CC-000356-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
— Community Development - Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-000356-2015 Date Issued: Tuesday, May 31, 2016
This is to certify that work requested to be done as shown by Permit Number CC-000356-2015
has been completed.
Tax Map Number: 296.15-1-2
Location: 86 Gentry LN
Owner: Sch Cottage Hill, LLC
Applicant: Schermerhorn Properties
This structure may be occupied as a: 4-unit townhouse w/garages and FPs
Correct Legal Address: 86 Gentry Lane, Bldg A By Order of Town Board
(previously number 84 Gentry Lane is not correct) 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 other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
QL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000356-2015 FJP -LU Z-Z
Tax Map No: 296.15-1-2
Permission is hereby granted to: Sch Cottage Hill,LLC r', s ,wmc
For property located at: 84 Gentry LN R� E ®
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
Tvoe of Construction
Owner Name: Sch Cottage Hill,LLC Townhouse-New $200,000.00
Owner Address: 536 BAY RD Total Value $200,000.00
Queensbury,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
Schermerhom Properties
536 BAY RD
Queensbury,NY 12804
Plans&Specifications
4-unit townhouse w/garages and FPs
PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 17,2015
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town uee uryWe sd mber 17,2014
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
S
-r -__-' I-,OFF:CR USEOLU;---"'----"---.�.-_ „�-rr st�r.+g010
TAX NIAP NO. .9(o1 S _PERMIT KID. ;
FEES: PERNIIT.1� REATlONENGI RiYG ;
(If applicable)
-_ ;
=- _. -_- - 3YdU--------------------- _-------,
PRI CIPAL STRUCLUM. APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANTIBUILDER: 6RASM04bW IFMRQOP.OWNER: �s
ADDRESS: 66(a tAne 7- ADDRESS:
PHONE NOS. '��j P�"l PHONE NOS-
CONTACT PERSON FOR BUILDING&CODES COMPLIAN �
E p�HONE: 1611b a90_LftCa
LOCATION OF PROPERTY: ��A Z`
!�
HAS THERE BEEN A SITE PLAN REVIEW;VARIAN OP!SUBDNISION APPROVAL? [dJ YES ❑ NO�a
IF SO, INDICATE APPLICATION NO,AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY-10 YOUR z 0 tY CJ ❑
PROJECT O ¢ O O (Z) G w = rn
1_ w OC -j W -j 0 = =
❑ F m O = 14- 0 (7U
z Q Q r (n N co O LL I-l~L d= C6
SINGLE FAMILY
TWO-FAMILY
' MULTI-FAMILY /
(NO.of UNITS$j
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED /
GARAGE(1,2,3) ' go
OTHER
Town of Queensbury°Community Development Office742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:__
ESTIMATED CONSTRUCTION COSTS ftoI OW FUEL TYPE:
HEAT TYPE: _=HOW MANY FIREPLACE(S):_SAND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? [�j
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: _ JDwr-14cU6ratt—
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?_
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 pertormed 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 t h above./
Signed
__.
�...�.. ..z
Town of Queensbury. Community Development Office`742 Bay Road, Queensbury NY 12804
s Oftice Use Only
Town of Queensbury Building & Codes
Received:
Tax Map ID:
FUEL BURNING APPLIANCE &CHIMNEY APPLICATION Permit No
Permit Fee: $
Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the NYS Fre Prevention &
Building Code. The applicant or owner agrees to comply with all applicable laws,ordinances, regWations 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 _42 Z4
Owner 9
AddressInstaller/Builder
Ate, Address
Phone Ca>z4t Giti�Pv_n `v�+7'
Phone
Location of proposed construction and/or installation: cpt'Taa% AI LL A1��
Contact Penson for Building&Codes Compliance: ,apt,(,�
Subdivision Name: 0 .n 4�1 LA�
Fuel Burning Appliance Information Wood
Coal Pellet Gas Of!
Stove
Fre lace Insert
Fre lace,facto built`
Fireplace,Mason
Furnace, Gard a Only)
If factory Built,Please Provide: Manufacturer Name: P
Model No. aa�V—�l0
Listed By. Number. _
Chimney Information
Masonry" ✓check one _Black
_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: Nt(, rr[7
Signature:
Date: 0
;
ADDITIONAL NOTE: CONSTRUCTIONANSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE
AND/OR MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING
REQUIRED INSPECTIONS.
RUCINSKI HALL ARCHITECTURE
LBU
� 'Ronald Richard Rucinski
Ethan Peter HallMAY 20 2016134 Dix AvenueGlens Falls NY 12801 N OF CiUEENSBURY
IL.DINC& CODES
Voice 518 741 0268 --
Fax 518 741 0274
Email ephall@nycap.rr.com
Special Inspection Report
To: John O'Brien -Town of Queensbury—Code Enforcement Officer
From: Ethan Hall
Date: 20 May, 2016
Re: Schermerhorn Residential Properties—Cottage Hill Townhouse Apartments— 86 Gentry
Lane
At the above referenced project location this office performed periodic on site observations of the
construction. All items appear to be installed in accordance with the construction drawings.
If there are any questions please contact our office.
Regards,
�.,
Ethan P. Hall —Architect
Rucinski Hall Architecture
oz7a�' �
NIP
Y:\Schemerhom\Cottage Hill Apartments\PapemorklSpecial Inspection Letter-86 Gentry Lane-20 May 2016.doc 1
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Please input agency related information you want to display on the generated reports
Cellphone:XXX-XXX-XXXX.Address:XXX XXXXX BLVD XXXX
Case Number: CC-000356-2015keic,
//1 I / j1 Case Module: Permit
Inspection Date: 11/18/2015 (v!/ (%'(l Inspection Status: Scheduled
Inspector: Gary Stillman Inspection Type: Gas Fireplace/Stove
Job Address: 84 Gentry LN Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Contractor [Schermerhorn Properties]
Primary Owner [Sch Cottage Hill,LLC]
Architect [Rucinski-Hall Architecture] Hall,Ethan
Granted Permission [Sch Cottage Hill,LLC]
Applicant [Schermerhorn Properties]
Checklist Item Passed Comments
Gas Shut-off Valve-Gas Shut-off Valve YES
Vent Chimney Termination -Vent Chimney Termination YES
Hearth Extension(if any)-Hearth Extension(if any) YES
CSST Bonding-CSST Bonding NO Return to verify
Firestop(s)-Vertical Chase -Firestop(s)-Vertical Chase YES
Witness Operation-Witness Operation NO Return to verify
Vent Clearance to Combustibles-Vent Clearance to Combustibles YES
Floor Protection-Floor Protection YES
CO Detection-CO Detection NO Return to verify
Mantel-height above fp opening-Mantel-height above fp opening NO Return to verify
Firestop(s)-Wall Penetration -Firestop(s-Wall Penetration YES
Building Inspection notes-Building Inspection Notes YES 88 Gentry Ln
Serial#A1 5101 1 837,A151023139,unit C unknown,A1 51023 1 48
86 Gentry Ln
Serial#A151023141,A1 5101 1 835,A151023140,A151023147
Clearances to Combustibles(all sides) -Clearances to CombustiblesYES
(all sides)
Combustion Air-Combustion Air YES
General Comments-General Comments YES fireplace inspections for 86 and 88 Gentry Ln.,four units in each
building
D Davis Stillman,Gary(Inspector)
Nov 18,2015 Page(6)
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: ) ' Timer
742 Bay Road,Queensbury NY 12804 Re-Inspection �`
518 761 8206/518 761 8205 CO Inspection Permit#: O 6a f qw .S
Ei Marshals Representative
MJ Palmer Business Name: CiiLi =� Lv c 5
Location: (?....)G t Lr.tyt L„
GK Stillman Contact:
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES: 1 C(C—.
Main Aisle Width FC 1024/1025&FC1029.11 —�
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 t\R l Ot(
Inspection of extinguisher FC 906
EVAC Plan FC 404.2 S rrzutiI((j
TRUSS ID SIGNAGE FC 505.3 1
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3 •
Clearance to Electrical FC 605.3 �(
Electric Wiring Enclosed/Labeled FC 605.3.1 �(
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610
3
Clearance to Sprinkler/Ceiling FC 315.2.1 ,
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
Emergency Disconnect FC 2203.2 21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual ....—
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
f` •
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:..;. ,., .. .. ..:..
Town of Queensbury-Building and Codes- Fire Marshal
742 Bay Road-(518)751-8256 Ruilriing(518)761-8206 Fire Marshal
Case Number: CC-000356-2015 Case Module; Permit
Inspection Date: 05/31/2016 Inspection Status: Passed
Inspector: Mike Palmer Inspection Type: OCC-Inspections
Job Address: 86 Gentry LN Parcel Number: 296.15-1-2
Queensbury. NY 12804
Contact Type Company Name Name
Granted Permission [Sch Cottage Hill,LLC]
Applicant [Schermerhorn Properties}
Architect [Rucinski-Hall Architecture]
Primary Owner [Sch Cottage Hill,LLC]
Contractor [Schermerhorn Properties]
Checklist Item Passed Comments
Combustibles in Equipment Room:. FC 315.2.3 YES
Secondary Aisle Width FC1025&FC1029.11 YES
Clearance to Sprinkler/Ceiling FC315.2.1 18"/24" YES
Sprinkler System Annual YES
Truss ID Signage FC505.3 YES
Knox Box:installed/checked FC50u YES
Clearance to Electrical FC 605.3 YES
CO Detectors FC610 YES
Electrical Wiring Enclosed/Labeled FC605.3.1 YES
Fire Marshal YES 4 plex
Sprinkler FDC YES
Occupancy Cycle YES R
F.D.Signage-FC510 YES
Interior Finishes FC803-804 YES
Smoke Detectors FC907 YES
Denny Palmer,Mike(Inspector)
May 31,2016
FILL I GYM G14tKUY f P 1KG{G
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CI:J 7+.711 LCJlO CJ tS:lt3 ali5 L.7 iSLOGO
•FIRETE
SPRINKLER SYSTEMS .LL:C.-
S8 Hudson River Ind- •Waterford,INY 111:8
1.
•P'hone-(518)244- Y72 Fax:(518)2w2608
5/27/16
Mr. Mike Palmer.
Fire Marshall
Town of Queensbury
742 Bay Rd.
Queensbury,NY 12804
RE: Cottage Hill Apts.
86 Gentry Lane
Queensbury,NY
Mike,
The installation of the fire sprinkler system, at the above address, has been completed. The system is on and
operational. To the best of my knowledge the installation conforms to NFPA 13R. Should you require anything
further,please give me a call.
Sincerely,
ed-", Z4/24,4,0eg8,:e1;4,...
•
Richard E Boucher •
Vice President
N;AY 31 20.16
TOWNOF j yL1µ ,R
• BU L.O'NG&CODES
Town of Queensbury-Building and Codes -Fire Marshal
742 Bay Road-(518)76 fi-8256 Building(518)761-8206 Fire Marshal
Case Number: CC-000356-2015 Case Module: Permit
Inspection Date: 05/27/2016 Inspection Status: Passed
Inspector: Mike Palmer Inspection Type: Gas Fireplace/Stove
Job Address: 86 Gentry LN Parcel Number: 296.15-1-2
Queensbury,NY 12804
. „
Contact Type Company Name Name
Applicant [Schermerhorn Properties]
Architect [Rucinski-Hall Architecture]
Contractor [Schermerhorn Properties]
Primary Owner [Sch Cottage Hill,LLC]
Granted Permission [Sch Cottage Hill,LLC]
Checklist Item Passed Comments
Mantel-height above fp opening YES Return to verify
OK 5/27/2016
Vent Clearance to Combustibles YES
Building Inspection notes YES 88 Gentry Ln
Serial#A151011837,A151023139,unit C unknown,A151023148
86 Gentry Ln
Serial#A151023141,A151011835,A151023140,A151023147
Hearth Extension(if any) YES
CSST Bonding YES Return to verify
OK 5/27/2016
Combustion Air YES
Witness Operation YES Return to verify
OK 5/27/2016
Floor Protection YES
Firestop(s)-Wall Penetration YES
CO Detection YES Return to verify
OK 5/27/2016
Clearances to Combustibles(all sides) YES
Firestop(s)-Vertical Chase YES
General Comments YES fireplace inspections for 86 and 88 Gentry Ln.,four units in each
building
Vent Chimney Termination YES
Gas Shut-off Valve YES
Denny Palmer,Mike(Inspector)
May 27.2016 Page(1)
Innovative Hearth Products Installation
SuperiorTM DRT2000 and DRC2000 Direct-Vent Gas Fireplaces 900004-00,04/2015
Table 7:Horizontal vent termination clearances for buildings with combustible and noncumbustible exteriors
Inaltle cam., Outside corner Reuesetl Location
iii
See Table 5 8 Ni/ 1;
-H- —G� i/ a_�! /�/
IT
���1 lJ
Fixed —B—O \—I
lose. Openatie FIXeU \ Bakony with No Sick Well Balcony with Perpendicular Sick Wall
a L F_V Openable Closed_,.B
❑V TERMINATION CAP O AIR SUPPLY INLET IN GAS METER Q RESTRICTED AREA
(TERMINATION PROHIBITED)
U.S.Installation** Canadian Installation*
A Clearance above grade,veranda,porch,desk,or balcony 12"(300 mm)** 12"(300 mm)*
B Clearance to window or door that may be opened 6"(150 mm) 6"(150 mm)
for fireplaces<10,000 Btu/h(3 kW), for fireplaces<10,000 Btu/h(3 kW),
9"(230 mm) 12"(300 mm)
for fireplaces>10,000 Btu/h(3 kW),and<50,000 Btu/h for fireplaces>10,000 Btu/h(3 kW)
(15 kW),
12"(300 mm)
for fireplaces>50,000 Btu/h(15 kW)**
C Clearance to permanently closed window 9"(229 mm) 12"(305 mm)
recommended to prevent window condensation recommended to prevent
window condensation
D Vertical clearance to ventilated soffit located above the 18"(458 mm) 18"(458 mm)
termination within a horizontal distance of 18"(458 mm)
E Clearance to unventilated soffit 12"(305 mm) 12"(305 mm)
F Clearance to outside corner 5"(127 mm) 5"(127 mm)
minimum minimum
G Clearance to inside corner 6"(152 mm)minimum 6"(152 mm)minimum
H Clearance to each inside of center line extended above 36"(910 mm) 36"(910 mm)
meter/regulator assembly within a height of 15 ft above the meter/regulator assembly** within a height of 15 ft above the meter/
regulator assembly*
I Clearance to service regulator vent outlet 36"(910 mm)** 36"(910 mm)*
J Clearance to nonmechanical air supply inlet to building or 6"(150 mm) 6"(150 mm)
the combustion air inlet to any other fireplace for fireplaces<10,000 Btu/h(3 kW), for fireplaces<10,000 Btu/h(3 kW),
9"(230 mm) 12"(300 mm)
for fireplaces>10,000 Btu/h(3 kW)and<50,000 Btu/h(15 kW), for fireplaces>10,000 Btu/h(3 kW)
12"(300 mm)
for fireplaces>50,000 Btu/h(15 kW)**
K Clearance to a mechanical air supply inlet 36"(910 mm)above if within 10 ft(3 m)horizontally** 72"(1830 mm)*
L Clearance above paved sidewalk or paved diveway located 84"(2130 mm)$ 84"(2130 mm)#
on public property
M Clearance under veranda,porch,deck or balcony 12"(300 mm)*# 12"(300 mm)*#
N Depth of alcove(maximum) 72"(1830 mm)** 72"(1830 mm)*
0 Clearance to termination(alcove) 6"(15.2 mm)** 6"(15.2 mm)*
P Width of alcove(minimum) 36"(910 mm)** 36"(910 mm)*
Q Clearance to combustible above(alcove) 18"(457 mm)** 18"(457 mm)*
* In accordance with the current CSA-B149.1 National Gas And Propane Installation Code
** In accordance with the curent ANSI Z223.1/NFPA 54 National Fuel Gas Codes
# A vent shall not terminate directly above a sidewalk or paved driveway which is located between two single family dwellings and serves both dwellings
*# Only permitted if veranda,porch,deck,or balcony is fully-open on a minimum two sides beneath the floor
13
Innovative Hearth Products Installation
Superior!'"DRT2000 and DRC2000 Direct-Vent Gas Fireplaces 900004-00,04/2015
MINIMUM CLEARANCES TO COMBUSTIBLES
Fireplace And Vent Clearances
The fireplace is approved with zero clearance to combustible materials on all sides (Table 8),with the following
exception:The unit may not be recessed (allowance made for mantel legs/side trim in Figure 6). When the unit is
installed with one side flush with a wall,the wall on the other side of the unit must not extend beyond the front edge
of the unit(Figure 6).
Table 8:Minimum Clearances *
1"(26mm)to wrapper for 45"model,all
Back others 1/2"(13mm)to wrapper
0"(0 mm)to Spacers
Sides 1/2"(13 mm)to wrapper
0"(0 mm)to Spacers**
Top Standoffs 0"(0 mm)to top standoffs
Floor 0"(0 mm)
From Bottom of Unit to Ceiling 64"(1626 mm)
Vent 3"(76 mm)—Top****
1"(25.4 mm)—Sides and Bottom
Front Service Clearance— 36"(914 mm)
clearance immediately in front of viewing area(s)
*3"(76 mm)above any horizontal/inclined vent component.
**See Page 19 for clearance requirements to the nailing flange located at each side of the unit and any screw heads adjacent to it.
***Top vent clearance can be reduced to 2"on horizontal runs when first elbow is located at least 6 ft above the fireplace.
The fireplace must be mounted on a fully supported base extending the full width and depth of the unit.The fireplace
may be located on or near conventional construction materials. However, if installed on combustible materials,such
as carpeting, vinyl tile or other combustible material other than wood flooring, the appliance shall be installed on a
metal or wood panel extending the full width and depth of the appliance.
Hearth Extension
A hearth extension is not required with this fireplace. If a hearth extension is used, do not block the lower control
compartment door.Any hearth extension used is for appearance only and does not have to conform to standard
hearth extension installation requirements.
Shelf Height
To provide for the lowest possible shelf surface, use the rear vent model. For top vent models,the venting attached
to the top vent should be routed in a way to minimize obstructions to the space above the fireplace. Do not insulate
the space between the fireplace and the area above it (Table and Table 10). The minimum height from the base
of the fireplace to the underside of combustible materials used to construct a utility shelf in this fashion is shown in
Table 9 and Table 10.
Table 9.:Combustible Shel/Height--Top Vent
Top Vent with one 90°Elbow
Model
Secure Vent® Secure Flex®(flex elbow)
DRC2033/DRT2033 44"(1118 mm) 46"(1168 mm)DRC2035/DRT2035 47"(1194 mm) 49"(1245 mm) �3
DRC2040/DRT2040 52"(1321 mm) 54"(1372 mm) IA�4 No combustibles
Shelf Height or insulation
DRC2045/DRT2045 50"(1270 mm) 52"(1321 mm) in the shaded
(see table} area between
the appliance
and the shelf
above it.
monimmemin
14
Innovative Hearth Products Installation
Superior1M DRT2000 and DRC2000 Direct-Vent Gas Fireplaces 900004-00,04/2015
Table 10:Combustible Shelf Height—Rear Vent
Rear Vent with two 90°Elbows
Model >_3"clearance from shelf to
Secure Vent® Secure Flex®(flex elbow) top of fireplace and/or vent
DRC2033/DRT2033 34"(864 mm) 34"(864 mm) pipe,whichever is higher
FAIIIM11
DRC2035/DRT2035 351/2"(902 mm) 351/2"(902 mm) 1
( ) ( )
DRC2040/DRT2040 401/2" 1029 mm 401/2" 1029 mm I ', No
Shelf Height combustibles
DRC2045/DRT2045 451/2" 1156 mm 451/2" 1156 mm (see table) or insulation
( ) ( ) + in the shaded
yarea between
the appliance
and the shelf
above it.
Figure 6:Combustible Side Clearances Figure 7:Mantel Height
At 6"minimum
side wall
clearance,a f.--Mantel depth
combustible Top View of 18(457)
wall can project Fireplace °
to any length. p
16(406)
7" :k , [
45° Combustible materials 14(356) ',d
3 1/2° allowed in shaded area
_ (89 mm) "Safe Zone". 12(305) - ;
Combustible walls 10(254)
- shown in dark gray
8(203)
Combustible mantel
legs may project 12 8 4
_ _ :_:__ beyond either side of (3051 + (203) (102) Hood
- - the fireplace opening 10 6 2
as long as they are kept in.(mm) (254) (152) (51) ^r
within the shaded area Fireplace
__ - - illustrated here.
6"
(152 mm)
Wall Finishes/Surrounds/Mantels
NOTE: Combustible wall finish materials and/or surround materials must not be allowed to encroach the area defined
by the fireplace front face (black sheet metal).Never allow combustible materials to be positioned in front of or
overlapping the fireplace face(Figure 41).
Non-combustible materials,such as surrounds and other fireplace trim,may be installed on the fireplace face,but they
must not cover any portion of the removable glass panel or control compartment.
Vertical installation clearances to combustible mantels vary according to the depth of the mantel (Figure 7). Mantels
constructed of non-combustible materials may be installed at any height above the fireplace opening. However, do
not allow anything to hang below the fireplace hood.
Minimum clearance requirements include any projections such as shelves,window sills, mantels,etc.above
the fireplace.
NOTE:To avoid heat-related finish damage,use finish materials rated 175°F,or higher,on the underside of the mantel.
INSTALLATION PREPARATION
The fireplace is shipped with all gas controls and components installed and pre-wired. Before installing the fireplace,
follow these steps:
1. Remove the shipping carton,and retain the front of the carton (used to protect the fireplace during construction).
2. Remove the shipping pad, exposing the front glass door.
3. Remove the glass door(Page 57).
NOTE: Place the glass door on the shipping carton to protect its surface.
15
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
,Zr,-35 to - zo I S
Permit _'..................Cert. N2 42979 Cut-in Card No.....................................
115 C(4 146-oeli
................... .
Owner ................. ............ . . ..... ........................
...........
.......................................a.....6.4.4-5-
on.... .. .....
Locati ......
T
Installation Consisting of.
. .............
. A/..
..............7.
....................................................................................................................................................................................
Installed By......PD..R..... . .............................Lic.No...................................................
r**,**—",
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be Promptly made for inspection.
Inspectors of this Company shall have the privilege of making i ctions at any time, and if its
rules are violated,the Company shall have the right to r v this c Ttific
v
..... INSPECTOR..... .. ....i. ...... ..... ...... . . .....................................
Date....a.......2..'. yr,
Member N.RP.A.,I.A.E.I.
,)wn of Queensbury Building &Code Enforcement
Oice Na. (518)761-8256
Q Framing 1 Firestopping Inspection Report
Inspection request received: 1 IJ
Name: RM F Inspected on: —
Location: LD(�4--(n Arrive: m. .m.
Permit No.: kA —'A ZZ Inspector's Initials:
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs 1 Headers
Truss Specification Provided
Bracing I 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 I Holes/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
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 518 inch Type X
Garage side 518 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in.(H)
20 in.(W)
5.7 sf above I below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing I Firestopping Inspection Report
RUCINSKI HALL ARCHITECTURE
Ronald Richard Rucinski
Ethan Peter Hall �y1
627 Maple Avenue
Saratoga Springs NY 12666
Voice 518 580 1905
Fax 518 584 5012
Email ephall@nycap.rr.com
Special Inspection Report
To: John O'Brien -Town of Queensbury—Code Enforcement Officer
From: Ethan Hall
Date: 14 September, 2015
Re: Schermerhorn Residential Properties—Cottage Hill Townhouse Apartments — Building #6A
At the above referenced project location this office performed on site observations of the shear wall
installations prior to insulation. All items appear to be installed in accordance with the construction
drawings.
If there are any questions please contact our office.
Regards,
/'/� +' D y
Ethan P. Hall—Architect
Rucinski Hall Architecture
Y:\Schcrmerhom\Cmtage Hill AputmentsTaperwork\Special Inspection Letter-Bldg 6A- 14 Sept 2015.doc 1
Mott
Rough Plumbing I Insulation Inspection Report
Inspection request received eyl- Zp�S
Name Inspected on
Location ck-�' pc 1 614 Arrive J a pm
Permit No. I _ Zy Inspector's Initials
Type of Structure
COMMENTS
y N NA
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent /Vents in Place
I %z 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 V I
Window Sealing
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
Blower Door Test
Air Sealing
Town of Queensbury Building & Code Enforcement Office No.(518) 761-8256 Cl
.I
1-5
Rough Plumbing / Insulation Inspection Report
Inspection request received
Name n Inspected on 3) 2045
Location ct4 P Arrive I am/pm
Permit No. I q— 2. Inspector's Initials
Type of Structure
COMMENTS
Y N NA
Plumbing under slab gZib-2(vjS
Rough Plumbing/Nail Plates J 1
Plumbing Vent /Vents in Place
1 Y2 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
` Window Sealing
Tyvek or Similar Exterior Sealant � Z i c
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
Blower Door Test
Air Sealing
Town of Queensbury Building & Code Enforcement Office No. (518)761-8256
Town of Queensbury Building &Code Enforcement j
Office No. (518)761-8256
Framing 1 Firestopping Inspection Report
i
Inspection request received: 2
Name: G 9 — C Inspected on:: �
Location: G Arrive: .m p.m.
Permit No.: Inspector's Initials:
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
ag
Attic Access 22"x3
0"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing I 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 Y2(w) 16 gauge(8)16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
e a d water shield24 inches from wall
r separation 1,2,3 hour
re wall 2,3,4 hour
restopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%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.(W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing I Firestopping Inspection Report
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection req re
Queensbury Building &Code Enforcement Arrive: "t D a pa :
742 Bay Road,, Queensbury, NY 12804 Inspector's Initials:
NAME: .7C1-IEeME246PJJ RMIT
LOCATION: f2,, OC> lo 'AK)c- INSPECT ON: -7-71-IS
TYPE OF STRUCTURE:
•: ; Y Framing NIA COMMENTS:
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing/ Bridging ALL HF A
Joist hangers �� 1
Jade Posts/Main Beams /
Exterior sheeting nailed properlyy�D��
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
Meal Strapping for Notches Top Plate F U00
1 /z w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses �j t_T yj TU L F
Anchor Bolts 6 ft. or less on center
lee and water shield 24 inches from wall ,'
�t1rJEEA) 11�-►�\\
Fire separation 1, 2, 3 hour ID
We wall 2, 3, 4 hour
GOMPL� �E ELF� �VL
Penetration sealed Cg��
16 inch insulation in cavitymin. QQ`tE� Jaen;
Garage Fire Separation
House side %z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilin !wall
Windows Habitable Space/ Bedrooms
24 in. (H)
20 in. (1N)
5.7 sf above/below grade
5.0 sf grade
L:aBuildiry 8 Codes Forms-OMBuilding&CodesWispectfon FomnsTraming Firestopping Inspec ionn Repon.doc Revised January 7,2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection reque iv :
Queensbury Building & Code Enforcement Arrive: am art: ��
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,�
NAME: Sctic-QM�VkArnD.�.— PERM #: ty-�Izz
LOCATION: INSPECT ON:
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/change of direction
Pressure Test /
Drain/Vent J/
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.1 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
Town of Queensbury Building&Code Enforcement
Office No.(518)761-8256
Rough Plumbing / Insulation Inspection Report
Inspection request received: -�4A 1 ?z 5 1
Name: s eyyyx, V QV!, Inspected on: -+ A
Location: C to & Arrive: co�4ip.m.
Permit No.: L 2Z Inspector's Initials:
Type of Structure:
COMMENTS
Y N NA Paw
under slab PN
Rough Plumbing I Nail Plates
Plumbing Vent I Vents in Place
1 '/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
Drain I Vent _
Air/Head RF_Lt- PL� \ H�
5 P.S.I.or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.Ifor 15 minutes
Insulation I Residential Check I Commercial Check
Window Sealing
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 I No duct tape
Blower Door Test
Air Sealing
Rough Plumbing I Insulation Inspection Report 1 /
Town of Queensbury Building&Code Enforcement i
Office No.(518)761-8256 10 -PIL--
Rough Plumbing / Insulation Inspection Report
Inspection request received: '+- t, '2 .5
Name: Inspected on: "I" ze. s
Location: CE'-Lr .r1- r �(o G1Q v`t� Arrive: M.
Permit No.: 1j ZZ Inspector's Initials:
Type of Structure:
COMMENTS
Y N NA
Plumbing under slab Il _ I }
Rough Plumbing/Nail Plates 1t
1 Plumbing Vent/Vents in Place
1 '/Z 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 Vj
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent,Attic Vent
Door I 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
Blower Door Test
Air Sealing
Rough Plumbing/Insulation Inspection Report
Town of Queensbury Building&Code Enforcement -�
Office No.(518)761-8256 0,-l l
Rough Plumbing I Insulation Inspection Report
Inspection request received: tl A1 51t5tt
Name: 5C 4 Q.. 1 _ Inspected on:
Location: 618o, tefl 66 (cxy,,Q_) Arrive: C p.m.
Permit No.: `(ZZ- Inspector's Initials:
Type of Structure: S
COMMENTS
Y N NA
Plumbing under slab
Rough Plumbing I Nail Plates
Plumbing Vent/Vents in Place
1 '/z inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air I 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 q tom' E e�D RLS
Window Sealing
Tyvek or Similar Exterior Sealant \�JTG-mit TU(�
Proper Vent, Attic Vent trJ>R�Lj
Door I Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation 6ovCN ErJD
If required unheated spaces NGC-v\ ?Oct-\ „)R[-
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
Blower Door Test
Air Sealing
VIM .
Rough Plumbing/Insulation Inspection Report
Rough Plumbing / Insulation Inspection Report \*C)
Office No. (518) 761-8256 Date Inspection�qu t r v d:
Queensbury Building & Code Enforcement Arrive: 17---T
742 Bay Road, Queensbury, NY 12804 Inspector's Initis
NAME: PE I �
LOCATION: GC-; O'F—INSPECT ON: y_c(-15
TYPE OF STRUCTURE: Ub 0M
Y N N/A
Plumbing under slab
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
11/2 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. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I. for for 15 minutes
Insulationesidential Check Commercial Check
Window Sealing g�A�
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vents
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
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing—Insulation Inspection-02 0513
Town of Queensbury Building &Code Enforcement
Office No. (518) 761-8256
Framing 1 Firestopping Inspection Report
Inspection request received:
Name: ':�lz kp-r MAX kI,or"✓1' Inspected on:
Q
Location: g a eVN`�-f—!A `O -Ae— Arrive:
T m.
�
Permit No.: �- �;ra.A Inspector's Initials: `
TYPE OF STRUCTURE:
(jai,
49 Y N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs 1 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 I 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
field 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 518 inch Type X
Garage side 518 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 Report
Foundation Inspection Report
Office No. (518) 761-8256 Date Ins ection r st e i d:
Queensbury Building&Code Enforcement Arrive: - Depart:
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: l
NAME: J ./3L- en . t..n� RMIT#: —
LOCATION: INSPECT ON: l
TYPE OF STRUCTURE:
/ Comments
(� N N/A
Footings
iers
on Slab
Reinforcementin Place
The contractor is responsible for t MEj1�
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 Dampproo6ng
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
2 inch width
inches above footing
il, oly for w
BdiICF€lt
Plumbing Under Slab
PVC/Cast/Copper
t' n Inte xterior
Rough ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: I
Queensbury Building & Code Enforcement Arrive: am/pn Com-t
742 Bay Road, Queensbury,,, NY 12804 Inspector's Initials: �l
NAME: �V-�'+� �/`' PERMIT #:
LOCATION: ON:
TYPE OF STRUC S \
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Clean r 100 feet/change of direction
! ess2Vent
.Dra
it 5t. above highest connection for 15 minutes
ressure es 1�
y spin
Air/Head
50 P.S.I. for for 15 minutes
Insulation / Residential Check/ Commercial Check
Window Sealing
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
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing—insulation Inspection-02 0513
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m Depart: m
742 Bay Rd., Queensbury, NY 112804 Inspector's Initial��
16
NAME: v-2 rhGy� PEEERMIMMIIT#: yah
LOCATION: ECT ON: I I
TYPE OF STRUCTURE: L e- 61
Comments
1 r 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
,§,Woly for wet areas under slab
ack5roval
Plumbing Under Slab
PVC/Cast/Copper
Foundation sulatio Interio xterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection re ues c
Queensbury Building&Code Enforcement Arrive: epart:
742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials:
NAME: g P IT#:
LOCATION: a C i INSPECT ON:
TYPE OF STRUCTURE: as
J Comments
(p 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
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 12/18/2013 2:44:00 PM
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection re ec ' ed-
Queensbury Building&Code Enforcement Arrive:�_a p Depart: pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials•
NAME: �(A� y,,� J-t M RMIT#: y AQ-
LOCATION:
Q.LOCATION: %(o ex <S INSPECT ON: //-
TYPE OF STRUCTURE:
�C Comments
\ Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing p
for hours following the placement
of the
concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Bullding&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection requ ve .
Queensbury Building&Code Enforcement Arrive: Depart: u,� /pm
742 Bay Rd.,Queensbury, NY 12804 Inspector's Initi
NAME: ERMIT#: f v(
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Q Dl
J 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
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 12/18/2013 2:44:00 PM
Foundation Inspection Report
Office No.(518) 761-8256 LDateinspection reque rec ' d:Queensbury Building&Code Enforcement t7 a m epart: ' a� pm
742 Bay Rd., Queensbury, NY 12804 Inti
NAME: PERMIT#: 7 "
LOCATION: Lo Q0hz�q,4 INSPECT ON: //j
TYPE OF STRUCTURE: �0
Comments
Y N N/A
Footings
Piers DTIo
Monolithic Slab
Reinforcement in Place
The contractor is responsible for Z5
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. FOS tJ ORT1ptJ per(=
Foundation/Wallpour
Reinforcement in Place ` 1
313Tf E�
Footing Dowels or Keyway in place
Foundation Dampproofing
0
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 12/18/2013 2:44:00 PM
10/29/2014 17: 16 FAX d OOt/OOt
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