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2010-099
TOWN OFQ UEENSBURY Foiro 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20100099 Date Issued: Friday, May 21, 2010 This is to certify that work requested to be done as shown by Permit Number P20100099 has been completed. Location: 13 GENEVA Dr Tax Map Number. 523400-301-020-0001-082-000-0000 Owner. CLUTE ENTERPRISES INC. Applicant CLUTE ENTERPRISES INC. This structure may be occupied as a: Garage Attached By Order of Town Board Single Family Dwelling 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&Cod nfo ent Planning Board or Zoning Board of Appeals. 4411111` TOWN OF QUEENSBURY FoN 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100099 Application Number. A20100099 Tax Map No: 523400-301-020-0001-082-000-0000 Permission is hereby granted to: CLUTE ENTERPRISES INC. For property located at: 13 GENEVA 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: CLUTE ENTERPRISES INC. 13 DAWN Rd Garage Attached QUEENSBURY, NY 12804 Single Family Dwelling $135,000.00 Total Value $135,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-099 1300 sq ft single family dwelling& 320 sq ft $188.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, April 01,2011 (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 own o ee uopt . ,April 01, 2010 1.4 SIGNED BY \ for the Town of Queensbury. Director of Building&Code Enforcement p OFFICE USE ONLY TAX MAP NO. PERMIT NO. ^O PERMIT FEE APPROVALS: ZONING TOWN CLERK 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: INSTALLER: �� ADDRESS: ADDRESS: 41-Q 2 Qi>y PHONE NOS. PHONE NOS. 7€13 LOCATION OF INSTALLATION: V, x__ >j( NO.OF RESIDENCE INFORMATION: YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW GARBAGE GRINDER 1980 or older X 150 gallon per bedroom = INSTALLED? 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present X 110 gallon per bedroom = 3p INSTALLED? '33 PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling x Steep slope %Slope ✓ SOIL NATURE: Sand Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? ✓ DOMESTIC WATER SUPLY: Municipal >e Well (If well: Water supply from any septic system absorption is ft.) ✓ 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: tP!CABSORPTION FIELD (WITH NO. 2 STONE) Total length (So ft. Each trench ❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? O ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? 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. • ay Z ` / cEusEoNLYz ? _ TAX MAP NO. PERMIT NO. /D 'D .� Et i '- ,;''i FEES: PERMIT RECREATION,: .) ENGINEERING ] i N EtiAR , f Jiiii (If applicable i PRINCIPAL STRUCTU F IJV E. a . , . 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: �` ` ,fir--�— , Z-. OWNER: CA,,.j� r ADDRESS: Co � -ti-P7e C404 ADDRESS: PHONE NOS. 3 7a-77 PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: Deirs,r,1 PHONE: 3(o l �� LOCATION OF PROPERTY: \7, (- Jo. i>=t JR__ \04--11 .7 HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: (.. ..z•ei.:icc PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z 0 C1 0 1-- PROJECT O OO coW LL H w � U. W J = U Z <W 13 ¢ •-LL d z I- i. OF- Xwo SINGLE FAMILY Y oaq (7kp TWO-FAMILY MULTI-FAMILY (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACH • GARAG:01 -) X 0 3 z7 1 (2 OTHER 1 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: \S51 COO FUEL TYPE: (141' D B 3-LGL 11-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 3 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 provi• - - • as-built survey by a licensed land surveyor of all newly constructed facilities pris o issua e of a certif ate of occupancy. I have read and, gree tot - - 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 codesaqueensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION 2----- // 7/turs. , Queensbury Building & Code Enforcement - Re 4;,.eritial Final Inspection Z_2_/ O No. (518)761-8256 Arrive: /( Nm/pm rt: am/pm Date Inspection request received Inspector's Initials: _ NAME: � ' UY�. PERMIT#: ✓67✓ 07 LOCATION: /3 �P in�-..c----. ,nr DATE: S -76 /j TYPE OF STRUCTURE: Comments: Y..fot NA 4" Building Number Address visible from road './ Ir/ Chimney Height 1'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 _ ✓r Handrail 4 or more risers �, ✓/ Guards at stairs,decks,patios more than 30 inches above grade / Guard at stairwell at 34 inches or more �Alt// Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wail ✓/ Interior/Exterior Railings 34 inches to 38 inches ✓✓ Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch dearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches s.ZV z_zz........v Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: ,/ Outside every bedroom area: V / Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area V ` 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 stoppingfinished basement 1,000 sq.ft. / Emergency egress below grade / Gas Furnace shut-off within 30 feet or within line of site V Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 k/ Enclosed Stairs Sheetrock Underside minimum'r4'Gypsum Basement stairs closed rise>4 inches t7 _ Garage Floor Pitched � Garage fireproofing 1%hour fire door/door closer ✓ Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical 7--j Final Stave Plot Plan / f1I — Arc Fault Breaker in Bedroom. ✓-' Flex Gas Pipe Bonding As Built Septic System 1 Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent] 1/ L:1Building&Codes FormstBuilding&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: $ / JO NAME: CLIC LOCATION: /3 6"hevo,._ br PERMIT#: [0 - 07 7 Final Survey Plot Plan Approved Denied i The attached fmal survey has been received by the Dept.of Community Development. Upon review the survey has been: Crai rown, Zoning Administrator Notes: L:\SueHemingway\Building.Codes.inspection.FORMS\Final Survey Zoning Administrator.doc f 2 : ©0 /0- 1 Yfl o►-a- Rough Plumbing Insulation Inspec • n Report Office No. (518) 761-8256 Date Inspection requ- t receiv- : Queensbury Building &Code Enforcement Arrive: I am/p ;• =rt: am /pm 742 Bay Road, Queensbury, NY 12804 Inspectb s Initials: NAME: C 6 U , PERMIT #: /0-077 LOCATION: /3 _9-eh P� , _ INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %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 Pr9 ttio Vent r/Window Sea • - - . _ •• �/ Du ' • = =r -(ping 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, tevised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection r ,gyest received: Queensbury Building & Code Enforcement Arrive: // - 4-6m/pm/part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT #: • , c LOCATION: A)GINSPECT ON: /6 TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates .� Plumbing Vent/ Vents in Place /AL 0 14/ 1 1/2 inch minimum Drain Size � C 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 Proper Vent, Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duet-work sealed properly / No duct tape WINS COMMENTS: L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 3rip), Framing / Firestopping Inspection Report Office No. (518)761-8256 Date I .= • _ _ • request received: 3 D t� Queensbury Building&Code Enforcement Arrive: - fr am/ part: m/pm 742 Bay Road, Queensbury, NY 12804 Inspect.is nitials: r - 77 NAME: L'J lERMIT#: 13 - LOCATION: �,J- 1 ?j (-7(l iii LAIINSPECT ON: t s TYPE OF S CTURE: < 613 Y N WA COMMENTS: Framing Attic Access 22"x 30" minimum Jack Studs/Headers Bracing 1 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 Wails 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 ows Habitable Space/ rooms ' 1 D©cd DGr� f d /� v �jU JAPE5.7 sf above I below grade 5.0 sf gradeipAir 71#,X lubvpik)5 - _ L:1Building&Codes Fortes-OLDDBuNding&CodesUnspection FormsVraming Fi topping inspection Repoct.doc Revised January 7,2008 C//&(/ / k6-4&dee'06 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: amdpm •art: (Km am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:r- r NAME: PERMIT #: LOCATION: 1 0111"l 7111' INSPECT ON: aek,'`73 TYPE OF STRUCTURE: Y N N/A Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 6 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.1 for 15 minutes Insulation/Residential Check/Commercial Check T ek or Similar Exterior Sealant W'/ Proper Vent, Attic Vent Door/Window Sealed (No Insulations Duct 1 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 C Z : oO Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection req • Queensbury Building &Code Enforcement Arrive: = a► `• %�• - .1_ =?tea m 742 Bay Road, Queensbury, NY 12804 Ins s Initialis-7,6--/' NAME: (1 /- PE IT #: /0- 07 ? LOCATION: r, INSPECT ON: 4 Z3/0 TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 14 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 OPPc�� 7� \0i 50 '.S.I 15 •••• • Insulation 46 es'•ential C = /Commercial Check 4 (Z-- co T ek or ' =r ar nor Sealant arAiminme� P • • =r Vent, Attic Vent id/:+� - Door/Window Sealed No Insulation � � -zp Duct/Hot Water Piping Insulation 4/' j If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report Nov 17 2003, revised February 15,2005, revised January 7,2008 0- /2- j`orcc-a Rough Plumbing I Insulation inspe on Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: _ NAME: PERMIT#: /7O/ LOCATION: FAO INSPECT ON: TYPE OF STRUCTURE: Y AMMIEVI Rough Plumbing / ail Plates Plumbing Vent ents in Place imum 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 Insulations 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 /62-12- Framing 6 12 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: )() � m/pm D part: am/pm 742 Bay Road, Queensbury, NY 12804 inspectr's Initials: -� C/ NAME: PERMIT#: /(,)-(7ci? LOCATION: /," INSPECT ON: 2 /6 TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing • ss 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 F',= , 4 hour Firestopping - ,;_,�►_ ' • - _ -abed 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:1Buiiding&Codes Forms-OLD‘Suilding&Code&Jnspecfbn FormsiFmming Firestopping Inspection Repoit.doc Revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date I uest received: 1-//! Queensbury Building &Code Enforcement Arrive: ,�, am/p(n pp rt: am/pm 742 Bay Road, Queensbury, NY 12804 Inspect° s Initials: �J NAME: C LAT,- (r 'S-r PERMIT#: /0 .— 0 LOCATION: / G--c- -V r9 1)v INSPECT ON: TYPE OF STRUCTURE: SI I) Framing I Y N N/A 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 'A(w) 16 gage (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'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:1Buiiding&Codes Fonns-0LDDBuilding&Code&Jnspection Fomsframing Firestopping Inspection Repont.doc Revised January 7,2008 (2;00) /-3 -7-;-,,s,4 . ..\\k Septic Inspection Report Office No. (518) 761-8256 Date Ins ion req �=4" , ed Queensbury Building &Code Enforcement Arrive: '•ia `per -•.rt: _ :_f aim-- 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: al (:41/"C., NAME: PE'. IT NO.: /�'�077 LOCATION: /.3 'n v--- Dr I PECT ON: g"-),3--42 RECHECK: Comments and/or diagram Soil T •.:• ,•.m/Clay Type of Water Municipal/ ) ell Water Waterlin- --••ra ion distance Er5T ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/ - Y N N/A [150'to well required if NO] Absorption Field: Total length _To ft. AS B I LT Length of each trench 'o ft. Depth of trenches Z ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank 1't r� LID Tank to Distribution Box •% IW 1‘ Distribution Box to Field/ Pit 't C7 c...__ N1-.) � - - Opening Sealed: VrY N End Cap N Inlet/Outlet Pipes&Baffles N Manholes 12"or less below grade _Y—N [provide extension collar if Yes] Y N Location/ Separations Foundation to tank 12— ft. Nro�ti 5.• FV -k 6F Foundation to absorption ft. Separation of Pits ft. Conforms as per PI• - an N Engineer Report a ,, As-Buil Y— N ETU Maintenan . •.••ct _Y_ N provided Location of System on Property: Fron 4111250 -ft Side •'• t Side Middle Front Middle Rear System Use Sta . : Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspecdon Forms\Septic Inspection Report;,_03 29 10.doc Ni!•% - /0 'Th() ? 4,,-..w,.e..4-t..,:...-• • 7.=•••••••• •1•••••••••••......,..IMINNIMMMOMMIIM................... .... .......w•••••••.........,,.1 : , "I have seen or observed, Or Heys I saw evidence of, i 1 j ,all objects such as houses,we?J& trees, fences, etc.,shown on this document. I gi o rogiesonf that I have 1 j r., [ 1 iperso,n0y1 meos6red the st0Ces tf_ci-th on the diagram.- 1 , 1.,. / ' SIGNATURE DATE 5. , L.7 :.; ) , . ,. AS BUILT , .'' . It k n 4b--4; ,,,,,, i. [L N -or P ‘ tr. ‘ 4 ! IC° 1 W 1$e (e) VC,Nea-O • . COCUTI.00 41 . , 115 ' _._ . i , I b ` a Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart4 am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:&49 rsi � NAME: PERMIT#: V C LOCATION: 'S 6 t J C j,- vc INSPECT ON: 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 Dampproofing j Foundation Waterproofing n Footing Drain Daylight or Sump 2 /�\ �- alk-- Footing Drain Stone: 12‘,1, 12 inch width 6 inches above fooULL `��1 footing <I ` et areas under slab 3 S k Backfill Approv 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 Reportdoc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report iYciL44 d Q_17,v. ,' a S s t b Office No.(518)761-8256 Date I - do uest r ived: 1-//7// 0 Queensbury Building&Code Enforcement Arrive: - am/pm part: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspec • 's 'i u als: NAME: PERMIT#: U - 6 9 " LOCATION: 1 `z, OR a INSPECT ON: 7//0 TYPE OF STRUCTURE: Comments Y N N/A frogs 1 Piers Monolithic Slab Reinforcement in Place Z The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Fonms\Buiiding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM /O -O. ? A sr....L.4.1.-..,...,........,.‘• c.... .-‘,..r..-...%,,e0.9--.,....,.....u.........,.-,...4......aa...re•Say.rn.R./.....sa..a.z*.re . .-.•. , • 1 1 4MMIN, i 4' I ' i . 1", hlve seen or observed,* Have I saw evidence of, 1 a I 1 ects such as houses,we! , trees, fences, etc., on this document. 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