IM Inspection Worksheet_21-08-2023_14-40-01INSPECTION WORKSHEET (FDTN-027315-2023)
RC-0197-2023Case Number:Case Module:Permit Management
08/21/2023 Partial PassInspection Status:Inspection Date:
Building FoundationInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:443 Lockhart Mountain Rd
Lake George, NY 12845
252.-1-28.2
Company Name NameContact Type
Applicant Patrick Gavin-Brynes
Architect Miller Designs
Granted Permission Patrick Gavin-Brynes
Primary Owner Patrick Gavin-Brynes
Checklist Item CommentsPassed
Building Inspector Notes True not ready / call when formed up
Footing Drain Stone - 12 inch width False
PVC/Cast/Copper/Pex tubing False
Pressure Test False
Foundation / Wallpour True approved 8/21/23
5 psi or 10 ft. above highest conn. for 15 minutes False
Air or head test False
Footing Drain Stone - 6 inches above footing False
Foundation Dampproofing False
Plumbing Under Slab False
Foundation Waterproofing False
Footing Drain Daylight or Sump False
Footings True approved
Footing Drain stone - 6 mil poly False
Backfill Approval False
Rough Grade 6 inch drop within 10 ft.False
Foundation Insulation Interior / Exterior False
Reinforcement in Place True 2 rows #4
Reinforcement in Place True 2 rows # 4
Permit Card Visible From Road True
Poly Under Slab False
Footing Dowels or Keyway in place True into ledge
August 21, 2023 Page 1 of 1