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RC-000263-2015 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 OL Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: RC-000263-2015 Date Issued: Wednesday, November 4, 2015 This is to certify that work requested to be done as shown by Permit Number RC-000263-2015 has been completed. zJa'� Tax Map Number: 308.19-1-20 2t\h Location: 32 DIVISION RD Owner: Clute Enterprises Applicant: Clute Enterprises This structure may be occupied as a: SFD 1248 sq. ft. By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance 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 Dir6 c ng ode n} cn r Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: RC-000263-2015 Tax Map No: 308.19-1-20 REVISED Permission is hereby granted to: Clute Enterprises For property located at: 32 DIVISION RD in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Type of Construction Owner Address: 6 HOLDEN AVE Single Family-New $125,000.00 Queensbury,NY 12804 Total Value $125,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Clute Enterprises 6 HOLDEN AVE Queensbury,NY 12804 Plans&Specifications SFD 1248 sq.fl. PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,October 29,2016 (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 Town of Quue rdne tr 4,2015 SIGNED BY: /d/ the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY cow 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150305 Application Number: A20150305 Tax Map No: 523400-308-019-0001-020-000-0000 Permission is hereby granted to: CLUTE ENTERPRISES CLUTE ENTERPRISES For property located at: 32 DIVISION Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: CLUTE ENTERPRISES Single Family Dwelling $125,000.00 6 HOLDEN Ave Total Value QUEENSBURY NY 12804-0000 $125,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2015-305 SFD 1248 s.f. $249.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 28, 2016 (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 es my 28,2015 )1SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only DATE 1 r et I .c Received Tax Map ID 50g, IR-( TAX MAP ID -; - .20 Permit No. 2,0 - 505 .05 Permit Fee 6-6./ ZONING Rec Fee n/ 41lEf Site Plan# v 5c�dh HISTORIC SITE Yes No u it I, JUL 1 0 2015 Subdivision# s" Li SUBDIVISION NAME 1 Lot# TOWN Ba RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLEXES OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED & MODULAR HOMES,BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE. APPLICANT `1 A - r= 7 OWNER S"›. c.__ ADDRESS O ADDRESS PHONE/E-MAIL Ci ) Q aS,NDLL,ie•- max_c ti PHONE/E-MAIL L 3 1x77 CONTRACTOR COST OF CONSTRUCTION(ESTIMATED): $ l "j 0 C)'v ADDRESS: BUILDING ADDRESS: .�9 ._ - �� PHONE/E-MAIL r — Cot �b CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: - -C - PHONE TYPE OF CONSTRUCTION Check all that apply Please indicate measurements as required below New 1st 2nd-_� Addition Alteration 1 floor sq.ft. 2 floor sq.ft. Total sq.ft. Height Single Family - 1 o Family Multi-Family (# of units ) Townhouse Business Office Retail - Mercantile Factory- Industrial Attached Garage (# of ) Other 1 Town of Queensbury Building&Codes Principal Structure Application July 2014 • If commercial or industrial indicate name of business Proposed use of building or addition Source of heat (circle one) Gas Oil Propane Solar Other Fireplace: complete a separate application for Fuel Burning Appliances & Chimneys Are there structures not shown on plot plan? Are there easements on the property? Lcjz Site Information a. Dimensions or acreage of lot VOCPX t c b. is this a corner lot? c. Will the grade be changed as a result of construction Yes ?c( No d. Public water or Private well e. Sewer or Private Septic System Value of all work to be performed (labor or materials) $ DECLARATION: 1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. 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. 4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. 5. I also understand that I /we are required to provide an as-built surve • - licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupa • . I have read and agree to the above: PRINT NAME: s 4:_ ' DATE It .s SIGNATURE: / //L DATE 7/5 16 FOR OFFICE USE ONLY Operating Permit Issued: Yes No Occupancy Type Construction Classification Assembly Occupancy Limit Special Conditions 2 Town of Queensbury Building&Codes Principal Structure Application July 2014 SEPTIC DISPOSAL PERMIT Office Use Only DATE 7�c t S Received Tax Map ID TAX MAP ID 3:: A9 - ( - -24..% r rryn �nit No. {'� Jed ` 1 it Fee LOCATION OF INSTALLATION ,� (/.1.:7-+'Nt0-- 55}-_ Approvals: yBf 11l.f,N;. APPLICANT ,1C_L i _c../ r1 a-✓Nc.._o PHONE/EMAIL -79 Lc 7.) 7 ADDRESS ,. . LO.€ rk s-u • �J - INSTALLER/BUILDER SP1/41-117- PHONE/E-MAIL ADDRESS: OWNERL PHONE/E-MAIL Address ( , CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: �-- ,‘,Er-C-7 PHONE SL21 . li RESIDENCE INFORMATION Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older Garbage grinder installed Y %N 1981-1991 Spa or Hot Tub installed _Y _KII 1992 Present J t -` F.-r 5 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 Supply 'Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate: per minute per inch(test to be completed by licensed engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank Size \ ;z.;.1 gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub) System Type Absorption field with#2 stone Total length 1. (..: ft.;Each trench _J2 x_ _ Seepage Pit with#3 stone How many: ;size Alternative System Bed or other type? Holding Tank System Total required capacity? Tank size #of tanks Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will no longer allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the septic system layout on file—no exceptions. DECLARATION: Any permit or a•, oval granted which is based upon or is granted in reliance upon any material representation or failure to make a material fa or circumstanczee k•• I •r'on behalf of an applicant,shall be void. I have read the regulations and agree to abide by these - d all requirem#it. • t own of Queensbury Sanitary Sewage Disposal Ordinance. Print Name: `. .,s. Date: —715 l i Signature: iTartaV. Date: 714 (t 6 Town of Que: ••ry Building&Codes Principal Structure Application July 2014 Town of Queensbury Thomas R. Van Ness Highway Department Highway Superintendent 742 Bay Road, Queensbury, NY 12804 f Home: (518) 745-0929 Phone: (518) 761-8211 JUL 1 0 2015 Fax: (518)745-4466 David DueII TOWN OF QUEENSBURY Deputy Highway Superintendent BUILDING& COOPS Home: (518)745-0938 DRIVEWAY PERMIT Date: Applicant Name: C\ )se_r r - . Telephone No.: 7c1 '-1 `77 Address to Be Inspected: " Return Address: (43d*c -, F45.Je- Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application_ The following action has been taken: STEP 1: ( ) Preliminary approval NEED ( ) Slight Swale ( ) Deep Swale ( ) Level with the road { ) Level with the top of the paved wing Size culvert pipe to be used (if necessary) ( ) 12" ( ) 15" ( ) 18" ( )24" ( )36" Preliminary inspection completed by: Date: Approval by Highway Supt.: (or) Deputy Supt.: Upon completion please resubmit this approval permit for a final approval. STEP 2: ( ) Final Approval ( ) Rejected Date: Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent 7 Town of Queensbury Building&Codes Principal Structure Application July 2014 It \ kk Rough Plumbing I Insulation Inspection Report Inspection request received a 1 ,\`2Q,t,S Name C\\ Inspected on c 3 'LEA 5 Location 32_ 1,\V\S, P r\- Arrive [ tk:30 am pm Permit No. Inspector's Initials /.1 Type of Structure COMMENTS Y N NALr'1 �_ r4-29 �(OZ)ct Plumbing under slab if Rough Plumbing /Nail Plates / 3101— 28 S b Com--11) Plumbing Vent /Vents in Place J 1 Y2 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 Window Sealing f Tyvek or Similar Exterior Sealant ,4 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 Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 l Z Framing I Firestopping Inspection Report Inspection request received: �l l'2QiS Name: C .k J Inspected on: Q kl Location: 32 'lv\.s.\QY\ Arrive: - l a.m./p.m. Permit No.: 45— 305 Inspector's Initials: b TYPE OF STRUCTURE: N NIA COMMENTS: fs Framing yb Attic Access 22"x 'minimum - Jack Studs I Headers Truss Specification Provided 'V e310 _ 2� p (c/LA\) Bracing/Bridging Joist hangers � 2 Jack Post- /Main Beams • - V L Exterior sheeting nal ed properly 12"O.C. Headroom 6 ft.8 in. Stairwells 36 in.or more , Exterior Deck Bracing Headroom 6 ft. 8 in. -a� C Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 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 ---- • /\+r\fes Ice and water shield 24 inches from wall 1,2,3 hour ��1 l - `� t eC Fire separation Fire wall 2,3,4 hour pr Firestopping — U �ng _t 0 Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side''/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 Design Professional Sign-off, if required Framing / Firestopping Inspection Report Rough Plumbing I Insulation Inspection Report Inspection request received gi gl4i I Lo-45 Name Inspected on 9 1 1 Location bw4S,,�, Arrive ,')') am/pm Permit No. t "- CF Inspector's Initials &....—t,L-1"\--) . Type of Structure COMMENTS N NA ME 2-22.— z 01 Plumbing under slab \ Rough Plumbing / Nail Plates Plumbing Vent /Vents in Place &__A+t-Ok ) 1 Y2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction 7/7\ , Pressure Test Drain /Vent Air / Head 1\______../2 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 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 Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Town of Queensbury Building &Code Enforcement Office No. (518) 761-8256 Framing I Firestopping Inspection Report Inspection request received: �,, _ � 1S Name: L.�� Inspected on: Location: '3Z_ I�ts �� Arrive: ! —4 CD p.m. Permit No.: /5 Inspector's Initials: TYPE OF STRUCTURE: c-41 N NIA COMMENTS: Framing 1 Attic Access 22"x 30"minimum Jack Studs/Headers Truss Specification Provided Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly rej / 12"O.C. Headroom 6 ft.8 in. Cc-M(2 Stairwells 36 in.or more Exterior Deck Bracing 8 in.6 ft.8 in. Notches/Holes/Bearing Walls 62--A4\/(kM Metal Strapping for Notches Top Plate VO{L. 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 Design Professional Sign-off, if required Framing / Firestopping Inspection Report Edward K. LaPoint. PE 8 Ward Lane, PO Box 190 Cleverdale, New York 12820 518-744-4411 eklapointpe(a7gmail.com August 22, 2015 :.''' • Mr. Larry Clute •' Clute Enterprises Holden Avenue Queensbury, New York 12804 vs„ Re: Acceptable Bracing Plan 32 Division Avenue, Queensbury, New York ,� Dear Mr. Clute: Regarding the above: 1. The project is a wood framed single story ranch which was framed offsite and delivered for assembly on the lot. 2. The front and back halves of the roof truss system do not exactly match along the ridge line. As a result, there is an approximately 2 inch gap along the ridge line for 15 feet in the center (side to side) of the roof. 3. The gap will eventually be covered with the home's ridge vent. 4. The following additional roof bracing is acceptable and should be installed: 1. Connect a 2x4 brace front to back from the knee cords and nail to the two vertical center cords. 2. Sister a 2x6 nailing plate between the two mismatched ridge boards beneath the gap. Please feel free to contact me if you have any questions or comments. �feyn Ed . .rd L;P int. PE 8 Ward Lane, PO Box 190 Cleverdale, New York 12820 518-744-4411 ekiapointpe(7a gmail.com L•d 9960-£V1-2LS ]1813 dL£ ZOSL £O des 7";-\--u 13 Rough Plumbing I Insulation Inspection Report Inspection request received 9, 2a�c] Name ca w--e) Inspected on 11 Location v p,n Arrive (� a /rpr' prr> ' Permit No. l S—&0 Inspector's Initials �/ Type of Structure sc-1 , i MM NTS Y N NA Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent /Vents in Place 1 Y2 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 ater Supply Piping � ! ,it/ Head 50 P.5.1 for 15 minutes Ins ation / Residential Check / Commercial Check ndow Sealing yvek or Similar Exterior Sealantt//' P •per Vent, Attic Vent poor/ 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 Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Septic Inspection Report Inspection request received: 8 W1A t2a1 S Name: CI1 ) Inspected on: J. �liti7 c Location: 2— I,xV 1 &l0'' Z ' Arrive: f i •.m. Permit No.: 1 '-- Inspector's Initials: 1111FA` om -ents and/or dia s ram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance 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 ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y N End Cap Y N Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade Y N [provide extension collar if Yes] Y N Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. . F * ' T Conforms as per Plot PI N I . Engineer Report and s-Built Y N ETU Maintenance provided Y N Location of Syste i on P r'e Front 'ear eft Sid- Right Side Middle Front Middle Rear System Use Sta s: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Septic Inspection Report uwn c{Queensbury Building &Code Enforcement Office No. (518) 761-8256 'C , -'t`,.-` Septic Inspection Report Inspection request received: Name: Inspected on: r_ 2 (.i` Location: Arrive: y -,'`f m. • . . Permit No.: Inspector's Initials: (---_,--.94,--A- ---- Comments and/or diagram Soil Type a;Sandra m.1 Clay Type of Warr Muriicip_ql/Well Water ' 6 .y--) 1-- Ch Waterline separation.dstance ` ' ft. } Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- Y N N/A rN 2 A;, _-. [150'to well required if NO] lam' L� V Absorption Field: Total length li ~. :, ft. AUG 1 9 2015 . Length of each trench ' c.. F fL Depth of trenches .. ft. T BUILoING&EENSBURY Size of Stone CODES Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank :1 v J-,4 t -_V , Tank to Distribution Box t,.4 ' Distribution Box to Field/Pit 1-:‘` , 4,8;#1:405SN". - '� Opening Sealed: y71'. N '�-'''0C.,..» End Cap _.Y:" N Inlet/Outlet Pipes&Baffles Y_N Manholes 12"or less below grade ,Y N [provide extension collar if Yes] Y N Location I Separations • . ,......— _.__— Foundation Foundation to tank ‘-'-2--1,.,- ft. WS33 \`N"-A Foundation to absorption v (.c ft. Separation of Pits ft... V' Conforms as per Plot Plan _Y ,N,- Engineer Engineer Report and As-Built _Y J4 ETU Maintenance Contract provided _Y_N Location of System on Property: _..__._�ti Front Rear Left Side Right Side Middle Front Middle Rear_—) System Use Status: Approved `Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Framing I Firestopping Inspection Report 10° A Inspection request received: Name: CLLTE_ T�(� ‘. Inspected on: — 41 Location: �t�'6\p‘'.-3 L5T_ Arrive: -I �u�. .m. Permit No.: .1/41\ ,7'111/4� @ 2°15 50 5 Inspector's Initials: -�� TYPE OF STRUCTURE: c6C b ,Sc) t.t3bVeC.Tto6 / Y N NIA COMMENTS: Framing F.0T R1� Attic Access 22"x 30"minimum Jack Studs/Headers Truss Specification Provided \ \-` ��'E ' #‘ E2I3 Bracing/Bridging � Joist hangers V -Jt-vJ N 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/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 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 Design Professional Sign-off,if required Framing / Firestopping Inspection Report ll f Queensbury Building & Code Enforcement v", Office No. (518) 761-8256 dx t'0 Septic Inspection Report Inspection request received: g I t► 2 � Name: Inspected on: Vb 12- S.S Location: '2 Q kV 1 .QX.1 Arrive: dI gri1I� . Permit No.: I�' Inspector's Initials: ardirir ments and/or dia s ram Soil Typegr• ' .... Clay Type of ►. er: nicis- ►ell Water X �-c51 Waterline sep. ati.• i istance �C 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 15l:, ft. Length of each trencht. Depth of trenches z. ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank %‘k .cA t-TO Tank to Distribution Boxblve-3 Distribution Box to Field/Pit 'k ble,VWt( ��.-�?✓r��' Opening Sealed: r(Y N VJC -- End Cap ,N Inlet/Outlet Pipes&Baffles v Y� N Manholes 12"or less below grade V Y [provide extension collar if Yes] VN Y Location/Separations Foundation to tank ‘3-10 ft. WS-2- ‘0 Foundation to absorption 7.Q ft. Separation of Pits jit Conforms as per Plot Plan Engineer Report and As-Built Y t/N ETU Maintenance Contract provided Y N Location of System on Property: Front Rear Left Side Right Side Middle Fron iddle Rear System Use Status: pproved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report l ^� Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: -2 l S� Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 1/ NAME: C L ' PERMIT#: (l — l 0-S • LOCATION: ,� \- V t �� INSPECT ON: TYPE OF STRUCTURE: ' I j\a1�� Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. •Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab • ackfill 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 12/9/2014 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: `Z / D(/ S Queensbury Building&Code Enforcement Arrive: am/pm Depart:3‘ a pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials/ ` NAME: C LIJ�C PERRMMIT#: . 4r- I S 7 LOCATION: nL V G>" �/ INSPECT ON: TYPE OF STRUCTURE: I Comments Y N N/A 400tings 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 / Sfre_ - Footing Dowels or Keyway in place •�> \J1��, „n 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 12/9/2014 —— . . alWarb... .0.11.10...........,31...................... evoybotooll.011/11111116011bal,......a...............-Pret...euvome....w..........mook.r....,......"......airooloor....mar....m.t...............r • [..................................r., t..) , ( C .....,....3 C.'.''.7 . --,,,... k •11101.1••••••••••••••••••••0••••mramo> , • SEPTIC PLIL.a,„,,N I HAVE SEEN 0: e:SERVED A 1: -1. JUL i , 2 I ' V4 tAl ' 6' .._ . 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