIOR FIN 11 �. ll¢;CKlPORCH S PS RAILI GS RELIEF VALVES FURNACElHOT WATE iD .,RATIN INTERIOR TRI PRIV RS FINISH FLOO S : BATH KITCtiBN ATERT GHT OTHER FLOOR SWEEP ABLE OTHER FLQO S CARPETED S'I'h 1R CLEA NCE RAILINGS SMOKE DETECTORS.....- BATHROOM Fh_t3S PLUMBING FIIC'TURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS - FINAL ELECTRICAL SITE PLAN/VARIANCE REO - - INAL SURVEY PLOT PLAN OK TO ISSU C O OR C C ry r d' I i TOWN OF OUEENSBURY BUILDING A CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Choi- L Date C Permit # .97 SOIL TYPE : Sand Loam Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM= ABSORPTION FIELD : Tat Length _ Length of ekh trenc Depth of trenches Size of stone SEEPAGE PITS : Wxnber- Size - fto x f t . Stone size PIPING : Size Type Bldg . to ank Tank to ist . Box Dist . Box to Field/Pit Openings Sealed ? Yes No arti a� LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits f Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : pp `fj vat .l 1+,e SYSTEM USE AP ROVED : YES !t0 '" Arrived: Departed : — Z --'' Building Inspector r I� THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ICITY Ill WASHINGTON AVE., ITE 7p4, A NY, NY 1221014 221 t] r#FR.IL .1 , � .'i'_a`a nexLe'�4 p p sI �•vi yLf411a,•_vy .0411zi : + Date on`.'�4{e .^b� THIS CERTIFIES THAT only the electrical equipment as described below and introduced by t app named on the above application number is in the premises of 77 fE htlC."HAFT :3 GROUP. 78 Si1RRFS ry.F'iB110 L�i-R� LOT .: � , OUVF?4.`ir U-R1 ', r'- lam" in the following locadan; ® Basement EN In 1st Fl. 2nd Fl. GAR Section Block Lot was examined on APP IL 02, 1 990 and found to he in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES I RANGES I COOKING DECKS OVENS DISH WASHERS EXHAUST PANS OUTLETS JINCANIDESCENT1 FWORESCENT OTHER AMT. K.W. AMT, K.W. AMT. N.W. AMT. K.W. AMT. N.P- T 30 2 01' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TEME CLOCKS BELL UNIT HEATERS M SYSTEMS ET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS- TRANS. AMT. H.P. NO. OF FEET AMT. WATTS SERVICE DISCONNECT Mil. OF S E R V I C E METER NO. OF GG CONe. A. W. G. A. W- 6_ 6. AMT- AMP. ..rrTY�LPyyE EQUIP. 1 0 ZW 1 0r�$W S 4 �W 3 0 4W c 0 OF CC. . 6. N0. OF Hk-LFG OF HI-LEG NO. OF NEUTRALS OF NEUTRAL 1 ..I .r3 F:/ 4FJ ,A 11 1 ., OTHER APPARATUS: V G . f . I" . 1? — tillL)fucy 17�,'_nC:"7YlI? : -4 T'o t3�;lx LT tee;BOLT riLEC 2446o JA.flr"REY .ii^. GENERAL MANAGER Per This Certificate must not be altered In any manner, return to the office of the Board If Incorrect- Inspectors may be Identified by their credentials- COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. GENERAL INSPECTION REPORT Town of Queensba y f Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart amlpm Inspector's Initials �. 704 NAME: 12VO PERMIT * LOCATION: DATE TYPE OF' STRU RECHECK NIA YES NO COMMENTS Foodngs/ners Monolithic Polin Reinforcemen'The contracnsible forproviding prom fig` gfor 4$ hour the entof the concMaterials far tan siFoundatia ReinforcemenFowndatian/DBackfi.11 Appro Plumbing Under Slab �Pl ring Vent/VentstiPla�c�e u Plumbing �g Rough- n vfiav Foundation Walls In 'or R- Foundation Walls E or R- _ Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- P�M¢ ent, Attic Vent Jack Stud. -Ieaders ECG- Atlnoe- e2 ,".4 t 4 t- E rQ C. 412. 1, 3 A c c Bracing/Bridgin&, Joist Hangers _ Jack Posts/lvfain Beam `J r c ,, �r, !er+� t `] 7 ✓'� �!C> 1 k V/Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin,g GENERAL VNS'FEC1►'IO7N REPORT Town of Queensbury Dept, of Community .Development Date inspection request reoerived: Building & Code Enforcement 742 Bay Raid Queensbury, NY 12804 Arrive�anfi Dep Inspector's Ia' NAME: M : C (,i A e.( S FERMJT # � LOCATION' �i5 • r r 1 Y^ P DATE : �7✓ /rz.... TYPE OF STRUCTURE: RECHECK A YES NO COMMENTS FootingSl'Piers I Monolithic Pour Form Reinforcement in Place . The contractor is respo 'ble for providing protection from' in for 48 hours following the place nt of the concrete. Materials for this purpose on site Foundation/Wall7. Reinforcement in Place Foundation/Dampproofin Back611 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 Vent Framin 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 IN,SPECTI N REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement c` 742 Bay Road Queensbury, NY 12804 Arrive amlpm Depart Inspector's IInnitials LlNAME: PERMIT # i �� LOCATIQ -s DATE TYPE OF STRUC RECHECK NIA YESoo C) CON4MENTS F cis r Monolithic Pour Form Reinforcement in The contractor respo i le for providing ion fro freezing for 48 hours ollowing placement of the can te. Materials for is on site Foundatio all Reinforcem t in Place Foundatio nipproofing. Bacldill I Plumbing der Slab Pl entlVents in Place Rough Plumbin Heating Rough-In Insulation Foundation Wails Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceding R- Duct work or piping in unheated spaces R- Proper 'dent, Attic Vent Framing Jack Studs/Hea ers 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