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2009-080 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090080 Application Number: A20090080 Tax Map No: 523400-308-006-0001-001-022-0000 Permission is hereby granted to: SCOTT A. WHEELER For property located at: 580 LUZERNE Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: SCOTT A. WHEELER n KRISTINE L. WHEELER Fireplace 596 LUZERNE Rd Garage Attached QUEENSBURY, NY 12804-0000 Single Family Dwelling $250,000.00 Total Value $250,000.00 Contractor or Builder's Name / Address Electrical Inspection Agency (ewlA�I v Plans&Specifications 2009-080 2865 sq ft single family dwelling with 672 sq ft garage & 1 fireplace $411.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, April 05, 2011 (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 of sbury; hur day, April 02, 2009 SIGNED BY Afor the Town of Queensbury. Director of Building&Code Enforc ment TOWN OF-QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090080 Application Number. A20090080 Tax Map No: 523400-308-006-0001-001-022-0000 Permission is hereby granted to: SCOTT A. WHEELER For property located at: 580 LUZERNE Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: SCOTT A. WHEELER KRISTINE L. WHEELER Fireplace 596 LUZERNE Rd Garage Attached QUEENSBURY,NY 12804-0000 Single Family Dwelling $250,000.00 Total Value $250,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-080 2865 sq ft single family dwelling with 672 sq ft garage & 1 fireplace $411.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,April 02, 2010 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the f Quee*ury-, Thursday,April 02, 2009 r. f1 SIGNED BY '"2 `f for the Town of Queensbury. Director of B:ildin V&Co Enforcement i TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20090080 Date Issued: Monday, May 03, 2010 This is to certify that work requested to be done as shown by Permit Number P20090080 has been completed. Location: 580 LUZERNE Rd Tax Map Number: 523400-308-006-0001-001-022-0000 Owner: SCOTT A. WHEELER Applicant: SCOTT A. WHEELER This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. OFFICE USE ONLY ; """"""" TAX MAP NO. PERMIT NO.A��PERMIT FEE ' 0 , , APPROVALS: ZONING TOWN CLERK 0 0 APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT.OWNER: SGoTT + Kf-asTiNE IREELEK INSTALLER: VA•1� 4J?-E LLD:S Gti2£'RMC Ko. ADDRESS: 580 LU2ERNE 9D. J. EEt.�S$U(2K ADDRESS: CX(.�E£atI1�HX`j �'� PHONE NOS._ �p"'t e)Co?�o SS3Z PHONE NOS._ (SIS) 74 2 — W S`1 LOCATION OF INSTALLATION: ✓ j� L(�Z� (LtJ E j� QL ttEt �Z�y YEAR BUILT NO.OF RESIDENCE INFORMATION: BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW 1980 or older X 150 gallon per bedroom = GARBAGE GRINDF�R INSTALLED? �"O 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present 1,., X 110 gallon per bedroom = y y o INSTALLED?--- IV 0 PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling Steep slope %Slope ✓ SOIL NATURE: Sand Y- Loam Clay Other ✓ GROUNDWATER: At what depth? ,����� � t�S QI iEXCAWATtc ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? ll"CPC) ✓ DOMESTIC WATER SUPLY: Municipal x Well (If well: Water supply from any septic system absorption is ft.) ✓ PERCOLATION TEST: Rate is V q6 minutes per inch [MPI] (Test to be completed by a licensed professional engineer or architect.) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: ISM GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: Er ABSORPTION FIELD (WITH NO. 2 STONE) Total lengtha�-5 ft. Each trench rJ X ` (D.'J V"�vj ❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ❑ ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant. shall be void. �- ---------- USE ONLY......................................... -- ....................... TAX MAP NO. ; PERMIT NO. FEES: PERMIT___ RECREATION ! I ENGINEERING ...... -- _- (If applicable...._..... ..-.- -A RINCIPA,L .STRUCTUR LICA N FOR ZONING AP ��APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: )Aft MjtjE? OWNER: ADDRESS: S,1O W2.612MC RQ ADDRESS: S9( L1A2ERN£ 2p, PHONE NOS. PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: DA00 MINE r- PHONE: (SIB -M7-391 0 LOCATION OF PROPERTY: Lu26120£ u t HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVIS N AP ROVAL? YES ❑ NO IF SO, INDICATE APPLICATION N0. AND DATE OF APPROVAL: C_A4 PLEASE INDICATE MEASUREMENTS(AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z o d PROJECT 0 o 0 U) d o u- Co w o � '� ILL W ¢ � _ _ z Q ¢ :- a N ° oLL O ►- °xwz SINGLE FAMILY TWO-FAMILY /` U MULTI-FAMILY (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER E IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: /✓//f ESTIMATED CONSTRUCTION COST: ZSD ov0 FUEL TYPE: PIAWCA (, rAV B 3-LGL 11-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLANS ,A/,g ARE THERE EASEMENTS ON PROPERTY? My 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 state ment/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 and agree t the above. Signed 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) ,.___________________ _ Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building described herein in accordance with said zoning ILaws nof the Town of Q ee sbud to be in accordance h the ry. ' Application: , BUILDING & CODES APPROVAL ZONING APPROVAL DAT ; DATE ..................... QUESTIONS? CALL 761-8256 OR EMAIL Office Use Only codes@,queensbury.net VISIT OUR WEBSITE FOR MORE INFnOU erinKl %.___ ____s=_.___¢a.__a tre.Varshal's Office 2 lawn o, a sbury - 742 bay Roatl - Qwovsbury, New I -,rk .11804 _j Michael T. Paljner, Fire Marshal- Gary Stiflpnanl, Delmtil Fire Marshal ------------------- "PLICAHON 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: S4CoT7 0L ktrjsriA16 tje)J4&6(_6'X_ INSTALLER/BUILDER: V,,�PJDI k1,A1je, ADDRESS: tr�-'36 La6lo'c. A. ADDRESS: _14'e64ve 'e-P PHONE NOS. /6y*z_C?8? PHONE NOS., 610 -5 11Z - S-7(;6 LOCATION OF PROPERTY: 5190 Lwcpyc (eo. SUBDIVISION NAME: IV IA LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: s2ro Z-4 6&06 elo. CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: 'O"!Paza lkwc'e —PHONE: 6/13-.$q--5?66, ✓ FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS 7 CALL 7614205 or 7614206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: firemarshaldDaueensburv.net MASONRY" CHECK ONE ✓ VISIT OUR WESSITE SIZE IN FOR MORE INFORMATION TILE STEEL INCHES www.aueensbury.net FLUE CHECK ONE ✓ V/ 6 to DOUBLE CHIMNEY TRIPLE WALL INSULATED DIRECT VENT WALL LINER 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. Queensbury Building & Code Enforcement - Residential F'n inspection � Office No. (518)761-8256 Arrive: '-y a rt: °O® Date Inspection request received: Inspector's Initi . NAME: �e `� P R IT#: C)�I LOCATION: D TYPE OF STRUCTURE: Comments: N 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 Co late/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Oil Guards at stairs decks atios more then 30inches above r de 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 Railtn s 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet _ IVY 6 inch clearance to silt plate Gas Valve shut-off exposed/regulator 18 inches above reds Interior /trim/doors!main entrance 36 inches Bathroom/Kitchen watertight SgItty glazing-/Window in stairwells"fely I in Interior Smoke Det ors/Carbon Monoxid Detectors Every level: Every Bedr7l: Outside every bedroom re2a: JJ Inter Connected: Battery baccu 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,tf no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency ress below grade If 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 Enclosed Stairs Sheetrock Underside minimum'A'Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer J / Duct wortk'Sealed prop2rly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Are Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if re utred Okay to issue C/C or C 10 Tem ora ermanent L.Building&Codes FormslBuilding&Codes\lnspecfion FormMResidential Final Inspection Fonrr_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: --L9—i© . NAME: LOCATION: Qf�� �2�.tJE PERMIT#: ra—691), Final Survey Plot Plan AlDvroved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the survey has C own,Zoning Administrator Notes: L:\SueHemingway\Building.Codes.Lispection•FORMS\Final Survey Zoning Administrator.doc :�9 .;^,•a;�, .......... fir"""'-• - ! ....r.'' !- :i � 'i fit w 1 :•tl s �� ;L i i '' *�try„ ,v'+"it i;r+'J' - �Y f'.:''f•''`"r, ''':`=""^"„y 'r�E fit ,'• _.. i',, tt. `' ..•;:%.'r.. � I�=%''.: yt ; it •�t q'- _... _.n t u'.• '♦A X}'= ..�tY•�« ! � � �} ..,` tit 1 t t 1 i•. ��4 rt y{G•'I••, i- �' I l it 'A Wn.__...a. ti,b .!", a L ff ,t i1 �� t+? 'r'• r� t`i Pr • i', a•.:i+iW �':i•:.'t.•' ••i;r: }•»• . r•_GM, iS At - 7LtI tl i'/,✓/^ `' i It •� r y r..ti ate t� �"` 1 � ''ram �i '`' tt`• ~i�3 y r�JYj L1 .....»•� .«.,Y•X:'."..........,,`," ♦•.r: � ;•F 7_ ".�.!"' Sit i. .•.n...,.•.1w---•:.•'�•i^=L.�IS lL•'�r.'Y•;t-::�.w'w..w•:rj.....».r ; :�. t'•J six i {} S/J 0,4CJ L7,E dm� doom .• f. Zl� - L t, 191.98 ..i••/`;P••:•y'✓•�2"{f 1P ti � 1� "te L a '•'• * ,=is t1.- `- _`�.- . .•: ;•, M '°^•1 c 'j'p �,u�~"�,, r} a •"t•�s,sP ti,Y ff L�t, f�ti L 1'w•••.,,,,�t�y. ,•. �`Ii•;+ tl ; •t x b / _. . .uni Ir Xt tl.� tom,. sitti ':i.~✓✓''...njji.;'• tl a # •�4 • .�...,.t',+1,w..,» .s•,....• .• •r fs f.♦{�tiii�jy� tt >� !r i. "•✓•' t a •+ �, ka t''• t L on ds No w or Form erly of NOT TOSCALE" Fow2d David R. & C. Miner Gi et a --n t Book 672 Page 788 ARE4=1.0_4AGWS�t • t Ps ' I .• 1. ' {`-_ --• 4 Tom.• _. ~•_ •.r. 1 17 Y.' Cove.ned i ConcvetePorrch �..a ' C�•'•�7; �..t•l.'fi.'Sin:;, t'C�� ,1 r t.•..j♦-'' 1 i• +'` n?''-•• ' Chhnney J}r_ p �i J•py1 j,41 .f '!y.'• S .LV ;Y.. 1,r.yr .i�5,•E'�•f i,•Y •n' • L' -•1 y'LJ�I .;-S/• 'S/I*+ Y♦1+YL.�`1.�.:e F'y '�Y'"' 'L:3� tit A1h Nw, • � ' o� of ,L i `' •� "t� t. •.1 ► SIMi/ F ''• L 2�'i'�� i t' ' 4 �3'3G (: �• 1. . i ' 'r , ` r' t'rsy� •''r ~ Lands Former) f . Meter �• • �", �: '. Now or y o 0 Francis Af E Planier w Cobbles & Lucinda A Persuttr .may i4��„• 1 4�'; 1.1•�'y. �,I-' '=`4 Y• •• ' .: Book 3245 Page 1 n9 Cow : • ='r'•.`� Walk T DWdbution t •.. Box / ` .• � Lewh.Fiel Tank ! i Overmw ! "" I Roof - ! ! D9'(typ•> Walk ! &�SY&i=Laration per ! ! Owner ! 1 I i 8laato LWv • � P e I I r . DEED C E -'&back - - 1. Conveyazm to SrottA. &K►7stfne Wlweler by deed fled rn the Warren County Clerks Office in Book 3709 of De atPage289. ' Waterstut of • 11►I14.P CBS• s � O . . . HW OHW Q �JfrlxtyPole w/Guy 1. Ma end L?HW OH OHW —' — p emit) Wap ofa proposed nude for A]Cerrone,Clendon utility Pate OH w OH w o , w� Brook—PFiase.Ir"pi qw md, V Ste ui - y dr v�dated November 195�3,filed ,Edge OfPavement -- Gomm In the Warren County Clerks OHc a an jww 1991 as zwp number 61 B26. 191.57 .fff,. .... ...ate ... Z Map eadded ffMap ofa Proposed Su ark Lwdsnow cif.�ormerl ofDavrd . M y Oyw R. &GLn�ette C 1��iner,prepam d by Land PLLC,da&.d June 1, Lazernew 2007. Oyu MAPNOI ES r ofpavew"t • ereon was corn fled from an actual field survey conduct ed on May n 201 D7. 1• Boundaryinformatron shown h p 2Im rovemen�s shown hereon per field data ca on May27,20 .and Afarch 30, M0. P 3. North orlentadon and bearing base per map reference 1. 4. Warren County tax parc►e.1308.(r1-1.22i 5. This sure was prey without the bene.6t of an up to date abstract of title: • • f this document rI?a bre a violation of�ppyr7ght la w unless a�of the author {,. Reproduction or copy1ng o y and/or copyright holder is obtained. • •thoat a ro r a licatron of the sure ors ed seal should to be an DONALD C• DAR RAH A copy of this document wr p pe pp eY uNAUT�wzaD A��TioN OR py DATE REVISIONS RECORD/DESCRIPTION DRAFTER a O a c050552 ADDITION TO THIS DOCUMEENT IS A urvey unauthorized copy. mn o FSus� NEW ORK Lands Now or Fom erly of • rtn rovemenis or ents,.tfan or es Shown herae+o�use not cent e+d. STATE EDUCATION LAW. 8. The location of underground p .Y e of which arse unknown S,tze and locattoi of aJl © 2010 (� &)UiSt&7e Tie may be other underground i tua es,th • 'tees must be verified b the appropriate authoride+s. The Underground 1Fai:iYd s Ye Darrah Land Surveying, PLLC underground utlr y PPP at'on must be noti8e+d rior to con test boriw,exca vat'on and •on ?OT�VN OF Q S1 I1RY W NCO YORK P APPR0VjEUD�C'D DFUMED.6 1r&M N D"ah �d Surve�in& PLLC''CHF01D:DCD 8038 63 Elm S&eet Glens Falls,Newyork 12801PROJ.Na. � _ Voice:(518)79t�-4692 Fax: 518 74.�OI�OI 8�`'� =' �OFF Y SURVEY MAPS W1TH THE SURVEYOR'S EMBOSSED S�4L.a. 1 n tion FT ONLY BOUNDARY AND CORRECT COPIES OF THE SURVEYOR'S I evertown NewYork 12�86(518)251-2211 PROJNO. SEAL ARE GENE TRUE O ORIGINAL WORK AND OPMON L:ISucHeminBwaY�Bu C�eS.hwpection.FORMS\Final Sur Queensbu rY Building & Code Enforcemer zoi'"g "'°'i `°`d Office No. (518)761-8256 1 Ar Date Inspection request received: 1 _ v In \ i `( NAME: LOCATION: �'" C` Ltd E: _ TYPE OF STRUCTURE: Comments: Y No NIA 4" Building Number Address visible from road ,ti nr l "1nIN Chimney Height/"B"Vent/Direct Vent Location v Fresh Air Intake V, 4(";-� 3 inch Plumbing Vent through roof minimum 6 inches 0 Roof Complete/Exterior Finish Complete JZN Platform at all exterior doors i Handrail 4 or more risers Ip2^ Guards at stairs decks, tins more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches Winches 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 silt plate Gas Valve shut-off exposed i regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety g1ging (.:y Interior Smoke Detectors/Carbon Monoxide etectors Every level: Every—Bedroom: / E=7�--A UE Outside every bed a: / Inter Connected: room e Batte backu : ✓ �>10 � c j V,,V fri Attic access 30 inches x 22 inches x 30 inches hei ht 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 �—br�4t� rg ( -buv 1J� Fumace/Hot Water Heater o ratin Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'"Gypsum F'�t_i r. \Low Basement stairs closed rise>4 inches ,DF- 6T Pt Garage Floor Pitched Garage fireproofing/%hour fire door/door closer F i f�.E'TP� A0 Duct work Sealed properlyt Gas Loge in Sealed or Glass Enclosure %hi Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms 9 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 10 Temporary/Permanent V L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_re 100405.doc;Revised January 7,2008;Revised 6/26/08RQ € �A `gam. ADDENDUM April 19,2010 Site Location: 580 Luzerne Road, Queensbury,NY 12804 Building permit#09-080 Description of changes: Field change by builder for an approximate four inch diameter hole cut in a central location of the web of an I-beam directly over a load bearing column. See attached photos for reference. It is noted that the field change will have no structural impact on the load bearing capability of the I-beam. Location of the cut out on the web of the I-beam is ideal in general to reduce structural impact. Furthermore, the load bearing column directly under the cut out eliminates any negligible impact. Kristine L. Wheeler, P.E. �OF NEW �Q't LYNNE �O CO m 081957 �2 a�®FEsewo P� 19Apr2010 Addendum.doc Page 1 /2 r t .J 1 r t Photo of I-Beam with cut out, located at South East corner of house, running East-West. Close up of cut out, showing aprox. 4" diameter hole for drainage plumbing to pass thru. 19Apr2010 Addendum.doc Page 2/2 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL ?erinit No....0-77�..OtYO .Cert- N2 10215 Cut-in Card No..................................... :)wner......5....... Z ................................................*C,**'y -1'f­*,*K'**'***... �nstallation Consisting ...u.1..... ................... ........................ .................................................................................................................................................................................. ristalledBy ..... .... ...................................................................Lie.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is ;ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the ntroduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of inspections at any time, and if its m-ules are violated,the Company shall have the right t r, )ke yh3 i"s�krti ica e. Date.....(1-...'Z—'7............................ INSPECTOR.... ................................................................. Member N.F.P.A.,I.A.E.I. t Town of Queensbrry Fire Marshal 742 Bay Road Queensbury,NY 12304 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and motions contained m the Installation Manual aooempanying the appliance.No deviation from the manufactumes instructions or specifications is allowed e_ Permit# !► f©i ',.� Schedule Inspection 4GG 6 TimeeJ U CI pm anytime Inspector rr� Name h c I G^ Address (2-0 Rough In Final Appliance Manufacturer`,V-. k C fI5*j vw t Model# Masonry Chimney Factory Built Cbimuey_�( Flue Size Double Wall X Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) Safety Strip Installation(fireplaces only) Y ' Firestop(s) Vertical Chase Wan Penetration Chimney Clearances to Combustibles Chimney Termination 3 fed above roof penetration;2 feet above any combustible construction within 10 fed Combustion Air Hearth Extension X Mantel(height above f/p opening) Fireplace Doors/Screen (required) ww -uvw,=»"It V -C r - rr Framing / Firestopping Inspection Report Office No. (518)761-8256 Date I I Z 4 / Queensbury Building &Code Enforcement Arrive: flA-� a rt: t a 742 Bay Road, Queensbury, NY 12804 Inspector's Initl _ NAME: ��g,-Z— ERMIT#: Q CA 0 LOCATION: ,i .�r2 . INSPECT ON: v TYPE OF STRUCTURE: Framing Y N WA COMMENTS: Attic Access 22"x 300 minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams OFF c-00.r-A c�tJ Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. � 6Eget V Stairwells 36 in. or morei�ov>jG Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls _ Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D nails each stile 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 irestopping 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 Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (VV) 5.7 sf above/below grade 5.0 sf grade L:1Buildit&Codes Forms-Ol \8uNdinQ&Code Vrgpection Fors sTrarning Fi edoppinq Inspec iun Rspott.doc Revised January 7,20M Z- -Z/ Framing / Firestopping Inspection Re rt` Office No. (518)761-8256 Date lnuxxftn req ed: Queensbury Building &Code Enforcement Arrive: `. '-a part: 742 Bay Road, Qusensbury, NY 12804 Inspector's Initials NAME: ERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y A COMMENTS: Framing Attic Access 22" x 30" minimum Jade Studs/Headers cac� �5�3vi�T� n� p�� F1 RE1,TCN Bracing/Bridging �toWZ cQ c T� 6K,4 - Cat u� Joist hangers Jade Posts/Main Beams — Pf�-,V tAuM �� erJ rJ 1�rcLY Exterior sheeting nailed properly tvi70kAX) 12"O.C. t � Mv` t 1,� Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom a ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D name each sits Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour hour- Finestoppi -Fle aled 6' lation in cavity min. GhriWire Separation House side's inch or 5/8 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 LASuiidfg&Codes Fortes-OIAIB Ming&CodesYnspedbn FwmsTtaming Fwastowft inspection Rape tdoc Revised January 7,20M 9 //,� Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection requestnfiece: Queensbury Building &Code Enforcement Arrive: a mirrupm 742 Bay Road, Queensbury, NY 12804 Inspector's initialt ..-�` NAME: PE14MIT #: 0�— C',30 LOCATION: 5�-W0 L INSPECT ON: 2 L, TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates 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 14 50 P.S.I for 15 minutes �Vmulafion/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant i Proper Vent, Attic Vent 3 Door/Window Sealed No Insulation �Lzj k_2-1 Duct/Hot Water Piping Insulation If required unheated spaces ��� '� =•" Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: r_ 6:a 1ti Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 —;-5 Rough Plumbing / insulation Inspectio Report Office No. (518) 761-8256 Date Inspection r st r Queensbury Building &Code Enforcement Arrive: A a 742 Bay Road, Queensbury, NY 12804 Inspector's Initia NAME: LO0EEt FQ PER #: 09 -oy,G LOCATION: Q[) ��z_ Q : , R V INSPECT ON: I ► - z�-n9 TYPE OF STRUCTURE: 2- Dam Y N NIA Plates ents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction ell Drain 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 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 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 0 � Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials ol--� NAME: �� PERMIT #: d LOCATION: c5l 0 L v - kxw e INSPECT ON: 2 TYPE OF STRUCTURE: Y N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cieanout 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.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 uct work sealed properly I No Ouct tape COMMENTS: Ti Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Town of Queensbury Fire Marshal 742 Bay Road low Queensbury,NY 12004 761-8205/761-5206 fax 745-4437 Factory Built Wood Burning.Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual am mpanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. � Permit# a 'Oec/schedate Inspection g' s loR Time I OQ' Q pm anytime Inspector I wY Name W h Addf-Q Address 15 8&2- L.-U wf- Rougb In_A_Final Appliance Manufacturer V L nw..k S�h✓►k.� Model# fA ACA-Jirn Masonry Chimney Factory Built Cbimney—� Flue Size Double Wall gTriple Wall hmudated� Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) Safety Strip Installation(fireplaces only) Firestop(s) Vertical Chase Wag Penetration Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above �( any combustible construction within 10 feet Combustion Air Hearth Extension Mantel above U 76 (be+l;� p�ml� Fireplace Doors/Screen(required) WWe- Dept- Pink-Flm N[mr" J Septic Inspection Report Office No. (518) 761-8256 Date InMr Queensbury Building &Code Enforcement Arrive: :- 742 Bay Rd., Queensbury, NY 12804 Inspect NAME: �! /-ovo LOCATION: w. v RECHECK: Comments and/or diagram Soil Ty m/ Clay Type of Water• unici ell Water Wat aration distance 1 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 a ft. Depth of trenches ft. Size of Stone y Seepage Pits: Number Size: x Stone Size: \ ipinq Size Type Building to tank Tank to Distribution Box Distribution Box to Field / Pit 41 Opening Sealed: V 7Y N End Cap N Inlet/Outlet Pipes&Baffles Y N Location I Separations Foundation to tank L ft. Foundation to absor tion ft. Se ration of Pits Conforms as per Plot Y Engineer Report As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear Ss s tu . Approved ��� `� Partial Approved and n - , pleas ui o es Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc Framing / Firestopping Inspection Report Office No. (518)761-8256 Date I ' n oast received: Queensbury Building 8 Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspect s I itials: � NAME: PERMIT#: LOCATION: X INSPECT ON: TYPE OF STRUCTURE: 6 Y A COMMENTS: Alfic-Ac-cess 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers b i �� A)A I 'ca Jadc Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more iZ� Exterior Dedc Bracing Headroom 6 ft. 8 in. Notd*s/Holes/Bearing Walls A t Metal Strapping for Notctm Top Plate 1 % w 16 gauge 8 16D naAs 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 wail 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 5/8 inch Type X Garage side 5/8 inch Type X Ceilinghyall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABulift&Codes Forma-OL SA1dkV&CodesUnapection Fortnewraminp Fig trnpedion Report.doc Revised January 7,2006 Framing / Firestopping Inspecti Report Office No. (518)761-8256 Date Inspection Ivey Queensbury Building&Code Enforcement Arrive:742 Bay Road, Queensbury, NY 12804 inspector's Init' NAME: e PERMIT#: I jo LOCATION: v INSPECT ON: — TYPE OF STRUCTURE: Framing Y N WA COMMENTS: Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 17 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 naffs each side Draft stopping 1,000 sq. ft. floor trusses r or less on center Ice and water field 24 inches from wall ration 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 5/8 inch Type X Garage side 518 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (MI) 5.7 sf above/below grade 5.0 sf grade LABuildmg&Codes Forms-QLDIBuildkV&Codesltrspedion Fonne'Ftarning Fi edoppinp inspection RepatAoc Revised January 7,20M Framing / Firestopping Inspection Report r Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive'2E #V am/ part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials• NAME: ° � L°'� PERMIT LOCATION: INSPECT ON: C� TYPE OF STRUCTURE: D Framing Y N WA COMMENTS: Attic Access 27 x W minimum Jadc Studs/Headers Bracing/Bridging Joist hangers Jadc Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Dedc Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Wails Metal Stripping for Notches Top Plate 1 % w 16 gauge 8 16D naNs each side Draft stopping 1,000 sq. ft. floor trusses 6 ft. or less on center pp Ice and shield 24 inches from wall pwWon 1, 2, 3 hour y� 4u- Fire wall 2, 3, 4 hour FireMopping 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 L:\Buiktft&Codes Forms-M D W1diM&Codes'UmWec ion Form1frerning Firestoppinp inspection Report doc Revised January 7,2006 Foundation Inspection Report Office No.(518)761-8256 Date Inspection st r ved- ll Queensbury Building&Code Enforcement Arrive: Depart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Iru s: p NAME: ( RMIT#. LOCATION: U SPECT ON: TYPE OF STRUCTURE A- Comments Y N N/A ootings 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 Fors\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM l—Ir ftel—. Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: oqm I Queensbury Building&Code Enforcement Arrive: am/pm Depart: _0_L /pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: am NAME: vtA e'e-(1 PERMIT#: / 0J-4) LOCATION: X-15 INSPECT ON: TYPE OF STRUCTURE: Commenta 6Vtj Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour ��, Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil po!y 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\Buiidiing&Codes\lnspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation InsP ection Report ' /gyp Office No.(518)761-8256 Date Inspection request received: S (P O Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:111�--11? NAME: / PERMIT#: LOCATION: INSPECT ON: �- O 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 o Reinforcement in Place Z C 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 Bacicfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior C`� R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\lnspecdon Forms\Foundatlon Inspeccti�on Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: At/0� Queensbury Building&Code Enforcement Arrive: �-►m/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �. NAME: cd"-/! PERMIT#: - 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 placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing oundation Waterproofing 'I'll ' Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet aLeR under slab Backfill Approval A /,1 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\lnspection Fonns\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM `3 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:Z- Om/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: A� NAME: t if —Q— PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Commema Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place [� Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width is 6 inches above footing mil poly for wet areas under slab ackfill 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\lnspection Fonns\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 t tat'—am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: , ' 1 NAME: f ` %"�'� ; PERMIT#: INSPECT ON: LOCATION:.._ 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. se on site. 64ndation/Wallpour ,Rcig in Place 'ti` � Footing Dowels or Keyway in place Foundation Dampproofing t Foundation Waterproofmg Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil po!y 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. U\Building&Codes Fonms\Building&Codes\lnspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM EXISTING LOGIX BASEMENT WALLS F � , F � PASSAGEWAY BETWEEN BASEMENT AND COLD ROOM STORAGE ( ,r 2`8"EXTERIOR DOOR TO BE USED t J- ADDED COLD ROOM STORAGE AREA I _— — --— — 8"CONCRETE BLOCK WALL (DETAILS TBD) F ` ADD 4 LENGTHS OF 112" F REINFORCEMENT ROD TO LENTIL,EQUALLY SPACED.—: ! 3'0.00"R.O. = mow—B — —�—__ 714 7'0.00"R.O. j Y i f f SECTION B—B 3.00--' 6'0.04" — ROUGH OPENING TO BE FRAMED WITH 2X12 P.T. SECTION A—A I s tAw ul ADDENDUM FOR TOWN OF QUEENSBURY BUILDING PERMIT#09-080 ADDITION OF COLD ROOM STORAGE AREA UNDER REAR PORCH • ADDITION OFF 2'8"EXT.DOOR LEADING FROM BASEMENT TO COLD STORAGE AREA •�' • CONCRETE SLAB OF REAR PORCH TO BE SUPPORTED VIA "Cl CONVENTIONAL STRUCTURAL LUMBER AND METAL ROOFING WITH �� 8"LATER CONCRETE BLOCK WALLS(DETAILS TBD&SIGNED OFF ON AT 081 E AFTER COMPLETION OF MAIN FOUNDATION WALLS) 'o I:lest KRISTINE L.WHEELER,P.E. 5/14/09 1 Foundation Inspection Report i Office No.(51i)7f 1-i25f )ate Ls�t•n request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: �-pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: t , NAME: �� � �C'f/ PERMIT#: C) LOCATION: L i Z-�;L n> - INSPECT ON: 4 TYPE OF STRUCTURE: Comm enb Y N N/A ootings v V--- Piers Monolithic Slab -� n 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:\Bullding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM d Ke�ax a r � ` 1 Y :/ ` Junk' =i 'd ••► ••` l S• ' sit L'�`� `��•• .■ may,._ ' . • • • • , a •R , ,• • �i 4 .,•,� 7 R• ., • , • . ■ •• 1, • a • _ C - __ •• -•r r. . •_ 0 � E -ram y ' -� • ..�.�� •fit to 191,w58 1 4 . h a • :1 a • 398 West Mwntain 00 •.���..� S{I $�. - •• ►r....,may • '�"� �'.� .•...•.. .�..•. w .ors. �.. tea_ ��r .�.•. ..�` �.� tea_ .�.� .r•� � ��. �..� � f���yI'�I!,f •'• R' r'��, �� l j 10 20'Setbachv 20 �.. 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T YGuy Wire 9' � .T` � Edge 4E Pave 9 7 47 1 :5 PQIe � 1 4 628 � 18:01 1 :43 Hv 24w83 OHV 18:26 2:05 QHv "G an ImN45 283.43 ,ed, or bf:-4,iieve I sar-w ev ',e! y g ' f iu'!,• jt '' 1.,. Y ,• '3 d x a z r�'`�� a i. S, .rA L. OfPa Y# . 3 18 2009 DATE REVISIONS RECORD/DESCRIPTION DRAFTER 580 L UZER VE RD* 01 Kew 51TEPL ANDSEPIHCDESIGN of Ne cr TO I U OR QUE"SHLWY WA.RIr���1T•CO YORK APPROVED.L W DRAFTEB JCL W KRIS TINE L.WHEEL ER. P.E. 01EIC D.I., KLW �o 081951 � 7KEYSTONE COMMONS � �,� PROS;�r.. P ,�. BALLSTON LAKE, NY 12019 SHEET: 1 OF ����� SCALE: .1"-20 - Voice■ (518)542-5782 DATE:311812009 E-mail.-k islw mail com P.KoJ o.-