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2008-419 TOWN OF QUEENSSURY 742 Bay Road, Qaeensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: F20080419 Application Number. A20080419 Tax Map No: 523400-308-007-0001 -067-000-0000 Permission is hereby granted to: TRA-TOM. DEVELOPMENT INC For property located at: 131 RICHMOND HILL Dr in the Town of Q eensbury, to constrict 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 Val Owner Address: TRA-TOM DEVELOPMENT INC Fireplace 677 STATE ROUTE 9 Garage Attached GANSEVOORT, NY 1 283 1 -0000 Single Family Dwelling $350,000.00 Total Value $3503000:00 Contractor or Builders Name / Address Electrical Inspection Agency plans & Specifications 2008-419 3121 sq R single family dwelling with 576 sq ft garage and 1 fireplace $432912 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday, September 05, 2009 (If a longer period is required, an application foran extension must be made to the code Enforcement Officer of the Town of<?oeensbury before the expiration date.) Dated at the f Que buww ! F da September 05, 2008 SIGNED BY for the Town of Queensbucy. Director of Building & Code Enforcement Fire Marsha Vs Office Town of Queenshury * 742 Bay Road • Queensbury, New York • 12804 -a f 1 ,�� { Michael J. Palmer, Fire Marsha! - Can Stillman, Deputy Fire Marshal r r 0 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention & Building Code. The applicant or owner agrees to comply With all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED, , OWNER: _. _: r' INSTALLERIBUILDER: " ADDRESS: kJ21 C"1 A-f y _ Ifl 1 YYW"DDRESS: PHONE NOS. PHONE NOS. y Atli t v LOCATION OF PROPERTY: UBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTA ON: I ' CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: G V 1 C PHONE: 4 3 f ` ' FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE, FACTORY BUILT* FIREPLACE, MASONRY FURNACE (GARAGE ONLY) *IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS ? CALL 761 -8205 or 761 -8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: firemarshal ueE:nsbu .net MASONRY'" CHECK ONE ✓ VISIT OUR WERSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES www.aueen9bury.net FLUE CHECK ONE DOUBLE TRIPLE WALL INSULATED DIRECT V CHIMNEY WALL LINER CHIMNEY MATERIAL CHECK ONE ++� **1F NON-MASONRY, PLEASE PROVIDE; MANUFACTURER NAME: MODEL NO. ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. For an EPA homeowner's guide: httl2://www.epa.gov/nipdesZpubs/homeowner guide long custornize.odf ._ _ - _ - - - - - - " " - - OFFICE use oniLY - " -- - - - - - - - - - - - - - - - - - - - - - ' TAX M NO PERMIT NO. OF ! 2RMIT FEES ; APPROVALS: ZONING TOWN CLERK; APPLICATION .FOR SEPTIC I7ISP04SAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS, APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: --�� INSTALLER: ADDRESS: �� ��+ Pf 1 ",'� /��y ! 1"AVI Sr "` -n�+ure 1 PHONE NOS. CJ + /-� PHONE NOS. r } } ry LOCATION OF INSTALLATION: 1 L-Tal 1I y GY tt T I + LJ RESIDENCE YEAR BUILT NO. OF X COMPUTATION= - TOTAL DAILY FLOW INFORMATION: BEDROOMS 1980 or older 0 X 150 gallon per bedroom = 0 GARBAGE GRINDER 1981 -1991 © X 130 gallon per bedroom = INSTALLED? 1992 - present x 110 gallon per bedroom = 0 SPA OR HOT TUB INSTALLED? PARCEL INFORMATION: / ✓ TOPOGRAPHY: FLAT ROLLING `✓ STEEP SLOPE SLOPE % ✓ SOIL NATURE: SAND--jP LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC�T R SUPLY: � MUNICIPAL WELL (if well: water supply from any septic system absorption is ft) ✓ PERCOLATION TEST: RATE €S PER MIINUTE PER INCH (TEST TO BE COMPLETES] BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). TANK SIZE: T1 �: GALLON (MIN_ SIZE IS 1 ,000 GAL. ) Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SY TEM TYPE: ABSORPTION FIELD (WITH NO. 2 STONE) Total length �ft. Each trench 5S • X 0 SEEPAGE PIT(S) ('WITH NO. 3 STONE) How many? Size? El ALTERNATIVE SYSTEM Bed or other type? 0 HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY, PLEASE REVIEW LIST PROVIDED. 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, shall be void. I have read the regulations with respect to this application and agree QUESTIONS ? CALL 761-8256 OR EMAIL to abide by these and all requirements of the Town of Queensbury c od esdoo uee ns bu rv.n et Sanitary Sewage Disposal Ordinance. VISIT OUR WEBSITE FOR MORE INFORMATION www.ctueensburY.net Signature of PArs6n Responsible wate a;. Town of Queensbury • Community Development Office • 742 Bray Road, Queensbury, NY 12804 . — ` QFFI E USE ONLY 1JC J _�/i' tl + TAX MAP NO. /� � �*� PERiJIIT N(7. M ; 00 FEES' ERMIT + , RECREATION ENGINEERING Lz (if applicable) Y ' ' we Y .. r w — — - .. : .. — r w .. PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: ,y ��I A v1LN,%.A, OWNER,. � y f l � YV 4C�� --f� ADDRESS: Lam 77 "x- 5r ! - IT��LJD` 6u06 DRESS: PHONE NOS. 17 �1 — PHONE NOS. CONTACT PERSON FOR BUIL11DINGy& CODES COMPLIANCE: - U ` PHONE:--- =- r-� 3 , LOCATION OF PROPERTY: L. - I ti 1 l r J t G1�rm�ri� SUBDIVISION NAME: y. _✓��) I"S � PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR z o d rn run � w PROJECT O_ ¢� p F- a = c� Lu ii " � LL ~ oo � WZ SINGLE FAMILY � p �. � �I � �J � 31 Z TWO-FAMILY MULTI-FAMILY (NO._} TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR � INDUSTRIAL ATTACHED GARAGE(1()3) r OTHER , s. T071 n of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 W COMMERCIAL OR INDUSTRIAL — NAME OF BUSINESS:-4 ESTIMATED CONSTRUCTION COST: `' Q F TYPE: HEAT TYPE? i4,40 I-v `HOW" MANY FIREPLACE(S) t AND 1 OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? � b IS THIS A HISTORIC SITE? ��`") � PROPOSED USE OF BUILDING OR ADDITION:_ �t7 "' } S S r Q�n r _ ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? I" CD 'Please complete a separate Application for "Fuel Burning Appliances & Chimneys" available in our office I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed , that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that Itwe are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. Signed Director of Building & Codes: 761 -8256 (for questions QUESTIONS ? CALL 761-8256 OR EMAIL regarding Building Permits, construction codes or septic codes(Mgueensburv.net systems) VISIT OUR WEBSITE FOR MORE INFORMATION www gueensburV.net Zoning Administrator; 761 -8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) This application 1 proposed action described Permission is hereby granted to the above ' herein is found to be in accordance with the r Applicant to erect or alter the building described herein in accordance with said Application: zoning Laws of the Town of Queensbury. f r r ; + r 1 r 1 1 r 1 r r r r r r r r r + r 1 r ZONING APPROVAL DATEo SUILDIN4EA A DAT 1 r r r r F 1 Taxcm of Queensbury • Community DeVelopment Office • 742 Bay Load, Queensbury, NY 12804 _ �p'�oysx�,swwPY�R�z r 3 i 3 E 1 s otp ekovwks uodn _ 3 !doQ MPKqP" m" [ AaAjm IVMJ PQq"#v OI.L } MId loid "A-MS IBM t :# .IIrld :mod N t :panra=x 0111Q voszl o f peons Avg ZtPL i Xjngsmp*nb jo UAAoy z i i � an D u s en Stever Land Surveyors 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lie. No. 50135 *UNAUTHORIZED ALTERATM OR ADCI7ION TO A SURVEY YAP BEARING A LICENSED LAND SURVEYORS SEAL IS A MOLATION OF SECTION 7200. SUB-00MION 7. OF THE NEW YOM STATE EDUCATION LAW 'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED NTH AN ORIGINAL OF THE LAIN) SURVEYORS SEAL SHALL BE CONS TO BE VALID TRUE COMES.' *CERTIFICATIONS INDICATED HEREON SIGNIFY THAT INS SURVEY WAS PREPARED IN ACCORDANCE NTH THE D MING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, SAID CERTIFICATIONS SHALL RIM ONLY TO, THE PERSON FOR NDY THE SURVEY IS PREPARED. NO ON HIS BEHALF 70 THE TITLE COMPANY. GOVERNIIX NTAL AGENCY AND LENDING NNSTITUHION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTHUTION.• Map of a Survey made for Thomas J. Farone and Son, Inc. 2 Town of Queensbury, Warren County, New York 1 N0. 4114109 HOUSE LOCATION 5126108 MOVE PROPOSED HOUSE DATE DESCRIPTION Uc-kt^d&%A L Z � -E- vg'41I vatiel JULT JU, ifUMS Scale 1'=30' S-1 %EET 1 OF 1 FARONE DWG. NO. 02080 LOT-20 r Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received : Queensbury Building & Cade Enforcement Arrive: am/ D part: am/pm 742 Say Rd., Queensburry. NY 12804 Inspector's Initials: "/y�I�x / NAME: ! / �✓ ��- PERMIT NO. : LOCATION: INSPECT ON: RECHECK: Commentsa ram Soil Type. Sand I Loam I Clay Type of Water: Municipal Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 5CY + I - Y N N A 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 End Cap Y N Inlet/Outlet Pipes & Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Stag l Approved Partial Approved and needs to be re-inspected, please call the Building & Codes Office Disapproved Last revised 06/18/07 L:EBuilding & Codes Forms-OLD\Building & Codes\Inspection Forms\Septic Inspection Report.doc +Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761 -8256 Arrive: arr/pm D art: am/prn Date Inspection request received: lnspecior . Initi NAME: ' YU PERMIT #: 14/ LOCATION: DA E: TYPE OF STRUCTURE: Comments Y N NIA Chimney Ht. / "B" Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete / Exterior Finish Complete Guard 30 in. or more (a) stairs, decks, patios Guard at stairwell at 34 in. or more Guard at deck, porches 36 in. or nxore Exterior Finish Complete Interior/Exterior Railings 34 in. to M in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum 'la" Gypsum Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed / regulator 18" above grade Gas Furnace shut-off within 30 t'lt_ or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater a ratin Low water shut-off boiler Relief Valves installed / Heat Trap/ 'Water Temp 110 Interior privacy / trim / doors / main entrance 36 in. Bathroom / Kitchen waterti ht Safe lain / Window in stairwells safety glazing Interior Smoke Detectors: i Every level: i Every Bedroom: Outside every bedroom area: f Inter Connected: / Battery backup: r� _ __.--.-..-• ----- Carbon Monoxide Detector Bathroom Fans, if no window { Plumbing fixtures Foundation insulation Floor truss, draft stop2ing finished basement 1 ,000 sf Emergency egress below 1gade Basement stairs closed rise } 4 inches Garage Floor Pitched. Garage fire roofin / '/a hour fire door / door closer Duct work Seated properly Gras Logs in Sealed or Glass Enclosure Attic access 30 in. x 22 in, x 30 in. (ht.) In accessible area Crawl Spaces IS" x 24" access, 1 s . ft.-150 s . ft. vents Building No. / Address visible from road Final Electrical Site Plan / Variance required U+�`' +! % 104 , (')4 Final Survey Plot Plan It �� �� ►� �/ (� As Built Se tic System / Sewer Dept. Inspection Sticker Flood Plain Certification, if required rOkay to issue C / C or C / Cl Temporary / Permanent L:\PamW\BuildinR & Codes\lnsuection Forms\Res. Final Insn. form 2.docLast Printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final. Inspection Office No. (518) 761-8256 Arrive: 1 � � am/Q�l ,,/�2 f: am/pm Date Inspection request received: r Inspector's Initials. JJ��PP���� NAME: 1l`tlr'dif PERMIT #: U 1 1 LOCATION: c -C-� 1y �<-.� DATE: TYPE OF STRUCTURE: Comments Yes No NIA 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 do Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Extcrior 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 glazina / Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Bane bacicu : 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, 1 sAj. ft.-f 50 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 Valves installed / Heat Trap/ Water Temp110 Enclosed Stairs Sheetrock 'Underside minimum ''/2" Gypsum Basement stairs closed rise :> 4 inches Garage Floor Pitched N e roofm 13/4hour fire door / door closer k Scaled ro erl in Sealed or Glass Enclosure trical ve Plot Plan S tic S stem J Sewer De t I ection Sticker / Variance required Flood Plain Certification, if required Okay to issue C / C or C / 0 [ Tem or / Permanent LA3uildiag & Codes Forms\Building & CodesUnspection FormslResidential Final Inspection Form_revised_100405,doc Clueensbury Building & Code Enforcement Residenti 1 Final inspection ,�� ' 't• ' Office No. (518) 761-W56 Arrive: u - amfgm , Depart: am/PM ©ate Inspection request received: In" is Initiate: w, \ 0 " NAME: fi`f 7 4= A , PERMIT #: LOCATION: 1 _ DATE: TYPE OF STRUCTURE: Comments: FUAJ 4 undfng Number Address visible from road Ghimney Hei ht I 'B' Vent/Dirsct Vent Location Fresh Air Intake 3 inch Plumbina Vent through roof minimum 6 inches Roof co left 1 Exterior Finish ComrAete Platform at aH exterior doors Handrail 4 ar more risers Guards at stairs decks s more than 3Cl +notes above rade Girard at stainr,�rll at 34 inches or more Guard at deck robes 38 inches or mart Handrail Termination at Newel! Past ar Wall [nterior/Exterior RaiNn 34 inches to 38 inches Dock Bradn ndicapped Rarnp Compliant Grade awe from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off 1 reguistor 18 inches above grade Interior I trim 1 doors / main entrance 36 inches Bathroom 1 Kitchen watertight Safety alazina I Window in stairwells safety glazing Interior Smoke Detectors 1 Carbon Monoxide Detectors Every isvel: Every Bedroom: Outside every bedroom area: inter Connected: Battery backup- Attic access 30 inches x 22 inches x 30 iE�ches ei ht in accessible area Crawl Snpoes 18 inch x 24 inch access i sq. M-150 s . 'ft. vents Bathroom Fans if no window Plumbina 'Fixtures Foundation insulation I Insulation Certification Floor truss, draft g2pping finished basement 1 ,OCN] s . ft. Emergency rasa below prade Gas Furnace shut-off within 30 feet or within tine of site Oil Furnace shut-off at entrance to fumace area Fumace/Hot WaW Heater operating Low water shut-aoff boiler Relief V s installed I Heat Tra Water Tam 11 A Endosad Stairs Sheetrnck Underside minimum 34" GYPSUM Basement stairs dosed rise > 4 inches Garage Floor Pitched GaMgg fireproofing I 'K hour fire door 1 door closer Duct work Sealed r! Gas in Sealed ar Gfass dos re Final Eiectrical in Survey Plot Plan Arc Foul# Breaker In Bedrooms Flex Gas Pipe Bonding As Built is System I Sewer . Ins 'on Sticker Aerj,cV4C4 SYte Plan I Variance uired Flood Plain Certification, if required Okay to issu!eC I C or C !.,a,I.,O ,l T/am / Permanent L:1Buitding & Codes Forms\BWding & Codesllnspection Forms\Rersidential Final Inspection Form_rev1sedj004€35.doc: Revised January 7, 2008; Revised 6126M / 0) - /Z ;tion ep Framing 1 Firestopping Inspei ©rt Offim No. (518) 761 -8256 Date Inspec ' Oquest received: Que�ensbury Building & Code EnforoerrHent Arrive: L7 ' am Depart am/PM 742 Bay Road, Queensbury, NY 12804 inspect;Fs Inwais: NAME: LL PERMIT # LOCATIt7N: INSPECT OM TYPE CIF STRUCTURE: Y t"t A COMMENTS: jFraming A 22" x 30' minimum Jack Studs f Headers Bracing / Bridging Joist hangers Jack Pasts I Main Beams Exterior sheeting nailed property 12' 04C. Headroom 6 ft. 8 in. Stairwells 38 in. or more Exterior Deck Bracing Headroom 8 R. 8 in. Notches f Hodes f Bearing Walls Metal Strapping far Notches Tarp Plate 1 % w 16 gauge 8 1 sD naus each akle Draft stopping 1 ,000 sq. fL floor trusses Anchor Bolts B ft. or Was on center ice and water shield 24 inches from wall Fire separation 1 . 21 3 hour ire 4 hour Firestopping 16 inch insulation in cavity min. Garage Fire Separation House side 'A inch or 5J8 inch Type X Garage side US inch Type X CeRingtwa all Windows Habitable Space I Bedrooms 24 in. (H) 20 in. CM 5,7 sf above I belcw grade 5.0 of grade 1.:1Bwdldir 8R Coaaa Forme-otcl�Su�ldirg a. c�ser�cunav + amtisrFrw.aery Fier..aGappirrA I*rsp.czio ► Rep mtdoc Fto,rirled January 7, 2fl06 10 Rough Plumbing 1 Insulation lnsp tlon Report Office No. (518) 761 -8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: amlpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: J NAME: v -- PERMIT #: LdCATl+DN: _ INSPECT ON: TYPE OF STRUCTURE: `!f oe N NIA rB9Mgh Plumbing / NAM Plates mbi V eats in Place 1 'A inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test Drain / Vent Air 1 Head 5 P.S.I. or 10 ftw above h" hest connection for 15 minutes Pressure Test Water Supply Piping Air / Head 50 P.S.1 for 15 minutes Insulation / Residential Check / Comnwwdal Check Tjntek or Similar Exterior Sealant Proper Vent, Attic Vent Door I Window Sealed No Insulation Duct 1 Hot Water Piping insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: Rough Numbing lnsuWbon Report revised Nov 17 2003, remised February^ 15, 2005, revised Januwy 7, 2008 Queensbury Building & Code Enforcement - Reside i Final Inspection Office No. (618) 761-8256 Arrive: � �m/P �ep�rt amlpm Date inspection request rece' Inspecto s initials: R NAME: PERMIT #: LOCATION: v ©ATE: '" TYPE OF STRUCTURE: Commenita: w 4" Build hlumbar Address visible from road / Chem Heightf "B" VentlDirect Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 Inches F o left f Exterior Finish Coro ete m at all exterior doorsil 4 or more risers s at stairs decks atios more than 30 inches atoove rode at stainI at 34 inches or more at deck es 36 inches or mare ail Termination at Newell Post of Wall InteArkr I Ifiras 34 inches to 38 inches Dock Brans ! Hand' Ramp Cam ant Grade away tram foundation 6 inches with 10 fast 6 Inch clearance to sill Gas Valve shut-off f ulatar 18 inches above rade lnterkx PMP fqa 1 trim 1 doors f main entrance 36 er►ches Bathroom f Kitchen watediaht lazi ! Window in stairwells mgftsggazim Interior Smoke Detectors ! Cartoon Monoxide Detectors Every level. Every Bedroom: Outside every bedroom area: inter Connected: Balte backu Attic access 30 inwmu x 22 Inches x 30 .aches hei ht inaccessible area Crawl Sperms 18 inch x 24 inch access 1 sq. tt."150 fl. vents Bathroom Fans, if no window Plumbi fixtures Foundation insulation f Insulation Certification Floor truss, draft stn finished basement 1 ,000 s . ft. E ress below rode Gas Furnace shut-off within 30 feet or within line of site Oil Furnace sh+A-off at entrance to furnace area Furnacef lot Wager Heater operating Low water shut-off boiler Relief Valve s installed 1 Heat Tra 1 Water Tern 1 i0 Enclosed Stairs She Arock Underside minimum 'h" G sum Basement stalrs dosed rise > 4 inches Ga Floor Pitched Ga a F20 1 'r. hour fire door ! door closer Duct Waft sealed propedy Gas Was in Sealed or Glass Enclosure Final Electrical Final Su Pint Pisan Arc Fault Breaker in Bedrooms Flex Gas P Bond' As Built System ! Sewer RW. Ins on Sticker Site Plan !.Variance reautred Flood Plain Carlificationg it required Oka to issue C 1 C or C if 4 1 Tern ra f Permanent L:1Buelding 8 Codes FommslBuilding 8 CodesVnspection Fomms\Residential Final Inspection Form,_,revised_100405.d= Revised January 7, 200$; Revised 6f26K3t3 r X;e! .IF. Septic Inspection Report office .No. (518) 761-8256 [late Inspection Guest received: Queensbury Building ,& Code Enforcement Arrive: am/pru Dapart: am/pm 742 Bay Rd.. Queensbury, NY 128G4 Inspector' Ipitiais: NAME: --�r ��' PERMIT NO, : LOCATION: ,�, , , INSPECT ON : r RECHECK: Comments andfor diagram Soil T d Loam Clay Type of Water: Vkffficl2ee Well Water Waterli se tion distance R. Well separation distance ft& other wells: ft. Well Casing Len th 50' + - Y N N/A Absor lion Field: Total lencith ft. Len h of each trench ft. Depth of trenches .►''"� ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size . T Building to tank c*3 Tank to Distribution Box * ; Distribution Box to Field Pit tt et Opening Sealed: Vf -VIY N End Ca N Inlet/Outlet Pi & 'Baffles Y N Location Separations Foundation to tank ft& Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y Engineer Report and As-Built Y Location of ystem on Property: : jFron Rear Left Side 0ghtide Middle Front Middle Rear syswrn use Approved Partial Approved and needs to be re-inspected, please call the Building & Codes Office Disapproved Last revised 06/18/07 L.\Building & Codes 'Forms-OLD\9ui1ding & CodesUnspection Forms\Septic Inspection Peport.doc r 169 Haviland Road, Queensbury, NY 12804 MMJ Phone - 518-745-4400 Fax - 518-792-8511 April 14, 2009 Job # 46170 New York State Dept. of Health 77 Mohican Street Glens Falls, NY 12801 RE: Barringer Heights Subdivision - Queensbury (T) 131 Richmond Hill Drive (Lot#20) - Septic System Dear Sir/Ma'am: This letter is to inform you that we inspected the completed septic system for the house on 131 Richmond Hill Drive (Lot 420) in the Barringer Heights Subdivision on April 14, 2009. The septic system as installed was for a four bedroom house and consisted of a 1 ,250 gallon septic tank and 225 lineal feet of absorption trench constructed with stone and perforated pipe. The system conforms to the requirements of the approved subdivision design drawings. Please call me if you have any questions or concerns. Sincerely, omas R. Center Jr. , PE cc: Dave Hatin, Town of Queensbury Tom Farone Rough Plumbing ! Insulation Insp tio` ort CkIfice No. (518) 761 -8256 Date Inspection request received: ©ueensbury Building & Code Enforcement Arrive: pm/pm rt: t am/pm 742 Bay Road, +Queensbury, NY 12804 inspectoes Initials: , NAME: PERMIT LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing I Nail Platers Plumbing Vent I Vents in Place 1 ' inch minimum Drain Size Wash! Machine Drain 2 inch minimum Cteanout evwy 100 feet 1 change of direction Pressure Test Drain 1 Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping 50 S.I for 15 minutes Insulation I @ 2idential Check / Commercial Check imilar Exterior Sealant Proper Vent, Attic Vent Door / Window Sealed No Insulation Duct / Hot Water Piping Insulation If required unheated spaces Combustion Aar Supply for Furnace Duct work seated property1 No duct tape COMMENTS: 14 Rough Plumbing Insulation Reportrevisoed Nov 17 2003, remised February 15, 2005, revised January 7, 2008 e� Rough Plumbing I Insulation Inspec064 Repo P CItice No. (518) 781 -8256 Date In qyn request received: Queensbury Building & Code Enforcement Arrive: = U am/ rt-y am/pm 742 Bay Road, Queensbury, NY 12804 Ins s Inldals:`�� NAME: PERMIT #: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rou h Plumbing 1 Nail Plates Plumbing Vent 1 Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet f change of direction Pressure Test Drain I Vent Air f Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test �" 1 Water SuPP1Y Pipingfy.,, V Air f Head r 15 minutes nsulation I esidential Check I Commercial Check lmilar Exterior Sealant Proper Vent, Attic Vent Door/ Window Sealed No Insulation Duct 1 Hat Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed propeqy 1 No duct tape COMMENTS. Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008 7 a Framing 1 Firestopping inspection port Office No. (518) 781-8256 Date in request received: Qbusy Building 8 Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspecto s I NAME: rn ~ 0 Vl PERMIT LOCATI I NSPECT ON: TYPE OF STRUCTURE: YW I WA C 19m: Framing ' 22" x 30" minimum Jack Studs I Headers Bracing f Bridging �+' �+. 0 L_pc i.,.,,.... Joist hangers Jade Posts 1 Main Beams Exkwloer sheeting nailed properly I O.C. Headroom 6 ft. 8 in. S"tainweNs 38 in, or more Exterior Deck Bracing Headroom B ft. 8 in. Notches 1 Holes f Bearing Walls Metal Strapping for Notches Top Plate 1 % wr 1$ gaMMp (§) 16D nails each skle Draft stopping 11000 sq. fL floor trusses Anchor Batts B ft, or less on center Ice and water shield 24 inches from wall FITseparation 1 , 2, 3 hour wall 2, 3, 4 hour Firestop�ping Penetration sealed 1$ inch Insulation in cavity min. Garage Fire Separation Houses side % inch or 518 inch Type X Garage side 518 inch Type X CeilinglWall Windows Habitable Space / Bedrooms 24 in. (H) 20 in. CM &7 sf above I below grade 5.0 sf grade L-.%Suildit & Codes Forms-0LDM3u1$dhv & COddsV F 1 Mimnal Ig F� infped ion Repoltdoc RWASW JpnUswy 7', 2W A -i �� 1 c arc; Dough Plumbing 1 Insulation Inspection Report Office No. (518) 761 -8256 Date Inspection request received: Queensbury Building & Cade Enforcement Arrive: arnlprn Depart; am/pm 742 Say Road, Queensbury, NY 12804 Inspector's Initials: NAME: �.�/ '�'�1/C- PERMIT #: l 4" LOCATION: INSPECT ON: TYPE OF STRUCTURE: r Y IN NIA Rough Plumbi I Nail Plates Piumbi Vent I Vents in Place 1 'f: inch minimum Drain Size WashingMachine Drain 2 inch minimum Cleanout 100 feet I change of direction ✓''' � Pressure Test � f Drain I Vent I Air 1 Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Wafter Suppty Piping V/ Air I Head 50 P.S.1 for 15 minutes Insulation I Residential Check I Commercial Check T k or Similar Exterior Seaiant Proper Vent, Attic Vent Door/ Window Sealed No Insulation Duct 1 Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed ro I No duct tape COMMENTS: Rough Phimbing insu}a#ion Report revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008 Framing I Firestopping Inspection Report Office No. (518) 761 -8256 Date I n request received: Queensbury Building S Code Enforcement Arrive:�am/. part amlpm 742 Bay Road, Queensbury, NY 12804 Inspectors Initials: NAME:' . �' PERMIT * ' LOCATION: XYleumeWAL> Z c INSPECT ON: a.- O TYPE OF STRUCTURE: Framing A C:QMENTS• Attic Access 22' x 3W minimum ,�`-4 C 4''C� Jack Suds I Headers Bracing I Bridging Joist hangers Jack Posts I Main Beams Exterior shooti►tg nailed properly 120 O.+C, Headroom 6 ft. 8 in. Stain 36 in, or more Exterior Deck Bracing. Headroom 6 ft. 8 in. Notches I Holes / Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 160 nails each olds Draft stopping 1 ,000 sq, ft floor trusses Anchor Bolts 6 ft, or less on center Ice and water shield 24 inches from wall Fine separation 1 , 20 3 hour Fire wall 2, 3, 4 hour Firestoprping Penetration sealed 16 inch irtsuMMon in gavft min. Garage Fire Separation House side 'A inch or 5/8 inch Type X Garage side 518 inch Type X Ceilin I! Windows Habitable Space I Bedrooms 24 in. (H) 20 in. (W) 5.7 of above I below grade 5.0 sf grade L-OuNdkt & Codes Forrns,OLDlBuA&V & Code$UmWectlon Forn'ftWronft F rsetopoW Inspection Report.doc Revised JWKWy 7, 2008 Rough Plumbing 1 Insulation Inspection Repo t Office No. (518) 761 -8256 Date Inspection request received: Queensbury 'Building & Cade Enforcement Arrhm: am/p��rt: amlpm +Q 742 Bay Road, ueensbury, NY 12804 InspectcWs Initials: NAME: " '' & PERMIT #: llela LOCATION: r v D . c INSPECT GIN: � c� TYPE OF STRUCTURE: Y NIA "Rough Plumbing 1 hail Plates Plumbi Vent 1 Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction P ' ur e Test Drain ! Vent Air I Head P.S.I. or 10 % above h' hest connection far 15 minutes ressure Test Water Supply Piping Air I Head 50 P.S.I for 15 minutes Insulation I Residential Check / Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Cloy 1 Window Sealed No insulation Duct I Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed property I No duct to COMMENTS& Rough Plumbing insulation Report revised Nov 17 2003, revised February 15, 2005. revised January 7, 2008 Framing / Firestopping Inspection Report Office No. (518) 761 .8256 Date in request received: Queens�bury Building & Code Enforcement Arrive: $�arrsl Depart: amlpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: Ar G— PERMIT # / LOCATIGIN: INSPECT ON: e7 TYPE OF STRUCTURE: Framing .., Y A COMMENTS: Attic Access 22" x 30" minimum Jack Studs I Headers Bracing I Bridging Joist hangers Jack Pasts I Main Beams Exterior sheeting nailed properly IT C3.C, Headroom 6 ft. 8 in. Sta irwefs 36 in. or more Exterior Duck Bracing Headroom S ft. 8 in. Notches I Holes I Bearing Walls Metal Strapping for Notches Tap Plate 'I *A w 16 gauge 8 160 name each aide Draft stopping 1 ,000 sqo ft, floor trusses Ant on Bolts 6 ft. or less on center Ice and water shield 24 inches fron wall r- / Fire separation 1 . 2, 3 hour Fires wall 2, 31 4 hour Firestopping Penetratlon sealed 16 inch insulation in min. Garage Fire Separation House side % inch or 5I8 inch Type X Garage side 5/8 inch Type X Ceilin 11 Windows Habitable Space I Bedrooms 24 In. (H) 20 in. (W) 5.7 sf above I below grade 5.0 sf grade LABupd*q & COCNM F & C.odOSMMpecoon Fom*%FfwnhV Fw*sk ppft Inspection mwartdoc P v and Jenuawy T, 20M Framing f FirestyPPing" Inspection Report Office No. (518) 761 -8256 Date Inspe r request received: Queensbury Building & +Code Enforcement Arrive: L �rt: am/pcn 742 Bay Load, Qere sbury, NY 12804 rnspe 'O nrtials: - = e NAME: PERMIT AP LOCATION: 4Z4 ZC44423d=P7750 Zrr 7L INSPECT ON: —177 TYPE OF STRUCTURE: Y N A COIIA�AENTS: Framing Attic Access 22" x 3W minimum Jack Studs / Headers Bracing / Bridging Joist hangers Jack Posts / Main Beams Exterior sheeting nailed properly 120 O.G. Headroom 6 ft. 8 in. Stairwells 36 In, or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches / Holes / Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D nails each awe Draft stopping 1 ,000 sq. ft. floor trusses or less on center Ice and welters kl 24 inches from wall I lean 19.2, 3 hour Fire wall 2, 3, 4 hour Fireestopping Penetration sealed 16 Inch insulation in cav min. Garage Fire Separation House side % Inch or 5/8 inch Type X Garage side 518 inch Type X Ceeilln ll %MrKk ws Habitable Space I Bedrooms 24 in. (H) 20 in. CM 5.7 sf above / below grade 5.0 sf grade L.OuiWWq A Cods r 6 CodasVnspedion Fom*WmnkV Foeatoppft IrapeCWn RepWtdoa Rorited Jantn" 71 20M /00 ra ,ri c Framing 1 Firestopping Inspection Report Office No. (518) 761-8258 Date I BuildingQueensbury r.L rpectiw� 742 Bay Road, Queensbury, IVIt 12804 inspector's Initial: NAME: PERMIT #: LOCATION: F`. INSPECT ON: TYPE OF STRUCTURE: Y N COMMENTS: Framing Attic Access 22" x 30' minimum - Jack Shxfs / Headers Bradng I Bridging Joist hangers �.. Jack Posts I Main Beams Exterior sheeting nailed properly 12' O.C. - Headroom l3 ft. 8 in. Stairwells 3+6 in. or more Exterior Dock. Bracing Headroom 8 ft. 8 in. Notches I Holes / Bearing walls ''` , Aping for Notes op Plate T � }Metal Strapping 1 h w 16 gauge 8 160 nags each side Draft stopping 1 ,000 sq. fl. floor try or lesson Center ice and water sh" Id 24 inches from wall 1 , 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 1B inch Insulation in cavity min, Garage Fire Separation House side "A inch or 5/8 inch Type X Garage side 5M inch Type X Ceili 1l Windows Habitable Space 1 Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above 1 below grade 5.0 of grade LABW1dkV & Codes F0rmr-0LD1133t y & Cod ftMr nxx0W FoffmW "Wng 1=09OV136%; 1vwgwcU*n R VaMdoa Rovkied Jerwery ?, 20M Framing I Fires#opping Inspection ( port Office No. (518) 761 -8256 Gate I request received: Queensbury Building & Code Enforcement Arrive: m/ �e�,,,part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspectors: 1` NAME: PERMIT #: / LOCATION: INSPECT ON: TYPE OF STRUCTURE: Ytj WA CQIIAMENTS' Framing Attic Access 2T x W minimum Jack Studs / Headers Bracing / Bridging Joist hangers Jack Posts I Main Beams Exterior sheeting nailed properly 120 O.C. Headroom 6 ft. 8 in. Stairwells 36 in, or more Exterior Dock Bracing Headroom 6 ft. 8 in. Notches / Holes / Bearing Walls Metal Strapping. for Notches Top Plate 1 % w 16 gouge (8) ISO nails each side Draft strapping 11000 sq. ft. floor trusses f#, or less on center Ice and water shle 24 irwhes from wall i , 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Pew sealed 16 inch insulation in cavity covity rain. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side &8 inch Type X CeilingAwall Windows Habitable Space I Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above / below grade 5.0 sf grade L:V3uii q d. Codas FounwOLDIkAding d. Cod"Vospodion FomwWwning FWeWoppkV InspeWon Rspoltdoc Rwned JwKmq 7. 2008 /c% , /2, Foundation inspection Report Office No. (518) 761-8256 Date Insp4tghot} quest received: Queensbury Building & Code Enforcement Arrive: ` p� Depart: a►n/pm 742 Bay Rd., Queensbury, NY 12904 Inspect 's Initials: NAME: PERMIT 4: /) LOCATION: INSPECT ON: TYPE OF S7 is Commem" Y 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 / Wailpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width of 6 mil 1 r wet areas under s Val Plumbing Under Slab PVC / Cast / Copper Foundation Insulation Interior / Exterior R - Rough Grade 6 inch drop within 10 U\50ding & Codes Formsl80ding & Codes\Inspection Forms\Foundabon inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (519) 761 -8256 hate Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/prn 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: PERMIT #: NAME: - - WCATION: INSPECT ON: //' j TYPE OF STRUCTURE: CoMM"ts 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 pREp2se 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 /�/%�r-•f r �' �P "'�` es above footing r J jFound"at:ion for wet areas under slab Ap roval g Under Slab st / Copper Insulation Interior / Exterior Rough Grade 6 inch drop within 10 8. L:1Buiiding & Codes Forrns`Buiiding & Codes\lnspefiion ro ms\Foundation Inspectlon Repart.doe Last. printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518) 7614256 Date io uest received: Queensbury Building 8t Code Enforcement Arrive: am/7 (� Depart: am/pYn 742 Bay Rd., Queensbury, NY 12804 inspecto s`lnitials: NAME: PERMIT 4: LOCATION: A A, e- c IS INSPECT CAN: TYPE OF STRUCTURE: Ca�tm►ents 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 on sits. F elation / Wailpour �Keinfo entire Place Footing we or Keyway in place FoundahkT.9impproofmg 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 Ro L:kRuilding & Codes Fonns\00ding & codesVnspection Fwms\FoundatJon Inspection R,eport.doc Last printed 12/20/2005 9:24:00 AM 4�-�Tk,cs, c / / 7� ( Founds#ion Inspection Report Office No. (518) 7614256 Date In request received: Queensbury Building & Code Enforcement Arrive; am/pr;1 Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspecto�fials: V 'f NAME: _-- _ - ` PERMIT #: r LOCATION: ZL INSPECT ON: " TYPE OF STRUCTURE: Comments Y N NIA Footings Monolithic Slab Reinforcement in Place The contractor is responsible fort providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation / W allpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofuug 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 H.. L:\Building & Codes Forms\Bullding & codesllnspection FormslFoundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM `;Zwo 7 Foundation Inspection Report Office No. (518) '761-8256 Date Inspecti_ol�request received.: Queensbury Building & Code Enforcement Arrive: "Z. 63m aintr Depart: am/pm '742 Bay Rd., Queensbury, NY 12904 Inspector's initials: NAME: AL IN PERMIT LOCATION: ' INSPECT ON: TYPE OF STRUCTME. 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 se on site. F W po Re inf Place 0o g Weis r Keyway in place Foundhk22jVk4mpproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under stab Bacicf ll Approval Plumbing Under Slab PVC I Cast I Copper Foundation Insulation interior I Exterior R - Rough Grade 6 inch drop within 10 ft. U\Building & Codes Forms\Bullding & Codes\Inspection Forms'1Foundatian Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. {S 18} 761-$2S6 Date 1n request received: ..-. Queensbury Building & Code Enforcement Arrive:7 n. am/pm C- .. Depart: arn/prn 742 Hay Rd., Queensbury, NY 12804 inspector's initials: NAME: PER 41T #: a- 2 ! LOCATION: r INSPECT ON: TYPE OF STRUCTURE: C. 9AMMIgnts ( Footings Y NIA d 1 ] t "440:g Monolithic Slab Reinforcement in Place ,,�• The contractor is responsible �sr (,« 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:`Buikiing & Codes Forms\Buiiding & Cocies\Inspection Forms,Foundation Inspection Report.doc Last printed 12/20/2005 9:24*00 AM Foundation. inspection Report Office No. (S i 8) 761-8256 Date 1�� request received: Queensbury Building & Code Enforcement Arrive - i am/pm Depart: am/pin 742 Bay MOO Queensbury, NY 12804 Inspector's Initials: C, NAME: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N NA Footings Piers M b Reinforcement Place The con ter is responsible for 1ng protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on, site. Foundation / Wailpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampprooftng 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'1. L:1,Buikiing & Codes FormABudding & Cc►des\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM