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2009-277 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090277 Application Number. A20090277 Tax Map No: 523400-290-017-0002-020-000-0000 Permission is hereby granted to: AMEDORE LAND DEVELOPERS LLC For property located at: 11 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. Tyke of Construction Value Owner Address: AMEDORE LAND DEVELOPERS L Fireplace 11 POLLAZZO Ct Garage Attached QUEENSBURY,NY 12804-0000 Townhouse $150,000.00 Total Value $150,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-277 $377.32 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 01,2010 (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 T f Quee j , W nesday,July 01,2009 SIGNED BY for the Town of Queensbury. Director of Building&Co e Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 4z Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20090277 Date Issued: Monday, November 30, 2009 This is to certify that work requested to be done as shown by Pen-nit Number P20090277 has been completed. Location: 11 POLLAZZO Ct Tax Map Number. 523400-290-017-0002-020-000-0000 Owner. AMEDORE GROUP, INC. Applicant: AMEDORE GROUP, INC. This structure maybe occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Townhouse )j '4 / Issuance of this Certificate of Occupancy DOES NOT relieve the Vi 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. PER 0. r J�w 1 9 Laos FEES: PERMIT RECREATION NGINEERING (If applicable) ' .............3:...:25 :.................!''.+ ►!�?�►"�. [__� Q- Etaset�RY.: BUILDING& CODES PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: A o\L-. bog -- Axws OWNER: ADDRESS: � Utr� !�'V TE c V c; ADDRESS: C / PHONE NOS. PHONE NOS. CONTACT PERSON FOR BUILDING &CODES/ COMPLIANCE: /��1�t� PHONE: LOCATION OF PROPERTY: & Po llr� zz© HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT O o d 0 0 APPLY TO YOUR z I= rn PROJECT O O O O H _ I" _j U- U. W Q CL N o Z Q Q �-- � Na Ou � U- a = ors SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO. of UNITS ) J� TOWNHOUSE Z 3 5g 2 f BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED 2- �7Z GARAGE(1,2,3) OTHER 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 are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. 1 have re d agrette 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) o Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building 0 herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: ; ; , 0 , , , BUILDING & CODES APPROVAL ZONING APPROVAL , , , . , , DATE ' o DATE ....OFFICE USE ONLY........................... . , , FEE TAX MAP NO. PERMIT NO. PERMIT , 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. 1�1( OWNER: Lt/tc— F(l17M C"S INSTALLER: ADDRESS: ADDRESS: PHONE NOS. PHONE NOS. LOCATION OF INSTALLATION: I �� � � CT RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW BEDROOMS GARBAGE GRINDER 1980 or older X T150 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 slope ` %Slope ✓ SOIL NATURE: Sand Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? ✓ DOMESTIC WATER SUPLY: Municipal Weli (if well: Water supply from any septic system absorption is ft.) ✓ PERCOLATION TEST: Rate is per minute per inch. (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 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 ASSOCIATE E D LECTRICA L W ORK MUST BE IN SPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY, PI Fnec cc" " -- 'E C E 0 W F ire Marshal's Office L 17� u 4 2 A,' Y N',,.f liacf Pa!mcr, Virc lar-lm,'- �;N'­Tj niai f i"cl-i h!F",-,,-Nla n'11a 1 JUN 19 20.09 f OWN 5F 5TE'EN8I3W1' APPLICATION FOR FUEL BURNDVGAPPLI-Z'IJLLN%r--JXLJE�t�:�p�g%-4&M y"WIALPIS'135- 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 WOTE TTO APPLICANI: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER:A M JG Aaz' t��N - INSTALLER/BUILDER: ADDRESS:— /�aj IA16Sr,5" Al"- ` ADDRESS: PHONE NOS- t4q-& — lolo PHONE NOS. LOCATION OF PROPERTY: /( �jW14 SUBDIVISION NAME: 6 LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: P?A,,-K A - PHONE: 4/5 /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: /0 MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 7614ZOS or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: firemarsrhal 2 en!Lury�ntt MASONRY" CHECK ONE ✓ VISIT OUR WESSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES IA � nsburynet FLUE CHECKONE ✓ DOUBLE CHIMNEY TRIPLE WALL INSULATED DIRECT VENT WALL LINER CHIMNEY MATERIAL CHECKONE ✓ **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. Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 1 Q NAME: LOCATION: PERMIT#: Final Survey Plot PIan Apgroved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the surve been: &aigtro-wn,Zoning Administrator Notes: L:\SucHemingway\Buildmg.Codes.Inspection.FORMS\Final Survey Zoning Administratordoc Queensbury Building & Code Enforcement - Residenti Mal Inspection Office No. (518)761-8256 Arrive: am/pm Depart:j C am/pm Date Inspection reque t received: Inspector's Initials: (40 NAME: J� PERMIT#. LOCATION: to DATE: SO TYPE OF STRUCTURE: Comments: Y 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 Complete/Exterior Finish Complete IV 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,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches 2. Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill pWe Gas Valve shut-off a ed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches oe Bathroom/Kitchen watertight Safety glazing/WiDdow in stairwells safety alazingz interior Smoke 10015actors/Carbon Monoxide etectors Every level: V Every Bedroom: Outside every bedroo rea: Inter Connected: Batt badku Attic access 30 i s x 22 inches x 30 inches hei ht in accessible area Crawl S aces 18 inch x 24 inch access 1 N.ft.-150 s .ft.vents Bathroom Fans if no window Plumbing fixtures Foundation insulation/insulation Certification Floor truss,draft-stopping finished basement 1,000 sq.ft. Emergency ress below grade Gas Furnace shut-off within 30 feet or within line of site Z 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 dosed rise>4 inches Garage Floor Pitched �� -. ` � Gara a fireproofing/%hour fire door/door closer Duct work Sealed property Gas Loge in Sealed or Glass Enclosure Final Electrical _ Final Survey Plot Plan Arc fault Breaker in Bedrooms T 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 1 Temporary/Permanent LABuilding&Codes Forms\Building&Codes\lnspecfion FornsWesidenfial Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 8/26/08 Rough Plumbing l InsulationAipection Report Office No. (518) 761-8256 Date Inspection request received: _ Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: Akejo'r. PERMIT #: LOCATION: INSPECT ON: TYPE OF STRUCTURE: 'Z! -2 Y N NIA Rough Piumbi /Nail Plates Plumbing Vent/Vents in Place 1 Vi 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 AVIBead P. .I r 15 minutes Insulation Residential Check/Commercial Check 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 tapq COMMENTS: ) Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Flrestopping Inspection Repo 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: �._.- PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Framing Y N NIA COMMENTS: Attic Access 22" x 31Y 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 I Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'h w 16 gayge 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour F' hour Firestopping 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 i Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) _ I 20 in. (Utl) 5.7 sf above/below grade 5.0 sf grade d LABuilding&Codes Foms-OLDSUikSng&CodesUnspec Lion FomisTrarning FirestopphV Inspection Repwtdoc Revised January 7,2008 (I :0o) 1 -3 JHDAJ�7 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: _ Queensbury Building&Code Enforcement Arrive: am/pm Depart: `%)�amlpm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: bl_q) NAME: E (/ PERMIT#: 7-2- LOCATION- SPELT ON: M2— TYPE OF STRUC Commeft 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 Foun Foundation Waterproofin Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Under Slab PVC/Cast/Copper L Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LABuliding&Codes Forms\Building&Codesunspecdon FormsWoundation inspection Report.doc Last printed 12/20/2005 9:24:00 AM Rough Plumbing 1 Insulation Inspevction Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: amlpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ttz NAME: hy1�1'ej&rIc- PERMIT ##: --Z LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rou iumbin Nail Plates Plum ' t/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/char a of direction 01 Pressure Test Drai t Air e 5 P. . . 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 to e COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 /l al,, Framing / Firestopping Inspection Report ' + Office No. (518)761-8256 Date In ived: Queensbury Building &Code Enforcement Arrive: 742 Bay Road, Queensbury, NY 12804 Inspector's In' NAME: Gh�'C. PERMIT#: `'L7 7 LOCATION: 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 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 nails each side Draft stopping 1,000 sq. It floor trusses less on center Ice and water sh 4 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuikling&Codes Forms-=%BuNdbV&CodesUnspection Fo mslFram ft Firestopping Irapection Reportdoc Revised January 7,2008 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/tLXII)e part: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial NAME: A C PERMIT#: � � 7 7 LOCATION: ��c rtj Z INSPECT ON: TYPE OF STRUCTURE: Commenm 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 Doting Drain Stone: 12 inch width 6 inches above footing 6 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\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pnf, Depart: am/pm Initials: 742 Bay Rd.,Queensbury,NY 12804 Inspector'sls: ANAME: {�`�� PERMIT#: ' LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N 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 F in lace Foundation Dampproofng , 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 Fonns\Building&Codesunspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 10 c�—�-- Foundation Inspection Report C lG s,- Office No.(518)761-8256 Date Inspection request received: --7 3 b Queensbury Building&Code Enforcement Arrive: am/pm Depart: 111—i,,�am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: tCf- � PERMIT#t: d LOCATION: j ��A ) ,�7 � � INSPECT ON: TYPE OF STRUCTURE: I Common 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. oundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place /I 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 Fonms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM ceav-wllsjx� ) 1-3 Framing / Fi estopping Inspection port Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: v LOCATION: INSPECT ON: —' TYPE OF STRUCTURE: L Y N WA COMMENTS: Framing Yoe -AftleKccess 22"x 30' minimum Jack 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 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 side Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 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 Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (V11) 5.7 sf above/below grade 5.0 sf grade LABuiiding&Codes Forms-OLD\BuiId'ft&Codesllnspedion Fora alframing Firsstopping inspection RReporLdoc Revised January 7,2008 Foundation Inspection Report Office No.(518)761-8256 Date Inspec0o�request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector' Initials: �- NAME: .2 C-- PERMIT 4: LOCATION: Z-1'0 INSPECT ON: TYPE OF STRUCTURE: Comment 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/Wa ur einfo entin Pl Footin owe r 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 Forms\Building&Codes\lnspecbon Forms\Foundation Inspectieon Report.doc Last printed 12/20/2005 9:24:00 AM /U - / Foundation Inspection Report C �� O Office No.(518)761-8256 Date Inspection request received: ` 7 L7 16 nsb v Quee m7'Building&Code Enforcement Arrive: am/ part: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: A,-,c\ k-L4- or Q— kw---f-.g T-Y'-CPERMIT#: Q 7 LOCATION: � t WU L ✓k ZZ-D Co r INSPECT ON: TYPE OF STRUCTURE: �T— Comments 00 Y N N/A Piers Monolithic Slab Reinforcement in Place / The contractor is resp risible ir 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&Cafes Forms\Building&Codes\Inspectaon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date In do request received: Queensbury Building&Code Enforcement Arrive: am/pm . -Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /0.(5 NAME: R� PERMIT#: 0 27 LOCATION: t.ivyr 'C 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 Foundation Waterproofmg 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 Iteport.doc Last printed 12/20/2005 9:24:00 AM 01-Z77 MAP REFERENCE: HAVILAND ROAD 5UBDIV1510N BY VAN DU5EN + 5TEVE5 LOT DATED OCTOBER 14, 2005 17 LAST REVI5ED MARCH 1G. 2000 LOT 18 LOT 19 s x H.O.A. >,c 101 O ft 9„W Sao 42� 2 S `6 O 125 00` PROPOSED TOWNHOUSE � r -16 u u 1 33.5' (0 O O O 45.V N N O O C) " LOT 20 AREA 8,571.87 sq. ft. 0.20 acres N65 3a 00' H.O.A. LOT 21 Scale June 16, 2009 n D u s IMAU,HGIIZED AL,ERA„GN DR ADD nDN ro w wRVEr scale 1'_20' �� MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Plot Plan made for VIOLATION OF SECTION 7209.SUB-omsaN z OF THE & NEW raar STATE EDUCATION uw.' ONLY COPIES FROM THE ORIGINAL OF THIS RAVEY Lot O S + T T C NARKED VATH AN ORIGINAL OF THE LAND SURVEYORS 1,i �/ ►J � SMALL K CONSIDERED ro BE VAUD TRUE COPIES.' S— 1 CERTIFICATIONS INDICATED HEREON Sam THAT Tm ING CO O PREPARED»LLAND ACCORDANCE TRTH THE H avi l a n d Road Subdivision Land Surveyors EIOSTHE CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROiE59011AL LAND SURVEYORS SAW CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR TAIOM THE SURVEY IS PREPARED.ANDSFEEr ON HIS BEHALF ro THE TITLE COMPANY,GOVERNMENTAL 1 OF 1 169 Haviland Road Queensbury New York 12804 AGENCY AND LENDING INSTITIATION LISTED HEREON,AND Town of Queensbury, Warren County, New York TO THE ASSIGNEES of THE LENDING ILSTITUTWN Amedore (518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIPTION DWG. NO. 0514G-20