2013-431 TOWN OFQ UEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130431 Date Issued: Thursday, December 18, 2014
This is to certify that work requested to be done as shown by Permit Number P20130431
has been completed.
Location: 9 KNOLLS RD. NORTH
Tax Map Number: 523400-253-003-0001-021-000-0000
Owner: ALAN & JANE KLOEPFER
Applicant: ALAN & JANE KLOEPFER
This structure may be occupied as a:
Fireplace By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan, Variance, or `/)t„
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code orce t
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130431 Application Number: A20130431
Tax Map No: 523400-253-003-0001-021-000-0000
Permission is hereby granted to: ALAN &JANE KLOEPFER
For property located at: 9 KNOLLS RD. NORTH
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: ALAN &JANE KLOEPFER
9 KNOLLS RD.NORTH Fireplace
QUEENSBURY,NY 12804 Residential Addition $75,000.00
Q Total Value $75,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
BOB FEENEY
123 NORTHWEST Rd
OUEENSBURY.NY 12804-0000
Plans&Specifications
2013-431
RES. ADDITION: 660 sq ft Master Bedroom &bath; 593 sq ft basement; 316 sf 3-season porth
w/fireplace; 180 sf deck
$132.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 11,2014
(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 To n of ens ; dldes_day, September 11,2013
/Uf
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
r
\ r r- . _s°""010
OFFICE USE ONLY
TAX MAP Na p.5 3,3— /-0/4 PERMIT NO. 1 7, -- J I
FEES: PERMIT_( ✓ RECREATIONp ENGINEERINGN/fr SEp 0 9 2013
ISS iGC.Qr`f" i^.k X?IA,2 ,(If applicable)49 /
�16 iI0UCI'-bLc,rr,n uzc� — �Ta dee, + �
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. 4 _ 321--4t _ i< ( c e P r
APPLICANT/BUILDER: hL20 `- _e__./A..Z..0 6,3tih, OWNER: itIAA a' UAW
,144
ADDRESS: ADDRESS: _citomtcksivispte___.1..w v2404.
R flim o+ f40
PHONE NOS._________ PHONE NOS. _ !Z 9"b -• 10 3.9__
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Olik4 0.4-. PHONE: 51%-SBO-I
LOCATION OF PROPERTY:__qDi J 14v
� 1400/24_iic R? girt-
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES eNO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: af-S
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT zWI,CHj/1IC.� �,p0( C�1 o
APPLY TO YOUR Q �� co
PROJECT 0 rY O 2 2
w
w u-
ILL w <
O U
w 0 � d d 1- i__: OF- ccwz
Z < < U) u) O LL I— L- d 2 06
SINGLE FAMILY Y VAO. "1';:r ..-.•,..,11 •' 41
•
TWO-FAMILY 0. w, � ' l\ ' ��masilCO bos i
•
MULTI-FAMILY \ � i✓ C�"i'i," S
(NO.of UNITS ) 'P.F-'"' � 3 , 7,044---Ii )^ ' j
TOWNHOUSE L p j`,� �� ,k_ Yl /y` ' S
BUSINESS OFFICE Ci `""-A"t-' `N 0 �t� �- "��
c
RETAIL-
MERCANTILE /�
FACTORY OR (),",/
INDUSTRIAL '
ATTACHED
GARAGE(1,2,3) \ -(�/�
OTHER _ ,(�' ( .'-Y �3�>`-"`r
4/� l'1 0 4 ?� ) �I ST '
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury N/Y 1280
CT4krQ 1r)-8.-CA — F60 k - ---d�
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: Rh..
ESTIMATED CONSTRUCTION COST: 7 57, 066 FUEL TYPE: CAL.-
HEAT
A1HEAT TYPE: *HOW MANY FIREPLACE(S): I_ isbo4AND/OR WOODSTOVES(S): to/Pk _-
ZONING CATEGORY:_a-WI__ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? 140
PROPOSED USE OF BUILDING OR ADDITION: __11)T' ele0a00111 ' U I% 6Ll1
4
1 14
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY? V-N0l13N
'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 a gree to a abs .-.
/
Signed
� � ___ C �_ ./�-
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:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes a(�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
Office Use Only
Town of Queensbury Building & Codes Received: c//c?/moi
Tax Map ID: a53. -/-a
FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.: A 3— Y3 1
Permit Fee: $
Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the NYS 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.
Important Note To Applicant: Rough-In and Final Inspections Are Required:
Date SEP 2013
(
Owner All-A--A- J cL; K(°e p-rer Installer/Builder
Address '�' � r llS Il��rt�, Address
Phone -7/2 -10 ( )1 Phone J
ii
Location of proposed construction and/or installation: 1 `2- lT�s''�I V�! f
Contact Person for Building&Codes Compliance: 10%6.(-
Subdivision Name:
Fuel Burning Appliance Information Wood Coal Pellet Gas Oil
Stove
Fireplace Insert !
>C Fireplace,factory built* ' '. 7_ cL.• '�C t(j f) [t"
Fireplace,Masonry (/
Furnace,(Garage Only)
*If Factory Built, Please Provide: Manufacturer Name: Model No.
Listed By: Number:
Chimney Information
Masonry** ✓check one _Block _Brick _Stone
Flue ✓check one Tile Steel Size in Inches
Material ✓check one _Double Wall _Triple Wall _Insulated _Direct Vent _Chimney Liner
**If Non-Masonry,please provide: Manufacturer Name: Model No.
Signatures: ?
�
Print Name: G7�-� -
. ,'--""Signature: ed.44/) '/ - Date: j --3
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.
(A)Col
Queensbury Building & Code Enforcement - Residential Final Inspection
c2_\ t
Office No. (518) 761-8256 Arrive: am/p D art:..- am/pm
Date Inspection request received: Inspector's Initials:
NAME: K 1 he.pjgr PERMIT#: 1 3- 13
LOCATION: K n o v 1 S' Rd N b -I- DATE: !' c
TYPE OF STRUCTURE: (i g S Acha
Comments:
Yes No N/A
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 1,/,/
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 V<.,7
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 gl- ' g
Interior Smoke Detectors/Carbon Monoxide rete ors
Every level: Every Bedroom:
Outside every bedroom ala:
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 r/
Foundation insulation to floor/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
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure ..do""-
Final
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan 410
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:\Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
/,f5 r"
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial 1
6
NAME: '�A- "�C' PERMIT#: 3
LOCATION: AC NINSPECT ON: _ (��It
TYPE OF STRUCTURE: �{ �, 4\-)k _
Comments
VN
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 ff
Foundation Dam roofm
PP 8
Foundation Waterproofing
111111.„
FootinDrain Daylight or Sump
Footing Drain Stone: 11_
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
Rough Plumbing I Insulation Inspection Ne o
11 ?�
Office No. (518) 761-8256 Date Inspectiopreq est re.-" ed: -�
Queensbury Budding & Code Enforcement Arrive: a 'y• $ - 'art: \u=3a.
742 Bay Road, Queensbury, NY 12804 Inspector's f • . -: �-
i
NAME: r PERMIT ##: 13-' 1�3�
LOCATION: q ,b( n„ /i� o r/.44, INSPECT ON: I-- 9-//
TYPE OF STRUCTURE:
Y N N/A I
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
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/Head
50 P.S.I for 15 minutes
Insulation /Residential Check/Commercial Check Rca::.\-Nyl ?- 1�i
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent F D k e\
Door/Window Sealed (No Insulation) '
Duct/ Hot Water Piping Insulation E y:--c
If r=.uired unheated s•aces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape ledo
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
1t e' %f2--/
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart:f 1 Cr am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's InitialsC G J
NAME: R-1 o& rfero PERMIT #: / 3
�'K„p
LOCATION: o.7, 4-h INSPECT ON: , '2 ..
�Is �v
R
TYPE OF STRUCTURE: ____2(0. 4,ict
Y‘zif4
N/�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/Head
50 P.S.I for 15 minutes _
Insulation /Residential Check/Commercial Check Vit)ra `_
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
7Ve
COMMENTS: e
C-�-�, -� � —
Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /t 01)-9 / 3
Queensbury Building &Code Enforcement Arrive: `,AJ am/pm Depart: /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 6449
NAME: /"\ I U e PERMIT, it: ' 1 3 -- '3f
LOCATION: oC1 cri= INSPECT ON: 36 j / 3
l
TYPE OF STRUCTURE: /<e' ?Vac'-\
Y N NIA
Rou!h Plumbin• I Nail Plates
Plumbin• Vent/Vents in Place
1 Y2 inch minimum Drain Size
Washin• Machine Drain 2 inch minimum
Cleanout every 100 feet I chan•e 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/Head
50 P.S.I for 15 minutes
Insulation / Residential Check I Commercial Check
P•• •er Vent, Attic VentAI E ASIMIE
err- '• ow ;sled No Insulation 4111111
Duct I Hot Water Piping Insulation �■
If r-•uired unheated s•aces
Combustion Air Su• • for Furnace
Duct work sealed •ro•erl 1 No duct to•e MEM
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Y/ .,
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection rjquest received:
Queensbury Building & Code Enforcement Arrive:G1,' ' `1 am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Ini
NAME:
ials - 7
NAME: f1 I 0 6' Ei PERMIT#:
LOCATION: I I S tp lv INSPECT ON: -67 -0
TYPE OF STRUCTURE:
N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum
Jack Studs / Headers
Truss Specification Provided V
Bracing / Bridging
Joist hangers r�
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
11/2 (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 ans water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space / Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestapping Inspection_Revised_02 05 13
JO-
Framing
/-Framing / Firestopping Inspection Report (Jab&
Office No. (518) 761-8256 Date Ins ectiog`quest received:
Queensbury Building & Code Enforcement Arrive: ;L_L)(/ am/pm
742 Bay Road, Queensbury, NY 12804 Inspecto s Initials:
NAME: 4<J 1-) ' PERMIT #:
LOCATION: c Rd. A) INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum
Jack Studs / Headers
Truss Specification Provided
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
11/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center 1
Ice ans water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space / Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_Flevised_02 05 13
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Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection . }u• -i s
Queensbury Building & Code Enforcement Arrive: n h �
742 Bay Road, Queensbury, NY 12804 Inspector's Initials' .I
NAME: 1 L�N "R,J— PER ) 3 r.&j:.
LOCATION: cy n g,J/ Rd PC •Ai INSPECT ON: /.;) -%,
TYPE OF STRUCTURE: Re,oS
Y N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum
Jack Studs / Headers
Truss Specification Provided
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
11/2 (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 ans water shield 24 inches from wall '73 E _\}
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space / Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 05 13
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection requ,i :
Queensbury Building &Code Enforcement Arrive: .Arrive: 3 =qc- a la Au rt: =f;
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: !'.,ti
NAME: &1 0(":7.. 1-:-)( .7.: PERMIT#: G-W 3
LOCATION: CtK>;,o 4/ PSD }* INSPECT ON: (?_— -1:-.7
TYPE OF STRUCTURE:
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 i
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
iIcnchor Bolts 6 ft. or less on center
e and water shield 24 inches from wall \ .7----- k)CY\-- _r=0.
Fire separation 1, 2, 3 hour
Fire
Fire wall 2, 3, 4 hour U`t�S i CJA LL V
Firestopping \ ��C.�V\C < `
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side ' inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall , _ _-
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1Building&Codes Forms-OLD\Buiiding&CodesUnspection Forms\Framing Firestopping Inspection Reportdoc Revised January 7,2008
Foundation Inspection Report
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://� ._ `J
NAME: A j (' er PERMIT#: 13� - <(:� j
LOCATION: q j� �;its AL)C 4 h INSPECT ON: //—17--/
TYPE OF STRUCTURE: to4±-ft
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval ✓ —'�
' r ..-' Under Slab f
VC/ t/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Bullding&Codes Forms\Building&Codes\1nspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
1cL
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: J) 1 s-'-am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: :9
I
NAME: �-cto PERMIT#: ; _ ' �
LOCATION: et ko i'iLS R d - -Li INSPECT ON: / / L/ —1. 3
TYPE OF STRUCTURE: R ,s Adcl
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 kampproofm
Foundation Waterproofing
Footing Drain Daylight or Sump f/
Footing Drain Stone: {�_ , I v p\\ 'l� t V
) 11
12 inch width t` n •
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:\Butiding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
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: >c
NAME: H I c p-'€r PERMIT#: 1 1 1 3 1
LOCATION: C1 ►S f- fsi' r t —} 11 INSPECT ON: J - ,3 1.-I 3
TYPE OF STRUCTURE: 3
/ 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 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:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
r\OL"06.1.usr,q—/
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Dep ; C( am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:469 )
NAME: k< I e r PERMIT#: / 3- </3 I
LOCATION: INSPECT ON: /
TYPE OF STRUC ' :
ti)n271IS `k Comments
Y /N NL
),4, 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 S61 -7"--1%7Footing 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
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