2014-610 TOWN OF QUEENSBURY
wow742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140610 Date Issued: Monday, April 20, 2015
This is to certify that work requested to be done as shown by Permit Number P20140610
has been completed.
Location: 18 MELDON Cir
Tax Map Number: 523400-289-020-0001-018-000-0000
Owner: MICHAELS GROUP
Applicant: MICHAELS GROUP
This structure may be occupied as a:
Single Family Dwelling By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property n /� 14I/ I�l e
owner of the responsibility for compliance with Site Plan, Variance, or �v1(/ ,�j
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
Afrti 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140610 Application Number: A20140610
Tax Map No: 523400-289-020-0001-018-000-0000
Permission is hereby granted to: MICHAELS GROUP
For property located at: 18 MIELDON 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 Single Family Dwelling $250,000.00
SUITE 1 Total Value
10 BLACKSMITH Dr $250,000.00
MALTA,NY 12020
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-610
SFD 1st Fir 1,413 sq.ft.; 2nd Fir 617 sq.ft.
Garage 498 sq.ft.; 1 Fireplace (gas)
$480.70 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,December 01,2015
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town ensb Mo t2 December 01,2014
SIGNED BY `-s a%r F for the Town of Queensbury.
Director of Building&C•de En Ar
1 .S
c r
r
OFFICEpUSE ONLY j�
TAX MAP NO. Q� 1s4, al)-J . 8 PERMIT NO. )11-.. (0 I V •
FEES: PERMIT A /�� P�aV 21 2014 ,�;
'��, 0RECREATION '1 V it ENGINEERING , J
—
4-50 (If applicable); 1 V
L. ;u
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: The 11/211cHp.EL.S CjZc..P OWNER: I.
ADDRESS: 10 Row-swim be, t-1a.LT ,Nor 12o7.0 ADDRESS: " "
PHONE NOS. 51$-e. • Co311 PHONE NOS. "
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: 7. LoC.a.k10 PHONE: f5G1 -314 4
LOCATION OF PROPERTY: IS Mtxcsa GP r sE.
SUBDIVISION NAME: 1-4tL4M4TCla,cS1t14 S
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR 0 ce a Oi-
PROJECT O ¢ O O w - 0 co F w
F w 0� O3LL w ¢ a=x
a 0 U
W 0 J U-6 0 1-F- 0 i- K W�
2 Q Q _u) N(11 OLL F-w EL1aa
SINGLE FAMILY K I,413 c)I ton 4i 2,03o 4 2-1'-(o q_
TWO-FAMILY Lk Dlg
MULTI-FAMILY(NO. )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED1 1141
y X10
GARAGE(103) 492, 1 - I4 I
OTHER
aTown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
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► 1\1—lair
`�' Fire Marshal's Office
145 Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 Date Stamp
Michael J.Palmer,Fire Marshal•Gary Stillman, Deputy Fire Marshal
APPLICATION FOR FUEL BURNINGAPPLIANCE & 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: THE MtClFPaS L.1T�U�'L.L.L INSTALLER/BUILDER C3 TI D. e
ADDRESS: ADDRESS' 1160 Car-WV-AA— Ps4e .6.4_32.1:4449,
N'-f
PHONE NOS. SIS•%A9•(ore 11 PHONE NOS. s\S• 64s9.91000
LOCATION OF PROPERTY. SUBDIVISION NAME: B!LM,1.0 C3=E5=tft4c S
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE. T• 1 (-CP 'CAO PHONE:�'cb• .51.3144
✓ FUEL BURNING•AITLIANGE .
INFORMATION '" ;
WOOD `. y.COAL.-,._ '," ,PELLET GAS OIL
STOVE
FIREPLACE INSERT
}C FIREPLACE, FACTORY BUILT*
FIREPLACE,MASONRY
FURNACE(GARAGE ONLY)
*IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: HST-N- C-1L0 MODEL NO. DV 3132.-5T45 1
LISTED BY: NUMBER:
QUESTIONS?
CALL 761-8205 or 761-8206
CH ` its
IMNEY INFORMATION •*¢ ` - a BLOCK' <�BRICK ' - STONE ''- OR EMAIL:
7.4P •- " - --- • flremarahalOaueensburv•net
MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE
,,i;z .t `FILE �STEEL�` � •.',;.1:84:61-86.:-c .$iZEINv:� FOR MORE INFORMATION
7:rt.i .:K.S-rgkr - .>: www.aueensburv.net
FLUE CHECK ONE ✓
: .;DOUBLE" .-.:Hr_»ri�r.;-� r: .--_ -c'1_..*,�... -: .�:.`.� , �•CHIIviNEY
- TRIPLE WALL - tt4SULATED DIRECT VENT- -
..+'= w.. -> ;VJA'CL ,...�_�.,.� 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.
Town of Queensbury Michael F. Travis
Highwayt %� Highway Superintendent
I i ` ll// 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: t1I r 7I ► 4
APPLICANT NAME: T Mlc p.eS C.IKor, LLC
TELEPHONE NO.: 51,Es •t>`\O • co3tt
ADDRESS TO BE INSPECTED: t0 Habal Grz.u>c
RETURN ADDRESS:
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
ueensbury Building & Code Enforcement - Residential Final Inspection%"
Office No. (518) 761-8256 Arrive: am/ m epartie ,'0) am/pm
Date Inspection request received: / 41/7/air/ Inspector's Initials'
NAME: I'/,/1JG'G(L/-G1U 6ncp PERMIT#: ao/4�j6
LOCATION: l u"'!L"„C4'7x.1 rr lam. DATE:
TYPE OF STRUCTURE: /^
��/) Comments:
r/.410 N/A_
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location 15
Fresh h r Intane V/ C
3 inch Plumbing Vent through roof minimum 18 inches
1‘..7.
`� D �� v �]f/l�_
Roof Complete/Exterior Finish Complete `i1 ate(
Platform at all exterior doors � /
Handrailrd4 t more risers V Q�_6��._ t a `^, ,,
Guards stairs,decks,patios more than 30 inches above grade `(\ '�W t all
Guard at stairwell at 34 inches or more isilV
W v\
Guard at deck,porches 36 inches or more t .
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet f/
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade t//
Interior privacy/trim/doors/main entrance 36 inches ✓
Bathroom/Kitchen watertight
Safety glazin /Win w in stairwells safety QJa7ing
Interior Smoke ors/Carbonoxid5 Detectors /
Every level: ✓✓✓���/// Ev Bedr ✓ i/
Outside every bedroom ren: /!
Inter Connected: Battery backup: �/
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area /
Crawl Spaces 18 inch x 24 inch akxs, 1 sq.ft.-150 sq.ft.vents / r
Bathroom Fans,if no window
Plumbing fixtures t!/
Foundation insulation to floor/Sticker on Panel VA
VDud work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft. /
Emergency egress below grade ✓
Gas Furnace shut-off within 30 feet or within tine of site
Oil Furnace shut-off at entrance to furnace area / t/
Fumace/I-lot Water Heater operating t/
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum itVP
Basement stairs closed rise>4 inches
Garage Floor Pitched VA.
Garage fireproofing/V.hour fire door/door closer ✓e
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan V
Arc Fault Breaker Habitable s/ per Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic Syste Sewer Dept. spection Sticker Ve
SiteloPlanPl /Variance fired
Flood Plain Certification, if required ' /
Okay to issue C/C or C/0[Temporary/Permanent]
% C LASS VS S tyatt olt716 o r necer-
L:\Building&Codes Forms\Building&Codes Inspection FarmslResidential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26108;Revised 12122/10, Revised 04/13/11
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: 7
NAME: J-&J fil s 4:47,0
j -
LOCATION: / �/V(� fQdv, Orr 0--
PERMIT #: t t4-(0 16
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community 1.7
Development.
Upon review the
survey has been:
Craig Bro Zoning)ministrator
Notes:
L:\SueHemingway\Building.Codes.Inspectlon.FORMS\Final Survey
Zoning Administrator.doc
® EXISME CODE 0.` PRATE A FOR VCV SURVEYORS ADOPTED I L 11b i+A i S E
Laiad BY D S NEW YORK STATE C IR9 CAEON�; SH M RUN ONAL !
TO SURVEYORS. SA1U OM ME
SHAM FUN ONLY Anita
y�
TO ME PERSON O E M C SUflVEY IS PREPARED, AND lA •! 7 t a � I Fr' P 7 b o rg SHEET ' OF I
ON WS BEHALF i0 ME SnTU COMPAII%, GOVERNMENTAL 1111.1 • V J 0.J C, q
AGENCY AND LENDING WS➢NITON p3IED HEREON, AND
169 Haviland Road Queensbury, New York 12804 i0 ME ASSIGNEES GP WE LENDING
Town of Queensbury,' Warren County, New 'York fPtJB0FG
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION pwG. No. 99312 -P3 -cors ;
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Foundation Inspection Report 1
Office No. (518)761-8256 Date Inspection request received: A L7-V 15
Queensbury Building&Code Enforcement ` Arrive: am/pm Depart: \ m
742 Bay Rd., Queensbury,
_N�Y� 12804 Inspector's Initials: s —
\
iv
NAME: MA&cS Gni)
PERMIT#: tl_ Iatlate'c
LOCATION: I6 Mk ac n INSPECT ON: �`{1212QtS
TYPE OF STRUCTURE: SCIS
{ Comments
Y N N/A I5
Footings
Piers
Monolithic Slab Trani 852
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 12/9/2014
Town of Queensbury Building&Code Enforcement TPA2 -4
Office No. (518)761-8256
Gtoccr+6 3
Rough Plumbing ! Insulation Inspection Report
Inspection request received: 31 to tzo�+5
Name: M 1c J S Crpetvi k? Inspected on: 3 . 17-0 15
Location: i8 ��� Arrive: '.a� r
�1 _ G2IC�
Permit No.: Inspector's Initials: A
Type of Structure: SED '
COMMENTS
Y N NA
/Plumbing under slab 7�YLAr
Rough Plumbing/ Nail Plates 1
Plumbing Vent/Vents in Place �v }- ' �J ISj2
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
Pressure Test
Water Supply Piping
Air/Head OblA + LaTe
50 P.S.I for 15 minutes
Insulation /Residential Check/Commercial Check J�
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 Fumace
Duct work sealed properly I No duct tape
Blower Door Test
Air Sealing
Rough Plumbing/Insulation Inspection Report
Town of Queensbury Building&Code Enforcement C ((} e rO 3;13114- f
Office No. (518)761-8256 ' 7
Rough Plumbing / Insulation Inspection Report
Inspection request received: "" 3/3/1.5
Name: i� v1� A--el /5 & o-rInspected on:
Location: 1c( AA-e. lc&An Cu r (e Arrive: , > 0 AIP.m./p.
Permit No.: 1 LI W a Inspector's Initials: -'
Type of Structure:
COMMENTS
Y N NA
Plumbing under slab
Rough Plumbing/ Nail Plates
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
-insulation/Residential Check/Commercial Check cNA
I� Window Sealing t Lt OL
Tyvek or Similar Exterior Sealant �t t 5 Z\
Proper Vent,Attic Vent
Door/Window Sealed (No Insulation)
kA) tINAN5 e30
Duct/Hot Water Piping Insulation
If required unheated spacesVto g A-j
Combustion Air Supply for Furnace 4L e-4/0-4/0Duct work sealed properly/No duct tape _
Blower Door Test FZ�\ e, z_
Air Sealing
Rough Plumbing/Insulation Inspection Report
f
Town of Queensbury Building&Code Enforcement 2
Office No. (518)761-8256
Rough Plumbing / Insulation Inspection Report
Inspection request received: 2124,9 k D
Name: ' 1 t c1'-ads Crv59) Inspected on: `2-I2"M,1 5
Location: t b MQXdon Ca✓r U. .2 Arrive: - a.m./ p.m.
Permit No.: 12{— to ID Inspector's Initials:
Type of Structure: 3Pt
COMMENTS
Y N NA
Plumbing under slab r'
Rough Plumbing/ Nail Plates
7
Plumbing Vent/Vents in Place `� J
•
1 '% inch minimum Drain Size 651- - 111
Washing Machine Drain 2 inch minimum J`
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
Window Sealing V/
Tyvek or Similar Exterior Sealant
Proper Vent,Attic Vent
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
Rough Plumbing/Insulation Inspection Report
. , Town of Queensbury Fire Marshal
gn742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
` instructions or specifications is allowed. l�
Permit# I�' (10 Schedule Inspection
a�7•Iyy2,��t5 Time2\i Qam pm anytime Insp or,. '
Name Ii C 2j nliv? Address 16 Mdct t 1 CV Lb—)) Rough+� In_Final
Appliance Manufacturer k 1-}-n'E�\i61-�j 1 ' .(}M' Model# n -' C7 L..
Direct Vent Factory Built ChimneyYr
Flue Size Double Wall Triple Wall Insulated_
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Trani
Firestop(s) Vertical Chase J
Wall Penetration
13 -i- - 5
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 Y
Combustion Air
Hearth Extension (if any) >/
Mantel /
Height above f/p opening ,
Witness Operation V
Tank Placement(if LP) V
CO Detection //,/
CSST Bonding
White—Building Dept. Veenom—Cost mer Pink—Fire Marshal g
Town of Queensbury Building & Code Enforcement -3/41 2pw1
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received: 1 t5
Name: WVOnciaS Gvmx ) Inspected on: 2 '2-
Location:
Location: 16 Meic:Win G'fcjtj- Arrive: Alin� a.m./p.m.
Permit No.: 11`- to to Inspector's Initials: A iF
TYPE OF STRUCTURE: ii
Y� N WA
COMMENTS:
Framing
`yV/
Attic Access 22"x 30"minimum
Jack Studs/Headers
TrussSpecinProvided Oink\
Bracing/Bridgidgingg to‘itt
Joist hangers n .} _ z\4 _
Jack Posts/Main Beams �J CJ f es\
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 1/2(w)16 gauge(8) 160 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 wallseparation2, ,4 1 2,3 hour
Fire wall 2,3,4 hour YJ//
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side A 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
Town of Queensbury Building & Code Enforcement C(cr S-c r°r G
- 16
Office No. (518) 761-8256 7044-1
-
Framing I Firestopping Inspection Report
Inspection request received:
z 2
Name: (nt A rO,• ]P Inspected on: 21 �./.
(
Location: iee
h M ,(114 r,.rIc �� Arrive: 'c�N" '
Permit No.: ) V '- Ln (J Inspector's Initials: _ •ir
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing I 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 an center
"C""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 518 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 I Firestopping Inspection Report
Rough Plumbing / Insulation Inspection Report toed /a
Office No. (518) 761-8256 Date Inspe tion ret .est received:
RBuilding & Code EnforcementArrive: 's *sea am/pm
742 Bay Road, ueensbury, NY 12804
Inspector's Ini I.
NAME: NIA-Ines)¢ik PERMIT#: PI-10 Ili
LOCATION: / g M e)4 vn INSPECT ON: / -31-1 41
TYPE OF STRUCTURE: g
N N/A
umbng� der slab
0\5\
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
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 Plumbing_Insulation Inspection_02 05 13
Mort g -Io
Foundation Inspection Report ` % ?)
Office No. (518) 761-8256 Date Ins ection requ�esdieceive'd:
Queensbury Building&Code Enforcement Arrive: =V'amfpm� Depart: Cr ` '-"
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial . ,•-/ /
p , L.
NAME: M 1 -ANOLJ2jOS (3-14151-4-e PERMIT#: / Cl-(O ie
LOCATION: l T 1\\eleton INSPECT ON: i a `a a—ILI
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 f-- •• -. _ _ _ j /
��
rJ
PSSSitiation Waterproofing -1 i
Footing Drain Daylight si
(r Sum / V!1
Footing Drain Stone: J j
12 inch width \/ i
6 inches above footing
6 mil poly for wet areas under slab
a`c`Fii1 Approval— — 1
VI
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\Inspectioi Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
--(burs 1 ` 3
� l .3o)
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: a
m
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:atc)
NAME: { t elake- S PERMIT#: I C/-/o/D
LOCATION: I $ Me-1(1011 INSPECT ON: 1 c -1 g -/y
TYPE OF STRUCTURE: -S F 6
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.
oun$a`tion'r/W Ilpour
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 l —3 a'1'
Office No. (518) 761-8256 Date Inspection request received: /a I a-O
Queensbury Building&Code Enforcement Arrive: am/pm Depart: C"�/am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: 1'
NAME: / / � C'& , P 2.0/ - 66/6
PERMIT#:
LOCATION: a /(16Sj7 ,(/de INSPECT ON: /2- - adl
TYPE OF STRUCTURE: �d�ah�(JGr� / J�
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 Placeei' ee
Footing Dowels or Keyway in place ✓ -
Foundation Dampproofing v\( .WC_ _
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