2010-108 .411A TOWN OFQ UEENSBURY
F4i_ro
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20100108 Date Issued: Thursday, December 02, 2010
This is to certify that work requested to be done as shown by Permit Number P20100108
has been completed.
Location: 13 LANCESTIRE Dr
Tax Map Number. 523400-301-020-0001-047-000-0000
Owner. DAVID & SHERRIE ROWELL
Applicant DAVID & SHERRIE ROWELL
This structure may be occupied as a:
Garage Attached By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
/ 1/
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&Co a Enfo ement
Planning Board or Zoning Board of Appeals.
" TOWN OF QUEENSBURY
Iflc* 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100108 Application Number. A20100108
Tax Map No: 523400-301-020-0001-047-000-0000
Permission is hereby granted to: DAVID & SHERRIE ROWELL
For property located at: 13 LANCESTIRE Dr
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: DAVID & SHERRIE ROWELL
13 LANCESTIRE Dr Garage Attached $53,000.00
QUEENSBURY, NY 12804-0000 Residential Addition
Total Value $53,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-108
484 sq ft garage & 168.72 sq ft porch& 176 sq ft mudroom
$123.40 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, May 07, 2011
(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 o ee i f y, May 07, 2010
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
301,.20-
i
/ OFFICE USE ONLY yN : �,TAX MAP N0. lel � PERMIT I OA 7 g�-' (1-^� ,� -
�' `F�/ f
FEES: PERM T 3 �G RECREATION ! '
ENGINEER(f apple '�-, -', �l 1 nu ' 12)
Oly - -j . .I ; .
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Ne
• PRINCIPAL ,STRUC •- .. . .
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APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: j\i)LP tRNA�l
k__
OWNER: OPtovnk S0V-k i C eCi,..e L
ADDRESS: 13 lane.e541re. p? iu,e, ADDRESS:
4i(kr-f-ji.)(i 1 Ol4 1:4
PHONE NOS. (510 a- a31 q
PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:
PHONE:
LOCATION OF PROPERTY: ( 3 IGne. irse. CA qu,i Q nSb�r � � flU l )3101
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 cc 0 C1 g 0
PROJECT O 00 '- O H -W LL w
p w
0 � � = J CL O = U
W 0 OJ _U
Z < < - ci N � OL~i. OF— CCLZ
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SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
i.
ATTACHED'T,,,)7)
. i - . NW i
GARAGE(1,2,3)
OTHER ?acfr /' \g,--7 2" P'7 P / ii, ' 'I I- • SC
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IF COMMERCIAL OR I •._ - - E OF BUSINESS:
ESTIMATED CONSTRUCTION COST• S 3 coo FUEL TYPE:`\\ � S.
B 3-LGL 11-05
0
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? �-f
ARE THERE EASEMENTS ON PROPERTY? 1
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 an• agree to the above.
Sign--__ N. `r. . �. \ \I.
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:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE
DATE
s v .
'4 4
QUESTIONS? CALL 761-8256 OR EMAIL
codesAqueensbury.net
Office Use Only
VISIT OUR WEBSITE FOR MnRF uhFnnee ATIA\I
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v,,,A,• Dec. 6. 2010x12: 11F i,, DIA, Waterv1 let, NY% ,.,�\A\,A ,y.,A ,,�.!.A ,tj,e. ,,�,y No. 4355,E P. 4/4 ,,/ r A
l nj MIDDLE DEPARTMENT INSPECTION AGENCY, INC.,, `,4
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'' Wienit a that the electrical wiring to the electrical equipment listed below has been examined and is aTproved as
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�,'s�i being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date rti.,j
1•0 noted below and is issued subject to the following conditions. '4)
Owner: Rowell Date: 11/29/20101
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? `."` Occupant Location `FtSame t3 Lancastshire ;,r:
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--, OccupancyG• ara a Queensbury,Warren Co. NY
9 '�'�
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�%�� Applicant: William Bartholomew - <'.
('� 3 Thomas Rd. • " ,. '`
r,,' t 'F` "y 4
�J Ganesvoort, NY 128 da '� t � =t,"°w y"�4.-/4�T o C4 lc'
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:aJ Raymond A. Nov `�yaw : ;; � Y,.%
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!t) 1 f ,f,•,• 1_,,--,': �h 1.w"r• ` ® ... ', ... of
• Equipment. i 4(( •;'11:=73,-.,:,`a >'.; Fa' ?� ,,..1T.:11„,. 0 a ; ./ t2F 1 p`' l
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���.4-Switches' 4 Receptacle% 2 G t "e 4 ``" r �'"' ° ,.,.�r ' .i \:)
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L This certificate applies to the electrical wiring to the electrical equipment listed Immediately null and void. This certificate applies only to the use,occupancy and `�%�
,.• above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change In the use,occupancy or ownership if
( � inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate Shall be immediately null and void. ;G:j)
`,) ciency or fitness of Vie equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above condieons, (c':j
ELECTRICAL INSPECTION
MIDDLE DEPARTMENT INSPECTION AGENCY
". INSPECT
CONC WIRING O.K.DAT
UTILITY FlED
•
FINAL APPROVAL DATE i
-,---
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart:, am/pm
Date Inspection request received: 1//2 / /0 Inspector's Initials: 1
NAME: R t)w t 1 I PERMIT#: '7S
LOCATION: C e S .c DATE: 1 l [7__`7 //t)
TYPE OF STRUCTURE:
Comments:
v� 2 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
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
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 I Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch dearance to sill plate
Gas Valve shut-off = ••sed/re.ulator 18 inches above •rade
Interior privacy I trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safetyglazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches =i'ht in accessible area
Crawl S•aces 18 inch x 24 inch access, 1 -•.ft.-150 s•.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 graade
Gas Furnace shut-off within 30 feet or within Une of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 1,4k Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed property >
Gas Logs in Sealed or Glass Enclosure C�v
Final Electrical `ill
Final Survey Plot Plan L
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding ►f�,�`",
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10[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
Rough Plumbing / Insula
‘7 tion tsction Report
Office No. (51 8)761-8256 Date Inspection request received: ..►.
Queensbury Building &Code Enforcement Arrive: am/pm Dep- Qr. m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,..'+ r.
NAME: ROL.,-)etPERMIT#: •1
LOCATION: !'S ( �'� INSPECT ON: ,' -? ---/0
TYPE OF STRUCTURE: AQC
Y N N/A
Rough Plumbing/Nail Plates
Plumbing Vent I 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 h' hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
.S.1 for 5 minutes
Insulation/R idential Check I Commercial Check
k or ' rlar 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/No duct tape
COMMENTS: C2..%
Rough Plumbing insulation Repoitrevised Nov 17 2003,revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report
hded, = (6 � �--
Office No. (518)ft61-8256-) Date Inspection request received: o r U
Queensbury Building&Code Enforcement Arrive: am/pm De m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:,641.4:7
NAME: RaLJPERMIT#: a016
LOCATION: /3 .oat-1 '( `fir INSPECT ON: r otLa 7Z o ro
TYPE OF STRUCTURE: Sp3ird va,D Pw
COMMENTS:
ming
22"x 30" minimum
Jack Studs/Headers V 4 ' 'v -
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly �..e,V\24 A 1�-
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 38 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
•
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'r4(w) le gauge(8) l8D naris 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 wail 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side'r4 inch or 5/8 inch Type X k./i\ --S\-KS r E$3
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 .rade
L:1Building&Codes Fortes-OLDSuNdin9&CodesWapec tion FonneFtamIng Firwtopping Inspection Repoitdoc Revised January 7,2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /V/ 946
Queensbury Building & Code Enforcement Arrive: am/pm Depart:c am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: (--'
NAME: Rp1A)-era PERMIT #: -/0
LOCATION: / v ,kaine r INSPECT ON: . _ _-),
TYPE OF STRUCTURE: Lyth ' pba-cri quAl2Ou -1
Y N N/A
Rough Plumbing /N-1 Plates
Plu •• , - ents in Place
1 Y 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
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: - ''"r'"" c)- j
Rough Plumbing Insulation Report,revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection ReportT? •
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart C am/pm
742 Bay Road, Queensbury, NY 12804 Inspectoi°s Initials:.14, 1-7
(NAME:, C'iia- I PERMIT -/OS
LOCATION: #: ��
3 INSPECT ON:
TYPE OF STRUCTURE: (
Framing Y N WA COMMENTS:
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 6(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
F , 4 hour
Firestopping
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 -— �1 .-
Windows Habitable Space 1 Bedrooms
24 in. (H) eft 1
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:113uiidinp&Codes Ferns-OLDrBuOdkp&Code&nspedfon FomislAwning Firestopping inspection Reportdoc Revised January 7,2008
Framing / Firestoppinging Ins >,peccl/Keport
c
Office No. (518)761-8256 Date 1 • - . . nest received:
Queensbury Building&Code Enforcement Arrive - ' am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 I • - . . s Initials:
NAME: j/( PERMIT#:
.11/
LOCATION: 1 .3 � Ces r(''d b` INSPECT ON:
TYPE OF STRUCTURE:
I t 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. Bin.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
•
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'r4(w) 16 gauge (8) 16D nails each side
Draft •.•' • 1,000 sq.ft. floor trusses
to!. Bolts ; or less on center
Ice and water sh -Id 24 inches from wall
Fire se• ion 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
18 inch insulation in cavity min.
Garage Fire Separation
House side 34 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:\Bufidinq&Codes Forms-OLD 8uadin0&Codesvnepection Forn s FraMrg Firestoppkp inspection Reportdoc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date I uest received:
Queensbury Building &Code Enforcement Arrive: 30 am/ rt: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector' Initials:
NAME: 1d w PERMIT#: d �'
LOCATION: INSPECT ON: OAS' 1
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
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 'AO'01c'al"'"%
Draft stopping 1,000 sq. ft. floor trusses /
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/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Buiiding&Codes Fortes-OLD Building&Codes inspection FonnslFreming Firestopping Inspection Report doc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Departam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:(y '
9
ek.)
NAME: 0 PERMIT#: � 2)(P
LOCATION: /3 U cce S INSPECT ON: DAIIIWat
TYPE OF STRUCTURE: 6�
I - 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 Bide
Draft stopping 1,000 sq. ft.floor trusses
t or less on center
Ice and water eh = 24 inches from wallr---
're = y - 2 3 hour r - r
Fire wall 2, 3, 4 hour
Firestopping61,1/(A/
'r2CrfZ__ re-041VAF
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side'A 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\Building&Codes In.pection FomtsVFru Ing FNesbpping Inspection Report.doc Revised January 7,2008
I
y - /e fitcfr\do .
Foundation inspection Report
Office No.(518)761-8256 Date Ins• = 'on ved:
Queensbury Building&Code Enforcement Arrive: a!tJ- 0 part:dvC;:}.:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Inti:1 F
NAME: g) Py // OF'EMIT#: LJ /OF .
LOCATION: / 3 a vi Ce,-s1-11_7e INSPECT ON:
TYPE OF STRUCTURE:
Z � Congtmental
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
Footin Dowel• • K aylace
Foundation Dampproofmg
oun on aterproo g
F•sting Drain Daylight or Sump
noting Drain Stone:
• width
6 ', hes - > •ve footing
6 mil poly or wet areas under slab
Backfill • • al
' •',• :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 Reportdoc
Last printed 12/20/2005 9:24:00 AM
(>/& 7ArJc
Foundation Inspection Report
Office No.(518)761-8256 Date Ins '• • request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's 'itials:
NAME: tjf
LOCATION: �3 -1A.CP ' i y IPERMITNSPECT#:ON: Agar
TYPE OF ) `3 � � �
STRUCTURE:
Comment
Y N
Footings
Piers
M• : . Slab
' ' inforce. -•tin Place
Th: •.$tractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this . •• - on site. A
Foundation/Wailpour
Reinforcement in Place
F••;• • •r Keyway in place
Foun. .•;on P: 't ppreefin8
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
9-11 1Jerine4
Foundation Inspection Report
Office No.(518)761-8256 Date „- ; •.ed•
Queensbury Building&Code Enforcement Arrive: 0' Depart: . -
742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini
NAME: BJP 'ERMIT#: 0 er
LOCATION: 3 -,a/Cp 41-r o-. INSPECT ON: `S
TYPE OF STRUCTURE:
Comment(
Y N
Foatings tz t w iL
iers • f ''r
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 inch.: : '•ve footing
6 mi or wet areas under slab
Backfill . •royal
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Bulding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
last printed 12/20/2005 9:24:00 AM
/0- /2- rr-rJ62,-r-
Foundation
Inspection Report
Office No.(518)761-8256 Datetion - . iv-•.
Queensbury Building&Code Enforcement Arrive: I. * 0 1p /Depart: VIII pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Inih= '! i
( 1
NAME: RMIT#:
•
16) /T
LOCATION: ArAram , i 'SPECT ON:
TYPE OF STRUCTURE: ;` : Ivo
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 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:\Buliding&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
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