IM Inspection Worksheet_17-10-2023_12-06-46INSPECTION WORKSHEET (FDTN-028361-2023)
RC-0614-2023Case Number:Case Module:Permit Management
10/17/2023 Partial PassInspection Status:Inspection Date:
Building FoundationInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:113 Rockhurst Rd
Queensbury, NY 12804
227.9-1-7
Company Name NameContact Type
Applicant JOHN DICKINSON
Engineer Hutchins Engineering
Granted Permission LORRAINE DICKINSON TRUST
Primary Owner LORRAINE DICKINSON TRUST
Checklist Item CommentsPassed
Building Inspector Notes False
Footing Drain Stone - 12 inch width False
PVC/Cast/Copper/Pex tubing False
Pressure Test False
Foundation / Wallpour False
5 psi or 10 ft. above highest conn. for 15 minutes False
Masonry Wall 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
Monolithic Slab True
Footings False
Footing Drain stone - 6 mil poly False
Piers False
Backfill Approval False
Rough Grade 6 inch drop within 10 ft.False
Foundation Insulation Interior / Exterior False
Reinforcement in Place False
Reinforcement in Place True
Permit Card Visible From Road False A permit has not been issued for this project at this time, basically
building inspector visit to verify size of slab / pluming under slab.
Reuben Ellsworth on site at time of visit.10/17/23
Poly Under Slab False
Footing Dowels or Keyway in place False
October 17, 2023 Page 1 of 1