2007-600 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4E Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20070600 Date Issued: Monday, June 04, 2012
This is to certify that work requested to be done as shown by Permit Number P20070600
has been completed.
Location: 20 SULLIVAN Dr
Tax Map Number: 523400-289-009-0001-046-000-0000
Owner: DWIGHT & KIM CAMPNEY
Applicant: DWIGHT & KIM CAMPNEY
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan,Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
12po 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20070600 Application Number: A20 706
Tax Map No: 523400-289-009-0001-046-000-0000
Permission is hereby granted to: DWIGHT&KIM CAMPNEY
For property located at: 20 SULLIVAN Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application t eth with plot plans and oth information he o ed
and approved and in compliance with the NYS Unil B g Cod s d the eensbury Zo�
Ordinance. T e of Construction Value
Owner Ad ess: WIGHT&KIM CAMP N
VISTA Ct esidential Alteration $9,000.00
UEENSBURY,NY 12804 0 Total Value $9,000.00
Co tractor or Builders Name"Ad e s Electric pection Agency
Plans&Specifications��\
2007-600
Residential Alteration
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,October 12,2012
(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 Que bu F October 12,2007
SIGNED BY11' 4for the Town of u n Q ee sbury.
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
BUILDING PERMIT
Permit Number: P20070600 Application Number. A20070600
Tax Map No: 523400-289-009-0001-046-000-0000 '
i
Permission is hereby granted to: DWIGHT &KIM CAMPNEY
For property located at: 20 SULLIVAN Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans4oronnation hereto filed
and approved and in compliance with the NYS Uniform Building Codes anury Zoning
Ordinance. T e on Value
Owner Address: DWIGHT& KIM CAMPNEY
r l Residential Alte ation .-`` $9,000.00
4 STA Ct
QU ENSBURY, NY 12804-00 0 Total value $9,000.00
1
Cont t or Builder's NIme/Address Electrical Ins tion Agency
1
Plans &Specifications
2007-600
Residential Alteration
PERMIT FEE PAID- THIS PERMIT EXPIRES:
$60.00 Wednesday, October 12, 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 To Queens 'ury-, i y, October 12,2007
SIGNED BY for the Town of Queensbury.
Director of Building Code nforcernent
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING P IT
Permit Number: P20070600 Appli 'on Number. A20070600
Tax Map No: 523400-289-009-0001-046-000-0000
Permission is hereby granted to: DWIGHT&KIM CAMPNEY
For property located at: 20 SULLIVAN Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with of lans an 'other information hereto filed
and approved and in compliance with the NYS Uniform Building s and T-- Queensl*Zoning
Ordinance. T e ofConstruction Value
Owner Address: DWIGHT&KIM CAMPNEY si ential Al ation $9,000.00
4 VISTA Ct
QUEENSBURY,NY 12804-0000 T l value $9,000.00
Contract or Builders ame/Address Elect cal Inspection Agency
� t
f�
Plans &Specificatio
2007-600
Residential Alteration
$60.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, October 12, 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 eensb ZP�
tober 12,2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code nforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070600 Application Numb r: A20070600
Tax Map No: 523400-289-009-0001-046-000-0000
Permission is hereby granted to: DWIGHT &KIM CAMPNEY
For property located at: 20 SULLIVAN Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot pl and other information hereto filed
and approved and in compliance with the NYS Uniform Building Code d the Queensbury Zoning
Ordinance. T e f Construction Value
Owner Address: DWIGHT &KIM CAMPNEY es' ntial Alterati $9,000.00
Ct Total Value
QUEE BURY, NY 12804- 0 0 $9,000.00
Contractor/rBuaildere's Name AAess ctrical Inspection Agency
Plans &Specifications
2007-600
Residential Alteration
$60.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Monday, October 12,2009
(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 Trwrn 0 een ry-4 rir ctober 12, 2007
SIGNED BY for the Town of Queensbury.
v
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
BUILDING PERMIT
Permit Number: P20070600 Application Number. A20070600
Tax Map No: 523400-289-009-0001-046-000-0000
Permission is hereby granted to: DWIGHT&KIM CAMPNEY
For property located at: 20 SULLIVAN Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: DWIGHT&KIM CAMPNEY
4 VISTA Ct Residential Alteration $9,000.00
QUEENSBURY,NY 12804-0000 Total value $9,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2007-600
Residential Alteration
$60.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday, October 12,2008
(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 o ee ri y October 12,2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
"""""'"_ OFFICE USE ONLY .. ..._ __.__ ___ ._...%
0 TA MAP NO. PERMIT NO. C/-7
FEES: PERMIT RECREATION ENGINEERING
(If applicable) SEP 2 0
.. _..
(�..................
y,sL TOWN OF QUEENSBURY '
PRINCIPAL STRUCTURE: BUILDING & CODES
APPLICATION FOR ZONING APPRO L & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE O A D P MIT FOR CON TRUCTION.
APPLICANT/BUILDER: OWNER:
ADDRESS: 4 ADDRESS:
PHONE NOS. PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES
O ES COMPLIANCE: PHONE:
LOCATION OF PROPERTY:
u
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR z LL 0 a d W cn
PROJECT Cl
00 � O 0 = _
0 w v _ u- =LL u O
� az Z OL LL . U
06
SINGLE FAMILY CAIQ
TWO-FAMILY c
MULTI-FAMILY _
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER ]
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED C NSTRUCTf COST: � FUEL TYPE:
HEAT TYPE: "'HOW MANY FIREPLACE(S):-`---AND/OR WOODSTOVES(S): --
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION:
"Please complete a separate Application for"Fuel Burning Applianc &Chimneys" available in our office
B 3-LGL 11-05
ldom Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
'f 4
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.
I have read and agree he ove.
Signed f r
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 ; herein is found to be in accordance with the
described herein in accordance with said ; ; zoning Laws of the Town of Queensbury. I
Application:
0
1
BUILDING & CODES APPROVAL ZONING APPROVAL 11
• ,
DATE DATE11
10
QUESTIONS? CALL 761-8256 OR EMAIL
codesCcagueensbury.net
Office Use Only VISIT OUR WEBS1TE FOR MORE INFORMATION
_
Operating Permit issued: Yes No www.gueensbury.net
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensburyj • Community Development Office • 742 Bay Road, Queensburyj, NY 12804
Queensbury Building & Code Enforcement - Residential Final lnspe ion
Office No. (518)761-8256 1Arrive: am/ m part:l ' am/pm
Date Inspection request received: Z inspector's Initials:
NAME: C. -e'y PMIT
17-7
LOCATION: v (�{� raj D - DATE: Z.
TYPE OF STRUCTURE:
ER
Comments:
Y No NIA
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wail
Intedor/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade .•
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen waterti t
Safety glazing/Window in stairwells safety l
Interior Smoke v4clors/Carbon M o ' etectors
Every level: Ev ry Bed .
Outside every bedroo rea:
Inter Connected: Batteryback; :
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 sq.ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency ress below grade - -
Gas Furnace shut-off within 30 feet or within fine of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched oo
Ga reproofin /%hour fire door/door closer
9i4st*ogsift,$eeIed or Glass Enclosure
Final Eledrica Enerqy Saving Light Bulbs 50%
'FmeFemyWftt Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Bulk Septic System/Sewer Dept. inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Tem ra /Permanent
LABuilding&Codes Forms\Building&Codes\inspection Forns\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08,Revised 12/22/10,Revised 04/13111
Rough Plumbing 1 insulation Inspection Report
Office No. (518) 761-8256 Date Inspection rpeq �:Queensbury Building 8�Code Enforcement Arrive: l7 a : �a 742 Bay Road, Queensbury, NY 12804 Inspector's InitialNAME: n PER
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing /Nail Plates �� �
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size O - 3 0 X(
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
d GGt(�1
0 PAJ 15 minutes
insulatio /Rpsidential Check I Commercial Check
k or S liar Exterior Sealant
PropwVent, Attic Vent �'�LX47
Door/Window Sealed No Insulation) ,—
Duct/Hot Water Piping Insulation Z 4
If required unheated spaces
Combustion Air Supply for Furnace -H- LQ
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insubdon Reportr+evised Nov 17 2003, revised February 15,2005, revised January 7,2008
ueensbury Building & Code Enforcement - Residential, F'Wallection
Office No. (518) 761-8256 Arrive: o rn -Oa.
Date Inspection request received: Inspector's Initials:
NAME: ERMIT#:
07
,-----
LOCATION: DATE:
TYPE OF STRUCTURE: L/
Comments:
N/A
,V Building Number Address visible from road
Chimney,Height/V Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete 1 ►Jt��LL 1 D1 tJC-�
Platform at all exterior doors _
Handrail 4 or more risersE AL H i iLTE€z,\C� tM
Guards at stairs deckspatios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck B /Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off a sed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches '
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area: o PE
Inter Connected: Battery ba&u
Attic access 30 inches x 22 inches x 30 inches i ht in accessible area
Crawl Spaces 18 inch x 24 inch access 1 .ft:150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopplEg finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within tine of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
? of E p_h F'1 tiT i>,3TE� F
Low water shut-off boiler (3 ATH �
Relief Valves installed/Heat Trapt Water Temp 110 000l
Enclosed Stairs Sheetrock Underside minimum%'Gypsum
Basement stairs dosed rise>4 inches ow
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed prop2rly
Gas Loge in Sealed or Glass Enclosure PLE�
RU
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bondin
As Built Septic System/Sewer Dept. lns ion Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent EKX
.� �
t� vJ� �A � F T��TE� �Ot-A�EXE�
L1Building&Codes Fo s uildrng&Codesunspec ion Forms\Residential Final Ins n Form_revised_100405.doc;Revised
January 7,2008;Revised 8/26/08
— C_AL� \06LA\t6, \K h-Y!E \Q)
Framing / Firestopping Inspection Re rt
Once No. (518)761-8256 Date I ' n
Queensbury Building &Code Enforcement Arrive: a rt: 2
742 Bay Road, Queensbury, NY 12804 Inspector's Initia s
----------- -----
NAME: F P MIT
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y Framing N NIA COMMENTS:
Attic Access 22" x 30" minimum RECV- Ep Q ��t 5�� �`�►
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 4 "
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 Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in ca ' 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. (V1l)
5.7 sf above/below grade
5.0 s#grade
LABuilding&Codes Fonns-t 1-Muilding&CodesYnspec*ion Forr ssT an ing Firestopping Inspection Reportdoc Revised January 7,2008
O"17
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inffi
nspectiore
_
Queensbury Building & Code Enforcement Arrive: I p', : a
742 Bay Road, Queensbury, NY 12804 Inspector's InNAME: Cu�� A M ��` PLOCATION: 7� s. I) � {�� .OR\J� IN
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/Head
50 P.S.1 for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
O tJ UJNI::IiT COULD PEE . T�t r` \c L tiwIt !F—
aoARO b6 C3o-T� 19E p R-26 'Fi�(��
N-'� (6flt-\E t....00 AT1O1�S ® t6\LL. �V C>\30E- �, 10 lJ
d AC\i•�� �F E1� l!�1 1 �-003j:. AL.L_ OEU)
t Ems® lV O T-b v�)& 1 TC L �. C. �L.�-EST J of
Rough Plumbing Insulation Report,revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report --
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:Ln- m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: C ►"' if (1,C D
PERMIT#
LOCATION: Z r ZT-t*r a � INSPECT ON: -�
TYPE OF STRUCTURE: _S�n
Y N WA COMMENTS
taming
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed property
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 1 R. KX0
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
�i
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. CM
5.7 sf above/below grade
5.0 sf grade
L:\BuildhV&Codes Fomis-=\Buildinq&Codesvrapection FormsTrerrinp Firestoppft Impaction Report.doc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date InsMIn .
est received:
Queensbury Building&Code Enforcement Arrive: 'Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto
NAME: r
PERMIT#: 07
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.
F undation/Wallpour
enforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone: i
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 in ti?q y quest received: 7
Queensbury Building&Code Enforcement Arrive: EGG✓JJJam/pmr �,' Dep am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto s Initials:
NAME: I , t yr' rle- PERMIT#: ��
LOCATION. L C ,,r u, F INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is respdnsible for
providing protection from freezin
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 Fors\Building&Codes\Inspection Fors\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM