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RC-000123-2015 o E � N -- M w N d U iii �. a C3 o w a Z a tj4 LO tn C O a U y � ' a � a > a > o a o `a �i CD a a , U h-L-1 0un cu tor2 U on En 0 En C� Gl5 adi E o t: N c3 3 U o w o o Ci U Q O O .+ ca En Cd ci 0 o ¢ tn ¢. > a 4 iio TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5404 (518)761-8201 Cotntnunity Development - Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: RC-000123-2015 lb( -2 `j 1`t—?-b" Tax Map No: 302.14-3-61 REVISED Permission is hereby granted to: Robert Gammon For property located at: 20 Parkview AVE 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 Tvoe of Construction Owner Address: 30 Clement AVE Single Family-New $130,000.00 Saratoga Springs,NY 12866 Total Value $130,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Robert Gammon 30 Clement AVE Saratoga Springs,NY 12866 Plans&Specifications SFD 1400 s.f.w/attached garage PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,Jul} 10,201 (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 To of Que sbury, i a ,2014 SIGNED BY: /// for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only Received: PRINCIPAL. STRUCTURE APPLICATION Tax Map IQ: L� ` Permit No.: A permit must be obtained before beginning construction Permit Fee: + $ Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $ units, including single-family dwellings, duplexes or two-family dwellings, multiple family Site Plan No.: dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.: homes,but not including mobile homes. This is in addition to the permit fee. Date o I Applicant RO ars-,. Tax Map ID Address 3y cl-eme,,)+ Cy Zoning S�'! / V a reL 4z) cs� Al j d 6 Phone/E-mail &to 5f S Property Owner ry) P(012VI-6es LLC Contractor/Agent GQ j, C'o C-L c Address C fvler► Quenu-e Address 3n Quenu r i S"G Phone/E-mail Phone/E-mail Building Street Address: Rid-- y t eAJ O ue n u-E..- Subdivision Name: Lot#; Historic Site: Yes No Estimated cost of construction: $ 36, con Type of Construction: Check all that apply Please indicate measurements as required below: o � 1st Floor 2nd Floor Other Total Height z Single Family `/ `'�'� �� /0 4+ Two-Family Multi-Family(#of units_) Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garages(# Other f Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 f If commercial or industrial indicate name of business Proposed use of building or addition ( ?.. �' (�Sce�Qh LL Source of heat(circle one) Gas Oil Propane Solar Other Fireplace complete a separate application for"Fuel Burning Appliances&Chimneys" Yes _No Are there structures not shown on plot plan? /J Are their easements on the properly? (� Site Information a. Dimensions or acreage of lot b. Is this a corner lot? /V£ c. will the grade be changed as a result of construction: Yes No d. Public water or Private well PL) b j j L W c, to>r e. Sewer or Private Septic System (3:�p- 1 C_ Value of all work to be performed(labor and materials) $ /)vt Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period, If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. I certify that the application, plans, and supporting materials are a true and complete state menvdescription 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 andagree to the above. Signed le__�111"`'-, Date: r t FOR OFFICE USE ONLY: Operating Permit Issued: —Yes _No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury(building&Codes Principal Structure Packet 518-781-8256 Town of Queensbury ✓ Thomas R. Van Ness Highway Superintendent Highway Home (5 18) 745-0929 Department David Duel] 742 Bay Road-Queensbury, NY 12801 Phone: (518) 7G1-821 l Deputy Highway Supea-intendent Fax: (518) 745-4466 Home (5 T 8) 745-0938 DRIVEWAY PERMIT DATE: r - a( - 1q APPLICANT NAME: act m m o co"1 S-/- Z� G . TELEPHONE NO.: 3176 - 8 3,. ADDRESS TO BE INSPECTED: Q !ky t-8-,-,LJ a o e— RETURN ADDRESS: Oyef)cl e- 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: (or) Deputy Supt: Upon completion, please resubmit this approved permit for a final approval. STEP 2: ( ) Final Approval ( ) Rejected Date: Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent Office Use Only Town of Queensbury Building & Codes Received: Tax Map ID: FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.: J��g Permit Fee: $ Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the NYS Fire Prevention & Building Code, The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Important Note To Applicant: Rough-In and Final Inspections Are Required: Date ? -0 f -ac)) 9- Owner ,621 (: A Installer/Builder �rr�rhon ���5��,,��10 LLC, Address C30 '1+ /k, 1 Address 3© ,�re'f QC'rA0e / 1 Q P"'. AlNJ 1.L ��^ s /s /Y I d U6/U Phone (�;i S�s`7-�i 3 �— Phone �� S 7 - 8 S Location of proposed construction and for installation: a� //�� � fur c1<r �u �u Contact Person for Building &Codes Compliance: ��� ITCHm�h Subdivision Name: kt te'.j 4� Fuel Burning Appliance Information Wood Coal Pellet Gas Oil Stove Fireplace Insert Fireplace.factor built Fireplace, Mason Furnace, (Garage Only) If Factory Built, Please Provide: Manufacturer Name: kea Al 6/6 Model No, S- S© Listed By: Number: Chimney Information Masonry" ✓check one _Block _Brick _Stone Flue ✓check one Tile Steel Size in Inches Material ✓check one Double Wall _Triple Wal[ Insulated Direct Vent _Chimney Liner ** If Non-Masonry, please provide: Manufacturer Name: Model No. ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE Town of Queensbury HANDOUTS REGARDING REQUIRED INSPECTIONS, Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 0 a� R N 3 0 L {� N U C N Q N N r d � f 0 03 N. C � C d R 1 C6 CN En c ~ LL 4 -t 1 va s , a1` O W N wasM `� y v i _ � ' Q.� til �- 4 <-rs vb CL t4. cSJ 3 �1 10 C, v r+ a o J Mn� CL UJ C7 Ll 4� 0 c� U C a z [s a 'o © CO _ � � � � w U O ® z (n H 0 z m r-1, Nl n 0U cA uj w MCL �q � Q mo ¢ a O O +'+S � FE w LCVI iu v rr 0 4 � \ a W � a z CW C 0 W IL C� crN CO (I)co Lu 7 ` ti W .) Co Lu a W >- '� ) z w W Cko- (.D W W a [L' n M uj 2-7 b 0 z w �M W > N O - z 03 ' Cr— LU W Q v Z CE u a � a s y Z J Z 10 E �9 a � 0 Z E w a W W $ w c> 7 W M CJ} rn C) z w m p ¢ \ .a Q Q J Q �r LU C� U d C � Lij UJ Z 0 > 0 Office Use Only Received: ' Tax Map ID: Town of Queensbury Building & Codes Permit No.: SEPTIC DISPOSAL PERMIT Permit Fee: $ I� A permit must be obtained before beginning construction Approvals: I Applicant: &4,1 6,;"eV1 A0.1,/ Installer/Builder C4,21 C� Address: 7rmeet- Avg ,w, Address 30 CG,~if QLA-ou-e ra kt-cit 5flN s A.:.I IL 6 6 A j rs v (P Phone: ('j 7 17 C- '37u � Phone (i/rd) Owner: ll em G- %��p�/ �S' t&(- Location of Installation d.a 1?a 4_—ydc"/ cjeAL)e- Address: _ 3D e-' t ejL encL AJ-./ Phone Contact Person for Building&Code Compliance: Day Phone: ( +d Residence Information: Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow 1980 or older x 150 = Garbage Grinder installed? r JO 1981-1991 x 130 = Spa or Hot Tub Installed? 1992-Present ' x 110 = 33 Parcel Information: Topography Flat Rolling _Steep Slope %Slope Soil Nature "I" Sand Loam Clay _Other Groundwater At what depth? Bedrockllmpervious Material At what depth? Al l!-f Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate a""' D5.w,per minute per inch(Test to be completed by a licensed professional engineer or architect) Proposed System for New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Tank size 1000 gallon (minimum size 1,000 gallons), add 250 gallons to size of septic tank for each garbage grinder,spa or whirlpool tub System Type: Absorption Field(with#2 stone) Total length_6 o ft. Each trench 3 rT X Seepage Pit(S)(with#3 stone) }low many? --� Size? Alternative System Bed or other type? C—L.1 Ckl Holding Tank System Total required capacity? Tank size? #of tanks? NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form on Town website;2)Effective as of March 23,2006 Septic System-As Built Plot Plan: The Building Department will no longer allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file. There will be no exceptions. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. ✓I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Print Name: �a4 e0r Date: Signature: <��� &� A �"'�""`r Date: 7 ' t Town of Queensbury Bui dint g&Codes rincipal Structure Packet 518-761-8256 Rough Plumbing / insulation Inspection Report Inspection request received 2j Name 0—\ . Inspected on Location v , (w ,Arrive - am/pm Permit No. 4 �— "� Inspector's Initials Type of Structure COMMENTS Y N NA Plumbing under slab Rough Plumbing/Nall Plates Plumbing Vent 1 Vents in Place 1 V2 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 0 P.S.I for 15 minutes sulation / Residential Check / Commercial Check Window Sealing 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 Blower Door Test Air Sealing Tz' -�3 - Town of Queensbury Building & Code Enforcement Office No.(518) 761.8256 Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 2 Framing I Firestopping Inspection Report Inspection request received: ` Name: Inspected on: -4- 4 w>rS Location: 720 Arrive: a.m.l P.M. Permit No.: Inspector's Initials: TYPE OF STRUCTURE:SfD Framing Y N NIACOMMENTS: Attic ACC2S5 22"x 30"minimum �� 22, L �©�l Jack Studs I Headers Truss Specification Provided Bracing f Bridging Joist hangers Jack Posts 1 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 1 Holes 1 Bearing Walls Metal Strapping for Notches Top Plate 1 '/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 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 518 inch Type X Garage side 518 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 Design Professional Sign-off,if required Framing f Firestopping Inspection Report Town of Queensbury Building &Code Enforcement Y1j 6-b Office No.(518)761-8256 1 Rough Plumbing f Insulation Inspection Report Inspection request received: Name: f"1U1 e. . Inspected on: Location: 2D ��� �IQ f • tr,� Arrive: �� a.m. ! P.M. Permit No.: — 2 Inspector's Initials: Type of Structure: COMMENTS Y N NA Plumbing under slab 22Z_ {� Rough Plumbing 1 Nail Plates ( Plumbing Vent 1 Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain 1 Vent Air I 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 I Residential Check/Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct 1 Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test Air Sealing Rough Plumbing 1 Insulation Inspection Report Town of Queensbury Building&Code Enforcement Office No. (518)761-8256 — l Q Rough Plumbing 1 Insulation Inspection Report Inspection request received: 15 Name: Q-yvl(,- PQM 1(—,& Inspected on: _�-Iz EQ l`2 Location: 0,0 PA-- U,V (7w Arrive: a.m. f p.m. Permit No.: L - 2, Inspector's Initials: Type of Structure: ` COMMENTS Y N NA Plumbing under slab ow ZZ— — ( Rough Plumbing I Nail Plates Plumbing Vent/Vents in Place 1 '/z inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain 1 Vent Air I Head 5 P3.1. or 10 ft. above highest connection for 15 minutes v Pressure Test Water Supply Piping Air 1 Head 50 P.S.I for 15 minutes Insulation I Residential Check/Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct 1 Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly I No duct tape Blower Door Test Air Sealing Rough Plumbing I Insulation Inspection Report Town of Queensbury Building &Code Enforcement — -4� Office No. (518) 761-8256 1 Framing I Firestopping Inspection Report Inspection request received: Name: 6-a snow )8 Inspected on: / Location: a.13 P&r Arrive: a.m.I p.m. Permit No.: Inspector's Initials: TYPE OF STRUCTURE: F 1� y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs I Headers Truss Specification Provided Bracing I Bridging Joist hangers V/ U 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 I Holes 1 Bearing Walls Metal Strapping for Notches Top Plate 1 '/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 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''/2 inch or 518 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space I Bedrooms 24 in.(H) 20 in.(W) %V/ 5.7 sf above 1 below grade 5.0 sf grade Design Professional Sign-off,if required Framing / Firestopping Inspection Report Town of Queensbury Building &Code Enforcement � , q Office No. (518) 761-8256 W 6� Framing I Firestopping Inspection Report Inspection request received: Name: Inspected on: S _l Location: t5l� Arrive: a.m.f p.m. Permit No.: Inspector's 'a TYPE OF STRUCTURE: S F^ ' CctU E) 1 ` Y _ N COMMS Framing Attic Access 22"x 30"minimum zf Jack Studs I Headers 'u Truss Specification Provided Bracing I Bridging v 1 Joist hangers Jack Posts I Main Beams,--------- Exterior earn Exterior sheeting nailed properly 12"Q.G. Headroom 6 ft. 8 in. ' C Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches I Holes I Bearing Walls Metal Strapping for Notches Top Plate 1 '/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 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'12,inch or 518 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space 1 Bedrooms 24 in. (H) 20 in. (W) �[ 5.7 sf above I below grade 5.0 sf grade Design Professional Sign-off,if required Framing I Firestopping Inspection Report Town of Queensbury Building&Code Enforcement f Office No. (518)761-8256 Framing / Firestopping Inspection Report tt Inspection request received: clt 3 /l l Name: Ralpm t~ . Inspected on: Q L JL Location: t) — L Arrive: a.m.l P.M. Permit No.: k" � r���_ Inspector's Initials: TYPE OF STRUCTURE: Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs 1 Headers Truss Specification Provided Bracing/Bridging Joist hangers Jack Posts 1 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 '/z(w)16 gauge(8)16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft.or less on center e and water shield 24 inches from wall ire 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'/Z inch or 518 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 Report ,/1 �s dj--1f 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 Initial NAME: PERMIT#: / 9-3 LOCATION: Pc .lt p W INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or ump 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\1nspection Forrns\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM Foundation Inspection Report ? (-AEatT— 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: Oa mfy\O PERMIT#: — . 93 LOCATION: r (2 W INSPECT ON: c TYPE OF STRUCTURE: ) t—I> Comments Y N NIA 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 miI poly for wet areas under stab 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'tlnspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM 2----.-, Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: � t l3 1 Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial . ' NAME: ? PERMIT#: LOCATION: N c— INSPECT ON: J _ TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placeme , of the concrete. Materials for this purpose on site. oundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM Foundation Inspection Report Office No. (518) 761-8256 Date Inspection rfu Queensbury Building&.Code Enforcement Arrive: " aDepart: �a m 742 Bay Rd„ Queensbury,NY 12804 inspector's InitialNAME: P LOCATION: INSPECT ON: TYPE OF STRUCTURE: i tv\A �� 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 Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Formsl,Building &Codes\1nspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM MAP REFERENCES: IPF MAP OF A SURVEY MADE FOR HOWARD LaROSE DATED: MAY 26, 1976 BY: JOHN D. VAN DUSEN4 . q •` #i MAP OF A SURVEY MADE FOR RMG. PROPERTIES, LLC _ DATED: JULY 1, 2004 BY: VAN DUSEN & STEVES o •�2, A5phalt Driveway Gas Meter O Meter, Covered Porch with .....,, 5tep5 IPF ; o /0 o /tcCID 2-5tory `p A/G Unit tc® Wood Framed House Irngahon. i• Controls O � ` QI "7 P rch ,f Escape Well Wood . wIt1J tep5� •...,, ` IPF 74 . ' t 0 7 �g LANDS N/F OFSo 1RV FINIA E DURKEE ' \\\'� IPF so oa, o LA WOF WILLIAMS r�IMvi • za IRF® = IRON ROD FOUND `52 c c- IPF® = IRON PIPE FOUND UTILITY POLE 0.�f�f `.,.. Sol'>> '�� FENCE LINE ANQ '