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2010-285 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100285-36939 Date Issued: Tuesday, August 3, 2010 This is to certify that work requested to be done as shown by Permit Number P20100285-36939 has been completed. Tax Map Number: Location: 20 GENEVA DR FILE cop y Owner: Joseph& Dawn Livote Applicant: Clute Enterprises, Inc. This structure may be occupied as a: By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the 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. .374 20 —/- 7C OFFICE USE ONLY % TAX MAP N Z)-21 FEES: PE ITC�/� _,) `� RECREATION N IN "ING % (If applicable) PRINC 'AL STRUCTURE: 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: CL)\e OWNER: ADDRESS: (.0.1 -a .--L t.kile Cap Li ADDRESS: PHONE NOS. -79 3 '7.277 1 PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: c-. 1 PHONE: Qpi -S` LOCATION OF PROPERTY: --C ( ‘,,_ ` Le_ Ste-= 3k) . .0 --t - la HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 13,YES 0 NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z APPLY TO YOUR z ix cj o LI PROJECT 00 LLJ w C) F � �'- i � W Q a = = U Z Q Q !- N � OLL Of— OIz I- II- a = ces SINGLE FAMILY (D2 Li TWO-FAMILY MULTI-FAMILY tii'MN-r (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE �ti� FACTORY OR ') • INDUSTRIAL ATTACHED GARAGE( ) c'loo` ' _ `fes 1 te,' OTHER IF COMMERCIAL OR INDUSTRIAL— NAME OF BUSINESS: 'ti 1 A ESTIMATED CONSTRUCTION COST: \2 Sf 030 FUEL TYPE: CiCe> I _ B 3-LGL 11-05 A , ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? 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 a d agree to the above. 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: BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL codesCaD.queensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION OFFICE USE ONLY � TAX MAP NO. PERMIT NO. I&ZSPERMIT FEE i; APPROVALS: ZONING TOWN CLERK M. "+ Y 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`3\ INSTALLER: C •3tc€, ADDRESS: e_ ADDRESS: PHONE NOS. .79 'S 7 -"-7 7 PHONE NOS. • LOCATION OF INSTALLATION: 2-o `" '.see 0r . )i .acp '70 NO. RESIDENCE INFORMATION: YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW GARBAGE GRIND_ ER 1980 or older X 150 gallon per bedroom = INSTALLED? ��, 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present `Z X 110 gallon per bedroom = 3 3a INSTALLED? D c PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling ' Steep slope %Slope ✓ SOIL NATURE: Sand Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? ✓ DOMESTIC WATER SUPLY: Municipal)1/4" Well (If well: Water supply from any septic system absorption is ft.) t ✓ PERCOLATION TEST: Rate is minutes per inch [MPI] (Test to be completed by a licensed professional engineer or architect.) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: \Coo GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: ABSORPTION FIELD (WITH NO. 2 STONE) Total length 156 ft. Each trench 2. X 5� ❑ SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size? ❑ ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? I NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. Queensbury Budding & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: 3166 am/pm Depart: am/pm Date Inspection reque/L1J . t received: Inspector's Initials: NAME: PERMIT#: /0 2C?S LOCATION: at 'YieV -._ ► r DATE: ______4 .---6—"70 TYPE OF STRUCTURE: Comments: (s N4 N/A 4" Builds • Number Address visible from road Chimney Height/"Be Vent/Direct Vent Location II� Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches ■■■ Roof Co ,•Tete/Exterior Finish Corn.ete Platform at all exterior doors _ �all� Handrail 4 or more risers liall� Guards at stairs,decks,patios more than 30 inches above •rade 11111� Guard at stairwell at 34 inches or more all� Guard at deck,porches 36 inches or more all� Handrail Termination at Newell Post or Wall all� tnterior/Exterior Railings 34 inches to 38 inches all� Deck Bracing/Handicapped Ramp Compliant all� Grade awa from foundation 6 inches with 10 feet all� 6 inch clearance to sill plate ��� Gas Valve shut-off exposed I re•ulator 18 inches above •rade IIIII Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazin• 11 Interior Smoke Detectors I 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 ,•.ft.vents all� Bathroom Fans,if no window ■■■ Plumbin• fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft. II 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 Fumace/Hot Water Heater operating IIIIIIIIIII� Low water shut-off boiler IN Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'A"GypsumII Basement stairs dosed rise>4 inches Garage Floor Pitched il � Garage fireproofing/' hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical all Final Surve Plot Plan Arc Fault Breaker in Bedrooms Es!� Flex Gas Pi•= Bondin• rMIN� Lv gill (;,,�,- hiw-e As Built S=• is S stem/Sewer De• . Ins.=ction Sticker �� /l Site Plan /Variance required IMMI ■ /Lj0E mirk G✓.AT`Flood Plain Certificati•,; ,,-•uired _,__,___{ . / Okay to issue C 1 C •r C I O Temporary/4 '" / hams Gw ' i O' c--- 41)1 L:1Building&Codes FormstBuilding&Codesunspection Forms\Residential Final Inspection Form_revised_100405.doc!Revised January 7,2008;Revised 6/26/08 Cjt,i cQmniei. ...5, 00 B ildin g & Code Enf r ement- esid i Queensbury u gal final Inspection ffice No. (518) 761-8256 Arrive: am/pm Depart:2 ( am/pm Date Inspection request received: Inspector's Initials: / 49-- NAME: C)(1/--- J PE : /�`L/ ,,^�{ � LOCATION: 20 c RMIT# +� ✓v—._. 1)r DATE: /C�� TYPE OF STRUCTURE: Comments: 4" Building Number Address visible from road V Chimney Height/"B°Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Co •late/Exterior Finish Com•eteAi 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 tnterior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant 7 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/Wi • in stairwells fety g ing , �. Interior Smoke '_ ,«ors Carbon noxid etectors Every level: E ry Bed : Outside every bedroo res: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area , Crawl S•aces 18 inch x 24 inch access, 1 -•.ft.-150 :•.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification w Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade a Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Vatve(s1 installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum's"Gypsum - Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing 1%hour fire door/door doser Duct work Sealed property /' Gas Logs in Sealed or Glass Enclosure 1/ Final Electrical -1*\6- --- Final Survey Plot Plan .r Arc Fault Breaker in Bedrooms Flex Gas Pi•- Bondin. As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required 1,1111 40 Okay to issue C I C or C I 0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codesilnspection FormssResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 i (Z:©o -3 _ Queensbury Building & Code Enforcement - Resident i" a • -ction d Office No. (518) 761-8256 Arrive: 1 .-t-tc . 1011;` j-rt: 2'OO a P Date Inspection request received: Inspector's Initial- „ed. NAME: lam I ' / 2??S PE: IT#: LOCATION: .. ..Si w._ I f' D E: ? Z6 TYPE OF STRUCTURE: • Comments: NQ NIA 4" Budding Number Address visible from road i Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake W/ 3 inch Plumbing Vent through roof minimum 6 inches Roof Co ,•lets/Exterior Finish Com• ete El Platform at all exterior doors M/ Handrail 4 or more risers W// Guards at stairs,decks,patios more than 30 inches above !rade EWA Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more IFIA Handrail Termination at Newell Post or Wall PIM Interior/Exterior Railings 34 inches to 38 inches IMIUMNIF Deck Bracing/Handicapped Ramp Compliant 111111/11111111, Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate IS , Gas Valve shut-off exposed I •ulator 18 inches above !rade RIO' Interior privacy/trim/doors/main entrance 36 inches Mira Bathroom/Kitchen waterti•ht IRIAI Safety glazing/Wi •• in stairwells safetyglp�ing Interior Smoke I ectors/Carbon M oxid�Detectors Every level: 94(ery Bedro ,,// / /Outside every bedrooarea: ✓✓✓✓✓✓ Inter Connected: Bette backu.: ✓✓✓ Attic access 30 inches x 22 inches x 30 inches ei,ht in accessible area 111I/A11111111111, Crawl S•aces 18 inch x 24 inch access 1 -•.ft.-150 :•.ft.vents Wi,'/!=+ Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification • Floor truss,draft st••,•i • finished basement 1,000 :•.ft. . Emergency egress below grade Gas Furnace sh , - __ 4 feet or within line of site Oil Fume.: - ut-off at en ,•,: • furnace area Fum: :. of Water He •perating f v--,is.„L Low wet- -�T r'=''a-• er VIII Relief Valve(s)installed/Heat Trap/Water Temp 110 iiiim, ,, ,,„---,- C.,�© ,y,\ c Enclosed Stairs Sheetrock Underside minimum IA"Gy•sum Basement stairs closed rise>4 inches WV/ i, ` _ "\--9-AV Garage Floor Pitched WMA/ Garage fireproofing/'A hour fire door/door closer EWA Duct work Sealed propey Gas Logs in Sealed or Glass Enclosure /Wiliv '‘ z . � ` Final Electrical WWF Final Survey Plot Plan Er Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker111 Site Plan /Variance required Flood Plain Certification,if required MI Okay to issue C/C or C 1 O j Temporary I Permanent L:\Building&Codes Forms1Building&Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 (- Rough Plumbing I Insulation inspection Rep rt Office No. (518) 761-8256 Date Inspection request received: z U Queensbury Building &Code Enforcement Arrive: am/pm Depart:Z ‘1 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: C L PERMIT #: /0 ---a2S LOCATION: 'o G /,1 L ,re INSPECT ON: 7/2;V,/ TYPE OF STRUCTURE: Y N N/A R• •h Plumbin! /Nail Plates Plumbing Vent 1 Vents in Place �== 1 %inch minimum Drain Size Washin. Machine Drain 2 inch minimum Cleanout eve 100 feet I chane 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 Piping011,41 Air/Head 50 P.S.I for 15 minutes nsulation/Residential Check I Commercial Check 4M111 .T i rI )r s- !►/�� �,.c-`___.L� tom=.; Pro• =r Vent, Attic Vent =i= Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly I No duct tape COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 7-2 /— /0 NAME: (, /() LOCATION: 2.0 6ehe ion.. hr, PERMIT#: f 0 Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has b • Craig Brown,Zoning Administrator Notes: L:\Suellemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received:J I )6 Queensbury Building &Code Enforcement Arrive: am/pm Depart: � am/pm _ � 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: r-ev �_ PERMIT #: )o-ties LOCATION: cr) � et/c.5>'fr--L_.----- INSPECT ON: Fe, �� c3-O/ j__oT15 TYPE OF STRUCTURE: trD Y N N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 16 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 15 minutes Insulatio esidential Check/Commercial Check vek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) V7V7 Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: f \'(-1 _ r - tO Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart7-3c am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT #: it LOCATION: -`7___O IA- INSPECT ON: TYPE OF STRUCTURE: 'Y Rough Plumbing /Nail Plates N N/A 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 Insuiationi Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report 3C ) Ale-Aes 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: NAME: (7/L)k., PERMIT#. LOCATION: 20 e INSPECT ON: -�-6--- TYPE OF STRUCTURE: M NIA COMMENTS: Framing `V "x 30' minimum Jack Studs/Headers Bracing I i Brxig n9 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) 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 /10 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:1Buiiding&Codes Forms-OLDDBuilding&Code&1nspedion Fom'islFraming Frestopping Inspection Report.doc Revised Januwy 7,20011 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date In 'on req • Queensbury Budding &Code Enforcement Arrive� o t0 a 4%pmk,4-7'r.,-rt: 1r a /pm 742 Bay Road, Queensbury, NY 12804 Ins is lnitia: NAME: C �E ��c �? � RMIT#: 1 LOCATION: 7 �,��.��� 0 ,tF NSPECT ON: -7-Z-- TYPE OF STRUCTURE: Y N wA 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 %(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%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 Fors-OLD1Building&Codes\lnspection FonnsTraming Firestopping Inspection Reportdoc Revised January 7,2008 Septic Inspection Report /_ // Office No. (518) 761-8256 Date Inspection r,. -- • -.• ll ' /0 Queensbury Building &Code Enforcement Arrive: ,a' .'o .►,/�.' /D-•art: ( =t) m 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial- -� NAME: C L✓ -- RMIT NO.: (1 – _S'S LOCATION: , G-- --QA/4 INSPECT ON: WWI RECHECK: Comments and/or diagram Soil Type: - •.m/ Clay Type of Water: v e I Water Wate i - --paration distance . Well separation distance ft. Other wells: _ ft. Well Casing Length 50' +/ - Y N N/A Absorption Field: Total lengthft. Length of each trench Depth of trenches Z ft. Size of Stone Z Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank yti bCt\ Ut Tank to Distribution Box y ` .6'0•2--- Distribution Box to Field/ Pit ✓ N/ I` Opening Sealed: —,Y_N End Cap ✓,�__N Inlet/Outlet Pipes&Baffles ✓Y_N Location/ Separations • Foundation to tank ft. AS BUILT Foundation to absorption Separation of • ft. Conforms as per P Plan — N Engineer Report anq s-Built Y N Location of System on Property: Front Rear 410, Right Side Middle Fron iddle Rear } Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc : . _ . ) 0 • •• • • . S AS BUILT • JL a �� _, a • r1 ... aI • x C t 0 • q• cke )1 pi • .4 ' ,t ip s i .O• g 1 -.11.- 41..... tk^ a [ I • 4 4 I --A- oo .‘-'- ' -,1 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: i '//0 Queensbury Building&Code Enforcement Arrive: am/pm Depart: /�„ _ lpm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:9 41n t J NAME: C L PERMIT#: LOCATION: ® (. -e-j.i Pr , INSPECT ON: (I/ ''//, TYPE OF STRUCTURE: ` � SI /P Comments Y N NA 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 4 / 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 is ackfill 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\Inspectlon Forms\Foundation Inspectioon Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspectioir quest received: _ Queensbury Building&Code Enforcement Arrive: • v am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: C I-c,:1-4:--;-- PERMIT#: 0 ' - LOCATION: 6 c—N G V4 Die- , INSPECT ON: _ Fel/0 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 f the concrete. Materials for this purpose on site. J' oundation I Wallpour ✓ ,� Reinforcement i Place Footing tw? or Keyway in place Foundation Dampproofmg Foundation Waterproofmg 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 I Cast I Copper Foundation Insulation Interior I Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Fors\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM /o-/z / Foundation Inspection Report t v-- l Office No.(518)761-8256 Date In on, hest received: Queensbury Building&Code Enforcement Arrive: 'Lh ami$m Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: CI — PERMIT#: LOCATION: 2 oN , , r , INSPECT ON: -/,5=/0 TYPE OF STRUCT : Comments Y N N/A Footings Pi- Monolithic Slab Reinforcement in Place 4/ v- The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. 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