2013-442 TOWN OFQ UEENSBURY
IRT
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
��_ Q rY>
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130442 Date Issued: Thursday, August 14, 2014
This is to certify that work requested to be done as shown by Permit Number P20130442
has been completed.
Location: 714 GLEN St
Tax Map Number: 523400-302-006-0001-056-000-0000
Owner: COVER 3 INC.
Applicant: WENDY'S RESTAURANT
This structure may be ocJ a �a:LLC
Commercial Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property / F
owner of the responsibility for compliance with Site Plan, Variance, orj�,
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforce nt
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
WOON Community Development- Building& Codes (518) 761-8256
Inspections per Permit
Permit # P20130442
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
Complete Zoning Department Inspection Report
Project Name:Cover 3,Inc.- Wendy's Restaurant
Project Location: 714 Glen Street,Queensbury,NY
Tax Map No.: 302.6-1-56
Mailing Address: Cover 3 Inc., 120 Arcade Street, Suite 200, Watertown NY 13601
Site Plan No.:38-2013
Area Variance No.:38-2013
Building Permit No.:2013-442
Date:July 17,2014
Dear Cover 3, Inc.:
A final site plan inspection for your project was performed on July 15,2014. Based on the inspection and the July
17,2014,G.Thomas Hutchins,P.E. certification letter,your project was determined to be in compliance with
your approval.
Should you have any questions or concerns please contact this office.
Sincerely,
Town of Queensbury
Bruce Frank
Code Compliance Officer
_x_Regular Mail _Certified Mail _Hand Delivered
L:\Bruce Frank\20I4\SPR and AV Reports\Cover 3,Inc.(Wendy's Restaurant)SP 38-2013&AV 38-2013
17ju114.doc
08/14/2014 Miscellaneous Commercial Alteration STAFF
Misc 2013-442
routine review of Temp C/Os-discovered Bruce Frank's final report-site complete as of 7/15/2014
C/O issued&mailed
1
Temporary Certificate of Occupancy J
i
90 Day
i
! Building Permit No. : 2013-442
f
1 Property Location : 714 Glen Street
o-
Owner/Tenant: Cover 3, Inc. / WENDY'S
r
E' Approved for the following uses: commercial restaurant
1
Conditions of approval:
1. finish glass and trim;
2. install permanent doors and panic hardware;
3. structural engineer sign-oft;
4. finish site issues; and
5. fire marshal open items..
$100 fee received on: December 30, 2013
90 Day Temporary CO expires on: March 30, 2014
i
*A final inspection for this project must be scheduled before the expiration of this
Temporary Certificate of Occupancy - if your project is not complete within this
90 day period you will be subject to additional fe-- •
a
ti
1 Signature of Applicant: //�
g pP 1
' 0,11°Ii ' 1
Director of Building & Codes: i ��
I
Town of Queensbury Building & Codes Office
Dept. of Community Development 742 Bay Road, Queensbury, NY
1
0.k TOWN OF QUEENSBURY
.e1 . 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20130442 Application Number: A20130442
Tax Map No: 523400-302-006-0001-056-000-0000
Permission is hereby granted to: DESIGN +. LLC
For property located at: 714 GLEN St
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: COVER 3 INC. Commercial Alteration $250,000.00
120 ARCADE St Suite 200
WATERTOWN NY 13601-0000 Total Value $250,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
T. SHAW. INC.
315-415-9764
5720 MEETING HOUSE Rd
TULLEY NY 13159-0000
Plans&Specifications
2013-442
COMMERCIAL ALTERATIONS 2,951 sq ft
$590.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 30,2014
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To n of eens i 4'eem , October 30,2013
•
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received: 2p1i
PRINCIPAL STRUCTURE APPLICATION Tax N t
t
Permit No..::
A permit must be obtained before beginning construction Permit Fee: $ /3- 4/4/10)
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $
units, including single-family dwellings, duplexes or two-family dwellings,multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including moble homes. This is in addition to the permit fee.
Date Applicant D lt1 N 4—) l AG
Tax Map ID 3 OZ- • t0- 1 •• S1 2 Address 14-44 M-t rr h4,r1
Zoning C 1 ( 2 - L 11.1-N, )614e) L-OV1hv ►ut,.e X-i 4-o . o4-
Phone/E-mail 'tTL 4-r-A-• SO 1)
Property Owner Co V ES 3. t G . Contractor/Agent T. SHAW INC.
Address X2.0 k,ikC,pcPI T. 1-.oO Address 5720 MEETING HOUSE ROAD
tA)p Td j$7 13(. O1 TULLEY NY 13159
Phone/E-mail '201 •`I(4,2•• Phone/E-mail (315) 415-9764
Contact Person for Building&Code Compliance: K 1ekk()Loll -1A4111`%) Day Phone: L-4`>4.• So'
Building Street Address: 114- (1,L1-1 c7-1-
Subdivision Name: Lot#: Historic Site: Yes X No
Estimated cost of construction: $ 2 So,044
Type of Construction:
Check all that apply Please indicate measurements as required below:
oC
d 1st Floor 2nd Floor Other Total Height
F a a
Single Family
Two-Family
Multi-Family(#of
units_)
Townhouse
Business Office
Retail-Mercantile x � �$1SF. 14°1S1 .11
Factory-Industrial
Attached Garages(# )
Other r
Town o,Queensbury Building&Codes Principal Structure Packet 518-761-8256
g-Z S%
v Z°
If commercial or industrial indicate name of business 9.1&51-Pi‘) v/Proposed use of building or addition z1-1 re'fi34 1/) 1?-tiTi,
12- 1A,ry A4 th
Source of heat(circle one) ED Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes )( No
Are there structures not shown on plot plan? 1•10
Are their easements on the property?
Site Information
a. Dimensions or acreage of lot -�O ti%Gt J 30,t�1�' �'F,
b. Is this a corner lot? ! 1J
c. Will the grade be changed as a result of construction: _Yes _No
d. Public water or Private well P0551.-V.-
e. Sewer or Private Septic System C]E0)
Value of all work to be performed(labor and materials) $
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. 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. 1 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 and agree to the above.
Print Name: r�� J SOV(-.
Signature: i:_ _ Date: q .q"/3
FOR OFFICE USE ONLY:
Operating Permit Issued: Yes No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Checklist - Single family dwelling or Multiple dwelling I Commercial project
SINGLE FAMILY DWELLING PROJECT CHECKLIST
PROJECT NAME:
Please include two(2)sets of the following documentation: Yes No N/A
1. Building Permit Application Completed
2. Energy Code Inspector's Report from ResCheck
3. Septic application(if applicable)
4. Solid Fuel Burning or Gas Appliance Form(it applicable)
5. Driveway Permit
6. Structural Drawings
Floor plan(s)
Foundation plan
Cross Sections
Elevations
Window and door schedule
Natural Light,Ventilation and Emergency Egress Requirements
Plans signed and sealed by registered architect or engineer
7. Plot Plans-Indicate proposed structure,showing setback dimensions from all surveyed property lines;
Show location of all existing structures on the property;
Show location of water supply(well or water lines);
Show location and configuration of septic disposal system or sewer line
8. Electrical Inspection agency selected
MULTIPLE DWELLING OR COMMERCIAL PROJECT CHECKLIST
PROJECT NAME:
Please include two(2)sets of the following documentation: Yes No N/A
1. Building Permit Application Completed
2. Energy Code ComCheck and Inspector's Report Form
3. Septic application completely filled out(if applicable) _ )(
4. Solid Fuel Burning or Gas Appliance Form(if applicable) �(
5. Driveway Permit
6. Structural Drawings
Floor plan(s) X
Foundation plan
Cross Sections
Elevations
Design loads including floor,snow load and wind load x
Seismic design(required after January 2003)
Plans signed and sealed by registered architect or engineer
Window and door schedule
7. Plot plan: Indicate proposed structure,showing setback dimensions from all surveyed property lines
Show location of all existing structures on the property
Show location of water supply(well or water lines)
Show location and configuration of septic disposal system or sewer line
8. Electrical inspection agency selected
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Town of Queensbury Building&Code Enforcement 3c-tc6ck_ c`Z5Z_____
Office No. (518)761-8256
Commercial Final Inspection Report
Inspection request received:
1-- Inspected —'zC'— 1
Name: �A� Q ��7 on: Z—
Location: 7!1-/ UPPER C f-A 1 Arrive: 6 .idr i . •.m.
Permit No.: 1� —t-P�2_— Inspector's Initials: -
.
. er COMMENTS
Y N NA
Chimney I"B"Vent I Direct Vent Location
`,/
Plumbin�Vent Through Roof 6"/Roof Complete
Exterior Finish�Grade Complete 6"in 10'or Equivalent V
Interior I Exterior Guardrails 42 inch Platform/Decks
Interior!Exterior Balusters 4 inch Spacing Platform/Decks
f Stair Handrail 34 inch—38 inch/Step Risers 7"1 Treads 11"
grsihulesfor Exit doors>3000 sQ.ft.
oo36 inch w/Lever Handles!Panic Hardware,if required
Exits At Grade Or Platform 36"(w)x 44"(I)/Canopy or Equiv. V
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight I Other Floors Okay
Relief Valve, Heat Trap I Water Temperature 110 Degrees Maximum J
Boiler!Furnace Enclosure 1 hour or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site Y
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 1/2 doors >10%> 1000 sq.ft.
%Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour,3 Hour Complete I Fire Dampers/Fire Doors
Ceiling Fire Stopping,3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan,if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars!Sinks I Toilets/Mirrors
Handicapped Bath I Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 inch,Checkout 36 inch
Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded / /
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification, if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4"
Water Fountain or Cooler
Building Access All Sides by 20'/Drivable Surface 20'wide
Special Inspections/Engineer or Architect Approval
Okay To Issue Temporary or ermanent C/O j /*-------)'' t E 1N) DE2_
Okay To Issue CIC TE n CO D uE To
CTE. L �c i 1
Commercial Final Inspection_11 27 12 s
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date:071 '/ ` Time: 0
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 CO Inspection Permit#: 1 ! Ct
Fi Marshals Representative
MJ Palmer Business Name:
Location: 1 Uopsr (0/r,rJ
GK Stillman Contact:
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5 f�
AISLES: 1 J
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 �1
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 V.
EVAC Plan FC 404.2 �(
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3& FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803 -804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1
18" / 24"
EVAC SIGNS IN Rooms FC 404.6 (R1 &R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
Emergency Disconnect FC 2203.2 21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual : • u 9t9
Sprinkler FDC 0ma`y( • Godes ar•Yal
Kitchen Suppression Semi Annual LiUlilh9 �p
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual FEB ` r Mt
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after Fire Marshal
Tosbury
Completion of Inspection ir..�
Town of Qugensbury Building&Code Enforcement
Office No. (518)761-8256
Commercial Final Inspection Report
Inspection request received: LL -
Name: l�) oaf` `� Inspected on: �— --1
Location: 1 \\—\ \:\7E‘? C\ 67, Arrive: .m.
Permit No.: 1J —t4 1-k 2__ Inspector's Initials! '`-'
• COMMENTS
Y N NA
Chimney 1'•B"Vent I Direct Vent Location
Plumbing Vent Through Roof 6"1 Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior 1 Exterior Guardrails 42 inch Platform/Decks
Interior!Exterior Balusters 4 inch Spacing Platform!Decks
Stair Handrail 34 inch—38 inch/Step Risers 7"I Treads 11"
Vestibules For Exit doors>3000 sq.ft.
All Doors 36 inch w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36"(w)x 44"(I)!Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap I Water Temperature 110 Degrees Maximum
Boiler!Furnace Enclosure 1 hour or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 1/2 doors >10%>1000 sq.ft.
3/d Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour,3 Hour Complete/Fire Dampers/Fire Doors
Ceiling Fire Stopping,3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan,if required
Elevator Operation and Signage I Shaft Sealed
Handicapped Bathroom Grab Bars 1 Sinks/Toilets I Mirrors
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 inch,Checkout 36 inch
Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides]
Active Listening System and Signage Assembly Space •
Final Electrical 1 Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4"
Water Fountain or Cooler
Building Access All Sides by 20'/Drivable Surface 20'wide
Special Inspections!Engineer or Architect Approval
Okay To Issue Temporary or Permanent C/O ,' `l'\*) CQ
Okay To Issue C/C
<5 T i LIl\)E 3E.
Commercial Final Inspection_11 27 12 T� U\--1W v\--tij6
THE Special -,1ErtfloRANDum
Inspector, LLC
January 31. 2014
Mr. Peter J. Souch
Cover 3, Inc.
120 Arcade Street, Suite 200
Watertown, NY 13601
Re: Wendy's — Queensbury Addition Special Inspection and Testing Services
To the best of my information, knowledge, and belief, this letter shall serve as confirmation that the
portions of work we observed and tested during the performance of our services, was in general
conformance with plans and specifications provided by the Engineer of Record or RDP for the project,
including:
- Structural Steel Framing
- Backfill, Subbase, and Compaction
- Cast-In-Place Concrete
All interim reports submitted prior to this final report form the basis for and are to be considered an integral
part of this final report.
Respectfully submitted.
Daniel W. Ryan. P.E. Special Inspector
Signature •
Date
•
•
.
Professional Seal
cc: Dave Hatin, Town of Queensbury Codes Dept
16 Pearl Street. Suite 200•Glens Falls; NY • 12801 •P: 518.036.3177• F: 518.792.9282
You get what you inspect. not what you expect!
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: I
NAME: s
LOCATION: -)/ fe—a C ;7f
PERMIT#: / 3 . t &
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
Craig Brown, Zoning Administrator
Notes: FiifeCOY-4. Co147 '
4,11,4
L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
MAP REFERENCE:
MAP OFA SURVEY MADE FOR
WENDY'S
BY VAN DUSEN & STEVES
DATED SEPTEMBER 1, .1984
LAST REVISED OCTOBER 22, 1984
FLOOD ZONE INFORMATION:
PARCEL IS LOCATED IN ZONE C
(AREA OF MINIMAL FLOODING)
AS PER COMMUNITY PANEL NUMBER
360879 0026 B EFFECTIVE DATE JULY 16, 1984
P2
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: J/'/i( arn/pw Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: 1\)24 PERMIT#: f 3 - �/ L
LOCATION: I /5i gk DATE: /z. /o/)
COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete /
Exterior Finish/Grade Complete 6"in 10' or Equivalent v/�
;1134J f
Interior/Exterior Guardrails 42 in.Platform/Decks _
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.-38 in./Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 sq. ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if required n r �� Qer�c^"l c1'rf
Exits At Grade Or Platform 36(w)x 44"(1)/Canopy or Equiv. _ 4J
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System —
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site _
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %2 doors
> 10%> 1000 sq.ft.
Y4 Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour,3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping,3,000 sq. ft. Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan,if required
Elevator Operation and Signage/Shaft Sealed _
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond[Both sides) � -8.�f
Active Listening System and Signage Assembly Space / -- 5r`'4"(; hi/AZCir
Final Electrical ✓ //
Site Plan/Variance required /,/g, Zs,,
Final Survey,New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File /
Building Number or Tenant Address on Building or Driveway ✓ �,.,�� (;�,�. i��•�j
Water Fountain or Cooler /
Building Access • ides by 20' /Dri • • i le Surface 20'wide /
Okay To Issue or Permane
Okay To Issue
L:1Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building & Code EnforcementArrive: / 1r am/pm, Depart: - am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 7)41
NAME: btiemG6 PERMIT #: /3� ` ?
LOCATION: 0J- 7 DATE: /z /�
COMMENTS:
Y N NA
Chimney/ "B"Vent/ Direct Vent Location
Plumbing Vent Through Roof 6"/ Roof Complete _
Exterior Finish/ Grade Complete 6"in 10'or Equivalent
Interior/ Exterior Guardrails 42 inch Platform / Decks
Interior/ Exterior Balusters 4 inch Spacing Platform / Decks
Stair Handrail 34 inch — 38 inch / Step Risers 7"/Treads 11"
Vestibules For Exit doors > 3000 sq. ft.
All Doors 36 inch w/Lever Handles/ Panic Hardware, if required
Exits At Grade Or Platform 36"(w) x 44"(I)/ Canopy or Equiv.
Gas Valve Shut-off Exposed &Regulator(18")Above Grade
Floor Bathroom Watertight/ Other Floors Okay
Relief Valve, Heat Trap / Water Temperature 110 Degrees Maximum
Boiler/ Furnace Enclosure 1 hour or Fire Extinguishing System
Fresh Air Supply for Occupancy/ Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
_Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1/2 doors
> 10% > 1000 sq. ft.
3/4 Hour Corridor Doors &Closers
Firewalls/ Fire Separation, 2 Hour, 3 Hour Complete/ Fire Dampers
/ Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft. Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/ Shaft Sealed
Handicapped Bathroom Grab Bars/ Sinks/Toilets/ Mirrors
Handicapped Bath/ Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 inch, Checkout 36 inch ' 1 /, Ivo 3/‘
Handicapped Ramp/ Handrails Continuous/12 inch Beyond [Both 1k d v/
sides] /—
Active Listening System and Signage Assembly Space / / ,tit 1 /� e7//i/e`/
Final Electrical / Flex Gas Piping Bonded ///� �
'.&
Site Plan/Variance required _ h.
Z 6/� /r '
Final Survey, New Structure/ Flood Plain certification, if req.
As-built Septic System Layout Required or On File / "
Building Number or Tenant Address on Building or Driveway 4"
Water Fountain or Cooler 1</7 /31/
Building Access All Sides by 20'/ Drivable Surface 20'wide . .
Special Inspections/ Engineer or Architect Approval
Okay To Issue Temporary or Permanent C/O
Okay To Issue C/C
Commercial Final Inspection Report revised 11-27-2012
Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date: /a/3O/-3fime: II v°
742 Bay Road,Queensbury NY 12804 ' 'Re-Inspectionr��,/�
518 761 8206/518 761 8205 o u CO Inspection Permit#: Y`
Fire Marshals Representative 44.1 ?„,
. -1 . ...--
MJ
MJ Palmer Business Name:
Location: Z /7/,'1 i/ _'- 4- -
GK Stillman Contact: 1 4'_. __
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 .e" NOTES
Exit Enclosure FC 1020&FC1029 -f
Exit Discharge FC 1024& FC1029 _/jam
Locks and latches FC1008& FC1029.2 ------- —T,v.�/ail Y�'AfG-- 41414, f-'4Z1C.yZ.
Sign:Normal FC 1011 &FC1029 /- r -
Sign:backup FC 1011.5.3&FC1029.7.5 _ . � /'
.� rLo1T .� hpLC
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 ,/`
Secondary Aisle Width FC 1025&FC1029.11 -/ y0J-eAkC2 `ZJ A2I kr-,t,
FIRE EXTINGUISHER: Hung FC 906 ,/ G'4*'1)Ta 7'.-- ?..5:2444_
Inspection of extinguisher FC 906 ^e'....
EVAC Plan FC 404.2
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3 — /'/ 56 /f`7 / " _ /jZl� �!-�T _
Electric Wiring Enclosed/Labeled FC 605.3.1 � (��^U / Gi_"GY K [.�
Combustibles in Equipment Rooms FC315.2.3 -.-- d-
F.D.
r
F.D.Signage- FC 510
No Smoking Signs FC 310.3 r/`
Storage FC 315.2 ..---" T /
Compressed Gas FC 3003 f fI�)G'� 9 O[�.l.Z 1 7 )6-(1Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804 .'s /%7.,‘ 1'"1 /�.
Smoke Detectors FC 907 ',, r
CO detectors FC 610 / — 4?,,),3LA An sV L Jl , /1441 7 Cj•Z.)
Clearance to Sprinkler/Ceiling FC 315.2.1 'r 1 CJr/ �'.f'�/ �1 !3
18" / 24" — P4�IJIA� ,I�F��'�1 7Z �-°r>'b "`O L lZ A-4)
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
Fuel Pump Warning Signs FC2205.6l
Fuel Station Emer Procedures FC2204.3.5 / 8 p'1'`��~ 71 ,- i:',.,,..?, /„, T/ 1 .:5-
Exterior
.:SExterior Storage FC 315.3 - - REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311 �, 21 DAYS
Emergency Disconnect FC 2203.2
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual /
FIRE ALARM Annual -,:lie IV DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC /A9 J �� �4 / i * � �Kitchen Suppression Semi Annual `/��,// (�rlFuel Island Suppression Semi Annual
Hood Cleanin 3-6-Annual //l
Knox Box:installed/checked FC506 -J /X�7J�J�
Operating Permit, if required will be issued after
Completion of Inspection
____________-
Inspection
--_ Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date: 4//Time:/2562
742 Bay Road,518 761 8206/Queensbury18 761 840NY 12804 o Re-COInspection
Inspection_ Permit#: 1. -17Y-)
Fire Marshals Representative r �� ! '
MJ Palmer Business Name: W L'11
Location: ../i/ /r" � T
GK Stillman Contact: /2---'-;;Z/2
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2 ,dd44.1/7-1-
l /�I ' j,1/_ /)4/44 c5
Sign:Normal FC 1011 &FC1029 ���lll YL t �r/ vi r1 L' l/1�
Sign:backup FC 1011.5.3&FC1029.7.5 /1).57/A1/ /mak I Or €/ L4 s,jz.S
AISLES: /L .tom'.yl�jy,, L
Main Aisle Width FC 1024/1025&FC1029.11 _ '� 1
Secondary Aisle Width FC 1025&FC1029.11 ;.4' 4---ark/e)`�'�� 1% 4 A�/Z,S C1) 2/ 1,1"
FIRE EXTINGUISHER: Hung FC 906 M. dio
Inspection of extinguisher FC 906
EVAC Plan FC 404.2 //2t.J/ X' ,9//l4111/6)., /c-, 14 /de
TRUSS ID SIGNAGE FC 505.3 I/
EMERGENCY LIGHTING: y /�
Interior FC 1006.3&FC1029.8 /-IO //� (71/ /`tC />i4,�/rl /fly
Exterior FC 1006.3
"--.-- ��_,C
Clearance to Electrical FC 605.3 ,
Electric Wiring Enclosed/Labeled FC 605.3.1 -\-:"-
Combustibles in Equipment Rooms FC315.2.3 ---141///I - // ".fie .• it z
F.D.Signage- FC 510 / �. met- _
No Smoking Signs FC 310.3 1-4'.. .-4 /1/2/�// n tin,.
Storage FC 315.2 -,S- .f/ h-/— ii/ri/ `, li pfie AIG* �44.C.•
Compressed Gas FC 3003 .rliz ll p 2`/ y)ic
Vehicle Impact Protection FC 312.1 '" liZO// ,/ kh ', -. ez.d z
Interior Finishes FC 803-804 �! /1�fL'
Smoke Detectors FC 907 14r ke• VP --O L'f i,J q7i /e12c.
CO detectors FC 610 J
Clearance to Sprinkler/Ceiling FC 315.2.1 r�/"//k: ? J
" / A'1
18" / 24 -X ,s- 3C'G ( I/ '/ " da4/- Gi
IGeeit .
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) / /e--.71/Z-• /.-1 /5
Fuel Pump Warning Signs FC2205.6 ,/ • ` ,_51;/,74"4/4e,__).-->"1,93f1---r
Fuel Station Emer Procedures FC2204.3.5 ,/' tiY?lr'A--.' / ';t=17.1 /j'),', - h,1 r�,;4-I i-2}
Exterior Storage FC 315.3 .— . REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311 _.,.,--!
Emergency Disconnect FC 2203.2 Fl 21 DAYS
Insp OK NC DATE: OK NC
SYSTEMS: FC 901.6 Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual •
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown _
Sprinkler System Annual
Sprinkler FDC _ ��
Kitchen Suppression Semi Annual I-' - &oi// I e • L 1 t1
Fuel Island Suppression Semi Annual .
Hood Cleaning 3-6-Annual //� G vitL 2-4/16(4.A /10X d_.,.
Knox Box:installed/checked FC506
J 1gr9( /F? C7 //y' /71220
Operating Permit, if required will be issued after ,J- •
Completion of Inspection kd14/�GZefl gal-2
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: 3)6J am/p. Depart: am/pm
742 Bay Road, Qu nsburNY 12804 Inspector's Initials: /NAME: (,A%t4 t� PERMIT #: 63— 1---
LOCATION:
LOCATION: DATE: /7/27A
COMMENTS:
Y N N
Chimney/ "B"Vent/ Direct Vent Location
Plumbing Vent Through Roof 6"/ Roof Complete
Exterior Finish/ Grade Complete 6"in 10'or Equivalent / -&n,�z aru.,Ji(1/ s/4/4--
Interior/ Exterior Guardrails 42 inch Platform / Decks ✓ • �e
J w4�
Interior/ Exterior Balusters 4 inch Spacing Platform / Decks
Stair Handrail 34 inch- 38 inch / Step Risers 7"/Treads 11" V
Vestibules For Exit doors > 3000 sq. ft. ,/ i(ir
All Doors 36 inch w/Lever Handles/ Panic Hardware, if required V
-; '4 l�"" �
Exits At Grade Or Platform 36"(w) x 44"(D/ Canopy or Equiv. V" r
Gas Valve Shut-off Exposed &Regulator (18")Above Grade V
Floor Bathroom Watertight/ Other Floors Okay ��I/ hi, ,)i,/ �sl� c�ec't
Relief Valve, Heat Trap / Water Temperature 110 Degrees Maximum
Boiler/ Furnace Enclosure 1 hour or Fire Extinguishing System r //
Fresh Air Supply for Occupancy/ Ventilation Combustion _ if r F° ''
Low Water Shut Off For Boilers ✓ Uc�, f ea,re-ei
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area , /�/� 40�,��r
/z
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 doors ,�
> 10% > 1000 sq. ft. 1/ ��
3/a Hour Corridor Doors &Closers - 7 n s 4 `fd'�S
�
Firewalls/ Fire Separation, 2 Hour, 3 Hour Complete/ Fire Dampers V/
/ Fire Doors �l fns p 2 I4.. ?
`�
Ceiling Fire Stopping, 3,000 sq. ft. Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24" / `P� •.i;- 1 ).,r 4,-
Smoke Vents Or Fan, if required "s 1e- #`174.
Elevator Operation and Signage/ Shaft Sealed '`,l/1�, �r
Handicapped Bathroom Grab Bars/ Sinks/Toilets/ Mirrors --1-44/ 44, !.
Handicapped Bath/ Parking Lot Signage r ✓
Public Toilet Room Handicapped Accessible i7rf — � „�,,, f ..�
Handicapped Service Counters, 34 inch, Checkout 36 inch ✓ ---4-A4�xA `r'L.h i s
Handicapped Ramp/ Handrails Continuous/12 inch Beyond [Both / ti"`� J
sides] t, `c/l Lslf7 �� ciao,
Active Listening System and Signage Assembly Space / / �/ L�,��� ,�
r �/
Final Electrical/ Flex Gas Piping Bonded 0
_� i
Site Plan /Variance required ` _Id �� ..e�
Final Survey, New Structure/ Flood Plain certification, if req. i r / ,v L.4.As-built Septic System Layout Required or On File r� i _e7;aAi 4 /t"9 1
Building Number or Tenant Address on Building or Driveway 4" ` t./i
Water Fountain or Cooler
Building Access All Sides by 20'/ Drivable Surface 20'wide ✓. n� / ���4, '7.4 �-
Special Inspections/ Engineer or Architect Apprgval._.- / g
Okay To Issue Temporary or Permanent C/O Y �l�J( /kb- �`'
Okay To Issue C/C /'�,
Commercial Final Inspection Report_revised 11-27-2012 zrL
Z /,l
j 4// !J a ii-
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: J' `ff am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: -5tdie
NAME: 1n .. ;) `3 PERMIT #: /3- r��-
LOCATION: ( DATE: i Z z6 /1—
COMMENTS:
Y N NA
Chimney/ "B"Vent/ Direct Vent Location
Plumbing Vent Through Roof 6"/ Roof Complete
Exterior Finish/ Grade Complete 6"in 10'or Equivalent
Interior/ Exterior Guardrails 42 inch Platform / Decks
Interior/ Exterior Balusters 4 inch Spacing Platform/ Decks
Stair Handrail 34 inch - 38 inch / Step Risers 7"/Treads 11"
Vestibules For Exit doors > 3000 sq. ft.
All Doors 36 inch w/Lever Handles/ Panic Hardware, if required
Exits At Grade Or Platform 36"(w) x 44"(I)/ Canopy or Equiv.
Gas Valve Shut-off Exposed &Regulator (18")Above Grade
Floor Bathroom Watertight/ Other Floors Okay
Relief Valve, Heat Trap / Water Temperature 110 Degrees Maximum
Boiler I Furnace Enclosure 1 hour or Fire Extinguishing System
Fresh Air Supply for Occupancy/ Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1/2 doors
> 10% > 1000 sq. ft.
3/4 Hour Corridor Doors &Closers
Firewalls/ Fire Separation, 2 Hour, 3 Hour Complete/ Fire Dampers
/ Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft. Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signaqe/ Shaft Sealed
Handicapped Bathroom Grab Bars/ Sinks/Toilets/ Mirrors
Handicapped Bath/ Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 inch, Checkout 36 inch
Handicapped Ramp/ Handrails Continuous/12 inch Beyond [Both
sides]
Active Listening System and Signage Assembly Space
Final Electrical/ Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure/ Flood Plain certification, if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4"
Water Fountain or Cooler
Building Access All Sides by 20'/ Drivable Surface 20'wide
Special Inspections/ Engineer or Architect Approval
Okay To Issue Temporary or Permanent C/O J>r
Okay To Issue C/C
Commercial Final Inspection Report revised 11-27-2012
Framing 0 Firestopping Inspection Report 1 Z- - Z
Office No. (518) 761-8256 Date Inspection request received: \D'\v L
Queensbury Building &Code Enforcement Arrive: l,'. -i r am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 7)/1
NAME: 03 �1\c-)' } PERMIT#: 1_-3--L1\--k?
LOCATION: -71 L L4' L„:,l Com`, 'T INSPECT ON: 32..___-z. -1 ?,
TYPE OF STRUCTURE:
:NI/
f N NIA COMMENTS:
Framing
iA�C) E E11 _�> � — 6�c_URf ZK,-1 LI(:)\-\-6 Oki
Attic Access 22" x 30" minimum
Jack Studs! Headers Z C 0V-k) R-5 TO b�R_o C-v�'_
Bracing 1 Bridging - C,O SQL- E_ C)L C-1 �c_�
Joist hangers - cbA vC' J.,Q,u\/_- t,
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 I Holes /Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(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 1/2 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 Forms-OLD\Suilding&Codes\Inspedion Fomns\Framing Firestopping Inspection Report.doc Revised January 7,2008
-i'h.0 . k "a_
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection -*ue e ' ed:
Queensbury Building &Code Enforcement Arrive: -,: - as art: 143Y-Et am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's In _- .
NAME: ' A PERMfl #: 13
LOCATION: ----21(1 1_,,,__s-f-- INSPECT ON: ',9,I /.3
TYPE OF STRUCTURE: ,.�.�
Y N NIA
Rough Plumbing / Nail Plates � ,�,�,. � 4 ��
Plumbing Vent/Vents in Place ,�
1 % inch minimum Drain Size 7'
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
• -' /Vent
Air ead
.S.I r 10 ft. above highest connection for 15 minutes
'' - • e 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 I Hot Water Piping Insulation
If r- •uired unheated s•aces
Combustion Air Supply for Furnace
Duct work sealed property/ No duct tape
COMMENTS:
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 Ins'ection requ• ) - ( 7 /
Queensbury Building & Code Enforcement Arrive: ► .�
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
�
/1
NAME: w 0\'11, / 5 PERMIT ' L LI L/
LOCATION: 7 If.( LIt \i 91 • INSPECT ON: 121 IV 13
TYPE OF STRUCTURE:
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 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. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head 4c4.70
50 P.S.I. for for 15 minutes
nsulation /Residential Check/Commercial Check c r c),
Window Sealing J 'A
Tyvek or Similar Exterior Sealant
Proper Vent, Attic VentIJL
_
Door/Window Sealed (No Insulation) C--0
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumhing_Insulation Inspection_02 05 13
BASER B Bayer MaterialScience
BAYSEALTM CC X Product Information
Spray-Applied Polyurethane Foam Insulation
Division 7-Thermal and Moisture Protection
Product Description Bayseal CC X foam-forming system is available
Bayseal closed-cell X(CC X)spray-applied poly- in two grades for warm and cold weather applica-
urethane foam insulation is a two component,ITC- tions;suggested ambient substrate temperatures are
245fa blown,medium density, structural system specified below:
designed for commercial, industrial and residential
insulation applications. System Substrate/Ambient Temperature
Bayseal CC X 50°F to 120°F
Closed-cell polyurethane foam yields a high R-value Bayseal CC XP 30°F to 80°F
and may help minimize air and moisture infiltration.
This product may also help to control problems as-
sociated with moisture vapor drive.The fluid applied,
expanding nature of Bayseal CC X foam-forming Recommended Uses
system during application may also contribute to Walls Unvented Attics
increased performance value by helping to seal the Ceilings Floors
building envelope. Vented Attics Piping
Unvented Crawl Spaces Vented Crawl Spaces
The Bayseal CC X foam-forming system is com- Foundations Concrete Slabs
prised of an"A"component or aromatic diisocyanate Ducts Tanks
manufactured by Bayer MaterialScience LLC and a Cold Storage Freezers
blended"B"component which includes polyols,fire Coolers
retarding materials,and additives.
As with any product,use of Bayseal CC X foam-
forming system must be tested(including,but not
Bayseal CC X system has passed the International limited to,field testing)in advance by the user to
Code Council Acceptance Criteria 377,for spray- determine suitability.
applied polyurethane foam insulation,Appendix X
for use without the use of the prescribed ignition bar-
rier and without the need for additional fire resistant
coating.
Page 1 of 4—Document contains important information and must be read in its entirety.
Typical Physical Properties*
Properties Test Method Value
Fungi Resistance: ASTM G-21 Zero Rating
R Value(aged): ASTM C-518 6.9 at 1 inch
24 at 3.5 inches
38 at 5.5 inches'
54 at 7.9 inches°
Compressive Strength: ASTM 0-1621 25 psi(nominal)
Core Density: ASTM D-1622 2.0 Ibs./ft3 (nominal)
Closed Cell Content: ASTM D-2856 >90%
Tensile Strength: ASTM D-1623 60 psi(nominal)
Moisture Vapor Transmission (Permeance): ASTM E-96 0.80 Perms at 1"
0.23 Perris at 3.5"
0.14 Perms at 5.5"
0.10 Perms at 7.9"
Water Absorption ASTM D-2842 <2%
Dimensional Stability: ASTM 0-2126 <10%
(158°F&97%R.H.) %Change in Volume
Air Leakage Rate: ASTM E-2178 <0.02 L s-'nr'
Surface Burning Characteristics'" ASTM E-84 Flame Spread Index <25
4-inches Smoke Developed Index<450
*These items are provided as general information only. They are approximate values and are not part of the product specifications.
--These numerical flame spread values are not a true reflection on how this or any material will perform in actual fire conditions.
• Values extrapolated from 3.5-inch thick sample testing.
Environmental Consideration and Wind velocities in excess of 12 miles per hour may
Substrate Temperatures result in excessive loss of exotherm and interfere
Applicators must recognize and anticipate environ- with the mixing efficiency,affecting foam surface,
mental conditions prior to application to ensure the cure,and physical properties and will cause over-
highest quality foam and to maximize yield.Ambient spray.Precautions must be taken to prevent damage
air and substrate temperature,moisture,and wind to adjacent areas from overspray.
velocity are all critical determinants of foam quality
and selection of the appropriate reactivity formula-
tion.Variations in ambient air and substrate tempera-
ture will influence the chemical reaction of the two Storage Conditions
components,directly affecting the expansion rate, Store at 70°F to 80°F in a dry and well ventilated
amount of rise,yield,adhesion and the resultant area,a minimum of 48 hours prior to application of
physical properties of the foam insulation. material.Materials in containers should be main-
tained at 65°F to 85°F while in use.Conditioned
To obtain optimum results,the Bayseal CC X sys- trailers or tanks may be necessary.Material tempera-
tem should only be spray-applied to substrates when ture should be confirmed with a thermometer or an
ambient air and surface temperatures fall within the infrared gun.Do not configure equipment to recircu-
range of 30°F and 120°F.All substrates to be sprayed late Bayseal CC X system components from propor-
must be free of dirt,soil, grease,oil and moisture tioner back into drum.Do not recirculate or mix other
prior to application.Moisture in any form:exces- suppliers'"A"or"B"component into Bayseal CC X
sive humidity(>85%R.H.),rain, fog,or ice will system containers.
react chemically and will adversely affect system
performance and corresponding physical properties.
Application should not take place when the ambient CAUTION• If components are below suggested
temperature is within 5°F of the dew point. Primers temperatures,the increased viscosity of the coin-
may be necessary depending upon conditions;consult ponents may cause pump cavitation resulting in
a Bayer MaterialScience LLC technical service rep- unacceptable SPF application. If components are
resentative. above suggested temperatures,there may be loss
of blowing agent resulting in diminished yield.
Page 2 of 4—Document contains important Information and must be read in its entirety.
•
Processing Equipment Thermal Barrier
2:1 transfer pumps are recommended for material The International Building Code and International
transfer from container to the proportioner.The plural Residential Code require that SPF be separated from
component proportioner must be capable of supply- the interior of a building by an approved fifteen
ing each component within f 2%of the desired 1:1 (15)minute thermal barrier,such as 1/2"gypsum
mixing ratio by volume. Hose heaters should be wall board or equivalent,installed per manufacturer's
set to deliver 120°F to 135°F materials to the spray instructions and corresponding code requirements.
gun. These settings will ensure thorough mixing,in The International Building Code allows for omission
the spray gun mix chamber in typical applications. of the prescribed thermal barrier in certain instance,
Optimum hose pressure and temperature will vary such as:
with equipment type and condition,ambient and sub-
strate conditions,and the specific application. It is the •attics and crawlspaces with limited access
responsibility of the applicator to properly interpret •approval by way of diversified testing,such
equipment technical literature,particularly informa- as room corner protocols
tion that relates to the acceptable combinations of
gun chamber size,proportioner output,and material Local building codes may vary and must be consulted
pressures.The relationship between proper chamber for applicability of thermal barrier exceptions.
size and the capacity of the proportioner's pre-heater
is critical.Mechanical purge spray guns(specifically
direct impingement or DI type)are recommended for Handling Information
highest foam quality. Applicators should ensure the safety of the jobsite
and construction personnel by posting appropriate
CAUTION: Extreme care must be taken when signs warning that all"hot work"such as welding,
removing and reinstalling drum transfer pumps so soldering,and cutting with torches should not take
as NOT to reverse the"A"and"B"components. place until a thermal barrier or approved equivalent
is installed over any exposed polyurethane foam.
Processing Parameters and Vapor Retarder
Physical Characteristics
Pre heater Temperature: "A"and"B"120-135°FBayseal CC X system qualifies as a vapor retarder
Hose Temperature: "A"and"B" 120-135°Fas defined by the International Code Council and
Pressures: 1000-1500 psi(dynamic)* ASHRAE(Class II)at a minimum thickness of one
Mix Ratio Parts: 1 to 1 by volume"A"to"B. inch.Building construction types with a persistent,
Viscosity at 75°F 400-500 cps"B"Component high moisture drive require additional moisture re-
Shelf Life 6 months 65°F to 80°F mediation.The contractor should consult local build-
ing codes to establish the vapor retarder requirement.
*Dependent upon hose length.
Page 3 of 4—Document contains important information and must be read in its entirety
p
Per Lift Application Health and Safety Information
Applicators should limit per lift thickness of foam Appropriate literature has been assembled which pro-
made with the Bayseal CC X system to 2 inches for vides information concerning the health and safety
optimal processing and physical properties,with the precautions that must be observed when handling
following exception:If the lift encapsulates CPVC materials used to produce foam made with the Bay-
piping the maximum lift thickness is 2 inches. seal CC X system. Before working with this product,
Second lifts,if necessary,should be applied after you must read and become familiar with the available
10 minutes of cure time. For substrates with spe- information on its risks,proper use and handling.
cial sensitivity to heat,the resultant exotherm must This cannot be overemphasized.Information is avail-
be considered before application of SPF. It is the able in several forms,e.g.,material safety data sheets,
responsibility of the applicator to ensure SPF product labels,and safe use and handling guidelines.
exotherm will not adversely affect substrates. More resources are available at spraypolyurethane.
coin,polyurethane.org,sprayfoam.org,baycareon-
line.com,or by contacting the Bayer MaterialScience
Product Safety and Regulatory Affairs Department in
Pittsburgh,PA.
Note:The information contained in this bulletin is current as of September 2011,please contact Bayer MaterialScience to
determine whether this publication has been revised.
Bayer MaterialScience LLC
100 Bayer Road • Pittsburgh, PA 15205-9741 • Phone: 1-800-662-2927 • www.spf.bayermaterialscience.com
The manner in which you use and the purpose to which you put and utilize our products,technical assistance and information(whether verbal,written or by
way of production evaluations),including any suggested formulations and recommendations,are beyond our control.Therefore,it is imperative that you test our
products,technical assistance and information to determine to your own satisfaction whether our products,technical assistance and information are suitable for
your intended uses and applications.This application-specific analysis must at least include testing to determine suitability from a technical as well as health,
safety,and environmental standpoint.Such testing has not necessarily been done by us.Unless we otherwise agree in writing,all products are sold strictly
pursuant to the terms of our standard conditions of sale which are available upon request.All Information and technical assistance is given without warranty
or guarantee and is subject to change without notice.It is expressly understood and agreed that you assume and hereby expressly release us from all liability,
in tort,contract or otherwise,incurred in connection with the use of our products,technical assistance,and information.Any statement or recommendation not
contained herein Is unauthorized and shall not bind us.Nothing herein shall be construed as a recommendation to use any product In conflict with any claim of
any patent relative to any material or its use.No license is implied or in fact granted under the claims of any patent.
Sales Offices
2400 Spring Steubner Road West,Spring,TX 77389 • 1-800-221-3626 • Fax:1-281-288-6450
Bayseal CC X 9/11
Page 4 of 4—Document contains important Information and must be read in its entirety.
FOAM CrrS
DEPOT Co„i.0„t,.t,,:,1:,,L.0
DC315
Paint to Protect TM
DC315 Certified Warnock Hersey (WH) Approved Thermal - Ignition Barrier
Over Polyurethane Spray Foam
DC315 Passed Four Certified Ignition Barrier Test @ 400 Sq. Feet per Gallon 4 Mils Wet and 3 Mils
Dry and Making DC 315 "Lowest price solution on the Market"
The International Building Code mandates that polyurethane spray foam be separated from the interior of the building by a 15
minute thermal barrier or other approved covering. DC315 passed certified NFPA 286 for 15 minutes over open and closed cell
foam which meets the applicable requirements of 2006 IBC Section 803.2.1./2009 IBC Section 803.1.2 and Section 2603.9
Special Approval for Thermal Barriers. DC315 also meets the requirement as an ignition barrier per AC 377, Appendix X.
Advantages of Using DC315 Approved Thermal - Ignition Barrier
Over Spray Foam Include:
• IBC Code-Compliant Thermal Barrier(NFPA 286,Tested to UL 1715 by ETL.)And Ignition Barrier(AC 377,
Appendix X)
• Single coat coverage, reduced labor cost, fast turnaround time
• Easy application, no complicated mixing
• Water-based, easy clean up,won't gum up equipment
• No formaldehyde, low VOC's, LEED points
• Compatible with any paintable construction material
CHARACTERISTICS:
• Finish Flat
• Color Off-White
• Spreading Rate For 15 minute Thermal Barrier 72-88 sq.ft./gal
• Spreading Rate For Ignition Barrier AC377 Appendix X 400 sq. ft./gal @ 4 wet mils
• V.O.0 (47 g/I)
• Drying Time @ 77°F&50% RH: .To touch 1-2 hours
• Type of Cure Coalescence
• Flash Point None
• Reducer/Cleaner Water
• Shelf Life 2 years(unopened)
• Packaging 5 &55 gal. Containers
• Shipping weight 5 gals-58 lbs
• Application Brush, roller,conventional and airless spray
Tested Foam Manufacturers: BaySeal, Certainteed, Lapolla,Gaco Western, Dow, Corbond, Icynene, Quadrant,Johns
Manville, SWD, NCFI and BASF.
Application:
• Brushing: Use top quality polyester/nylon blend brushes such as those supplied by Purdy,Wooster,or equivalent.
• Rolling:3/8" polyester blend nap roller covers generally work well when applying DC 315 by roller.
Spraying
Airless Spray Minimum
• Fluid Pressure:3000 PSI or higher
• Strainer:30 mesh, removal of filter is recommend from gun and machine
• Fluid Hose:3/8"diameter with a%"x 6'whip
• Tip:525—529(for Thermal Barrier Applications-517 or smaller for Ignition Barrier Applications)
• For best results for Iginition Barrier ue a tip size of.517 or lower.
• GPM: 1.25
For Best results use:
Sample Pump:(Graco) 1095 airless sprayer
PSI:3000
Tip: 524-529 or equivalent for Thermal Barrier Applications-517 or smaller for Ignition Barrier Applications
Filter:30 mesh, removal of filter is recommend from gun and machine
Hose:3/8"diameter airless spray line for the first 50'from pump and'A"x 6'whip
Sample Pump:(Graco) Mark 5 airless sprayer
PSI:3300
Tip:524-529 or equivalent for Thermal Barrier Applications-517 or smaller for Ignition Barrier Applications
Filter: 30 mesh,removal of filter is recommend from gun and machine
Hose:3/8"diameter airless spray line for the first 50'from pump and'A"x 6'whip
``\�Ep F 99F„.
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Manufactures(SPF)Thermal Barrier Paint and Fire Retardant Coatings for all types of Substrates. Distributed throughout the USA and
International.
Contact IFTI at 949-975-8588 orptp@painttoprotect.com
Distibuted by:
FOAM
DEPOT
Foam Depot
Division of Coating&Foam Solutions,LLC
888-284-7488
Ats.),--2s 3
Rou h Plumbin I Insulation Ins ectmon Rort
Office No. (518) 761-8256 Date Inspection reque t- .-' ed:
Queensbury Budding &Code Enforcement Arrive: :QC)a� j -part: 12 =1-/ p
742 Bay Road, Queensbury, NY 12804 Inspector's Initial. .`//
NAME: nct
PERM! #: 13- Vq'
LOCATION: ,ti,,S • tet, E+ ..;\ INSPECT ON: /a,-/J-/3
TYPE OF STRUCTURE:
Y N N/A I
Rough Plumbing /Nail Plates
Plumbiing 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 hi hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air 1 Head
50 P.S.I for 15 minutes
Insulation / Residential Check I Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct I Hot Water Piping Insulation
If required unheated spaces �,�� r�
Combustion Air Supply for Furnace �j .
Duct work sealed properly/ No duct tape c >
�•J
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Foundation Inspection Report 1_ 3 ,On,..
Office No.(518)761-8256 Date Ins on . irdv • 1• /6 3
Queensbury Building&Code Enforcement Arrive: 4.ll):' �,. 'r epart: 7 : i i m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: 0 �`� P' 1T#: R' 3
LOCATION: I .. ' ' f I SPECT ON: _ ,,
TYPE OF STRUCTURE: I :C-4h _ 1. ilia
e .-z-
V
1J bf Comment
� � c� —wp
Y N N/Aj-)9-41-i
Footings 06) 415_—QC? 1)
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 ,J
6y /
6 inches above footing
6 rail poly for wet areas under slab 7-
>)
Backfill Approval 1 \ moi'
Plumbing Under Slab
fPVC/Cast/Copper
Foundation Insulatio�tn[ /Exterior
R- - 2-,\' /
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
\\AtPAA-48--
Foundation
Inspection Report „moi __S
�1-1�29'l (�
Office No.(518)761-8256 Date °SSPon ,ues�
i .r
Queensbury Building&Code Enforcement Arrive: 1,.�j : s Depart: �/Gm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi;
' �\ I �!/'PE�
NAME: (3 (2,,4,4 RMIT#: 13 - -<l''ycI
LOCATION: 7/ �-�- INSPECT ON: /, --ie--L.?
TYPE OF STRUC
Comment3
4F\ D ,
\Vba7 t-771 =7�L�j
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: \;\)E`- -) k0
12 inch width
j6 inches above footing r
6 mil poly for wet areas under slab
Backfill Approval \./
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulatio terio 1 4'xterior `
R '1
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
(io)3
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection reque• -
Queensbury Building&Code Enforcement Arrive: t Depart: la-am/,,/
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �'
NA : } ��� 'ERMIT#: I.3-cf
LOCATION: / �� - INSPECT ON:
TYPE OF STRUCTURE:
Comments
6/2)/ 5=<I/S"- S5�
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 PLS PE t NR42.6 ti T i !'v O �x-lSTrr:
Reinforcement in Place
Footing Dowels or Keyway in place
-VC)�
Foundation Dampproofmg •
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 nail 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
Rough Plumbing / Insulation Inspection Report Ni
Office No. (518) 761-8256 Date Ins ection r • . - « •
Queensbury Building &Code Enforcement Arrive: =9Q a • -'art: V/99 a m
742 Bay Road, Queensbury, NY 12804 Inspector's Initial.
NAME: PERMIT #: / 3 — 9•U
�,�
> ,
LOCATION: Ir)/ INSPECT ON: //).--</--i
TYPE OF STRUCTURE:
Y N NIA osr
Rough Plumbing /Nail Plates X k v41q)1 • / `
Plumbing Vent/Vents in Place l v�� � �� ���
1 % inch minimum Drain Size �.� `
Washing Machine Drain 2 inch minimum
Cleanout eve 100 feet/chan e of direction 6
Pressure Test
Drain /Vent
Ai ea,
P�Sor 10 ft. above highest connection for 15 minutes
`Pr'ssure 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 0
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 We
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
I LA g
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection ues ece. ed:
Queensbury Building& Code Enforcement Arrive: -% : gam,.•• Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: t�
NAME: 02(c).-vi PERMIT#: ! 3-- f /,
LOCATION: ,_) Fly ' r'; s',rv_j•i- INSPECT ON:
TYPE OF STRUCTURE: / /' � —1 -�
Comments
r N
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation 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\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection req :st •d:
Queensbury Building & Code Enforcement Arrive: < e . , tk
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,A _ .
11
NAME: (K\` E►JC �1� /D PERMIT#:
LOCATION: 71'/ UPPE.g C Ei3 ,i-c\— INSPECT ON: 1Z-2)-13
TYPE OF STRUCTURE: C.tUi"1 M . ALT?Rtc
Y N N/A
lumbing under slab ✓ t� � O J C-R
Rough Plumbing /Nail PlatesMc3\16, k'0Or
Plumbing Vent/Vents in Place ISI S \c
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum c--J:), --\ RPI-c_7--0R o
Cleanout every 100 feet/change of direction cL V\bC.)J
Pressure Test lkAAc\T \ t1__.\ l
Drain /Vent 76 BTTt5
Air/ Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
Insulation /Residential Check/Commercial Check
Window Sealing
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
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection_02 05 13
dues
Foundation Inspection Report (,*()
Office No. (518)761-8256 Date Inst ction reque, "1'i
Queensbury Building&Code Enforcement Arrive: I L/L� �� Depart: °0,5 pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial-
NAME: l C-11 ; RMIT#: / 3-</` d
LOCATION: / � � INSPECT ON: /— �,--
TYPE OF STRUCTURE:
Comments
Y !N 1SA
Footings
/Monolithic Slab
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/Wallpour r►—� �`���
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg \ c�� �
Foundation Waterproofing \ � ` UF– A 0
�"l
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 Inspection reque• .
Queensbury Building&Code Enforcement Arrive:--`. ): ;,r, s-part: m _
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: rt --
NAME: C' A. `s RMIT#: / 3--Yv.
LOCATION: '7/ / /O-9 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 Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buliding&Codes Forms\Buliding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
IL�� .:� 11
Foundation Inspection Report V
Office No.(518)761-8256 Date Inspection reques -''v :
Queensbury Building&Code Enforcement Arrive: Z g �r� apart:7 ^cam, pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NA : /L
LOCATION: '7c4// ► s;,�,v INSPECT ON: // -
TYPE OF STRUCTURE: ! 11
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
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 g _ p
Office No.(518)761-8256 Date Inspection i,:,. j/ ///t
Queensbury Building&Code Enforcement Arrive: 1 Z71" l epart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi; s
NAME: Cc2e S , 'ERMIT#: V L1 2
LOCATION: -71 k( 6(-SN e INSPECT ON: ..E157.„
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
P-vsAR ELE R'Rv_ t3
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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM