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2009-070 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20090070 Date Issued: Friday, July 17, 2009 This is to certify that work requested to be done as shown by Permit Number P20090070 has been completed. Location: 4 FARMINGTON PI Tax Map Number: 523400-289-012-0001-034-000-0000 Owner: KEVIN & JEANINE REPPENHAGEN Applicant: T& B ASSOCIATES LLC This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling j W t Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan,Variance, or n other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement 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: P20090070 Application Number. A20090070 Tax Map No: 523400-289-012-0001-034-000-0000 Permission is hereby granted to: T & B ASSOCIATES LLC For property located at: 23 BERRY PATCH Dr 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: T& B ASSOCIATES LLC 36 FIELDSTONE Dr Fireplace GANSEVOORT,NY 12831-0000 Garage Attached Single Family Dwelling $184,000.00 Total Value $184,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-070 2328 sq ft single family dwelling with 474 sq ft garage& 1 fireplace $326.76 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, March 20, 2010 (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 th o f Que /F iday, March 20, 2009 SIGNED BY for the Town of Queensbury. Director of Building&Co e Enforcement "T00:77 ity Development Office0 ueensbury - 742 Bay Road - Queensbury, New York-12804 Date Stamp -David Hatin, Director of Building&Codes 0 Craig Brown,Zoning Administrator-Michael J.Palmer,Fire Marshal i '---------------------• 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. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED OWNER: I+9 AS�_I(s_ l� INSTALLERBUILDER: ADDRESS: ADDRESS: PHONE NOS._8g5 �q �"'r- ��'-"SUBDIVISION PAONE NOS. LOCATION OF PROPERTY: NAME: -detY14!00�m rope)ye LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: �J4"g-O -I to. r.. STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) i6rbe.rrtib-on on Pik `IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: lt TDI)VI MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 761-8205 or 761-8206 OR EMAIL: firemarshaWaueensburv.net MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE z FOR MORE INFORMATION " x www.aueensburv.net FLUE CHECK ONE ✓ �� Y CHIMNEY MATERIAL CHECK ONE ✓ **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. tea. A. Final Survey Inspection Dept. of Community Development Town of Queensbury 742Bay Road Queensbury,NY 12804 Date received: NAME: LOCATION: PERMIT#: 2 Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of 1/ Community Development. Upon review the surve 'has been: Craig Brown,Zoning Administrator Notes: L.NSueHemingway)Buildmg.Codes.bispection.FORMSTinal Survey Zoning Administrator doc Queensbury Building & Code Enforcement - ResideF pection Office No. (518)761-8256 Arrive: a =dam/pm Date Inspection request received: Inspect is Initials NAME: ��, IR ��Ct>�C�7 P "d1` — LOCATION: l 6,1` 7—It? y7C P X� D1- C1.�._. 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 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers 01 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 glazAng Interior Smoke De ors/Carbon Monoxide etectors Every level: E ry Bedro�m: Outside every bedroo area: ✓✓ Inter Connected: Batterybacku 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 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency ress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Endosed Stairs Sheetrock Underside minimum'A"Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Ins ion Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 mpofay/Permanent LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26108 Town of Quecod a l riche Nhwdud eL 742 Bay Road Qwm mbwy,NY 12M4 761-SM/7fr1-SM fax 7454437 Factor!Built Gas Fiir=kce/Stove Inspection Rtport datim New York State cegswes that an ILL Lao*fadecy bmk appiaaoes be matared aowrdig to the msdirdians sad apoedicsl m contained in tie buta■a ea Nl=mal pa�the applanice.No deviation from the�a■Mfad ' �,�,,/n� instructions or ape oss is a®oweL rdrmtt# �"']-0 d Schedde lospecdoa og Time: ranytite lasso !9-t Address ICE/ nough 6 Final #plianee Ma.nfacai+er Mold# ►ir+ect vest Factory Bea'It Chimney Flhw Size Doable WA Triple Van hundated Yes No N/A Comme�s loor Protection ;karances to Coasbastibles(all sides) %Mstop(s) Vertical erase ✓ WA Peach-ad= (eat Clearances to Combustibles (eat/Cbi®ney Tftw"atioa Nomicy bdot mast be 3 feet above root' woch2tioa;2 feet above say comboolible oasbucimt within to feet Shut-Off Valve 7Ambastion Air learth Extension(if any) Mlantel "g t above tip apaiinS WitSneas Operation rank Placement Cif LP) *%fte-n am g Hart- veftw ph&-RM bur" 1 Id C � WQueensbury Building & Code Enforcement - Residential Inspection Office No. (518) 761-8256 Arrive: - part L� a Date Inspection request received: � Inspectors In,t NAME: J IT#: LOCATION: TYPE OF STRUCTURE: Comments: Yes No Ni 4° BuildingNumber Address visible from road ChimneyHeight/"Bp Vent/Direct Vent Location Fresh Air Intake 3 inch PlumbingVent through roof minimum 6 inches Roof Co lete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks atios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,poroes 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Brawn /Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to silt plate Gas Valve shut-off ex sed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight 2— Safety glazing/Window in stairwells safety glazing Interior Smoke De ors/Carbon M noxide etectors Every level: Eve Bedrori: Outside every bedroom: Inter Connected: Batte backu 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 s .ft.vents Bathroom Fans,if no window PI Foundation insulationA Insulation Certification s o in finished basement 1,000 s .ft. Emergency Tess below grade Gas Furnace shut-off within 30 feet or within line of site �,4�i Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum IN Gypsum �f fi Basement stairs closed rise>4 inches Garage Floor Pitched Gars fireproofing/%hour fire door/door closer ZQ Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bondin 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 Tem ora /Permanent L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26108 Rough Plumbing l Insulation Inspection Report Office No. (518) 761-8256 Date Insplect' request received: v 7 Queensbury Building &Code Enforcement Arrive/2-4�Uam/p` impart: m/Om 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: V =-� ZCU NAME: �'! Cr %"q-05 PERMIT #: d LOCATION: 13 ", 14-1 c ID V& , INSPECT ON: Q 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 Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test ater 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 r uired unheated Maces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 f � Rough Plumbing nsula ion Ina ection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm part: ._ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: s' ` --—, PERMIT##: LOCATION: '? ' ' �� : INSPECT ON: � TYPE OF STRUCTURE: " Y N N/A Rou h 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 highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.i for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping insulation If E2guired 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 ) I_ - L.� Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date In P ion request received: r �� Queensbury Building 8�Code Enforcement Arrive: am m Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Insp is Initial 's NAME: j 'S G�''' '�S PERMIT #: C) - v� LOCATION: 7� , ✓,� ��i r,�a L)K INSPECT ON: S t! U 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 Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes IAJ4UL,5 1 2— Pressure Test f Water Supply Piping Cry L& J7a Air/Head 0 P.S.1 for 15 minutes 4nsulation/Residential Check I Commercial Check '-Tyvek or Similar Exterior Sealant /V Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Lt Combustion Air Supply for Furnace ct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation ReporLrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspectio request received: Queensbury Building & Code Enforcement Arrive: n'�am pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspect rd s Initials: NAME: P PERMIT #: Oct , o P LOCATION: �R-u G K INSPECT ON: 1 O TYPE OF STRUCTURE: Y N N/A 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.lLor 10 ft. above highest connection for 15 minutes Pres re Test / ter Supply Piping �c `<, Air/ Head 0 P.S.I for 15 minutes Insulation Residential Check Commercial Check p� Proper Vent Attic Vent 1 Duct/ Hot Water Piping Insulation G If required unheated spaces Combustion Air Supply for Furnace Duct work sealed ro erl No duct tape COMMENTS: LAPam Whiting\Building&CodeAnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection epo Office No. (518)761-8256 Date Inspectoog request received: Queensbury Building&Code Enforcement Arrive: 0,. l ft am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: PERMIT#: LOCATION: INSPECT ON: — G TYPE OF STRUCTURE: Y N PIA COMMENTS Framing Atic�ss 220 x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/ w 16 gauge 8 16D naafis each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center �7S Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour F' , , hour ires�opping e on 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 Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuiiding&Codes Forms-=18ui1dkV&Codes\1 "Fxedtoppft Inspection Reporidoc Revised 7,MW Septic Inspection Report Office No. (518) 761-8256 Date Ins io quest received: Queensbury Building &Code Enforcement Arrive: amprr�, ! Impart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspecto s Initials ��-�' NAME: PERMIT NO.: LOCATION: _ - c INSPECT ON: RECHECK: Comments and/or diagram Soil T L Tpe of Ovate ci ell Water, Water i atio a ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + - Y N N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone —2� Seepage Pits: Number Size: x Stone Size: Piping Sim., ype j- Building to tank tonko Tank to Distribution Box '_ r' Distribution Box to Field/ Pit Opening Sealed: Y N End Cap Y N Inlet/Outlet Pipes&Baffles N Location Separations � ! {- Foundation to tank ft. C> f�v Foundation to absorption --��ft- Separation of Pits ft. Conforms as per Plot Plan Fl�;Y'_ N Engineer Report and As-Built Y N Location of System on Prop Front Rear Left)Side Right Side Middle Front Middle Rear Use tus: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 U\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc C/0�e- v / j0V u d— Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: L I LZ7 Queensbury Building & Code Enforcement Arrive: am/pm Depart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: �"d ► S soc, eS PERMIT #: LOCATION:—�atfav pA fCl Of , INSPECT ON: Z� v 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 01 Pressure Test Drain /V ad 5 P.S.I. or 10 ft. bove highest connection for 15 minutes PftU—U—re—T—eAt--11' Water Su ply Piping r ea . 50 P.S.I for 5 minutes InsubdkirrffResidential 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 Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report ; Office No. (518)761-8256 Date Inspection request received: 7 C Queensbury Building&Code Enforcement Arrive: am/pm Depart: 11 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 77 NAME: J ` 7) 1 c-S PERMIT#: 0 1—07 LOCATION: _ e �7J;' 'w,-r C ,� , INSPECT ON: _L 1 TYPE OF STRUCTURE: Framing Y N NIA COMMENTS: Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %s w 16 gauge 8 16D naAs each side Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 6 ft. or less on center ce and water shield 24 inches from w I ire separation 1, 2, 3 hoar Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in 2pvq min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (" 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Fomis-01.01Building&CodosNinspedion FormsTrarrang Fly Inspection Report doc Revised January 7,2006 A-' 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: tt ` NAME: PERMIT#: (_ LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comment 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 ' ve footing mi 1 or we as under slab 11 A rov 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 Foundation Inspection Repo 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 Initials:6� NAME: c'i� . C- PERMIT#: (. . l LOCATION: INSPECT ON: � TYPE OF STRUCTURE: 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 placementy of the concrete. t Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place U� , Footing Dowels or Keyway in place oundatton D Foun on Wat frog Footing or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab r L�-,,�-- ��✓'' �`'`�. � , Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. s L:\Buiiding&Codes Forms\Buiiding&Codes\1nspection Formsfoundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date In pTectioi request received: Queensbury Building&Code Enforcement Arrive: 1 am/pT Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect s itials: NAME: I PERMIT#: 7d LOCATION: + d6/e'/e!-�r+' INSPECT ON: c> TYPE OF STRUCTURE: Coalmea 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 o e concrete. /Materials for this pyqgse on site. oundation/Wallpour Reinforcement in Place /t Footing w or Keyway in place Foundation'Dirmpproofing 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\Buiid'ing&Cades\inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date lns lion request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 lnspec is Initials: MAC NAME: L-1117— �I - PERMIT#: t � LOCATION: Win' �6Gf INSPECT ON: --5 113 1 IOU TYPE OF STRUCTURE: 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 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LABuilding&Codes Forms\Building&Codes\Inspection Fonms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date In �uest received: Queensbury Building&Code Enforcement Arrive: = am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect 's Initials: ~ 7 NAME: PERMIT#: / LOCATION: INSPECT ON: `-- TYPE OF STRUCTURE: Con moments, 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 fi Fo Foundation Waterproofing Footing ump 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 / —/�- Mo a Foundation Inspection Report Office No.(518)761-8256 Date Ins tiq�request received: Queensbury Building&Code Enforcement Arrive: �� llll am/pm� Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto s Initials: ` V� NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y ¢ N N/A Footings � 1 Monolithic Slab Reinforcement in Place r4 The contractor is responsible fcsf 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 folding&Codes Formsftilding&Codes`lnspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM MAP REFERENCE: MAP OF A SUBDIVISION MAGNETIC AS PER YAP REFERENCE MADE FOR RICHARD P. SChERMMORN DATED NOVEMBER 5. 2002 LAST REVISED JUNE 23, 2003 BY VAN DU5EN + 5TEVE5 LAND SURVEYORS W ►N-•r ARMING TON A °° 2 N06` PLACE /Nt� 9 ,1 8 03"E 150. 16' v A �- UTIUTIE9 Q v o 42.I B' I 2 STORY 60.94' �y WOOD FRAME fiOUSE aPROPANE 41 1 '0 O O TANK 0 o � O LOT 12 30,493 sq, ft. 0.70 acres L.^.T i C W 175.00, S06008,03„W C, tCP e I; 6 l c atel June 1 , 2009 u ^-+ 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY.n NAP BEARING A UCENM LAND SURVEYORS SEAL IS A Map of a Survey made for Scale 1 r_=40 VIOLATION OF SECTION 7M.sue-DIVISION z.OF THE NEW YORR STATE EDUCATION LAW." 'ONLY COPIES FROM THE ORIGINAL OF THUS SURVEY SEAL S rLTN E ORIGINAL OF THE LAND suRE OCRs — S t, e v e s �MALL BE CONSIDEREDPREPME >N AE VALID TRUE T & B ASSOCIATES CERTIFICATIONS INDICATED HEREON SIGNIFY THAT TIRs slxNver WAS PREPARED w ACCORDANCE WTH 111E EXISTINC'COPE OF PRACTICE FOR LAND SURVEYORS ADOPTED Land Surveyors LA THE NEW YORORS. STATE CERTIFICATIONS ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.SAD Cf7tlIFTCAT10N5 SHALL RUN ONLY 1N THEHIS EKALFERSON FOR E TITLE THE SURVECOMPANY. IS PREPARED.AND SHEET 1 OF 1 ON HIS eENA1F 10 THE TITIE COMPANY.GOVERNMENTAL 169 Haviland Road �r A�LnNDwG wsnTUI usTm HEREON.AND Town of Queensbur Warren Count Queensbury, New York 12804 A TINE ASSIGNEES Of THE LENDING INSTITUTION.* y, y, New York T B 518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIPTION DWG. NO. 02384-12