2006-601 TOWN OF QUEENSBURY
ET 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060601 Application Number. A20060601
Tax Map No: 523400-309-010-0001-045-000-0000
Permission is hereby granted to: SCHERMERHORN RESIDENTIAL HOLDINGS, L
For property located at: LUZERNE 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: SCHERMERHORN RESIDENTIAL I
536 BAY Rd Suite 2 Apartments $500,000.00
QUEENSBURY, NY 12804-0000 Total Value $500,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-601
BUILDING1
8 APARTMENT UNITS
$1,281.84 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 19, 2007
(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 To of Que bu T dI, Se•tember 19, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Oat
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060601 Applica\tiolNumber. A20060601
Tax Map No: 523400-309-010-0001-045-000-0000
Permission is hereby granted to: SCHERMERHORN RESIDENTIAL OLDINGS, L
For property located at: 6 PINE St
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot .las and other formation hereto filed
and approved and in compliance with the NYS Uniform Building Co.:. a r d the Que.nsbury Zoning
Ordinance. we of Cons ction Value
Owner Address: PINE STREET TOWNHOMES, LL
536 BAY Rd Suite 2 Ap rtments $500,000.00
QUEENS'. 0 ` NY 12804-0000 T al vat $500,000.00
Contractor or Builder's e/ Address Elect al Inspection Agency
Plans &Specifications
2006-601
BUILDING 1
8 APARTMENT UNITS
$1,281.84 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 19, 2008
(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 To • Queens ry; T esday, September 19, 2006
SIGNED BY _ / •
for the Town of Queensbury.
Director of Building Code nforcement
RECEPermit No. 0 6 -6'01
E
Building&Codes Office-Department of Community Development-Town of Queen Fee Paid �4
742 Bay Road,Queensbury,NY 12804 ttt""RRR�IIUUU Recreation Fe 4 000 2
Dave Hatin,Director codes@auccnsburv.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder ,r. -A/ Int/ 12.01r7,oL Owner: s e.
Address: 6‘.3 S,0`/ ,E042 51/7 2 Address:
Qcil ✓S,BUAY NY /2V11
Home Phone: -90g770-e674 Home Phone:
Email Address: Email Address:
Cell Phone: Cell Phone:
FAX Phone: 74-3-149r-Y3 FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: 4/6/115/e/ ;/,OIG 749-4/ Ni i
Address: fp2 2 17I OLE .4}/ /� 7 j5p2//Y6S NY Phone 11?;
Location of proposed construction: Lot No. Legal Address: , y d .
Tax Map Number: . ID - I - Subdivision Name:
Estimated Cost of Construction: $ 6007 /g6".
Proposed construction is for: _Residential Use %Commercial Use
Name of Business: Writ - -1`pUJi�j}�U SFS
If proposed construction is an addition, what will use of new addition be? Nf lr`
New Addition Alteration Proposed Construction 1"Floor 2^d floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq. F1. Square feet Height
Ft. &in.
Single-Family Dwelling
Two-Family DwellIng
Townhouse A.,(e r_ 1 f/
Mullllamily Dwelling 1 /'��
Number of Units:
Office
Mercantile
Manufacturing
_ !• Other:
Attached Garage 1, 2, 3
Type of Heating System: Electric, Oil, 4:0 Wood, orced Hot Air, aseboard, Other:
If a fireplace and/or woodstove are being installed, please refer to a separate application.
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
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 tome
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 .II neo if.tr ction.
Date: /O > 1. Z Applicant/Builder Signature:i ' ' /
W owe •
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Building.Permil.FORMS\Principal Structure Permit Appiicalion.doc V:12/14/04
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: /2- 3- ce
NAME: I Sr
7c;,01.,1104465
LOCATION: Pk_ ,
PERMIT#: `(p' 6.0 (
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:
Craig Brown, Zoning Administrator
Notes:
L:ISueHemingway\Building.Codes.lnspection.FORMS\Final Survey
Zoning Administrator.doc
9—li T
C
„uirrS &7
Framing / Firestopping Inspn Report
Office No. (518) 761-8256 Date Inspe«'on -• . -
Queensbury Building &Code Enforcement Arrive: i C7 0th jT-rt:
742 Bay Road, Queensbury, NY 12804 Inspector's •it . �/.
NAME: 4MIT#: (s,
LOCATION: �� `� INSPECT ON: 19,
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing
ss 22° x 30" minimum � LET
Jack Studs 1 Headers f✓ e \l to
Bracing /Bridging V/
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 '/z(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
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%z 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
L:\Building&Codes Forms-OLD\Ruilding&Codeskinspection Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
/0.-7a /v - -;
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection :��,,4 - •: ved:
Queensbury Building &Code Enforcement Arrive: V. , pi 2-part:742 Bay Road, Queensbury, NY 12804 Inspector's I e
NAME: /Wryi,-( U/''i-�. ERMIT#: 06 -60 /
LOCATION: -k e f • NSPECT ON: 7—e— e53-
TYPE
e— e53'TYPE OF STRUCTURE:
0-' , 2— k 13 57 e-C.--V A
I N NIA COMMENTS:
( Framing
Attic Access 22" x 30" minimum --__) 0 e__E___ 61G0 OFF FV__o)14\
Jack Studs/ Headers ✓ iNk(LCNPI E-1G o
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 I Holes I Bearing Walls
Metal Strapping for Notches Top Plate `� �,� �� ��J�S
1 '/ (w) 16 gauge (8) 16D nails each side SRC i t..)6
/
Draft stopping 1,000 sq. ft. floor trusses
�� ' L
I c-- - _v) R � �Anchor Botts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
0 e wall 2, 3, 4 hour
irestoppin /
\--- r7 I
Penetration sealed
16 inch insulation in cavity min. I - b p-F- RV-Eis6
Garage Fire Separation
House side'/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall /
Windows Habitable Space I Bedrooms f
24 in. (H)
20 in. (W)
5.7 sf above I below grade f j
5.0 sf grade z/
L:1Building&Codes Forms-OLD\Building&Code&Jnspection Forrns%Framing Firestopping Inspection Report.doc Revised January 7,2008
Rough Plumbing / Insulation Inspect' • n Report
Office No. (518) 761-8256 Date Inspection r; --t r• •-ived:
Queensbury Budding & Code Enforcement Arrive: 02- (!i • -part: 1 Z 00 am/
zoi
742 Bay Road, Queensbury, NY 12804 Inspector's Initi.1
NAME: LO_EIeP�N►EQ PER I #: Ztho- (col 61+3
LOCATION: Pt kw-- ,ti - . c -- INSP -CT ON:
TYPE OF STRUCTURE: APA md51
3 bV'F-
Y N N/A
RoMyh Plu bin Nail Plates /
Plumbing ent/Vents in Place f
1 %Z inch minimum Drain Size ,f
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
dad
5 P.S.I. or 10 ft. above highest connection for 15 minutes /
g ✓/
Pressure Test ✓/
Water Supply Piping
Air/Head ✓✓/
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
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
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Ins e tin request received: c4 "
Queensbury Building & Code Enforcement Arrive: -t , 5 am/pm Depart: 57
am pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: J-(z-C>
� J
NAME: G� r-k, f i -- PERMIT #: o o<1=, _60 f
LOCATION: .e I �j INSPECT ON:
a U,d
TYPE OF STRUCTURE: /1/1/?/4)
Y N /N/A %%��
Rough Plumbing / Nail Plates {'� / 6/9O/
Plumbing Vent/Vents in Place
1 'h inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cle. :,: . -ry 100 feet /change of direction
-ssure Test
in /Vent
Air Head
Q.S.I. or 11 '. above highest connection for 15 minutes
-ss - est
-ter Supply Piping
/ Head
P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door I 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 Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins ectiopp,request received:
Queensbury Building&Code Enforcement Arrive: . a') am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initialsii\F-L
NAME: JL & 412_ C�K R•) PERMIT#: e6LOCATION: f/AJC ST. INSPECT ON: !AMU
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack 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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z(w) 16 gauge(8) 16D nails each side 1'
Draft stopping 1,000 sq. ft. floor trusses
or Bolts 6 ft. or less on center e0/�,� 66—
Ice 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 '/2 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
-71)67,5b/9-y
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date InsppptigRrequest received:
Queensbury Building&Code Enforcement Arriv . UU am/ m Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials.
NAME: "Mr4OK/-..-.. PERMIT#: 06-66 /
LOCATION: (ra LS _ INSPECT ON: J--a''-- -
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack 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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/z(w) 16 gauge(8) 16D nails each side Pe ��
Draft stopping 1,000 sq. ft. floor trusses ` j�
• •-=• s 6 ft. or less on center
Ice and watt, shield 24 inches from wall 6R.0.0 t OA)cif
.aration 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: 3', `b am/ 1epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: �L
NAME: S G U,`C ft 1(0 et) PERMIT#: �� 01
LOCATION: /L� ST. INSPECT ON: /AV di;
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Attic Access 22" x 30" minimum
Jack 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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate S) '`C -___ SL]
1 '/z(w) 16 gauge(8) 16D nails each side
Dr stopping 1,000 sq. ft. floor trusses
chor Bolts 6 ft. or less on center Cav,..r J 67.,,t,Ice and water shield 24 inches from wall LCi
kr N.
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 V2 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
Rough Plumbing / Insulation inspection Report
Office No. (518) 761-8256 Date Inspection r,uest received:
Queensbury Building & Code Enforcement Arrive: 1 , � am/pm Depart: am/pm (),1
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: f
6, u
NAME: eV`YV /' �t.� PERMIT #: 2C .-0(
LOCATION: ./-4` ,S 7 . INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
�;-- -4. every 100 feet / change of direction
-ssur: Test
/ Vent
Air / Head
or 10 ft. above highest connection for 15 minutes
Pressur: Test
- Supply Piping DQ
Air / Head ,,t /C -b f'
50 P.S.I for 15 minutes
Insulation / Residential Check / Commercial Check
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
116
L:1Pam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
.2 - fflod
Framing / Firestopping Inspection Report i
Office No. (518) 761-8256 Date Inspection re est received:
Queensbury Building&Code Enforcement Arrive: art: am/pm
742 Bay Road,Queensbury,NY 12804 Inspecto7...:jrn/pmInitials:
NAME: L-3C`'i 1 (T QC^ PERMIT#: 06-610/
LOCATION: rnc( -t. INSPECT ON: �7—L -(T.
TYPE OF STRUCTURE:
Y N NIA COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack 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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
I 1/4(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
• .. - . ft. or less on center
Ice and waters ield 24 inches from wall
4/1) /412FiLL. .aration 1, 2, 3 hour t I L1
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side `/2 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
a% 1140
,
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: 2 `.Z`Xm/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: �l,�'�e- '�C'��� IC�� PERMIT#: g—‘40
LOCATION:
INSPECT ON: 7()(-2,-07
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^..ii:aji„.r,:ce
"Founclati. • P ampproo mg
Foundation • - : .. ing
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
Foundation Inspection Report
Office No. (518)761-8256 Date Ins ct 7quest received:
Queensbury Building&Code Enforcement Arrive: v am/p epart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspect° s tials:
NAME: . PERMIT#:
LOCATION: '� r� INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
/.- • 'olith'c Slab
Reinfor - •n ent in Place
Th- •ontractor is responsible for
•roviding 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
t /..... --10 .,' / -)
. ` moi
Foundation Inspection Report
Office No. (518)761-8256 Date Insp,sctio • •est r/ • 4:
Queensbury Building&Code Enforcement Arrive: l.j /pm Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial • i
NAME: jci-"� (r t .) 1 T#: 06 óØ/
LOCATION: .I, _ ,� . PECT ON: I O — 3 --t)7
TYPE OF STRUC .
\ ___c:__\ , � Comments
V N N/A �r 1 c1 !
1:E4
4
Footings — — Joe__g reNeL3 el ,
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
& ooting Drain Stone:
,/ t•ch width
6 in
s above footing
6 mil ..ly for wet areas under slab
Backfill A'proval
'7.,--
' umbi : nder Slab
� PVC/Cast opper-...._..._._.__.._..__—_.__...
' Foundation Insulation Inte 'or/Exterio
- 0 Z„ F-0ANk
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
//---/L 6/6/-471
Foundation Inspection Report
Office No. (518)761-8256 Date Inspectio uest received:
Queensbury Building&Code Enforcement Arrive: /0 am/pm c�Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's tials:
NAME: - 1-1"‘..
"� PERMIT#: ()a- 2/
LOCATION: r h. - INSPECT ON:
/4"
TYPE OF STRUCTURE:
Comments
Y N /A
Footings ^/61
Piers
ono P : lab
i
'einforcement in Pla
The contractor i esponsible for
providing pr• -ction from freezing
_ , : .urs 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
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectiokrequest received:
Queensbury Building&Code Enforcement Arrive: 7,�. 'Vam/ma Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: c'�j:C ti„ (- 0#e./l.) PERMIT#: L'
LOCATION: i,�'� S�, INSPECT ON: W/V 7
2
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place ,1
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