2008-437 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Pennit Number. P20080437 Date Issued: Wednesday, January 21, 2009
This is to certify that work requested to be done as shown by Permit Number P20080437
has been completed.
Tax Map Number. 523400-316-013-0001-003-000-0000
Location: 141 BIG BAY Rd
Owner. TODD JORGENSEN
Applicant: TODD JORGENSEN
This structure may be occupied as a:
Barn
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the J
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080437 Application Number: A20080437
Tax Map No: 523400-316-013-0001-003-000-0000
Permission is hereby granted to: TODD JORGENSEN
For property located at: 141 BIG BAY Rd
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: TODD JORGENSEN Barn $40,000,00
141 BIG BAY Rd Total Value
QUEENSBURY, NY 12804-0000 840,000.00
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2008-437
2087 sq ft shed/barn
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 02, 2009
(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 of ueens ury; esrp ptember 02, 2008
SIGNED BY
for the Town of Queensbury.
Director of Building&Code Enforcement
........................_ _.._.._.I.._.,_._..._ .._ ._ .._.., .__,..__,_....._........,
OFFICE USE ONLY "
' TAX MAP NO. PERMIT NO. '
'r FEE PAID BLDG.&CODES APPROVAL
�............................_ - ....._ ........ 0...................,....
ACCESSORY STRUCTURE BUI DING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure (house) to include, but
not limited to: garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3
entitled Accessory Structures-Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT.NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS
RECEIVED A VALID BUILDING PERMIT.
OWNER: INSTALLER/BUILDER:
el
ADDRESS: f l ( + `'l / i _ ADDRESS:
PHONE NOS. ���%-_�C��Ca PHONE NOS. 32 1 ` saS (_C/
LOCATION OF PROPERTY: SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: RJ1
ESTIMATED COST OF CONSTRUCTION: $,. J� �n9ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST: '5)qp
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
gT Np PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS:__}
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO)REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the application,together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done
on the described premises and that all provisions of the Building Codes,the Zoning Ordinance,
and all other laws pertaining to the proposed work shall be complied with,whether specified or
noted, and that such work is authorized by the owner. Further, it is understood that I/we shall
submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested
by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed
surveyor, drawn to scale, showing actual location of all new
construction. QUESTIONS? CALL 761-8256 OR EMAIL
codes(& eensburv.net
I have read and agree to the above.
VISIT OUR WEBSITE FOR MORE INFORMATION
Signed Dated: www.gueensburv.net
Toi��n of Queenslncry• Community I�evelapmerzt Office • 742 Bay Road, Queensburi/, NY 12804
B 1-LGL l l-OS
f _
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pnj Departam/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: r
NAME: - i ` �. PERMIT#:
LOCATION: l INSPECT ON: �!
TYPE OF STRUCTURIft. br
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 Waterproofmg
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
Queensbury Building & Code Enforcement - Residen I I Ins ction
Office No. (518)761-8256 Arrive: m arr(t�r
Date Inspection request received: Inspector's Initials.
NAME: P Z/
IT#:
LOCATION: . TE:
TYPE OF STRUCTURE:
Comments:
Y No N/A
4' Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs decks patios more than 30 inches above grade
Guard at stairwell at 34 inches or more or
Guard at deck,porches 36 inches or more
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
6 inch clearance to sill plate
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 Detectors/Carbon Monoxide Detectors
Every level: Every 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, i sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency ress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetroc k Underside minimum'/:"G sum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Tem ora /Permanent
L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
/ -3 .
�r.� .
Queensbury Building & Code Enforcement - Res' ntial I Ins ction
Office No. (518)761-8256 Arrive: -I: a�
Date Inspection request re-QWved: Inspect is 1 itial
NAME: P MIT#:
LOCATION: ATE:
TYPE OF STRUCTURE.
IT Yes
' Yes No NIA
4' Building Number Address visible from road 1 1 E L
Chimney Height/'B"Vent/DUrect Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platfo►m at all exterior doors
Handrail 4 or more risers �� r-
Guards at stairs decks tics more than 30 inches above grade
Guard at stairwell at 34 inches or more Qa�j
Guard at deck,porches 36 inches or more
andrail Termination at Newell Post or Wall C --
Interior/Exterior Railings 34 inches to 38 inches v 'k�a i �—�- i�!A Cal ty
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet \
6 inch clearance to sill plate
Gas Valve shut-off exposed/ ulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
S glazing/Window in stairwells safety glazing �4 -� �
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:L :,YC5;)
Inter Connected: Beftery 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
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emeraency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumacell-lot Water Heater operatin
Low water shut-off boiler
Relief Valves installed/Heat Trapt Water Temp 110
Enclosed Stairs Sheetroc k Underside minimum'IN Gypsum
Basement stairs closed rise>4 inches
Ga Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed propedy
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Fonns\Residential Final Inspection Forrn revised_100405.doc;Revised
January 7,2008; Revised 6/26M
'6--/0 /hm ->, i
9 �
Rough Plumbing / Insulation Ins ction Repo t' 15
Office No. (518) 761-8256 Date Inspecti request received:
Queensbury Building &Code Enforcement Arrive: A" rrU wart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspect is itials:
NAME: PERMIT ##: J
LOCATION: 61' � INSPECT ON: -22
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 Y2 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
%0 P%ead
l or 15 minutes
Insulation i Residential Check/Commercial Check V
,
imilar Exterior Sealant ,
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation `'`n
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: / ?S/C/)'-k
Queensbury Building &Code Enforcement Arrive. �am/pm Depart:am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's initials:
NAME: S PERMIT#: J �37
LOCATION: �^ cc INSPECT ON: Z
TYPE OF STRUCTURE:
Y N NIA
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
T ek 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
COMMENTS:
Rough Plumbing Insulation Repott.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Ins71nialsw
equest received:
Queensbury Building &Code Enforcement Arrive: m/prp Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspect ,)jL
NAME: PERMIT#.
LOCATION: INSPECT ON: -
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
Framing
ss 220 x 3019 minimum 717
Jack Studs/Headers � ��
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 Wails
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 separation 1, 2, 3 hour
ire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavdy min.
Garage Fire Separation
House side%inch or 518 inch Type X
Garage side 518 inch Type X
Ceilingtwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. CM
5.7 sf above/below grade
5.0 sf grade
L:\Buildit&Codes Forms-OWNSuiidung&CodesXinspection FomnsTraming FireftOpping Inspection RsporLdoc Revised January 7,2006
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: . am/p rt: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: J
...........
- .
NAME: `
PERMIT#:
LOCATION: JKf INSPECT ON:
TYPE OF STRUCTURE:
Y N A COMMENTS:
Framing
A s 22"x 30" minimum 1 ��
C
Jadc Studs/Headers
Bracing/Bridging J 117 lC_ AG 6.6--
Joist hangers
Jadc 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 naps 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
Firestoppirg
Penetration sealed
16 inch insulation in cav' min.
Garage Fire Separation
House side's inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilin it
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (%M
5.7 sf above/below grade
5.0 sf grade
LABuiiding&Codes Fortes-OLDOuildN&Codesvnspec Lion FomislFrarning Fuestopping Upon Report.doc Revised January 7,2006
Framing / Firestopping inspection Report
Office No. (518)761-8256 Date Ins n raga ed:
Queensbury Building&Code Enforcement Arrive: a rt: �a
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N WA COMMENTS:
Attic Access 22" x 30" minimum
.fads Studs/Headers
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
1 % w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft.floor trusses
AneWr Bolts 6 ft. or less on center
Ice and wit shield 24 inches from wall
ration 1, 2, 3 hoar
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
1-Muilding&Codes Fonns-01-131Building S C.odesUnspection FormsTraming Firestopping inspection Repoft.doc Revised January 7,2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspect'M request received: j' /ve-
Queensbury Building & Code Enforcement Arrive: 1 am/ tpart: a m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: C �- 3
PERMIT#.
LOCATION: r INSPECT ON: <� a'K
TYPE OF STRUCTURE:
Y N NIA
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 hi hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head r`
50 P.S.I for 15 minutes
JUSULIfion/Residential Check/Commercial Check
T e Similar Exterior Sealant
ro er Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping insulation
If r uired unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Foundation Inspection Report
--( 0-a�1--
Office No.(518)761-8256 Date InN' 'als:
request received: a' D
Queensbury Building&Code Enforcement Arrive: am/ Dep : am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect
NAME: #:
LOCATION: INSPECT ON: r�
TYPE OF STRUCTURE: o? (/
qj 0
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 pur
pose 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 terio xtei r
R- t 0
Rough Grade 6 inch drop within Mft.
L:\Building&Codes Forms\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 re st iv
Queensbury Building&Code Enforcement Arrive: =1 Depart: 1 Z n
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial
NAME: E PERMIT#: Oq —r-{
LOCATION: INSPECT ON: =L`3 _._
TYPE OF STRUCTURE:
Commenb
Y N NA
Footings 0 EEp FEZ pt\ C.t� E
Piers
Monolithic Slab 1� 0 H E f-r-- tAE-z z R
� E
Reinforcement in Place �Efl{�,�,}(
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this se 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 f t.
L:\Building&Codes FormsWiiding&Codes\Irapecdon F nWoundatJon Inspec um Report din
Last primed 12/20/2005 9:24:00 AM
6`7 -
Foundation Inspection.Report
Office No.(518)761-8256 Date Ins o u
Queensbury Building&Code Enforcement Arrive: ;L m epart: p
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi
NAME: V IL
E T#: _
LOCATION: SPECT ON:
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
s above footing
` 6 '1 for wet areas under slab
Backfill A roval
P1 g Under Slab
C/Cast/Copper
Insulation Interior e '
R VQ
-
Rough Grade 6 inch drop within 10
L:\Building&Codes FormsWiiding&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 Inspect' request received:
Queensbury Building&Code Enforcement Arrive:eL. am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: _•C 1'`r PERMIT#: °
7-
LOCATION: SPECT ON: -
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 con
s for this on site.
Fo ndation/Wallpour
Re'
Footin Dowel or Keyway in place
FoundahQj9&npproofmg
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
Backfdl 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 r
Office No.(518)761-8256 Date Inspect: request received:
Queensbury Building&Code Enforcement Arrive: G am/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: { % PERMIT#: `
LOCATION: INSPECT ON: `?
TYPE OF STRUC .
Comments
1 Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is respon ib or
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
0
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-x—x-FENCE co
ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WI7H AN ORIGINAL OF THE LAND SURVEYORS �. . . •
EMBOSSED SEAL OR INKED STAMP SHALL BE
CONSIDERED TO BE VALID TRUE COPIES. o� W. a ROitll?I!� ASSO�lATES JOB NO.
Zst'a 49098 �,� Lk wwd Land S�uorw 01—89 •
Unauthorized Alteration to this map is a SAND Sv =64 swwog0 Road P.Q ws
violation of Section 7209, Subdivision 2 South pens Faft M y, 12803
of the New York State Education Law. WILLIAM J. ROURKE, L/C SED LAN6 SURVEYOR NO. 49098 JOB NO.