2012-292 .�� TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
dew
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120292 Date Issued: Tuesday, October 16, 2012
This is to certify that work requested to be done as shown by Permit Number P20120292
has been completed.
Location: 68 MELDON Cir
Tax Map Number: 523400-289-020-0001-034-000-0000
Owner: MICHAELS GROUP
Applicant: MICHAELS GROUP
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Townhouse '
Issuance of this Certificate of Occupancy DOES NOT relieve the property �•�
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.
1
TOWN OF QUEENSBURY
A00/4 111 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
c
Community Development- Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120292 Application Number: A20120292
Tax Map No: 523400-289-020-0001-034-000-0000
Permission is hereby granted to: MICHAELS GROUP
For property located at: 68 MELDON Cir
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: MICHAELS GROUP Fireplace
SUITE 1 Garage Attached
10 BLACKSMITH Dr Townhouse $215,000.00
MALTA,NY 12020 Total Value $215,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-292
1,369 sf 1st Floor; 664 sf basement
492sf attached garage& 1 Fireplace
$480.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 21,2013
(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 o uee bury; IhU r 'a/June 21,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
TAX MAP NO.0) Q/1 _f, �d /-3 J PERMIT NO. ) J`- a-94Z JUN 1 3 2012
FEES: PERMITS Sb, 40 RECREATION N JT ENGINEERING
P 50 (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:'1-tom 1CA•11%,ELS tQ Cl1zFOWNER: `' 1.1
ADDRESS: \o aks1/4-uhsvAst\# , %-IPd i 1W4" 12-0Z. ) ADDRESS: "
PHONE NOS. `ZN.fici -(0311 PHONE NOS.
ry.- CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: T. 1.-1- Ci�SCac1 PHONE: 'B5-1 -3144-
LOCATION
3144LOCATION OF PROPERTY: "`S DC e•-k
SUBDIVISION NAME: A410\14-0 CSSI11c
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z o
APPLY TO YOUR z 0 Ct
PROJECT O_ ¢ O o0 F W
F- W 2 IT- W Q d�U
0W 0 J LLd °z d FO
f- - F- 2 W -
Z < < :-(/) acn O I-Li_ ax 06
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY(NO. )
TOWNHOUSE �J{� /,0".4>S4 , N
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED�\�
GARAGE( ,2 �C ^4^4121i
OTHER ��/ 111
ra Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: X 2 / S, 000 _ FUEL TYPE: LAS
HEAT TYPE? 'FrIP *HOW MANY FIREPLACE(S) AND/OR WOODSTOVES(S): C)
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION:
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
*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 and agree t-e above
Signed ZZ/
Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761-8256 OR EMAIL
regarding Building Permits, construction codes or septic codes(a.queensburv.net
systems)
VISIT OUR WEBSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218 (for questions regarding www•queensburv.net
required permits, the permit process, application requirements or to
schedule an appointment)
This application / proposed action described Permission is her-• granted to the above
herein is found to be in accordance with the Applicant to er- t or=Iter the building described
zoning Laws of the Town of Queensbury. herein in acc9 d-nc=wit =aid Application:
. l
/ ,/1 / • _
ZONING APPROVAL DATE ='I L?( r &CODES 'P"OVAL DAT'
CITown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
( l(, -e_ FC s p.m .22 - V
Queensbury Building & Code Enforcement - sl e ' Inal Inspection
Office No. (518) 761-8256 / Arrive: am/pm epart:L.t-,l) am/pm
Date Inspection request received: /1'//S 7/ Inspector's Initials:
NAME: /Mr C(1, e( S CYc PERMIT#: l.Z— % Z
LOCATION: fe it 1 vt_N(4J r r(( Y DATE: /LTJ/V/ Zi
TYPE OF STRUCTURE: l
Comments:
Ye No NIA
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Y;/'
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches VVf
Roof Complete/Exterior Finish Complete
Platform at all exterior doors 7
Handrail 4 or more risers V
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 Yf
Handrail Termination at Newell Post or Wall ✓
Interior/Exterior Railings 34 inches to 38 inches 4
Deck Bracing/Handicapped Ramp Compliant V
Grade away from foundation 6 inches with 10 feet
)6 inch clearance to sill plate ,./y
Gas Valve shut-off exposed/regulator 18 inches above grade �✓
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight V
Safety glazing/Win ow in stairwells safety gl ing
Interior Smoke Dectors/Carbon onoxid Detectors7
Every level: -' Ev Bedr om:
Outside every bedroom rea.
Inter Connected: Battery backup: _
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area 7 /
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
/),,,
Bathroom Fans,if no window _
Plumbing fixtures INV
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly I 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 line of site
O_il Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating VJ
Low water shut-off boiler /'
Relief Valve(s)installed/Heat Trap!Water Temp 110 ti/
Enclosed Stairs Sheetrock Underside minimum W Gypsum /'
Basement stairs closed rise>4 inches (/^
Garage Floor Pitched A//
Garage fireproofing 13/,hour fire door I door closer 17/
Gas Logs in Sealed or Glass Enclosure ,/
Final Electrical; Energy Saving Light Bulbs 50% Zy,
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces 1 Tamper Proof Receptacles ./
Flex Gas Pipe Bondin ,
As Built Septic Syste Sew ' e /
-Dept. Inspectio r � /
Site Plan /Variance required ,/
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent] Cf:)
L:\Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6126/08;Revised 12/22/10,Revised 04/13/11
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: /6-1 I-t a
NAME:• 4( Q /t1\ Kr
LOCATION: �O �� / 4 i
PERMIT #:
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
J
Crai: rown, Zoning Administrator
Notes:
L:\SueHcmingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
MAP REFERENCE
HILAND CROSSINGS
A SUBDIVISION MADE FOR
THE MICHAELS GROUP
BY VAN DUSEN & STEVES
DATED APRIL 15, 2009
LAST REVISED OCTOBER 15, 2009
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON NOVEMBER 6, 2009
/
/
/
LOT 15 /
#60
MELDON
CIRCLE /
/
/ LOT 16
/ #62
MELDON
/ CIRCLE
a� D us e
St,eves
Land Surveyors
169 Haviland Road Queensbury, New York 12804
518) 792-8474 New York Lie. No. 50135
�o%
3/167tDo1V CIRCLE
IRC
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U o ' 180.00 L=46.82'
° R=180.00
23'59• I I � ✓NNl
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NO BEARING A UMISIDD NNO SJRWYCR5 SEK IS A
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HEW YORK SIAIE E ToN LAW'
ONLY COFIES ERON THE gtlONK 0' THIS SMLEY
NANNO MLN AN OUGIIK Ei THE VMO SWWYONS
ff STALL BE CONST MED i0 BE VNIO 1RIIE WYIES'
COLT MATZO S xwCAIEO NIWON SIGN" T T
THIS S.PtWi E pNL W,,N ACCg Ma MTI THE
"ISTN0 IXE OF p CTM FOR W D StAtWYCNS AOPnn
BY THE NEW YO,! VAM ASSOCIATM C FRUE55CIIK
V D SIR`4Y W anTMATONS SWL MM O4Y
TO M PERSON EOI WON THE SOR1£Y I5 PREPA . ANO
ON MS MIN, m m TTL COINANY. OOVERM0ITK
A(ZNrr ANJ ,NONB MSTNmM u51ED IYAECN. AND
TO THE A541O O, T2 LENONO INSTNTOL'
15TORY
WOOD FRAME
TOWNNOD5E y�
LOT 17
#66 MELDON CIRCLE
8,401.50 sq. ft
0.19 acres
'A'OOD
DECK
I STORY
WOOD FRAME
TOWNHOL15E
L
v LOT 18
N #68 MELDON CIRCLE
2 7,803.20 sq. ft.
0.18 acres
HOMEOWNERS ASSOCIATION LANDS
0
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\ LOT 20
\
#74
\ MELDON
CIRCLE
LOT 19 \
#72
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CIRCLE \
L=78.03' \ �`
R=305.00nQ
Map of a Survey made for
The Michaels Group
Town of Queensbury, Warren County, New York
NO. I DA TE
OCT
19 DRAINAGE EASEMENT
66 5 0 f-14c)L'I
DESCRIPTION
vj
i
-..a
1W=20'
S-1
SHEET 1 OF 1
MIGhaet5
DWG. NO. 9931 . 17- 16
i 2- - I'
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 3 I Z
Queensbury Building & Code Enforcement Arrive: am/pm Depart: /1 - am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 69 !c 0 J
PERMIT #: i - ? `( ?-
LOCATION: /kit C. INSPECT ON: L,"/Z r f/�
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent I Vents in Place
1 'h 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 hi hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
insulation/ Residential Check/ Commercial Check
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 Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
s s
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report (1 ` '
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: \ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: (iv t
NAME: 1.\\ �C-I1 C� L Lf tru, PERMIT#: / -,),(3/01
LOCATION: In .� 31e / don C4(,-c-1 INSPECT ON: SS S l
TYPE OF STRUCTURE: 17; 0 hz)u-SF.
Y N NJA COMMENTS:
Framing �. .�
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing /Bridging C(..A.11 pimb
Joist hangers ,GLL2
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 F
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
Eiplueossaiion 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/Z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms f
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1Building&Codes Forms-0LD\auiiding&Codes\Inspection Fomis`Framing Firestopping Inspection Repott.doc Revised January 7,2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building & Code Enforcement Arrive: am/pm Depart: • _ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: (ik,i9
NAME: '\(11 &hal A‘s (-,r, up PERMIT #:
ciA
LOCATION: g 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/change of direction
Pressure Test
Drain /Vent
Air 1 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
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 tie
COMMENTS:
Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
,.-- .
Lam' & , 1
a \ Town of Queensbury Fire Marshal
7 " 742 Bay Road
Queensbury, NY 12804
-- -7------. ---9 761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed, factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance. No deviation from the manufacturer's
instructions or specifications is allowed. A�
Permit# � Schedule Inspection Time‘l<-am anytime Inspector d /- "(1)
Name \\AN a 0.1 s 6L'Lt Address (a g Met or) 0,1'r Rough In✓1 Final_
Appliance Manufacturer --A-k--1-1---7;-k— G Model#,. 1' /V\k. AZ,6
Direct Vent . Factory Built Chimney Flue Size _ Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection W
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase /
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet /
Gas Shut-Off Valve V
Combustion Air "'
Hearth Extension (if any) 1/7
Mantel
Height above f/p opening
477
Witness Operation
Tank Placement(if LP)
CO Detection / ic,/,
CSST Bonding / (----7___., ��
White—Building Dept. Yellow—Customer Pink—Fire Marshal
Framing / Firestopping Inspection Report --(1/4)1--0-)'461-' S
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building &Code Enforcement Arrive: am/pm Depart:7 \! ` am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:CV
`?
G
NAME: (T \ c � PERMIT#: I qa
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: in Els G
N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
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
1 %(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 6 ft. or less on center I
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 Y2 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:1Building&Codes Forms-0LD\uilding&CodesUnspection FomtslFraming Firestopping Inspection Report.doc Revised January 7,2008
Foundation Inspection Report J �C
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:
NAME: 1/- . ( 1-,-, e 1 S C' PERMIT#: I 0—
LOCATION: G„ e. l C`L$ C‘ -' INSPECT ON: y/ 77/2`
TYPE OF STRUCTURE:
Comments
N N/A
Footings
*Piers {
Monolithic Slab 1��
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\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
1 LI 3 (kf
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:
NAME: i i 1 0 i2.11 &4 PERMIT#: —,326)/a
LOCATION: ( nkf o C) INSPECT ON: -2--it-- /
TYPE OF STRUCTURE: j ",� hs c_
Commeata
71 N N/A ( -t)
Footings a Mb`rl
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 Waterproofing
Footing Drain Daylight or Sump R ? �QW
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
/Cast/Copper
`Foundation Insulation InteriorEx Exterior
t or
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buiiding &Cafes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
\1a ade3k.
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: n .-am/pm
01.9742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: (
NAME: 1 On Q th Cntrup PERMIT#: I —
LOCATION: La M�t ri ey4 INSPECT ON: 1)-9---/
TYPE OF STRUCTURE: n N
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
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:\BuHding&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:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: t
NAME: (4-)I4 •S &CD
ct icsh° PERMIT#: I A - `
LOCATION: (o ,N\to O t ., i r INSPECT ON: 7 -5-
TYPE
/
TYPE OF STRUCTURE: —12rh VIS c�
Comments
Y N NLA
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 7/:
�Z
FootingDowels Keyway l
or eYw' YmPace
Foundation Dampproofmg \\_,A.___D
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:\Bullding&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:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:, ; am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,}+ 1,
NAME: _ \c4 c L.S ;. c ^' PERMIT#: J `/
LOCATION: G.Y moA, 6 , INSPECT ON: 7 -;j-,1
TYPE OF STRUCTURE: i V)!---Z c
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. r
Foundation/Wallpour
Reinforcement in Place --
n
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\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
O'}Dnclax C3l' I l Clv�
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/ m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �(jl p
NAME: 1 Aea P13 -p PERMIT#: �� -,„).9
LOCATION: {9 g N cin A CI 4 rd Q. INSPECT ON: -a-
TYPE OF STRUCTURE: j
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 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 SIab
PVC/Cast/Copper
i
Foundation Insulation Interior/Exterior C-134"-C-
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
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: 10
Queensbury Building&Code Enforcement Arrive: am/pm_ Depart: \• : •- pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:�cl
NAME: (`(\ C'A- A S rnccp PERMIT#: / a,�
LOCATION: Lc $ \d, INSPECT ON: G7 —(41)— I
TYPE OF STRUCTURE:
Comments
/'/4N N/A
(Footing
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 'S -W—
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:\Buliding&Codes Forms\Building&Codes\Inspecction Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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