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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