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2012-181 ay^. TOWN OF QUEENSBURY tp 742 Bay Road,Queensbuq,NY 12804-5902 (518)761-8201 401. Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120181 Date Issued: Monday, March 03, 2014 This is to certify that work requested to be done as shown by Permit Number P20120181 has been completed. Location: 59 MEADOW VIEW Rd Tax Map Number: 523400-297-017-0001-078-000-0000 Owner: DANIEL & THERESA ANDERSON Applicant: DANIEL & THERESA ANDERSON This structure may be occupied as a: Garage Attached By Order of Town Board Residential Alteration TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property ("DJ' 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. 06* TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120181 Application Number: a20120181 Tax Map No: 523400-297-017-0001-078-000-0000 Permission is hereby granted to: DANIEL& THERESA ANDERSON For property located at: 59 MEADOW VIEW Rd 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: DANIEL&THERESA ANDERSON 59 MEADOW VIEW Rd Garage Attached QUEENSBURY,NY 12804-0000 Residential Alteration $40,000.00 Q Total Value $40,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2012-181 converting existing 2-car garage into master bedroom & bath constructing new 2-car garage $246.90 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 30,2013 (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 Townsbury; y/• pril 30, 2012 i I 4Mod SIGNED BY < / i ,r4 for the Town of Queensbury. Director of Building&Co e Enforcement f - OFFICE USE ONLY ;•--(i ' —P—-� - : " j;' ' TAX MAP NO.a9I' .1�_7 ----PERMIT NO._.._. f g/___ T FEES: PERMIT�`� ECREATION _��__...._.__ENGINEERING_ ___ ;; ' APR 2 0 20 2 , a (If applicable)~� ; : g PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL &'BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTR1301. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OFA VALID PERMIT FOR CONSTRUCTION ' • `, APPLICANT/BUILDER: 'ITS �O4.5i4 t' ) 1 a4 •• y'/ / ADDRESS: 0 C6gdKr �f're /( /17)-7 16)75(5ADDRESS: x29/726 6;t4111/1///e616/ PHONE NOS. 8 -6 ..f- y�7. PHONE NOS. ���41C--.5--?3-3 CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: PHONE: LOCATION OF PROPERTY: 5c( mea i v/(u) ,ted ata S ja7 i()f' 679X5-- HAS 9 "5HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE O' ' BeIVISION 'PPROVAL? 0 YES 0 NO V‘01c--- IF SO, INDICATE APPLICATION NO.AND DATE OF APP-•' • : .ee-fiCliS03No ad PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z o' C'1 Co o LL 0 < O 0 co cn N PROJECTw O � OJI- w —1 0 = M H C1 Z Cl H u1 0 J o O F- o W Z z < < c- C/) � 0 i- il CI_ = «s SINGLE FAMILY X 7 Ut/ ..- eb TWO-FAMILY pp,,,, A MULTI-FAMILY " " (/d L ~' 41- (NO. of UNITS ) ref l' Mlle- �SfIX /� `(� `�`\ TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR , y1?j('/ INDUSTRIAL ATTACHED GARAGE( 0,3) l�V �C - deA OTHER (7_,/, ,-(..? IF COMMERCIAL OR INDUSTRIAL-NA OF BUSINESS: ESTIMATED CONSTRUCTION COST: / FUEL TYPE: HEAT TYPE: *HOW MANY FIREPLACE(S): C AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE?_ 11) 0 PROPOSED USE OF BUILDING OR ADDITION: { \ -'L 6 CO C6"-A- ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? "Picase 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, l 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 to the above. / Signed } � 4 I1 ' PF 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) 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: BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE • QUESTIONS 7 CALL 761-8256 O12 EMAIL codes(a 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 . Queensbury Building & Code Enforcement - Residential Final Inspection c • Office No. (518) 761-8256 Arrive: am/pm Depart: - '1^rf am/pm • Date Inspection request received: Inspector's Initials: '11 - ice. NAME: A- f9 ,� PERMIT#: LOCATION: N\e G?rimco taw DATE: TYPE OF STRUCTU r Comments: Yes No NIA 4" Building Number Address visible from road 6 3 Sq0e) 19' Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake (J Q A63n 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim I doors I main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel �. Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within tine of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer • Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% r Final Survey Plot Plan 1 1--j-)u V Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C I 0[Temporary/Permanent] \, L:1Building&Codes Forms1Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12/22/10, Revised 04/13/11 Queensbury Building & Code Enforcement - Residential Final Inspection 1 a� Office No. (518) 761-8256 Arrive: am/pm Depart: •‘-) am/pm Date Inspection request received: Inspector's Initials: ( tv NAME: ;' n�19,.S0/4 PERMIT#: '2.0 Z — LOCATION: ...Act M t)v )V W C2-.t7 DATE: TYPE OF STRUCTURE: (-J 5 /4.01") LT'ic1Y1 Comments: Yes No NIA 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake \\(7.". 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors /f Every level: ' Every Bedroom: Outside every bedroom ea: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area I Crawl Spaces 18 inch x 24 inch access,1 sq.ft.-150 sq.ft.vents / Bathroom Fans, if no window ,,// Plumbing fixtures Foun /Sticker on Panel �( �11"�• D work sealed.propgdlC/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. �.-to-v Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating `r 7� 1C-�] Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 1/z"Gypsum Basement stairs closed rise>4 inches L F -) Q � Garage Floor Pitched �+' � Garage fireproofing 1%hour fire door/door closer --- Gas Logs in Sealed or Glass Enclosure incl Ele nca Energy Saving Light Bulbs 50% y lot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C/0[Temporary/Permanent] L:1Building&Codes Forms\Building&Codeslinspection For ns\Residential Final Inspection Form_revised_100405.doc; Revised January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm art: yam/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: _,. PERMIT #: /c`� / 39/ LOCATION: . ' ( j INSPECT ON: /t, TYPE OF STRUCTURE: C)(2zA f A IT. ', j,3 iitooC9 _ Y N NIA Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check/Commercial Check �f Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Su. . for Furnace Duct work sealed properly/ No duct tape COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7.2008 asei Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: ► �� Queensbury Building & Code Enforcement Arrive: am/pm Depart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: D - PERMIT #: I ?-) LOCATION: tv j e -c. V, R,4 INSPECT ON: i a-LA -13 TYPE OF STRUCTURE: r .k-�- ' , Y N N/A 53 .-ive) /6-? Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place �/ Lc 1 %z inch minimum Drain Size T Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.1 for 15 minutes Insulation / Residential Check/ Commercial Check 4if f Tyvek or Similar Exterior Sealant Proper Vent, Attic V �x Door/Window Sea No Insulation Duct/Hot Water Piping nsufation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: —' 2x -'`�1`J►` i L ) ÷d \) C> /.--kt:PtC7CO.A7\ VT•1 NCI,Pre6,C- fa,a- Ckr-Z,k, R-OFC0) CPA-74,6 r4- k, Z ter- 0011Z1 Piz I l2., 'S Gv17 - c7c � P 1.�-+° - t31;� ► J o t C Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008 /ta/t 1 -- Rough Plumbing / Insulation Inspects n Report Office No. (518) 761-8256 Date Inspection request received: 0-77,Z0 Queensbury Building & Code Enforcement Arrive: am/pm Depart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: " PERMIT #: LOCATION: '5"ei ti/ � j e- J l_' INSPECT ON: TYPESTRUCTURE: OFS Y (14 N/A Rough �iumbi9 /Nail Pi g ent/Vents in Place 1 6 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout eve 100 feet I chane e of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation /Residential Check I Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If r=•uired unheated s•aces Combustion Air Supply for Furnace Duct work sealed properly I No duct tape .' - , COMMENTS: `L- 1 Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: S A7//3 Queensbury Building & Code Enforcement Arrive: am/pm Depart: I 4‘11r--) am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:0,1; NAME: ii\ Se'''t PERMIT #: LOCATION: '5 7 )cL€J i;'s-S1L��^ , INSPECT ON: TYPE OF STRUCTURE: Y N N/A ( Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test Drain/Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check/Commercial Check 4Tyvek or Similar Exterior Sealant u 1_ b '1 Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly t No duct tape COMMENTS: � ) Rough Plumbing Insulation Report,revised Nov 17 2003, revised February 15,2005, revised January 7, 2008 / - 3 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Ins ecti n quest received: ;?/c //3 2 Queensbury Building & Code Enforcement Arrive: ,t a /pm 742 Bay Road, Queensbury, NY 12804 Inspector's I it als• NAME: (1 V)-< PERMIT#: LOCATION: 56/ omen-°Y)-D Caw l/i Lk—) - INSPECT ON: `3 A TYPE OF STRUCTURE: Y N N/A COMMENTS: )6raming P —{—,',� Attic Access 212" x 20" minimum Jack Studs/ Headers Truss Specification Provided Bracing /Bridging _ Joist hangers Jack Posts/ Main Beams Exterior sheeting nailed properly _ 12" O.C. l Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/ Holes / Bearing Walls Metal Strapping for Notches Top Plate 11/2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses 1ThC) r` Anchor Bolts 6 ft. or less on center Ice ans water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 'h inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space / Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above / below grade 5.0 sf grade Design Professional Sign-off, If required Framing Firestopping Inspection_Revised_02 0513 - Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Ins ection;request received: qi--7//3 Queensbury Building & Code Enforcement Arrive: '? ` L.)-L) am/pm 742 Bay Road, Queensbury, NY 12804 Inspect �s initials: NAME: " S C"� PERMIT#: / 2 - / LOCATION: L \- INSPECT ON: M TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing Attic Access 22" x 20" minimum (-LaG Jack Studs / Headers Truss Specification Provided Bracing / Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches /Holes/ Bearing Walls Metal Strapping for Notches Top Plate 11/2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center )(Ice an water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf grade Design Professional Sign-off, If required Framing Firestopping Inspection_Revised_02 0513 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: _arn/pm Depart:/ m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ' NAME: t PERMIT-____ LOCATION: t Lel. --r: Ok.L V(kV INSPECT ON: - TYPE OF STRUCTURE: ..J2JA4 -� COMMENTS: Framing Attic Access 22" x 30" minimum Jack Studs/ Headers Bracing / Bridging ✓b l�-" � �`" Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/ Holes/ Bearing Walls 1 Metal Strapping for Notches Top Plate 1 % (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour ------ Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 'A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/ Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/ below grade 5.0 sf grade _ L:\Building&Codes Forms-0LD\Puilding&CodeskInspedion Forms'Framing Firestopping Inspection Report.doc Revised January 7,2008 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ut-c > t 1. -I/L) NAME: �v - i l Z'+� 1 PERMIT#: - ( tom LOCATION: / k � �> ` -u ra.) INSPECT ON: r � TYPE OF STRUCTURE: C_ > 2� [ J ► i> ;T Lti l 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 r Foundation Waterproofing Footing Drain Daylight or Sump (i://) 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:\Buliding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: I i Queensbury Building&Code Enforcement Arrive: am/pm Dep pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:OC NAME: 1 i\IU-jV c:,\J PERMIT#: 1 / LOCATION: ij 0112���k t t 1/ + c'i J r Zc OINSPECT ON: S' TYPE OF STRUCTURE: / / Comment. NNAA ootings Y 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 or Keyway Ce:3. S eyway 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 Forrns\Buiiding&Codes\lnspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Community Development Office 4.1*.:...._ Toxon ofQuectrsbarry • 742 Gay I:if. — r� ` Qtreens!?rrry, Nezn York •12804 PLOT PLAN �°GO�'�� 0 _.: / ' I U 1 1rz- 7� I _3 �E: i "semi Atie i(s.i C1 . wo es- Show all existing and proposed structures. Indicate the setbacks of all structyres and buildings from all property linumnaop sunk u0 1.uv oils =I. ,j o° ,, 1 . ., .. -. ;, .,., 'sasnoq se Lions sTaalao lie r= - o 'c . SIDE-PROPERTY LINE '}o aouep! 2 M,es 1 a/\ q Jo 'pan.leC.0 Has aneq I„ n,„ n;' � L_._. n l , I _ 1 Lu cp. J V } • -0 T l- 4 N OT ^W 0 0_ O m lY 1 ip6. . __ __ . go . _ lir i H!.. . rw I 1 1 SQUARE = FT. SIDE PROPERTY LINE -sole\+- B 14-LTR 11-05