2006-705 TOWN OFQ UEENSBURY
wors742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20060705 Date Issued: Tuesday, January 15, 2008
This is to certify that work requested to be done as shown by Permit Number P20060705
has been completed.
Location: 17 SEWARD St
Tax Map Number. 523400-302-018-0002-015-000-0000
Owner SUSAN JEAN SMITH
Applicant: SUSAN JEAN SMITH
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 (-" ,,,„.0 4 4.5t
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.
L
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
ET
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060705 Application Number: a20060705
Tax Map No: 523400-302-018-0002-015-000-0000
Permission is hereby granted to: SUSAN JEAN SMITH
For property located at: 17 SEWARD St
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: SUSAN JEAN SMITH
17 SEWARD St Residential Alteration $34,600.00
QUEENSBURY, NY 12804 Total Value $34,600.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-705
HUD REHABILITATION
$30.00 PERMIT FEE PMD- THIS PERMIT EXPIRES: Wednesday, October 24, 2007
(If a longer period is inquired,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 Town o(Quee yury,� i 4Tuesd 'y I etober 24, 2006
r7X /v SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
TAX MAP NO. 2„ -��-�5 a- 7 ,
PERMIT NO. ' ' Date
`,
OCT
FEES: FERMI
RECREATION__ _ENGINEERING
(If applicable) ; � •.
PRINCIPAL S TR LICTURE: ..
APPLICATION FOR ZONING APPROVAL & BUILDING
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONS PERMIT
REVIEW BEFORE ISSU CE OF A VALID PERMIT FOR CONSTRUCTION.APPLICATION IS SUBJECT TO
APPLICANT/BUILDER: 11 roc f,5
WNER:
ADDRESS:
2 ADDRESS: , - (,�7 A 6 5j
PHONE NOS. ) 4 s
PHONE NOS,
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:
PHONE:
LOCATION OF PROPERTY: II H hl<.5 U
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT zz
APPLY TO YOUR z o o C7 w tPROJECT O
o � � •
� t w a = =
z Q Q u O 2 d H I- O z
`' cn �Nv) Ori tri a = te
SINGLE FAMILY
vkv1.0�(r
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS-_)
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
•
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF USINESS:
ESTIMATED CONSTRUCTION COST: 7
FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): AND I OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION:
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
r .
B 3-LGL 11-05
e; r Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
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 r-=d an• -gre= o t above.
Signed `( ''"`J ��
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:
, Ai%
BUILDIN &Ci:ry APPROVAL
DAT/-'______ 77.
ZONING APPROVAL
DAT
DATE
d
J
QUESTIONS? CALL 761-8256 OR EMAIL
Codes ; eenshu ^ot
VISIT OUR WEBSITE FOR MORE INFORMATION
Www.aueei ...._ 1184
Town of Queensbury• Community Development Office •
,� 742 Bay Road, Queensbury, NY 12804
Queensbury Building & Code Enforcement - Residenti Final Inspection
Office No. (518)761-8256 Arrive: „/ • )() aniippi �epart; am/pm
Date Inspection request received: Inspector's Initials: �-�_ f`3
NAME: � PERMIT#: 06— 70S-
LOCATION: r,—kir-el c3+. DATE: /-74/-6:#2`
TYPE
74/--
TYPE OF STRUCTU
Comments
Yes No N/A f® / T1
j/H '
Building Number/Address visible from road v / -")'l/!�/
ChimneyHeight/"B"Vent/Direct Vent Location
jperAtiexp .
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches i� `O / /
Roof Complete/Exterior Finish CompleteOk‘ ! /
Platform at all exterior doors c
Guards at stairs,decks,patios more than 30 inches above grade h v// - .SE'
Guard at stairwell at 34 inches or more G1 f' //
Guard at deck,porches 36 inches or more 0
2 C•• v-7
Handrail Termination at Newell Post or Wall 0/ /
Interior/Exterior Railings 34 inches to 38 inches E�f nel;
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet ^o
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 sq. ft.-150 sq. ft.vents
Bathroom Fans,if no window
Plumbing fixtures
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
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'A"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc
/2 / /
Foundation Inspection Report
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 1+�e am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: tA'\
NAME: ` n I PERMIT#: OTO3
LOCATION: / . 4,.)1-1_.(01. INSPECT ON: IS I L-31,
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.
• ts-fe • urpose on site.
Foundation/Wallpour
ent ince
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
R. - /o --77--io-R /-2---//4,/ -
Foundation Inspection Report
• 1 1�
Office No.(518)761-8256 Date In 'o r- st received:
Queensbury Building&Code Enforcement • ,' .,,,,I..., -,44110" . pi Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Ins•: --.• s Initials:/
NAME: i` � PERMIT#: 06- 0S—
LOCATION: / �,,, . -a,/ S`F . 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 (2N7711_,C--
for 48 hours following the placement
of the conc -te. (( A / -)
,fir or this purpose on site.
"Iron/ allpour Ai— -*R o t- Ito0S6-
-
Reinforcement in Place
F ' g Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
.7iooting Drain Daylight or Sump 1/
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
/ 7
BackfilI 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 Inspecti• request rec9ji' ed:
Queensbury Building&Code Enforcement Arrive: ,%'"am/ Q,k Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect.E's ials:
NAME: 6RA,L i 1-1 PERMIT#: 61 —2n ........_--
LOCATION:
LOCATION: s lb..)N--(Z-I: 7", INSPECT ON: 1.L) / 2—(6(p
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
mforcement in Place
Doting Dowels or Keyway in place
Foundation Dampproofi ng
oundation Waterproofing
F
Drain DaYli t or SumPi /V0 1ie6:-.4.40
Footing Drain Stone:
1 i 12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval 1/
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
LAA o
Foundation Inspection Report A4ve
Office No. (518)761-8256 Date Inspecti uest received:
Queensbury Building&Code Enforcement Arrive:l pm) n Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecti6 's'Initials: \.../f('�
NAME: i 14 _ PERMIT#: C* - 745:15
LOCATION: 'k/_11• 'WI INSPECT ON: /Z 7#7C9
TYPE OF STRUCTURE: 7/
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/WallpourV./
Reinforce ' Place
Foot' g Dowels Keyway in place
l./
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 Z
Office No. (518)761-8256 Date Ins ection request received:
Queensbury Building&Code Enforcement Arrive: . `�am/prtl _j?epart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: v
NAME: . \Tk PERMIT#: --7.S---
LOCATION: -6 etc: D -57- - INSPECT ON: t Z /i3 / e'exe
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.
aterials for this purpo n site.
oundation/Wallpour pc,( 41, ,////
Reinfoen ' lace
Footin Dowels r Keyway in place
Foundati ampproofing
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 Inspect':' request received:
Queensbury Building&Code Enforcement Arrive!' . /1 am/pCk,�Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspect. '� °tials: �''
NAME: `-�h,. %f1* PERMIT#: 06— d
LOCATION: •—`5-K---U/1-1-e.1 ) X57 INSPECT ON: z----Aa(dji
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.
Fo dation/WaIlpour
einforcement 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 Is io request received:
Queensbury Building&Code Enforcement Arrives Ci am/pu /Dgpart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: iM,i j kk PERMIT#: ---'9' ''LOCATION: �dZ- 2,i5 -j T , INSPECT ON: Z AFiI- --
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 `
einforcement in Place 1
Footing Dowels or Keyway inplace
dr - ,64/0
Foundation Dam PProofing I
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
/0 -/Z. %ve,s,ble) /zfs—
Foundation Inspection Report \,
Office No. (518)761-8256 Date Inspection euest received:
Queensbury Building&Code Enforcement Arrive: D i p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspe or's In is s:
NAME: 5ilY .7[ k-D.
#: _____06 ` 7O
LOCATION: %7 P i,)a r-dl INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place /
\/Foundation DampproofmgP�gl) AL—
Foundation Waterproofing 1�
F ing Drain Daylight or Sump
ooting Drain Stone: f ,.,A,57-- /��
12 inch width
,-.' -s above I e ' g
6 mil po for wet . -as under slab
Backfill Approval /7 ,
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
, Ark
-4
/ 4/06
l� 1
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspect n request received:
Queensbury Building&Code Enforcement Arrive: am/pm 'l�/? Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector s Initials: v C/
NAME: , PERMIT#: 06
LOCATION: /171 4 r _ _ INSPECT ON: ).2-1 4( 0(.0
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 is i. 8•se on site.
Foundation/Wallpo 17/
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 Fors\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
OtY
Foundation Inspection Report 17 l
Office No. (518)761-8256 Date Inspectim request received:
Queensbury Building&Code Enforcement Arrive. _am/p L Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspec r'i Initials: ��
NAME: 1,1\ % 1-14 PERMIT#: O- 70 5
LOCATION: S(:--( )4-t° _12) c-- -7-• INSPECT ON: 4 , 10(p
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.
aterials for this purpose on site.
undation/Wallpour
Reinforce tin Place PA4C-k17 G
tingi Dowei or Keyway in place..., OK �o e
Foundation ampproofmg ,p 1 V v -r- \ /
FFundation Waterproofing
ooting Drain Daylight or Sump ✓t/
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet a under slab
Backfill Approval /1- I (A-1/ v
Plumbing Under Slab tl�
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
2 - -,1
Foundation Inspection Report
Office No. (518)761-8256 Date ins ctt request received:
Queensbury Building&Code Enforcement Arrive:,`/V am/p pi/Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: CA, 1 't PERMIT#: r 0 ✓ 76
LOCATION: �<-)q-R-h < 7 - _ INSPECT ON: elnis Q.0
TYPE OF STRUCTURE:
Comments
Y _ N N/A
Footings
Piers
Monolithic Slab �U/ / A'� C 674,,e1--7t----
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 undation/Wallpour
einforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmgr ro(i/&)q 6 - il 7.D
ilj
oundation Waterproofing
Footing Drain Daylight or Sump(F
/ W Ip-/-' 11"6 g
Footing Drain Stone: "
12 inch width
6 inches above footing
6 mil poly for wet areas under slab /Ja IS• K_r( LC
Backfill Approval PP /,
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Fors\Building&Codes\Inspection Forms\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No. (518) 761-8256 Date Ins ti request received:
Queensbury Building&Code Enforcement Arrive: ---im/pm t , Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto 's ials: ---
NAME: 2 itt.l-114 PERMIT#: C5 Cp, _715i
LOCATION: 5C- i4�0 -1-77- INSPECT ON: ti 1 2-q 1� .P
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.
✓/I oundation/Wallpour / , /
Reinforcement in Place ,/ AAP-,
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
. 1/Jcl)/0 /4)/V /11z1./06).
Foundation Inspection Report
Office No. (518)761-8256 Date InspeOio equest received:
Queensbury Bulls t &C.. Enforcement Arrive: pn ziyDepart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: ,Stn, j � / PERMIT#:
06-7°5--
LOCATION: LL'— 3 r v INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
F mgs
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 . „52()
Re'. ' -nt in Place•
Footing Dowel ?r Keyway in place
Foundation Dampproofing
Foundation Waterproofmg
p( FoothgDralihtorSum
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 Reportdoc
Last printed 12/20/2005 9:24:00 AM