2012-291 wita, 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: P20120291 Date Issued: Friday, October 26, 2012
This is to certify that work requested to be done as shown by Permit Number P20120291
has been completed.
Location: 66 MELDON Cir
Tax Map Number: 523400-289-020-0001-033-000-0000
Owner: MICHAELS GROUP
Applicant: MICHAELS GROUP
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Townhouse /J
Issuance of this Certificate of Occupancy DOES NOT relieve the property Al.,.
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.
ti
A.h` TOWN OF QU E ENSBURY
A 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120291 Application Number: A20120291
Tax Map No: 523400-289-020-0001-033-000-0000
Permission is hereby granted to: MICHAELS GROUP
For property located at: 66 MELDON Cir
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: MICHAELS GROUP Fireplace
SUITE 1 Garage Attached
10 BLACKSMITH Dr Townhouse $225,000.00
MALTA,NY 12020 Total Value $225,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-291
1,624 sf 1st Flr; 745 sf basement
492 sf attached garage
1 Fireplace
$547.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 21,2013
(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 Town of uee ury; Whur: s .y/June 21,2012
4
SIGNED BY / for the Town of Queensbury.
Director of Building&Code Enforcement
0-
OFFICE
OFFICE USE ONLY
�y 1 ---c)1
J
TAX MAP NO. , CJ/` PERMIT NO. / `)
JUN 13 2012
FEES: PERMIT 7c) t0 RECREATION fl` ENGINEERING
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDERTTVi MtC t .S 1CJec1. " I'
� OWNER:
ADDRESS: 10 prouS1-1011 ,MD&i ,NY 1 Z0713 ADDRESS: ''
PHONE NOS. Stili-to311 PHONE NOS. "
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: T. 1-C>C-IN .1c- PHONE: `a6-51 -314 A-
/
LOCATION OF PROPERTY: lalo 1-k -D°1".\ C-1 CZ-C-A-e-
SUBDIVISION NAME: N 1 LAub Cat:›SS111.C,S
I I
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z � o
APPLY TO YOUR z O Cr �j w u)
PROJECT O g OOF OF I a~ _
W LL LL LL = O xU U
W a J -1 0 20 H p-. O f- cc —
z ¢ Q �cn c"cn OLL ILL c
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY(NO. )
TOWNHOUSE (432:4 �] CIZ 1 2)3t:1 IJ 2-7)-(,.:
BUSINESS OFFICE 1
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED I Z 1
GARAGE(1 ) /'� 1
OTHER
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:i Z.Z. IT)COO FUEL TYPE: �I
HEAT TYPE? r honk *HOW MANY FIREPLACE(S) I AND/OR WOODSTOVES(S): 0
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: S1r1C,�� "I`h\t.11�' jz (-i cru- Hcvw,
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
`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 agree to th- above.
Signed
�//
./ /��-L—
Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761-8256 OR EMAIL
regarding Building Permits, construction codes or septic codes anqueensbury.net
systems)
VISIT OUR WEBSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218 (for questions regarding www.queensbury.net
required permits, the permit process, application requirements or to
schedule an appointment)
This application / proposed action described Permission is hereby granted to the above
herein is found to be in accordance with the Applicant to erec e alter the building described
zoning Laws of the Town of Queensbury. herein in ac •r•.nce with said Application:
ZONING APPROVAL DATE BUIL? & CODES • "ROVAL P TE ,
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
1h
LOA 1 --
Queensbury Building & Code Enforcement - Residential Final Inspection
i
Office Na. (518) 761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: i; ,lt //
�
NAME: (_ °.),( �
1 , 6-AVCAP PERMIT#: / Z))---cr4/
LOCATION: l.0 C.n h�. 1 A T> C_i re.ISN DATE: i E '-,- ,5/i
TYPE OF STRUCTURE: " I o hill LS c
Comments:
,§7No N/K1
4" Building Number Address visible from road /
Chimney Height/"B"Vent/Direct Vent Location ,/,t.
Fresh Air intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks, patios more than 30 inches above grade '
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more a✓
Handrail Termination at Newell Post or Wall V
Interior/Exterior Railings 34 inches to 38 inches ✓:-
Deck Bracing I Handicapped Ramp Compliant 477
Grade away from foundation 6 inches with 10 feet ;/�
6 inch clearance to sill plate v'
Gas Valve shut-off exposed/regulator 18 inches above grade `
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight �sss !
Safety glazing/Win�ow in stairwells safety glazing
Interior Smoke Defectors/Carbon Monoxidetectors .
Every level; ,/ Every Bedrq5m:
Outside every bedroom/`rea: /
Inter Connected: / Battery backup: \.,
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area /
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans, if no window /'
Plumbing fixtures —_____ �J /
Foundation insulation to floo ticker on Panel' ;Y
Duct work sealed properly/Blower-boor Test Certification411.111111."------ 1 j\J f U f
Floor truss,draft stopping finished basement 1,000 sq.ft. f
Emergency egress below grade s/
Gas Furnace shut-off within 30 feet or within line of site V
Oil Furnace shut-off at entrance to furnace area f
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/z"Gypsum f
Basement stairs closed rise>4 inches r
Garage Floor Pitched
Garage fireproofing/3.4 hour fire door/door closer 1.4//
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Enerq Saving Light Bulbs 50%
Final Survey Plot Plan /
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles t/
Flex Gas Pike Bondin
As Built Septic System(ewer Dept. inspection Sticker
Site Plan /Variance required f— ,---1
Flood Plain Certification, if required 1
Okay to issue C f C or C/0[Temporary/Permanent] t� i
L:\Building&Codes Forms\Building&Codeslinspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: /6 ' ( /— 1
NAME: L , \ I C �`�',/ i{'(,�
LOCATION: 4' (a Met,/ n n �J
PERMIT#: -a9
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 Brow•, oning Administrator
Notes:
L:1SueHemingway\Building.Codes.Inspection.FORMSWinal Survey
Zoning Administrator.doc
MAP REFERENCE
HILAND CROSSINGS
A SUBDIVISION MADE FOR
THE MICHAELS GROUP
BY VAN DUSEN & STEVES
DATEDAPRIL 15, 2009
LAST REVISED OCTOBER 15, 2009
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON NOVEMBER 6, 2009
LOT 15 /
#60
MELDON
CIRCLE /
/ LOT 16
/ #62
MELDON
/ CIRCLE
aiy RD u S
W
Steves
Land Surveyors
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
FA
A
El
AftD01V CIRCLE
I STORY
-03 WOOD FRAME
TOWNNOU5E
LOT 17
#66 MELDON CIRCLE
8,401.50 sq. ft
0.19 acres
WOOD
DECK
L=46.82'
R=180.0G
HOMEOWNERS ASSOCIATION LANDS
� w
I 11 a
I �
1 1 w
1 1 a
1 II \ U
I 1 \ 2
1 1 U
1 1
I II LOT 20
1 \
#74
I 1 MELDON
1 N11 \ CIRCLE
II ro 1 LOT 19 \
1 w rnll
#72
1 oa v MELDON
I _ En I CIRCLE \
1 mI \
I I
1 1
1 1
1 1 \
1 II \
1 I
1 1
1 I
1 I
1 _ 1
L=78.03'
R=305.00
IMM"A A Kmunax OR •Nwnan ro A Is A Map of a Survey made for
wM wEMV1O S 41QNYD . S SUC"A"ONS SEK IS I.
NEW YOii aE TE ]208. IAW' M 2 CE 1HE
rxw YORK Xs i EgMNE Uw.•
•ahr COPIER TROw TIE W W 0G IRIS wR S
SU S I&L E ORIaNK a ME VAU wR c I
SEX RNBh BE CCNSDEREO i0 BE VMIO TRUE WPIES•
"S 546 ATORS waGTED REREaI SBA�
.R The Michaels Group
1Ws 4 OD wA5 PREnMED W LANDS ICE YIiN n1E
By THE n00E pE ppABE FOR L 4WKrgtS 1apP1FD
6x THE 4Ew Y ST0TE hWW BoCN C PRCI N mly
M E BERSIa F su0 GER E SURW IS
Rux oxly
Ta TME LFEH" TOR E M TIE wRVEY IS PRNMDIT NIO
A HIB n A, U i0 THE nnE MON USY. AMEN.
�cTW YNR I S.IRSTNInaI a:� NEREM. µo Town of Queensbury, Warren County, New York
ro tNE AssauEs a TIE EExowc wsnn,nex.•
N0. I DATE
10 DRAINAGE EASEMENT
DESCRIPTION
le 1'=
S-1
SHEET 1 OF 1
Michaels
DWG. NO. 99312 17-18
1 5TORY
WOOD FRAME
W
TOWNHOU5E
}C'' o
I v
LOT 18
r
#68 MELDON CIRCLE
2
7,803.20 sq. ft.
0.18 acres
HOMEOWNERS ASSOCIATION LANDS
� w
I 11 a
I �
1 1 w
1 1 a
1 II \ U
I 1 \ 2
1 1 U
1 1
I II LOT 20
1 \
#74
I 1 MELDON
1 N11 \ CIRCLE
II ro 1 LOT 19 \
1 w rnll
#72
1 oa v MELDON
I _ En I CIRCLE \
1 mI \
I I
1 1
1 1
1 1 \
1 II \
1 I
1 1
1 I
1 I
1 _ 1
L=78.03'
R=305.00
IMM"A A Kmunax OR •Nwnan ro A Is A Map of a Survey made for
wM wEMV1O S 41QNYD . S SUC"A"ONS SEK IS I.
NEW YOii aE TE ]208. IAW' M 2 CE 1HE
rxw YORK Xs i EgMNE Uw.•
•ahr COPIER TROw TIE W W 0G IRIS wR S
SU S I&L E ORIaNK a ME VAU wR c I
SEX RNBh BE CCNSDEREO i0 BE VMIO TRUE WPIES•
"S 546 ATORS waGTED REREaI SBA�
.R The Michaels Group
1Ws 4 OD wA5 PREnMED W LANDS ICE YIiN n1E
By THE n00E pE ppABE FOR L 4WKrgtS 1apP1FD
6x THE 4Ew Y ST0TE hWW BoCN C PRCI N mly
M E BERSIa F su0 GER E SURW IS
Rux oxly
Ta TME LFEH" TOR E M TIE wRVEY IS PRNMDIT NIO
A HIB n A, U i0 THE nnE MON USY. AMEN.
�cTW YNR I S.IRSTNInaI a:� NEREM. µo Town of Queensbury, Warren County, New York
ro tNE AssauEs a TIE EExowc wsnn,nex.•
N0. I DATE
10 DRAINAGE EASEMENT
DESCRIPTION
le 1'=
S-1
SHEET 1 OF 1
Michaels
DWG. NO. 99312 17-18
Fr4.0-yilS (76S,14 LE, _f,
Foundation Inspection eport
Office No. (518)761-8256 Date Inspection request received: G c" 2�
Queensbury Building&Code Enforcement Arrive: am/pm Depart:41eram/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/' `
NAME: C�'1 5 (,)(C)c k PERMIT#: Cl
LOCATION: ,/^ ,.r f t.;/\-; ( I r C(F' rZ
INSPECT ON: c
TYPE OF STRUCTURE: �/ e c K f /�Z
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
12_ - )--
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: '3 el 12—
Queensbury Building & Code Enforcement Arrive: am/pm Depart: J/ �m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .69 /
NAME: i )t C-0,/-4 PERMIT #: — -2- `i/
LOCATION: J (� .1/1 i c.y (' (- c (-t INSPECT ON: 3�/�Z--
TYPE OF STRUCTURE: "jc" �"
Yla N/A
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place �==
1 1/s inch minimum Drain Size
Washing Machine Drain 2 inch minimum �.
Cleanout every100 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/ HeadPA
50 P.S.I for 15 minutes
� sulation / Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent rell MI
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If r=•uired unheated s•aces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
v )u
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 16,2005, revised January 7,2008
—
e 4101_
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury, NY 12804 Nr("`
761-8205/761-8206h
fax 745-4437 if(Factory Built Gas Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance. No deviation from the manufacturer's
` instructions or specifications is allowed.
Permit# /, -, q/ Schedule Inspection Sic.). E .// Time It a 'i \ pm anytime Inspector J`'i-
/
Name 5) LP}Cv F( 0Try(+dress (r c G U n J- Rough IOC Final_
Appliance Manufacturer t- qtr\A-• Model# r`i 31 3 .S 1
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A ° Comments
Floor Protection �to� �U nor r5� Zan,FT t-3
Clearances to Combustibles (all sides)/
Firestop(s) Vertical Chase �/ ` I
Wall Penetration Y
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve I �� '3121�
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement (if LP)
CO Detection 3
CSST Bonding
•
White—Building Dept. Yellow—Customer Pink—Fire Marshal
Rough Plumbing I Insulation Inspection Report
I
Office No. (518) 761-8256 Date Inspection request received: : 91)-
Queensbury Building &Code Enforcement Arrive: am/pm Depart: . a /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: V► 1 C &ter PERMIT #:
LOCATION: ��, t� !�1�P c�(o �� INSPECT ON: !/ i
TYPE OF STRUCTURE: 7`n ISS - '�J 1-- -/.0-5
Y N NIA
Rough Plumbing I Nail Plates
Plumbin' Vent/Vents in Place r/
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum11111
Cleanout every 100 feet/chan.e of direction
Pressure Test
Drain /Vent
Air I Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes I
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
-
Insulation /Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No 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
Framing / Firestopping Inspection Report dc4 I b /
Office No. (518) 761-8256 Date Inspection request received: , 4\
Queensbury
\Queensbury Building &Code Enforcement Arrive: am/pm Depart: • am pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: Pi\ \c - (kic) PERMIT#: ‘ 9 /-
LOCATION: t.O(0 (`11 { cl o n C' i r INSPECT ON: 0
TYPE OF STRUCTURE: upif1(, 6a�,L
N•\°
Y NIA
Framing COMMENTS:
Attic Access 22" x 30" minimum
Jack Studs I Headers
Bracing/Bridging
Joist hangers - — Q) imo.4. r -
Jack Posts/Main Beams ' 0V- ' 4V'v
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in. •
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 ' (w) 16 gauge (8) 160 nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed _ ^�
16 inch insulation in cavity min.
Garage Fire Separation
House side ' inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W) V'
5.7 sf above/ below grade
5.0 sf grade
L:1Building&Codes Fomes-OLD\Fuildin9 8.CodsUnspection Forms\Framing Firestopping Inspection Rspori.doc Revised January 7,2008
Framing / Firestopping Inspection Report -1 \
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: _am/r..7 De rt: .am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 'll
J` 1
NAME: __ C?cO PERMIT#:
LOCATION: — Lo In A <,?i, .— INSPECT ON: .g -/CJ l \
TYPE OF STRUCTURE: 1.-{) V'S(
— . X N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing /Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches / Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 160 nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side Y2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall _
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/ below grade
5.0 sf grade
L:\Building&Codes Forms-OLD\Duildinq&Codes\nspection Foons\Framing Firestopping Inspection Report.doc Revised January 7,2008
C (GSA- O
Foundation Inspection Report
r •�`
Office No.(518)761-8256 Date Inspection request received: -7///// 2-
Queensbury Building&Code Enforcement Arrive: am/pm Dep am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: r
NAME: ► , l� '1 e � `/1 PERMIT#: / 2- = Cl
LOCATION: �4 �'; i vl(' (&i-. r C f INSPECT ON: // / Z/
TYPE OF STRUCTURE: t/ f
Comments
Y N NA
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
66 epofefwatanega
s under slab
Bac
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
1/ e,s (L-6
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: _am/pm Depart: 1 am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: Lc0 c4. - r PERMIT#: ) v�
LOCATION: Ca li p( 6c INSPECT ON: e—/,o
TYPE OF STRUCTURE: hs 6
Comments
Y N N/A f ) t
Footings
Piers P I ,^1b
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 �, l
Foundation Waterproofing (A'
/ Y�U`CL� 1'V
Footing Drain Daylight or Sump
Footing Drain Stone: �� v 1 L
s2-Aq
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
X--PlumU
P bing Cast/CoppernderSlab V
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
C\VAAccin 1b ID_
FoundationInspection Report
Office No.(518)7614256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: lU t P
NAME: y l 1 01 Q( S PERMIT#:
LOCATION: f e , r{s ,•� INSPECT ON: /
TYPE OF STRUCTURE: . ln p
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
Ohi 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
,t/n
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials. .,{
1)
NAME: N\ ,,L3 �-. ( r �{- PERMIT#: - 4<7/
LOCATION: 1 (a MN I c� Ci n r INSPECT ON:
TYPE OF STRUCTURE: c ur)h v u S E
Comment
Y N
NIA
Footings o-'09 7
Piers Ci2j pv—( Q.t�
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 A-
Footing
Footing Dowels or Keyway in place V
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:\Bullding&Codes Foam\Buliding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
(1'\o (Nokats 47- 1 i (I c))
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: . 1 pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:(f...kf')
r
NAME: \(41 cot )S r a u�o PERMIT#:
LOCATION: ip( ,7 ..N( \c fl.-' INSPECT ON: '7-,�--J
TYPE OF STRUCTURE: -'t W N hO iA..s 2
Comments
Y N NL
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 �� '�"'a'e"G
R- t}-4A4-JK�}C
Roughe 6 inch drop within 10 ft.
L:\Building&Codes Forms\Buliding&Codes\lnspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
:)\- ( 3
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: /4/u/ a f)
Queensbury Building&Code Enforcement Arrive: am/pm Dep
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: tNAME: am/pm
LOCATION: Cera\-3 6r-r p p PERMIT#: / `A9
�p Lo N1co INSPECT ON: (r, ri ,
TYPE OF STRUCTURE: estY Ag;—
Comments
N NSA
FootingL>
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
//.7
Reinforcement in Place
Footing Dowels or Keyway in place
�'
Foundation Dampproofmg `� '5
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\Buiiding&Codes\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
4 , , 8C la-Aca_61 I
wa CIRCLE
/
/ '
L=96.23.
i
1N '180A0 1 m i;!i':1' 1 11 \
j I� TAL 1 \
/ /� I `� s, .70 ,q. fr. 1 I
• -a�' ..37 : res 1 1
/ --1 — —_� I 1
LOT 16 / ��C, 1
#62 ;� / 1 \
MELDC( h� ' / I 1 1
CIRCLE /�ry'o / 1 1 yl \
2� � / 1 ml
/ I I ;, LOT 19
w wu #72
/ 6b I to m1 MELLON
CIRCLE
/ �,$ I 1 I
/ 1I 1
/ . • 1 I 1
/ I 11 1
1 1 I I
1 I I
-I'--- ' '---------J I I
o ��: I I
I
L=163.05' \I
H=305.00 ,
iii ,; 1 3 2012
mu 10 DRAM