2006-741 TOWN OF QUEENSBURY
• 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20060741 Date Issued: Wednesday, September 25, 2013
This is to certify that work requested to be done as shown by Permit Number P20060741
has been completed.
Location: 11 TREASURES P1
Tax Map Number: 523400-302-008-0001-054-000-0000
Owner: AMEDORE GROUP, INC.
Applicant: AMEDORE GROUP, INC.
This structure may be occupied as a:
Garage - 1 Car Attached By Order of Town Board
Townhouse TOWN OF QUEENSBURY
PIssuance of this Certificate of Occupancy DOES NOT relieve the property c,?� I
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
ifiek
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20060741 Application Number: A20060741
Tax Map No: 523400-302-008-0001-054-000-0000
-
Permission is hereby granted to: AMEDORE GROUP, INC.
1)\\\ jt
•
For property located at: 11 TREASURES P1
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plo 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: AMEDORE GROUP, INC.
1900 WESTERN Ave Garage- 1 Car Attached
Townhouse $17,500.00
ALBANY, NY 12203-0000
Total Value $17,500.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-741 Permit renewal fee paid thru 9/21/2013
BUILDING 1
11 TREASURES PLACE (DOWN,RIGHT)
1234 SQ FT CONDO WITH ATTACHED 260 SQ FT GARAGE
$198.76 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 21 2013
(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 Q eels btM / h,4 ay, September 21,2006
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060741 Application Number. A20060741
Tax Map No: 523400-302-008-0001-015-000-0000
Permission is hereby granted to: AMEDORE HOMES
For property located at: 314 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: JAMES & GLADYS BROWER TRU
121 POTTER Rd Garage- 1 Car Attached
GANSEVOORT, NY 12831-1011 Townhouse $17,500.00
Total Value $17,500.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-741
BUILDING 1
11 TREASURES PLACE (DOWN,RIGHT)
1234 SQ FT CONDO WITH ATTACHED 260 SQ FT GARAGE
$198.76 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 21, 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 sbu Thaw y, September 21, 2006
SIGNED BY for the Town of Queensbury.
a
‘
Director of Building &:C c' .• :nfcrcement
dy,)) (76 -r
D. , , �.
OFFICE USE ONLY
TAX MAP NO. 02
PERMIT NO, Datp:n
FEES: PE- IT R REATIONAG t� _J�_'"
7672k_ �F ENGINEERING
Stamp
vy""Q1. s 6d psl!D FaR ALL �� `.I (lf applicable) �.. i a
PRINCIPALOLD/), UA4T5 c;�C,y) ..".�,
STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION, IS SUBJECT TO
APPLICANT/BUILDER:_Anied(2223±.5
OWNER: SG'iyy,t
ADDRESS: 0 ' r ll A LI C r ADDRESS: SCk.
f 11. .i1�- j y /2203 PHONE NQ� -
PHONE NOS.
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE:
_._ll ..- PHONE:
LOCATION OF PROPERTY: 3 Li , 01 '
r • • .) rc 1 �
1
SUBDIVISION NAME:
a Ail IL, _ - ., • /1 1 1A
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z0
APPLY TO YOUR Z �
`
PROJECT CC Ci CJ w
O O Ix p co Q •
W
JYWIJ
Z Q Q rCO iVd Ori ~O xw11 �
SINGLE FAMILY
J �L
r'l Iti I TWO-FAMILY
�7Z_76
MULTI-FAMILY
(N0.of UNITS____)
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHE
GARAGED2,3) 60
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: ��yy��
4�-� FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S):0006:4 AND/OR WOODSTOVES S :
ZONING CATEGORY: E ( )
ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: 1. '• AO
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL 11-05
tt Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? N 0
ARE THERE EASEMENTS ON PROPERTY? 04; ti'I/ Pf 5P,rlei,1-.5
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 statement/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 th; abo'e.
(°_, e,-(-7:;4
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 herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
0
/A: A\--
BUILD/q CODES APPRO AL ZONING APPROVAL
L,DA.E DATE
I i
QUESTIONS? CALL T61.8256 OR EMAIL
codes0aueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensburv.net
. Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
RX Date/Time 10/02/2013 14:03 P.004
regV''Oct. 2. 20138 2: 01PN1� Home Funding Finders . •i.': ::.-:v.-:a :.\;./.!". " No, 5865., n. 4/5'',A!y''' 't!'
54 MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
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,w a that the electrical wiring to the electrical equipment listed below has been examined and is approved as %t
6 being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
Zc noted below and is issued subject to the following conditions. �r-,�.
6,:.441Owner:
Amadore Homes Date: 09/25/2013Is
0."'?
�'� location'
J� Occupant: i
i0 Same Treasures Place#11 s;
n.1 Occupancy: Queensbury, Warren Co. NY y
sYli
Single Family Dwg. .
rj Applicant: � `
��a) Immanuel Electric Inc. •_.,,..s.;r�;.,myar,,{.f: Via'
T��a 2 Mohawk Ave. :,,:„.‘,;-.2,.::...'........•
r''' .` �. .; y'' r, , ! ��
,! p us, NY 12008 s•' .r,.. .•, -• .r,.. , . '7, tt• ',;A-X.. pi
(C'•1 .,..:•••4 . .•.i is: ti.... s 7?;. h +; r•
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._ YC�' `r ,� Joseph A.Holmesl�ffl _ 3x+ tv� �($') No. r F .ra,,1r irrrAlt .sr r a �• da 1a031 774E rr. 1 tfi; q 45 1tr. • y} u:p, � 4)7�C1
•
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• Equipment: • i` J > , r a.t :.e � s4 ,sa }
, ! • yy ,%
o- 2 - 100 Amp. Service Equipment 4/0;,-24 -'Switches;'7g `I ixceptacle'S 19`= Fixtures;;1'-Range,'1 -Water Heater; 1 - e0
A. Air Conditioner; 1 - Burner, Wiring 8r,Controls Gas; 1 - Dishwasher; 1 - Dryer; 1 -2l)'Amp. R teptacle Washer; 2- 6
' Vent Fans, 4-Smoke Detectors 1 : 00 A p Sub Panel '&'
��� ' it ,`�• m.. e r; rp: Alt
w;'
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.vr :4f:.. if _:> ,R• Via,-
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iThis ceniticele applies 10 the electrical wiring to the electrical equipment listed immediately null and void, This certificate applies only to the use.occupancy and :S
above and the installation Inspected as of the above noted dale based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership %
0( ! inspection. No warranty is expressed or implied as to the mechanical safely.ern- of the property indicated above,this certificate shall be immediately nut and void. `('fit
ciencyvalid orfor fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, �(h'
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De a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department })]
c., system to which this certificate applies be altered In any way,including but not limit- Inspection Agency,Inc. An application for Inspection must be submitted to Middle 0/
As ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency,Inc. to initiate the Inspection and revalidation (..
l\ any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. �•
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ism
Multiple Dwelling, Hotel, Motel, Apartment
Final Inspection Report
Office No.: (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart/2\ m/ m
742 Bay Road,Queensbury, NY 12804 Inspector's Initials II
NAME: cAk-2 >� 6510P PERMIT#: (.766.)(.0-74/
LOCATION: Fn ` I I ` ��Q �c- • DATE: 9/R,5/210/ 3 l4 _,
Y� N NA COMMENTS:
Chimney Height/ "B" Vent / Direct Vent Location �J/
Plumb Vent Thru Roof Minimum 6" t`� /V
Roof Complete
Exterior Finish Complete / Finish Grade 6" In 10' Drop V
Interior/Exterior Railings 34 Into 38 in. / 36" Landing,
Decks, Porches
Exterior Handrails, Balconies, Landing 30" Or More
Interior Handrails Balconies / Landing 30" Or More ✓
Interior Handrails Stairs 1 or More Risers I V
Guardrails 42", Ballisters 4" Minimum Spacing
Vestibules For Exit Doors > 3000 sq. ft.
Doors 36" / Lever Handles
Headroom 6' 8" on Stairs
Bathroom / Kitchen Watertight V
Smoke Detectors: Every level, Every bedroom
Outside every bedroom, Interconnected Battery
Backup ///
Carbon Monoxide Alarm - lowest sleeping level
Bathroom Fans / Plumbing Fixtures Complete
Foundation Insulation
Fire Separation, 3/4, 1, 2 hr, 17,
Fire Walls 1, 2, 3 Hour/ Fire Door 3/4, 1 1/2, 2 Hour
Handicapped Accessibility / Handicapped
1/
Parking/Signage
Gas Log In Sealed or Glass Enclosure 47
Gas Valve Shut-Off Exposed / Regulator 18" Above /
Grade/
Gas Furnace Shut-Off Within 30 ft. or Within Line Site
Oil Furnace Shut-Off at Entrance to Furnace Area
Furnace / Hot Water Heater Operating / Fresh Air Intake ✓ f
Low Water Shut-Off for Boiler V
Relief Valve, Heat Trap / Water temp 110 Degrees Max. '4.///
Garage Fireproofing Complete, Penetration Sealed V
Furnace In Separate Room / Protected (In Garage) /
Light Ventilation per Room /Safety Glazing V •/
Attic Access 30" x 20" x 30" (H) / Crawl Space 18" x 24" ✓
Final Electrical Er
Site Plan/Variance Required
Final Survey Plot Plan / Flood Plain Certification, if Req. y/
As-built Septic System Layout Required ',
Building /Apartment Number on Building or Driveway
Build Access All Sides by 20', Driveable Surface 20" Wide
Okay To Issue Temp C/O or Permanent CO (circle one)
Okay To Issue C/C
L:\B&C APPLICATIONS-OFFICE USE\MULTIPLE DWELLING.doc
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: cy.-
NAME: i) ,Y A C;
LOCATION: 57 `l,1/
PERMIT#: C;(,; 7Jr Al a
) 1✓
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
O
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/p Depart: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Ai , 7
NAME: PERMIT #:
LOCATION: 1/ ,>A-t'24;„ f4 �( cam- INSPECT ON: '® 13
134-ci e
TYPE OF STRUCTURE ,}-i.l, rtt�-ems 4
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
or 15 minutes
Insulatio Residential Check/Commercial Check C 's
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:
FL, `)) (e9 bkak-)
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 Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm art: Airm/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: I 7
NAME: P--, PERMIT #: O (a 7 J/
LOCATION: // • , Z P 2 INSPECT ON: `? - S--/ 3
TYPE OF STRUCTURE: a0-Ne,c. --0
Y N7\;,/. 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
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
, "" S
COMMENTS; LALt._,-
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
erect 1-1 /
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: E.
Queensbury Building & Code Enforcement Arrive: p a /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: L.,
NAME: -PLUle.cotb C'e. PERMIT#: 0 to- II
LOCATION: 1' f l a_ , pk ist.e.e. INSPECT ON: —3-11,..3
TYPE OF STRUCTURE: C
Y N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum - 7 3
Jack Studs / Headers
Truss Specification Provided '7
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
11/2 (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 ans 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 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
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 05 13
fo-4 1)-
Foundation Inspection Report J— 310.
Office No. (518) 761-8256 Date Inspection request received: 4/6> a.0 / 3
Queensbury Building&Code Enforcement Arrive: am/p Depart.' am/prn
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:/7"__"
C
NAME: rr- z'iJ PERMI .
LOCATION: ` Treor,ciA,--e;2 ?l G CT ON: qi 9A 6 13
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers t141 P-. ( 9466-7
Monolithic Slab
r �,�.s I L- .70f6 �a
Reinforcement in Place Yr c2OO 73
The contractor is res onsib ee for p / f G'?°°6-7
providing protection from freezing � f f �!`&1;�
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. debcr-
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 ) U5--e TC) /()__ ( ,__
Foundation Inspection Report ?. -�--
Office No. (518)761-8256 Date Inspection request received: 4 )):�/
Queensbury Building&Code Enforcement Arrive: am/pm Depart: - pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
- C/ 0f. -7 3 i
tom
NAME: ',(=�C.C-`( -T PERMIT#: C" C' / / i v L,--0 9
LOCATION: ,�=, "x;.r z s (1 K1 'C-_ INSPECT ON: y
�I'Lr/ / ,
TYPE OF STRUCTURE: <Cv -tib-(•E`
/ Comments
-7 j,,�c rL
Y N N/A S
Footings Ci. 7(2— Lire:,
r j `/�
L '
Six J42-S' pi— •
ii
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
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
._444"Plumbing Under Slab *:,.//
. 0 Cast/Copper
oundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\1nspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart--L\. ))am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: �• "
NAME: f'1 ,� cv^C �'� - PERMIT#: 0
- ll
LOCATION: 1' A a (gin P S. t INSPECT ON: ` L�-\�
TYPE OF STRUCTURE:
`
Comments
Y N N!A kl 9 3 j v
Footings i
Piers 9 1 241
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 <-
Foundat'on Insulati lnteri /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
-3 �
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pml Depart:'7 r am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:7,4 t f
NAME:
�w�. o-��Q PERMIT#: i • — . .
LOCATION: �1 �Q_ � [3,.,C— INSPECT ON: ji ,�
TYPE OF STRUCTURE:
Comments
61 ot 6)( R
Y N N/A
Footings ('Cr ' ri
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\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: ,-2),
,am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: 044\; <
NAME: . `' v i1 PERMIT#: 0( 7 // ✓/
LOCATION: '`'%,` �;�r ? G �f i INSPECT ON: 41—Sr/3
TYPE OF STRUCTURE:
B l 0
1 g I Comments0/9 T799\-
Y N N/A
Footings i( ,
Piers i i � � � ✓
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing rf
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
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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: 1 � ,
NAME: f iWA o f PERMIT#: _ d - 7/ /
LOCATION: F/ � INSPECT ON: �_a /—/
TYPE OF STRUCTURE:
Comments
Y f N N/A 2
Footings V
Piers I
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 Darnpproofing
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