2013-470 TOWN OF QUEENSBURY
•
742 Bay Road, ueensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130470 Date Issued: Tuesday, March 11, 2014
This is to certify that work requested to be done as shown by Permit Number P20130470
has been completed.
Location: 74 MELDON Cir
Tax Map Number: 523400-289-020-0001-036-000-0000
Owner: MICHAELS GROUP
Applicant: MICHAELS GROUP
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Townhouse
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan, Variance, or AT
4
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
---- - --- - -\l- \ 1 WI---
AO* TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130470 Application Number: A20130470
Tax Map No: 523400-289-020-0001-036-000-0000
Permission is hereby granted to: MICHAELS GROUP
For property located at: 74 MELDON Cir
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: MICHAELS GROUP
SUITE 1 Fireplace
Garage Attached
10 BLACKSMITH Dr
MALTA,NY 12020 Townhouse $240,000.00
Total Value $240,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-470
Townhouse 1,292 sf w/garage 455 sf
1 Fireplace (gas)
PERMIT FEE PAID-THIS PERMIT EXPIRES:
$326.65 Tuesday, October 21,2014
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queens before the i.iration date.
Dated at the Towft of e /7;4 i? y, October 21,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury (� Michael F. Travis
Highway J 3 --/1 lv Highway Superintendent
OCT
C 201 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: I�30�13
APPLICANT NAME: 1 M Icy-'ASS LLC
TELEPHONE NO.: 5%2>
ADDRESS TO BE INSPECTED: 74 i•,1 .-1 .01A
RETURN ADDRESS: 10 PaAca.S).NctN p2, t A—N-,ray 1'M-to
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
r
OFFICE USE ONLY
{7
TAX MAP NO. a a 9 ,.ad-/ r3 P PERMIT NO. "--11>o13 pec:, (,, 2013
FEES: PER IT3a/pctOStECREATION /194- ENGINEERING ;
. c
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: Z , FUEL TYPE: CSS
HEAT TYPE? H A- *HOW MANY FIREPLACE(S) I AND/OR WOODSTOVES(S): t)
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? NO
IS THIS A HISTORIC SITE? ND
PROPOSED USE OF BUILDING OR ADDITION: ' i -i--e F-a,ka1t.Nr sloF},3c
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? No
ARE THERE EASEMENTS ON PROPERTY? KD
*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 -:ove.
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 wvrw•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:
ZONING APPROVAL DATE BUILDING &CODES APPROVAL DATE
QTown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Fire Marshal's Office / 3-1 WO v 3
Town of Queetzsbury • 742 Bay Road • Queensbury, New York •12804 Date Stamp
Michael J. Palmer, Fire Marshal• Gany Stillman, Deputy Fire Marshal
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit
pursuant to the New York State 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.
OWNER: TIDE IYI1G!-I?P•�S CI � LC INSTALLER/BUILDER:
ADDRESS: 10 = 51`N'(M bra -1t 1 I 202 ADDRESS: nbo C.F C -_ A'�le� b.�.E+rF.bY NN-f
PHONE NOS. SI`a•4i919•C:=-611 PHONE NOS. S\S. e4v9• ltono
LOCATION OF PROPERTY: -14 SUBDIVISION NAME: \--k1 C- 3S»tS
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: L.1-4-1A 17--000L4
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: -m L.bC.P•S4-%O PHONE: -\$•S5-1.314 q-
✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL
INFORMATION
STOVE
FIREPLACE INSERT
)C FIREPLACE, FACTORY BUILT*
FIREPLACE,MASONRY
FURNACE (GARAGE ONLY)
*IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: Ham'►y' CIS MODEL NO. to`,3132-5tb1
LISTED BY: NUMBER:
QUESTIONS?
CALL 761-8205 or 761-8206
CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL:
firemarshal a(�queensbury.net
MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE
TILE STEEL SIZE IN FOR MORE INFORMATION
INCHES www.queensbury.net
FLUE CHECK ONE ✓
DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY
WALL LINER
CHIMNEY MATERIAL CHECK ONE ✓
**IF NON-MASONRY, PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO.
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION &BUILDING CODE AND/OR
MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED
INSPECTIONS.
Queensbury Building & Code Enforcement - Residential Final Inspectio3,
Office No. (518) 761-8256 Arrive: am/pm Depart2• " am/pm
Date Inspection request received: Inspector's Initials:
NAME: N\ (0)Na e_k 6'I-v()L0 PERMIT#: f _'L/ //Q
LOCATION: 7 f ,7).) ' - j n (- c rr- (ti DATE: 3 - T — /�
TYPE OF STRUCTURE: f v, h s c
Comments:
Yes/No N/A
4" Building Number Address visible from road VI
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake ,//
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors V":"
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade 1.7Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more r
Handrail Termination at Newell Post or Wall ✓
Interior/Exterior Railings 34 inches to 38 inches f
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet — 4N/V -
6 inch clearance to sill plate 7
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches ,./:„.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke De%ctors/Carbon onoxid�betectors
Every level: �� Eve Bedr om: �f
Outside every bedroom rea:
Inter Connected: I Battery backup:
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 ` V
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification .�
Floor truss,draft stopping finished basement 1,000 sq.ft. Y
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area ;✓
Furnace/Hot Water Heater operating
Low water shut-off boiler4,/
Relief Valve(s)installed/Heat Trap/Water Temp 110 1 /
Enclosed Stairs Sheetrock Underside minimum W Gypsum ✓
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer t/`
Gas Logs in Sealed or Glass Enclosure ✓/
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan
sArc Fault Breaker Habitable Spaces/Tamper Proof Receptacles V,...Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker li !
Site Plan /Variance required �/
Flood Plain Certification, if required 1/
Okay to issue C/C or C 1 0[Temporary/Permanent] NO
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6126/08; Revised 12/22/10,Revised 04/13/11
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: " —J'4
NAME: r��� �l G ry u p
LOCATION: U/1
PERMIT#: 1 3 -- 't{ U
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:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
1o4z
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection r est received: / / 3///
Queensbury Building & Code Enforcement Arrive: am/pm
742 Bay Road, Queensbury, NY 12804 Inspecto' Initi s:
�uvv�
NAME: c4/0 e S G Io\P PERMIT#: �v
LOCATION: -7 4' �,M P_ EA.) C, rc le_ INSPECT ON: 'Mr/
TYPE OF STRUCTURE: <01,1-1--,
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 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. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I. for for 15 minutes
4nsulation /Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent "1/4//
Door/Window Sealed (No Insulation) V
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
COMMENTS: Q`--))3
v \ 11`444'-'
Rough Plumbing_Insulation Inspection_02 05 13
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: if
Queensbury Building & Code Enforcement Arrive: ' c.1 am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:711,
NAME: INA i Gk/M.-( S ��,, �p``1/� PERMIT#: 70
L J , "
LOCATION: `Z l /n e. (d c.�--moo fC- ( P INSPECT ON: j� /y
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
)frraming
OMMENTS:
raming
Attic Access 22" x 20" minimum
Jack Studs /Headers
Truss Specification Provided
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
11/2 (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 ans water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
irestopping
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_Revised_02 05 13
.r i1
Town of Queensbury Fire Marshal
742 Bay Road /ate
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.
(f // y -10
Permit
)
Permit# 3 J ( ^/ 0 Schedule Inspection ` 7/( -/ Time 410, # 'oil anytime Inspector
Name (Y) t (4)A d S 6!'o Le Address 7 (( v-cf d Gh a'rc f Rough In Y"--Final
Appliance Manufacturer5� 'C' �'c CME: Model# ���j -3'2-SCA
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall /Insulated_
Yes No N/A Comments
Floor Protection /�
Clearances to Combustibles (all sides) �/
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination /
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air v/
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
CO Detection /1
CSST Bonding •
'✓
White—Building Dept. l cllutiti—Customer Pink—Fire Marshal
Rough Plumbing / Insulation Inspection Report
�
Office No. (518) 761-8256 Date Ins ection re nest received: 9/
Queensbury Building & Code Enforcement Arrive: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector' Initials:
NAME: m( L(4 Ned Gro,Je PERMIT#: ' 3 47°
i
LOCATION: VV'J ,. C v,r( (f INSPECT ON: . ' u/
/0
TYPE OF STRUCTURE: f c t
Y N N/A
Plumbing under slab
XI:tough Plumbing / Nail Plates V
Plumbing Vent/Vents in Place V
11/2 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. for 10 ft. above highest connection for 15 minutes
Pressure Test
(.))
/
Water Supply Piping
Air/Head
50 P.S.I. for for 15 minutes
Insulation /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
COMMENTS:
Rough Plumhing_Insulation Inspection_02 05 13
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: ' la[n/pmt \\\\\\VVV
742 Bay Road, Queensbury, NY 12804 Inspect is ni ials (:
NAME: M t.C3r\ 52_,C-A PERMIT #: /
LOCATION: 7 `-/ /1 0-1(4 0,1 INSPECT ON:
TYPE OF STRUCTURE: i r1 i1 F=
Y N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum
Jack Studs / Headers
Truss Specification Provided
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
11/2 (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 ans 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_Revised_02 05 13
Foundation Inspection Report (1cJI")
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: r am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: (\(1 L 7'� PERMIT#: / .3- <-0/
LOCATION: ) <f mp/ 2, INSPECT ON: //'- .3
TYPE OF STRUCTURE:
Comments
N
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
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
Foundation Inspection Report /6—l
Office No.(518)761-8256 Date Inspection request received: I i/&'7 )-c / 3
Queensbury Building&Code Enforcement Arrive: Ii `. am/pm Dept: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: t 4140 eS % ► o'-01 3 - X76
LOCATION: PERMIT#:
`� /'k'(dm�� 'tel�-rC-L INSPECT ON: l L ! '� tR-��I
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 Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump ✓
Footing Drain Stone:
12 inch width
6 inches above footing
wet areas under slab
ac• 1 App • al
V
Plume ing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Fors\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:L 1,.4,9
NAME: /1\IV-C-A,4_� �� `- PERMIT#:
LOCATION: —122–,-k---1 ( 'iVL INSPECT ON: /c, •?7,i-\V1 ,
TYPE OF STRUCTURE
Comments
Y N N/A
Footings 7 7,4-
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 V
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:\Bullding &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report \4, t.,
l
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart.2 l am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,
NAME: (� -,
� �� 11tir�'�S �� ��,c� -� PERMIT#:
LOCATION: '71 AV (A 0 ;1 INSPECT ON: /
TYPE OF STRUCTURE:
Contmentt
N N/A
Footings
Piers V
7-
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 V-� t,.
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forrns\Bufiding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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