2012-568 TOWN OF QUEENSBURY
742 Bay Road,Quccnsbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120568 Date Issued: Friday, February 22, 2013
This is to certify that work requested to be done as shown by Permit Number P20120568
has been completed.
Location: 16 GENEVA Dr
Tax Map Number: 523400-301-020-0001-068-000-0000
Owner: CLUTE ENTERPRISES, INC.
Applicant: CLUTE ENTERPRISES, INC.
This structure may be occupied as a:
Garage Attached By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property 14
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.
1
TOWN OF QUEENSBURY
742 KIV R(Md,Q11VCWbL1r),,NY 12804-5902 (518) 761-8201
let Coninitinity Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120568 Applicatimi Number: A20120568
Tax Map No: 523400-301-020-0001-068-000-0000
Pe�rti-iissiotiisliercl)ygranted to: CLUTE ENTERPRISES. INC.
For property locateclat: 16 GENEVA Dr
in theTo-,vn of Quccnsbur�,, to construct or place
at the above location in accordance with application together with plot plans and other inforniation hereto filed
'hicensl) y Zc i g
andapproved and in compliance\vith the NYS Uniform Building Codes and the Q ur )1111
Ordinance. Type of Construction Value
Owner.\ddress: MARILYN R DELMAGE Garage Attached
16 GENEVA Dr Single 1--amily Dwelling $125,000.00
QUEENSBURY NY 12804-0000 Total Value $125,000.00
Contractor or Builder's Name / Address l"I'lectrical Inspection_\genq,
CLUTE ENTERPRISES. INC.
6 HOLDEN Ave
QUEENSBURY, NY 12804-0000
Plans&Specifications
2012-568 Bldg Lot#13 Geneva Estates
I st F Ir 1,0x92 sq ft; 2-car Garage 400 sq ft
$278.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, December 06, 2013
(1fa longer period is reqoired,an application fair an extension must be made to the code Enforcement Officer
of the Town of Queensiniry before the expiration date.)
Dated at the Town of Queensbury; Thursday, December 06,2012
S
)IGNE"D BY fOV thC'1'0W11 Of Q SLICCTIS bury.
Director Of Building& Code Enforcement
FF6.:E I S
/�
__ DEC
TAX MAP NO301 , _I_( g NMT NO. I f p)" 6.(--0Q" EC 0 3 2012
FEES: PERMIT RECREATION '1. ENGINEERING
-,,3r (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/BUILDER: LVA k OWNER:
ADDRESS: Co 6_&,--• ie_ ADDRESS:
PHONE NOS. —19S `P:77 PHONE NOS. 2
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: ��
v--. I PHONE: JQo 1 �
LOCATION OF PROPERTY: \c ....)e-.\_ —•.Je Sol.:•)(, F 's— 03
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? LYES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: ��.C'0--e._:k.A__'��� "o \
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z o r
APPLY TO YOUR Z t= CC p O g W" LL �
PROJECT O ¢ O O O ~ _
I— W r0 � tt1 u W Q EL 0
w o � C� Z C� '- r-: OF rtwz
z < < s- cn c*, cn OIL I- Li- aIOS
SINGLE FAMILY \ (
0 D `CfD `\-d i D) Y, Y)
TWO-FAMILY 1 `
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
i C , f
GARAGE(DO) 4 00 Lf 0 1 (U r L' w
OTHER
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: t �� 000 `FUEL TYPE: 94
HEAT TYPE: �p!�cJ�d *HOW MANY FIREPLACE(S): w AND/OR WOODSTOVES(S): C
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? kat.
PROPOSED USE OF BUILDING OR ADDITION: \C
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, l or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provi.z as-: B. survey by a licensed land surveyor of all newly
constructed facilities prio _• issuance of a c- cate of occupancy.
I have read and ee to tiie abov:.
Signed J / ����
Direc e of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Adrninistrs or: 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:
B'I aINc & CODES APP 7•VAL ; ZONING APPROVAL
D : DATE
QUESTIONS? CALL 761-8256 OR EMAIL
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
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
10 11'
Revised 4/14/2010
Town of Queensb J p�
Highway SEC 0 u 2012 Michael F. Travis
Department Highway Superintendent
742 Bay Road, Queensbury, NY 12804 Home (518) 798-0413
Office Phone: (518) 761-8211 Thomas R. Vanness
Fax: (518) 745-4466 Deputy Superintendent
Home (518) 745-0929
www. Queensbury.net
DRIVEWAY PERMIT
Date: t?".S 1 1
Applicant Name: ��.-�� •�`��(� �`� �'� `
Address to be inspected: , (o (���e����-fir•Je
Return Address: Nue e
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 inspections completed by: Date:
Approved by Higway Supt: Deputy Supt.:
Upon completion, please resubmit this approved permit for a final approval.
Step 2: ( ) Final Approval
( ) Rejected
Date:
Michael F. Travis, Highway Superintendent
Thomas R. Van Ness, Deputy Highway Superintendent
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
...--/ g
TAX MAP NO. PERMIT NO. I a--.•)(-- PERMIT FEE DEC 03 2012
APPROVALS: ZONING TOWN CLERK _
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT., ` ` ,,
OWNER: C— �f' INSTALLER: �\�`�e
ADDRESS: ADDRESS: Co . - C
PHONE NOS. / PHONE NOS. ��. a�7 7
3
LOCATION OF INSTALLATION: \L ` /�
` —x'�- cS — d J
' Je c I O- t - ( [:
RESIDENCE INFORMATION:
YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW
BEDROOMS 1 (Gallons per bedroom) GARBAGE GRINDER
1980 or older X I 150 = INSTALLED?
1981-1991 X 130 = SPA OR HOT TUB
1992-present X 110 = INSTALLED?
PARCEL INFORMATION: '/
✓ TOPOGRAPHY: FLAT ROLLING 7`� STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND / ' LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL N7C."WELL (If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mpi]
(Test to be completed by a licensed professional engineer or architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer
or architect(unless installed in a Planning Board approved subdivision).
TANK SIZE: SCO GALLON (MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for
each garbage grinder,spa or whirlpool tub.
SYSTEM TYP : r
BSORPTION FIELD(WITH NO.2 STONE) Total length (56 ft. Each trench c2 X >C,
❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size?
❑ALTERNATIVE SYSTEM Bed or other type?
❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval
granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or
circumstance known • • • behalf of an applicant,shall be void.
I have read t• reg - ions with • pe' • is application and agree - ='"
to abide b. h- and all req ' -m->• • the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanita f a•:'lisp••al .rd .
��' . 40 \. k _ VISIT OUR WEBSITE FOR MORE INFORMATION
Si• • =tur of Person Responsible Date
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
RX Date/Time 02/28/2014 10:51 P.002
Feb. 28. 2014 10:48A ���''Home Funding Finders '��k•�^�:��'�'�,���v .:/* ��:��'''• �
�iOlr/ ✓•�/• c •J•�J•J•%J•%J J•%J•J•:Jw/• I�0. H 1�O`.j� P. 2 2 �J•J•V•y•
(� MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
�a�
' e',lVcrs that the electrical wiring to the electrical equipment listed below has been examined and is approved as f
0
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date 1
(0w
noted below and is issued subject to the following conditions. l<
(�
�� Owner: Date: r"
0 Mareylne Eelmage 02/25/2014 0
Occupant. Generator Locativn:16 Geneva Dr k
Queensbury, Warren Co. NY ,-,
i Occupanc' Single Family Dwg. �r',
T —I k. 1
<a• App icant:
�:
= JEC Electric
i 1118 CountyRt16 • - ,i. t
% Fort Ann, NY 12827, ;�?
J'y� �. 1
t L y .a-,r
toJoseph A.Holmes: • ; :->
So
4 . .. . _ . .. '>_0326091;56.&53EL<.' ;:s, • _ �, r-
�. ,. � �'�•.>,: Cil U..1
, • `,•'....,.•.!:-:...!,.;. > rF)
2 Equipment: = . ;;;'..:-;. ,• Yr. Q
(��� • art) —
(iN-74 1 -7 KW Generator; 1 -8 Space Autathatid'TransferSwitch' • • • •. <<
1 V
C ai '* -,tV) ' '' `,„
•
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t,,a .. • • 1ry7
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kvj
Cv •'\\4 This certificate applies to the electrical wiring to the electrical equipment listedimmediately null and void. This certificate applies only to the use,occupancy and
14 above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership SrJ
6,::y inspection. No warranty is expressed or implied as to the mechanical safety,effl- of the property indicated above,this certificate shall Oe Immediately null and void. (:r)
.ia ciency or fitness of the eouipment for any particular purpose. This certificate Shall In the event that this Certificate becomes invalid based upon the above conditions.
r• :{:)'
��l be valid for a period of one year from the above noted date. Should the electrical Ibis certificate may be revalidated upon relnspecflon by Middle Department .;��
;� system to which thiS certificate applies be altered In any way,Including but not limit- Inspection Agency Inc. An application for inspection must be submitted to Middle X0)1
6 ed to.the inlroduCtlon of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to Initiate the inspection end revalidation (,-
je any of the components Installed as of the above noted dale,this certificate shall be process. A fee will be charged for this service, ` .
4'. ;Aid;'::P.�9 ' .% D :1 '. o.*,P3 1, ?i• r.r :S:`,' ?;?:7i'.:•;=?%':%;^:WT "Si::' :% ;=n<i�G;o15 i;�G;
Queensbury Building & Code Enforcement - Residential Final Inspection ‘Y-) C'(\t\-
Office No. (518) 761-8256
-, Arrive: am/pm Depart,��am/pm
Date Inspection request received: �'��� l ) Inspector's Initials: 71
NAME: C L ` P IT#: u�
LOCATION: la ( _,,, DATE: _/ ?v
TYPE OF STRUCTURE:
Comments:
Yes No NIA
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
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
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate <1S'`- M v`LA
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors 1 main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing �.
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
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 fius m"'2—
Foundation insulation to floor/Sticker on Panel ���
Duct work sealed properly I Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C I 0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection Fonns\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
GRAJNY Consufting, LLC.
69 Hayden Point Loop
Diamond Point, NY 12824
518 221-3240
02/20/2013
Clute Enterprises, Inc.
6 Holden Avenue
Queensbury,NY 12804
Inspection Address: Lot 13-16 Geneva Drive, Queensbury NY 12804
Report Number: 0220133
Dear Pam:
At your request, the Blower Door Inspection of the post construction test to verify
infiltration rate of the house as per requirements of the NYS 2010 Energy Conservation
Construction Code of the above property was performed on 02/20/2013. GRAJNY
Consulting, LLC is pleased to submit the following report.
The following data was provided:
- Square Footage of the house, including conditioned basement=2,184 SF
- Volume of the house, including conditioned basement= 18,356 CF
Based on above,the following test data was collected:
- Infiltration Rate, including conditioned basement at 50 Pascal=722 CFM
- ACH50,Actual Changes per Hour at 50 Pascal=722X60/18,356=2.4<7
The Instruments used for test were provided by the Energy Conservatory Digital Gauge
DG-3 rated accuracy=+1- 1%,calibrated minimum once per year.
Thank you for selecting our company. We appreciate the opportunity to be of service.
Please call this office if there are any questions.
Sincerely, ` c;\
O�`'t ('Y'N ;.,V Vii,
Stan Grajny, PE
NYS HERS Energy Rater BER-041 c'cr _ -
NYS PE 065406-16` o
pp s54e5 Y�
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: 1}/i am/pm Depart: am/pm
Date Inspection request received: Inspectors Initials:
NAME: PERMIT#: /��(� g
LOCATION: / is 5 F.1 P_, DATE:
TYPE OF STRUCTURE: S 1=
Comments:
Yes No NIA
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
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
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors I Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
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
Foundation insulation to floor I Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 r/
Enclosed Stairs Sheetrock Underside minimum 1/"Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3A hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required ./*/
Okay to issue C I C or C/O(Temporary/ ermanen
L:1Buiiding&Codes Forms\Building&Codes\Inspection Fomis\Residential Final Inspection Form_revised_I00405.doc;Revised
January 7,2008;Revised 6126/08;Revised 12/22/10, Revised 04/13/11
J (0l'
GRAJNY Consulting, LLC•
69 Hayden Point Loop
Diamond Point, NY 12824
518 221-3240
02/20/2013 Fed
2013
Clute Enterprises, Inc.
6 Holden Avenue
Queensbury,NY 12804
Inspection Address: Lot 13-16 Geneva Drive, Queensbury NY 12804
Report Number: 0220133
Dear Pam:
At your request, the Blower Door Inspection of the post construction test to verify
infiltration rate of the house as per requirements of the NYS 2010 Energy Conservation
Construction Code of the above property was performed on 02/20/2013. GRAJNY
Consulting,LLC is pleased to submit the following report.
The following data was provided:
- Square Footage of the house, including conditioned basement=2,184 SF
- Volume of the house, including conditioned basement= 18,356 CF
Based on above, the following test data was collected:
- Infiltration Rate, including conditioned basement at 50 Pascal=722 CFM
- ACH50, Actual Changes per Hour at 50 Pascal=722X60/18,356=2.4< 7
The Instruments used for test were provided by the Energy Conservatory Digital Gauge
DG-3 rated accuracy=+/- 1%, calibrated minimum once per year.
Thank you for selecting our company. We appreciate the opportunity to be of service.
Please call this office if there are any questions.
Sincerely, �P� OF NEw y0
ca_o21
s, LAus
Stan Grajny, PE
NYS HERS Energy Rater BER-041
NYS PE 065406-1 y`rFp 0654Q5 \
p �
GI
2—
QueensburyBuildin & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 �7! '7 Arrive: /U•3d am/pm epart: am/pm
date Inspection request received: J I 2 Inspector's Initials:
NAME: C L v i E 1, r\I --/- f S PS PERMIT#: 1 Z— ") 1-'\
LOCATION: j C-, C-------) -e;��✓-1 ;Th. i �---' DATE: 12.'l i l.-5
TYPE OF STRUCTURE:
Comments:
Yes/ No N/A
4" Building Number Address visible from road 1/�
Chimney Height/"B"Vent/Direct Vent Location V
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches iJ/
Roof Complete/Exterior Finish Complete ►/,r
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
Handrail Termination at Newell Post or Wall ✓
Interior/Exterior Railings 34 inches to 38 inches /
Deck Bracing/Handicapped Ramp Compliant / r/
Grade away from foundation 6 inches with 10 feet J
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade �
Interior privacy/trim I doors I main entrance 36 inches 1
Bathroom/Kitchen watertight V/
Safety glazing/Window in stairwells safety glazing ,/
Interior Smoke Detectors/Carbon Monoxld Detectors
Every level: i Every BedrooT ✓✓ /
Outside every bedroom afea: V ,//
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.vents17/
Bathroom Fans,if no window /
Plumbing fixtures ✓/
Foundation insulation to floor I Sticker on Panel
V.
✓/ h�t- �,�j
Duct work sealed properly/Blower Door Test Certification / /Vet./ ,
Floor truss,draft stopping finished basement 1,000 sq.ft. /�
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site tr. /
Oil Furnace shut-off at entrance to furnace area �/
Furnace/Hot Water Heater operating /
Low water shut-off boiler c� � / / /
Relief Valve(s)installed/Heat Trap/Water Temp 110 .7 Ii"/rll 1 �e-61 Ckv`!�
Enclosed Stairs Sheetrock Underside minimum 1A"Gypsum
Basement stairs closed rise>4 inches 1/
Garage Floor Pitched /
Garage fireproofing/%hour fire door/door closer i/
Gas Logs in Sealed or Glass Enclosure / r/
Final Electrical; Energy Saving Light Bulbs 50% , t/�
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
_ r�
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker I.
Site Plan /Variance required
/1/1/Flood Plain Certificati fired
Okay to issue C/C r C/0 emporary ermanent
L:1Building&Codes Forms\Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10, Revised 04/13/11
OWTOWN OF QUEENSBURY
rw 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
IF 41 Community Development- Building&Codes (518)761-8256
Inspections per Permit
Permit # P20120568
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
12/03/2012 Miscellaneous Single Family Dwelling STAFF
Misc 2012-568
permit app rec'd&entered
12/06/2012 Miscellaneous Single Family Dwelling STAFF
Misc 2012-568
permit issued
12/17/2012 Footing Single Family Dwelling JOHN O'BRIEN
Approved 2012-568
Materials on site to protect from freezing for 48 hrs.
12/17/2012 Reinforcement in Place Single Family Dwelling JOHN O'BRIEN
Approved 2012-568
Materials on site to protect from freezing for 48 hrs.
12/19/2012 Backfill Single Family Dwelling CHARLES DYER Staff
Approved 2012-568
Permit Card on site??
12/19/2012 Foundation Dampproofing Single Family Dwelling CHARLES DYER Staff
Approved 2012-568
Permit Card on site??
12/21/2012 Septic Single Family Dwelling JOHN O'BRIEN
Partial 2012-568
Need as-built
AO` TOWN OF QUEENSBURY
41101.—kk
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
*kr`*';',WIP'
Inspections per Permit
Permit# P20120568
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
12/24/2012 Septic Single Family Dwelling JOHN O'BRIEN
Approved 2012-568
Received As-Built
01/14/2013 Ice&Snow Sheild Single Family Dwelling JOHN O'BRIEN
Partial 2012-568
1. Rear elevation
2. Half of west elevation
Recheck Balance around Noon
01/14/2013 Ice&Snow Sheild Single Family Dwelling JOHN O'BRIEN
Approved 2012-568
front elevation
Call for recheck of 3 season porch
01/16/2013 Ice&Snow Sheild Single Family Dwelling JOHN O'BRIEN
Approved 2012-568
Balance complete
01/23/2013 Plumbing Vents Single Family Dwelling CHARLES DYER Staff
Approved 2012-568
01/23/2013 Pressure Test Supply Single Family Dwelling CHARLES DYER Staff
Approved 2012-568
01/23/2013 Pressure Test Vent Single Family Dwelling CHARLES DYER Staff
Approved 2012-568
�� TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
Inspections per Permit
Permit# P20120568
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
01/23/2013 Rough Plumbing Single Family Dwelling CHARLES DYER Staff
Approved 2012-568
01/23/2013 Single Family Dwelling CHARLES DYER Staff
Approved 2012-568
Door/Window sealed
01/23/2013 Fire Stopping Single Family Dwelling CHARLES DYER Staff
Approved 2012-568
Attic Access
01/23/2013 Framing Single Family Dwelling CHARLES DYER Staff
Approved 2012-568
Attic Access
01/23/2013 Single Family Dwwelling CHARLES DYER Stall
Approved 2012-568
Jack Posts-Tap con& Lag
01/28/2013 Miscellaneous Single Family Dwelling STAFF
Misc 2012-568
fmal survey received
01/28/2013 Insulation Single Family Dwelling JOHN O'BRIEN
Approved 2012-568
Windows U-29
R-19 WallsR-38 Ceiling
1st Floor ONLY
TOWN OF QUEENSBURY
�� 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
j Community Development-Building&Codes (518) 761-8256
Inspections per Permit
Permit# P20120568
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
01/28/2013 Proper Vent Single Family Dwelling JOHN O'BRIEN
Approved 2012-568
Windows U-29
R-19 WallsR-38 Ceiling
1st Floor ONLY
01/28/2013 Final Survey Single Family Dwelling CRAIG BROWN Staff
Approved 2012-568
02/05/2013 Single Family Dwelling CHARLES DYER Staff
Approved 2012-568
Door/window sealed
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: IVO 3
Queensbury Building & Code Enforcement Arrive: am/pm DepartorAtam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: _
NUT')
NAME. CL- c ,r PERMIT #: / Z
LOCATION: / (73 C-R-, vy1 rL—k INSPECT ON: 3/c/íy
TYPE OF STRUCTURE:
Y 'N NIA
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test r
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 sp_aces _ �^
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
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: r O - 13
NAME: C 0-e
LOCATION: I(a G ' ��Com,� F
PERMIT#: — 5/0,
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:
(-7//
Craig Bro\v rrZoning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
i
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MAP REFERENCE
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ON HIS BEHALF TO THE TTIE COMPANY, GOVERNMENTAL I.
AGENCY AND LEEIZING INSTIIDITION US. HEREON, AND Town of Queensbury, Warren County, New York
169 Haviland Road Queensbury, New York 12804 TO THE ASSIGNEES OF THE LENDING INSTITUTION.' CLU7E
(518) '792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION bwC. No. s5ooi-13
Rough Plumbing 0 Insulation Inspection Re ort
Office No. (518) 761-8256 Date Ins ection xeq est-f ceived:
Queensbury Building & Code Enforcement Arrive: = _spm (9part: a m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials`
j t
NAME: PERMIT ##: I c3--S(
LOCATION: / L v < _ INSPECT ON:
TYPE OF STRUCTURE: S
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction `4...-
Pressure
vPressure Test
Drain /Vent `<v U,61-(A
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes [1_.-3t Lc-1 LI''` '
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes \ T1 c ' '
Insulation/Residential Check/Commercial Check L
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 Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
Na
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: �/ 3
Queensbury Building & Code Enforcement Arrive: am/p •: •art: ,,Q - m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,,i,l11111 ,c
NAME: CJLA7ii PERMIT #: /aCo F
LOCATION: / 6e41 circ- INSPECT ON: /d.3//.0/
TYPE OF STRUCTURE: <-'FC)
Y N NIA
ough Plumbin• ail Plates
I • • 'ent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout eve 100 feet 1 chan•e 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 I Commercial Check
Tyvek or Similar Exterior Sealant
Pro er Vent, Attic Vent _ /
oor/Window aled (No Insulation) �/
er Piping Insulation
If r- •uired unheated s'aces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Reporirevised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
Framing / Firestopping Inspection Report /6
Office No. (518) 761-8256 Date Inspection request received: / 01.3 c-0/3 /p,.
Queensbury Building & Code Enforcement Arrive: _am/pm Depart: :A a /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: " i ti
NAME: PERMIT#: /= k2
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
1(r' N N/A� COMMENTS:
Cami
ti
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing/Bridging
Joist hangers �-, 1 1�
Jack Posts/Main Beams (. L �- i-4-L,7
Exterior sheeting nailed properly v '~
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 Y% (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or Fess on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (VV)
5.7 sf above/ below grade
5.0 sf grade
L:\Building&Codes Fomes-OLD\Building&Code Inspection Fomns\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report LLext �1 )
Office No. (518) 761-8256 Date In. •:M"o -ceived: _
Queensbury Building &Code Enforcement Arrive: .-271=,,e.. ►,-: . -rt: :' Z amjp
742 Bay Road, Queensbury, NY 12804 Inspector's Initia s:
NAME:_ C c- PERMIT#:
LOCATION: C 1, VAQ � INSPECT ON: \
1 _
TYPE OF STRUCTURE: t n
Y 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 I Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall /�,
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
L
Firestopping
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 1 Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1Building&Codes Forms-OLD\Building&Code3\nspection Fam s\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection requ= •:' : •:
Queensbury Building &Code Enforcement Arrive: 17 r:L1O a . •rnl • .rt: 17 =6-c, am pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: � � , c7C7 i, = 4 - PERMIT#: l Z— 5(3)?,,
LOCATION: 1 1c. �j �L �'�i C>�' INSPECT ON: I —i LI -13
TYPE OF STRUCTURE: _ C�
N 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 1 Holes I 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 �. _ P_ ti 1 C5 LF_v ` LA
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour V::G
Firestopping (LE C \1 FC Y
Penetration sealed O F -3 6C
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)
5.7 sf above/ below grade
5.0 sf grade
L:\Building&Codes Forms-OLO\Buikiing&CodesUnspection FamisFFraming Firestopping Inspection Report.doc Revised Januery 7,2008
Framing / Firestopping Inspection ReportM(9Aoirs ( 1
Office No. (518) 761-8256 Date Inspection a«_•• .
Queensbury Building &Code Enforcement Arrive: '- -•-rt: 1 =1 U
742 Bay Road, Queensbury, NY 12804 Inspector's Initia s: _
NAME: ' 'ERMIT#: l - .`��v g
LOCATION: ( (,7 (°T r' INSPECT ON: /.-
TYPE OF STRUCTURE: c- r
N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing / Bridging
Joist hangers
Jack Posts I Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls -
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Ci) d-\(2( E 1--)T 1
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 \t L� alt rJCE r1Vok),,i)
Ceiling/wall
Windows Habitable Space 1 Bedrooms N o
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Building&Codes Forms-0LD1BuildinA&Codes\Inspection Fom s'Framing Firestopping Inspection Report.doc Revised January 7,2008
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection r-. - t rec: v:.'
Queensbury Building & Code Enforcement Arrive: - : .r" .m 'r ..rt: = 11$ �,..
742 Bay Rd., Queenssbu��ryy�,,� NY 12804 Inspector's Initials: ,<„i���� L
NAME: P IIT NO.: I
LOCATION: 1(P �- 2,--{.t9,c_;z c' )lam, IN:PECT ON: t —
RECHECK:
Comments and/or diagram
Soil Type: Sand / Loam/ Clay
Type of Water: Municipal / Well Water ,
Waterline separation distance ft.
Well separation distance ft. csoU A
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 n T
End Cap Y N rr 3 L
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
Separation of Pits ft.
Conforms as per Plot Plan N
Engineer Report and As-Built Y_ N
ETU Maintenance Contract Y N
provided
Location of System o Property:
Front ''ear Left Side Right Side Middle Front Middle Rear
S stem Use St. us:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report_03 29 10.doc
RX Date/Time 12/21/2012 14:07 P.002
Dec 21 12 02:06p p.2
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Septic Inspection Report
Office No. (518) s�
761-8256 Date Inction -.u-i - -.: l//z(21/(7—
Queensbury Building &Code Enforcement Arrive: `75.1 - ;.,:•� 1;i1;0u0"a clark
742 Bay Rd., Queensbury, NY 12804Inspector's Initi. :
NAME: C L�j _ PERMIT NO.: /
z - 5-6/z
LOCATION: ae ( INSPECT ON: Z _ /
RECHECK:
Comments and/or diagram
Soil Ty am/ Clay
Type of Water M�Inicp / 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 2.,, _. ft.
Size of Stone 4r-2
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank 1-1 l` CI} L1r
Tank to Distribution Box " QJC_
Distribution Box to Field / Pit `C RNC_ ccs �EQ-Sr
Opening Sealed: ✓� N
End Cap ✓Y N
Inlet/Outlet Pipes&Baffles v 1' N
Manholes 12"or less below grade N
[provide extension collar if Yes] _Y_ N
Location / Separations OCk \D‘`--L
Foundation to tank 1 I. ft.
Foundation to absorption 2_V__ft.
Separation of Pits ft.
Conforms as per Plot Plan _Y LA(
Engineer Report and As-Built Y ✓N
ETU Maintenance Contract _Y_ N
provided
Location of System on • ••e • .
Front Rear -i 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
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report03 29 10.doc
D.) gid.. .�
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart:3_-_,_erni/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: C, 12 tom . PERMIT#: /)- 6;67 g
LOCATION: / (7-- �.••�\.p._, INSPECT ON: /d /(j—/
TYPE OF STRUCTURE: 0-5 i
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 placeQ(L
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\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection uest-re«;iv, -
Queensbury Building&Code Enforcement Arrive: Depart: I 05—aria/pm
742 Bay Rd.,Queensbury,NY 12804 Inspectors Initials. �
vr!
NAME: OLL.Ltz. PERMIT#: f ().`,5
LOCATION: / Ln C rue v 'zz- INSPECT ON: / ?-f a
TYPE OF STRUCTURE: S F C
Comments
Y /fiT N/A
Footings 1/
Piers
Monolithic Slab
Reinforcement in Place 7
The contractor is responsible for
providing protection from freezing S
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. l/
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:\Buiiding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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