2012-062 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120062 Date Issued: Tuesday, December 10, 2013
This is to certify that work requested to be done as shown by Permit Number P20120062
has been completed. c` ;
270 QUEENSBURY Ave
Location:
Tax Map Number: 523400-303-008-0001-006-000-0000
Owner: AJK PROPERTIES, LLC
Applicant: COUNTRYSIDE VETERINARY HOSPITAL
This structure may be occupied as a:
Commercial Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
/15t
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
AO` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120062 Application Number: A20120062
Tax Map No: 523400-303-008-0001-006-000-0000
Permission is hereby granted to: COUNTRYSIDE VETERINARY HOSPITAL
For property located at: 270 QUEENSBURY Ave
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: AJK PROPERTIES, LLC Commercial Addition $250,000.00
270 QUEENSBURY Ave
QUEENSBURY,NY 12804-0000 Total Value $250,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-062
1867 sq ft commercial addition
$429.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, March 08, 2013
(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 o eensb J r`+ay, March 08, 2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
r 1---""d.1010
OFFICE US ONLY - '_ 1ECEDVE TAX MAP NO 3 !/ RMIT NO._��✓FEES: PERA� a'i`%� ECREATION _ENGINEERINGEB ?. 1 ?Oi2
- '
(If applicable) '
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING A 'Ply6m,l c t:
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: _ g OWNER: f6 _- U t•_tr.
lib QU / AWE
ADDRESS: _attedisisscrenADDRESS: _
PHONE NOS. t -lor3--1c6 ------- PHONE NOS. ___ _ _ _—G,,,,,,_�. --
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE: '✓' IIP
LOCATION OF PROPERTY: 224!1 L _ 43S 1 62_12Seg_GaLA_/ 1 1
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? LII YES El NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: 13,,LD1 I __ ,.*tJ_2Qi2___
I PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p ct Cid TO YOUR z 1= O as a W co
PROJECT O O O - O ~ _
�_ OI- Ju_ w Q a = U
o H i " o z f- O � z
z Q < � d i'jd Ou I- u_ 4205
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS___)
TOWNHOUSE
BUSINESS OFFICE ✓ I ,Qfi� (1i14' 1 .r'
11
RETAIL-
MERCANTILE MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:_altl ! .__ 14A14 1x02
ESTIMATED CONSTRUCTION COST:_250,ba) leetrA. FUEL TYPE:___tA & .HEAT TYPE:_ *HOW MANY FIREPLACE(S):_ AND/OR WOODSTOVES(S):________
ZONING CATEGORY: FesARE THERE WETLANDS ON THIS SITE? AC)
IS THIS A HISTORIC SITE? YAC) --
PROPOSED USE OF BUILDING OR ADDITION: \ AN v-I'
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? J___
ARE THERE EASEMENTS ON PROPERTY? t`wM
'Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and a.reed the above.
Signed %' / PaGf /i _,4 />" ./eA'vr
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)
Town of Queensbury* Community Development Office* 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
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:
(
_ i _ Alt -----------
BUIL P f & CODES A 'PROVAL ZONING APPROVAL
•
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codest queensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
Operating Permit Issued: ____Yes No
Occupancy Type: ____ _ __Construction Classification:
Assembly Occupancy Limit:_ _ ___ Special Conditions: _ ____—___
Town of Queensbury" Community Development Office * 742 Bay Road, Queensbury NY 12804
Commercial Final Inspection Report v_
N
Office No.: (518) 761-8256 Date Inspection requ-s rice' ed:
Queensbury Building & Code Enforcement Arrive: 1Z:15-am ell) Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials• Arkv
NAME: �(3-ct i, 21 '. 0 •14-* PERMIT #. if 42.- 0 ,7,
LOCATION: v r.Z>.;, Ptkl e, DATE: 'I 1 1 —L-(- \
COMMENTS:
Y N NA
Chimney/ "B"Vent/ Direct Vent Location ,�f �� p 3
Plumbing Vent Through Roof 6"/ Roof Complete V 1 '13
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 V
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 V
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/z doors
> 10% > 1000 sq. ft.
3/4 Hour Corridor Doors &Closers
Firewalls/ Fire Separation, 2 Hour, 3 Hour Complete/ Fire Dampers 1 X) o C C) F
/ Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft. Wood Frame FCRN -1--- R CU
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24" �E`�k\\4__c)a
Smoke Vents Or Fan, if required
Elevator Operation and Signage/ Shaft Sealed
Handicapped Bathroom Grab Bars Sinks/Toilets/ Mirrors
NI Handicapped Bath/ Parking Lo Signage l /
Public Toilet Room Handicapped Accessible 411
' offa . .,11\
vi Handicapped Service Counters, 34 inch, Checkout 36 inch / VJ ,P
Handicapped Ramp/ Handrails Continuous/12 inch Beyond Both ' oft/ I 1rsides PP r-__ ' � Y � ----
1 h�1� Ll +Gl i, �� r � \ail_
Active Listening System and Signage Assembly Space V j — o
Final Electrical / Flex Gas Piping Bonded
Site Plan/Variance required /
Final Survey, New Structure/ Flood Plain certification, if req. - f
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4"
Water Fountain or Cooler
wilding Access All Sides by 20'/ Drivable Surface 20'wide ,
Special Inspections En•ineer or Architect Approval
Okay To Issue A-.1 0'7.1 or Permanent C/O (.);)
Okay To Issue C C
Commercial Final Inspection Report_revised 11-27-2012
Temporary Certificate of Occupancy
90 Day
Building Permit No. : 2012-062
Property Loc : 270 Queensbury Ave.,
Property Owner:, Countryside Veterinary Hospital
Approved for the fol wing uses: commercial
Conditions of approval :
1. All site plan/variance issues tp be c9rhpleted.
2. Install returns on handrails \
/\
/
$100 fee received on: December , 2013
90 Day Temporar CO expires on: March , 2014
*A final inspecti9 for this project must be schedu d before the expiration of this
Temporary Ce itcate of Occupancy — if your projec is not complete within this
90 day perio ou will be subject to additional fees*
Signat e of Applicant:
(--- ,,,„,0
•-1
4Director of Building & Codes:
Town of Queensbury Building & Codes Office
Dept. of Community Development 742 Bay Road, Queensbury, NY
1
L.L.A1 ex
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection •u= ed:
Queensbury Building &Code Enforcement Arrive: \ '��� = L Depart: 1 Its a �
742 Bay Road, Queensbury, NY 12804 Inspector's Initra s: Fir
NAME: O PERMIT / / c)— 0 le A..
LOCATION: .°4 tI Ej'4-NS vim,rt. 6 DATE:
COMMENTS:
Y / N NA
Chimney 1"B'Vent/Direct Vent Location ✓/
Plumbing Vent Through Roof 6"I Roof Complete
Exterior Finish/Grade Complete 6'in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior!Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"I Treads 11"
Vestibules For Exit doors> 3000 sq. ft.
All Doors 36 in. w/Lever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44' (1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight 1 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 %doors
> 10% > 1000 sq. ft
' Hour Corridor Doors&Closers
Firewalls I 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/Toilets
Handicapped Bath/Parking Lot Signage \\C_ lj 6C c�
Public Toilet Room Handicapped Accessible _
Handicapped Service Counters, 34 in., Checkout 36" _ 1i7-
Handicapped
Handicapped Ramp/Handrails Continuous/12 in. Beyond[Both
sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded ��� `�
/
Site Plan I Variance required w \Q
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'/Driveable Surface 20'wide
Okay To Issue Temp. or Permanent CIO
Okay To Issue CIC
L:1Building&Codes Forms\Building&Codes\lnspection Forms\Commerciai Final inspection Report.doc Revised January 7,2008
Commercial Final Inspection Report ,U;
Aid
Office No.: (518) 761-8256 Date Inspection -: e. / Depa :
ed: ;�
Queensbury Building & Code Enforcement Arrive: L .:a i % VD- �;�a' ,�,
742 Bay Road, Queensbury, NY 12804 Inspector's Initia s: /.
NAME: aCk_x_N\rAsAL.64..fb PERMIT # O
• / o." Co
LOCATION: 4,171? eR il8 A-J c- DATE: 3 - e -/ 3
COMMENTS:
y IV NA
Chimney/ "B"Vent/ Direct Vent Location o� �`�,�� Tc= ��
Plumbing Vent Through Roof 6 / Roof Complete f P
Exterior Finish/ Grade Complete 6"in 10'or Equivalent_ ti/ / N E,C V %y-
Interior/ Exterior Guardrails 42 inch Platform / Decks ,/ 4-\--Fr
Interior/ Exterior Balusters 4 inch Spacing Platform/ Decks ,/ - i,0 5 vlLL L .J E_Z._
Stair Handrail 34 inch - 38 inch / Step Risers 7"/Treads 11" j01_,2;_ CA iNZ. ,
Vestibules For Exit doors > 3000 sq. ft.
All Doors 36 inch w/Lever Handles Panic Hardware, if required 01•\ C7002---6 FR04A
Exits At Grade Or Platform 36"(w) x 44"(I)/ Canopy or Equiv. liC..th`S\tib 'to !3
Gas Valve Shut-off Exposed & Regulator (18")Above Grade p�ppc 1 \C� ,5Ff�
Floor Bathroom Watertight/ Other Floors Okay
Relief Valve, Heat Trap / Water Temperature 110 Degrees Maximum �' A R'-"
Boiler/ Furnace Enclosure 1 hour or Fire Extinguishing System Pill R'-"7
Fresh Air Supply for Occupancy/Ventilation Combustion 1 eJ 5 c N_ Gt-i\v' ` �5
Low Water Shut Off For Boilers N7-3 1SP s R- Q¢_rPtus 1
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site ft-Z.
Oil Furnace Shut Off at Entrance to Furnace Area p /
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1/2 doors — F-Ie'JIP\1_-_ �L-
_ > 10% > 1000 sq. ft.
3/a Hour Corridor Doors &Closers ‘13,_„\--- --co
Firewalls/ Fire Separation, 2 Hour, 3 Hour Complete/ Fire Dampers
/ Fire Doors — 6�R L_ Vv(V
Ceiling Fire Stopping, 3,000 sq. ft. Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24" / v'..` C C)\. iNV€ t._
Smoke Vents Or Fan, if required
Elevator Operation and Signage/ Shaft Sealed // IAc
Handicapped Bathroom Grab Bars/ Sinks/Toilets/ Mirrors �/
Handicapped Bath/ Parking Lot Signage f — \ t7-\--V<0.- CP—e $
Public Toilet Room Handicapped Accessible /lZ W-- 6..k\- --C---- -V U
Handicapped Service Counters, 34 inch, Checkout 36 inch ✓
Handicapped Ramp/ Handrails Continuous/12 inch Beyond [Both / -' k -L- 2 �-W
sides] /
Active Listening System and Signage Assembly Space � �' � g�`Q
'
�
Final Electrical / Flex Gas Piping Bonded ;�,/
Site Plan/ Variance required �/ — \ !S `,1 NA__F
Final Survey, New Structure/ Flood Plain certification, if req.
As-built Septic System Layout Required or On File \--7OL J KI Pt ��\
Building Number or Tenant Address on Building or Driveway 4" VQ,.pd,,1
Water Fountain or Cooler / \..--r--'\\ 1C7-
Building Access All Sides by 20'/ Drivable Surface 20'wide 7,,,,
Special Inspections/ Engineer or Architect Approval
Okay To Issue Temporary or Permanent C/O ; .iJ
Okay To Issue C/C
Commercial Final Inspection Report revised 11-27-2012
Inspection Form p_
Town of Queensbury Fire Marshal o Periodic Inspection Date:5)S)13 Time: tO,J
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 CO Inspection Permit#: I '-VG 2
Fire arshals Representative
MJ Palmer Business Name: ..,,. s,�� N
Location: P")0 uL-
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
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
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 FC605./Labeled
Electric Wiring Enclosed/LbeleFC 605.3.1
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510
No Smoking Signs FC 310.3 J
Storage FC 315.2 i -w Ng
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
p
Interior Finishes FC 803 -804 trl(J�� a(rlv(f
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
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 ..
Sprinkler FDC '::; ,t:
• )r'! wit
Suppression Semi Annual • • - uel
Fuel Island Suppression Semi Annual -
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506
fir
•
Operating Permit, if required will be issued after _.__.._. _ __
Com letion of Ins ection Fin? Ma;�-hal
P p Tn.tiylz of Qusens{':'-r• __.._ti•
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: 11)1 113
Time: y3 U
742 Bay Road, Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 "�'CO Inspection Permit#: l -0
Fire Marshals Representative
MJ Palmer Business Name: QirrL VC-Tievee,"(
Location: 0 Au ^^-J
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
AISLES: {0
Main Aisle Width FC 1024/1025& FC1029.11 �Co� � 7.)e-&;b(II�]4
Secondary Aisle Width FC 1025& FC1029.11 ONi ENN1-f AC'r- f �9
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
,e
; �
EVAC Plan FC 404.6 AI% - ,
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3& FC1029.8
Exterior FC 1006.3 4 0 S
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 ( `
Combustibles in Equipment Rooms FC315.2.3 6.1 Wriknli 1 ' n
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2 a•Q ^11 5 S
Compressed Gas FC 3003 ) , .
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803 -804 I a ?. ' .1 Fc-4,
Smoke Detectors FC 907
CO detectors FC 610 •mac: wbodi
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
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 '\o', r�/
Kitchen Suppression Semi Annual I4 o \ oC/G( vJ'
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
/e 4,
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date inspection a «- ed: �% �(�
Queensbury Building & Code Enforcement Arrive: •=20 f► I - •art: ilerg: : 7.-
742 Bay Road, Queensbury, NY 12804 Inspector's In , . : _ /
NAME: (U., s1 cls V (tea /14(. 1 ICER #:
LOCATION: 7C�Cove -'2 1 tINSPECT ON: `7/ "/ 1 Z-
TYPE OF STRUCTURE:
Y N N/A 1
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 1/2 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. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Headt�
50 P.S.I for 15 minutes*insulation /Residential Check Commercial Ch-
Tyvek or Similar Exterior Sealan
Proper Vent, Attic Vent /
Yv
Door/Window Sealed (No Insulation) x/
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 Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008
f/V' 7 !I''L-e
Rough Plumbing if Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection r = = ived: �/ 3/
Queensbury Building &Code Enforcement Arrive: �• -part: toVP"
742 Bay Road, Queensbury, NY 12804 Inspector's n - /�
NAME: c, k • r v uc PERM! ►' #: Z — 0 -2—
LOCATION:
LOCATION: _ INSPECT ON: (3q17--
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent I Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping t
Air/Head
50 P.S.I for 15 minutes
Vrisulation
/ Residential Check/Commercial Check CZ�� 1 ,
Tyvek or Similar Exterior Sealant
�— ?7D
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation \(Q Ov
If required unheated spaces FeZNM
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape � U
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
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ICBO SBCCI BOCA IBC/IRC Flame Spread* Smoke Developed* sound through exterior and interior walls
Climate Pro All Types All Types All Types All Types/All Types 25 50 and floor/ceiling assemblies for superior
*Meets FHC 25/50 apex0cnion per ASTM E 84 and CANARC-51822. sound control.
• Fire-resistant and noncombustible-
ATTIC COVERAGE CHART see Specification Compliance.
Thermal Resistance Min.Installed Thickness Settled Thickness Bags per 1000 sq.ft. Max.Coverage Min.Weight • Noncorrosive-does not accelerate
To obtain insulation Installed insulation Expected thickness Number of bags per Contents of the bag Weight per sq.
resistance of: shall not be less than: after long-term settling 1000 sq.ft.of net area shall not cover ft.should not be corrosion of pipes,wiring or metal studs.
has occurred: should not be less than: more than: less than:
R-value inches inches bags ft'/bag Ib/it' • Durable-it will not rot,mildew or otherwise
60 22.8 22.7 38.2 26 0.974 deteriorate.Unlike cellulose,Climate Pro will
49 19.1 19.0 30.4 33 0.774 not hold moisture and will not permanently
44 17.4 17.3 26.9 37 0.686 lose R-value.
38 15.3 15.1 22.9 44_ 15113.--.. • Easy to install-quickly insulates attics or
30 12.4 12.2 17.6 57 0.450 spaces of any size or shape without cutting
26 10.9 10.7 15.1 66 0.385 or fitting.
22 9.3 9.2 12.6 79 0.322 • Complete coverage-effective in tight spaces,
19 8.1 8.0 10.8 93 0.276 areas with large amounts of cross-bridging or
13 5.7 5.6 7.2 138 0.185 areas with small gaps and voids.
11 4.9 4.8 6.1 164 0.155
The manufacturer recommends that the insulation be installed at these minimum thicknesses and maximum coverages to provide the
levels of insulation thermal resistance IR-value)shown Ibased on 25.5-lb.average net weight per bag).
Rough Plumbing 1 Insulation Inspection Report
Office No. (518) 761-8256 Date Inspectio - - : , F- .
Queensbury Building & Code Enforcement Arrive: 1 % 1 - •`• • - : -rt: = a�
742 Bay Road, Queensbury, NY 12804 Inspector's In . •• _.� �
NAME: C,QooTR46T PER T #:
LOCATION: 7.-1 C 1)My Cit) 6,)f, INSPECT ON: ,--770
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 '/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. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
60k-0 `7Q-
Air �
/Head
50 P.S.I for 15 minutes 41. (<0?
Insulation / Residential Check omercial Check � �
m
Tyvek or Similar Exterior Sea t
er-
Proper Vent, Attic Vent &� �''�e0 91.70
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
IAUe
` R ugh Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection r:;.: •es «= •: q _:_•
Queensbury Budding &Code Enforcement Arrive: "'ov . • -' _`s '-part: * r : : •j=
742 Bay Road, Queensbury, NY 12804 Inspector's Initia s:
/.
NAME: • ' \le-` PER IT #: .ja/ -O c':.
LOCATION: . 7O 6, ., - ._ SPECT ON: rte. :l
TYPE OF STRUCTURE: r1/‘ C 1.-•' / V�
Y N N/A
Rough Plumbing I Nail Plates
Plumbing Vent/Vents in PlaceII
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum IIIII�
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 \ �� IIK 2V
• I for 15 minutes (fir
41 Insulation Residential Check/ Commercial Checkii Li
Tyvek or Similar Exterior Sealant „.77
�t l7. b.st \
Proper Vent, Attic Vent F D
Door/Window Sealed (No Insulation) II `�p �
Duct/Hot Water Piping Insulation G� v41/2„.
N
If r- •uired unheated s•aces ):2 " i'-
-
Combustion Air Supply for Furnace
Duct work sealed properly/ No du __ --..._ jimp
----;
COMMENTS t✓�^,� � 1 ,j-i'�'''` �i`"^ fL
_fitSZ
n L- _ •
„vA,„0 oct)e-e-cVA -,i . (\Q-*
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
1.
® -1r
r I
/Reof.Tek
RT-1818 SPRAY Wall-Tek Better Insulation
FOAM INSULATION for Better Buildings. ..
For Professional Application Only REACTIVITY PROFILES:
PRODUCT INFORMATION:
Wall-Tek RT-1818 series is a two component system The following reactivity guidelines have been developed to
composed of a polymeric Isocyanate "A-Component" and assist in ordering the proper speed for a range of ambient
an environmentally friendly water/ Enovate®3000 (HCFC- temperatures.
245fa) blown "B-Component. RT-1818 has been
3 Warm weather regular Cold weather ,
formulated as a nominal low density of 1.8 to 2.0 Ib/ft formula R formula xF
closed cell, polyurethane spray foam. Low viscosity, lower Ambient
odor, and 1:1 by volume ratio provide for easy processing. Temp. 60°F-85°F 32°F-60°F
Range
USES: ii
RT-2017 is used for the thermal insulation of residential LIQUID TEST METHOD COMPONENT COMPONENT ,,
COMPONENTS A B
and commercial building walls. When installed following Viscosity,cps @ ASTM D-2196 200-300 550+/-loo 1
the application guidelines the spray foam adheres 70°F 1
a Color Visual Dark brown Brown
tenaciously to framing members and substrates, and - � t - � °
provides superior energy economy, durability and reduces CURED FOAMS TYPICAL PHYSICAL PROPERTIES:
air and moisture infiltration. Applications also include: ( D FROM LABORATORY SAMPLES)
tanks, controlled atmosphere storage, vessels and pipes, 1 DATA DERIVEASTM TEST °�
use above and below ground. PROPERTY METHOD RESULTS
Density,core D-1622 1.9-2.2/ft'
RT-1818 meets the Class 1* requirements of Spread of Compressive strength,parallel to
0-1621 15-20 psi
Flame / Smoke Index (ASTM E-84 /UL 723/NFPA rise
255/UBC Std. 8-1) at a nominal 4"thickness. Tensile strength D-1623 55-65 psi
K Factor,aged C-518 .145
Flame Spread: (525)* Smoke developed:(5_450)* R Value,aged,ata°_ 6.9
at 1.9' C-518 13
`This numerical flame spread rating is not intended to reflect hazards presented by at 2.75 19
this or any other material under actual fire conditions. x : n a � 124
Polyurethane foam systems should not be left exposed in interior applications and Closed cell content D-2856 >92%
must be protected by a minimum 15-minute thermal barrier. Consult local Building Moisture Vapor Transmission E-96 0.80 at 1°
ii
Codes. 0.23 at 3.5"
Fungi Resistance G-21 Zero ,
ORDERING INFORMATION: 2 Air Permeation!Air Leakage ii
(qualifies as an air barrier as E-283 @ 75 Pa 0.00+/-0.01
Packaging: Resin packaged in steel, and Iso is in steel or I defined by ICC) Uslm
plastic drums. Sound Transmission Class E-90-85/E413 43 STC t?
Polyurethane components are sold by the pound. Noise reduction coefficient C-423 0.2 NRC
Container Size Net/Gross Weight Class D-2126 (%vol.
Part A: 55-gal. Drum 551 lbs./576-595 lbs. 55 Dimensional Stability change)
Part B: 55-gal. Drum 500 lbs./545 lbs. 55 158'F 95%Rel.humidity,7 days 6%
VOC Testing CAN/ULC-5774 Pass
DOT: Part A: Plastic material O/T Expanded,156240 >
Part B: Plastic material O/T Expanded,156240
Note -These physical property results are typical for this material as
HMIS: applied under controlled conditions. The foam and resulting physical
properties can vary with changes in the application parameters; that is,
Part A: Health 2, Flammability 1, Reactivity 1, Protection X temperatures, thickness, processing equipment, chamber sizes, etc. As
Part B: Health 2, Flammability 1, Reactivity 1, Protection X a result these published properties are useful for evaluation guidelines.
Physical property specifications should be determined from actual
production processed material. Rev 12 08
cp',,`e" COATING & FOAM SOLUTIONS, LLC. Wall-Tek I Roof-Tek'" Tel. 888-284-7488
t 1100 Cottonwood Ave., Suite 300 Hartland,WI 53029 fax 262439-2020
C011111I&FM 2111111MS.11t.
www.cfsolutions.us.com
r ,
APPLICATION PR( JRES RT-1818 :F.lbstrate absolute minimum temperature is 35°F; any
application below this temp may result in loss of adhesion
GENERAL INSTRUCT! Before the containers are to the substrate.
opened, all safety in: is should be read and WARNING: Polyurethane foam may present a fire risk in
understood by all persc sho will come into contact certain applications if exposed to fire or excessive heat,
with the materials. If the safety instructions are lost or e.g. welding and cutting torches. The use of
otherwise not available, please contact CFS for a polyurethane in interior applications on walls or ceilings
replacement. presents a fire risk, unless the foam is protected by an
A Coating & Foam Solutions, LLC. Material Safety Data approved 15 (fifteen)-minute thermal barrier from the
Sheet (MSDS) is sent with the original shipment and interior of the building.
available upon request. All personnel who come in
contact with the product should read and understand the HEALTH AND SAFETY
MSDS.
Please refer to the product MSDS for complete
PROTECTIVE EQUIPMENT: The "A" component is a information.
polymeric isocyanate and may be sensitizing, particularly VAPOR INHALATION problems are characterized by
from the standpoint of VAPOR INHALATION. The best coughing, shortness of breath or tightness of the chest.
form of protection against sensitizing vapors in the Anyone exhibiting these symptoms shall be immediately
workplace is a FRESH AIR SUPPLY. Several removed from the workplace and administered oxygen or
manufacturers, including 3M Company and MSA make fresh air. If the condition is prolonged or extreme,
full-face fresh air masks. For minimum protection, organic Summon "Emergency Trained" Medical Attention
vapor canister style respirators shall be worn. To prevent Immediately.
contact with the product, wear fabric coveralls and fabric
gloves, full-face mask and OSHA approved protective SKIN CONTACT with liquid components can result in a
goggles. rash or other irritation. Wash the affected area with
water. Wipe residual liquid with a clean soft cloth
STORAGE/SHELF LIFE: Components "A" and "B" followed by washing with soap and water. If a rash or
should be stored in their original, unopened containers at other irritation develops, see A Physician.
temperatures between 50°F and 75°F. This
recommended temperature range is to reduce the EYE CONTACT with liquid or sprayed components can
potential pressure build-up that may be generated by the result in corneal burns or abrasions. Upon exposure,
245fa blowing agent used in this system. Shelf life of eyes should be flushed with water for an extensive
unopened, sealed containers is approximately three period. Summon "Emergency Trained"Medical Attention
months under those storage conditions. Immediately.
EQUIPMENT: Graco and others manufacture
recommended proportioning equipment. Mixing and ratio WARNING:
by volume is 50 parts A to 50 parts B (1:1). Equipment Polyurethane products manufactured or produced from
shall be of the heated, airless type, capable of these chemicals may present a serious fire hazard if
maintaining 125°F to 130°F and a minimum spray improperly used or allowed to remain exposed or
pressure / working pressure of 1000-1500 psi at the unprotected. The character and magnitude of any such
spray gun. Use 2:1 ratio transfer pumps. Optimum hazard will depend on a broad range of factors that are
spraying temperature will vary with type of equipment controlled or influenced by the manufacturer, applicator or
the production process. Each person, firm, or corporation
used, substrate, ambient temperature, and humidity.
Material MUST be supplied to the SPF proportioner at a engaged in the manufacture, production, application,
installation or use of any polyurethane materials should
minimum temperature of 65°F. carefully determine whether there is a potential fire hazard
CAUTION: RT-1818 should only be applied in 1/2" to 2" associated with such specified usage, and utilize all
passes/lifts. This application procedure is in compliance appropriate precautionary and safety measures as outlined
with the SPFA foam application guidelines. The in Local, State and Federal regulations governing the
maximum application thickness is 3 inches per lift, any manufacture of products or the construction and/or
thickness greater than 3 inches may discolor and/or renovation of commercial or residential property.
scorch. Allow 30 minutes between lifts or passes.
RT-1818 is NOT for use as an EXTERIOR roof deck
system due to the compressive strength of this product.
RT-1818 applications in freezer structures, or where rapid
and extreme changes in temperature will occur, require
thorough and proper design, please consult our Technical
Department. RT-1818 can be applied to many
construction substrates between 40°F to 120°F.
To the best of our knowledge,all technical data contained herein is true and accurate as of the date of issuance and subject to change without prior notice. User must
contact Coating&Foam Solutions,LLC.to verify correctness before specifying or ordering. We guarantee our products to conform to the quality control standards
established by CFS.We assume no responsibility for coverage,performance or injuries resulting from use. Liability,if any,is limited to replacement of the product.
NO OTHER WARRANTY OR GUARANTEE OF ANY KIND IS MADE BY COATING&FOAM SOLUTIONS,LLC.EXPRESSED OR IMPLIED;
STATUTORY,BY OPERATION OF LAW,OR OTHERWISE,INCLUDING MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspectio req =• -ived:
Queensbury Building &Code Enforcement Arrive: 1 �`� a pm • -part: V:-01) a �n�
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: CC)O tJTR1D PERMIT#: 1 _—CMZ
LOCATION: S _ A i " Pi\IE DATE:
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 0 F�
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Bailisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in. -38 in./Step Risers 7"1 Treads 11" �-
Vestibules For Exit doors> 3000 sq. ft.
All Doors 36 in. w/Lever Handles/Panic Hardware, if required � \) � \ZN3
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 Fo
Relief Valve, Heat Trap I Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System ¶e-\b\ OeLJ
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.
'/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 I Sinks I Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp 1 Handrails Continuous/12 in. 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 Ali Sides by 20'/Driveable Surface 20'wide
Okay To Issue Temp. or Permanent CIO
Okay To Issue C/C
L:1Building&Codes Forms1Building&Codes Inspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date In •ectio - =F - •
Queensbury Building & Code Enforcement Arrive: • ':1 '�+.. -,• . am/
742 Bay Road, Queensbury, NY 12804 Inspector's Initi- . A,
NAME: a pc ► PE- iT #: l --rD(v ,
LOCATION: , 0 ,3 .' L e _ INSPECT ON: - i(A /a
TYPE OF STRUCTURE: q-dal-Pi;, �
Y N N/A
Rough Plumbing /Nail Piates --`
Plumbing Vent/Vents in Place � tN\1
1 Yz inch minimum Drain Size ,/
Washing Machine Drain 2 inch minimum ✓ VM-�
Cleanout every 100 feet I change of directionVA,Netet`�+�kL
Pressure Test
Drain /Vent ✓ C�<��G � 1
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping Lt2'
Air/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/ 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
Foundation Inspection Report
Office No. (518)761-8256 Date Inspectio reque re ed:-
Queensbury Building&Code Enforcement Arrive: ` �� _ 1I $epart: c- m.
742 Bay Rd.,Queensbury,NY 12804 Inspector's Inti= s:
NAME: "KNIT#: IA- 0(o a
f —
LOCATION: Z?n SPECT ON: cg �I
TYPE OF STRUCTURE:
Contmenta
N N/A
Footings P�E��•'`�\
Piers
Monolithic Slab ,`
Reinforcement in Place
I 8t
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
Rough Grade 6 inch drop within 10 ft.
L:\Bullding &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Framing / Firestopping Inspection R=port
•
Office No. (518) 7618256 Date Inspection :• __ i:' _ .; 7 _
Queensbury Building &Code Enforcement Arrive: ��, a iJJ•,; yam. •.•rt: ._ am
/OM/
742 Bay Road, Queensbury, NY 12804 Inspector's Initials � �
NAME: 6C)ilt -c-y 6(�' t
- RMIT#:
LOCATION: A NSPECT ON: 7/
TYPE OF STRUCTURE: (scAN: L •� J��
Y ,N N/A COMMENTS:
Framing _
•ttic Access 22" x 30" minimum
Jack Studs I Headers V
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 I Bearing Walls
Metal Strapping for Notches Top Plate
1 'A(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 '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:1Building&Codes Forms-OLDIBui ding&Codestinspection FomualFraming Firestopping Inspection Report.doc Revised January 7,2008
J� nco.,
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection • •:
Queensbury Building &Code Enforcement Arrive: ' = :D : •,•t,AD part: ' 4 /pm
742 Bay Road, Queensbury, NY 12804 Inspector's n' 'r .41
NAME: "4<q,r ,�Cl� 4 de r -ERMIT#: c,2 1
LOCATION: ��G -c---- INSPECT ON: vt ,)-
TYPE OF STRUCTURE: CG 1, L Met
YCOMMENTS:
Frami VA
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 '/s(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. 11 ��
Garage Fire Separation
House sideinch or 5/8 inch Type X
Garage side 5/8 inch Type XCeiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L,1Buiiding&Codes Forma-oLD1BuUding&CodeslInspedfon Fonns mm4ng Firestopping Inspection Report.doc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Ins ectiion requ•-1.ed.
Queensbury Building&Code Enforcement Arrive: -`2 • Depart: D a
742 Bay Rd., Queensbury,NY 12804 Inspector s Initials. /'t _
NAME: 15 RMIT#: I a -0
LOCATION: INSPECT ON: .S—'4--I
TYPE OF STRUCTURE: [I ,vr-
3 I f3 Comments
Y N N/A
Pv1iu1 ArQ 62)6.
F.stings ` Plat '
vv R` oao ithic Slab t7\-- -Cv")
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 Waterproofmg
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
B kfill Approval
/ t,� �i Fp
Plumbing Under Slab Y
' /Cast/Copper p�
•-undation Insulati teri error
R- ��
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
liter i6 /k
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: </-13 -14k
Queensbury Building&Code Enforcement Arrive: am/pm Depart:/.pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: C O - g 1 Cla '4 Q* PERMIT#: J o�66:
Ole
'70 art. f e INSPECT ON:
TYPE OF STRUCTURE: (' t *-& ,A �
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
Jw bing Under Slab \\(
/PVC Cast/Copper
Foundation Insulation Interior/Exteri r
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Buliding&Codes\Inspection Forms\Foundation Inspecction Report.doc
Last printed 12/20/2005 9:24:00 AM
fr Jab
Foundation Inspection Report
Office No.(518)761-8256 Date Ins ction req sure ed Ll 5'/ .
Queensbury Building&Code Enforcement Arrive: y /Depart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia s:
NAME: 0,{Y .irbril-4itet N 'PERMIT#: a—D l
LOCATION: v e INSPECT ON: y — t¢—/k
TYPE OF STRUCTURE: [ 4-4d
17 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 J
•
Foundation Waterproofing .q/ ‘
./Cv
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 f'
Foundation Insulation rior \/
R- , - 1 t
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
F-/() Moto
Foundation Inspection Report
Office No. (518)761-8256 Date In\L.
pection request re eived: •
Queensbury Building&Code Enforcement Arrive: •C am/ part: O JJU/p1n'
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials'
NAME: MI
�1 ERT#: 2 —
LOCATION: (r j2; 4iir, A1,%1&SPECT 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 coI -
•a mals-for this purp•.e on site.
Foundation/Wallpour
//l/
Rem o - I ace
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\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
h tcrsde -t o
Foundation Inspection Report
Office No. (518)761-8256 Date In '•ction tom• _ - /ed:
Queensbury Building&Code Enforcement Arrive: 6 '.6 6=61 a r epart: Zj; !am/•
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia s:
NAME: (. �c 1 LQ �i�' 'ERMIT#: !
LOCATION: A-)D `J 1/j U INSPECT ON: -1)17
1
TYPE OF STRUCTURE:
Comments
Y / N N/A
Footings
Piers VY
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 Waterproofmg
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/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
/.10 ktieh
Foundation Inspection Report
Office No.(518)761-8256 Date Ins.ection . e.: _
Queensbury Building&Code Enforcement Arrive:w : . : _/ I-part:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia s• .e►
NAME: ¢r 5)' Vet (LT#: 2
LOCATION: 1� l �'ws y i' v.e. INSPECT ON: aA
TYPE OF STRUCTURE:
Comments
Y N pY/A
Footings M C"--)R
Monolithic Slab
‘( )'5T--
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 Fors\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM