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Signed Inspection Worksheet (12-15-2017) IIIIIIIIII (III IIIIIIII IIIIIIIIIII IIIIIIIIIIIIIII IIIIIII llllllllllllllllllll 111111111 Illl���� (IIII lull fill llllllll���1�1 ll`1�111111111 fill IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIUUII41 Ullllllllllll (IIIIIIII IIII IIIIIIII IIII fill 111 fill lull �l III Il II U l l l l Il l l ll l� i l l II I I II I I II Il 111111111111111111}}}}}}}}}}} U IIIIIIIIIIIIII 111 l �llllllllllllll r Case Number: RC-000718-2017 Case Module: Permit Management Inspection Date: 12/15/2017 Inspection Status: Partial Pass Inspector: Charles Dyer Inspection Type: Building Foundation Job Address: 74 John Clendon Rd Parcel Number: 295.15-1-6 Queensbury, NY 12804 Contact Type Company Name Name Applicant FOOTHILLS BUILDERS, LLC Contractor FOOTHILLS BUILDERS, LLC Granted Permission FOOTHILLS BUILDERS, LLC Primary Owner FOOTHILLS BUILDERS, LLC Checklist Item Passed Comments Building Inspector Notes False Footing Drain Stone- 12 inch width False PVC/Cast/Copper/Pex tubing False Foundation/Wallpour True Approved 12/15/17 Footing Drain Stone-6 inches above footing False Foundation Dampproofing False Plumbing Under Slab False Foundation Waterproofing False Footing Drain Daylight or Sump False Monolithic Slab False Footings True Approved Footing Drain stone-6 mil poly False Piers False Backfill Approval False Rough Grade 6 inch drop within 10 ft. False Foundation Insulation Interior/Exterior False Reinforcement in Place False Reinforcement in Place True 2 rows#4 continuous Poly Under Slab False Footing Dowels or Keyway in place False December 15,2023 Page 1 of 1