2009-151 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090151 Application Number. A20090151
Tax Map No: 523400-3 10-007-0001-001-000-0000
Permission is hereby granted to: G F LEHIGH CEMENT CO.
For property located at: WARREN St
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: G F LEHIGH CEMENT CO.
313 LOWER WARREN St Commercial Addition $2,200,000.00
GLENS FALLS,NY 12801-0000 Total value $2,200,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-663
797 sq ft commercial addition to house new main substation electrical switchgear
$111.58 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, April 29,2010
(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 of Qu bury; ® ednesday,April 29, 2009
r
SIGNED B for the Town of Queensbury.
Director of Building&Code Enforcement
TOVN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Pen-nit Number. P20090151 Date Issued: Thursday, August 26, 2010
This is to certify that work requested to be done as shown by Permit Number P20090151
has been completed.
Location: WARREN St
Tax Map Number. 523400-310-007-000 1-001-000-0000
Owner. G F LEHIGH CEMENT CO.
Applicant: G F LEHIGH CEMENT CO.
This structure may be occupied as a:
Commercial Addition
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
.`._ ---'"' OFFICE USE ONLYI�. ,
TAX MAP NO. /
PERMIT NO.
FEES: PERMIT RECREATION ENGINEERING APR 2 14 2009
(if applicable
.. FQUEENSBU,
..............
BUIL Wi & Df'-S'
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: -��i5��r��C��,Sfl �Ir OWNER: f1�'c�
r� V
ADDRESS: 12Zot a- (,�lgiyrel'J A ADDRESS:
PHONE NOS. PHONE NOS. _,//��
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:
LOCATION OF PROPERTY:�1AyA;- Ante- e /�
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? YES ❑ NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 d
PROJECT 0 I`- O 0 � " 07
o w o LU
Oa o � CUjJw u_ o C)
Na O az Q Q 0LL - LL =
�
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL x i /,7
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: ,0.
ESTIMATED CONSTRUCTION COST: "0".7,7 0 FUEL TYPE: wore
HEAT TYPE:��pCfrOc *HOW MANY FIREPLACE(S):�AND/ OR WOODSTOVES(S): �
ZONING CATEGORY: 1 _ARE THERE WETLANDS ON THIS SITE? llU,l,,ye
IS THIS A HISTORIC SITE? /lo
PROPOSED USE OF BUILDING OR ADDITION: /e Ayase.,ye y /ylay;v Llec c�,/
`Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office
Town of Queensbury • Community DeVelopment Office • 742 Bali Road, Queensbury, NY 12804
B 3-LGL 11-05
Rjsp,
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY? A
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 state me nt/d escri ptio n 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 above.
Signed �.�, �.
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)
----------------------------------------------------
Permission is hereby granted to the above ; This application / proposed action described
Applicant to erect or alter the building
described herein in accordance with said zoning ILaws of the Town of s found to be in accordance
dUe ce with the ;
Application: Queensbury.
0 ;
0 ,
,
BUILDING S PPROVAL
ZONING APPROVAL
10
DATE
DATE
QUESTIONS? CALL 761.8256 OR EMAIL
Office Use Only codes0aueensbury net
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: �Yeys 7k
NO www.aueensbury net
Occupancy Type: t/ Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury • Community Development Office - 742 Bat/ Road, Queensbury, NY 12804
OFFICE USE ONLY
TAX MAP NO. PERMIT NO,
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, 1
APPLICANT/BUILDER: `U�ttf����� r" 6, OWNER: Fiir�
ADDRESS: 87 l .0�/�� 1%�40'�et 1� V"t'r"Rf ADDRESS:
PHONE NOS. %' -- &;,7 PH.-ONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:C u��rO' /�'�S i PHONE:Zf2: II, 7X217
LOCATION OF PROPERTY: Iav('i,j- a,-d- e T6%?,,„S Xeg- � 31
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? X YES ❑ NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:� z&1&, 1,-e A/0
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z
w ~-
PROJECT p COF, w
o w _jti w w Q = U
w p J w o = �" 0 U Z
z Q a :- a N ° oL oU- aa-- i �s
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR y
INDUSTRIAL n r 7 .17
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: �Gir�+ /Z�e '���P1 S�[G�/1✓lL'/ ,.
ESTIMATED CONSTRUCTION COST: . FUEL TYPE:
HEAT TYPE: � `HOW MANY FIREPLACE(S):Lg.,e AND / OR WOODSTOVES(S):
ZONING CATEGORY: 1- ARE THERE WETLANDS ON THIS SITE? A e
IS THIS A HISTORIC SITE? /-ram 1
PROPOSED USE OF BUILDING OR ADDITION: /e Alavre/Le,,,y /eal v
`Please complete a separate Application for"Fuel Burning Appliances & Chimneys" available in our office
Town of Queensbury . Commi.-mity Development Office z 742 Ba.y Road, Queensburil, NY 12804
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY? 14
10
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 state ment/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 above.
Signed �-j ,�� /G� 71 i+
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)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building
s found to be in accordance with the
described herein in accordance with said zoning ILaws of the Town of Quee sbuly.
Application:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE
DATE
------------------------------------------
QUESTIONS? CALL 761-8256 OR EMAIL
Office Use Only codesO-)gueensbury net
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No a,6 .aueensbury net
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Tozarz of Queensbii.ry - Corrzmz:znity Developrnerzt Office - 742 Bay Road, Queerzsbz.zry, NY 12804
............................. ............................................. ..................
OFFICE USE ONLY
TAX MAP NO. PERMIT NO.
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.
APPLICANT/BUILDER: - �i�5/, OWNER:
ADDRESS; AV-6`S7, ADDRESS:
PHONE NOS. /'" -- //�� PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: =�u��rC/ /�'6� �,
LOCATION OF PROPERTY: / �.p�v�,� �yd.�f„
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? X YES ❑ NO
IF SO, INDICATE APPLICATION NO, AND DATE OF APPROVAL:/_T_;_Ga,//Ctrm�11,t2/11/
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR zz 0 O PROJECT ~ Lt O o w o7
w
w OJw OU- W Q 0T =
t- u_ 2 I- 0 (� U
a.
z Q a � a Na 0U- 0 LL w _ 06
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL /7
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: ir�i /e�r�����'�t� 1�'�� 6o,,
ESTIMATED CONSTRUCTION COST: FUEL TYPE:
HEAT TYPE:1,6P.tt�/c *HOW MANY FIREPLACE(S):L��e AND/ OR WOODSTOVES(S): /'�,--e
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? /wy�
IS THIS A HISTORIC SITE? A147
PROPOSED USE OF BUILDING OR ADDITION: je�Ioyicezw-oy
�•GIr/G�c•C.�ILy'�
'Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office
Town of Queensbury • Conimimity Developinent Office • 742 Bail Rond, Queensbury, NY 12804
B 3-L 5 GL 110_
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
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 state ment/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 above.
Signed ?-'
f
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)
Permission is herebyranted to the above g , 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
Office Use Only _codes(a�aueensbury net
_
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www.aueensbury net
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury • Cornmzrnzty Development Office • 742 Bay Road, Queerzsbury, NY 12804
rEi�•1':;';n
Commercial Final InsPe cti n Report
Po
Office No.: (518) 761-8256 Date Inspection req
Queensbury Building &Code Enforcement Arrive: .LLr in am apart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: `
NAME: r' PER IT,# -/
LOCATION: ` ; DA
COMMENTS:
/� l //
ChimneyB'/" Vent/Direct Vent Location Y N NA Z7
Plumbing Vent Through Roof 6'/Roof CompleW
Exterior Finish/Grade Complete 6'in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Balusters 4 in. Spacing Platform l Decks
Stair Handrail 34 in.-38 in./Stop Risers 7"/Treads I
Vestibules For Exit doors> 3000 sq.ft.
All Doors 36 in.wA ever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36 w x 44'(IYC&nopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18" Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve Heat Trap/Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air SuF21y for Occu /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 Enhance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors
> 10%> 1000 sq.ft.
%Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30" h ,Crawl Spam Access 18'x 24'
Smoke Vents Or Fan, if required
Elevator Operation and Si /Shaft Sealed
Hand' Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 In.Beyond[Both ,.
sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure/Flood Plain certification If
As-built S m Layout R uired or On File - _�- ' \k-7
Building Number or Tenant Address on Building or Driveway 4' 4
Water Fountain or Cooler
Building Access AN S' •Surface 20'wide
Okay To Issue Temp. r Permanent C/O
Okay To Issue C/C
LABuilding&Codes Forms\Buikling&Codesllnspection ForrWCommercial Final Inspection Report.doc Revised January 7,2008
3
3
Lehigh Valley
Technical Associates,Inc.
December 3,2009
Lehigh Northeast Cement Company
Attn: Edward S. Kokoski Fax: (518)745-1604
313 Warren Street
P.O. Box 440
Glens Falls, NY 12801
Re: Lehigh Cement Company—Glens Falls,NY Plant
Sub-Station Electric Room
LVTA Project No.SM22
Dear Ed,
This letter is to certify that we are the Engineer of Record for the above-referenced building
project and that we have inspected the work and find it to be in accordance with the construction
documents.
Further,to the best of my knowledge information and belief,the building has been designed and
constructed in accordance with the applicable building codes.
If you have any questions, please feel free to contact me.
Sincerely yours,
Kenneth S.Peoples
'of NEW
Kenneth S. Peoples, P. E.
078t42
December 3,2009
N.Y.PROFESSIONAL ENGINEER
NO.078142
CONSULTING ENGINEERING/FABRICATION DETAILS
1584 WeaversAlle Road, Northampton, PA 18067-9039
Phone:610-262-6345 Fax:610-262-8188
G:\Projectst53600's\5W22ULetter\53622L003.doc
Commercial Final Inspection Report UC A ",
Office No.: (518) 761-8256 Date Inspection r e ec ' e `A-
Queensbury Building&Code Enforcement Arrive: i m' Depart:
742 Bay Road,Queensbuuy,NY 12804 Inspector's Ini
NAME: PERMIT`#
LOCATION: l-i i�;t✓R yJE�k�ivi`, DATE: Z — Z — IG
COMMENTS:
Y N NA 1� �...
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Throu h Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10' or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 s . ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36(w)x 44"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&RegpldQr Ll8" Above Grade
Floor Bathroom Watertight the loors Oka
Relief Valve,Heat Trap/Water emp. 1 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion v
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 %doors
> 10%> 1000 s . ft.
3/4 Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 s . 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 Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in.,Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond[Both sides]
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if req.
As-built Se tic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
00
Inspection for Permit to ccupy
Fire Marshal's Office Request Rec'd Permit No. 0
Town of Queensbury
742 Bay Road Queensbury,NY 12804 Scheduled Inspection Date: 2—z _l
D Time:
Phone: (518) 761-8206 Business Name: `
Fax: (518) 745-4437 Location: ak-,,fr Ur-r----
e of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width /
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-battery
EVAC signs in roomsO
TRUSS ID SIGNAGE �r tarp, t i
z
EMERGENCY LIGHTING _
FIRE EXTINGUISHER: L� {�
Hun
Inspection of extiinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System FDC
Fire Suppression-kitchen
Fire Suppression-Gas Islan
Generator
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinkle FS
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste /
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
Approved (If no other approvals apply,the B&C Office will iskPerti4te of Occupancy)
❑ Denied / call for Recheck
Inspected By:
L:\FireMarshal\FM Forms Masters\permitto occupyform.doc
Foundation Inspection Report
Office No.(518)761-8256 Date Ins ction,"e St rece' d:
Queensbury Building&Code Enforcement Arrive: ca pm /� part: f
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia .
NAME: ,�, �l'I�4 ,�j ti �'''`_Z"` RMIT
LOCATION: rZ INSPECT ON: O
TYPE OF STRUCTURE:
o men
Y N/A
tings
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
AR—,
Drain Stone:
ch width
,1;6 nces above footing
under slab
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R -T
-
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 Repot
Office No.(518)761-8256 Date Inspection req r i
Queensbury Building&Code Enforcement Arrive: , epart: �� pm
742 Bay Rd.,Queensbury,NY 12804 Inspector s Initial '
NAME: /mod E't #: �
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
F
Piers
ono t is 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
f.)- /i)r36k,
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:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Cong�menta
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
te.
(/4 Materials fook this purpose on site.
Foundation/W llpour
'Ryinferociffent 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 Fonm\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(S 1 =761-8256 Date Insp�ec�tion requ ive
Queensbury Building&Code Enforcement Arrive: - Depart: _G pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: ^�s° P T#:
LOCATION: SPECT ON:
TYPE OF STRI
Co m n
Y N N/A D�s 7 a
Foo '
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 Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM