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2009-204 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090204 Application Number. A20090204 Tax Map No: 523400-290-017-0002-024-000-0000 Permission is hereby granted to: AMEDORE LAND DEVELOPERS LLC For property located at: 12 POLLAZZO Ct 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: AMEDORE LAND DEVELOPERS L Fireplace 12 POLLAZZO Ct Garage Attached QUEENSBURY,NY 12804-0000 Townhouse $125,000.00 Total Value $125,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2009-204 1796 sq ft townhouse with 519 sq ft attached garage & 1 fireplace $303.34 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,June 03, 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 To o eens b r., WOd sday,June 03, 2009 SIGNED BY a for the Town of Queensbury. Director of Building&Code Enforcement 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. P20090204 Date Issued: Wednesday, September 30, 2009 This is to certify that work requested to be done as shown by Permit Number P20090204 has been completed. Location: 12 POLLAZZO Ct Tax Map Number. 523400-290-017-0002-024-000-0000 Owner. AMEDORE GROUP, INC. Applicant: AMEDORE GROUP, INC. This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Townhouse 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 N0. PERMIT NO. D , FEES: PERM RECREATION' ENGINEERING % MAY ' v (If applicable) 'xr , Y ,+ �' �������.... . ,K�.. .................... ...�- . PI.O�.Q>,J.EENS�U R BUILDING&CODES - PRINCIPAL .STRUCTUR : APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUA CE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: Mr /IC OWNER: ADDRESS: /�1 dO I�GSI+�, / �T �, ADDRESS: 4'o PHONE NOS. 5 4 - zA-6 /o/o PHONE NOS. CONTACT PERSON FOR BUILIDJNG &CODES COMPLIANCE: tk'i-- 41-t56<A6 PHONE: <45 6 /0/0 LOCATION OF PROPERTY:42 C) I l A Z,?D c HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? EYES ❑ NO IF SO, INDICATE APPLICATION NO, AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR z � � O O C7 o LL PROJECT O 1.-: 0 I- � J O o � Q � y o z z Q Q � d ?vd 0L- SOU- CL 06 SINGLE FAMILY TWO-FAMILY (p MULTI-FAMILY (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE( ,2 3) OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: �U� FUEL TYPE: C/7-AS HEAT TYPE: M *HOW MANY FIREPLACE(S): , AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? 66 IS THIS A HISTORIC SITE? (j0 PROPOSED USE OF BUILDING OR ADDITION: *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office Town of Queensbury - Communihj Development Office - 742 Bay Road, Queensbury, NY 12804 B 3-LGL 11-05 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 area true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. 1 have rea d agree t 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) __ _______________________________________________ ,..___-----_____,_____ r Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: 10 r r r , , r r r BUILDING & CODES APPROVAL ZO G APPROVAL I 0 , DATE DATE / 01 QUESTIONS? CALL 761-8256 OR EMAIL codes(ftueensbury_net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION Operating Permit Issued: Yes No www•ctueensbury.net Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Tozori of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804 Fire Marshal's Office , n of Queet!sbary - 142 Bm R­ n-4tiiry, Neiv Yc'r` -12804 _j Allichac!J Palmer,. Fire Nlor.4tall- Gary�tillinaij, 1 h,I irc Alarshal 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:IL"16t�'MZ 17-1-l'IC- S INSTALLER/BUILDER: ADDRESS: 12 ADDRESS: PHONE NOS._' /' T S 1'910 PHONE NOS LOCATION OF PROPERTY: / G7, SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: /_4 44_K 4- PHONE:...<y('S—(' /0/0 ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: —MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 7614205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: firemarshalftueensburv.net MASONRY" CHECK ONE ✓ VISIT OUR WEBSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES www.aueensburv.net FLUE CHECK ONE ✓ DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY 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 E.BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. SL-750TR-D 36" TOP/REAR VENTED DIRECT VENT GAS FIREPLACE yE. 8f SL-750TR-D Direct Vent Unit $1,610 $2,136 SL-750TRLP-D Direct Vent LP Unit $1,610 $2,136 Note:Includes standard top and bottom louvers Pricing Includes Horizontal Installaion Pricing Valid from March 2005 thru February 2006 ----------- �e�tt,�.v'e� Fa- (3 e4g4Xs------------ • Top/Rear Venting Options Installation Versatility • Slim Dimensions 161/4"Deep with 4"x 6-5/8" • Easy hnstallation with Little or No Chase Required Venting Top/5"x 8-5/8" Venting Rear • Ceramic Fiber Split Style Logs • The Most Realistic Burn Available • 13,500-23,000 BTU Input/Hr.(NG) • Generous Flames 13,500-23,000 BTU Input/Hr. (LP) • High Thermal Efficiency • Heater Rated-Keeps You Warm&Cozy • Sealed Combustion Chamber • Works in Negative Pressure Situations&No Cold Drafts • Wall Switch Wire Provided • Easy Installation • Optional Polished Brass or Brushed Nickel Trim • Attractive Finishing Trim • Optional Decorative Front • Create Your Own Elegant Look • Optional Ceramic Firebox Refractory • Enhanced Realism e �� VS IItTEB • Safety Tested,Approved for Installation in • Aftermarket Mobile Homes&UL Listed to UL307B -------------- SpecqicctVt~-------------- 45-1/16 51-1/8 [1145] i129q 39-/8 36-9/16 11014J [929] 25-5/8 22-3/16 [563.6] ] 30-3/4 9 1/2 [650] [781] [240] 16-5/16 [414.3] 15-3/8 112 [391] [12.7] 1 403]03] [222] 141616] r 63-11 16 [165] 3 -5/8 J[13]I/2 (1618] 93q 31.13116 (809] 37'-7/8 0 20-3/4 [962] ioiq i6 [5 7] 3-9116 0 8 2-3/16 [879] [90.51 ®, [55.6] GAS LINE h� 36-1/8 —� 6I 7/8 ACCESS ACCESS g [91q [1751 ACCESS [152.4] 41 [1041] J SPECIFICATIONS 381/4 Model Height Front Width Back Width Depth Glass [972] SL-750TR-D SIZe BTU Input � 14161 Actual Framing Actual Framing Actual Framing Actual Framing Inches 37-7/8 38-1/4 40-7/8 42 30-3/4 42 16-3/8 16-3/8 36 x 24-3/4 Reference dimensions only. We recommend measuring individual units at installation. 2 [1061 \ h.,, ')nnn Q— A I4PAT-1\1-(:I () 1 -4 OFFICE USE ONLY TAX MAP NO. PERMIT NO -' 7 PERMIT FEE 10 APPROVALS: ZONING TOWN CLERK ; 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. ,�• 2� OWNER: J J �"" t� INSTALLER: ADDRESS: ADDRESS: PHONE NOS. Q PHONE NODS..' LOCATION OF INSTALLATION: [ Z b' Y Z'Z—C�) �- T RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW BEDROOMS GARBAGE GRINDER 1980 or older X 150 gallon per bedroom - INSTALLED. 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present X 110 gallon per bedroom = INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling Steep sl a %Slope ✓ SOIL NATURE: Sand Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCMMPERVIOUS MATERIAL: 7whdepth? DOMESTIC WATER SUPLY: MunicipalWell (If well: Water supply from any septic system absorption is ft.) ✓ PERCOLATION TEST: Rate is 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: GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for r each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: ❑ ABSORPTION FIELD (WITH NO. 2 STONE) Total length ft. Each trench X ❑ 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 LECTRICAL 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. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of QUESTIONS? CALL sburv.net OR EMAIL Queensbury Sanitary Sewage Disposal Ordinance. �oaesCa)aueensbur VISIT OUR WEBSITE FOR MORE INFORMATION www.gueensbury.net Signature of Person Responsible Date x Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804 B 5-LGL 6/06 hL Queensbury Building & Code Enforce"men Meside final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart: �D�am/pm ate Inspection requ t received* Inspector's Initials: ---2041 NAME: '�—. PERMIT#: LOCATION: 12 DATE: TYPE OF STRUCTURE: Comments• N A 4' Building Number Address visible from road Chimney Height/'B'Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Co ete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks tios more than 30 inches above rade 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 Brads /Hendica ~Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to silt plate Gas Valve shut-off a sec/regulator 18 inches above race Interior privacy/trim/doors/main entrance 36 inches 00 Bathroom/Kitchen watertight Safety glazing/Win0ow in stairwells safety alazing Interior Smoke edors/Carbon Monoxidepetectors Every level. E ry Bed : Outside every bedroo area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access Isq.ft.-1 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 operatin Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed 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 Loge in Sealed or Glass Enclosure Final Electrical laiM ID 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 required Okay to issue C/C or C/® Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection FormMResidential Final Inspection Forrn_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: NAME: LOCATION: 12, PERMIT#: Final Survey Plot Plan A roved Denied The attached fmal survey has been received by the Dept.of Community Development. Upon review the surve 'has been: Craig Brown, Zoning Administrator Notes: L:1SueHemingway\Building.Codes.Inspection.FORMS\Fina1 Survey Zoning Administrator.doc h Plumbing / Insulationf v�- � 2�-- Rough g Inspection Report Office No. (518) 761-8256 Date Inspection request Queensbury Building &Code Enforcement Arrive: 10 6t p 742 Bay Road, Queensbury, NY 12804 Inspector's Inkials. NAME: ` PERMIT #: - Z©K LOCATION: 1 ?_ <kA-_j INSPECT ON: 1 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 Pressure Test Water Supply Piping Air/Headt'�' 50 P.S.I fo minutes nsulation ommercial Check Tyvek or Simila alant 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 f Gi t-o COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Foundation Inspection Report Office No.(518)761-8256 Date Inspect n uest received: /� 0 Queensbury Building&Code Enforcement Arrive: , am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspectot' s Initials: •7� NAME: PERMIT#: © Z q LOCATION: Z d CT • INSPECT ON: TYPE OF STRUCTURE: C/) 0 // vk S r I C Irm sp, l Coy m n Y N NA 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. U\Building&Codes Forms\Building&Codes\lnspectlon FormsVoundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Framing / Firestopping Ins pection Report Office No. (518)761-8256 Date Inspection,f+equest received: Queensbury Building 8 Code Enforcement Arrnre jZ iarn/pm Depart: t am/pm 742 Bay Road, Queensbury, NY 12804 Ins es-Initials: NAME: .v. PERMIT#: LOCATION: c� z INSPECT ON: 7F �-� TYPE OF STRUCTURE:, Framing Y A COMMENTS: cress 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 'h w 16 gauge 8 16D naGs each sick Draft stopping 1,000 sq. ft, floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall e Fire separation 1, 2, 3 hour F' wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cav' min. arage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X CeilinglWall ndows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade oe 5.0 sf grade ( �r��r-al � -e 76-0 i A5 ing&Codes Fom�s-OLa1&+ilding&CodesUnspedion ForrrwtlFraminp Firo�ppinp 1�1doc R$vgsd January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforoement Arrive: am/pmr impart/: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: � ...� NAME: l PERMIT LOCATION: o INSPECT ON: L 0fi TYPE OF STRUCTURE: Framing Y N wa COMMENTS: Attic Access 22'x W minimum Jadc Stud/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 Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 i4 w 16 gauge 8 16D naNs each side Draft stopping 1,000 sq. ft floor trusses Anchor Bolts 6 ft. or less of center 24 inches from wall Fire on 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 Ceilinghyall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\Bukkg&Codes Forms-01-13\13uildkg&Codeslinspedion FomisTnarninq Frsdoppft fraPscbon Repootdoc Revised January 7,2000 Rough Plumbing / Insulation Inspection Repor— Office No. (518) 761-8256 Date Insp .T request received: G� Queensbury Building & Code Enforcement Arrive: ' am/ art: a pm 742 Bay Road, Queensbury, NY 12804 Inspector' Initials: NAME: t-C(" e PERMIT #: G L/ LOCATION: I ,)- ?j 11a ,_Zo C INSPECT ON: TY�Fvj OF STRUCTURE: At S i � � S0 Y N NIA o 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 Prop2r 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 lnsuh-&w Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008 a —1 v Foundation Inspection Report Office No.(518)761-8256 Date Inspection request i Queensbury Building&Code Enforcement Arrive: p part: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial s u NAME: 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 looting DoweIs-mKemm in place Footing Drain Daylight or Sump 01 � s 6 inches above footing 6 mi for wet areas under slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 1-H boa Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:f , .�am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:6 / , `J NAME: A, lr.r PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUC 04 1z , Comments Y N N/A Footings Piers i Slab Reinforcem t in Place ontractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspecdon Forms\Faundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 'I C, Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pmQ Cj Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:, NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: 7 /b Con}menb Y N N/A f Footings iers Monolithic Slab r r✓� 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 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: _ ZTLDepart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial NAME: PERMIT#: c) LOCATION: _ ,�,����'�� INSPECT ON: Ce 110 4 D TYPE OF STRUCTURE: Con}menta Y N N/A Footings Piers Monolithic Slab Reinforcement in Place '�j� The contractor is responsible kor 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\lnspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM