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98-776 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK May 19 99 Cfate t9 98776 Thin is to certify that w ik ,requested to be done as shown by Permit No. 6 I has been completed. SINGLE FAMILY DWELLING This structure may be occupied no a LOT 14 COBBLESTONE DR . Location 0rrner SPRINGER , ROBERT & MICHELE TAX MAP Nb . 5 4 . - 5 - 11 . 262 By C*der Town Board -TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement Apop Team, r oermfr .fippiacanon Town of Queensbury - Dept. of Coiunrunily Development, 742 Bay Road, Queertsbury, NY 12804 [761-8256] BUILDING & CODE ENFORCEMENT ,NOTICwwwL Requirements prior to issuance .A permit must be obtained before of this permit: PERMIT FILE NO. beginning construction. No inspections PERMIT FLEE PAID $ a2l:! . will be made until applicant has received ED Zming Board Action a VA.1,117 BUILDING PERMIT. All .Area r Use RE+C'REA77ON FEE P $ applicants' spacrr, on this application /� 2vtU3T be completed atSd the sib Planning Board Action REVIEWED BY., Ic of the applicant must appear en the7J SPR ! Subdivision ! other Building lwpwetar keERlication form. 7hmA yr Recreation Fee Payment _ Applicant: Owner: Address: AA6 M69=7 .Address: Phone # ( rIV ) A - � J Phone # { Property Location � I J I �/�1 �Z C' r%, /_ Tax Map Nu Subdivision Name: mber Section Block 1A)t NATL7R PROPOSED WORK : ESTIMATED MARKET A E OF THE New BUil gs�.� CONSTRUCTION : $ sidence , / commercial t on to 5;i.Addiilding : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Pri Building - residence j commercial 7V" Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling` ) ` Office Other Work ( describe below ) Mercantile Manufacturing '} Other GROSS AREA OF PROPOSED STRUCTURE : O. / lst Floor . . , . . . 1'' % s £ t . If ADDITION , what will use . • - --- ' ,2S S- of new addition be ? : •� 2nd ,Floor . . . . . . , sq , t . 7 / Other Floors . . . . . - sq . ft . ( not unfinished cellar or basemen ACCESSORY BUILDINGS :! ,petached Garage 1 , 2 car TOTAL FLOOR AREA : -/ SQ . FT . ✓ Attached Garage 1 , ca Private Storage Burl g SIZE OF NEW STRUCTURE : Commercial Storage Building Other FEET X ,� FEET Foundation Type : I�/.pjcoel d � ',� Will any second-hand or ungraded Number of Stories : lum er be used? if so , for what ? ( habitable space only ) , .ram Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or woo stove ( circle all which applies ) to be installed : _ _ _.. Electric / Oil / Gas / Wood Forced Hot Air / Baseboard / Other Person respo a for uperva-sion of work as regards to building codes is . _-; Jlln= ' N e ddl esss Phone r �- Builder : — _,_ Plumber : 91? Mason : aLev Electrician : DECLAIL9.MN.• PIease sign beknv 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 Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed sure drawn to scale, howing actual location of project on premises. s Signature; owner, owner' gent, a0fitect, contractor) r TOWN OF QUEENSBURY 742 Bay Rd., ©ueensbury , IVY 12804 APPLICATION FOR SOLID FUEL BURNING .APPLIANCES AND CHIMNEYS ''r71 / 4 , l 9 ` Permit Ncs . Date qK 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 out additional farm if more than .one a pliance andlar chimney. leer f Applicant f F : ?r ' APPLIANCE (check appropriate boxes) ef Address � CT St, Ib 'E : Q Wood o Coal o Pellet o G as X p F I RE�'LAC I NSF�RT Zip.., ''r'�r �• MIREF AC ," �'ACibf kY'=BUILT: Gas Phone t % 51 ❑ FIREPLACE, MASONRY: ❑ Wood Gas Ownef � T- fi� ' / ❑ FURNACE: q Wood ❑ Gas p Oil' Address �7 �! � �-" t;.y� ."" IF NOWMASONRY APPLIANCE: AA� ,�" ] . . anmanufacturer Zip /`.�' 'S/ yModel : Phone CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction O MASONRY : O Block ❑ Brick ❑ Stone r� /,� /; r r s FLUE : p Tile o Steel Si e: inches CONSTRUCTION / INSTALLATION MUST JZ FACTORY-BUILT CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBUR `r' HANDOUTS c3l)ouble Wall ❑ Triple Wail REGARDING REQUIRED INSPECTIONS . CI Insulated ,Jd'' Direct Venting o Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 ( 190 ) Public Safety ' A 233 2655.. -. . (230) Minor Sales r ' 1�*t9ic�ri Frnrr, efunded to : ` Address: Dated : - Town Clerk or Deputy: �' G White: Applicant Green: Fire Marshal Yellow. Bldg. Dept. Pink do Goldenrod: Cashier's Dept. L Application for SEPTIC DISPOSAT. PERMIT Town of Queensbury d J Dept. of Comrnunity Development F-. ermit No. J Buil�g & Codes Office 742 Bav Road ee Paid S Que�asbury, NY 12804 LG)CcVon of property for installation: Property Owner's Name: �� � �+��r f 4/7ci Property Owner's Mailing Address: Instzt?er's Name: -is rLC `- -F- , �,] , C Phone # J�7 `0 NuAner of bedrooms (if residential): - Total daily flow: �/� (residential - compute I50 gal./bdrstt.) I op r ophy: fiat, ro tL*ng, steep slope 90 of slope Soil Nature: sand, t' Imam, cia.y, other I depth: G_ound water: at what ete feet ! Beds-oc c or Iapervious Material: at what depth? feet eW coladon test: no rquir::?, red*�irw [ �L: r noun- per inch 7 Domestic water supply: rrtur icip2� , we?I other TT. domestic water supply is a W'ELL., water surmly u.om any septic absorption is /tom feet. "PROPOSED SYSTEM $PptIC tank L_� gallon (m+nim7Jlrl 52Ze: 1 ,0 gal.) Tile feld: each trench C!5 feet f Toml system length: �d feet Seepage pit(s): number of ! Sze each: ft by ft Size of stone to be used: # — ! depth or tilickness /� feet I.OLDTsVG TANK SYSTEM: (if required) Number of tanks: Size or each: moons .Alarm system and associated electrical wcxk to ba iusccc ad by a certified any. For Ycv. grctecdon, please note that pursuant to Sectivu 136-29 of the Ccs3.o of the Town of Qoeembauy, any permit or appr-oti al which is based upva or is gsaated is reliaaca sin a=7 matcrW repre4eabai= or &Aura to make a matt+,:e1 fast or circumstance knocs-za by or on behalf of as applic_axzt, shall be void. I have ci the regulations with respect to aetioa r�ac1 a.grea to abide by ttzcga and all ragtz%rcments of the Town of Quay-rs�Wy San;ra*y Sewage S�ispcaal Sib a- a of responsible Berson: Date: . rnm 0/9:77 ENERGY CODE COMPLYAU7GE APPL ICATIQH TOWN OF QFUEENSBURY , 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-Fancily Dwellings ( 3 stories or less ) PART 4 * Design by Component Performance Commercial Buildings -Hi_ Rise Residential *Requires submission of worksheets A.PPL I CA_NT"` S NAME : PROPERTY LOCATION * `-PART 5 METHOD OF COMPT 1XANCE BY ACCEPTABLE PRACTICE , 1 . G=oss Floor Area - /f'"�l' scruare feet 2 . Throe of Heat - Electric Oil �' Gas other - 3 . .ems building mechanically cooled? Yes No 4 . Percentage of area of windows and doors over 17 % Under 17 % 5 . R-7IA=ES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS s iOWN ON PLANS SUBMITTED : a . Roof R b . Exterior walls R co Glazed areas R d . Exterior doors R e . Floors over unheated spaces R r _ Edge of slab on grade ( heated building ) R g _ Basement / cellar walls ( above g=ade ) R h . Basement/ cellar walls ( below g,ade ) R i Heating/ cooling-ducts -pi_pi.ng in unheated space R 6 . Service ( domestic ) hot water heath c device Conforms to minimum efficiency per code G/ Yes No TEMPERATURE CONTROL MAXIMUM SETTING 3. 40c - WILL NOTT BE EXCEEDED pp _ ca _ t ' Signature Date Phone Number INSPZZC �C7R. e S R.. RKS : TOWN OF QUEENSBURY 13SLII.13PING & CODE ENFORCEMENT GL 742 BAY ROAD QUEENSBURY NY 12004 (518) 761-8256 ARRIVE : DEPART ; INSP : FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPEC ON ,.R�^E,rQUE4 ST RECEIVED : NAMEJ�Z' DATE PERMIT TY13E OF STRUCTURE --- FOOTINGS_ FOUNDATION BACKFILI. _ _ FRAMING ROUGIi PLUMBING SEPTIC INSULAT ON FINAL ELECTRICAL WOODS VE OR FI PLACE N A ICES NO Cki1MNEY IIE IGHT/D VENT/I}EIG}lT PLUMBING V NT ROOFING EXTERIOR FINISH UI:CK/PORCII /STEPS /RAI LINGS RCLIL"L•' VALVES FURNACElHOT WATER OPERATING INTERIOR TRIM PRIVACY DOORS FINISH FLOORS : . BATH /K TCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE RAILINGS SMOKE DETECTO S - BATHROOM FA S PLUMBING F I7CTURES _.. FOUNDATION INS LA ION GARAGE FIRE PROOFING DOOR CLOSERS --- FINAL ELECTRICAL - SITE PLAN/VARIANCE REO FINAL S RV Y PLO PLAN OK TO ISSLJ C O R C RESIDENTIAL FINAL INSPECTION REPORT Date inspection request received Office Na (518) 7b1-8256 Building & Code Enforcement Arrive arrrl pm Dep art 4 am/pmDept. of Community Development Town of Queensbury Inspector's Initials ) ' 742 Bay 'Road Ao Queensbury, New York 12804 Q j NAME PERMIT � LOCAnON 1 DATE s TYPE of STRUCTLJRF NIA YES NO coNIMEN�TyS pf/ G� Chimney Heightl"B" Vent/Direct Ven Location r CiRS 13a try --{K: ` Fresh Air Intake Plumb Vent through roof YrT t_ Roof Complete Exterior Finish Complete teriorlExterior Railings 30" to 36" 4Exterior Handrails, balconies, landing 18 im o ore tenor Handrails stairs both sides 3 or more n Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" above gra _ Gas Furnace shut-off within 30 feet or within line of st oil Furnace shut--off at entrance to furnace area Furnace/Hot Water Heater opera Relief Valve(s) installed Headroom,om, 6 ft, 6 in. on stairs Basement stairs, 6 ft. 4 in, Handrail exterior stairs both sides more than 3 risers In terior privacy/trim/doors/main entrance 36" Floor Finish BadwoomlK.itehen watertight Interior handrails Balconies Landing 19 in, or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans fr�lumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing y/Garagc penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 1 R" or less from floor Final Electrical Site Pian[Variance required �p AfeRvV I w44 .Final Survey Plot Plan As Built Septic System layout required —. Okav to issue C/C (Certif. of Compliance} _ Okav to issue temp C/O (Ccrt.if of Occupancy) Okav to issue permanent CIO (Certif of occupancy} RESIDENTIAL F71NAL INSPECTION REPORT �- Office No. (518) 761,8256 Date inspection request received: Y ,ram r Building & Code Enforcement I� Cam]- 0 Dept. of Community Development Arrive atrr/prrr �p '� —rf Town of Queensbury Inspector's Initials 742 Bay Road Queensb New 'York 12MM _ PERMrr # - i.(TCATION DATE _ — TYPE OF STRUC — - N/A YES NO N 1 CO &ffil4 S Chimney Height!"B" Vent/Direct Vent Location I " )-5-rM.'t- Fresh Air Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in, or In interior Handrails stairs both sides 3 or more riser Grade 2% away from foundation 5rrk,> 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" above d �L..... .- Gas Furnace shut-off within 30 feet or within b of si y/ Oil Furnace shut-off at entrance to furnace area FurnaceJHot Water Heater opera Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Saseinent stairs, 6 f - 4 in. Handrail exterior stairs both sides more than risers Interior privacyltrirn/doors/main entrance 365' Floor Finish 13athroom/Kitchen watertight Interior Handrails Balconies/I_anding 18 in. r more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures gtt- FAe4C° sk r fAr S—PPKC Foundation insulation Caw - 3/4 hour fire door/door closer Garage fireproofing '5( A ( . �0 1RC 5 Cam? 'C`: A' -rdL y Garage penetrations sealed Furnace in separate room protected fin garage) Light ventilation per room Safety glazing I8" or a • ' from floor Final Electrical '7 Site Platt/Variance ed Final Survey Plot Plan As Built Septic System layout required 5 fit' Okay to issue C/C (Ceriif. ofCompliance) Okav to issue temp- CIO (Certif. of Occupancy) Okav to issue permanent C/O (Certif of Occupancy) THE NEW YDRK BOARD OF FIRE UNDERWRITERS 4189491 BUREAU OF ELECTRICITY 11i WASHINGTON AVE., SUITE 7041, ALBANY, NY 12210 41 r. U±a / Date _TUNE ! b , .2 4i`� Application No, on file S � / THIS CERTIFIES THAT the applicant named or the above appl' ataor number is in the premises of only the electrical equipment as described below card introduced by r,crB s R_.rrUER ��n r:ODIJZ.ESTONF DR > PUE£NSB JF�.'. N�. in the following rotation; © Basement M 1st Fr. ❑ 2nd Ff. t� F Section Block Lot was examined on MAI- I F,i P 1 99—7 and found to be in compliance with the National Electrical AMT. .W Code- FIXTURES FIXTURES RANGES COOKING DECKS OVEN K.W. AM S DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W_ AMT. i. k,W. K - L1 46 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTI 71ME CLOCKS BELL UNIT HEATER5 M SYSTEMS ET I}IMAIIERS AMT. k.W. Oli H-P. 6A3 H.P. AMT. NO. A. W. G. AMT- AMP. AMT, AMPS. TRANS. AMT. X.P. NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO. OF S E R V I C E METER Ni?. 4F CC COND. A. W. i A. W. G' NO_ DF NEUTRALS A' W. G. AMT. AMP. TYPE EQUIP. 10 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC. COND, NO. OF NI-LEG OF Xt-LE6 OF NEUTRAL OTHER APPARATUS: Cf:_L LNG FAN--•1 1107Y)PS : -F' H. P . 51 fOKE DR TE(7 TOR R £ 'L S OEIIRL ELEC3 R1Ii_ k'L'JS GENERAL MANAGER 011TI-.C+NS13UFtY, NIP, 1 .4804 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. CEIVERAL IN.SPECTTT N gEPO Town of Queensbury Date inspection request received' Dept of Community Development Building & Code Enforcement mart 742 Bay Arad Arrive ' NY 12804 a p Queensbury, is 7niial �' PERMIT # -` NAME: LOCATION! TYPE OF STRUCI'[TRE: RECHECK NIA YES 4 CO MNIENTS 1 F ngs+Piers onolithic Pour P �- Reinforcement in Place The ,contractor is sponsible for providing protectio from freezing for 48 hours followin Arne of the concrete- Materials for this purpose on site Fvundatian/Wallpour _ Reinforcement m Place�� Foundation/Damppro0fin BackRU Appra�ral Plumbing Under Slab Plumbing Vent/Vents in Place 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 'Went F'rarmn Jack Studs/Headers BracingMridgin joist Hangers Jack PostslMain Beam Air l filtration Barrier Fine ,Separation 1 , 2, 3. hour penetration Sealed Fire Wall 2. 31 4 hour Firestopping ti Oo GENERAL I1uSPECTION REPORT Town of Queensbury request received' Dept. of Community Development Date inspection Building & Code Enforcement 742 Bay Road Arrive WWPm Depart ,6 Queensbury, N-V 128" Insprectoes Initials PERMIT a Ck NAME: DATE :LOCATION- TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS I FootingsVPiers Monolithic Pour Form Reinforcement in Place for The contractor is respo providing protect'On m g for 48 hours follo the P nt of the concrete- Materials for this p on si FoundationfWallpour Reinforce in PI Foundation/Uampprao BackEill Approval Plumbing Under Slab Plumbing VentNents i Place Rough Plumbing �LRough-In Foundation Walls Interior R- Foundation Walls Exterior R- Floors R' Walls R- Ceiling R- Duct work or piping in unheated spaces R~ — oper Vent, Attic Went Framin l k Studs/Headers raci ngBridgin joist Hangers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1. 2, 3. hour Penetration. Sealed - Fire wall 2. 3, 4 hour FirestoPPMA GENERAL INSPE I N REPS R7 7 Town of Queensbury]Development Date inspection request reeeived: Dept. of Community Building & Code Eufarcement �p� �� 742 BI Rand wp (Queensbury, NY 128" w Arrrve a m 1[uspector's Iniflu �-- PERMIT NAME: DATE : L()CATtON: TYPE OF srRUC RECHECK NIA YES No COI"DAEw$ Footings�'I'iers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freeing for 48 hours following the p t of the concrete. Materials for this purpose on site Foundatia allpour Reinforcement in Place Foundation+MarnPMOI Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place l'I OPlumbin Hearing Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- C,eiling R- Duct work or piping in unheated spaces R- I N PI ent, Attic Vent Sack Studs�'l�eaders Brac ing(Bridgin joist Hangers -- jack PostslMaxn i _ . Beam `— y Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppirt TOWK OF Q11E EN IDU WILDING OW 531 Bay Road Queensbury NY 128" 51g-7 45-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Permit # �] Date SOIL_ T1"P nd�i.aa�l ay- Results of Percolation "Test- Resultsto nch. , ( if applicable ) _ TYPE OF SYSTE'4: Tat Lengt ABSORPTION Length of each trenc i Depth trenches size of s ne um er- SEEPAGE PI ft . Size Stone size _ Size ype PIPING: Tank Bldg . to Tank to Distw x " art a Dist . BaX to F el dfPi t k10 Seal ? e Openings TIt .� t©E LOCATIONISEPA feet Foundation to Tank tiara feet Foundation to Absorp feet separation of Pits ---- 5 Conforms as per Plot Plan PROPERTY : on LOCATION OF SYSTEM ( circle ones ft S ' e_- -) Right Side Front ear Mi d dl a �� CoMENTS: L _ v� SYSTEM USE APPROVED . r'/ `_..-.-L`�¢ Arrived : Departedy . � %�tor Building Insp J O GENERAL _INSPECTI[7N ,RE,PeGiRT Town of Queensbury received: Dept. of C D Community Development ate ins ou ti request Building & Cade Enforcement 742 Bay Road Queensbury, NY 12804 Arrive Insp Initials rZ PERMIT NAME: DATE LOCATION: TYPE OF STRUCTURE: RECHECK N/A YES NO MhfIENTS Footings/Piers 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 aundatlon/Wallpnur inforcement in Place .�r�J? aundatioon/DamPProofing - t5 E b �,elrcl.� T I .uCa Aaackfill Plumbing Under Slaw *T AA4. �T Plumbing Vent/Vents in Place - r&'T 'tA.) �[ cbtl.30" Rough Plumbin " 1 Heating Rough-In ilea 1',rr�}R&41°� Pear') Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- — Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pr,oper Vent, Attic Vent Framing Jack. Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 21 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping GENERAL N REFURT Town of Queensbury Dept. of Community Development Date inspection request received:. Building & Code Enforcement 742 Bay Road �-� — 1 ► '� Queensbury, NY 12804 v e a 'Depart t� amlpm Lis is Initials � NAME. PE # � 6 ' 7 ,�i LOCATION: 1 DA � TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS FootingwPiers 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/Dam pprooGn �ackf�ill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating. Rough-ln Insulation Foundation Walls Interior Foundation Walls Exterior Floors Walls - Ceiling R- Duct work or pipin n unheated space R- Proper Vent, Attic Ex 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, 3, 4 hour Firestoppin t GENERAL IIYSPECTIDN REPORT 4 Town of Queensbury Dept. of Community Development Date inspection request received; Building & Code Enforcement 742 Bay Road Qneensbury, NY 12804 Arrive am/pm Depart r n am- JW Inspector's 16nitials NAME: PER.M171' # F LOCATION: I LA DATE : TYPE OF STRUCTURE: RECHECK / N/A YES/NO COMMENTS a Monolithic Pour Form Reinforcement in Place _ The contractor is nponsibl for provi]con protection from fre" for 4 following; the ent of the te.Materia on siteFoundatallpour Reinfort inFoundatam fing. BacklT Plumbing Unde Slag Plumbing Vent/Vents in Place Rough Plumbrin 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/Bridgin9 Joist Hangers Jack Posts/Main ) learn. Aar Infiltration Starrier Fire Separation 1, 2, 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour. Fi restoppin