2012-590 � TOWN OF QUEENSBURY
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111 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120590 Date Issued: Wednesday, May 22, 2013
This is to certify that work requested to be done as shown by Permit Number P20120590
has been completed.
Location: 38 MELDON Cir
Tax Map Number: 523400-289-020-0001-024-000-0000
Owner: MICHAELS GROUP
Applicant: MICHAELS GROUP
This structure may be occupied as a:
Garage Attached By Order of Town Board
Townhouse TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property /1 ;St—
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 Ray Road,`uemsbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120590 Application Number: A20120590
Tax Map No: 523400-289-020-0001-024-000-0000
Permission is hereby granted to: MICHAELS GROUP
For property located at: 38 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: JASON &JULIE PETIT
4245 RANCHO PARK Dr Garage Attached
Townhouse $220,000.00
LIVERPOOL NY 13090-0000
Total Value $220,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2012-590
Townhouse 1,319 sq ft w/609 sq ft storage
Garage 286 sq ft
$374.70 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,January 07,2014
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Monday,January 07,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY ) {4/
TAX MAP NO.I. 8Q —� AL PERMIT NO. �- ✓ `D
FEES: PERMIT RECRE ,rk ENGINEERING
44-'5 , (If applicable)
DEC 2 6 2012
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: -The- M)W -S CilzoLP OWNER:
ADDRESS: 10 B CJL %-M-1 HA-1-71s. ,N"? 12 ZO ADDRESS: " E.
PHONE NOS. 51$'S`ia X311 PHONE NOS. "
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: 7• C..Nsc-1a PHONE: a61 -314 4
LOCATION OF PROPERTY: .b ,enz-;a ---CAZ-C--
SUBDIVISION NA E: 'C-04: 1).1c1
S \
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR O C! O i-
PROJECT O ¢ O O w
Eu_ w Q 0___
C7 U
W O J 0 z d I—1- O 1- W Z
Z < < c-cn NoLL HLL a=o6
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY(NO. )
TOWNHOUSE X 11319143 (s 1 ti ') 2S 4
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGEQ2,3) )C b 4�'9"(
OTHER
U urI,,
auth Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: # 2-2°) 6°6 — FUEL TYPE: C1 t}s
HEAT TYPE? P t-t A *HOW MANY FIREPLACE(S) AND/OR WOODSTOVES(S):„ J/
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? Nn
IS THIS A HISTORIC SITE? /lo
PROPOSED USE OF BUILDING OR ADDITION: SmctLE L'-
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? �+l
ARE THERE EASEMENTS ON PROPERTY? /VJ
`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 to the ab. .e.
Signed
Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761-8256 OR EMAIL
regarding Building Permits, construction codes or septic codesaqueensbury.net
systems)
VISIT OUR WEBSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218 (for questions regarding www•queensbury.net
required permits, the permit process, application requirements or to
schedule an appointment)
This application / proposed action described Permission is hereby granted to the above
herein is found to be in accordance with the Applicant to erect or alter the building described
zoning Laws of the Town of Queensbury. herein in accordance with said Application:
*IV-3
ZONING APPROVAL DATE BUILDING & DES PROVAL DATE
d
Eit
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Town of Queensbury Michael F. Travis
Highway Superintendent
Highway Home (518) 798-0413
Department
742 Bay Road—Queensbury,NY 12804 Thomas R. Van Ness
Office Phone: (518)761-8211 Deputy Highway Superintendent
Fax: (518) 745-4466 Home (518) 745-0929
DRIVEWAY PERMIT
DATE:
1'D-) Ic \‘Z DEC 2 6 2012
APPLICANT NAME: � Y1 I CS S C0 , U_C
TELEPHONE NO.: �c '22C-tc1 -C'311
ADDRESS TO BE INSPECTED: - G rz
RETURN ADDRESS: Io s ri\-1 MA�I.T� NY (20ZC_
Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes
at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following
action has been taken:
STEP 1: ( ) Preliminary Approval
NEED: ( ) Slight swale
( ) Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( )12" ( )15" ( )18" ( )24" ( )36"
Preliminary inspection completed by: Date:
Approval by Highway Supt: Deputy Supt:
Upon completion, please resubmit this approved permit for a final approval.
STEP 2: ( ) Final Approval
( ) Rejected
Date:
Michael F. Travis, Highway Superintendent
Thomas R Van Ness, Deputy Highway Superintendent
Ib 1c
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/p art: f4 s2�1 am/pm 'rte
Date Inspection request received: Inspector's Initials:
NAME: N\l LCANGtAitiPERMIT#: / A- 590
LOCATION: 3 < m �i C b r DATE: •3-al-i3
TYPE OF STRUCTURE: �I n h s e..
Comments:
Yes/No N/A
4" Building Number Address visible from road /`
Chimney Height/"B"Vent/Direct Vent Location ��
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete il./
Platform at all exterior doors
Handrail 4 or more risers . "1/4,/;//'
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
, zet/
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall 1//'
V
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 I main entrance 36 inches 11.14/
Bathroom/Kitchen watertight
Safety glazing/Winw in stairwells safety gla ing
Interior Smoke Detectors/Carbon noxidyoetectors
Every level: �V1 Every Bedro m:
Outside every bedroom ea:
Inter Connected: Battery backup: I
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 V
Plurrnbirig_fixtures
oundation insulation tom,.or/Sticker gmRan _
el_�
.;o o ucfwork sealed •ro•erl s lowe'r Door Test Certificatioion>- �1
Floor truss,draft stopping finished baseme , sq.ft. 7
Emergency egress below grade l�
Gas Furnace shut-off within 30 feet or within line of site /
Oil Furnace shut-off at entrance to furnace area r/
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum
Basement stairs closed rise>4 inches v�
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Gas Logs in Se -of Glass Enclosure _____ _/{1, f �- ' 1
Final Electricatnergy Saving Litaht Bulbs 50N....-3
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles �j
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker i
Site Plan /Variance required f
Flood Plain Certification, if required i
Okay to issue C/C or C/0[Temporary/Permanent] 41.4
L:1Buiiding&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
Air Leakage
Property Organization HERS
Unknown Grajny Consulting,LLC Confirmed
38 Meldon Circle 518-221-3240 05/17/13
Queensbury, NY 12805 Stan Grajny, PE Rating No:0312136
Rater 1D:5609922
Weather:Albany,NY Builder
38 Meldon_R The Michaels Group
MichaelsGroup_38MeldonQueensb
ury_NYESH_051713.blg
Whole House Infiltration Blower Door Test
Heating Cooling
Natural ACH 0.24 0.18
ACH @ 50 Pascals 3.44 3.44
CFM @ 25 Pascals 820 820
CFM @ 50 Pascals 1287 1287
Eff.Leakage Area(sq.in) 70.7 70.7
Specific Leakage Area 0.00019 0.00019
ELA/100 sf shell(sq.in) 1.47 1.47
Duct Leakage Leakage to Outside Units Ducting
CFM @ 25 Pascals 0
CFM25 /CFMfan 0.0000
CFM25 /CFA 0.0000
CFM per Std 152 N/A
CFM per Std 152/CFA N/A
CFM @ 50 Pascals 0
Eff.Leakage Area(sq.in) 0.00
Thermal Efficiency N/A
Total Duct Leakage Units CFM25/CFA
Total Duct Leakage 0.0788
Ventilation Mechanical Exhaust Only
Sensible Recovery Eff. (%) 0.0
Total Recovery Eff. (%) 0.0
Rate(cfm) 58
Hours/Day 24.0
Fan Watts 30.0
Cooling Ventilation Natural Ventilation
ASHRAE 62.2- 2010 Ventilation Requirements
For this home to comply with ASHRAE Standard 62/-2010 Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential
Buildings,a minimum of 56 cfm of mechanical ventilation must be provided continuously,24 hours per day.Alternat• n
intermittently operating mechanical ventilation system may be used if the ventilation rate is adjusted accordin . ^��`.. a
113 cfm mechanical ventilations tem would need to operate 12 hoursper day,as longas the system opera _! '' �•
Ys P Y P �P v' y �,
average ventilation once each hour. co `
Voutit
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REM/Rate•Residential Energy Analysis and Rating Software v14.2 2„ ,y
This information does not constitute any warranty of energy cost or savings.
0 1985-2013 Architectural Energy Corporation, Boulder,Colorado. 13Z4b 065460 0.1
FFSSIOCAt
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: //4'`)
1
NAME: (,--) C;/
LOCATION: 38" ML td(r► Ct r-c re
PERMIT#: I — 5-90
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:
Craig Brown, Zoning Administrator
Notes:
L:1SueHemingway\Building.Codes.lnspection.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 APRIL 213, 2012
FILED IN THE WARREN COUNTY CLERK'S OFFICE
ext
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm De art: T "m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
. n
NAME: I\N1 Oi NPERMIT #: ] D-S9D
LOCATION: 3 ct d� ,� INSPECT ON: 3-13 -/3
TYPE OF STRUCTURE: 1 Y1 h s F,
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent I Vents in Place
1 '/2 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 ./4/
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: c2._-- 'L'L-)-1) ..--
iLt— irt.tcf
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Framing / Firestopping Inspection Report [ (1c)(-1c1 ) 1C-_, -/
Office No. (518) 761-8256 Date Inspection request received: ` I 1 3
Queensbury Building &Code Enforcement Arrive: am/pm Depart: G 1 III-am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:/ Jcp
LL
NAME: �� Ca,c,- QJ PERMIT#: / - Cio
LOCATION: v . J Lv ,A INSPECT ON: - I/ - 1 3
TYPE OF STRUCTURE: /1 \v)« c-,c_
"A N N/A COMMENTS:
Framing
IIIM
Attic Access 22" x 30" minimum ,--
Jack Studs/ Headers
Bracing l 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 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 1 Bedrooms
24 in. (H) \
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
—
L:\Building&Codes Fomes-OLD\Bui ding&Codes inspection Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
Rough Plumbing / Insulation Ing ectiortRe ort
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm art: tt
i(am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: CitiU
NAME: n �� PERMIT #:
LOCATION: �� �1 �� cam' INSPECT ON: .3 %/ -/ 3
TYPE OF STRUCTURE:
Rough Plumbing / Nail Plates
Plumbing Vent I Vents in Place
1 1/2 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 f
Pressure Test (�
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
Tyvek or Similar Exterior Sealant r�
Pros er Vent, Attic Vent Aria,
Door/Window Sealed No Insulation 1
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 Repart.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
t\( zriNci
a- 4/
Foundation Inspection Report 00n,
Ly. .h-C-tbu)
Office No.(518)761-8256 Date Inspect�io�n ,.i !ed:
Queensbury Building&Code Enforcement Arrive: "'r ,P•part: ?-Z. pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial-�'!it "
NAME: N d- _L ''ERMIT#: / )-59
o
LOCATION: 3 r{ at.4YN INSPECT ON: 3 --<-1,3
TYPE OF STRUCTURE: hC.
Comments
Y N N/A
Footings
/Piers
CV Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. -
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
.7
6 inches above footing n
6 mil poly for wet areas under slab ? t.k
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
Framing / Firestopping Inspection Report ' ((' )e TO
Office No. (518) 761-8256 Date Inspection reque; r-ceived: 17
Queensbury Building &Code Enforcement Arrive: V,-.7-1L, a " • separt: L. a pJ
742 Bay Road, Queensbury, NY 12804 Inspector's Initials
NAME:
/� ` `4) -e(s C�`o ✓ � /PERMIT#:
`�6
LOCATION: , '1 i (%. c-ru( Y.
INSPECT ON: 1 I
TYPE OF STRUCTURE:
Y N N/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" 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 S8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
,4ce and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed i
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 1 Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade _—
L:\Building&Codes Forms-OLD1Building&Code Inspection Fomzs\Framing Firestopping Inspection Report.doc Revised January 7,2008
r hurgc(04 --
Pe P
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: ! ` 'k(3)0 C4_-C1PERMIT#: 5 9 c
NLOCATION: 2 y� ( CI v 71 INSPECT ON: —a e
TYPE OF STRUCTURE: km h
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:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
) ack1Ul-Aroval
•
Plumbing Under Slab ` ►•,/,‘
/Cast/Copper
Foundation Insulation Interior u e r/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Fonns\Building&Codes\1nspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: .9-pa! I?j Time: c2
742 Bay Road,Queensbury NY 12804 o Re-Inspection C(�
518 761 8206/518 761 8205 'CO Inspection Permit#: 1 -�7 !e
F e Marshals Representative
MJ Palmer Business Name:
Location: 7 �(�+� 5� I�
GK Stillman Contact: IA-- ',
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES: / �
Maino Aisle Width FC 1024/1025&F 01029. 1 Secondary Aisle Width FC 1025&FC1029.11
Coserpk1".9FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
EVAC Plan FC 404.2
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315 .2.1
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
SYSTEMS: FC 901.6 lnsp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual 7�
Sprinkler FDC II ��I I' LL• a C- pphc L. l0
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 {
9
Operating Permit, if required will be issued after - --- -.
Piro -----
Completion of Inspection T - '
04 n of
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: /13:114'‘darn/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:61,,,
NAME: 1 AD c°, S 6—r0 k4 PERMIT#: j — J �D
LOCATION: 6- ,/) C i No,{ e INSPECT ON: 1--\\75\175
TYPE OF STRUCTURE:
Comments
Y N/A
Footings e po r*.
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing v �(
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\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
../
1 Cts-5 /-3
s
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:f : 4 am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: I)
NAME: MI , nJ(2 C 3 6'-:z;(( A PERMIT#: I,i --5 �y O
LOCATION: ,3 ; 1\ ?j ca o n I INSPECT ON: j - .A...9,—/-3
TYPE OF STRUCTURE: ;'r h s c
Comments
Y
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
Foundationofin ' 7-)
Foundation Waterproofing __
Footing Drain Daylight or Sump • )
(2)
doting Drain Stone: / l
12 inch width �
6 inches above footing
6 mil poly for wet areas under slab �-
Backfill Approval
f /_,)
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
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Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:.. pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: Gr !Z, PERMIT#: I a—5-9 0
LOCATION: 3 ^T INSPECT ON: /-- i `g - 2
TYPE OF STRUCTURE:
Comment
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 . VE c
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\1nspectlon Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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Foundation Inspection Report
i
Office No.(518)761-8256 Date Ins4ection r-.ues I ( /3
Queensbury Building&Code Enforcement Arrive: -i40.1 / tiepart: `� _pin
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:�t.
NAME: C,dS t, PERMIT#: �/oZ—J O
LOCATION: 3tif 4 �, (l INSPECT ON: 111(04,013
TYPE OF STRUCTURE:
OrAeljey
Comments
Y N N1A
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
,,7--/ 6 mil poly for wet areas under slab / .
Backfill Approval
Plumbing Under Slab ¶ 7 1 ,n
PVC/Cast/Copper
F., i dation Insulatio xterior
Rough Grade 6 inc drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\1nspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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Foundation Inspection Report J
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart/
. lam/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:64M9
NAME: MA 'Kil(, S 1-O �f p PERMIT#: J. _ 5 � )
LOCATION: �t INSPECT ON:
TYPE OF STRUCTURE: /1
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 S
Footing Dowels or Keyway in place % "C
Foundation Dampproofing - LI`
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
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