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2013-465 TOWN OF QUEENSBURY Fos 742 Bay RoadQueensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20130465 Date Issued: Thursday, October 08, 2015 This is to certify that work requested to be done as shown by Permit Number P20130465 has been completed. Location: 1133 STATE ROUTE 9 Tax Map Number: 523400-295-012-0001-003-000-0000 Owner: 1133 STATE ROUTE 9 LLC Applicant: 1133 STATE ROUTE 9 LLC This structure may be occupied as a: Commercial / Industrial Unheated By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property (- 1,P 4 14\ 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. 00b4 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130465 Application Number: A20130465 Tax Map No: 523400-295-012-0001-003-000-0000 Permission is hereby granted to: 1133 STATE ROUTE 9 LLC For property located at: 1133 STATE ROUTE 9 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: 1133 STATE ROUTE 9 LLC Commercial/Industrial Unheatec $25,000.00 C/O DENNIS R. LAFONTAINE Total Value 20 SYCAMORE R $25,000.00 QUEENSBURY NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency HILLTOP CONSTRUCTION 51 CROWLEY Rd HUDSON FALLS.NY 12839-0000 Plans&Specifications 2013-465 Comm Unheated Pole Barn Planning Board SP 51-2013 $165.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,October 29,2014 (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 Qu sb Tuesday;October 29,2013 SIGNED BY :.i for the Town of Queensbury. Director of Building&Code Enforcement . t 4.11V"")010 OFFICE USE ONLY TAX MAP NO.Ad(5. la-L=3 PERMIT NO._/3 - 1 k'5r • 1 J FEES: PERMIT RECREATION ENGINEERING - (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. APPL-ICAAW/BUILDER: 43tf 1I."VDP 6:514 61". OWNER: rt;l thfbNTA1IIL 5 i w I.e( 1?-40#mo I t 33 gou'i ct ADDRESS: u.Ougst_ ,6,__ 1 ADDRESS: 6$0. 80, PHONE NOS.__�L — $2_�_; PHONE NOS. _6I6--jG p I_dJ/�j7e,,'__ CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: 4,,A�L. PHONE:_V revUr4 j LOCATION OF PROPERTY:_113 Vou_ 2lLg 1O4----- HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? gJ YES El NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: _A' C-_ j5_+ �✓___ PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR Z O d LL F- 0 PROJECT g 0 0 - 0 0 = o w L "• LL = o0v z_ Z < < .- � N � OLL OIL d2 o23 • SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS__ _) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,33)) 114161943 J, OTHER Tb(. 17 �C ✓ ' Q-014.d' "I. n o Sueensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL— NAME OF BUSINESS:_i 1415 _ 7jt.tuc ___e_ e. ESTIMATED CONSTRUCTION COST:_424 OW FUEL 141111. J HEAT TYPE:___ . *HOW MANY FIREPLACE(S): _AND/OR WOODSTOVES(S): t*Vat. ZONING CATEGORY: __O _ll___�_ ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? 4v PROPOSED USE OF BUILDING OR ADDITION: __S `_ ,IttDIr * ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? IVv ARE THERE EASEMENTS ON PROPERTY?____ ::26�' ( VE3 �1"5 G ` -- — r te '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. Ihave read a dagre •• th- : •: e. Signed __ _ 7. - r'- /.4e-eiiffp_ r- kigivrar07/&Divivide___. 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) • Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE • QUESTIONS? CALL 761-8256 OR EMAIL codes(&.queensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.net Operating Permit Issued: Yes ____No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions:__________ Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Town of Queensbury Building&Code Enforcement Office No. (518)761-8256 Commercial Final Inspection Report Inspection request received: Name: h A HT1-\p,' l) Inspected on: O —Z. Location: 1 \TY 67- Arrive: •.m. Permit No.: /3 -- 1-16) Inspector's Initials: ,g!_�iNek COMMENTS Y N NA Chimney I"B"Vent I Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish I Grade Complete 6"in 10'or Equivalent Interior/Exterior Guardrails 42 inch Platform!Decks Interior/Exterior Balusters 4 inch Spacing Platform/Decks Stair Handrail 34 inch—38 inch I Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq.ft. All Doors 36 inch w!Lever Handles I Panic Hardware, if required Exits At Grade Or Platform 36"(w)x 44"(I)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight I Other Floors Okay Relief Valve, Heat Trap I Water Temperature 110 Degrees Maximum Boiler/Furnace Enclosure 1 hour or Fire Extinguishing System Fresh Air Supply for Occupancy 1 Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft.or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 1/2 doors > 10%> 1000 sq.ft. 3/4 Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour,3 Hour Complete!Fire Dampers I Fire Doors Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24" Smoke Vents Or Fan, if required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars I Sinks/Toilets/Mirrors Handicapped Bath!Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 inch, Checkout 36 inch Handicapped Ramp I Handrails Continuous/12 inch Beyond [Both sides] Active Listening System and Signage Assembly Space Final Electrical I Flex Gas Piping Bonded 11 Site Plan I Variance required Final Survey, New Structure 1 Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway 4" Water Fountain or Cooler Building Access All Sides by 20'!Drivable Surface 20'wide OP Special Inspections I Engineer or Architect Approval Okay To Issue Temporary or Permanent C!0 Okay To Issue C!C Commercial Final Inspection_11 27 12 Inspection Form p 5J Town of Queensbury Fire Marshal O Periodic Inspection Date:8 1,14Time: 742 Bay Road, Queensbury NY 12804 o Re-Inspection 13 1 [6cJ' 518 761 8206/518 761 8205 ®CO Inspection Permit#: "S Marshals Representative ite MJ Palmer , Business Name: ltgcct„f3s Location: 91 3 g iir- 61 GK Stillman Contact: IN:w. Nitta Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 t� Exit Discharge FC 1024&FC1029 Cc,1 �O`�vt> 1�J c/ Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 0 /// AISLES: Y Main Aisle Width FC 1024/1025&FC1029.11 IL Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 �> C EVAC Plan FC 404.2 V 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 adIPI - 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 Emergency Disconnect FC 2203.2 21 DAYS SYSTEMS: FC 901.6 Insp 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 . Sprinkler FDC Flr . . ' "e A - • }�i O Kitchen Suppression Semi Annual t .• e . to: :at . Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 AUG 25 2 Operating Permit, if required will be issued after Fire M antol Completion of Inspection Town of Quee v Inspection Form Town of Queensbury Fire Marshal =Periodic Inspection Date: ime: 742 Bay Road,Queensbury NY 12804 o Re-Inspection 518 761 8206/518 761 8205 ' CO Inspection Permit#: 13-eV (p 5. Fir Marshals Representative MJ Palmer Business Name: QI' Q�S' Location: 113 3 fi�-�- GK Stillman Contact: ci_ 3 Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 PPO Exit Discharge FC 1024&FC1029 \\ _ Locks and latches FC1008& FC1029.2 lJ (0�1,b fb1G e G C )rr1- Sign: Normal FC 1011 &FC1029 _Sign: backup FC 1011.5.3&FC1029.7.5J pti" � `c� AISLES: q,�Sni, 1fi 4.o-0 Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 FIRE 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 3iko,.� F F► L.4.4„car Exterior FC 1006.3 C 1.1-5J-tk( Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 `>�c� (41V1 Combustibles in Equipment Rooms FC315.2.3 �`tC 1 u 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 Emergency Disconnect FC 2203.2 21 DAYS SYSTEMS: FC 901.6 Insp 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 Sprinkler FDC Kitchen Suppression Semi Annual Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection Town,of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Framing / Firestopping Inspection Report Inspection request received: Name: MC�KT‘AP\16 Inspected on: y Location: I I�� � 1 f�T _ �1� _ 1 C1 Arrive: a.m.!p.m. Permit No.: Inspector's Initials: i>�' TYPE OF STRUCTURE: C 5) 'TO RAGE_ BW. Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs/Headers Truss Specification Provided 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 1 Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 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 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above I below grade 5sf grade Design Professional Sign-off,if required Framing / Firestopping Inspection Report r RUCINSKI HALL ARCHITECTURE �P��� Ronald Richard Rucinski ` ,c0 Ethan Peter Hall G`�c,4-[, . � 627 Maple Avenue �J 0 Saratoga Springs NY 12866 P Voice 518 580 1905 Fax 518 584 5012 Email ephall@nycap.rr.com Special Inspection Report To: Dave Hatin -Town of Queensbury- Building Department From: Ethan Hall Date: 27 June, 2014 Re: Martha's Dandee Crème-Cold Storage Building At the above referenced project location we have performed periodic site observations to review the work installed for the cold storage building and all revisions made have been reviewed by this office. To the best of my knowledge and belief these items have been installed in accordance with the design drawings and are acceptable to this office. If there are any q stiRs-i ;please contact our office. .,t$ fig;;• � €.; `to Regards, i."fro t, Ngr . T,c.;,4 *.1:,34,.,/ ,, .,.., ,, , ‘.,. .1,7;:00'1(0.' Ethan Peter Hall`'.ake ... Cc: Dennis LaFontaine-Martha's Dandee Creme Tom Albrecht-Hilltop Construction Y:\Martha's Dandee Crcme\Pole Barn\Paperwork\Special Inspection Report 27 June 2014.doc 1 uwn of Queensbury Building & Code Enforcement Office No. (518)761-8256 Commercial Final Inspection Report Inspection request received: LL �,` Name: r -1 B FST - 'x) cup ')T t � Inspected on: —c- —14 Location: -,- 2)3 6T-RTF R TE 9 Arrive: —O a.rr Permit No.: \ 3_'-1-A(C 5- Inspector's Initials: COMMENTS Y N NA Chimney!"B"Vent!Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish/Grade Complete 6"in 10'or Equivalent Interior/Exterior Guardrails 42 inch Platform I Decks ANt Interior I Exterior Balusters 4 inch Spacing Platform/Decks Stair Handrail 34 inch—38 inch I Step Risers 7"!Treads 11" Vestibules For Exit doors>3000 sq.ft. All Doors 36 inch w/Lever Handles I Panic Hardware,if required Exits At Grade Or Platform 36"(w)x 44"(1)1 Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Okay V Relief Valve,Heat Trap I Water Temperature 110 Degrees Maximum Boiler I Furnace Enclosure 1 hour or Fire Extinguishing System Fresh Air Supply for Occupancy I Ventilation Combustion • Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft.or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 Y2 doors > 10%> 1000 sq.ft. %Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour,3 Hour Complete I Fire Dampers/Fire Doors Ceiling Fire Stopping,3,000 sq.ft.Wood Frame — �� Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" • Smoke Vents Or Fan,if required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets/Mirrors Handicapped Bath I Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 inch,Checkout 36 inch Handicapped Ramp 1 Handrails Continuous/12 inch Beyond[Both sides] Active Listening System and Signage Assembly Space /s/ Final Electrical I Flex Gas Piping Bonded Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway 4" Water Fountain or Cooler Building Access All Sides by 20'/Drivable Surface 20'wide Special Inspections/Engineer or Architect Approval Okay To Issue Temporary or Permanent CIO Okay To Issue C/C Commercial Final Inspection_11 27 12 Foundation Inspection Report Office No. (518)761-8256 Date Inspection r:•uest Five : Queensbury Building&Code Enforcement Arrive: `0,3• Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: A_ - NAME: H A RTHA .ERMIT#: LOCATION: ti 1 erTE RwTEci INSPECT ON: .--z ,—I�� TYPE OF STRUCTURE: -37-c PA) r.)(7, Comments Y N N/A Footings Piers Monolithic Slab ��- Qi~C�\\)V) C_ _a\ _ 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 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 evergreen TESTING & ENVIRONMENTAL SERVICES, INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-031 18-266-9238 CONCRETE FIELD OBSERVATION REPORT PROJECT: Martha's Ice Cream CLIENT: Hilltop Construction REPORT Is ;6-4-25-14 CONTRACTOR: Adirondack Concrete CONCRETE SUPPLIER: Cranesville DATE: 4-2: LOCATION: Footers- new building JOB NO: I i TIME WATER (GALLONS) Load Ticket Truck Cubic Slump Air % Conc. Mix Nc No. No. No. Yards (in.) Temp Air Temp. Set No. Batched Start Empty Agg. Added: Total Design Plant Total Remarks +Field 1 1 1824920 462 2.0 1247 1305 4.0 48 6.2 62 C40R3( at 1 of 6 cyls COMPRESSIVE STRENGTH DATA SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested E NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi) AS RECEIVED Field Re Irted to: Forema 1 1026 4-28-14 5-2-14 148.8 7 4060 Transpo 1027 5-2-14 149.0 7 3860 1028 5-23-14 148.2 28 4530 Remark: ooler 1029 5-23-14 148.8 28 4760 Weather 1030 147.5 H 1031 149.3 H Specification at 28 Days:4K Average 28 Day Strength:4650 Average 56 ngth: Town of Queensbury Building & Code Enforcement N.r.N1tt�i Office No. (518) 761-8256 Framing I Firestopping Inspection Report Inspection request���YJ-receive_d::t,_ Name: dJ nQ.)Q Inspected on: 5-0 Location: //.33-t-- -9 Arrive: PI /4) a.m./p.m. Permit No.: ) 3—<, (p.- Inspector's Initials: OA TYPE OF STRUCTURE: ady\kaS N NIA COMMENTS: maiming i V Attic Access 22"x 30"minimum Jack Studs/Headers v7. ' Truss Specification Provided `V"` W/45 45 i.4-4/ cts:j cn 4, Bracing/Bridging V �t+� q/- 8 ` G+.(- Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly / e�/ f it�M �� / 12"O.C. �5( ��f7`�`� `// 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 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 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing / Firestopping Inspection Report Foundation Inspection Report Office No. (518)761-8256 Date Ins.•ctioi i ., ed: Queensbury Building&Code Enforcement Arrive: • : .•, � Depart: ,$�i�'hsrP 742 Bay Rd.,Queensbury,NY 12804 Inspector's - • � . / f NAME: M 119 S p; • I T#: 1 -3 LOCATION: l I 9 INSPECT ON: &j `2. (//d, TYPE OF STRUCTURE I Comments ) Y /N N/A ) F'ootings \Z' t2 Piers Monolithic Slab ^U Reinforcement in Place The contractor is responsible for VCI \ \`lLAI,K.\ providing protection from freezing for 48 hours following the placement ‘-\?\\_k_ r- , of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place k):\_3\\-l._ \\� L Z,sJi° c- 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\Bu lding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM