2009-013 TOWN OFQ UEENSBURY
IF4TO742 Bay RoadQueensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20090013 Date Issued: Thursday, April 02, 2009
This is to certify that work requested to be done as shown by Permit Number P20090013
has been completed.
Location: WEST MT. Rd
Tax Map Number 523400-295-006-0001-010-000-0000
Owner. WAYNE A MATTISON
Applicant: CLUTE ENTERPRISES, INC.
This structure may be ocgdyacmT1EW PLACID, INC.
Garage Detached By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (---a„,„P
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090013 Application Number: A20090013
Tax Map No: 523400-295-006-0001-010-000-0000
Permission is hereby granted to: CLUTE ENTERPRISES, INC.
BROOKVIEW PLACID, INC.
For property located at: WEST MT. 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: BROOKVIEW PLACID, INC.
17 BRITISH AMERICAN Blvd Garage Detached
LATHAM, NY 12110-0000 Single Family Dwelling $100,000.00
Total Value $100,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans &Specifications
2009-013
936 sq ft single family dwelling with 576 sq ft detached garage
$169.92 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, February 06, 2010
(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 T wn o ueen ry;4 /F/ri y, February 06, 2009
SIGNED BY L. -'r �_%' .+ for the Town of Queensbury.
Director of Building&Code nforcement
OFFICE USE ONLY
TAX MAP NO. c,
PERMIT NO. _ `
z
FEES: PER: 1 ,
' RECREATION ENGINEERING
(If alicable) '1 °;unr. '' j
pp
,
PRINCIPAL S TR UCTU
RE.•
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION APPLICATION IS
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. SUBJECT TO
APPLICANT/BUILDER; r--
'" • OWNER: _ )e
ADDRESS: 4. -8._.....,_
ADDRESS: (� � ,,
e.
PHONE NOS. `75? 73,-77 PHONE NOS. -7 t 3 7 --77
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: �F
PHONE:
LOCATION OF PROPERTY: ID
.9'5. - t — to
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR O
PROJECT O h` 0 O CS( w u~,
�_- O E O I- Ir _1 0 f. w
LI-
in H LL
U. w ¢ a = _
Z Q Q e- CO N (n 0 U. I- U. Ir w Z
a = 08
SINGLE FAMILY /
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS ) i j
.-I, ;
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR `
,7,r)
j
�ATTACHED
GARAGE(1,2,3)
OTHER t +" ) 3Lir I
' r
3 4,_:' jci -
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
r
OFFICE USE ONLY •
TAX MAP NO. PERMIT NO. / (1/ ERMIT FEE i • Ctlu i
•
APPROVALS: ZONING TOWN CLERK •'• 0 '
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.
OWNER: C e ikc-6kA- INSTALLER: CL 'Vr��`,-r?
Queensbury Building & Code Enforcement - esidential Final Inspection
Office No. (518)761-8256 Arrive: //i(2/anh/pm/, ) : am/pm
Date Inspection request received: Inspector's Initials: Vr�--
NAME: C(.cf l C� PERMIT#:
LOCATION: OL.0 it(T. PO - DATE: / ?�AS/
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
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
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
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'Y2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofmg/3A hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
• Final Survey Inspection
Dept.of Community Development
+ Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: 11-1- 7,
NAME: Aft, Sri i. ._._
LOCATION: 1,1 ,/ `_I //
PERMIT#:
Cfl-O/3
Final Survey Plot PIan
Approved Denied
The attached final
survey has been
received by the
Dept.of .e..--
Community
Community
. Development.
Upon review the
cy)survey has been
Craig Brown,Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
l 0
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: Z am/p Depart: am/pm
Date Inspection request received: Inspector' Ini _tials:
/1 061' 013
NAME: U (C' PERMIT#:
LOCATION: (V AU. 'h . /erJ . DATE: _____ _/___2_. ' 1
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/'B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
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
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches _
Bathroom/Kitchen watertight %
iS ety. glazing/Window in stairwells safety glazing
terior Smoke Detectors: }
Every level: Ev ryBedroom: y
Outside every bedroo ea: �(
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq. ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
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%1"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Du work Sealed properly
Logs in Sealed or Glass Enclosure
inal Electrical
`J k i ( �t,'r2V I
Final Survey Plot Plan �'•
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required `
i
Flood Plain Certification,if required J
Okay to issue C/C or C/0[Temporary/Permanent] ,/
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
(2-,,cc-) l-3
Tursde- __ .
Queensbury Bullding & Code Enforcement - Rde
ntial Final Inspection
Office No. (518)761-8256Arrive: � �J am/pm �rt am/pm
Date Inspection request received: Inspector's Initials: /�� / /
PERMIT#: C/ ` - // --�
NAME: Cit ) I-e-- �- ,- .:��
LOCATION: 4 r)14 (.» ,)i,--,71- 1. . DATE: 1C
TYPE OF STRUCTURE:
Comments:
Yes/ No N/A
4° Building Number Address visible from road :.
Chimney Height/"B°Vent/Direct Vent Location ,
Fresh Air Intake `
3 inch Plumbing Vent through roof minimum 6 inches i//
Roof Complete/Exterior Finish Complete Platform at all exterior doors ///Handrail 4 or more risersGuards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more ✓f
Guard at deck,porches 36 inches or more ✓/
Handrail Termination at Newell Post or Wall yfi�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 �//
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches /
Bathroom/Kitchen watertight ./
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors I \���c`'�VCe —c_1 ,�c7
Every level: Every Bedroom: / `� \i
Outside every bedroom area: 10c.)1~�(N — -f`k
Inter Connected: Battery backup: ✓, rA-L� 6.1-Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
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
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 if
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating f /
Low water shut-off boiler ✓
Relief Valve(s)installed I Heat Trap/Water Temp 110
Enclosed Stairs Sheetroc k Underside minimum W Gypsum V:// /
Basement stairs dosed rise>4 inches f
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer !
Duct work Sealed pro riy ‘/
Gas Logs in Sealed or las Enclosure ,//
Final Electrical '''j k nr\ V--k,OJi _
Final Survey Plot Planiu11 5vt/C�'
Arc Fault Breaker in Bedrooms ii
Flex Gas Pipe Bonding ‘/
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C I O[Temporary/Permanent J 1,/_____
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08
• (1r 00) l -` 447:5- _
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspekj3n request received:
Queensbury Building &Code Enforcement Arrive: ; _ am/pm .Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspectdr's Initials:
NAME: (2 (i PERMIT #: - i/,,
LOCATION: Li/ (}/ APS/ /)')J INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing/Nail Plates
Plumbing Vent/Vents in Place
1 'A 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 l
Air/Head .6 fiC
•r 15 minutes -� 1.?
Insulation 1 esidential Check/Commercial Check
- = imilar 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 Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
/1001/1 i t d �-
Framing / Fitfttopping ihspection Report
Office No. (518)761-8256 Date M n =•ue, « i
Queensbury Building&Code Enforcement Arrive:\\ rep -1i'�•, • rt: \Z: A arr
742 Bay Road, Queensbury, Inspector's 12804 I ctor's Initials:
fly
ERMIT#:
NAME: / �� �
C,
LOCATI /c4 Ld2'' n47, INSPECT ON: '
E OF STRUCTURE:
Attic Access 22" x30" minimum - F
Jack Studs/Headers
Bracing f Bridging : ._ `: +fig
Joist hangers `DT ,
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
= - trapping for Notches Top Plate
) 16 gauge (8) 16D nails each side
- stopping 1,000 sq. ft floor trusses
• ,,r• _•• ft. or less on center / ___-- _ istizc7
0V7 e\5
Fire separation}1, 2, 3 hour E
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/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1Buildk g&Codes Fortes-OLD1Building&CodesInspec tion Fomiscraming Firestopping Inspection Reportdoc Revised January 7,2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/p Depart: ' �i am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
1�;
NAME: ," t PERMIT #: �
LOCATION: ;j,,y� l� - `ti jti T,\; i�-� INSPECT ON: _ z
TYPE OF STRUCTURE: <, l' f)
://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
Cleanout every 100 feet / change of direction
Pressure Test `7
Drain / Vent
Air / Head
5 P.S.I. or(ft trove highest connection for 15 minytes-
PressureTest
Water Su .ly Piping
Air ^ ad
50 IS:rforl5 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:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
--79 .
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm epart:'`')r .-. am/pm
742 Bay Rd., Queensbury,,NY 12804 Inspector's Initials: %i ikk <- .,3(
AME: J��, �� �' 1� PERMIT NO.:
LOCATION: l O�i, i, S7 mi • , INSPECT ON: 7
RECHECK:
Comments and/or diagram
Soil Type:4-... Loam/ Clay ,
Type of Water: r unici ,/ Well Water 4
Waterline separation distance ft.
Well separation distance ft.
Other wells: \ai ft.
Well Casing Length 50' + / - Y N N/A / ) i
Absorption Field: Total length q2,_____ft. 3 j -7 i
Length of each trench ( ft. 1 1 5 t--,
Depth of trenches ai: ft. #
Size of Stone
I 1
Seepage Pits: Number
Size: ._ :) ',C;c
Stone Size:
Piping Size Type
Building to tank "
Tank to Distribution Box3
Distribution Box to Field / Pit t
A.4- 5--
" ( ] O ,
Opening Sealed: N ..- "'"�� i
End Cap __N i\,:(,--r.,:,-.-1) )i-\')
Inlet/Outlet Pipes&Baffles Y_ N _ f`. '-
Location/ Separations ,,.., (( ''�`"1 -7c--- `
Foundation to tank ft. ` 0�� ' f -c\
OW'Foundation to absorption ft. -r... ..`. , ,,,,,
Separation of Pits tin ft. . 1
Conforms as per Plot Plan <--
Engineer Report and As-Built Y , N ("
Location of System on Property: - ‘, I
Front Rear _( Left Side) Right Side Middle Front Middle Rear
Y- - S • s:
----=-- Approved
far rtial Approved and needs to be re-inspected, please call the Building &Codes Office N..
Disapproved --
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
I � 3r
Framing / Firestopping Inspection Report c
_444_ spN
Office No. (518)761-8256 Date Inspection request received:a
Queensbury Building &Code Enforcement Arrive: ` am/p part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspecto s Initials: `
NAME: -- O/3
i PERMIT#: Cfi
LOCATION: ' �,T_ (lte!% Ca ; INSPECT ON:
TYPE OF STRUCTURE: 4O
N N/A COMMENTS:
Frami g' 4i: 14
' 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 .4
1 1A(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 A
Fire 4 hour
irestoppi ' yf
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 14 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:1Buitding&Codes Fortes-OLD16uiiding&CodesUnspecdon FomhscFraming Firestopping Inspection Report.doc Revised January 7,2008
- S 6z1 it)
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 3
Queensbury Building &Code Enforcement Arrive: am/p r o ,Depart: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: -&
NAME: � / , PERMIT #:
LOCATION: 1V,
O Or INSPECT ON: /a0
TYPE OF STRUCTURE:
Y N /N/A
(-Rough Plumbing/Nail P - es
n in Place 4
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum /&44)1
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
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
( ? : Jö ) 2 - 7 /PJCi
Framing / Firestopping Inspection Report ,
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm De rt:m am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
Cl _______
NAME: � PERMIT#:
LOCATION: /i� kb-S mi _ INSPECT ON: ,
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
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'h(w) 16 gauge (8) 16D nails each side
Draft stopping sq. ft. floor trusses
, Anchor Bolts 6 ft. or,less on center
Ice and water sh' '' 24 inches from wall
' n 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side .6 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:16ui ding&Codes Forms-OLDDBuiiding&CodesUnspection Forms\Framing Firestopping Inspection Repoitdoc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm /kitDepart\am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: Cl
NAME: �� PERMIT#: ��
LOCATION: L VAir /"RI } W ) INSPECT ON: mi
TYPE OF STRUC 5P9
1 Wr
-
Comments
7/NiA
N
ootm 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
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior I Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Budding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
QUA
Foundation Inspection Reportu - 1 p\o-
ndation
Office No.(518)761-8256 Date Inspection request received:
c)-U
Queensbury Building&Code Enforcement Arrive: am/pm Depart:/ 4 pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials ei
09-0 ( 3
NAME: SV-201:/t/Uk?-
PERMIT#:
LOCATION: INSPECT ON: ,
TYPE OF STRUCTURE: '50
Comments
Y N N/A
Footings
Piers
o ithic 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
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 Inspecti n uest received:
Queensbury Building&Code Enforcement Arrive: phi , epart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect6r's Initials: 1".
NAME: C.L0--FF PERMIT#: DR—D 3
LOCATION: 9- CLS) )EST i) INSPECT ON: Z-19t —Del
TYPE OF STRUCTURE: GA p R(;F
Comment(
Y N N/A
/Footings ' k� �}
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:\Buiiding&Codes Forms\Buiidiing&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
0 - .4 670) 2 -41 7,,ightese-4:2
Foundation Inspection Report
Office No.(518)761-8256 Date Ins n req ,y '. :
Queensbury Building&Code Enforcement Arrive: 1 ; R Depart: •1;i m✓
742 Bay Rd.,Queensbury,NY 12804 Inspector's Inti s `
NAME: (7/ ERMIT#: 07- ea
LOCATION: S 7rti NNSPECT ON: / .
TYPE OF STRUCT C11
Comments
Y N N/A
Footings }
Piers
Monolithic Slab J/
Reinforcement in Place v
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 tWallpour _
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 Forrns\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
•
Foundation Inspection Report
Office No.(518)761-8256 Date Inslepti request rived:
Queensbury Building&Code Enforcement Arrive: am/p4m,DA,j Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector e teals.
NAME: ;1 - I' PERMIT#: �
LOCATION: t (4 �j fit _ { , INSPECT ON: 2 —/
/7- �,
TYPE OF STRUCTURE:
Comments
Y / N N/A
Footings
Qiers
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
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\f=oundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
„X( 6) ' m - )
Foundation Inspection Report -6A-1**--
Jo 3 ( Sc
Office No.(518)761-8256 Date InspFcti njquest received: eTh t CJI
Queensbury Building&Code Enforcement Arrive:~y � �am/pm , , , t�Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspectors 'tials:
• '� L& r<�' e _ 013
NAME: '. , l /f/ick,
fA 1
J- i PERMIT#: giiir
LOCATION: LI' I / v INSPECT ON: _,M •
TYPE OF STRUCTURE: 9 Fz-e•r=
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
f
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
_,.64ni for wet areas under slab
Backfill Appr N.,/
Plum ing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report L T U 61 0
Office No.(518)761-8256 Date Ins /
pecti il�request received: �� Z 0 `
Queensbury Building&Code Enforcement Arrive:- ,(jam/p '()c Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Ins ecto 's itials: LG
NAME: G- �. I -I Y J'' £-e SPERMIT#: 0? -
LOCATION: U-1 0 h Lth c 7 m r. (e-j 4j >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/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
inches above footing*66
mil poly for wet areas under slab �r
Backfill Approval
PIulnbing Under Slab
PV /Cast/Copper `
t:. v i
'
Foundation Insulation Interior/E terior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Fgundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
(?. 'L.r) it/(7---(k(--:-S,c-,--/6-_,
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depalic,am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: /1.--Y/1-
j
: ( "
� PERMIT •#
LOCATION: (';',/
( 7
- INSPECT ON: 2 _%1 C_= ,
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 or Keyway in place (/3
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
:Tar.. '. . : -as under slab �,
Backfill Approval
f•-:011.--- (el /�
• .1 .er lab f;(2-0 \1(.( "--1
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
r' 1 1
(2o )C
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,
NAME: /-• PERMIT#: �%
LOCATION: � ' I, ?; /U7 .( INSPECT ON: 2 7- (_i 7
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
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
Reinforce - , t 'lace
Footin_:+•wel •r Keyway in place
Founda•on 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
•
. , .-3
0 7 - C,) /
. ..: .
V .
.
: ......,
.._
I
...,
41111 - -
.. .
....
.. .
...4.,-„, ., .. ,.
rjr. -,•.... . ( __ ..
IN .„, . _ . •
-....- .„...
:4111111111.0:- _•.
... _ .
. .
4.0.
k
._..
•__
., ....
.....
.,.,.
...)<=\......
. • .
)
.,..... :.,....
.... .
•
• .........
. ,,,,...9
. ..„1,
•, ...1
) s .
7,,,,,H___,..
,
......
,
ru a 4 --- c 1 6--
i .
,i i •. .‘4:.I"
.
,
.1 i.
:1 -1
NO' _
e
. .....
6-' 6
.. .
I ie.. 0
_----
# rj/ - '•. '._, ' .....3
..--.4...
ti -
• ... ..
. . . • ;
...-
la
I
0
01!
1 ;
\4
, t
. - c
...
. ‘:.7-' ::: r.1 • !. . •
•
t t
•
'
.
. .
............................."..................."0„0.0.00/0"
L.....
-.
/ .
.--""
. .
....."
?.- .... i
• Ai. _ t.
,I.
. .
_...'. _
".....ik -b.,..eo,...o..........,.....,„...............e............................/". -"' -'' ': " Zt.';';-;-3
. ...._ ..2
. .
..-..
I. .