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2005-683 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. P20050683 Date Issued: Monday, April 24, 2006 This is to certify that work requested to be done as shown by Permit Number P20050683 has been completed. Tax Map Number. 523400-301-005-0001-058-000-0000 Location: 39 NOBLE Way Owner. THE BH GROUP, INC Applicant: THE BH GROUP, INC This structure maybe occupied as a: Fireplace By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enfo eme It Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050683 Application Number: A20050683 Tax Map No: 523400-301-005-0001-058-000-0000 Permission is hereby granted to: THF,B14 CTRnt JP. 1NC For property located at: 39 NOBLE Way 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: THE BH GROUP, INC 467 ALBANY-SHAKER Rd Fireplace Garage-2 Cars d LOUDONVILLE NY 12211-0000 Single FamilDwelling $327,190.00 Total Value $327,190.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-683 1792 SQ FT SINGLE FAMILY DWELLING $259.14 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, October 19, 2006 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Qu bury befo he a pi rat d ) Dated at the own f sb ; nesdaY, October 19, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement WINDOW SCHEDULE Job Site/Address: 7) Date: F Z ©r" Owner: 'The .�F-I ,C, Application No. n_5z '0 Window Window Window Unit or Rough Rough SQ.FT. SQ.FT SQ.FT. Clear Clear.: Special Hardware Number or Manufaturor Model/Type Stock Openin Opening Glass/Vis Egress/Cle Opening Opening or Instructions Letter on Name Numbe g Height ible Vent ar • Width In Height Plan Call Width Light Opening Inches In Inches Size .+�. r- e, Gr p 3 ..30 ~3 % S_s/ 7 � z j,,(/ G� t 3 „/c Z �%Z Z 13,7Y $J -,-e`i i6 Example Entry A Andersen Narroline 3062 3' 2 6'5 '/z 15.30 8.36 6.01 34 24 16135' Tempered Double 1/3" 11/16 Glazing Hun CADocuments'and Settings\Sue\Ucal Settings\Temp\Window Schedule.doc Job Site Address: 5 /may/c 7) Date:. Owner: —7 e ui��� � Application No. File No. log _3 Building Permit — Calculation Sheet 4 200-5 Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of Req.Light Actual Req.Vent .Actual Sq.Ft. Remarks Room Room 8%of Room Light 4%of Room Vent Opening for in Area Square Area Square Egress Square Footage Footage Feet 2T-7 203( 1-7 ja�z � 2o,6r 6� �7 R � Fi 6 -7y 76 2-7 v �J- S lye jr� sy zs,0- s: sz /0,Y6 _ k 2 PIZ gg g 11, 76 Z/. 6` ,S �tr & gz L:%SueHemingway\Building.Permit.FORMS\Nat.Light.V entil,Calculation.Sheet.doc T IJ o6 — o I Residential Plan Review: One�& Two liamily Dwellings (2)Full sets of plans Over 1,500 sq. $.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK ampproofmg/Waterproofing Materials On Plans oundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors / Stairway Headroom 6' 8'All Stairs 36"Width v Stair Run and Rise /-- Winder Run and Rise Spiral Not Allowed From 2 Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. Handrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas ge Fire Separation Garage Floor Sloped Attic Access Roof over 30"—22"x 30"!Crawl Spaces 18"x 24"Access arbon Monoxide Detector Lowest Sleeping Level Soil"hest Results, if required eptic To Well Or Water Line Separation All Paperwork Signed ' Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Location of installation:_ 3 y /U,hie We a7,1 Office Use File Permit No. Tax Map No. Owner's Name: e t ( (area 10 Fee Paid �—nn -... - ..-.�.�....w....._.....�._.- ..�--.. ...-............................................... Address: 1-47 41 A-,- A,L�'/ �elc Cca 9/cQ o-,utill e/ /v y /Z21/ 2. INSTALLER'S NAME : Q I� �t`°�D PHONE NO. '-3 VMU 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year-of House: No of Bedrooms x Cox 0&-f n = Total Dak Flow 1980 or older x 150 gal/bdnn = 1980—1991 x 130 gaUbdrm = 1991—present --':�� x 110 gallbdrm - T3.0 Garbage Grinder Installed yes^ n Spa or Hot Tub Installed yes 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) imumpby SoilNature Ground Witcr Bedrock or 1=avious Material Domestic Water l Flat sand at what depth at what depth i a meet ,�/ feet well l eep s ope clay if well; water supply +%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. 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). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: �ObV gallon(min.size 1,000 gal) Tile Field: each trench "I(! 1 d ft. Total System Length: y ft. Seepage Pit(s): number of—XLI.)-- size of each: ff by ft. Size nf Stone to be used: # / depth or thickness feet Bed System Size: x _ZZA Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) 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,shalLbe void. I have read the regulations with rose p ' on and agree to abide by these and all requirements of the Town oe sb S Sewage Disposal Ordinance. Signature of responsible person Date -Tow, 11 Of 011ot+ labili-fit i i�i►<:tltt.i x t: • . A3�►�3t)�iI�'•1'ktl:I`� IrI1rLI.), ' �I:I'111t11.'i'I(,?N t�:trLZ�.J'�ILt�t�1 Id�1,I,�► . « \ w\ rr-�r �..r..�.wrr..r..rr�r\•� n �� - �' ►? POND Witter �yousE a �� ,► G e .r. . ROAD ....�».'.«-•-"'.�...� r 7\ SIO2d4TUR &YNpopt. &TIO14 Ir{ I k'Vi+E,�3xsL r wv,,v„+►�.W.•....; ' ' w Fire Marshal's Office Town of Queensbury,742 Bay Road, Pensbury,NY (518)761-8205 Application for. Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances ,qv� 2 4 Date , 20 C}�_ Permit No.a � G A2p�t5 cation is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and 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. NOTE to applicant: Rough-in and Final Inspections are required. A licant Informati n Fuel Burning Appliance Information ` (circle appropriate words) Name: stove: wood coal pellet gas Fireplace insert Address: t Fireplace, factory-built: wood gas Fireplace, masonry: wood gas v ci, [ Furnace: wood gas oil Phone: If non-masonary applicance,please provide Owner: Manufacturer Name: 4ki,14 �j. Address: Model Number: fi?`{ Chimney Information Phone: (circle appropriate words) Masonry block ck stone }�Exact Address: Flue the stee size: �inches • ��� ,l � of constructs n or i a Factory-Built N4 anufacturer name: - C) Model Number: �— ST� Note Listed By: 7 Number: __ Construction/Installation st conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Chimney Liner � C7a,orl�eatea�-',or 37epssr�me�t—T`o�.0 o�P Q�z�e�uerbury, N��-Yorlar Fire Marshal Code# $Collected $Refunded Received fion:(refunded to): j address• �� c'� �'i�� - • ---- A 173 3389 (190) Public Safety Sly' A 233 2655 (230)Minor ales DATE: a a x T yia�ncivz�— T wn ('i�e e/e oti �r .� White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink K Goldenrod(Cashier's Dept.) ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 IDEATING DEGREE DAYS Compliance Methods:Part S -Acceptable Practice Method—1&2 Family Dwellings(only) Part 6*-Thermal Rating—Component trade 0$s 1&2 Family Dwelling Multi-Family Dwellings(3 Stories or less) Part 4*-Design by Component performance,Commercial Buildings-I* Rise Residential *Requires submission of worksheets eAPPLICANT'S NC PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area 7 square feet 2. Type of heat- Electric . Oil _ Other 3. Is building mechanically cooled? es No 4. Percentage of area of windows and doors Over 17°fo��Under 17'�0 ` 5. R-VALUES FOR INSULATION GIVEN BEL•OW MUST CORRESPOND TO R VALUES AS SHOWN ON PLANS SUBMITTED: a: Roof R 30 b. Exterior walls R— -� C. Glazed areas R d. Exterior doors R e. Floors over unheated spaces R f. Edge of slab on grade(heated building) R g. Basement/cellar walls(above grade) Rj h. Basement/cellar walls(below grade) Rom_ i. Heating/cooling—ducts—piping in unheated space R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes . No TEMPERATURE CO IMUM SETTING 140—WILL NOT BE EXUDED A s Date Phone Number 1i--3 0' Y7Zg' INSPECTOR'S REMARKS: t Building Permit Application Town of Queensbuty—Dept of Community Dcvolopment,742 Bay Road,Quotnabury,NY Fri Ji �IJ A permit must be obtained before beginning construction. Permit File No. No I ection wM be=ado until applicant has rooeived a Feo Paid valid building permit. A31 appUoavt3' spaces on this Rec.Fee Paid applidation must be completed and must appear on the Reviewed By spplidation form. Applicant: —Re- 91 1 6r pj -z Owner: Address: 6 c•, s Address: o,A o v Z/ Phone#(S1,r)YiL•.=9 Phone#{.._) - .... property Location: LotNumber:'T/ House Number I-L/ /U lc �.✓ SubdivWonName: ki�►�a s Cs Tax Map Numbar: Job . ct, Now Building:, commercial 'Estimated Market Value of Construction: $3 2 Yo © Addition: xatidence/ commercial if an Addition,what will use of new addition be? 0 Alteration: xatidenco/ commercial 0 14o change to o t der time: tasidenoe/com'1 e Other work(doecdbe Check OeMpancyWormation 1 Floor 2 Floor Other floor Totai Below sq.fL 'eq.ft. sq.ft. Square Feet o Sine tEk 9=uim F71 1 o Two kp&dwolling o Townhouse o dQyellin8 #of units o Office o me M audio o Msn 61111111111 0 1 cat dttached D 2 oax'dstaChedSamp O 3 car detarohed pap O 1 oar s�#aehod 0 2 oar:ttbtahed ga Yt O 3 ass adt shed pap o Stmp building- cotnmercial o St=V building- residenfW 0 What is the proposed height of the strudtnro 2 feet inches Will any second-band or ungraded lumber be used? If so,for what? /�✓� Type of Heating System: electric/ oil /lam:J wood tgrced hot ' baseboard/other: Number ofn w to be h alled _ �_ Number of j&g j &gU to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Bteilda —Ae ISAI &o, e. Plwuber d /, S, i ►a 1 Mason _ Blectxiaian � v ,� Declaradon: pleats sign below after you have carefully read the statomentr To the best of my knowledge the statements contained in this application,togothor with the plans and specifications submitted,are a tram and complete ttatemeat of all proposed work bo dons o4lholdescribed premises and that all provisions of the Building Code,the Zoning Ordinance and la to the proposed work shall be complied with,whether epeeMed or noted,and that such size o owner. Pm ther,it is understood that 11we shall submit,prior to a Cortificats of O n*lisnco being issued,as requested by the Zoning Administmtor or Director of and CoA ny, Survev by a licensed surveyor,drawn to scale,showing actual looatlou of au new ut rt cT'doa S 'M - owner, kiixct,contractor • w je b REScheck Compliance Certificate ed By/Dat New York State Energy Conservation Construction REScheckSoftware Version 3.5 Release Id Data filename:C:\Program Files\Check\REScheck\Lot 7 Noble Way.rck PROJECT TITLE:Carlton A)lt; 2 4 2005 COUNTY:Saratoga' STATE:New York HDD:7244 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:08/17/05 DATE OF PLANS:August 17,2005 PROJECT DESCRIPTION: Lot 7 Noble Way Queensbury,New York DESIGNER/CONTRACTOR: The BH Group COMPLIANCE:Passes Maximum UA=536 Your Home UA=460 14.2%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling l:Flat Ceiling or Scissor Truss 1077 30.0 0.0 38 Ceiling 2:Cathedral Ceiling(no attic) 263 30.0 0.0 9 Wall 1:Wood Frame, 16"o.c. 2718 19.0 0.0 139 Window 1:Wood Frame:Double Pane 309 0.500 155 Door 1:Solid 55 0.190 10 Door 2:Glass 40 0.340 14 Basement Wall 1:Solid Concrete or Masonry 1352 11.0 0.0 95 Wall height:8.0' Depth below grade:6.0' OF Insulation depth:8.0' ,y4' 1 ED tk Furnace 1:Forced Hot Air,92 AFUE Ftot Air Conditioner 1:Electric Central Air, 10 SEER GO COMPLIANCE STATEMENT: The proposed building represented in this document is co t n specifications,and other calculations submitted with this permit application. The propo ha i meet the New York State Energy Conservation Construction Code requirements. When a Regis D ccs l h ped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional r specifications are in compliance with this Code. REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Id DATE:08/17/05 PROJECT TITLE:Carlton Bldg. Dept. Use Ceilings: [ ) 1. Ceiling l:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: [ ] 2. Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments- Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-19A'cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1:Solid Concrete or Masonry,8.0'ht/6.0'bg/8.0'insul, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame:Double Pane,U-factor:0.500 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ )Yes[ ]No Comments: Doors: [ ] 1. Door 1:Solid,U-factor:0.190 Comments: [ ] 2. Door 2:Glass,U-factor:0.340 Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,92 AFUE or higher Make and Model Number [ ] 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: ( ) Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-4. [ ] Supply ducts in unconditioned spaces must be insulated to R-8. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ) Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] ( Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ J Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1, Swimming Pools: ( ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for LIVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Final Survey Inspection Dept.of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: ij0---0 NAME: LOCATION:I a ALL)r-v" PERMIT#: 9C:05— (0 F Final Survey Plot Plan Aggroved Denied The attached final survey has been received by the Dept.of / Community Development. Upon review the survey has been: Craig Brown, Zoning Administrator Notes: L:\Suefiemingway%uilding:Codes-biWction.FORMS\Fina1 Survey Zoning Administrator.doc Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm Depart: -,Z am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#. - 63 LOCATION: DATE: TYPE OF STRUCTURE: - Comments Ye No N/A � Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location VA Fresh Air Intake g ,3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors 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 Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers 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 watertight Safety glazing/Window in stairwells safety gl ing Interior Smoke Det tors: Every level: V Every Bedr�m: o Outside every bedroom ea: t Inter Connected: Batte backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area �` - Crawl Spaces 18 inch x 24 inch access, 1 s .1-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site R . Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler A R Enclosed Stairs Sheetrock Underside minimum elief Valve(s)installed/Heat Trap/Water Temp110 41 I %z"Gypsum L Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised I00405.doc Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12004 761-8205/761-8206 fax 7454437 FacWEI Built as Fj lace i Stove Inspection Regort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instruct{o and specifications contained in the Installation Manual accompanying the appliance.No deviations.from the manufact,>re r's instructions or specifications is allowed. Permit# Schedule Inspection' rime �l am pm anytime Inspector '"`, 1 Name - ._ Address Rough I&Fina)K Appliance Manufacturer— —{ '-I— �k C Model# Direct Vent actory Built Chimney X Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection - - < `�- �-�- &C)7Z�A J i Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above Vp opening Witness Operation Tank Placement(if LP) Wh to-Budidinl De Yellow r Pink-Fire Mar*d W/ Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm Depart: Q! am/pm Date Inspection request received: Inspector's Initials: _� k l NAME: PERMIT#: '� LOCATION: DATE: ` TYPE OF STRUCT Comments Yes No N/A 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 Platform at all exterior doors 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 Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers 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 watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area _uc Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Tra /Water Temp 110 Enclosed Stairs Sheetrock Underside minimum''/z"Gypsums -- Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer t tl y Duct work Sealed properly Gas Los in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm Depart: J Z-�� am/pm Date Inspection request received: Inspector's Initials: NAME:,.. PERMIT#: S'— LOCATION: _ DATE: e< ' TYPE OF STRUCTURE: Comments Yey No N/A Building Number/Address visible from road Chinmey Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches irk i . Roof Complete/Exterior Finish Complete VX Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade t . Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more ff Handrail Termination at Newell Post or Wall VX Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers 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 watertight ... .. ....... Safety lazing/Window in stairwells safety&zing Interior Smoke DetOtors: Every level: Nis Every Bedroom: ' C> L '` Outside every bedroom�a: Inter Connected: 4 Batte backup: Carbon Monoxide Detector s 7L Attic access 30 inches x 22 inches x 30 inches(height)in accessible area �� Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .R.vents Bathroom Fans, if no window -- Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency a ess below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater o eratin Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimumY2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Lo s in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer De t.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O [Temporary/Permanent L:Building&Codes Forms\Building&CodeslInspection Forms\Residential Final Inspection Form revised_100405.doc Queensbury Building & Code Enforcement - Res'identia4 Final Inspection Office No. (518)761-8256 Arrive: Date Inspection request received: Inspector's Initials: NAME: \AL C" P 'IT#: LOCATION: ;� DATE: [ TYPE OF STRUCTURE: Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake / 3 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors (1� �� Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more ti�� i� wC ft Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feetG 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above gradetf�` ? � Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing i �, VA Interior Smoke Detectors: Every level: Every Bedroom: �A UY--)� �� C Outside every bedroom area: : Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft,150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures t N oNDFoundation insulation Floor truss,draft stopping finished basement 1,000 s . ft. Emergency egress below grade Lt> 1�, 6� A\ Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum''/z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/a hour fire door/door closer I _ Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan } As Built Septic System/Sewer Dept.Inspection Sticker V r Site Plan /Variance required ,rl t h-- Flood Plain Certification,if required i Okay to issue C/C or C/O[Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form—revised—-10001405.doc Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector`s Initials: /f NAME: PERMIT'NO.: Z LOCATION: 1 -A INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand Loam Clay Tyw of Water: Municipal/ Well Water rr Waterline separation distance Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field Pit Opening Sealed: Y N Partial End Ca Inlet/Outlet Pipes&Baffles Y N Location Se rations Foundation to tank ft. Foundation to absor Lion ft. Se ration of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side 1 i Middle Front Middle Rear m s: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 021006 Last revised 1/6/05 Esr. BOSWELLENGINEERING ENGINEERS SURVEYORS 0 PLANNERS 0 SCIENTISTS 1924 799 Madison Avenue•Albany,N.Y. 12208•(518)436-6310•Fax(518)436-0859 VIA FACSIMILE (518) 745-4437 March 17, 2006 Mr. Charlie Dyer Town of Queensbury Building Department 742 Bay Road Queensbury,NY 12804 Re: Septic System Installation Lot 7 Noble Way Kings Court Subdivision T/O Queensbury, Warren County,NY Our File No.: A02-008-05 Dear Mr. Dyer: Based upon a visual inspection conducted by our office on March 10 and March 17, 2006, we hereby attest to the fact that the septic system has been installed for Lot 7 — Noble Way. The septic system appears to have been installed in the relative location shown on the approved plans and appears to be installed in general conformance with the N.Y.S.D.O.H. approved plans (plans entitled `Kings Court Subdivision-Final Plans', dated: October 15, 2003, last revised: April 7, 2004, with a NYSDOH approval date of May 17, 2004). Should you have any questions, or require additional information, please feel free to contact our office at (518) 436-6310. Very truly yours, BOSWELL ENGINEERING 44j, 05aZA� Robert W. Osterhoudt, P. E. cc: Mr. Frank Barbera, BH Group Ms. Anita Gabalski,NYSDOH, 77 Mohican St., Glens Falls NY 12801 RWO/EJH/ejh X12002\A02-008 WEST MOUNTAIN\LETTERS\DYER 03172006 LOT 7 NOBLE WAY.DOC i Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: _ NAME: PERMIT NO.: 40- 03 LOCATION: `' INSPECT ON: IA RECHECK: Sl—kA? Comments and/or diagram Soil T nd Loam/Clay Type of Wat Waterline separation distance Well separation distance ft. v Other wells: ft. Absorption Field: Total length Length of each trench ft. �� � Depth of trenches "4 ft• 1"� Size of Stone Seepage Pits: Number � ,� ' Size: x 16 Stone Size: Piping Size Type Building to tank 4 Tank to Distribution Box 'i ti Distribution Box to Field Pit Opening Sealed• N !al End Cap rY Ini Outlet Pipes&Baffles N '— C Location/ Se rations Foundation to tank ft• Foundation to absor ion ft. Separation.of Pits ft• Conforms as Der Plot Plan N Engineer Report and As-Built Y N Location of System on Property: Front Rear Side Right Side Middle Front Mite Rear Sys—Item 7 U s• Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 021006 '/ �� 0?om r1r4b N -(Z� Last revised 1/6/05 F Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: b 5-61 NAME: PERMIT NO.: 2 LOCATION: INSPECT ON: RECHECK: Comme=and/or diagram Soil Type:tla-n-d 16(4911 Clay Type of Water:fthidppR Well Water Waterline separation distance ft. ! 3 Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches Size of Stone See a Pits: Number Size: x Stone Size: Piping Size Type Building to tank " a Tank to Distribution Box `` -LA Distribution Box ield Pit Opening Sealed: N Partial End Ca - (Inlet/Outlet Pi &Baffles q N I (mle ��+1- P✓ Location/ Se rations Foundation to tank ft. Foundation to absorption ft. Separation of Pits A Ift. Conforms as per Plot Plan Engineer RelLort and As-Built Y Location of System on Property: Front Rear Left Sid Right Side Middle Front Middle Rear .�� - r2 S m Use s: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 021006 Last revised 1/6/05 f Rough Plumbing / Insulation Inspection Report , Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pm Depart: amiTm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials:, NAME: C � ,` ' PERMIT #: LOCATION: INSPECT ON: ' TYPE OF STRUCTURE: l Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. PlumbingVent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes ` Cleanout every 100 feet/change of direction ! v J Water Supply Piping Cooper Commercial 0o er,CPVC,Pex One and Two-Famil sulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces__ Combustion Air Supply for Furnace Duct work sealed properlyi No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing/ Firestopping Inspection R ort Office No. (518)761-8256 Date Inspection re est r c v Queensbury Building&Code Enforcement Arrive: 1 art: a 742 Bay Road, Queensbury,NY 12804 Inspector's Initia s: 1 NAME: °L l-f IUD PERMIT#: 06 6Y 3 LOCATION: p7 39 A)dAte WeLV INSPECT ON: _G(i`S, /L TYPE OF STRUCTURE: SF/� raming I' N NIA COMMENTS Attic Access 22"x 30"minimum (to ' L Jack Studs/Headers e-- //?S19,9&f 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 Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2(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 cavity min. Garage Fire Separation House side 'h 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 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reques ec e Queensbury Building & Code Enforcement Arrive: ► m rt: a /pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initial . - NAME: _�,TN PE #: — LOCATION: c V, INS ECT ON: Z— c TYPE OF STRUCTURE: Y N ,,N/A Rough Plumbing / Plate Plumbing Vent rt s in Place ✓ 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure.Test-- 1. Aead 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test _ ti-A Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulationj Residential Check / Commercial Check Proper Vent Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspectio e s r, cp& d: Queensbury Building&Code Enforcement Arrive: " ' m P 742 Bay Road,Queensbury,NY 12804 Inspector's Initial ✓ ,ff � r' NAME: l PERMIT#: — LOCATION: INSPECT ON: TYPE OF STRUCTURE: Framing n Y N N/A COMMENTS Attic Access 22"x 0"minimum Jack Studs/Headers Bracing!Bridging Joist hangers ✓�,' Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. U ; Stairwells 36 in. or more r Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2(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 \ y Fire separation 1,2,3 hour � r ire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. „ Y Garage Fire Separation House side '/2 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 Framing/ Firestopping Inspection Report ; Office No. (518) 761-8256 Date Inspection reque t recei;*ed: l Z 2 �(,n } Y � Queensbury Building&Code Enforcement Arrive: v a ' Depart: 742 Bay Road, Queensbury,NY 12804 Inspector's In' ' r, t° c' D l NAME: / (;-0 PERMIT#: �+� LOCATION: (, � asL-E �t9 `/ INSPECT ON: j TYPE OF STRUCTURE: rl Y N AT/A ming COMMENTS Attic Access 22"x 30"minimum e- Jack Studs/Headers w' Bracing I Bridging Joist hangers Jack Posts/Main Beams " Exterior sheeting nailed properly G � � �iC'L 12"O.C. '' Headroom 6 ft. 8 in. Stairwells 36 in. or more f f Headroom 6 ft. 8 in. Notches I Holes I Bearing Walls j "_"- Metal Strapping for Notches Top Plate fig 1 '/z w) 16 gauge 8) 16D nails each side '" t~_ 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 Firestoppingj Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation ._ House side '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X4�.1 Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Framing/ Firestopping Inspection Report i Office No. (518) 761-8256 Date Inspection request reee eo:' G Queensbu Building&Code Enforcement Arrive:. am/ m art: y a, m,r` rY g J - �pm,•,, L F, per,, o. 742 Bay Road,Queensbury,NY 12804 Inspectors Initia�s_ -, l ' NAME: � 1� PERMIT#: LOCATION: _ INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Framing 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 Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate I %2 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 shie. 24 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'/z 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 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: —aml,p Dc�ppaj am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: Jj 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/Wallpou�r----- Reinforcement inPlace Found—atio—nDamp­proo-­fi—ng -- Foundation/Waterproofing Type of Dampproofing/ Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 0,1mil poly for wet areas under slab A�ackfill-X�ppTWa1--------- Plumbing Under Slab —VC T Cast/'Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LAS uell orni ngway,Bu i Id i ng,Codes.Inspection.F ORM S\Foundafi on Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queersbury Building&Code Enforcement Arrive: am/pm Depa am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: - NAME: _ /✓ (2 t _ ERMIT#: -- S LOCATION: __� / --6" Nc)(� �C INSPECT ON: --- TYPE OF STRUCTURE: ty Comments -----� . ------- Y N N/A� Footings Piers Monolithic Slab Reinforcement in Place ~y The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this parpose on site. _ Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing a Type of Dampproofing/Waterproofing Footing Drain Daytight 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\SueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January A.2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: / am/pm 742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials: C ` NAME: GA 6RC' PERMIT#: Q_ LOCATION: - "[ — il. INSPECT ON: Z- c TYPE OF STRUCTURE: Comments V N N/A Footings v 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 Foundation Dampproofing _ Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Fo rng 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 — Rough Grade 6 inch drop within 10 ft. R." Ir\SueRemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 V Foundation Inspection Report A Office No. (518) 761-82.56 Date Inspection request received: _ Queensbury Building&Code Enforcement Arrive: anvp Depart: m m/p 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ` ( NAME: ' PER MIT#: A-- LOCA'rION: _ _ INSPECT ON: TYPE OF STRUCTU Comments Y N N/A Igs Piers —_—_--_ Monolithic Slab Reinforcement in Place -�P�4' , The contractor is responsiblehor providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing j 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. LASueF1emingway\Building.Codes.Inspection.FORM S\Foundation Inspection Report.doe January 28,2003