2006-745 TOWN OF QUEENSBURY
^w2 Bay a} Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20060745 Date Issued: Tuesday, November 22, 2011
This is to certify that work requested to be done as shown by Permit Number P20060745
has been completed.
Location: 51 TREASURES PI
Tax Map Number: 523400-302-008-0001-070-000-0000
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
1 ,
Issuance of this Certificate of Occupancy DOES NOT relieve the property •J ;4 a
owner of the responsibility for compliance with Site Plan,Variance, or �t' /)
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
ill 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060745 Application Number. A20060745
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 Queens bury,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: AMEDORE HOMES Garage- 1 Car Attached
1900 WESTERN Ave Townhouse $17,500.00
ALBANY, NY 12200-0000 Total Value $17,500.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-745
BUILDING 5
51 TREASURES PLACE (DOWN,RIGHT)
1234 SQ FT CONDO WITH ATTACHED 260 SQ FT 1 CAR GARAGE
$198.76 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, September 25, 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 eensbt,1 o day, September 25, 2006
SIGNED BY for the Town of Queensbury.
• orcer?:.:, �� r: • {
_ , ."
i3(,) / id! itci
.............................................
OFFICE USE ONLY 5--, " --- , ,r .,
TAX MAP NO, 0
PERMIT NO, — c Date
FEES: PE- IT:228_,26 REATION ;�
707 Tz .fY,_ , --__ENGINEERING C
1307LQ. r 6Q"PAi fa. 42L. ii i. ..,.�(If appIE�abfe) L�tam p
'6
PRINCIPAL STRLICTLTRE: ......"-
APPLICATION FOR ZONING APPROVAL & BUILDING
A PERMIT MUST BE OBTAINED BEFORE BEGINNING PERMITREVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.PPLICATtON IS SUBJECT TO
APPLICANT/BUILDER:- kledat, G
OWNER: Sam-e_
ADDRESS: r e>_ A V C _
l. i� "� /2203 ADDRESS: �ck.vn
PHONE NO _ -
Q PHONE NOS,_____— _
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:
_14!-Vii PHONE:
LOCATION OF PROPERTY: 3 ` '
11
pl 5-7 ' - - 1 t r
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
EAR PPLEC O YOUR o Q 4: 0 0
U
c. g Ltj
F
O C]
DajA) SINGLE FAMILY
r
/7Z-A
1 I lik-i- TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS_) lill
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE IIIII
FACTORY OR
El
INDUSTRIAL
ATTACHE
GARAG1 ?,3) MO 2
60
OTHER 26•`'c
IIII
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS;
ESTIMATED CONSTRUCTION COST:12S
�J ,._, FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S):caj7 ioti4 AND/OR WOODSTOVES S :
ARE CATEGORY: MR ( )
THERE WETLANDS ON THIS SITE?_____XLS_________
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: it& r► r
'Please complete a separate P p Application for"Fuel Burning Appliances&Chimneys"available in our office
,x B 3-1,31.11-05
;+.•, Town of Queensbury• Community Development Office • 742 BayRoad,, Queensbury. NY mum
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? NO
ON PROPERTY? ()4.1 !1 y (�f�SP�'YIP T.5
ARE THERE EASEMENTS /
I acknowledge no construction ecti'ltias 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 issuances of a certificate of occupancy.
I have read and a, ee to the above.
Signed A •
Director of Building 8cC�cles:.,•761-8256 tfor 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 I 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:
BUILDI • : CODES APPR'aV. ZONING APPROVAL
io A ks
DA ' DATE
I
QUESTIONS? CALL 761.8256 OR EMAIL
cOdesueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.ajJ@§nsbulr.net
Town of Queensbury• CommunityDevelopment Office •
. y ffi 742 Bay Road, Queensbury, NY 12804
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: /122 -I/
NAME: rneolare„
LOCATION:
PERMIT#: 06° .
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:
1.
Craig Brown, Zoning Administrator
Notes:
L:1Sueliemingway\i3uilding.Codes.Inspection.PORMS\Final Survey
Zoning Administrator.doc
r.1 l/- /e
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm art: I? m/pm
Date Inspection request received: _ .9-1// `i Inspector's Initials: ( Aiep . /
,g� -r-6.-_-, D(c - 7 4-5
NAME: PERMIT#: ii
LOCATION: S I '}'r-02-SA-rG'N f Le_e DATE: ' t :9 r ilW- i
TYPE OF STRUCTURE: &4 . DCk,.;41S f�-:T f p, `t
Comments:
Ye- No N/A "7i.....,i•.la-c r
4" Building Number Address visible from road 'I C/Jr
Chimney Height/"B"Vent/Direct Vent Location qc
Fresh Air Intake •
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers i
Guards at stairs,decks,patios more than 30 inches above grade I '{/
Guard at stairwell at 34 inches or more I /.
Guard at deck, porches 36 inches or more I
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches V
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate j- 1Pc3 \S, `,-
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches ,{ ?Z� �
Bathroom/Kitchen watertight `'�(J,
,., --A- 4;.'
Safety glazing/Win, in stairwells safety ing ti ' 47 iN-Wi2-4c5QA-4,--- Cre-
Interior Smoke De •ctors/Ca on noxi Detectors
very level: Eve edr m: T� �{ p �\ T 1"-1
Outside every bedroom a a: ''r'L`_ �"-' 'w�R
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches (height)in accessible area • I 1 „
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents �YJ
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation/Insulation Certification/Sticker on Panel /. ,
Floor truss,draft stopping finished basement 1,000 sq.ft. V
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area rr
Furnace/Hot Water Heater operating f
Low water shut-off boiler t/
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum I/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure .
Final Electrical q,t ?` ‘L ,
Fina • : • • • ..
re Fault Breaker Habitable Spaces/` Tamper Proof Receptacles
.- :on.rng t✓
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 Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10
h /7- /p,-1-
Queensbury Building & Code Enforcement - Residential Final Inspection
ffT
Office No. (518) 761-8256 • / Arrive: am/pm epart: ( Z.--l-Lm/pm
Date Inspection request received: //(0460`/ Inspector's Initials:
�rt�
NAME: �` ^-�`��'''-r-(41 j�PY`4-1-� PERMIT#: �1 Cly' 7`t S
LOCATION: S / ` 1-Cl'4ir-t-4 / C .z DATE: fl leo i1/j_.)1,4-0,/
TYPE OF STRUCTURE: , is`
` OL•j'.,.SdG-. I f
P•3G;-� Comments:
Ye- No N/A - .,—/-../ 1" _
4" Building Number Address visible from road C/JJ
Chimney Height/"B"Vent/Direct Vent Location U
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers /.. je
Guards at stairs, decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more :%
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 V e(-7 <i C l S, '--'
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches1
Bathroom/Kitchen watertight A 4 cS
Safety glazing/Win.•; in stairwells safety ing
Interior Smoke De • ors/Ca on noxi Detectors V
Every level: Eve edro m: 1� `'i� % 2L-v1
Outside every bedroom a a R
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches (height) in accessible area
11
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 I Sticker on Panel
Floor truss, draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade .
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3A hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure 4
Final Electrical I,` ? k‘, ■
Fina - _ ' • ' .. Bi
•rc Fault Breaker Habitable Spaces:/Tamper Proof Receptacles
-•.- con.ing 'tip
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required l
Okay to issue C/C or C/0 [Temporary/Permanent] I
L:\Building&Codes Forms\Building& Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7, 2008; Revised 6/26/08;Revised 12/22/10
` 0 /A )�s
Rough Plumbing I Insulation Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:01AI?
Y--
NAME: PERMIT #: s
LOCATION: 7 - 2r 5i'r /- c-e INSPECT ON: _ 0—
TYPE
--TYPE OF STRUCTURE:
_ Y N NIA
Rough Plumbing / Nail Piates
Plumbing Vent 1 Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Waugly Piping
r/Head
,- P.S.I for 15\;minutes
Insulation / Residential Check/ Commercial Check
ek or Sjriiar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct I Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape _1
•
COMMENTS: Yc l 3
3(6 e,ak
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
-3 a
Rough PlumbingI Insulation n action Report
9 � p
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Budding & Code Enforcement Arrive: am/pm Depart: ., am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 6, ,44)_ I L� U
NAME: PERMIT #:
LOCATION: <7 /'eE-,5 ore INSPECT ON: fo- /7-/i
TYPE OF STRUCTURE: * y.
Rough Plumbin f Nail Plates 7'
ent I Vents in Place T•
1 '/z inch minimum Drain Size r
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I 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 ,r
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 proper) / No duct tape
fr-cm\A;11.)
COMMENTS: \l"7A4(,G' ) 5771-4,`"-%(;)
Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
'Je ,
Framing / Firestopping Inspection dpo
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:it-5-)5am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: All .`.' _ /(1i' I Aerr PERMIT#:
LOCATION: u • c_- I INSPECT ON:
TYPE OF STRUCTURE: `� t.� T- 7.
Y/ N NIA
Framing , COMMENTS:
-Attic A ess 22" x 30" minimum
Jack Studs/ Headers
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 'fix(w) 16 gauge (8) 160 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 %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W) 1+
5.7 sf above/ below grade
5.0 sf grade
L:1Buitding&Codes Fonns-OLD\Building&Godes\lnsped'an FammsWnaming Firestopping Inspection Report.doc Revised January 7,2008
82—
FramingI Fire topping In coon Report
PP 9 Pe
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: rn/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: e_41,4--)
.L
.41 '/ �� '/�
I PERMIT#: /
NAME: � Ila...,s
LOCATION: 1� - N • INSPECT ON:
/
TYPE OF S n UCTURE:
Y N 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
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches / Holes/ Bearing Walls
Metal Strapping for Notches Top Plate
1 'A (w) 16 gauge (8) 16D nails each side
Draft stop•ing 1,000 sq. ft. floor trusses
fv-- or Bolts 6 ft. •. less on center
Ice and water shi d 24 inches from wall ti±
ion 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 'A inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 of grade
L:\Building&Codes Forms-OLD\Buikiinq&Codes\Inspection Forms\Fnam{ng Firestopping Inspection Report.doc Revised January 7,2008
- 1 - oir.
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: an>/prn ,t Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ,
NAME: � `: (� PERMIT#: _ 1
LOCATION: 4:fr <7 f-4 Sc S /-1 INSPECT ON: — Air/
TYPE OF STRUC 'E:
Commc_nts
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 1
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inch ve footing
6 poly for wet areas under slab ✓
Backfill.Appreeal
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft. 1
L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
7a---:-)cj--
Foundation Inspection Report (77- ,
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 1 ¶am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: r
NAME: PERMIT#: •
f�
LOCATION: 57 T, , �r e S INSPECT ON:
TYPE OF STRUCTURE: � k7
Comments
Y N N_
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
6 inches above footing 041 6 mil poly for wet areas under slab
b nder Slab
SIP
WO' opper
oundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Fonms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: .0-(3 1 1
Queensbury Building&Code Enforcement Arrive: am/pm Depart:/ L ,am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: 1/11\A‘21 ti41 ` PERMIT#: C 4
LOCATION: S . F-f INSPECT ON: . i I
TYPE OF STRUCTURE: k2k-Or•A-
Comments
Y N NSA
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/Wailpour
Reinforcement in Place
v r
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 Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buliding&Codes Forms\Buflding&Codes\Inspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/z .,.00) Zc?chk
oundation 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:&if,t,
NAME: ��' PERMIT#: 7<./
LOCATION: % 77elsc:ir'es 7ff. INSPECT ON: //
TYPE OF STRUCTURE: 17,71..0
Comments
Y N N/A
Footings
Piers
Monolithic Slab x
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 �� y
Reinforcement in Place ;_ 1,.3/
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 Interior/Exterior
12-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Buiiding&Codes\Inspection Forms\Faundation 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: atn/pm/ (Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: \J
NAME: 1f71 PERMIT#: ()/— 7</J'
LOCATION: S7et-•wiry S //• INSPECT ON: —7/
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/Wailpour •
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