2012-149 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120149 Date Issued: Monday, March 18, 2013
This is to certify that work requested to be done as shown by Permit Number P20120149
has been completed.
Location: WARREN St
Tax Map Number: 523400-310-007-0001-001-000-0000
Owner: GF LEHIGH CEMENT CO.
Applicant: G F LEHIGH CEMENT CO.
This structure may be occupied as a:
Commercial / Industrial Unheated By Order of Town Board
TOWN OF QUEENSBURY
rcD
Issuance of this Certificate of Occupancy DOES NOT relieve the property
,-5t
owner of the responsibility for compliance with Site Plan, Variance, or '
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
AO` TOWN OF QUEENSBURY
Al 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120149 Application Number: A20120149
Tax Map No: 523400-310-007-0001-001-000-0000
Permission is hereby granted to: G F LEHIGH CEMENT CO.
For property located at: WARREN St
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 Value
Owner Address: G F LEHIGH CEMENT CO. Commercial/Industrial Unheated $125,000.00
LEHIGH HANSON C/O RYAN INC.
13155 NOEL Rd Suite 100 Total Value $125,000.00
DALLAS, TX 75240-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
BP 2012-149 Lehigh Northeast Cement Company
2,310 sq. ft. storage tank containment basin
$100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, April 20, 2013
(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 e sbury;� Frida A s ri120, 2012
SIGNED BY s for the Town of Queensbury.
Director of Building& Cod Enfo -ment
�vto.7-l-l OF•ICE USE ONLY E. "�'
TAX MAP NO. i / PERMIT NO. U• 14 E---- •
FEES: PERMIT I41 '`RECREATION_ ENGINEERING
(If applicable) TOWN OF QUEENSBUZY
BUltD11CIC&"CODES'
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.
Lehigh Northeast
APPLICANT/BUILDER: Cement Company OWNER: Lehigh31 Northeast Cement Company
3ADDRESS: Glens3 aFalls,Street
ADDRESS: GlensaIaL1s,tffe 2801
PHONE NOS. 518-792-1137 PHONE NOS. 518-792-1137
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:David Dreyer 232-7432 Ext. 225
Y PHONE: 232-7412
LOCATION OF PROPERTY: 313 Warren Street, Glens Falls, NY 12801
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? D YES J NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR z 0 O o U- cn
PROJECT g g
w z� � O � O = =
E w U " Lu = 1- O 2z
LU 0 J U' z
I— F
C'1 - O I—
z < < eco cn 0u i- � a = te
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER X 2310
Town of Queensbury* Community Development Office* 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: Lehigh Northeast Cement Company
ESTIMATED CONSTRUCTION COST: $125,000.00 FUEL TYPE: N/A
HEAT TYPE: N/A *HOW MANY FIREPLACE(S): N/A AND/OR WOODSTOVES(S): N/A
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? No
IS THIS A HISTORIC SITE? No
PROPOSED USE OF BUILDING OR ADDITION: Storage Tank Containment
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? Yes
ARE THERE EASEMENTS ON PROPERTY? No
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
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 .i'r.• r-- , he above.
Signe,
t_
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Administrator: 761-8218 (for 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
r
Permission is hereby granted to the above This application / 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:
BUILDIN & ODES AP' OVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codest queensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
Operating 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
Revised 4/14/2010
PROJECT NAME: Office Use Only
Staff Initials:
BUILDING PERMIT SUBMISSION Date:
CHECKLIST FOR:
MULTIPLE DWELLING OR COMMERCIAL PROJECTS
1. Building Permit Application Completed? Yes No N/A
x
2. Energy Code CommCheck and Inspector's Report Form? (2 copies)
x
3. Septic application completely filled out? (if applicable)
x
4. Electrical inspection agency selected?
x
5. Two (2) sets of the plans for each of the following:
x
a. Floor plan(s)
x
b. Foundation plan
x
c. Cross Sections
x
d. Elevations
x
e. Design loads including floor, snow load and wind load
x
f. Seismic design (required after January 2003) x
g. Plans signed and sealed by registered architect or engineer
x
h. Window and door schedule x
6. Two (2) site plans showing location of the structure to be built, location of well or
water lines, location of septic system or sewer line with all setbacks and
separation distances shown, and all improvements to the property x
7. Solid Fuel Burning or Gas Appliance Form (if applicable)
x
8. Driveway Permit
x
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
�R�E- �UR�-2�.� z�Z-�u► 12_-
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection requ- -►ei -d:
Queensbury Building & Code Enforcement Arrive: \ • 10 a (j. ; Depart: \ = apr
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: AP
NAME: L Q' tokh r\ + PERMIT #.
LOCATION: 1&) Q fr Ev_y) S DATE: — --
COMMENTS:
Y N NA
Chimney I "B"Vent/ Direct Vent Location
Plumbing Vent Through Roof 6"/ Roof Complete
Exterior Finish/ Grade Complete 6"in 10'or Equivalent
Interior/ Exterior Guardrails 42 inch Platform/ Decks
Interior/ Exterior Balusters 4 inch Spacing Platform / Decks
Stair Handrail 34 inch — 38 inch / Step Risers 7"/Treads 11"
Vestibules For Exit doors > 3000 sq. ft.
All Doors 36 inch w/Lever Handles/ Panic Hardware, if required
Exits At Grade Or Platform 36"(w)x 44"(I)/ Canopy or Equiv.
Gas Valve Shut-off Exposed & Regulator (18")Above Grade
Floor Bathroom Watertight/ Other Floors Okay
Relief Valve, Heat Trap / Water Temperature 110 Degrees Maximum
Boiler/ Furnace Enclosure 1 hour or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1/z doors
> 10% > 1000 sq. ft.
3/4 Hour Corridor Doors &Closers
Firewalls/ Fire Separation, 2 Hour, 3 Hour Complete/ Fire Dampers
/ Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft. Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/ Shaft Sealed
Handicapped Bathroom Grab Bars/ Sinks/Toilets/ Mirrors
Handicapped Bath/ Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 inch, Checkout 36 inch
Handicapped Ramp/ Handrails Continuous/12 inch Beyond [Both
sides]
Active Listening System and Signage Assembly Space -
Final Electrical / Flex Gas Piping Bonded L
Site Plan/Variance required
Final Survey, New Structure/ Flood Plain certification, if req.
As-built Septic System Layout Required or On File /-p
Building Number or Tenant Address on Building or Driveway 4" OIC
Water Fountain or Cooler /.
Building Access All Sides by 20'/ Drivable Surface 20'wide
Special Inspections/ Engineer or Architect Approval
Okay To Issue Temporary or Permanent C/O .
Okay To Issue C/C
Commercial Final Inspection Report_revised 11-27-2012
- • .
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'`V▪ P ELECTRICAL CERTIFICATE °
• • -,uj--'. _ Vi i.
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' ',�_ COMMONWEALTH ELECTRICAL -- =
•,4'--- INSPECTION SERVICE, INC.
: :- :
▪ :� : 176 DOE RUN ROAD, MANHEIM, PA 17545 � �
"• '::: TELEPHONE: (717) 664-2347 ; . `
• - === New York Office: (585) 624-2380 u-'-' '
tier- -
h .— {'remises of: LEHIGH NORTHEAST CEMENT CO. as
_=Address: 313 WARREN STREET.GLENS FALLS NY : C
3) ;::-.1.--.E...17.--...1
^A" County of: WARREN Permit #:
-1';;.5... a_' Installed by: M. FUNK - ')
Apparatus: 2-I 17HP M()TORS.2-MOTOR DISCONNECTS x.CONI-R()1,8,4-250W METAL
" --=:
, _ - HALIDES. I-SAFETY EQUIPMENT&CONTROLS
Irl,wrY _ -: :c).
•
rr = Inspected by: DONALD I.OVELAND
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•
• ` - The conditions h ilosung eosemcd issuance ul ilus certificate,and any certificate prevtau,ly
:,,,e,'&- l,v, issued it cancelled I.itliii u.ha'i•the property rrmspeeud when additional otitapniont or wirint ie t;I,
'.' -• =added;or within one y ear from the date of the certtfiutte shall told the certificate In its entirely and the
..Ate :..:..,-: .•ompant shall not be liable for any damage:whatsreter " '
This certificate does not guarantee efliucney. \tearing qualities.maintenance or repair and the ',••/
.
tumpanr shall not he liable for any damage:rccultism trout am defect or fault in the plans or.pet-area-
1. M ''i is including rep.nr icconstrucnon.personal intun or tor the death of ant person.and `
44: 31
\ _=' chis certificate only cuter' usu.it inspection of wtring and dip.:.not coter manufacture sir use
!t�111$:1:.,::',.'.• Inspt.•cuDIN of this(ump:my shall hate the privilege of making inspection.,at:my tnnq aid it ;.,.',L
^ is telt.are',mimed.rite I'ompany shall hate the right to root,.the certificate
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Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection reques eceived:
Queensbury Building &Code Enforcement Arrive: `: 3() a m Depart: :35—am
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: a
NAME: \--EI-\\ 1 c'�t�1EU�^ PERMIT#:
LOCATION: ( 12.1 V.-(2-EI 4--)k DATE: — \"l— 17
COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6" in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.-38 in./Step Risers 7"1 Treads 11"
Vestibules For Exit doors> 3000 sq. ft
All Doors 36 in.w/Lever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight I Other Floors Okay
Relief Valve, Heat Trap/Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System 1
Fresh Air Supply for Occupancy/Ventilation Combustion \\�- - \` -7
Low Water Shut Off For Boilers F IRR UMQ
Gas Furnace Shut Off Within 30 ft or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors
> 10%> 1000 sq.ft.
$/Hour Corridor Doors&Closers
Firewalls I Fire Separation, 2 Hour, 3 Hour Complete I Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq.ft Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24" — i E-S) F\ EL
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed \ € \DZ
Handicapped Bathroom Grab Bars I Sinks I Toilets
Handicapped Bath/ Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond [Both
sides]
e Listening-S s.em and Signage Assembly Space
Final Electrical/F Gas Piping Bonded
lance required
Final Survey, New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4"
Water Fountain or Cooler
Building Access All Sides by 20'I Driveable Surface 20'wide
Okay To Issue Temp. or Permanent CBO
Okay To Issue C/C
L:1Building&Codes Forms\Building&Codesllnspection FonnslCommercial Final Inspection Report.doc Revised January 7,2008
HAANEN ENGINEERING , LLP
September 19, 2012
Lehigh Northeast Cement Company
P. 0. Box 440
313 Warren Street
Glens Falls, New York 12801
Attn: Dave Dryer;
Maintenance Manager
Re: Letter of Completion; Ammonia Tank Foundation and Containment
HE Project No. 251247
Gentlemen:
This letter is to confirm that the ammonia tank foundation and containment were constructed as
per drawings and specifications developed by Haanen Engineering "Issued for Bid/Permit"
dated 3/30/12. Periodic site visits were conducted by Haanen Engineering personnel during
construction to monitor construction activities.
If questions or concerns arise, please contact me at(518)793-7444 ext. 19.
Very truly yours,
HAANEN ENGINEERING, LLP - = : 7
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6124'J .1J'
.......,<V.","‘";f 9(r fl tz
Daniel A. De Nero, P. E. FSS2 ,
Principal '
254 Bay Road, Queensbury, NY 12804
Tel:518-793-7444 Fax:518-793-7061 Email: hjh@hjhllc.com
Commercial Final Inspection Repo
Office No.: (518) 761-8256 Date Inspection requ 4'- :ived:
Queensbury Building &Code Enforcement Arrive: `° am/fl/. .- Depart: 2._%ac-a /per
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: i l'
NAME: 1-\l Evs\)-7 E )-7PERMIT •• -- r
LOCATION: a► �" ��o DATE: • — —
COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior 1 Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.•-38 in./Step Risers 7"/Treads 11"
Vestibules For Exit doors> 3000 sq. ft.
All Doors 36 in.wlLever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44"(I)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Fkxor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap 1 Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 %doors
> 10%> 1000 sq.ft.
'/.Hour Corridor Doors&Closers
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30'(h), Crawl Space Access 18"x 24" C�0 A RCS 1—TECO
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed C k)61 bO E EiZ!•
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible FA tJ -PwoL
Handicapped Service Counters,34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond [Both UE-T-1--EV--- 1313
sides]
E-T-1 -EV----
sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure I Flood Plain certification,if req. t_ECTCA C��
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4' —Tb \::).. 1-1\R>3
Water Fountain or Cooler .
Building Access All Sides by 20'/Driveable Surface 20'wide
Okay To Issue Temp. or Permanent CIO
Okay To Issue C/C
L:\Building&Codes Forms\Buikling&Codes\lnspection Forms1Commercial Final Inspection Report.doc Revised January 7,2008
Gia-A.C.e & 0 `IcC1�\
Foundation Inspection Report
Office No. (518)761-8256 Date In . • do •u ceiv •: .-41
Queensbury Building&Code Enforcement Arrive. -Z, ), Depart: iffir..;.**- n
742 Bay Rd.,Queensbury,NY 12804 Inspector's Init!:! •407,
NAME: @C'�^ � 'ERMIT#: 1D-•"-M9
LOCATION: 0 LA o ,, Q,r4S A- INSPECT ON: to— --�
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings I
Piers
Monolithic Slab
Reinforcement in Place ,J
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 Dampproofmg
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\Buiiding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
C (o f(' � (
Foundation Inspection Report ))14-'
Office No.(518)761-8256 Date Inspection r '• S / 31 I l
-2-
Queensbury Building&Code Enforcement Arrive: V-3DDepart: `. ark
742 Bay Rd.,Queensbury,NY 12804 Inspector's Inti: --1117
, c
NAME: FRMIT#: r
LOCATION: 5/ E t-r{; ._cif//' ✓ 2•-°-►- ire('T INSPECT ON: L-,( "L_
TYPE OF STRUCTURE: Y r'
Comment(
1 - )1 �
Y N NSA
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 Waterproofmg
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:\Bullding&Codes Forms\Bullding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report /J7°11---
?Owl
Office No.(518)761-8256 Date Inspection t ' -� 'v•e
Queensbury Building&Code Enforcement Arrive: = ;:��I. pep: : - m P
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi:
k Ar
NAME: � 9-A.%647, 'ERMIT#: &/(3--/
LOCATION: j( INSPECT ON: Alder er__ )I
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers �.
MonoIithi Slab ;` .V R)61
Reinforcem- 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/Walipour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofmg
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\Inspecctlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
e.scic., I-3
Foundation Inspection Report
Office No.(518)761-8256 Date Insi ectionrequest .4 iv:..
Queensbury Building&Code Enforcement Arrive: \'-3, am/1N epart: j - am/ nip
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ■,
NAME: k Q k i '1 L.(2.-nl P x `V 'ERI4IIT#: 0—/"(9
LOCATION: (\ 'LJC M Li,4\_ S - t. 'PECT ON: 5.— cj—
TYPE OF STRUCTURE:
Comments
Y N N/A Re r
Footings t-kk)t
friers
44onoIfthic Slab A\� ��
Reinforcement in Place \ IID \--
�;
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\Buliding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
ue,s D -1 �
Foundation Inspection Report
Office No.(518)761-8256 Date In 6 tion -. -4e.;
e«; S - 1 A.
Queensbury Building&Code Enforcement Arrive: "-%0.... t11.: Depart: k\ a m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initt: j
NAME: 1, PAN ! �� P lI #: / —
LOCATION: INSPECT ON:' -
TYPE OF STRUCTURE:
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
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Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
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\Inspecctlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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Foundation Inspection Report
Office No.(518)761-8256 Date Inspection req iv,d: S /
Queensbury Building&Code Enforcement Arrive: 11 : : • s I epart: \2 a pm�
742 Bay Rd.,Queensbury,NY 12804 Inspector's Inti: •
NAME: �..c,l�1q,{' c en f' I T#: <1
LOCATION: (4 ) „AJ2,..,,„,s f- r SPECT ON: S— 18 /a,
TYPE OF STRUCTURE:
Comment,
Y N N/A
Foot'
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 Dampproofmg
Foundation Waterproofmg
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 12/20/2005 9:24:00 AM
L. ( 0 , c_ "C 03(
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection � : k
Queensbury Building&Code Enforcement Arrive: : i . ! part: , ;:g•
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials. ,Oj
NAME: ISL' C I P T#: ( l
LOCATION:31 L4, ^l,` SPECT ON:
TYPE OF STRUCTURf1
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
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone: r
12 inch width
y 6 inches above footing
'c1� e mil poly for wet areas under slab
ackfill Approval
'lumbing 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\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
u clot l 3 C - , 3°
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request r •d: 6 f r)))
Queensbury Building&Code Enforcement Arrive: L=ZO epart: Z:gc-am,
742 Bay Rd.,Queensbury,NY 12804Inspector's Initial • ",/
• �r
NAME: L. g_h t h �?�M��' PERMIT#: I — 1 y q
LOCATION: Lp SflNSPECT ON: 5/ 8/1 A
TYPE OF STRUCTURE:
Comments
Y N N(A
Footings L��C-1? -1 E EI7
7
Piers
Monolithic Slab
NTE .
Reinforment in
The contractorceisPlace 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 Dampproofmg
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\Buliding&Codes\lnspecdon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM