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2006-509 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060509 Application Number. A20060509 Tax Map No: 523400-308-019-0002-002-000-0000 Permission is hereby granted to: ROBIN BREWER For property located at: 8 ESSEX Ct in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: ROBIN BREWER Fireplace ELLEN DAUBENSCHMIDT TRUST Garage-2 Cars Attached 509 CORINTH Rd Single Family Dwelling $345,000.00 QUEENSBURY, NY 12804-0000 Total Value $345,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2006-509 LOT 2 HOUSE #8 3198 SQ FT SINGLE FAMILY DWELLING WITH 2 FIREPLACES AND A 634 SQ FT ATTACHED 2 CAR GARAGE $447.16 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, August 10, 2007 (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 nsb T• sF.y, August 10, 2006 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement eaki TOWN OF QUEENSBURY Fora742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20060509 Date Issued: Tuesday, October 23, 2007 This is to certify that work requested to be done as shown by Permit Number P20060509 has been completed. Location: 8 ESSEX Ct Tax Map Number. 523400-308-019-0002-002-000-0000 Owner. MICHAEL GROUP LLC, THE Applicant: ROBIN BREWER This structure may be occupied as a: Fireplace By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code EnfoR tment Planning Board or Zoning Board of Appeals. ile--. .6004ctriLiTior ‘?"7-Ites1m4a 302 . Z2... OFFICE USE ONLY TAX MAP NO. f,l'Ate PERMIT NO. 06 - c FEES: PERMIT 111-a°1 RECREATION 1 JUL 1 9 2006 ENGINEERING ?C� 00 C2 ,r;rc 5) (If applicable) TB alILP-,\6ii�iRy L-DJL4I.2 AND-COZE PRINCIPAL STR LICTLIRE: 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: -ME- 1`-1 tCNAE.trs C.4.1e.i3UP OWNER: E. ADDRESS: .O 3LA,E_K-S41-114 -DT-, MM_?l,,1"-Pi ADDRESS: PHONE NOS. `72)`:1°1 -C-=:'. 11 PHONE NOS. CONTACT PERSON FOR BUILDING& CODES COMPLIANCE:To�`1 1-.bCA&AC PHONE: (651-314 4 LOCATION OF PROPERTY: 1--C-31- 4 2-• aSSic CO��7 1-1C>C/SG.1:1 $ SUBDIVISION NAME: �'l'TOI.I- E. PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z p cc O co C1 p PROJECT O o O • o � � LLri ce w ¢ a = = z ¢ ¢ti � � N � Ori � � CCwz azas SINGLE FAMILY ,-- l Y--- 1b91 sP• i 50 s,4 19$ ,/� TWO-FAMILY MULTI-FAMILY / 3 ?722 (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACH D ‘,4.‘,4. (�CQ/ 'gr !' _`) GARAGE(103) 1. to. 4 f OTHER 6:37 Ille— IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: .. .'7--/) ESTIMATED CONSTRUCTION COST: ` 3"+s---) op a:. _ FUEL TYPE: HEAT TYPE:G u01/4 *HOW MANY FIREPLACE(S): -2- AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? NO IS THIS A HISTORIC SITE? Alp PROPOSED USE OF BUILDING OR ADDITION: s1u.4� F-gto,u» rz�,oee--.-r- *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05 Oa Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804 + t- -,� grits! '. ^1..._ ..Yt:ar.•::: 7'N. •.�.y. ..rya - K cY,'.s:•rxN.'..•f�J._q.s.'.?'a.-, _,, . , . ...................... .....A..,. ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the ab . Signed Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: 14 .. it,.‘BUILDING & ODES . PROVAL ZONING APPROVAL 9 ea DA- E DATE A QUESTIONS? CALL 761-8256 OR EMAIL codesAqueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION www.queenburY. et Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804 oG REC-7!VED 11: Community Development Office Town of Queensbury • 742 Bay Road • Queens pry, New York •12804 ; Marilyn Ryba, Executive Director•David Hatin, Director of Building&Codes ' Craig Brown, Zoning Administrator•Michael J. Palmer,Fire Marshal TOWN BURY BUILDINu ,,,ND (-ODE 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: -<- /1/c 11,4-45 ‘-70 INSTALLER/BUILDER: S .4k,ADDRESS: /U P/$4 -GS7GAr I) Y v • / ADDRESS: S14'`�c_ PHONE NOS. �l f 1— £ 3/f PHONE NOS. g 7&7_ 6 3 / l/ LOCATION OF PROPERTY: �g.5 c jc. c - SUBDIVISION NAME: S-) H4'`.4 LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: --1:4/y ,G a ("1 SG?0 PHONE: 55- 7— 3/ 4'f' ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT V FIREPLACE, FACTORY BUILT* ✓ FIREPLACE, MASONRY FURNACE (GARAGE ONLY) / *IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: (1,4- I -�S -I"f '. MODEL NO. P S‘ LISTED BY: UG NUMBER: V QUESTIONS ? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: firemarshal@queensbury.net MASONRY"" CHECK ONE _ _ VISIT OUR WEBSITE SIZE IN FOR MORE INFORMATION TILE STEEL INCHES www.queensbury.net FLUE CHECK ONE ✓ DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL , / LINER CHIMNEY MATERIAL CHECK ONE ✓ �/ **IF NON-MASONRY, PLEASE PROVIDE: MANUFACTURER NAME: 7714-)--c- MODEL NO. /7(/ 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. Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to klid;'tuel &;vented gas appliances c>2 — Date —i , 20 CD(4=, JUL 1 97006 Permit No. Application is hereby made tet ttl e.Building&Codes Office for the issuance of a Building and Use Permit pursuant to the New York State l=ire Prevention.and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perfhrrn required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name:THe% IC 4-tb.ELS C i Stove: wood coal pellet gas Fireplace insert Address: 10 f-K-Still sbtZt\i: Fireplace, factory-built: wood ki t P er iy i 2QLO Fireplace, masonry: wood gas Furnace: wood OD oil Phone: Mei — CA 3I l If non-masonary applicance, please provide Owner: Spitge. Manufacturer Name: t'14gJ cS ( Address: Model Number: e/ )C Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile ee size: inches Exact Address: L-01- 2 ESSEX Ccu?T of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: _Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / irect veering Chimney Liner Cali ie.z.',ur bep rtme_sit—3rCENS1711 of Qufeemembix2r3r, New Fire Marshal Code# $Collected S Refunded Received from (refunded to): address: A /73 3389 (190) Public S Juty A 233 2655 (230)Minor S e t _ rai DATE: ._ / l yi rvcv�wta- Tun. 064,1c,oa Dewy, White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) ,TOWN OF QUEENSBURY HIGHWAY Richard A. Missita Highway Superintendent DEPARTMENTHome(518)798-5127 •_ 742 Bay Road *Queensbury,NY. 12804 Michael F. Travis Deputy Highway Superintendent Office Phone:(518) 761-8211 (518)798-0913 - Fax:(518) 745-4466 R C c E i 1 ,ED DRIVEWAY PERMIT Tow,'PA 9`IQs 13'(J1L� DATE: 7 112- 101,2 Ti' APPLICANT NAME: THC I IU-1k.ELS cr_o.)P TELEPHONE NO.: 89.9 -Co 3l l ADDRESS TO BE INSPECTED: LDT Z Cou'T RETURN ADDRESS: (0 'L \ - t1%* pQ , f`.tA.t_ +. NY 170Ze Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: ( ) Preliminary Approval NEED: ( ) Slight swale ( ) Level with the road ( ) Deep swale Size pipe to be used (if necessary) ( )12" ( )15" ( )18" ( )24" ( )36" Preliminary inspection completed by DATE Approval by Highway Supt. Deputy Supt Upon completion, please resubmit this approved permit for a final approval. Si EP 2: ( ) Final Approval ( ) Rejected DATE: Richard A. Missita, Highway Superintendent E-mail:highway@queensbury.net 06 -507 OFFICE USE ONLY RECEIVED • TAX MAP N0. PERMIT NO. PERMIT FEE ' � :JUL 1 s zoos APPROVALS: ZONING ' TOWN CLERK irOWN OF L2L-cc1v6t3URY BUILDING AND COO,' APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT; A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER;�t-f E. M t C.H.Arg lecke y� INSTALLER: ADDRESS: lO R-� c_V_A1-114 rzNE }.,4.07, N�, � ADDRESS: PHONE NOS. cc -(G 3) PHONE NOS. LOCATION OF INSTALLATION: 1"--C")T 2 -SSS Q u YEAR BUILT NO.OF X COMPUTATION= RESIDENCE INFORMATION: BEDROOMS = l TOTAL DAILY FLOW 1980 or older X 150 gallon per bedroom = GARBAGE GRINDS t' INSTALLED? 1981 -1991 I X 130 gallon per bedroom I = - 1992•present 4f X 110 gallon per bedroom = ! SPA OR HOT TUB Il 440 1 INSTALLED?`� PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING C STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND 7< LOAM CLAY OTHER ✓ GROUNDWATER: , WHAT DEPT WHAT DEPTH? /U!A H BEDROCK/IMPERVIOUS MATERIAL: AT ✓ DOMESTIC WATER SUPLY: MUNICIPAL_ WELL (IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT ) / PERCOLATION TEST: RATE IS PER MIINUTE PER INCH (TEST TO BE COMPLETED 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). Add 250 gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub. ✓ SEPTIC TANK: l 2-TO GALLON (MIN. SIZE IS 1,000 GAL.) TIL E FIELD: EACH TRENCH FT. ✓ TOTAL SYSTEM LENGTH: 2°6 FT. SEEPAGE PIT(S): HOW MANY? /V OL" ✓ SIZE OF EACH FT. X_ FT. ✓ SIZE OF STONE TO BE USED: # Z /DEPTH OR THICKNESS / FT. ✓ BED SYSTEM SIZE: ✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE ✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: LL/G.- /SIZE OF EACH ✓ GALLONS./TOTAL CAPACITY: GAL. NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. ll:.4.....................1.1.1.1.:...l t i!t.,:::: i.,,..:.,.:,��.i.....:.t.iY..•........I.I.I.:.....1...1.l.l.1...........::•!,.,:,,:::: 1 ' 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 misrepresenation 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 to abide by these and all requirements of the Town of QUESTIONS? CALL 781.8256 OR EMAIL Queensbury Sanitary :wage Disposal Ordinance. codes®queertsburv.net VISIT OUR WEBSITE FOR MORE INFORMATION / 6c www.queensburv.net Signature , Person Responsible Date .0% Town of Queensbury • Community Development Office - 742 Bay Road, Queensbury, NY 12804 Septic Inspection Report Office No. (518) 761-8256 Date Inspg p uest received: Queensbury Building &Code Enforcement Arrive: (( m/prp1p epart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Ini als: �l NAME: J" C--5 6Rr' PERMIT NO.: a ✓`J_ / LOCATION: g �6---55et6INSPECT ON: r cD7 RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/ Clay Type of Water: Municipal/ Well Water Waterline separation distanceft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y/ NI Partial End Cap 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 ,5 -4/ Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear stem U e tato . Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 RECEIVED January 3, 2007 JH,, 0 8 FT. 'p Job#46216 New York State Dept. of Health 77 Mohican Street TOWN OF QUEENSBURY Glens Falls, NY 12801 BUILDING AND CODE RE: Sutton Place Subdivision - Queensbury(T) 8 Essex Court (Lot#2) Septic System Dear Sir/Ma'am: This letter is to inform you that we inspected the completed septic system for the house at 8 Essex Court (Lot#2) in the Sutton Place Subdivision on November 8, 2006. The septic system as installed was for a four bedroom house and consisted of a 1,250 gallon septic tank and 196 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, /4%f o a R. Center Jr., PE 7 cc: Dave Hatin, Town of Queensbury Eric Wilson,The Michaels Group A 4 I II MAP REFERENCE: SUTTON PLACE SUBDIVISION DATED SEPTEMBER4 23, 2003 LAST REVISED MARCH 20, 2006 BY VAN DUSEN & STEVES LAND SURVEYORS I ESSE)� _ L=119.74 39 S03°'00"W °B R_625.00 43. 72' ABSORPTION TRENCHES 4 @ 49' a - DISTRIBUTION szs BOX s o� 16.25' 1, 250 GAL. PORcn SEPTIC TANK 0 LOT 3 I YAP REF. Nr7°6'39E i/%/%/��//%%j%%///i /l/loll T� tie r i�r; • tt= _ _ -, - ..� �_ •%.. 055150- _ SEPTIC SYSTEM - AS -BUILT BY NACE ENGINEERING Dater December 22, 2006 Vl Scale 1._30, A .�\" S P BEARINq A ENSED IW OR AWingl ro A 15 A Map of, a Survey made for arNAP BBN W q Hm15 2 LWO 9UflYflON SEAL 6 A W WIXATON LS ;ClED n°q SUB .AVIS ; aC ME _ NEW YONN sT�jIE EDUGTON UW: BNLY COPY Fl3GM INE OW... W THIS 9n1V£Y ,/`Try• /r^� P C MARKED WTj PN MGW& OF TIE LWD SLRVEYOflS N��,.l,y. T y■/y,�II y�■ �•� e F T (\/'yy` �J �../ d./ 0.J SEAL 91111 6E CONSIDERED 1H BE SIG TRUE CORES' Tiii�.E 1 Vail. Iii L� GROUP S-1 — 1 CEATDTG BE RIIIO BE V SIGNIFY MAT THIS WRK NAS PREPARED IN AOOtlIDANEE WT1 TIE Land Surveyors ElNBWR�E BY TIE NEW Hq STATE AS WAT W W PRDEESSONAL SWEET LAEW BURNE}LYi9 SAID fERTFlGTONS 91111 RUN ONLY C1 %UCTCE M 4ND 91ff E ADEPTS) 1 TO ME PFR%jj EOR W1W SNE SLRK! IS PREPARED. MID SII ON HIS BMV TO TIE TIE COMPANY, GOVERNMENTAL ANNOY ANQ L-EI1DWG INSRMTON USTED HEREON. AND Town of Queensbury,Warren Count 169 Haviland Road Queensbury, New York 12804 ro ME ABBI4j4ES M ME LENDING INSTT)IM" y, New York 1; 1/3/07 SEPTIC SYSTEM AS -BUILT MICHAELS ;518) 792-8474 New York Lie. No. 60135 N0. DATE DESCRIPTION DWG. No. 05197-LOT2 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury, NY 12804 Date received: j18/27_____. NAME: f1cck,&Is (r- LOCATION: O ES j4 PERMIT#: ?_ctt—' 5 O7 Final Survey Plot Plan _ Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has been: Craig Brow , ing Administrator Notes: L:1SueHemingway\Building.Codes.lnspection.FORMS\Final Survey Zoning Administrator.doc MAP REFERENCE: SUTTON PLACE SUBDIVISION DATED SEVIEMBER4 23, 2003 LAST REVISED MARCH 20, 2006 BY VAN DUSEN & SIEVES LAND SURVEYORS 4 FN�—y1 Date: December 22, 2006 Dus(AIEAAnON OR 1➢DInON TO A 9JRYEY Scale 1W-30' Y MAP ^.FANG A LICENSED LAND SUR`h ORS SEAL IS A Map of �a Survey made for �Vte-ves y, y�5ii OF SECTOR 7209, SUO-DmsION z OF SNE NEW �ATEARKEB Gq'IES ORKANIE O'GMAC OF LHIS SURVEY 't S -1 y SELL 5 WM AN OFIDNAL OF THE LINO SURVEYORS S — 1 sEu s�Au GE mNDDERm TO BE vwD TRUE caPlEs T g T .� r Y ��T Y •IJ1 1 CEq IHCALONS NOICATED HEREON SIWIET THAT '111u1 M 1 .{�J L GROUP TWS SURVEY WAS PREPARED IN ACCORDANCE WITH THE y �^� E%6nNN CODE C£ PRACTICE FOR LAND s°RWYORs ADOPTED L ?� /'� S r Z T e � % ® r (e 9T TI1E FEW YORN STATE ASSOCUTW OF PflC£ESSIONAL G� •iA• v I✓y I�j O `.RKYOflS. SAID CERMCAnWs SHALL RUN ONLY I �p TO ME PERSON FOR WHOM ME SURVEY IS PREPARED. AND SHED' I O 1 ON HI1 DEHAUF TO ME PILE COMPANY. GOVERNMENTAL 169 Haviland Road Queensbury, New York 12804 TOM ^" GNUES O 'ME LEP°" INTm "SEW ""° Town of Queensbury, Warren County, New York AsscrvEEs OF ME LERDwc wsnnnaEl.• MICHAEL5 (518) 792-8474 New York Lie. No. 50135 I N0. DATE DESCRIPTION Awa. No. 05197 -Lore I >,�,.�. Queensbury Building & Code Enforcement - Residential Final Inspection • Office No. (518)761-8256 Arrive: am/pmCArt: Cf�it)am/pm Date Inspection request received: (C0 3 07 Inspector's Initials: { - •NAME: 1'r), c,4'fie(5 ra /3tl ') PERMIT#: c0 LOCATION: cZ C cS-P-1' o w- j DATE: _ 0 M TYPE OF STRUCTURE: Comments V No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Y 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 V Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @stairs 2 or more risers .6 .75-5„....)-- - Grade L Z j'"-Grade away from foundation 6 inches with 10 feet t7, 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches �\ —�,�e?� �� Bathroom/Kitchen watertight e '�� Safety glazing/Window in stairwells safety gl. ing Y Interior Smoke D7(ectors: .1. .r1 Every level: %.,/ Ev ry Bedrg6m: Outside every bedroom rea: �/ / ///' .........------ 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 sq.ft.-150 sq. ft.vents y Bathroom Fans,if no window Plumbing fixturesAt e- Foundation insulation Floor truss,draft stopping finished basement 1,000 sq. ft. / . Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site /7/ /7/ 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 //:‘,/ .77/:////7 t/t/ Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly v/ 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 requiredi // Okay to issue C/C or C/0 [Temporary/Permanent] L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm De art: /�, .t-'airvpnn Date Inspection request received: ,(' `1 5 t, 7 Inspector's Initials: NAME: f'�), ' ('r 1(t S/ r 0 til /i i!-',-` - r'� PERMIT#: 5 0 LOCATION: C l : S.c a* (/r0 a DATE: )Mar TYPE OF STRUCTURE: _ Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake (,/,//z 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 f ' Guard at stairwell at 34 inches or more V 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 14/1/ r�C �1 Grade away from foundation 6 inches with 10 fee �''J 4' 5 _)-4-_,--- 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade f' / -2-o- Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight PtsW17- 11.4 (:)f Safety glazing/Window in stairwells safety glazing 1,/ l.{ Interior Smoke Df tectors: <47/ (�} Z.v lEvery level: V Every Bedr m: Outside every bedroom >� Inter Connected: V Battery backup: /7 Carbon Monoxide Detector I// Attic access 30 inches x 22 inches x 30 inches(height)in accessible area ,a/ Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-150 sq. ft.vents - t/f Bathroom Fans,if no window /,o; Plumbing fixtures �k Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site /.-- l Oil Furnace shut-off at entrance to furnace area v/ Fumace/Hot Water Heater operating /'" Low water shut-off boiler / if Relief Valve(s)installed/Heat Trap/Water Temp 110 / Enclosed Stairs Sheetrock Underside minimum'A"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitchedv,t /'< / Garage fireproofmg/'/a hour fire door/door closer Duct work Sealed properly , Gas Logs in Sealed or Glass Enclosure Final Electrical1/17 . Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker / Site Plan /Variance required Flood Plain Certification,if required , /I / Okay to issue C/C or C/0[Temporary/Permanent] L:\13uilding&Codes Forms'Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405. c -Li T /1/2//c6, Foundation Inspection Report Office No. (518)761-8256 Date Inspection fequest received: Queensbury Building&Code Enforcement Arrive..Z m/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ) NAME: i�� S . PERMIT#: 96 --SO?. e3 LOCATION: f S o Cy'. INSPECT ON: TYPE OF STRUCTURE: Comments Y N/A s 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 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 Fonms\Foundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM Septic Inspection Report / - JA- Office No. (518) 761-8256 Date Ins qqn' request received: /`k 7` -- Queensbury Building &Code Enforcement Arrive: //n am/pt part: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials. NAME: t &W el S 1 " PERMIT NO.: , 'L)(' ^ s O 9 ' i LOCATION: &S S c''./ C INSPECT ON: viz) 7 .7b.,-() , RECHECK: ,02._fre. a' S{ A k?(a-G ---, Comments and/or diagram Soil Type: San• Clay Type of Water: W� /Well Water Waterline separa • •'stance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length 111211111 Length of each trench AP ft. Depth of trenchesft. Size of Stone .i v Seepage Pits: Number Size: x ---- Stone Size: Piping Size, �� Building to tank 0 Tank to Distribution Box << N 2_4> Distribution Box to Field/ Pit x .1 Opening Sealed: Y/ N/ Partial End Cap / 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 !� Y_._.. N �o�oj� j�A c� Engineer Report and As-Built —Y 1-N j/J6114I / ENG Location of-SI/stem on Property: Fron Rear Left Side Right Side Middle Front Middle Rear System Use Status: proved 4/0 Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 , / - // Tt_GAJ. /07/0 6 . Town of Queensbury Fire Marshal iambi 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# 0(. J-0 Schedule Inspection Time/ NAL-...)---,1 and pm anytime inspecto -O Name y,C IUOL Address 8&'--5- .,.--,K. C,/ Rough In Final__, Appliance Manufac rer._ Model# Direct Vent ' Factory Built Chimney Flue Size Double Wall Triple Wall Insulated - __ Yes No N/A Comments Floor Protection Vr Clearances to Combustibles (all sides) ,-z-vr -42-N-1) .CF- r&---'--- Firestop(s) Vertical Chas / e Wall Penetration 1\ktIc363N-Cd-- '" Vent Clearances to Combustibles 1 10-4' to Vent/Chimney Termination / Chimney height must be 3 feet above roof penetration;2 feet above any combustible --- construction within 10 feet + I ST- Gas Shut-Off Valve /' \ -1-4,0-C-re__ _...- // 1 � Combustion Air ' �`-- 1/1 L)----tVtl. A 0 Hearth Extension (if any) ; Mantel \WIZS t\-5 Height above f/p opening t , Witness Operation _ / * Tank Placement of LP) 12F-'C__ CZ White- yellow-Costumer CI--4444-4--- ,/V v`" V� ink-Fire Mareltsl —L Rau frb/h/ 7:(377-376-6- Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart 20 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 6Ck-it) NAME: tatcel5 . PERMIT #: s-7 LOCATION: ie,S - 6) INSPECT ON: IfRW 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 / Head :.- e 5 minutes _ Insulation / • idential Check / Commercial Check _ • - - _ - , Attic Vent V Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: c—c— Lu-AV.,„ L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 _ /0'-- 1 Z ifta.' Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Gas Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the:installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# 6/62 r ip Schedule Inspection/01'3 110 0 Time ' 1 N4 am pm anytime InspectoreHT) Name M k-t– ilk' - PAddress S £c5 ci— _. __ Rough In' Fina1__ Appliance Manuf •Ircr. — Model# IN1' c Cl`) Direct Vent _ Factory Built Chimney__ Flue Size Double Wall Triple Wall . Insulated Yes No N/A Comments Floor Protection SX`'-Z. 1 - Clearances to Combustibles (all sides) -C_"' m \ `o ____ Firestop(s) Vertical Chase______ Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must he 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve i Combustion Air Hearth Extension (if any) . Mantel Height above f/p opening 4 Witness Operation Tank Placement(if LP) 1.1 White—Building Dept. Yellow Cost. ,er Pink--Fire Marshal Framing/ Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:it t/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 1,-4,y) NAME: t A1 t24 1" ` -- PERMIT#: __ LOCATION: V (AE76INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Attic Access 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 V2(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 walltZik .-�► kZO 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 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade q - II H()R.qYry Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: '" am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PI CIA 6 e/S PERMIT #: I LOCATION: F.sSt,c C7 " INSPECT ON: • 1111 Q TYPE OF STRUCTURE: N/A Rough Plumbin Nail Plates ent / 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 / Head 50 P.S.I for 15 minutes Insulation / Residential Check / Commercial Check _ Proper Vent, Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: eft-k?-14-. ‘r 4,0 Ra- — tAr '%•°4`-'4) Ro-A0.1€-*Noc.,\-CPA'k= cRaiNA- ce/m0,40., =- z R - ..� L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 1A)Eb ///06, Rough Plumbing / Insulation Inspection, Report Office No. (518) 761-8256 Date Inspection equest received: 7 Queensbury Building & Code Enforcement Arrive: : am/pm Depart:"; '}*?; am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: sr-46E1--> 6(-0 PERMIT #: �� 1 LOCATION: Esse C-/- INSPECT ON: TYPE OF STRUCTURE: Y N/A Rough Plumbin Alan Plates • ent/,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/ Head 50 P.S.I for 15 minutes Insulation / Residential Check / Commercial Check _ Proper Vent, Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 2 tJED /0////,06 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: --��yy�� Queensbury Building&Code Enforcement Arrive: 7 g,., am/pm Depart. gam/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials L.(.. NAME: •l (S �j! PERMIT#: C/ • LOCATION: �� C4 . INSPECT ON: (�7 LSC TYPE OF STRUCTURE: Y N NIA Framing COMMENTS Attic Access 22"x 30" minimum Jack Studs/Headers P.4////./.> Bracing/Bridging Joist hangers � 1 Jack Posts/Main Beams t, l�� ~ e.. mae,l5 Exterior sheeting nailed properly !! 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses • chs : , • i or less on center 44111110111 Ice a• -••eld 4 inches from wall Fire separation 1, 2, 3`hour Fire • ,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 'A 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 -Th Erb 2-1/ . '1 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspect'° ,re ue ceived: Queensbury Building & Code Enforcement Arrive:l e / am/p D part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspect° 's Initials: i� NAME: Aidtads- 690 _ PERMIT #: LOCATION: EveX, INSPECT ON: / 6 /d TYPE OF STRUCTURE: Y N /NIA c� Rough Plumbing`/ I ail Plates Nor i&411/ n 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 P .c - / Vent Air ead P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test -r Supply Piping ("/ OHead P.S.I for 15 minutes Insulation / Residential Check / Commercial Check _ Proper Vent, Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: L:1Pam Whiting\Building&Codesllnspection Forms\Rough Plumbing insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Ins . n request received: Queensbury Building&Code Enforcement Arrive: ; 0 am/p epart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector s nitials: NAME: r CJ&t / 5 PERMIT#: ` .7. LOCATION: 5) P INSPECT ON: • AN 0 TYPE OF STRUCTURE: Y N NIA COMMENTS Framing Attic Access 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate I %z(w) 16 gauge(8) 16D nails each side A i j 1A6— Draft A6"Draft stopping 1,000 sq. ft. floor trusses e = • - •. e • son center Ice and water shield 24 • hes from wall Cdcri tP I, C TCL AT- pe6 Fire separation 1, 2, 3 hour ] UvA,,P-- 6UI Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side V2 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 rK/DA-y- Framing/ Firestopping Inspection Report Office No. (518) 761-8256 Date Inspecti.? request received: Queensbury Building&Code Enforcement Arrive: / r am/`pp )/ rt: am/pm 742 Bay Road, Queensbury,NY 12804 Inspect. 's Initials: �V" ILrC — MI5 • NAME: ��G� �671 PERMIT#: � � LOCATION: •. INSPECT ON: - d1,(..e TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses i v .� e( 6 ft. o ess on center P Ice and water shield inches from wall Fire s- • '.n , 2, 3hourt, kto F — f< Fire wall 2, 3,4 hour Firestopping �� A -r . Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side V2 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 9,// 1140/U OMS o� Foundation Inspection Report Office No.(518)761-8256 Date Inspection equest received: 6)-/6-6g Queensbury Building&Code Enforcement Arrive:/ ' AO epart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspect. '• i . s. NAME: pict.e/5 6,7) PERMIT#: I. D LOCATION: ' / C71 , INSPECT ON: - -/r TYPE OF STRUCTU 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 Dowelsay in place Foundation ampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing it poly for wet areas under slab (.... Backfi Approval , umbing Under Slab PVC /Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspecction Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518) 761-8256 Date Ins ctio3.r nest received: Queensbury Building&Code Enforcement Arrive: . 75unipiffo ( Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:(J - NAME: v"k-L L KA-6-'-- G PERMIT#: ( . Cr LOCATION: G j 6-. --/L C=t INSPECT ON: S(/1a/X 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. Fou ation/Wallpour enforcement in Place Doting Dowels or Keyway in place Foundation Dampproofing /77?_____, Foundation Waterproofing Footing Drain Daylight or Sump /� , _ 0_,..v / Footing Drain Stone: 5 ' " o� 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval L 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 request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:3,y, am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: okit,t) NAME: I " �.tt'- ' ' PERMIT#: 0l�- . U LOCATION: 7 5 j, INSPECT ON: l E4 fl(',, TYPE OF STRUCTURE: ` Comments Y , , N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. f Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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:1SueHemingway\Building.Codes.Inspcction.FORMS\Foundation Inspection Report.doc January 28,2003 2_ -- -1 Mom6ii\--/ 6 -- /. D(, Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials'• NAME: r (S• 6j(` . PERMIT#: Cl �j �f LOCATION: E5� r _ INSPECT ON: TYPE OF STRUCTURE: Comments 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 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 ate' ,a t 1 oCl) f . S82'a0 21' 89.12 '7 -70 Qw z 1 e IY n II _ � I _ .yyr0 I � V W N 4n � IM o; O� y QY0'N. HZl�tI�300