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2013-030 TOWN OF QUEENSBURY Fors 742 Bay Road,Qucenshury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Q.. Permit Number: P20130030 Date Issued: Monday, January 06, 2014 This is to certify that work requested to be done as shown by Permit Number P20130030 has been completed. Location: 68 West Mountain Rd Tax Map Number: 523400-315-006-0001-023-000-0000 Owner: KEVIN & TRACY EDWARDS Applicant: KEVIN & TRACY EDWARDS This structure may be occupied as a: Fireplace By Order of Town Board Porch gee) OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property /�"-- owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. 0.114 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130030 Application Number: A20130030 Tax Map No: 523400-315-006-0001-023-000-0000 Permission is hereby granted to: KEVIN & TRACY EDWARDS For property located at: 68 West Mountain Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: KEVIN & TRACY EDWARDS porch $20,000.00 68 WEST MT. Rd Total Value QUEENSBURY,NY 12804 $20,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency COLLETTE BUILDERS BRADLEY COLLETT 365-1495 23 MAPLE Dr OUEENSBURY NY 12804-0000 Plans&Specifications 2013-030 3 Season Porch 224 sq ft(convert deck) $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, February 13,2014 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town¢I`Que sbu We, �e r a ebruary 13, 2013 �� SIGNED BY for the Town of Queensbury. Director of Building& Code Enforcement OFFICE USE ONLY TAX MAP NO.3 S• •� - 3 PERMIT NO, � 3 3- DAD / / / / + ) t �i j FEE PAID IF ':LDG, &CODES APPROVAL ', , , • • • • : • • ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION Use this application for any structure other than the Principal Structure (house) to include, but not limited to: garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures- Sheds/Fences. A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. G OWNER: Co Ife- " Vii ( e TS INSTALLER/BUILDER:XeiJk + i ray Gr 0G lo/3" ADDRESS: a 3 1 m )e ADDRESS: 64 JPS7 ,i &I. mens b0(-7 N y / YO PHONE NOS, 51 g—3&5- 9 5 PHONE ONE NOS. ; 7 1 .4. LOCATION OF PROPERTY: SUBDIVISION NA E: r 1.47 LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: / 6 '� /II . HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0 NO , IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL: ESTIMATED COST OF CONSTRUCTION: t2 U�UV ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? IF YES,PLEASE LIST: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: 1sT FLOOR 2ND FLOOR TOTAL PROPOSED PROPOSED CONSTRUCTION SQ,FT. SQ,FT. SQ.FT, HEIGHT FT,&IN, P PORCH , �d q 8111 DECK J p___ SZ 3 SEASON,COVERED OR ENCLOSED PORCH" CistilS411 BOATHOUSE + ' 3 fe;i-----------' BOATHOUSEvci(--- WITH SUNDECK ,?) • • DOCK SHED POLE BARN DETACHED GARAGE(NO.OF CARS: ) OTHER ACCESSORY STRUCTURE: *CONSIDERED FLOOR AREA & MUST COMPLY WITH FAR [FLOOR AREA RATIO].REQUIREMENTS IF THE STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE. To the best of my knowledge, the statements contained in the application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed surveyor, drawn to scale, showing actual location of all new construction. QUESTIONS? CALL 761.8256 OR EMAIL I have rend agree t the above, codesCci74ueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION Signed, [tea �G Dated: 3 www.cweensburv.net • Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804 0bB -o3o Revised 4/14/2010 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. im•ortant Note To A. •licant: Rous h-In and Final Ins•ections Are Re.uired: i ; Owner:: Y�EV 11 + I rctr Cdr/ d5 Installer/Builder: �—// / I y Address: 6 Y (A)CS- rn T. e0. Address: ceu Phone Nos.: q0)-(00021 " -/9(-0393 Phone Nos.: Location of Property: Cog(�esf(�11.1� Subdivision Name: 1-ConLocation of Proposed Construction and/or Installation: (0 y i -/- (111- Contact tact Person for Building & Codes Compliance: Fuel Burning Applicance Wood Coal Pellet Gas Oil Information Stove Fireplace Insert Fireplace, factory built* Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: 14ENT A-- (AO Model No. 3L' 1 a)-17<.-11-'--1— I1) Listed By: Number: Chimney Information BLOCK BRICK STONE Masonry** Check One/ cl TILE STEEL y SIZE IN 78 - INCHES Flue Check One V " --I- DOUEefALL TRIPLE WALL INSULATED DIRECT CHMNEY VENT LINER Chimney Material Check One/ ** If Non-Masonry, please provide: Manufacturer Name: 404 D Model No. S L 7COT I' D ADDITIONAL NOTE: CONSTRUCTION / INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 jd w -fir/ ( � Queensbury Building & Code Enforcement - Residential Final Insp ction O " Office No. (518) 761-8256 Arrive: r% : ar t/pqn__ -Depart %"'Cam/pm Date Inspection request received: Inspector's Initials;. % _ % NAME: rete eOltt?Q.lcig PERMIT /,_- 0.30 LOCATION: (47 S* ix)+A DATE: 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 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/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 1 Sticker on Panel t',3•1\ CAD� 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 Enclosed Stairs Sheetrock Underside minimum Y2"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% 1 \ A C�._ Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles fr L. J 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/O j Temporary/Permanent] V / L:\Building&Codes Forms\Building&Codes\Inspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10, Revised 04/13/11 Queensbury Building & Code Enforcement - Residential Fi•al Inspection Office No. (518) 761-8256 Arrive: —1 �j Iv a •• :art: '=I 1amipm Date Inspection request received: Inspector's Initials: NAME: r?0fel.cJ`if"-Cac cC�r.r (7-4._S P' IT#: l�" C?.3D LOCATION: �'k [ I; E: /31— —/ 3 TYPE OF STRUCTURE: Cr C.h Comments: Year No N/A ( nQ !C 4" Building Number Address visible from road C- N / C4iX Chimney Height/"B"Vent/Direct Vent Location fq...4-17,,,;e ,/ (, -9 - 5 �/� Fresh Air Intake h �7 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 L_ Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more +� �� k V__17 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 I doors/main entrance 36 inches -- N -6-o Bathroom/Kitchen watertight /� t Safety glazing/Window in stairwells safety glazing ��Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: t 1 , Outside every bedroom area: Inter Connected: Battery backup: `tom [iU 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 1 Sticker on Panel L� J Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. ` O��� �����\ Emergency egress below grade b71 -tv 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 1/z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched IX 12 Garage fireproofing/ our fire door/door closer GasLogs in Sealed or GlassEnclosureONE 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/0[Temporary/Permanent] 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 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 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# Schedule Inspection Time am pm anytime Inspector Name Address Rough In Final Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration (\(\_Vent Clearances to Combustibles V NJ Vent/ Chimney Termination Chimney height must be 3 feet above roof ) 05-19 penetration; 2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) CO Detection CSST Bonding �Y o White—Building Dept. Yellow—Cust)mer Pink—Fire Marshal Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: _am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: /.47 NAME: r w1X.Y`I PERMIT#: CI - G-70 LOCATION: rc'_3 r I INSPECT ON: ,#/r' TYPE OF STRUCTURE: N N/A COMMENTS: Framing Attic Access 22" x 30" minimum -- Jack Studs/ Headers Bracing I 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 % (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 's 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 Forrns-OLD\k3uilding&CodesUnspection Famis\Framing Firestopping Inspection Report.doc Revised January 7,2008 Framing / Firestopping Inspection Report 4( ---- ID Office No. (518) 761-8256 Date Inspection request received: L1 1.3 (t/1----• Queensbury Building &Code Enforcement Arrive: am/pm Depart am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �' NAME: °Ki�v;V� I PERMIT#: 3 ' , Cy�O LOCATION: INSPECT ON: MS? �� TYPE OF STRUCTURE: `z Z A. ' / 3 010// 3 / , Y N NIA COMMENTS: .Atdd1/4:64 ,, Framing ..______) Me cress 22" x 30" minimum / 46.6- Jack Studs/Headers Bracing/BridgingV r ( e- Joist hangers C'/ Jack Posts/Main Beams T Exterior sheeting nailed properly 12" O.C. y t a. Headroom 6 ft. 8 in. , �Q Stairwells 36 in. or more J> '� Exterior Deck Bracing g,,, �2�J7- -� Headroom 6 ft. 8 in. �- v <P` A1A Notches/ Holes/Bearing Walls Metal Strapping for Notches Top Plate ' 1/ 1 %(w) 16 gauge (8) 16D nails each side �. � 'Z-tAJ 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 '� � �� W,` " - Firestopping , Penetration sealed tcu -� e- (- :_ 16 inch insulation in cavity min. f �`���11Imo ` L Garage Fire Separation -1.,_, -,='�C� House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall /\ (-2-012__-c< tk-4C- Windows Habitable Space/ Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\Buiiding&Codes Forms-0LD1Building&C:odesUnspection FormssFraming Firestopping Inspection Report.doc Revised January 7,2008 Framing / Firestopping Inspection Report e 9. 3 Office No. (518) 761-8256 Date Inspection ` `� p'�'� request received: • Queensbury Building &Code Enforcement Arrive: am/pm Depart:I–) am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:/1.0\, ;k7 t / L, • r / NAME: 2 o� /'GI PERMIT'#: / 3 '6 3 0 LOCATION: Co _ -A Rc INSPECT ON: TYPE OF STRUCTURE: — Po rel, N N/A COMMENTS: Framing /� Attic Access 22" x 30" minimum /� i'n 'n Jack Studs/Headers -A9'`11c5 Bracing 1 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 '/2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 6 ft. or less on center 7 Ice and water shield 24 inches from wall ' / - ``- Fire separation 1, 2, 3 hour � Fire wall 2, 3, 4 hour i— A Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side I/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space / Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above / below grade 5.0 sf grade _ L:1l3uilding&Codes Forms-OLD1Suildinq&Codesllnspection FomisWraming Firestopping Inspection Report_doc Revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �. �N ' - PERMIT#: __ v LOCATION: INSPECT ON: t TYPE OF STRUCTURE: çL ) \ )) Y N RJ/A 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. L. Notches I 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 741\A-4-3N"‹11,- 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 '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall _ l Windows Habitable Space / Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above / below grade 5.0 sf grade L:\Building&Codes Forms-OLD\Building&CodesUnspection Fom s'Framing Firestopping Inspection Report.doc Revised January 7,2008 Foundation Inspection Report 1 cuLA a. Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: C.. dt td ��f'�, g PERMIT#: / —03 v LOCATION: 62 g ) M* RtA INSPECT ON: -ct 3-13 TYPE OF STRUCTURE: f',,(-CA" 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 e 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 �ondo 1 - 3 Foundation Inspection Report a1( I- Pe Rp° J Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:Mc am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 1 "Z NAME: d 9 PERMIT#: r 3--6 3 0 LOCATION: tug (.iJ Mtn k INSPECT ON: Y —1 3 TYPE OF STRUCTURE: •Y,,rc-1 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 — CDA''et- 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 y1PFo1 )--110 .4- Foundation undation Inspection Report Office No. (518)761-8256 Date Ins. - tion , , - -i - .. `� If 13 Queensbury Building&Code Enforcement Arrive: � IgDepart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi: s: r NAME: fr i��1-/"1.5 S 1'3-030 LOCATION: p � / #SPECT ON: t! 1 d29 l3 TYPE OF STRUCTURE: 3 ri.`4 - Comments _ Y N NLA ootings 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 y �� 1a• ' TABLE 1(301.2(1 CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA _ • Wind , SUBJECT TO DAMAGE FROM1.2 Ice shield ��GROUND! 1 SEISMIC - - Winter underlay- { SNOW I DESIdN Frost line Design imint Flood LOAD SPEED°(mph) CATEGORY9 Weathering° _ depthe Termite° Decayd Temp! required hazards', y 'i '7o ' 9p © Setr — 48" M-N S—M — '7 `( BS Pb4~ For Si: 1 pound per square foot=0.0479 kN/m'2, I,mile per hour T 1.609 lun/h. a.'Weathering may require a higher strength concrete'or grade of masonry than necessary to satisfy the structural requirements of this code.The weathering column 'shall be filled in with the weathering index(i.e.,"negligible,""moderate"or"severe")for concrete as determined front the Weathering Probability Map[Figure 1(301.2(3)].The grade of masonrylunits shall he determined from ASTM C 34,C 55,C 62,C 73,C 90,C 129,C 216 or C 652. . b,The frost line depth may require deeper footings than indicated in Figure R403.1(1).The jurisdiction shall fill in the frost line depth column with the minimum depth of footing helow finish grade. . c. The jurisdiction shall fill in this part of the table with "very heavy,""moderate to heavy,""slight to moderate,"or"none to slight"in accordance with Figure . R301.2(6)depending on whether there Inas been a history of local damage. d. The jurisdiction shall fill in this pant of the table-with"moderate to severe,""slight to moderate,"or"none to slight"in accordance with Figure 11301.2(7)depend- ing on whether there has been a history of local damage. - e. The jurisdiction shall fill in MIS part of the table with the wind speed from the basic wind speed map[Figure R301.2(4)].Wind exposure category shall be deter- mined;on a site-specific basis in accordance with'Section 8301.2.1.4. I'. &afar tv Table N11012 "Winter Deafen Drv1bullS Temperature"column y g.The jurisdiction shall fill in this part of the table with the Seismic Design Category determined from Section R301.2.2.1. h.The jurisdiction shall fill in this pati of the table with(a)the date of the jurisdiction's entry into the National Flood Insurance Program(date of adoption of the first code or ordinance for management of flood hazard areas),(b)the date(s)of the currently effective FIRM.and FBFM,or other flood hazard map adopted by the community,as may be amended. j, See Figure 1(301.2(5)for ground snow loads y 10_,c, �SAMFsRc'<e), III cr 4 t NW PiJ i 9 0 {I. vOp 3285 tt --- i7 --- --------- --- , I ' • . - . . . ..44.1;•-.±<::1;-:!..:S..1.- Cf:Ic?:?-i.-.•;::C.r-:cf.f...;t4-?;-:1;-5.::?;---T...::::::':;'Lze.''.4.7i7.0: -.4-.•,:c-77----: 1 J11314 dOet II .-1.?->,lit.,-fr:--7:.::a..i:-.,;_=z-if..,.i.r,!..;!,-_,,::.:::-.-ize-;-..,,,r,±_-:;=_- _ --;.:::-.ktis.:4-,/ 40 t gZ E 2.0 Ikr, i -:'7:: :‘"-i:;-•::',f,::':gf.,:,:.fs:.---;;t9f:4-Y?:4:27;"r""."__ Z;VII-I• 's 1044:, , . :c:: 7:- .' 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