2005-752 TOVN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20050752 Date Issued: Thursday, September 20, 2007
This is to certify that work requested to be done as shown by Permit Number P20050752
has been completed.
Location: 340 CLEVERDALE Rd
Tax Map Number. 523400-226-012-0001-071-000-0000
Owner. ROBERT & EILZABETH BIRCHENOUGH
Applicant: ROBERT & EILZABETH BIRCHENOUGH
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 Director of Building&Code Enforcement
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
BUILD N PERMIT
Permit Number: P20050752 '�kpplication Number: A20050752
Tax Map No: 523400-226-012-0001-071- 0- 000
Permission is hereby granted to: ROBERT & EILZABET IRCHENO GH
For property located at: 340 CLEVERDALE
in the Town of Queensbury,to construct or place
at the above location in accordance with application together i plot lans and other ' formation hereto filed
and approved and in compliance with the NYS Uniform Buil g Cod s and the Que sbury Zoning
Ordinance.
e of Cons coon Value
Owner Address: ROBERT &EILZABETH BIR HE
340 CLEVERDALE Rd esidential teration $100,000.00
CLEVERDALE, NY 12820 otalval $100,000.00
Contractor or Builder's Name /Address ec 'cal Inspection Agency
In
Plans& eci t bons
A2005-75'2
1380 SQ FT RES TIAL AL E ON(CHANGE CRAWL SPACE TO FULL BASEMENT
$138.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, May 01, 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 To of eensb n y, May 01, 2006
SIGNED BY 4for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No.
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury, NY 12804 Recreation Fee
Dave Hatin, Director codesQaueensbury.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder ° � 0n,�Q 6& Owner:
Address: 61 YQ lip Address: /a ,
G1�9 VI-ACfQ
Home Phone: Vq 3s Home Phone: 65 4 —3 trpg
Email Address: Email Address: c zL
Cell Phone: `�"7 l Cell Phone:
FAX Phone: 3 24 6 _ FAX Phone: C"6 — l
Person responsible for supervision of work with respect to building and codes compliance:
Name: Q yt v,n Inc+,Lk 41 v 1 r�^^__
Address: Sce. 10 c7_s a 10*V c- Phone, P�
Location of proposed construction: Lot No. Legal Address: c
Tax Map Number: 21(0 , 1 Z— I — 6 Z Subdivision Name: /V ,119
Estimated Cost of Construction: $
Proposed construction is for: Residential Use _Commercial Use
Name of Business:
If proposed construction is an addition, what will use of new addition be?
New Addition Alteration Proposed Construction V Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. sq.Ft. Square feet Height
wee ° Ft.&in.
Single-Family Dwelling
Two-family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing _
them -80
Attached Garage 1, 1 3 ..��
Type of Heating System: Electric, Oil, Wood, Forced Hot Ai , Baseboar , Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. _Yes g_- No
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the application, together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner.
Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all new nstructi n
Dot er= C>� Applicant/Builder Signature:
The application of - fed ftV14
hereby approved and
permission granted for the construction, reconstruction or a eration f diccessory structure as set
forth above.
Date: "' �'� _bAuthorized Signature: ff
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Appli tioti doc V:12/14/04
Queensbury Building & Code Enforcement - Residential Final Zspection
Office No.(518)761-8256 Arrive: _;�, l) am/p Depart: am/pm
Date Inspection request received: Inspector's Initials: F;
NAME: l ~� PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location J�/
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 bf
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: Batterybackup:
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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/<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 100405.doc
PAV FE
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: 9)`o am/pm epart: am/pm
Date Inspection request received: �//Z/ 0? Inspector's Initials: —
NAME: j v, Q i A PERMIT#: (} o �. �—
LOCATION: Z,�.( ("1 C L,t ,tZ4) 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 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
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/;/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan IV6
4; Ma
As Built Septic System/Sewer Dept.Inspection Sticker !.�-/ b,+�►<�
Site Plan /Variance required 0-
Flood Plain CertificationjiLzqguired 1
Okay to issue C/C o mpor /Permanent
L:\Building&Codes Forms\Building&CodesUnspection Forms\Residential Final Inspection Form revised 100405.doc
Foundation Inspection Report C
Office No.(518)761-8256 at Ins tion quest received: -71"J6-7
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto Initials: =1�
NAME: � � ov(/ '- / PERMIT#: —
LOCATION: U- INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is respo i le for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil po!y 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 Ins ecti request received:
Queensbury Building&Code Enforcement Arrive: am/p�n Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect s !als:
NAME: f PERMIT#: 05 �
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings etc
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
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report ;
Office No.(518)761-8256 Date Inspection rye quest received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: 81 4e PERMIT#:
LOCATION: INSPECT ON: z t)7
TYPE OF STRUCTURE:
Comments
Y N I N/A { *7
Footings G cmk FOR, `.
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
f
Queensbury Building & Code Enforcement - Residential Final Inspection f
Office No.(518)761-8256 Arrive: m part: am/pm
`
Date Inspection request received: — Inspector's Initial -�
NAME: 60 rch e,� 0"1 ` PERMIT#:
LOCATION: O �i)�a A ��� DATE: ,// 7
TYPE OF STRUCTURE: "T �—
Comments
Yes No NIA
Building Number/Address visible from road / 2 �m
ChimneyHeight/"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 hei ht in accessible area
Crawl Spaces 18 inch x 24 inch access, I 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
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%:"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed ro erl
Gas Logs in Sealed or filassknclosure
Final Electrical 6
Final Survey Plot P
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
Framing /Firestopping Inspection Report
Office No.(518) 761-8256 Date Insp ctio equest received:
Queensbury Building&Code Enforcement Arrive: am/pm D art: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector s Initial
NAME: k3 t a C.W PERMIT#:
LOCATION: Qt_ C--0E' C 7 INSPECT ON: a%
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers I Al P
Bracing/Bridging �j
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly C�_
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 'lz 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 '/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
Lax -
J /
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: .A---�Cn/pm - Depart: amlpm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �.
NAME: Get C oc, ( PERMIT
LOCATION: tG 1 (- 0 INSPECT ON: C7
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
Fo nation Dampproofing
foundation Waterproofing � 9
FootingDrain Daylight or Sump r,'- �L
l
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil pol
y 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 f3.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report doc
Last printed 12/20/2005 4:24:00 AM
i
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectio request received:
Queensbuty Building&Code Enforcement Arrive: am/pm n� Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspectors Initials.
NAME: r PERMIT#: J' Z
LOCATION: G INSPECT ON: '
TYPE OF STRUCTURE:
Comments
F
Y N NIA
Footings � C
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
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 8.
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 tiojrrequest received: G 7
Queensbury Building&Code Enforcement Arrive: S am1�m � Depart. am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto s Initials:'
NAME: Fm r-t ek'at PERMIT#:
LOCATION: 0 INSPECT ON: 7AA< .4 AeLl S ryej
TYPE OF STRUCTURE. l4
Y N NA
Footings
Piers a �&' C-1/L 1 S G 1��12G
S
Monolithic Slab
Reinforcement in Place
The contractor is responsible for 60 n �-VU.uflA;�16
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
F 'on Watetproof�ng
Footing Drain Day Wi t or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil po dy for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
U\Buiiding&Codes FormsWilding&Codesunspection FoPWOund*10n Inspection Report.tbc
(vast primed 12/20/2005 9:24:00 AM
1(D r l 2 7Au r-,so� s-//®10�.
Foundation Inspection Re rtI7
Po
Office No.(518)761-8256 Date Inspectio uest received:
Queensbury Building&Code Enforcement Arrive: pin Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: V P&
NAME: �)Y' t� PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Footings Y N NA
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
Foundatlon Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\lnspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
-Z/
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive:2! !�S am/pm Dept: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: T§;;2 ,t.�, PERMIT#:
LOCATION:
INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y.Footings N N/A
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materi on site.
Foun on/Wallpour
Reinf
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:\Buliding&Codes Forms\Bullding&Codes\Inspechm Forms\Foundation Inspection Report doc
Last printed 12/20/2005 9:24:00 AM
Foundation InspecV- nReport
Office No.(518)761-8256 Date Ins request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto
NAME: 1 PERMIT#: ^�
LOCATION: INSPECT ON:
TYPE OF STRUC .
Comments
Y N NIA
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
Fo fin8
Foundation Waterproofing
t
Footing Drain Stone:
12 inch width
6 inches above footing 1/
6 mil p2ly 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\Buiiding&Codes\Ingection Forms\ oundatio►Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
.22
Foundation InspeLctibn 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: T PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
mmenb �
Y N N/A
Footings
Piers l
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
Of the conc
Materi r this pluwA on site.
Foundati n!Wallpour
Reinforcement in ace
Footing Dowels or Keyway in place
Dam PP 8 roofin At—
Foundation
Foundation Waterproofing �-
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil po,jy 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\Buiiding&Codes\inspection ForrWoundatiOn inspection ReporLdoc
Last printed 12/20/2005 9:24:00 AM
1411eE:SDA-IV Z///
Foundation Inspection Report
Office No.(518)761-8256 Date Ins ti west received:
Queensbury Building&Code Enforcement Arrive: . -' - am/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's itials.
e �V11
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NIA
Footings
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materia or sp site.
F /Wes*.
Reinforcement m
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 f t.
L:\Building&Codes Forms\Building&Codes\Itu on Forms\FoundaWn Inspection Report.doc
Last printed 12/2012005 9:24:00 AM
Foundation Inspection Report
Office No. (518)761-8256 Date I r v
Queensbury Building&Code Enforcement Arrive: Depart: m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini
NAME:
LOCATION: 4. ( _ SPECT ON: L �T
TYPE OF STRUCTURE:
Commenb
Y NA
outings
Piers �---�
Monolithic slab `K( V
Reinforcement in Place
The contractor is responsible for
providing protection from free i g
for 48 hours following the placement
of the concrete.
j� Materials for this purpose on site.
Foundatio Wallpoa
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Buiiding&Codes\inspection FomnsWoundWon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
--7 41- IZ11C)
2- - �/
Foundation Inspection Report
Office No. (518)761-8256 Date Ins , tion a est received:
Queensbury Banding&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto 's Initials: � ,.
NAME: j, PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NA
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\lrgxx w Forms\Foundadw Inspection Report.doc
Last printed iZ/20/2005 9:24:00 AM
Foundation Inspection Report
2�
Office No.(518)761-8256 Date Inspection equest received:
Queensbury Building&Code Enforcement Arrive: ; � p Depart: am/ m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �� P
NAME: _ � t�Cl�l C�v d Cif L'( PERMIT#: CS-i / �i—'
LOCATION: G Cam- c INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab d T
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
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundadon Inspection Report.doc
Last primed 12/20/2005 9:24:00 AM
Foundation inspection Report
Office No.(518)761-8256 Date Ins ion request received: ���
Queensbury Building&Code Enforcement Arrive: r aMI13M Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto is Initials:
NAME: i a i " A out- PERMIT#: 0 `7 S 2"
LOCATION: INSPECT ON: 1- 7
TYPE OF STRUCTURE:
Comments
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 purp9se on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Wetsrproofing `
Footing Drain Daylight or Sump
F ' g Drain Stone:
12 inch width
6 inches above footing
6 mil p2ly for wet areas under slab
ll A13MVW
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&CodeWnspection Form Woundaiion Inspectbn Report.doc
Last printed 12/20/2005 9:24:00 AM
6 - /0 . �7Avrs A312
Foundation Inspection Re
Office No. (518)761-8256 Date InsDoequest received:
Queensbury Building&Code Enforcement Arrive: p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: ,T .
LOCATION: INSPECT ON:
TYPE OF STRUC .
Comments
Y N NA
VrFo�ofinpers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for ollowing the placement
oft�_�ncr.
Materials for this site.
Foundation/Wallpour
enforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Bullding&Codes\Inspection Forms\Foundation Inspection ReporLdoc
Last printed 12/20/2005 9:24:00 AM
� LdAatZiotn (ction Report
Office No.(518)761-8256 Date In do rest received:
Queensbury Building&Code Enforcement Arrive: pm„ n / _Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect 's Initials:
NAME: l '� � PERMIT
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NA
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation
F ' -Wing
IX
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
F+a_. ' ;Insulation Interior Exterior
R. JrO
Rough GrAde 6 inch drop within 10
L:1Building&Codes Forms\Buikfing&Codesllnspection Form Woundation Inspedfon Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report /� /- 3
C, ✓
4
Office No. (518)761-8256 Date Ins n request received: 3, '^'
Queensbury Building&Code Enforcement Arrive: am/ part: am/pm
742 Bay Rd.,Queensbury,NY 12804 Ins or's Initials:
NAME: PERMIT#: 7
LOCATION: G� INSPECT ON: 3 a
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.
-blall 'als 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 R.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection ReporLdoc
Last printed 12/20/2005 9:24:00 AM
undation Inspection Report
Office No.(518)761-8256 Date Ins request received: 7
Queensbury Building&Code Enforcement Arrive: r-. am/pmDepart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: _ O �_ —
LOCATION: SPECT ON:
TYPE OF STRUCTURE:
Y N NA
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Famdation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing '
for wet areas der slab
Bacicfi proval At-,-�
P umbing Under SlaO
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 ReporLdoc
Last printed 12/20/2005 9:24:00 AM
6--/0 7/0 , 1-3/%Z//0�7
r Foundation Inspection R
Office No.(518)761-8256 Date Ins tioyrequest received:
Queensbury Building&Code Enforcement Arriv . . am/pm De rt: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect 's Initials:
NAME: PERMIT#: �
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NA
Footings ,
iers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
U\Building&Codes Forms\Buiiding&Codes\1nspection Forms\Foundation inspection Report doc
Last printed 12/20/2005 9:24:00 AM
1-."5 . l� sd �/i/a7
Aough Plumbing / Insulation inspcktion Report
Office No. (518) 761-8256 Date Inspe r uest received: .
Queensbury Building & Code Enforcement Arrive: r/am/ part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: s"
NAME: PERMIT #:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing Nail Plates
Plumbing Vent Vents in Place
1 1/2 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 �)AA—
( �P.S.I 5 minutes
Insulation Re idential Check Commercial Check
Proper Vent is Vent
-Duct ater Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly]_No duct tape
COMMENTS:
LAPam Whitinouilding&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pt Depart: am/gm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ��..11
NAME: 101000 PERMIT#: � / `�5
LOCATION: C— O INSPECT ON: 7
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
the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforce in Place
Footin If or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
UXBuilding&Codes Forms\Building&Codesunspection FormsXFoundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/--3 Z: �/�?1
Foundation Ins tion Re�rt
P� Po
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: I PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NIA
Footings
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 8.
L:\Buikhng&Cades Forms\8uiidin9&Codes\InWxt W FWM\Fourx'WW Ir qX dion Report.doc
Last printed 12/20/2005 9:24:00 AM
Rough Plumbing / nsulation Inspection Report
Office No. (518) 761-8256 Date Inspection equest received:
Queensbury Building & Code Enforcement Arrive: '. am/p rt: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 10i PERMIT #: 62�77 7�
LOCATION: &4JO C4dex24Z=e INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing Nail Plates
Plumbing Vent Vents in Place
1 1/2 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 ad
P. fN 15 minutes
Insulation esidential Check Commercial Check 1 A-L1�-
t 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&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Foundation Inspection Report
Office No. (518)761-8256 Date Inspectio request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: i J r�Cl�(6—A) h (U PERMIT#: 7 5
LOCATION: Cam—+. - / G ✓J. INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings l�
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
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 Fonms\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 InsPtio iruest received: /
Queensbury Building&Code Enforcement =t7ef-t2-
Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Initials: .
NAME: b . `'1 PERMIT#:
LOCATION: "�� -s/ 1t (Cb . INSPECT ON:
TYPE OF STRUCTURE:
Comments
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 on site.
oundation 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 Wilding&Codes FormsWilding&Codesunspecbon FormsWoundadon Inspection ReporLdoc
Last printed 12/20/2005 9:24:00 AM
2 - q UE-�VJ ES-A C>h e V
Foundation Inspection Report
Office No. (518)761-8256 Date Inspects uest received:
Queensbury Building&Code Enforcement Arrive: am// Depart; am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto 's Initials: I`'L
NAME: PERMIT#: — 7f 5?
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NA
Footings
Piers
Monolithic Slab
Reinforcement in Place j
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Bullding&Codes Forms\Building&Codesunspecction Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report 0
Close 7C�
Office No. (518)761-8256 Date Insertion request received:
Queensbury Building&Code Enforcement Arrive: It , (O am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials.
NAME: 61�-dN PERMIT#: 0 5 7 '�-
LOCATION: I i-/ IN INSPECT ON:
a
TYPE OF STRUCTURE:
Comments
Y N N/A
Piers
Monolithic Slab
Reinforcement in Place /L
The contractor is responsib a or
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 p.
WB 1 Ark (1L
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Bwkfill Approval 14L—
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/ nor .
R- � ,_. l
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Buliding&Codes\Inspedion Forms\FourKWw Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
7-// � /12
e Foundation Inspection Report
Office No. (518)761-8256 Date Insp�tiwnpluest received:
Queensbury Building&Code Enforcement Arrive: �A�am/
p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804Ins os:
NAME: /�J f` 1 fo1�J PERMIT#: 0,5--
LOCATION: 41 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.
a r s p site.
Foundation/Wallpour
f
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 R.
L:\Building&Codes Fomts\Buikfing&Codes\Inspection Fcxms\FoundWon Iron Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Repo
Office No.(518)761-8256 Date In io equest received:
Queensbury Building&Code Enforcement Amve: - Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect 's itials..
NAME: he�00 r, _ PERMIT#: ��'—5
LOCATION: i INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Monolithic Slab
Reinforcement in Place '
The contractor is respon iblef for
providing protection from freezing
for 48 hours following the placement A � G
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain.Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil p2ly 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 R.
L:\Buiiding&Codes FormsXBuiiding&Codes\lnspection Forrns\Foundabon Inspection Report doc
Last printed 12/20/2005 9:24:00 AM
--�,/ /d(DNL)i-".'/ / l 6/0
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-
NAME: pa
A PERMIT#: 5
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic
'Weinforcement in Place
The contracto nsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast-1 Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&CodesWgxxtion Forms\Foundabon Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection eport �r l `
Office No.(518)761-8256 Date Ins tion re received:
Queensbury Building&Code Enforcement Arrive;C `xmlpri� Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspectors Initials. `
NAME: za PERMIT#: �
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NA
Footings
('-P
Monolithic Slab
Reinforcement in Place-2
The contractor is responsible trr
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Fonnns\Buiiding&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 Ins tiony_cpest received:
Queensbury Building&Code Enforcement Arrive: . D S am/pV Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials-
0
NAME: r PERMIT#: C
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 FA,
of the ncrete. i2 N
aten s or u 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 8.
U\Building&Codes Forms\Building&CodeAInspection Forms\FoundaWn Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection ReportrZ!
.
Office No.(518)761-8256 Date Ins ti request received: !A U V` 3 ��
Queensbury Building&Code Enforcement Arrive- am/p�i Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto 's�Initials:
NAME: M '�Lj�j6l—f' PERMIT#:
LOCATION: INSPECT ON: IIUi , 1 t� ZZ-
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
7orcemerit in
Tfhe contractor is respo ible for
viding protection m freezing
48 wing the placement
of the concrete.
Materials tm1bjAXurpose on site.
Foundatio Wailpour ,r e
Reinforceme ace
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
J,r
Office No.(518)761-8256 Date Inspection r u eceived: t,
Queensbury Building&Code Enforcement Arrive: Si/pm l 'Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect 's itials: .l
NAME: r e,Y,J IA t, PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A 'r�
Footin � �-L.r- S •� "" �f��
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 pRMse on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Founds W Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
FROM-X'G I FFORD ENGINEERING PHONE NO. : 518 382 5494 Jul. 16 2007 01:30PM P2
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F RtYl G I FFORD ENG I I4EER:NG PNC E NO. = 518 382 547F4 Mar. 14 2007 01:41 PM PZ
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h4arcb )4,2007
Mr.Tom Joslin
Construotion Tochnotogy
4 William St
Ballston Lake,NY 12019
Re; Transminal of Underpinning Sketch, Basement Installation, Bir.chenough Residence, 340
Cloverdale Rd,Queensbury,NY,fide Xo.06102
T have cnolosed it sketch of underpinning into nded for the east wall at the referenced project.
If I can be of further assistance in this matter,please contact rAe_
T yours,
G ord fing' r g
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P ent �`�t�
cc QWAA Mulholland
Dr. &Mrs. $it+chonovgh
$75 Pume Road Niskayunt,NY 12309-2909 Tal I.513)382-2545 �fox-(519;382.5494
FROM' : G 1 FF'ORU ENG I NEER I NG PHJNE NO, 519 3C2 5494 Mar, 14 2es-17 01::+1PM P3
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FROM : GIFFORD ENGINEERING PHONE NO. : 518 382 5494 Jan. 02 2007 10:22AM P1
GIFI'QRD QN_QINU.FRIN
Georechnical&Geoenvieonmental Services
December 29, 2-006 RECEIVED
Mr. Torn Juslin JAI �
Construction Technology TOWN Ur uuttivz>i3URY
4 William St BUILDING AND CODE
Ballston Take,NY 12019
Re: Transmittal of Geotechnical Engineering Sketches, Basement Installation, Birchenough
Residence, 340 Cloverdale Rd,Queensbury,NY,Tile No, 06102
Gentlemen,
I have enclosed geotechnical engineering sketches for the referenced project. The sketches
address the drainage recommendations as foundation drainage and a crass section for excavation
adjacent to the slab on grade portion to the west of the building.
If I can be of further assistance in this matter, please contact me.
Ci x Engineerrh
�
ter, &Mxs. B,zci-?eri
875 Pearse Road Niskayuna,NY 12309-2909 Tel:(518)382-2545 Fax: (518)382-5494
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FROM GIFFORD ENGINEERING PHONE NO. 519 382 5494 Jan. 02 2007 10:23AM P2
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