2012-396 ` r TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
r . Permit Number: P20120396 Date Issued: Wednesday, June 26, 2013
This is to certify that work requested to be done as shown by Permit Number P20120396
has been completed.
Location: 25 WILD TURKEY Ln
Tax Map Number: 523400-239-015-0001-008-000-0000
Owner: PAUL KASSELMAN REVOCABLE TRUST
Applicant: PAUL KASSELMAN REVOCABLE TRUST
This structure may be occupied as a:
Residential Addition
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property ( r�r�� Tc/S
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120396 Application Number: x20120396
Tax Map No: 523400-239-015-0001-008-000-0000
Permission is hereby granted to: PAUL KASSELMAN REVOCABLE TRUST
For property located at: 25 WILD TURKEY Ln
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. Tvne of Construction Value
Owner Address: PAUL& BECKY KASSELMAN
PO BOX 984 Residential Addition $120,000.00
ALBANY NY 12201-0000 Total value $120,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
MCCALL CONSTRUCTION
1485 CTY RTE 29
NORTH CREEK,NY 12853-0000
Plans&Specifications
2012-396 PLANNING BOARD approved Site Plan 80-2012
FULL PERMIT ISSUED 1/24/2013
Residential Addition 1 st Fir 130 sq ft, 2nd Fir 1,006 sq ft& 286 other sq ft for 1,422 sf total
$284.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,October 15,2013
(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 Queensbury; Thursday,January 24,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY •
2n _ •
TAX MAP NO 5t .4 �///J' -/-g PERMIT NO. / a -3 9/0 ( p0t4c v
FEES: PER TedO RECREATION ENGINEERING }i
p r R (If applicable) 1 l G(l—A3---ra t
J
PRINCIPAL STRUCTURE: TOWN
a;pp SRY
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: ,.
UILDER: (0r1r,t_ias IAQCALL OWNER: PALi_ I.4 ASSELMA'N
ADDRESS: /4g6 CounTY TS Zq Mo t'y t CaeekPe ADDRESS: 237 tLP1 NE 1?.OwDsc$7
Iz8CS Vet-wine., NY Izant
PHONE NOS.(5I0)2,..SI-3(01q cell &ae\ iqq- iyyc PHONE NOS. 14(gq - 46'00
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: rOnnei itilo CQw PHONE: 7LIgI - Mb
LOCATION OF PROPERTY: 25 W i+.Q T„9 K(`-`? LAI
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES iNO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR , z Op cC o I'
PROJECT 23 a < 00F O co co I' = I
W LLLL LL � = F < � a0
z °¢ < i- (O0 $, uai ~OLL Flri wm -
SINGLEFAMILY t/ •, ;4,4-t;NG Vi[,s7IN6 E,c'sz' Q e,„,,,,9 t% TiNcq
2543 !olio 2397 $59ca bio`
TWO FAMILY ADOIToNa- r �
ADorctoga- ADO it
130 Ionto z8 i y z Z-
MULTI-FAMILY ->`CSTgC-
(NO.of UNITS ) loa to$
TOWNHOUSE
BUSINESS OFFICE
RETAIL- / }7&l %"�v l�f y �����
MERCANTILE .
FACTORY OR
INDUSTRIAL I -
•`
ATTACHEDr
GARAGE(1,2,3)
OTHER
.00
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? Np
ARE THERE EASEMENTS ON PROPERTY? No
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 to the above.
Signed
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
.1QUESTIONS T CALL 7614256 OR EMAIL
ie sl t" ,tr 4'' P` .Y' .( c ' v y t.f.t pith•) t%'G� .t/Tt�m/Tz./lcmx: si:� t �,.'Q hi
,`kyr i 1A�1 . i 7 '�. '7. ., '?^nl1• % %v �%.z%. •v,,,,. '.,i,,.t•,,,, P%.�%..,.sTy{ .'Zn�:a''w,,''E� • .•. ,1%.,.�i$,...til✓ts,•l✓<%..•%:,•_ <•...,• vim,..
MIDDLE DEPARTMENT INSPECTION AGENCY, INC. 'it'
nn
� rt,,,, that the electrical wiring to the electrical equipment listed below has been examined and is approved as 1r n
N
• being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date ;l
noted below and is issued subject to the following conditions. °.z
' Owner: Paul Kasselman Date: 06/10/2013
Cl, Location:
Occupant: Same 25 Wild Turkey Lane ;,e
l Queensbury, Warren Co. NY i !
gal Occupancy: Single Family Dwg. i
Applicant: Kasselman Electric Co Inc.
7 4,
•
x - ri.� JUL 2 5 2013
PO Box 984 �.. •t Ay l
Albany, NY 12201 , 0 P A �:
ea L_ � I �` j ti
41
Joseph A.Holmes4777.1. ._ rq /T\
^ 1
No. 141516149531EL„ , ' ' r \ `
Equipment: Lit jt4
,~ }4 , i
-:, 1C
R. 123 - Switches; 111 - Receptacles;.211 -'Fixtures;=1-C-Surface Unit; 1 tRange; 2 -Water Heaters; 2 -Air
t•. Conditioners; 2 - Burner, Wiring & Controls Gas; 1 - Pump Well; 1 - Oven; 1 - Dishwasher; 2--Dryers; 2 -20 Amp •2r
Receptacles Washer;;7 -Vent.Fans;le11 --30 Amp Elevator; 2 -Air Handlers; 1 - Grinder Pum_ p; 3 - Surge Suppressors;
. A. 1 -Contactor '�".i�9 _�..�r ti ........ '''..."<e'" �� �` E' .�; Ir'3.
sx
f ., 24" wais ,c i.
IrA
kt
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This certificate applies to the electncal wiring to the electrical equipment listed immediately nut and void This certificate applies only to the use, occupancy and
y above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
r : inspection No warranty is expressed or implied as to the mechanical safety.effi- of the property indicated above,this certificate shall be immediately null and void.
(JI4" ciency or fitness of the equipment for any particular purpose This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
y be valid for a period of one year from the above noted date Should the electrical this certificate may be revalidated upon reinspection by Middle Department (�
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency, Inc. An application for inspection must be submitted to Middle Si
ed to,the introduction of additional electncal equipment and/or the replacement of Department Inspection Agency, Inc to initiate the inspection and revalidation $•,
, l any of the components installed as of the above noted date,this certificate shall be process A fee will be charged for this service f
Ne bti:l •1)** "--,.• W.''Them.. ..�a;�Lr3 ;G°`%C:`teL ��'.F"Th'F::. i'�.�d"•EJ....�v'�1/. vS '`�..�G'WC !•'�>rir v16••C`�,�•.G;Js-�.�G'n.k S-J�I
s• ,}}`y E�i}� �`ar'}✓}`�'�'ys rv�s�'.��..d`,�Sv'�✓`�y �v3��••✓'}3}SS ys�}`��`��vznJ.yAd�{vY`�.J'}:it�.�f3.v'Y ei9,'���8�
1
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Queensbury Building & Code Enforcement - Residential Final Inspection 617-1/
Office No. (518) 761-8256 Arrive: am/pm Depart ATm/pm
Date Inspection request received: Inspector's Initials: 1tNt�
NAME: 3C Q 1 PERMIT##: /a-,3 g
LOCATION: 1271 I j u/`(([moi{. DATE: to—/ y-/ 3
TYPE OF STRUCTURE: fl
Comments:
Yes No N/A_
4" Building Number Address visible from road r
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete n n ('�
Platform at all exterior doors f A4t_t c^ � "'"
Guardsil4 t more risers -a/ i. 1Z_� _ \
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 �� r� '�r�_ IP
Handrail Termination at Newell Post or Wall f.i h 2t7��i��
Interior/Exterior Railings 34 inches to 38 inches se/ ��- - er `�
Deck Bracing/Handicapped Ramp Compliant hJ
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
tti
Interior privacy/trim/doors/main entrance 36 inches V/
Bathroom/Kitchen watertight
p
Safetyeriglazing/ etecow in stanlls nglazing I � t y
Interior Smoke Detectors!Carbon Monoxide Detectors
Every level: _ Every Bedroom: t iAr
Outside every bedroom area: _ V
Inter Connected: Battery backup: <---.---.--.4.
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.R vents ,,._�7
Bathroom Fans,if no window �`'_6,��
Plumbing fixtures 4�' i,' v
Foundation insulation to floor
Duct work sealed • •,•- : • i•• - rii,-:,on 1
Floor truss,draft stopping ft. ` ?,�
- - ,000 sq. -W ��C
Emergency egress below grade pa
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
ow water shut-off boiler , y , ^ -C,
Relief Valve(s)installed/Heat Trap/Water Temp 110 f d'q✓b.- (-(� �
Enclosed Stairs Sheetrock Underside minimum''14"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched T`
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure / �— 't � c
Final Electrical;Energy Saving Light Bulbs 50% �( A).-Ac) —
Final Survey Plot Plan �,,///��� �App
Am Fault Breaker Habitable Spaces/Tamper Proof Receptacles " ( , r�r\(�
Flex Gas Pipe Bonding 11
As Built Septic System I Sewer Dept. Inspection Sticker
Site Plan /Variance required ..Q---el
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent I
L:1Buiiding&Codes Forms\Building&Codestlnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 626108;Revised 12/22/10,Revised 04/13/11
Town of Queensbury Fire Marshal
at i 742 Bay Road
Queensbury,NY 12804
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.
Permit# 1?- 37(0 Schedule Inspection 11301}3 Time 1.±314))) pm anytime Inspector
Name flSCE"Z.Mf1SJ Address %J t\6100461LUNC Rough Inx Final_
Appliance Manufacturer 4. MQ i\e Model# 9\1? SL S9 3),t7-0- 3
Direct Vent ^ Factory Built Chimney Flue Size_ Double Wall Triple Wall Insulated_
Yes No N/A Comments
Floor Protection a/so /
Clearances to Combustibles (all side s X 'l�"k o, cif s , O� Irk
11
Firestop(s) Vertical Chase
Wall Penetration X hoc, x
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof i 1
penetration;2 feet above any combustible ,x\
construction within 10 feet Ind
Gas Shut-Off Valve rho
)(
Combustion Air #333J �(
Hearth Extension (if any)
Mantel
Height above f/p opening
•
Witness Operation +.
Tank Placement(if LP) 1hn
CO Detection
CSST Bonding
White-Building Dept. Venom,-Cost mer Pink-Fire Marshal
� s s /-3
Rough Plumbing / 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'
NAME: PERMIT #: 3 -
LOCATION: a51,07 Oa( u c)?p h4lp< s . INSPECT ON: /- a 0--
TYPE OF STRUCTURE: Res Acici
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/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 rV
ilhsulation/;Residential Check/Commercial Check V
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
Asa
COMMENTS: 4--5 Z t r y-k- ¶ O '\. t 2` (3,✓- S
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report /6— /;-P
Office No. (518)761-8256 Date Inspection request received: l fre-7a-e /3
Queensbury Building&Code Enforcement Arrive: am/ Depart:ti ,�.am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:L_9� \ lJ
NAME: s_..,";eh; aPCERRMIT#. al -39b
LOCATION: _ 1 &' , g SPECT ON: / a� ,�,'/,3
TYPE OF STRUCTURE:
Y N fhl/A COMMENTS:
Framing
Attic Access 22- x 30'minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12' 0.C.
Headroom 6 ft. 8 in.
Stairwell 38 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) 180 nags each aide
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft or lesson center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hourlic"�
erFirestoping
enetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%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
LABullding&Codes Fonns OLD\Bulldng&CodesYroped U,FomaiFreminp Fhssinpping Inspedion Reportdoc Revised January 7,2008
Framing / Firestopping Inspection Report 1'4,06ti 60_,r 4
Office No. (518)761-8256 Date lnspedir request received:
Queensbury Building&Code Enforcement Arrive: it),h am/pm Depart: am/pm
742 Bay Road, Queensbury,� n � NY 12804 Inspector's Initials: '34-
NAME: K ` v�C PERMIT* _�
LOCATION: ( � %P!( T c(h (2L� INSPECT ON: / /-
TYPE OF STRUCTURE:
Y N N/A b `e-
c1 hirnminge COMMENTS:
Attic Access 22° x30' minimum Vr De
4r
4 �fc GCC2kJ 1� 1.JeN
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts I 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 Bolts 6 ft. or lesson 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' 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:1Buitding&Codes Forms-OLDV3ui Bing&CodesMnspecdon Foun scrams g Firestopping Inspection Repcgtdoc Revised January 7,2008
Framing / Firestopping Inspection Report 1 ku cMckg9 /b
Office No. (518) 761-8256
Queensbury Building&Code Enforcement Date Arrive: J0 4' request re ep rt:
742 Bay Road, Queensbury, NY 12804 Innesec IU,w ls: Depart: am/pm
Inspector's Initials:
NAME: PERMIT* /0)-2 9
LOCATION: �� S t� ' , p , . INSPECT ON: / /3
TYPE OF STRUCTURE R. A-44
Freming�` Y N/A- COMMENTS:
attic Access 22'x 30' minimum 7-
Jack Studs/Headers
Bracing/Bridging
Joist hangers ;,. �� % ,73/_G G-w..!
Jack Posts/Main Beams /i;J o
41'-
Exterior sheeting nailed properly
1T O.C.
Headroom 6 ft. 8 in.
Stairwells 38 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in. • k rb,1+-i l� is l��c e J� /,, •beAi
Notches/Holes/Bearing Walls >✓
Metal
te
11 IA(w))16 augeg r(8) 1W nails Tops aide
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 ''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:leuikrmg&Codes Forms CU:MBuikring&CodesThspeafon Focroswran ing Firesiopping Inspection Repotttx Revised January 7,2008
u3(08 ' --//
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart. pm
742 Bay Road, Queensbury, NY 92804 Inspector's Initials.
NAME: K PERMIT#: J02 -3940
LOCATION: 5- L r % INSPECT ON: i a
TYPE OF STRUCTURE: R s PrA{
Y/ N N/A
iRough'Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 34 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 I 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:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report 9—. /( fly--
Office
.Office No. (518)761-8256 Date Inspection request received: 2 hh-L.-
Queensbury Building&Code Enforcement Arrive: am/pm Depart:/ J ^ I cam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initiais:/r_,!u [ r ° l
V`
NAME: `e 55e-4 n PERMIT it: 12--3%
LOCATION: /9 u III-l/) `T tAtil C y L — INSPECT ON: 171/
TYPE OF STRUCTURE: 142%22 ti
Y N NIA COMMENTS:
--202010-
Attic Access 22' x 30' minimum
Jack Studs/Headers
Bracing/Bridging ✓ 2SS��
Joist hangers
Jack Posts/Main Beams —
Exterior sheeting nailed properly
1T 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 S4(w) 16 gauge(8) 16D naps each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 6 ft or less on center (,
Ice and water shield 24 inches from wall V cZ1� co-VC
Fire separation 1, 2, 3 hour _
Are wall 2, 3, 4 hour W .
Firestopping
Penetration sear
16 inch insulation in cavity min.
Garage Fire Separation
House side IA inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Buibing 8 Codes Forms-0LD+Buildi g 8 CodesUrepethon Forms'Frartrg Firestopping Inspection Report-doe Revised January 7.2008
Foundation Inspection Report
Office No.(518)7614256 Date Inspeeqon gasa
Queensbury Building&Code Enforcement Arrive: _ Depart: ' 1:y, ,
742 Bay Rd.,Queensbury,NY 12804 Inspector's kit • r----
NAME: Kfl 61-CU
(RMIT#: t Z-
LOCATION: Z5 t)311,i7 T1fL%LF11 (AtAF INSPECT ON: / 1 —17-17
TYPE OF STRUCTURE:
Comments
Y N N/4
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 Slab
laivc/cast/copper
Foundation Insulati Inter_ Exterior
R-1S 22" Z" Fo luaiit PE RACE nF
Rough Grade 6 inch drop within 10 f.
'Fgbli( tAIA t ( c1 Z' I ri1DE-Z.
L:\Bullding&Codes Forms\Building&Codes\Inspectlon FonnsWoundatIon Inspection Repo doc `l
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection e:• ;: _
Queensbury Building&Code Enforcement Arrive: "•a am/. �� i part: : ¶ am/w„
742 Bay Rd.,Queensbury,� NY 12804 Inspector's Ini.: s: _
NAME: 1'�Aij FLiM {AdJ a• , #: 1Z.- 396,
LOCATION: - L�11 f L1sc INSPECT ON: i 1 —.5--I '7
TYPE OF STRUCTURE: A. AoO ry ons
Cowmeatb
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
V noting Dowels or Keyway in place
"Foimdahon DemEproofmg111111111,
Foundation Waterproofing
Doting Drain Daylight or Sump
noting Ihai $tone:
12 inch width > ?E200's`K3 4, CDtJ�I�CS E�
CO) 6 inches above footing `.
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
p j y C/Cast/Copper
N.rI a Olt on :��onlnterior CA 'or
- \ FTS . PRtT�AL_
Rough Grade 6 inch drop within 10 ft.
ZJ LF`(off c\r To QAC i N1 b`\AUED
LABuiiding&Codes Forms\Building& •:_ . . .-..on Forms\Foundation Inspection Reportdol;
Last printed 12/20/2005 9:24:00 �+`C`
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Foundation Inspection Report
Office No.(51 8)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: K(( s5ekma A PERMIT Si: ��' a -39 to
LOCATION: 5 LAX 1 cL ur K e L.r) INSPECT ON: ID-3 I--/d
TYPE OF STRUCTURE: Rd)S Won 711_14/qs
Comments
X 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. ,
a Fundiition/AWallpour
Reinforcement in Place -n 4 t_StaftQaQ
Footing Dowels or Keyway in place V
Foundation Dampproofing vien�7 2 _
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.
LABuliding&Codes Forms\Building&Codes\InspeQlon Forms\Foundatcn Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Datation requ=3 ++.
Queensbury Building&Code Enforcement Arrive`,1t� : J.,pm/ Depart: am/ in
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: a ti : ' 1 T#: I7-39�O
LOCATION: fl • s+SPECT ON: •b —:\7
TYPE OF STRUCTURE:
C> _Ca•V Comments
011#1.
a N N/A
� �ieY°Ss?tM
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:
1 ch width
inches above footing
t 6 mil poly for wet areas under slab
>i
• g_
40P."'"
P. ing Under Slab
` V
JCC =I(o \/
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\BuikDng&Codes Forms\Bullding&Codes\Inspectlon FormsWoundatlon Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
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Foundation Inspection Report I
Office No.(518)761-8256 Date , ,- ;, , , ": V' -3 .Z
Queensbury Building&Code Enforcement Arrive: s' ItI m Depart: ' m
742 Bay Rd.,Queensbury,NY 12804 Inspector's s.•:,• .. 4 ,
NAME: ,5 IPN AV P #: /2 — 31�
LOCATION: w, � 1, TiitzACe . C.F\r r SPECT ON: /ftp , , 7j
TYPE OF STRUCTURE: /
Comments
Y N/A '� Lit,— 11 `CS
•iers
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 Dampprooflug
Foundation Waterproofing
Footing Drain Daylight or Sump
F' ' I„ I Drain Stone:
2 inch width
6 inches above footing
inn_poly for wet areas under slab
• kfill Approval
ingUn�e�Slab�
yP„ r Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L•\Bullding&Codes Forms\9uflding&Codes\Inspectlon Forms\Foundation Inspection Reporkdoc
Last printed 12/20/2005 9:24:00 AM
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Zeyn B. Uzman,PE, SE,F.NSPE JOB nILE Kassleman Addition
305 Charleston Greene
',./04 Malvern, PA 19355 JOB NO. NY-0267 SHEET NO.
217.652.6737 CALCULATED BY zbu DATE 8/8/12
610.407.7085 fax CHECKED BY
DATE
CS09 Ver 10.06.12
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. L AUG 262012
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BUILDING& CODES
STRUCTURAL CALCULATIONS
FOR
Kassleman Addition
Queensbury,New York
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