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2014-645 4611111111a TOWN OF QUEENSBURY IG. 742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140645 Date Issued: Wednesday, May 27, 2015 This is to certify that work requested to be done as shown by Permit Number P20140645 has been completed. Location: 22 MELDON Cir Tax Map Number: 523400-289-020-0001-019-000-0000 Owner: MICHAELS GROUP Applicant: MICHAELS GROUP This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or �d 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 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 �7 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140645 Application Number: A20140645 Tax Map No: 523400-289-020-0001-019-000-0000 Permission is hereby granted to: MICHAELS GROUP For property located at: 22 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 Fireplace SUITE 1 Garage Attached 10 BLACKSMITH Dr Single Family Dwelling $200,000.00 MALTA,NY 12020 Total Value $200,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2014-645 SFD 1,420 sq.ft. Garage 430 sq.ft./ 1 fireplace (gas) $284.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,December 31,2015 (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 o�Quee ury• e• t •s, ! .cember 31,2014 1 IV r SIGNED BY \, for the Town of Queensbury. Director of Building&Code Enforcement t ` r - - — - - --- -- - -- -- -OFFICE USE-ONLY - -J- - -- - -- -- -- - - ._ . TAX MAP NO./a O`I. ,o_r/-i ` A�P9ERMIT NO. 1 41" La" 5 DEC 2 2 2014 FEES: PERMIT:344 g.S`-f2ECREATION Pifer' ENGINEERING l (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. APPLICANT/BUILDER: THe• Micw*F-1..S C11ZcLP OWNER: ADDRESS: 1D 6LAUCSlA1n+ DR, Hn.LTP. ,NK %tOZO ADDRESS: " " PHONE NOS 51e-S" - (0311 PHONE NOS. " CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: -T• LaC.A.4clo PHONE: t>5-1 -3i 4 4- LOCATION LOCATION OF PROPERTY: 2-Z N"ELZOr'L C\lzC . SUBDIVISION NAME: 1-HL AMI' CS5�-€1NCiS PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW CHECK ALL THAT z APPLY TO YOUR0 CC ci ci wLL0 PROJECT O ¢ 0 0 -_ 3 0 W CC OW W p u_u_ I I— 0 z W 0 J d i d L H O F cC W — Z G G co N O W Fu_ d i M} SINGLE FAMILY u 11421:13 1 ,4204 24-Q+�- 7 TWO-FAMILY MULTI-FAMILY(NO ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED 42J�j GARAGE(16,z) Y -r I OTHER * ~ 4 , . a Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 A; `4 IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: 2°0) 0(0 0 FUEL TYPE: C1 a9 HEAT TYPE? F 1-f;I. *HOW MANY FIREPLACE(S) AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: 51N4Le FAMILY St .3Ct. ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? *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 if Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761-6256 OR EMAIL regarding Building Permits, construction codes or septic codesaqueensburv.net systems) VISIT OUR WEBSITE FOR MORE INFORMATION Zoning Administrator: 761-8218 (for questions regarding www•gueensburv.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 DATE • etTown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 Fire Marshal's Office Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 Date Stamp =� Michael J.Palmer, Fire Marsha[• Gary Stillman, Deputy Fire Marshal .,"._v e 2 24J `` I • J 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 pad of these requirements and also will allow all inspectors to enter premises to perform required inspections. IMPORTANT G NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. Mie ie M1G1-cp,e_S i70F-, C. INSTALLER/BUILDER' I3' tel 11 f7� ADDRESS: ADDRESS: I-fbo C AaJ ~' ^"=Y,NV PHONE NOS. 518•eitel9 .Low 11 PHONE NOS. e‘S• SIdi. c oo LOCATION OF PROPERTY: 2-z- N`d'1:t0t CLV'CSUBDIVISION NAME: PO 14.17-, Cot ..t3NC.,S LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION. L_1 V t let 17- ,-'- CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: T• L.caCPSC.IO PHONE: •95'1.3144 FUEL BURNING-APPLIANCE. - INFORMATION WOOD COAL PELLET GAS OIL STOVE FIREPLACE INSERT _ XC FIREPLACE,FACTORY BUILT` FIREPLACE,MASONRY FURNACE (GARAGE ONLY) 'IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: VA EP T- CO-C' MODEL NO. D"/3"132-SAI LISTED BY: NUMBER: QUESTIONS ? _ - . CALL 761-8205 or 761-8206 CHIMNEY INFORMATION - BLOCK BRICY . ' . STONE' OR EMAIL: firemarshalOaueensbury.net MASONRY" CHECK ONE ✓ VISIT OUR WEBSITE -TILE STEEL SIZE IN FOR MORE INFORMATION - - INeF1ES - www.4ueensbury.net i,, FLUE CHECK ONE ✓ DOUBLE ` - - - D _ " V :CHIMNEY" -VJA€L T_RIPL?E:WALL - INSULATED `_DIRECTVENT 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 ` O 17 lc�hv7 0 t1 Michael F. Travis - Highway c, `Ac 'IL-Highway Superintendent �� 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: 12111114 DEC 2 2 2014 APPLICANT NAME: T4ie MtcseS C{Rap, LIC i TELEPHONE NO.: 5‘`a •4E5cvq • (o11 ADDRESS TO BE INSPECTED: 22 kkia.bot1 cticcte 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 9 Y P Thomas R Van Ness, Deputy Highway Superintendent Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury, NY 12804 • Date received: • 73 r NAME: , cA✓-1C( S��vrGc--t LOCATION: PERMIT #: l 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: OA_ Craig Brown, Zoning Administrator Notes: L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc C(05e-T ( 3 Queensbury Building & Code Enforcement - Residential F ion Office No. (518) 761-8256 <�/ [/C Arrive: am/pm Depart t m/pm Date Inspection request received:JJ / ��� Inspector's Initials: 4 / ( � NAME: fi'l r Gf/!1 of 5 _ PERMIT#: ) 19E6(l,C LOCATION: a,a- /y C?a C &r e ( DATE: .5-71-5 rL�O TYPE OF STRUCTURE: Comments: Yes^No N/A_ 4" Building Number Address visible from road V Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake V 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete 1/j Platform at all exterior doors vce t Handrail 4 or more risers / Guards at stairs, decks,patios more than 30 inches above grade t.// Guard at stairwell at 34 inches or more V/ Guard at deck,porches 36 inches or more 1// Handrail Termination at Newell Post or Wall Y/" Interior/Exterior Railings 34 inches to 38 inches ✓ / Deck Bracing I Handicapped Ramp Compliant 1 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 h Interior privacy/trim/doors/main entrance 36 inches V Bathroom/Kitchen watertight / Safety glazing/Win in stairwells safety g ing ►/ Interior Smoke De�ors/Carbon Monoxid etectors / Every level: ✓ Eve Bedroom: ✓ Outside every bedroom area: ,/ / 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 access, 1 sq.ft.-150 sq.ft.vents / V Bathroom Fans,if no window 1// Plumbing fixtures ✓f Foundation insulation to floor/Sticker on Panel V Duct work sealed properly I Blower Door Test Certification V / Floor truss,draft stopping finished basement 1,000 sq.ft. ✓ g Emergency egress below grade / i Gas Furnace shut-off within 30 feet or within line of site V / Oil Furnace shut-off at entrance to furnace area ` V Fumace/Hot Water Heater operating t/ Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'A"Gypsum 4/ Basement stairs dosed rise>4 inches / Garage Floor Pitched ✓✓ Garage fireproofing 1%hour fire door/door closer ,, Gas Logs in Sealed or Glass Enclosure fj Final Electrical; Energy Saving Light Bulbs 50% V/ Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles /' Flex Gas Pi Bonding ✓/ As Built Septic System/Sewer(jpt. Inspection er ✓ Site Plan required Floodd Plain Certification,if required k/ 0 Okay to issue C/C or C/0[Temporary/Permanent I I rt,t, ss 10 3i. Ncit3d2- eaDi6 ec netoar L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11 e Air Leakage Property Organization HERS Unknown Grajny Consulting, LLC Confirmed k22MeldontCircle 518-221-3240 05/26/15 Queensbury, NY 12805 Stan Grajny, PE Rating No:0415156 Rater ID:5609922 Weather:Albany, NY Builder 22_Meldon The Michaels Group MichaelsGroup_22MeldonQeensbu ry_NYESH_T2_052615.big Whole House Infiltration Blower Door Test Heating Cooling Natural ACH 0.11 0.09 rAtH:®•S0'1Pascals; :7'i'B7'�-k • 2.07 • CFM®25 Pascals 530 530 CFM @ 50 Pascals 831 831 Eff. Leakage Area (sq.in) 45.6 45.6 Specific Leakage Area 0.00011 0.00011 ELA/100 sf shell (sq.in) 0.76 0.76 Duct Leakage Leakage to Outside Units Ducti 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 0.0743 Ventilation Mechanical Exhaust Only ASHRAE Sensible Recovery Eff. (%) 0.0 62.2-2010 Total Recovery Eff. (%) 0.0 Rate (cfm) 54 51 Hours/Day 24.0 24.0 Fan Watts 30.0 Cooling Ventilation Natural Ventilation ASHRAE 62.2 - Ventilation Requirements The ASHRAE 62.2 flow rates shown above are the CONTINUOUS mechanical fresh air ventilation which will meet the'whole-building' requirement under that version of the standard. Both values incorporate any appropriate'infiltration credit'. Intermittent mechanical ventilation may be used if the flow rate is adjusted accordingly. For example, the runtime can be reduced to 12 hours per day using a doubled flow rate, as long as the system provides ventilation at least once every 3 hours. For more detail, refer to the appropriate standard. REM/Rate- Residential Energy Analysis and Rating Software v14.6.1 This information does not constitute any warranty of energy cost or savings. 01985-2015 Noresco, Boulder, Colorado. Town of Queensbury Building&Code Enforcement ¶gtJ Office No. (518)761-8256 1-3 Rough Plumbing 1 Insulation Inspection Report Inspection request received: e ) b\15 1 )��'1 Name: ��Chart} S 6v'blklO Inspected on: 4 Location: '72-Z ��-rl Arrive: o A a.m.I p.m. Permit No.: 1I 4!5 Inspector's Initials: Type of Structure: COMMENTS Y N NA —� Plumbing under slab ,at Rough Plumbing I Nail Plates 5t+-31t 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 �`�� \n�f/��� Air/Head 50 P.S.I for 15 minutes Insulation I Residential Check I 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 %. • Rough Plumbing I Insulation Inspection Report !' T1 2P Town of Queensbury Fire Marshal ,mkt 742 Bay Road � 0 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. Permit# 'V1_1e4e Schedule Inspection 4 k 6015 Time Sam pm anytime Inspect Name Mi(*flQ�61Y9 Address - . +�� Rough In y inal_ Appliance Manufacturer faCGAC( Model ti-1....5\t");13,— Direct Vent Factory Built Chimney Yss.Jlue Size_ Double WaBX Triple Wall Insulated_ Yes No N/A Comments Floor Protection i'CzajA'h- 01.72-Sp[ C�� n 1 As1 Clearances to Combustibles` (all sides)/ ✓ Firestop(s) Vertical Chase v f 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 1/ Combustion Air Hearth Extension(if any) Mantel f Height above f/p opening Witness Operation Tank Placement(if LP) CO Detection CSST Bonding White—Building Dept Yellovc—Cust Amer Pink—Fire Marshal Town of Queensbury Building &Code Enforcement Trrl.( 2 Office No. (518) 761-8256 Framing I Firestopping Inspection Report Inspection request received: Al X115 Name: £A c Q-'n4s ()way Inspected on: I alt 20 ` t Location: 7-2 McAcdwn Arrive: — PAS a.m./p.m. Permit No.: I4— k45 Inspector's Initials: • Lim TYPE OF STRUCTURE: 50) Y / N NIA - COMMENTS: Pc Framing Attic Access 22"x 30"minimum Jack Studs I Headers Truss Specification Provided Bracing/Bridging Joist hangers / Jack Posts/Main Beams q./ 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 wallseparation2, ,4 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/Bedrooms 24 in.(H) 1V// 20 in.(W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing I Firestopping Inspection Report Town of Queensbury Building&Code Enforcement Office No.(518)761-8256 2yYVJ Rough Plumbing ! Insulation Inspection Report Inspection request received: 111161 1 Name: M\� x'c. GY 2Af Inspected on: ' t°t 20 , .7 Location: Mf aclo_in t Arrive: i a.m./ p.m. Permit No.: tol5 Inspector's Initials: Type of Structure: ir—b COMMENTS Y N NA Plumbing under slab AC Rough Plumbing/ Nail Plates 1� Plumbing Vent/Vents in Place / 1 A inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Venent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure t WaterS Water Supply Piping Air/Head 50 P.S.I 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 Rough Plumbing/Insulation Inspection Report Tu Foundation Inspection Report 1 Office No. (518) 761-8256 Date Inspection request received: 16 (15 Queensbury Building&Code Enforcement Arrive: am/pm Depart: r a m 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 7 NAME: M\C ��C1Y�UPERMIT#:: 1 - (D 1'5 LOCATION: 22- 1cXckccn 1 INSPECT ON: y11,12-QA5 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 it 6 mil poly for wet areas under slab Backfill Approval Under Slabj' 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 1\1\014 Office No. (518) 761-8256 4-d5 Framing I Firestopping Inspection Report Inspection request received: j'`6 I 5 Name: MtorikatS 6 e Inspected on: `tl te1 20 Location: 2Z pan Arrive: : sera a. p. Permit No.: tA,,- Inspector's Initials: �� TYPE OF STRUCTURE: SS-t Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs/Headers `Tar / Qyo�^ }at 1 Truss Specification Provided UX E J Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed propedy 12"O.C. Headroom 6 ft.8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches I Holes/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 tIce 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/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 ReportC;1))) ((vs-e- To l -3 vti Foundation Inspection Report Y Office No. (518) 761-8256 Date Inspection request received: 3/U4 S' Queensbury Building& Code Enforcement Arrive: am/p Depart: +*am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: /vl , 0l/l�Y c/S CrG (tel) PERMIT#: - Le -I S� LOCATION: a-a_ n1 t /4i,,., / , Jam(& INSPECT ON: 3////� 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 Sump J Footing Drain Stone: 12 inch width 6 inches above footing _ 6 mil poly for wet areas under slab Ckackfill 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 ' c Foundation Inspection Report l Office No. (518) 761-8256 Date InspectionStest received: al to,I2O-1,J Queensbury Building&Code Enforcement Arrive: `' am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector,Initials NAME: 1 '1 I ciPERMITT#: /1— LOCATION: 1— LOCATION: 2 - MC,1pl,CW1 INSPECT ON: s1'i l 262.15 TYPE OF STRUCTURE: � A4-3 Comments Y N _N/A Footings Piers Monolithic Slab hs Reinforcement in Place 85'.— - 1J�{ The contractor is responsible for `'� providing protection from freezing for 48 hours following the placement ofthe concrete. Materials for this purpose on site. Foundation/Wallpour 1117fiv/ Reinforcement in Place Footing Dowels or Keyway in place s� 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 w' 1-5 !in (doter -}oto r Foundation Inspection Report Office No. (518) 761-8256 Date Ins ection reque v-. '5 - - --- -Queensbury Building&Code Enforcement Arrive: -s „ / I epart: : am{U 742 Bay Rd., Queensbury, V ury,NY 12804 Inspector's Initials: _ NAME: 1"I%CJr IS GYM) r 1 #: 1 - � LOCATION: 22- MUCkin C,\ CIL> INSPECT ON: 1 ico TYPE OF STRUCTURE: Comments Y / N N/A Footings Piers `my- Monolithic Slab 8t' - _ 3 11 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 Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/9/2014 MAP REFERENCE HILAND CROSSINGS A SUBDIVISION MADE FOR THE MICHAELS GROUP BY VAN DUSEN & STEVES DATED APRIL 15, 2009 LAST REVISED APRIL 23, 2012 FILED IN THE WARREN COUNTY CLERK'S OFFICE