RC-000185-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000185-2015 Date Issued: Friday, January 5, 2018
This is to certify that work requested to be done as shown by Permit Number RC-000185-2015
has been completed.
Tax Map Number: 296.15-1-2
Location: 27 GENTRY HILL NORTH
Owner: Sch Cottage Hill, LLC
Applicant: Schermerhorn Properties
This structure may be occupied as a: Cottage Hill Project Bldg. 21
6-unit apartments, garages, FPs By Order of Town Board
Building Permit Renewed 5/9/2017 TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, 4 4t
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
QL Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-000185-2015
Tax Map No: 296.15-1-2
Permission is hereby granted to: Sch Cottage Hill,LLC
For property located at: 27 GENTRY HILL NORTH
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Sch Cottage Hill,LLC Multi-Family-New $140,000.00
Owner Address: 536 BAY RD Total Value $140,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Schermerhom Properties
536 BAY RD
Queensbury,NY 12804
RENEWED
Plans&Specifications
Cottage Hill Project Bldg.21
6-unit apartments,garages,Fps
$ 50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, May 2, 2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ens n Fr ay, G' y 2
SIGNED BY: r{rF/ for the Town of Queensbury.
Director of Building&Cade Enforcement
(D
FILE COPY
OFFICE USE ONLY -
TAX MAP NO. PERMIT NO. 2015-112— a
, P
FEES: PERMIT RECREATION ENGINEERING '
=
P P
(If applicable, ,
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: 6r 1241 OWNER: 6
ADDRESS: S f3P1gkr4.e 2 ADDRESS:
arutermswoi 1
PHONE NOS. G�1(�-- 7ct PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: 001 iL PHONE:
LOCATION OF PROPERTY: &It 001i462 Zi G e fr 'sa NC "C7-A6s* tLlL
Skis.
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 5i4ES ❑ NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
1
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z o H
APPLY TO YOUR Z F= cc 0 u) w
PROJECT 0 <F. 0 1.. 0 F-: -! _
o w � � i' I I—da.OOU
ELI 0 cd Z 0 1-- o1. etLu -
Z < < - co NCl1 OLL I- u_ a = o5
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY II,w� / rr,,,, /�11 C� M fII)
L .
(NO.of UNITS W ) �( 31�`YI �I L1� qI 1 l�' i
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
i
INDUSTRIAL
ATTACHED / 1441847I /�/ O'
GARAGE(1,2,3) j
1
OTHER I
1 1
Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804
•
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: C,..bliiINCe. tAll.t. ITNAggraSaS
ESTIMATED CONSTRUCTION COST:6 1401003 . FUEL TYPE: OAT.
HEAT TYPE: .14 g._ *HOW MANY FIREPLACE(S): 4) AND I OR WOODSTOVES(S): NI/A
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? 140
PROPOSED USE OF BUILDING OR ADDITION: . 0U 1-
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? SID
ARE THERE EASEMENTS ON PROPERTY? Nar 411
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree t. h.. above.
Signed --
j ,
Directo_of Building &Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Administrator: 761-8218 ( or questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Town of Queensbury* Community Development Office* 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
Permission is hereby granted to the above : = This application I proposed action described
Applicant to erect or alter the building ; herein is found to be in accordance with the
' described herein in accordance with said ; zoning Laws of the Town of Queensbury.
Application: ;
p
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f p
,
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i p
F
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BUI ,: & •DES APP'I'M' ZONING APPROVAL
f
DAT_ DATE
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Q ESTIONS? -CALL 761-8256 OR EMAIL
/ gLc!.. s{ rv..ne" J1
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION .s
Operating www. eer?sbur .ret
pe sting Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804
Office Use Only
Town of Queensbury Building & Codes Received:
Tax Map ID:
FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.:
Permit Fee: $
Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the NYS Fire Prevention &
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.
Important Note To Applicant: Rouqh-ln and Final Inspections Are Required:
Date
Owner e Installer/Builder
Address 654, FeiAo Address
s,
Phone 4J XS-�' 1Phone
Location of proposed construction and/or installation: a F I t
Contact Person for Building&Codes Compliance: \ 41-414,, P.161136g4 at4ittie iikerAtiti--11400,
Subdivision Name: .
Fuel Burning Appliance Information Wood Coal Pellet Gas Oil
Stove
Fireplace Insert
Fireplace,factory built*— (p 3— V
Fireplace,Masonry
Furnace, (Garage Only)
*If Factory Built, Please Provide: Manufacturer Name: +`'4 Model No. ail
Listed By: Number.
Chimney Information
Masonry'* ✓check one ^Block —Brick Stone
Flue v'check one __Tile /Steel4.Size in Inches
Material ✓check one Double Wall Triple Wall Insulated
— — Direct Vent _Chimney Liner
**If Non-Masonry,please provide: Manufacturer Name: Model No.
Signatures:
ale�iP
Print Name: >�� ' =�. .<<�' - � � ) ' JA`'l '
Signature: a. . , Date: 2/AP/2/t, -Zq'
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE
AND/OR MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING
REQUIRED INSPECTIONS.
i , — k WO 1 4. 1;31 s 3.
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000185-2015 Case Module: Permit
Inspection Date: 01/05/2018 Inspection Status: Passed
Inspector: Gary Stillman Inspection Type: OCC-Inspections
Job Address: 27 GENTRY HILL NORTH Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Primary Owner [Sch Cottage Hill,LLC] , G40
Contractor [Schermerhorn Properties] , L.
Granted Permission [Sch Cottage Hill,LLC] , iK
Applicant [Schermerhom Properties] ,
Checklist Item Passed Comments
Fire Marshal YES
Exit Access FC1014&FC1029 NO VD I/ 1,
5
Exit Enclosure FC1020&FC1029 NO 9i._h
Exit Discharge FC1024&FC1029 YES
Locks and Latches FC1008&FC1029.2 NO /►,��; .�
Sign:Normal FC1011 &FC1029 NO U0 i1 f r l
Sign:Backup FC1011.5.3&FC1029.7.5 YES
Main Aisle Width FC1024/1025&FC1029.11 YES
Secondary Aisle Width FC1025&FC1029.11 YES
Fire Extinguisher Hung FC906 NO
Inspection of Extinguisher FC906 NO
Evac Plan FC404.2 NO
Truss ID Signage FC505.3 YES
Emergency Lighting Interior FC1006.3&FC1029.8 NO
Emergency Lighting Exterior FC1006.3 NO
Clearance to Electrical FC 605.3 YES
Electrical Wiring Enclosed/Labeled FC605.3.1 YES
Combustibles in Equipment Rooms FC 315.2.3 YES
F.D.Signage-FC510 YES
No Smoking Signs FC310.3 NO
Storage FC315.2 NO
Compressed Gas FC3003 NO
Vehicle Impact Protection FC312.1 NO
Interior Finishes FC803-804 YES
Smoke Detectors FC907 YES Ok
CO Detectors FC610 YES Ok
Clearance to Sprinkler/Ceiling FC315.2.1 18"/24" YES
EVAC SIGNS IN Rooms FC404.6(R1&R2) NO
Fuel Pump Warning Signs FC2205.6 NO
Fuel Station Emer Procedures FC2205.6 NO
Jan 05,2018 Page(3)
INSPECTION WORKSHEET (FM-000070-2018)
Checklist Item Passed Comments
Exterior Storage FC315.3 NO
Vacant Buildings FC311 NO
Emergency Disconnect FC2203.2 NO
Generator Annual NO
Hood Installation NO
Elevator Semi Annual NO
FIRE ALARM Annual NO
HVAC Shutdown NO
Sprinkler System Annual YES Received NFPA 13 letter from FireTek this date
Sprinkler FDC YES
Kitchen Suppression Semi Annual NO
Fuel Island Suppression Semi Annual NO
Other Suppression NO
Hood Cleaning 3-6 Annual NO
Knox Box:installed/checked FC506 YES
Occupancy Cycle YES R
Stillman,Gary(Inspector)
Jan 05,2018 Page(4)
{
ii ,ETEK,
j SPRINKLER SYSTEMS, LLC �' I
58 Hudson River Rd. • Waterford, NY 12188
Phone: (518)244-3772 Fax: (518)238-2608
01/04/18
Mr. Mike Palmer
Fire Marshall
Town of Queensbury
742 Bay Rd.
Queensbury,NY 12804
RE: Cottage Hill Apts.
27 Gentry Hill North
Queensbury,NY
Mike,
The installation of the fire sprinkler system, at the above address, has been completed. The system is on and
operational. To the best of my knowledge the installation conforms to NFPA 13R. Should you require anything
further,please give me a call.
Sincerely,
TAX
Bob Wood
Vice President
NEBPA BLOWER DOOR FORM
Home Energy Experts
North Eau Buddwg
Performance Ad`won
518.350.P9f!
Contractor: Schermerhorn Construction Date: 1-4-18
Contractor Address: 15 Birdie Dr Apt F City: Queensbury State:NY Zip: 12804
Phone#1 518-798-0674 Email:
Location tested: 27 Gentry Hill North Unit A City: Queensbury State:NY Zip: 12804
Ventilation requirements
Volume (8 x 432) + (9 x 796) = 10620 cb ft N Factor 1 = 19
Air Flow b .35 x (volume) 3717 /60 = 61.95 cfm 1.5=16.8
2 E= 1
.4
Minimum CFM50 =Airflow x N Factor 61.95 cfm X 15.4 = 954 CFM50 F2.5 4.4
What#should be 3= 13.7
Blower Door Diagnostics Ring Open
Inside Temp: (0F Baseline Pressure — YO Pa. B
Outside Temp: F Fan Pressure 7 -7 Pa. C
Flow P CFM50= b `
NOTES: The safe zone for this home is+/- 30%of the minimum CFM50
High side= 1240 @ cfm 50
Low side= 667 @cfm 50 c
CFMg50 x 60 minutes = I T y
Volume of building x N factor k V 3 5-V
ACH= o c'-�
New York State Requires builders run a blower door test on new residential J
buildings to ensure a maximum air leakage of three air changes per hour.
(As a reference,Energy Star homes must come in at.35 ACH naturally to qualify.
Blower Door testing performed by
North East Building Performance Advisors
7 Rocky Ridge BPI GoldStar"
Warrensburg, NY 12885 CONTRACTOR
I D: 1006099
NEBPA BLOWER DOOR FORM r
mm �
Home Energy Experts
Notch East Bmddiag
Performance Adr isots
518.350.2941
Contractor: Schermerhorn Construction Date: 1-4-18
Contractor Address: 15 Birdie Dr Apt F City: Queensbury State:NY Zip: 12804
Phone#1 518-798-0674 Email:
Location tested: 27 Gentry Hill North Unit B City: Queensbury State:NY Zip: 12804
Ventilation requirements
Volume (8 x 432)+ (9 x 796) = 10620 cb ft N Factor 1 = 19
Air Flow b .35 x(volume) 3717 /60 = 61.95 cfm 1.5= 16.8
Minimum CFM50 =Airflow x N Factor 61.95 cfm X 15.4 = 954 CFM50 2.5= 14.4
What#should be 3=13.7
Blower Door Diagnostics Ring Open
Inside Temp: �O �F Baseline Pressure �0 Pa. B
Outside Temp: F Fan Pressure Pa. C
Flow @ CFM50=
NOTES: The safe zone for this home is+/-30%of the minimum CFM50
High side = 1240 @ cfm 50
Low side = 667 @cfm 50
CFM ,50 x 60 minutes = II0 b Z O
Volume of building x N factor
ACH=
New York State Requires builders run a blower door test on new residential •
buildings to ensure a maximum air leakage of three air changes per hour.
(As a reference,Energy Star homes must come in at.35 ACH naturally to qualify.
Blower Door testing performed by
North East Building Performance Advisors
7 Rocky Ridge BPI-GOIdStar"
Warrensburg,NY 12885 C O N T R A C T O R
1 D: 1006099
NEBPA BLOWER DOOR FORM
Home Energy Experts
North hasr Bm I&zW
Perfof 2nce A&wois
518.350.29,41
Contractor: Schermerhorn Construction Date: 1-4-18
Contractor Address: 15 Birdie Dr Apt F City: Queensbury State:NY Zip: 12804
Phone#1 518-798-0674 Email:
Location tested: 27 Gentry Hill North Unit C City: Queensbury State:NY Zip: 12804
Ventilation requirements
Volume (8 x 432) + (9 x 796) = 10620 cb ft N Factor 1 = 19
Air Flow b .35 x (volume) 3717 /60 = 61.95 cfm 1.5=16.8
Minimum CFM50 = Airflow x N Factor 61.95 cfm X 15.4 = 954 CFM50
What#should be 3= 13.7
Blower Door Diagnostics Ring Open
A
Inside Temp: _(,1F Baseline Pressure Pa. B
Outside Temp: F Fan Pressure Pa. C
Flow @ CFM50= ` `�3
NOTES: The safe zone for this home is+/-30%of the minimum CFM50
High side = 1240 @ cfm 50
Low side= 667 @cfm 50
CFMk50 x 60 minutes = y
Volume of building x N factor
ACH= �
New York State Requires builders run a blower door test on new residential
buildings to ensure a maximum air leakage of three air changes per hour.
As a_reference,Energy Star homes must come in at.35 ACH naturally to qualify.
Blower Door testing performed by
North East Building Performance Advisors
7 Rocky Ridge BPI°GoldStar'"
Warrensburg, NY 12885 CONTRACTOR
I D: 1006099
NEBPA BLOWER DOOR FORM
Home Energy Experts I ` F 'N'4tw
,. .
NofM East Building
Performance Adrisors
519350.29f1
Contractor: Schermerhorn Construction Date: 1-4-18
Contractor Address: 15 Birdie Dr Apt F City: Queensbury State:NY Zip: 12804
Phone#1 518-798-0674 Email:
Location tested: 27 Gentry Hill North Unit D City: Queensbury State:NY Zip: 12804
Ventilation requirements
Volume (8 x 432) + (9 x 796) = 10620 cb ft N Factor 1 = 19
Air Flow b .35 x (volume) 3717 /60 = 61.95 cfm 1.5=16.8
Minimum CFM50 =Airflow x N Factor 61.95 cfm X 15.4 = 954 CFM50
What#should be 3= 13.7
Blower Door Diagnostics Ring Open
A
Inside Temp: 195 F Baseline Pressure — Sv Pa. B
Outside Temp: F Fan Pressure 3 $ Pa. C
Flow CFM50= ` 02
NOTES: The safe zone for this home is+/-30%of the minimum CFM50
High side = 1240 @ cfm 50
Low side= 667 @cfm 50 0,,`w
CFM250 x 60 minutes = `l `�' Z10
Volume of building x N factor t (e S Cj 8
ACH= � l f j�
New York State Requires builders run a blower door test on new residential 'L v
buildings to ensure a maximum air leakage of three air changes per hour.
(As a reference.Energy Star homes must come in at.35 ACH naturally to qualify.
Blower Door testing performed by
North East Building Performance Advisors
7 Rocky Ridge BPI-GoldStar-
Warrensburg, NY12885 CONTRACTOR
11113: 1006099
NEBPA BLOWER DOOR FORM �r
Home Energy Experts
North Eau Boildigg
Performance Adrisors
SM350.f9f1
Contractor: Schermerhorn Construction Date: 1-4-18
Contractor Address: 15 Birdie Dr Apt F City: Queensbury State:NY Zip: 12804
Phone#1 518-798-0674 Email:
Location tested: 27 Gentry Hill North Unit E City: Queensbury State:NY Zip: 12804
Ventilation requirements
Volume (8 x 432) + (9 x 796) = 10620 cb ft N Factor 1 = 19
Air Flow b .35 x (volume) 3717 /60 = 61.95 cfm 1.5=16.8
Minimum CFM50 = Airflow x N Factor 61.95 cfm X 15.4 = 954 CFM50 2.5=14.4
What#should be 3= 13.7
Blower Door Diagnostics Ring Open
A
Inside Temp: (p� F Baseline Pressure s 0 Pa. B
Outside Temp: F Fan Pressure 3 Pa. C
Flow @ CFM50= `
NOTES: The safe zone for this home is+/-30%of the minimum CFM50
High side= 1240 @ cfm 50
Low side = 667 @cfm 50
CFM@50 x 60 minutes = 7 C�00
Volume of building x N factor `(� 3 S LA
3= .
New York State Requires builders run a blower door test on new residential ACH J S
buildings to ensure a maximum air leakage of three air changes per hour.
(As a reference,Energy Star homes must come in at.35 ACH naturally to qualify.
vw
Blower Door testing performed by
North East Building Performance Advisors
7 Rocky Ridge BPI-GoldStar"
Warrensburg, NY 12885 CONTRACTOR
11113: 1006099
NEBPA BLOWER DOOR FORM
Home Energy Experts
Nofm East B11,
Pedotmance A&mi fs
S18.350."41
Contractor: Schermerhorn Construction Date: 1-4-18
Contractor Address: 15 Birdie Dr Apt F City: Queensbury State:NY Zip: 12804
Phone#1 518-798-0674 Email:
Location tested: 27 Gentry Hill North Unit F City: Queensbury State:NY Zip: 12804
Ventilation requirements
Volume (8 x 432) + (9 x 796) = 10620 cb ft N Factor 1 = 19
Air Flow b .35 x (volume) 3717 /60 = 61.95 cfm 1.5=16.8
= 15.4
Minimum CFM50 =Airflow x N Factor 61.95 cfm X 15.4 = 954 CFM50 r32"15—=14.4
What#should be 3= 13.7
Blower Door Diagnostics Ring Open
A
Inside Temp: F Baseline Pressuret Pa. B
Outside Temp: F Fan Pressure '12 Pa. C
Flow @ CFM50= ` 3 k -7
NOTES: The safe zone for this home is+/-30%of the minimum CFM50
High side = 1240 @ cfm 50
Low side= 667 @cfm 50 ^►q
CFMk50 x 60 minutes = 1DEO
D
Volume of building x N factor ` 63 5 `�8
= ,� 8New York State Requires builders run a blower door test on new residential ACH
buildings to ensure a maximum air leakage of three air changes per hour.
(As a reference,Energy Star homes must come in at.35 ACH naturally to qualify.
Blower Door testing performed by
North East Building Performance Advisors
7 Rocky Ridge BPI-GoldStar-
Warrensburg, NY12885 CONTRACTOR
11113: 1006099
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000185-2015 Case Module: Permit
Inspection Date: 01/05/2018 Inspection Status: Passed
Inspector: Gary Stillman Inspection Type: Gas Fireplace/Stove
Job Address: 27 GENTRY HILL NORTH Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Primary Owner [Sch Cottage Hill,LLC]
Contractor [Schermerhorn Properties]
Granted Permission [Sch Cottage Hill,LLC]
Applicant [Schermerhom Properties]
Checklist Item Passed Comments
Fire Marshal Notes YES SUPERIOR FIREPLACE
MODEL#DRT2033TMN
SERIAL#A17F285038 unit E
A17F285025 unit F
A17F285027.Unit D
A17F285034 unit C
A17F285032 unit B
Al 7F285033 unit A
Building Inspector Notes YES FIREPLACE FINAL
Floor Protection YES
Clearances to Combustibles(all sides) YES
Firestop(s)-Wall Penetration YES
Vent Clearance to Combustibles YES 3 inches top,1 inch sides/Exceeds installation manual
Vent Chimney Termination YES
Gas Shut-off Valve YES
Combustion Air YES
Hearth Extension(if any) YES Not required per page 15 of installation manual
Mantel-height above fp opening YES See page 15 of installation manual clearances
Return to verify
1/5/18 ok
Witness Operation YES Return to verify
1/5/17 ok
CO Detection YES Return to verify
1/5/18 ok
Stillman,Gary(Inspector)
Jan 05,2018 Page(3)
1
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000185-2015 Case Module: Permit
Inspection Date: 10/19/2017 Inspection Status: Partial Pass
Inspector: Gary Stillman Inspection Type: Gas Fireplace/Stove
Job Address: 27 GENTRY HILL NORTH Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Primary Owner [Sch Cottage Hill,LLC]
Granted Permission [Sch Cottage Hill,LLC]
Applicant [Schermerhorn Properties]
Contractor [Schermerhorn Properties]
Checklist Item Passed Comments
Fire Marshal Notes YES SUPERIOR FIREPLACE
Model#DRT2033TMN
SERIAL#A17F285025
Building Inspection notes YES Unit F
Floor Protection YES
Clearances to Combustibles(all sides) YES
Firestop(s)-Wall Penetration YES
Vent Clearance to Combustibles YES Exceeds installation manual/3 inches top,1 inch side
Vent Chimney Termination YES
Gas Shut-off Valve YES
Combustion Air YES
Hearth Extension(if any) YES Not required per page 14 installation manual
Mantel-height above fp opening NO See page 15 of installation manual for clearances
Return to verify
Witness Operation NO Return to verify
CO Detection NO Return to verify
CSST Bonding YES
Stillman,Gary(Inspector)
Oct 19,2017 Page(1)
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000185-2015 Case Module: Permit
Inspection Date: 10/19/2017 Inspection Status: Partial Pass
Inspector: Gary Stillman Inspection Type: Gas Fireplace/Stove
Job Address: 27 GENTRY HILL NORTH Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Primary Owner [Sch Cottage Hill,LLC]
Granted Permission [Sch Cottage Hill, LLC]
Applicant [Schermerhorn Properties]
Contractor [Schermerhorn Properties]
Checklist Item Passed Comments
Fire Marshal Notes YES SUPERIOR FIREPLACE
MODEL#DRT2033TMN
SERIAL#A17F285038
Building Inspection notes YES Unit F
Floor Protection YES
Clearances to Combustibles(all sides) YES
Firestop(s)-Wall Penetration YES
Vent Clearance to Combustibles YES 3 inches top, 1 inch sides/Exceeds installation manual
Vent Chimney Termination YES
Gas Shut-off Valve YES
Combustion Air YES
Hearth Extension(if any) YES Not required per page 15 of installation manual
Mantel-height above fp opening NO See page 15 of installation manual clearances
Return to verify
Witness Operation NO Return to verify
CO Detection NO Return to verify
CSST Bonding YES
Stillman,Gary(Inspector)
Oct 19,2017 Page(1)
INSPECTION WORKSHEET (FMGAS-006360-2017)
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000185-2015 Case Module: Permit
Inspection Date: 10/19/2017 Inspection Status: Partial Pass
Inspector: Gary Stillman Inspection Type: Gas Fireplace/Stove
Job Address: 27 GENTRY HILL NORTH Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Primary Owner [Sch Cottage Hill,LLC]
Granted Permission [Sch Cottage Hill,LLC]
Applicant [Schermerhorn Properties]
Contractor [Schermerhorn Properties]
Checklist Item Passed Comments
Fire Marshal Notes YES SUPERIOR FIREPLACE
MODEL#DRT2033TMN
SERIAL#A17F285027
Building Inspection notes YES Unit D
Floor Protection YES
Clearances to Combustibles(all sides) YES
Firestop(s)-Wall Penetration YES
Vent Clearance to Combustibles YES Exceed installation manual/3?top, 1?sides
Vent Chimney Termination YES
Gas Shut-off Valve YES
Combustion Air YES
Hearth Extension(if any) YES Not required per page 14 installation manual
Mantel-height above fp opening NO See page 15 of installation manual
Return to verify
Witness Operation NO Return to verify
CO Detection NO Return to verify
CSST Bonding YES
Stillman,Gary(Inspector)
Oct 19,2017 Page(1)
a �
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000185-2015 Case Module: Permit
Inspection Date: 10/19/2017 Inspection Status: Partial Pass
Inspector: Gary Stillman Inspection Type: Gas Fireplace/Stove
Job Address: 27 GENTRY HILL NORTH Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Primary Owner [Sch Cottage Hill,LLC]
Granted Permission [Sch Cottage Hill,LLC]
Applicant [Schermerhorn Properties]
Contractor [Schermerhorn Properties]
Checklist Item Passed Comments
Fire Marshal Notes YES Superior Fireplace
MODEL#DRT2033TMN
SERIAL#A17F285034
Building Inspection notes YES Unit C
Floor Protection YES
Clearances to Combustibles(all sides) YES
Firestop(s)-Wall Penetration YES
Vent Clearance to Combustibles YES Exceeds installation manual/3 inches top, 1 inch sides
Vent Chimney Termination YES
Gas Shut-off Valve YES
Combustion Air YES
Hearth Extension(if any) YES Not required per page 14 installation manual
Mantel-height above fp opening NO See page 15 of installation manual for clearances
Return to verify
Witness Operation NO Return to verify
CO Detection NO Return verify
CSST Bonding YES
Stillman,Gary(Inspector)
Oct 19,2017 Page(1)
INSPECTION 1ORKSHEET (FMGAS-006358-2017)
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000185-2015 Case Module: Permit
Inspection Date: 10/19/2017 Inspection Status: Partial Pass
Inspector: Gary Stillman Inspection Type: Gas Fireplace/Stove
Job Address: 27 GENTRY HILL NORTH Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Primary Owner [Sch Cottage Hill,LLC]
Granted Permission [Sch Cottage Hill,LLC]
Applicant [Schermerhorn Properties]
Contractor [Schermerhorn Properties]
Checklist Item Passed Comments
Fire Marshal Notes YES Superior Fireplace
MODEL#DRT2033TMN
SERIAL#A17F285034
Building Inspection notes YES Unit C
Floor Protection YES
Clearances to Combustibles(all sides) YES
Firestop(s)-Wall Penetration YES
Vent Clearance to Combustibles YES Exceeds installation manual/3 inches top, 1 inch sides
Vent Chimney Termination YES
Gas Shut-off Valve YES
Combustion Air YES
Hearth Extension(if any) YES Not required per page 14 installation manual
Mantel-height above fp opening NO See page 15 of installation manual for clearances
Return to verify
Witness Operation NO Return to verify
CO Detection NO Return verify
CSST Bonding YES
Stillman,Gary(Inspector)
Oct 19,2017 Page(1)
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000185-2015 Case Module: Permit
Inspection Date: 10/19/2017 Inspection Status: Partial Pass
Inspector: Gary Stillman Inspection Type: Gas Fireplace/Stove
Job Address: 27 GENTRY HILL NORTH Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Primary Owner [Sch Cottage Hill,LLC]
Granted Permission [Sch Cottage Hill,LLC]
Applicant [Schermerhorn Properties]
Contractor [Schermerhorn Properties]
Checklist Item Passed Comments
Fire Marshal Notes YES SUPERIOR FIREPLACE
MODEL#DRT2033TMN
SERIAL#Al 7F285032
Building Inspection notes YES Unit B
Floor Protection YES
Clearances to Combustibles(all sides) YES
Firestop(s)-Wall Penetration YES
Vent Clearance to Combustibles YES 3?top 1?side-exceeds installation manual Spect
Vent Chimney Termination YES
Gas Shut-off Valve YES
Combustion Air YES
Hearth Extension(if any) YES Not required per page 14 installation manual
Mantel-height above fp opening NO See page 15 of installation manual for clearances
Return verify
Witness Operation NO Return to verify
CO Detection NO Return verify
CSST Bonding YES
Stillman,Gary(Inspector)
Oct 19,2017 Page(1)
Town of Oueensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000185-2015 Case Module: Permit
Inspection Date: 10/19/2017 Inspection Status: Partial Pass
Inspector: Gary Stillman Inspection Type: Gas Fireplace/Stove
Job Address: 27 GENTRY HILL NORTH Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Granted Permission [Sch Cottage Hill,LLC]
Applicant [Schermerhorn Properties]
Contractor [Schermerhorn Properties]
Primary Owner [Sch Cottage Hill,LLC]
Checklist Item Passed Comments
Fire Marshal Notes YES Superior Fireplace-model#DRT2033TMN
Serial#A17F 285233
Building Inspection notes YES UNIT A
Floor Protection YES
Clearances to Combustibles(all sides) YES
Firestop(s)-Wall Penetration YES
Vent Clearance to Combustibles YES 3?top, 1?side-exceed installation manual specs
Vent Chimney Termination YES
Gas Shut-off Valve YES
Combustion Air YES
Hearth Extension(if any) YES Not required per page 14 of installation manual
Mantel-height above fp opening NO See page 15 of installation manual for clearances
Return to verify
Witness Operation NO Return to verify
CO Detection NO Return verify
CSST Bonding YES
Stillman,Gary(Inspector)
Oct 19,2017 Page(2)
Innovative Hearth Products Installation
Superior m DRT2000 and DRC2000 Direct-Vent Gas Fireplaces 900004-00,04/2015
Table 7:Horizontal vent termination clearances for buildings with combustible and noncombustible exteriors
t Outside Corns Raceasen Location
I See Table a 8 i Nil
Inca Cornet . —1j, ,
o H G U /7 In
lose. ❑ Opereble C'O Balcony with No Bid.Wall Balcony with P.,p dl ular sine Wall
_p_0 ,Openable 9 Q ..
e BI ® \III:::; I;I � MT
4 M a i��
V—K—X 10 VI
0 TERMINATION CAP O AIR SUPPLY INLET Q GAS METER 0 RESTRICTED AREA
(TERMINATION PROHIBITED)
U.S.Installation** Canadian Installation*
A Clearance above grade,veranda,porch,desk,or balcony 12"(300 mm)** 12"(300 mm)*
B Clearance to window or door that may be opened 6"(150 mm) 6"(150 mm)
for fireplaces<10,000 Btu/h(3 kW), for fireplaces<10,000 Btu/h(3 kW),
9"(230 mm) 12"(300 mm)
for fireplaces>10,000 Btu/h(3 kW),and<50,000 Btu/h for fireplaces>10,000 Btu/h(3 kW)
(15 kW),
12"(300 mm)
for fireplaces>50,000 Btu/h(15 kW)**
C Clearance to permanently closed window 9"(229 mm) 12"(305 mm)
recommended to prevent window condensation recommended to prevent
window condensation
D Vertical clearance to ventilated soffit located above the 18"(458 mm) 18"(458 mm)
termination within a horizontal distance of 18"(458 mm)
E Clearance to unventilated soffit 12"(305 mm) 12"(305 mm)
F Clearance to outside corner 5"(127 mm) 5"(127 mm)
minimum minimum
G Clearance to inside corner 6"(152 mm)minimum 6"(152 mm)minimum
H Clearance to each inside of center line extended above 36"(910 mm) 36"(910 mm)
meter/regulator assembly within a height of 15 ft above the meter/regulator assembly** within a height of 15 ft above the meter/
regulator assembly*
I Clearance to service regulator vent outlet 36"(910 mm)** 36"(910 mm)*
J Clearance to nonmechanical air supply inlet to building or 6"(150 mm) 6"(150 mm)
the combustion air inlet to any other fireplace for fireplaces<10,000 Btu/h(3 kW), for fireplaces<10,000 Btu/h(3 kW),
9"(230 mm) 12"(300 mm)
for fireplaces>10,000 Btu/h(3 kW)and<50,000 Btu/h(15 kW), for fireplaces>10,000 Btu/h(3 kW)
12"(300 mm)
for fireplaces>50,000 Btu/h(15 kW)**
K Clearance to a mechanical air supply inlet 36"(910 mm)above if within 10 ft(3 m)horizontally** 72"(1830 mm)*
L Clearance above paved sidewalk or paved diveway located 84"(2130 mm)$ 84"(2130 mm)#
on public property
M Clearance under veranda,porch,deck or balcony 12"(300 mm)*$ 12"(300 mm)*$
N Depth of alcove(maximum) 72"(1830 mm)** 72"(1830 mm)*
0 Clearance to termination(alcove) 6"(15.2 mm)** 6"(15.2 mm)*
P Width of alcove(minimum) 36"(910 mm)** 36"(910 mm)*
0 Clearance to combustible above(alcove) 18"(457 mm)** 18"(457 mm)*
" In accordance with the current CSA-B149.1 National Gas And Propane Installation Code
** In accordance with the curent ANSI Z223.1/NFPA 54 National Fuel Gas Codes
$ A vent shall not terminate directly above a sidewalk or paved driveway which is located between two single family dwellings and serves both dwellings
*$ Only permitted if veranda,porch,deck,or balcony is fully-open on a minimum two sides beneath the floor
13
Innovative Hearth Products Installation
SuperiorTM DRT2000 and DRC2000 nirect-Vent Gas Fireplaces 900004-00,04/2015
MINIMUM CLEARANCES TO COMBUSTIBLES
Fireplace And Vent Clearances
The fireplace is approved with zero clearance to combustible materials on all sides (Table 8),with the following
exception:The unit may not be recessed (allowance made for mantel legs/side trim in Figure 6).When the unit is
installed with one side flush with a wall,the wall on the other side of the unit must not extend beyond the front edge
of the unit(Figure 6).
Table B:Minimum Clearances *
1"(26mm)to wrapper for 45"model,all
Back others 1/2"(13mm)to wrapper
0"(0 mm)to Spacers
Sides 1/2"(13 mm)to wrapper
0"(0 mm)to Spacers**
Top Standoffs 0"(0 mm)to top standoffs
Floor 0"(0 mm)
From Bottom of Unit to Ceiling 64"(1626 mm)
Vent 3"(76 mm)—Top****
1"(25.4 mm)—Sides and Bottom
Front Service Clearance— 36"(914 mm)
clearance immediately in front of viewing area(s)
*3"(76 mm)above any horizontal/inclined vent component.
**See Page 19 for clearance requirements to the nailing flange located at each side of the unit and any screw heads adjacent to it.
***Top vent clearance can be reduced to 2"on horizontal runs when first elbow is located at least 6 ft above the fireplace.
The fireplace must be mounted on a fully supported base extending the full width and depth of the unit.The fireplace
may be located on or near conventional construction materials. However, if installed on combustible materials, such
as carpeting, vinyl tile or other combustible material other than wood flooring,the appliance shall be installed on a
metal or wood panel extending the full width and depth of the appliance.
Hearth Extension
A hearth extension is not required with this fireplace. If a hearth extension is used, do not block the lower control
compartment door.Any hearth extension used is for appearance only and does not have to conform to standard
hearth extension installation requirements.
Shelf Height
To provide for the lowest possible shelf surface, use the rear vent model. For top vent models,the venting attached
to the top vent should be routed in a way to minimize obstructions to the space above the fireplace. Do not insulate
the space between the fireplace and the area above it(Table 9and Table 10).The minimum height from the base
of the fireplace to the underside of combustible materials used to construct a utility shelf in this fashion is shown in
Table 9 and Table 10.
Table 9:Combustible Shoff Height—Top Vent
Top Vent with one 90°Elbow
Model
Secure Vent® Secure Flex®(flex elbow)
DRC2033/DRT2033 44"(1118 mm) 46"(1168 mm) FroDRC2035/DRT2035 47"(1194 mm) 49"(1245 mm)
MINIM
DRC2040/DRT2040 52"(1321 mm) 54"(1372 mm) No,combustiblesor insulation
Shelf Height in the shaded
DRC2045/DRT2045 50"(1270 mm) 52"(1321 mm) (see table) area between
the appliance
and the shelf
above it.
imumememm
14
Innovative Hearth Products Installation
Superior"'DRT2000 and DRC2000 Direct-Vent Gas Fireplaces 900004-00,04/2015
Table 10:Combustible Shelf Height—Rear Vent
Rear Vent with two 90°Elbows
Model >_3"clearance from shelf to
Secure Vent® Secure Flex®(flex elbow) top of fireplace and/or vent JI
DRC2033/DRT2033 34"(864 mm) 34"(864 mm) pipe,whichever is higher
DRC2035/DRT2035 35 1/2"(902 mm) 351/2"(902 mm) 1141
®II
DRC2040/DRT2040 40 1/2" 1029 mm 401/2"(1029 mm) "'��/ �O/N No
Shelf Height
( ) y / combustibles
y �
DRC2045/DRT2045 451/2" 1156 mm) 451/2 mm)" or insulation
( (1156 (see table) p in the shaded
area between
the appliance
and the shelf
above it.
Figure 6:Combustible Side Clearances Figure 7:Mantel Height
At 6"minimum
side wall /----
clearance,a Mantel depth ►
combustible Top View of 457
wall can project 18 Fireplace ( ) _
to any length. 16(406) ��..
Combustible materials 14(356)
45° 3 1/2° allowed in shaded area
(89 mm) "Safe Zone". 12(305)
-
Combustible walls 10(254)
shown in dark gray
8(203)
Combustible mantel
legs may project 12 a 4
beyond either side of (305) (263) (102)-a— Hood
the fireplace opening 10 6 2
as long as they are kept in.(mm) (254) (152) (51) A
within the shaded area
i illustrated here. Fireplace
6"
(152 mm)
Wall Finishes/Surrounds/Mantels
NOTE: Combustible wall finish materials and/or surround materials must not be allowed to encroach the area defined
by the fireplace front face (black sheet metal).Never allow combustible materials to be positioned in front of or
overlapping the fireplace face(Figure 41).
Non-combustible materials,such as surrounds and other fireplace trim,may be installed on the fireplace face,but they
must not cover any portion of the removable glass panel or control compartment.
Vertical installation clearances to combustible mantels vary according to the depth of the mantel (Figure 7). Mantels
constructed of non-combustible materials may be installed at any height above the fireplace opening. However, do
not allow anything to hang below the fireplace hood.
Minimum clearance requirements include any projections such as shelves,window sills, mantels,etc.above
the fireplace.
NOTE:To avoid heat-related finish damage,use finish materials rated 175°F,or higher,on the underside of the mantel.
INSTALLATION PREPARATION
The fireplace is shipped with all gas controls and components installed and pre-wired. Before installing the fireplace,
follow these steps:
1. Remove the shipping carton,and retain the front of the carton (used to protect the fireplace during construction).
2. Remove the shipping pad, exposing the front glass door.
3. Remove the glass door(Page 57).
NOTE: Place the glass door on the shipping carton to protect its surface.
15
71 1
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection re• .-.- - e. ;d: `* 12015
Queensbury Building&Code Enforcement Arrive: 7:43) Depart: 1:-30 a 7il
Bay Rd., Queensbury,742 ueensbu ,NY 12804 Inspector's Initi. s• Af
NAME: SCA/1itli ri Q)✓hO)i►) Pi/FIT IT#: ( - 11 I��
LOCATION: CA 21, "f^ war
� � ��� t� . SPECT ON: •
TYPE OF STRUCTURE: AVt.
Comments
Y / N N/A C119-22b z1
Footings \A`� �`�� /
(9/ Piers),
Monolithic Slab
Reinforcement in Place V .
The contractor is responsible for \\Qk.2 M F-5
providing protection from freezing
for 48 hours following the placement I
of the concrete.
Materials for this purpose on site.
•Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Fo ting Drain Stone:
12 inch width
ii 6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
(...)/
Foundation Insulati• Interior 'xterior L RC2 �v
t _
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
eb
Vv .,
6 LO
Rough Plumbing I Insulation Inspection Report
Inspection request received 1 62,0AS
Name Sc VICY vrTiVn Inspected on Il 1I 2c6, Alik
LocationCc.\—k-TAK_ 2 1 Arrive Iii&WA a ,am
Permit No. '2-C V- Inspector's Initials
Type of Structure ,pr;?
COMMENTS
4111, .7--- ‘ N.- 1.; 'S7--r_:_-"Ctvw.,t•J'
Y N NA '1)(-)r)n
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent /Vents in Place
1 V2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
D / ent
ft. above highest connection for 15 minutes1.//I.r'o
essure Test
Water Supply Piping j
Air/ Head
50 P.S.I for 15 minutes
Insulation / Residential Check / Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent,Attic Vent
Door /Window Sealed (No Insulation) 66
R-ZOjr ��F «L � .
Duct/ Hot Water Piping Insulation �V
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly /No duct tape
Blower Door Test
Air Sealing
Ci
Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection reque --v-• I 'S
Queensbury Building&Code Enforcement Arrive: qp��a • 'epart: �L am/
742 Bay Rd., Queensbury,NY 12804 Inspector's Inti.
NAME: Sc xn c .v v-1 ` PERMIT#: 1.5-- I r2---
LOCATION:
?/LOCATION: CA-1-1E 21 , 21- ( tv 4itk t/4 t INSPECT ON: 112-0 I Val
TYPE OF STRUCTURE:
Comments
111/11111111111"."1114°'
Y_ N N/A I -r22-)521
Footings
Piers
Monolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
- 6 mil soly for wet areas under slab
al
Plumbing Under Slab
PVC/Cast/Copper
rR
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
C (3S
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection reques =
Queensbury Building&Code Enforcement Arrive: --RD a � � .epart: 1`.V1-7 a pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial ire
/
NAME: Cjk P,/r,,\ �° AJ t lJ i � �i�lp, •� IT#: / $ `l
LOCATION: 7 G...P-,.' /' I ( AJH INSPECT ON:
TYPE OF STRUCTURE:
151 h • -k3a-
Comments
N N/A
, ut tings —
Piers
Monolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
/ 0 , 12--
Foundation
ZFoundation Inspection Report
Office No. (518) 761-8256 Date Inspection r-a i =• l 3.
Queensbury Building&Code Enforcement Arrive: tY i M� !epart: t]`- •41111P
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials.
•
NAME: G — C , �c� -�` j RMIT#: ) /
S l
LOCATION: a / G (24ry (-I t ll &lG . INSPECT ON: 7/7.7/
TYPE OF STRUCTURE: (16.
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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 &a@\c2Gc
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
0--
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection • 'est re-rived• 7/i /
Queensbury Building&Code Enforcement Arrive: _AVO: Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial•_A
NAME: CC H ' P'RMIT#: ) r/1 2
LOCATION: j:7 N, 1( 'N}ar'sr- INSPECT ON: —00)
TYPE OF STRUCTURE: 1 ,C} - "1-1;)—L
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing n
for 48 hours following the placement �'(�k g-1,7
of the concrete. ��
Materials for this purpose on site.
oundation/Wallpour
*
Reinforcement in Place iV//
Footing Dowels or Keyway in place
Foundation Dampproofing V
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
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PHASE TWO - PARCEL "A"
UTILITIES
�GDg,IVE F