2006-734 01111111h, TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20060734 Date Issued: Tuesday, May 21, 2013
This is to certify that work requested to be done as shown by Permit Number P20060734
has been completed.
Location: 39 TREASURES P1
Tax Map Number: 523400-302-008-0001-065-000-0000
Owner: AMEDORE GROUP, INC.
Applicant: AMEDORE GROUP, INC.
This structure may be occupied as a:
Garage - 1 Car Attached By Order of Town Board
Townhouse TOWN OF QUEENSBURY
(-DJIssuance of this Certificate of Occupancy DOES NOT relieve the property 'P
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
1
01.1k TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT p f)i
Permit Number: P20060734 Application Number: A20060734
Tax Map No: 523400-302-008-0001-065-000-0000
Permission is hereby granted to: AMEDORE GROUP. INC.
For property located at: 39 TREASURES PI
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: AMEDORE GROUP, INC. Garage- 1 Car Attached
1900 WESTERN Ave Townhouse $17,500.00
ALBANY,NY 12203-0000 Total Value $17,500.00
Contractor or Builder's Name/Address Electrical Inspection Agency
•
Plans&Specifications
2006-734 Renewal &Rec Fees paid 10/2/2012
BUILDING 4
39 TREASURES PLACE (UP, RIGHT)
1641 SQ FT CONDO WITH 268 SQ FT ATTACHED 1 CAR GARAGE
$256.54 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 21,2013
(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 Tow eensb r ay, September 21,2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF OUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4111.1.
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060734 Application Number. A20060734
Tax Map No: 523400-302-008-0001-015-000-0000
Permission is hereby granted to: AMEDORE HOMES
For property located at: 314 BAY Rd
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: JAMES & GLADYS BROWER TRU
121 POTTER Rd Garage- 1 Car Attached
GANSEVOORT, NY 12831-1011 Townhouse $17,500.00
Total Value $17,500.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-734
BUILDING 4
39 TREASURES PLACE (UP, RIGHT)
1641 SQ FT CONDO WITH 268 SQ FT ATTACHED 1 CAR GARAGE
$256.54 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 21, 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 Tow'611 b ensbu TI}ursd y, September 21, 2006
SIGNED BY for the Town of Queensbury.
Director. of Ts::.".'.;;:<. u Code Enforcement -. ._. _.
.............................................
......--•................. Liikii.13.?.
,. �.:�
OFFICE USE ONLY �, ............If: ' ili
TAX MAP NO. - / •
• +
PER IT NO. / "_ ' .)a t,
FEES: PE- i T'-da LSa�L7'' ho i
CREATION ,
FEES:PE- 1,C� ENGINEERING
aV i E.:16/.
D//lK-,S�T��2.7/015::5'0l�A,o_FC ,!4 LL /I (If appilcable) }
65:045 ...
PRINCIPAL S ...............
STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILD
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. �� PERMIT
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.APPLICATION IS SUBJECT TO
APPLICANT/BUILDER:Arjrjcrejlia_
e- OWNER: rn p
ADDRESS:j ie " A :I6 A -
1hi /� /22-03
ADDRESS: sSC2�Y►• .
PHONE X10
_o_Lc PHONE Nos.
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:
t'FfONE:
LOCATION OF PROPERTY: ,
.-.._... ik ..; k 7 d?- , . rib : m
SUBDIVISION NAME: Ili II a .
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR O 1Y
PROJECT O
fr_ x 0 co co §..
p W ?), —i n= W
1!- LL LL W S
a° a � ° ~ 0CDz
Ori P. a = as
UP SINGLE FAMILY
rijkl- TWO=FAMILY
MULTI-FAMILY
(NO.of UNITS__
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHr
GARAG_ ,3) <---263
OTHER
Z(•s�
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION DOST:
S ,: FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S):0p/064ND/OR WOODSTOVES S :
ZONING CATEGORY: /► , ( )
ARE THERE WETLANDS
ON THIS SITE?____y_ea____
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: FR vailaCOADO
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys" ble in our office
B 3-LGL 1105
;` Town of ueenbu
ry• CommunityDevelopment
Office • 742 Bay Road, Queensburit N115tnn
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /\.)C)
TS ON PROPERTY? V �f I r+ C i.5ai jam,
ARE THERE EASEMENTS 7 �
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 issuanee of a certificate of occupancy.
I have read and wgre 'tope above.
Signed (.7
Director of Building &.CQdes;... 761-8256 (If or 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:
BUI'►- &CODES APPR• .L ZONING APPROVAL
'ii•
DAT DATE
i
QUESTIONS? CALL T61.8256 OR EMAIL
-codestkule,nsburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www,ouleensburv.net
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
bil
Queensbury Building & Code Enforcement - Residential Final Inspection s1
WA
Office No. (518) 761-8256 Arrive: am/pmD art: ii!cram/pm
Date Inspection request received: Inspector's Initials: A
NAME: Pr 4 \ 9-dC,r Q PERMIT#: v . — 3 1
LOCATION: 3 ? --rr e 6Z= DATE: ' MIR
TYPE OF STRUCTURE:
Comments:
Yes ' No N/A
4" Building Number Address visible from road
Chimney Height/°B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete /
Platform at all exterior doors v///
Handrail 4 or more risers 14//
Guards at stairs,decks,patios more than 30 inches above grade ✓/
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more ✓
Handrail Termination at Newell Post or Wall /^
Interior/Exterior Railings 34 inches to 38 inches V/
Deck Bracing/Handicapped Ramp Compliant /
Grade away from foundation 6 inches with 10 feet s /"
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
Vi
Safety glazing/Window in stairwells safety glazing
Interior Smoke Det ors/Carbon Monoxi +betectors 7/
Every level: Every Bedrooi: ..//
Outside every bedroom arQ'a: JJ /
Inter Connected: d/Battery backup: ,/ /�
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area ti/ /�
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents / f
Bathroom Fans, if no window
Plumbing fixtures V i1
Foundation insulation to floor/Sticker on Panel / I/
Duct work sealed properly/Blower Door Test Certification ,//
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 1J /
Oil Furnace shut-off at entrance to furnace area / _ 1/
Furnace/Hot Water Heater operating i/
Low water shut-off boiler /r
Relief Valve(s)installed/Heat Trap/Water Temp 110 �//
Enclosed Stairs Sheetrock Underside minimum%"Gypsum V/
Basement stairs closed rise>4 inches /
Garage Floor Pitched 117
Garage fireproofing/%hour fire door/door closer
Gas Logs in Seal or Glass-Ewelesun�, M '`�
Final Electrical; ergy Saving Light Bulbs r `
Final Survey Plot / ��j'3'1� Z Sj'`
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles �/ e,— � ar _ k.,—\--431V --
Flex
„ 431V1a
lex Gas Pipe Bonding �1 40 C-1 L�, _
As Built Septic System/Sewer Dept. Inspection Sticker � / �►--�.
Site Plan /Variance required 1,q'4 --0 '7
Flood Plain Certification, if required
Okay to issue C I C or C/O[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codesllnspection FormstResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10, Revised 04/13/11
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspectionjeques ei ed: S 1 L l/--
Queensbury Building & Code Enforcement Arrive: `-t /p / , ` .�•
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ` —i ,_,
NAME: t e c( PERMIT#: 0 , 7/
LOCATION: TW.1-'— �''a S Lie---e S 1f L INSPECT ON: 5//4 f 3
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum /��9 3
Jack Studs / Headers /,(
Truss Specification Provided
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
Exterior Deck Bracing
•
Headroom 6 ft. 8 in.
Notches / Holes / Bearing Walls
Metal Strapping for Notches Top Plate
11/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses /
Anchor Bolts 6 ft. or less on center
ce ans water shield 24 inches from wall /Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/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
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 05 13
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: S 7 , l
NAME:
LOCATION: 3 ! �"4-t.rrti
PERMIT#: O (0 -'`)3 'J
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:
C)1(
•
Craig Brown, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.inspection.FORMS\Final Survey
Zoning Administrator.doc
Framing / Firestopping 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: 1 Z
NAME: c �v PERMIT#: �'�1
LOCATION: : ,, r�. INSPECT ON:
TYPE OF STRUCTURE: f 1 ,
Y ! lWA 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
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches I 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
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
1711./
Firestopping /
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall _
Windows Habitable Space/ Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Building&Codes Fomes OLD\3uiIding&C0de5Unspection Fomts\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report l p <
Office No. (518) 761-8256 Date Inspectidn-req est received
Queensbury Building &Code Enforcement Arrive: am/pm Depart:. am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1e t, ,w
NAME: ePERMIT#: 0(c) Jy
LOCATION: `� S t , C'S I -P INSPECT ON:
9"/3
TYPE OF STRUCTURE: 7-76,01'"(
gaming N NA Or COMMENTS:
/\)_(
Attic Access 22° x 30' minimum j
pa 0 ,„,t, f) ,„,„
Jack Studs/ Headers
Bracing/Bridging 7-3•‘^.0, i, �i
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
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 side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour 'i
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 's 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
L:1Building&Codes Forms-OLD\Building&Codes\lnspedion Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
evll5co
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Ins•ection r=; e : _ .4 13
Queensbury Building & Code Enforcement Arrive: �► . • - rt: -, , a •
742 Bay Road, Queensbury, NY 12804 Inspector's Initia. .
NAME: P MIT #: 0266 -75'2
LOCATION: INSPECT ON: all 3/;-e/3
TYPE OF STRUCTURE: 7,-)--A-44-e--
N/A
Rough Plumbin ail Plates >�
ingnt I Vents in Place
1 % inch minimum Drain Size VA
Washing Machine Drain 2 inch minimum V1
Cleanout every 100 feet I change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes 1
V
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes _
Insulation /Residential Check I Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing 1 Firestopping Inspection Report /0 go-1I
t -
Office No. (518) 761-8256 Date Inspection request received: . '1 - • /
Queensbury Building &Code Enforcement Arrive: am/pm ,Depart: 'iii' am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: L "
NAME:
c4t91A-e('i' 00 -7 3I .
I PERMIT#:
LOCATION: ' i;. —, / / INSPECT ON: / 3
7,3
TYPE OF STRUCTURE: (r "4 ^ 'c-
lf' N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing 1 Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in, or more '
Exterior Deck Bracing '1 Jvs- � I /k-)
Headroom 6 ft. 8 in. •
Notches/ Holes/ Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(w) 16 gauge (8) 16D nails each side11—/< C�
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center -/
Thi
and watefijold 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/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
L:\Building&Codes Forms-OLD\Building&Codeslinspection Focros\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report 1-(-0,6 "' L) ('/
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: _am/ m Depart:<am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PrPERMIT#: �D / 7
�� .- '�
LOCATION: 1 A1 v INSI? ON: —t v / 3
TYPE OF STRUCTURE, - _'> J Cu'�1,UUZ � �- �' f _
Lig
Y N NIA COMMENTS: c- l '
Framing
Attic Access 22" x 30" minimum CO- 144--
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
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 side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bofts 6 ft. or less on center
Ice and water shield 24 inches from wall " ; -► r�`��
Fire separation 1, 2, 3 hour -6-6tFire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %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
L:\Building&Codes Forms-OLDU3ui}ding&Codes Jnspection Fonns\Framing Firestopping Inspection Report.doc Revised January 7,2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm De art/' am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 'i .jam
NAME: V. it 'NI # :
LOCATION: 2)"5, "D TA ZAL�'— � y�- 7' INSPECT ON: Z.
TYPE OF STRUCTURE: w-7 37) - "V
N N/A
Rough Plumbing / Nail Plates
Plumbing Vent I Vents in Place
1 % inch minimum Drain Size 1 -l
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction j
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. or 10 ft. above hipest est connection for 15 minutes \__
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape _
COMMENTS:
Rough Plumbing lnsulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
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:C c
NAME: 14') ' Gly_ PERMIT#: C�& 7 3 /
LOCATION: -sr( 72 S c.t- S ?k c ( INSPECT ON: i Z/�c- / Z�
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.
undation/Wallpour
.40
Reinforcement in Place
Footing Dowels or Keyway in place /47
Foundation Dampproofmg
Foundation Waterproofmg
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
kc)L ,3o .
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart:( ;, �n/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: l.L 1
NAME: P\ PERMIT#: O(J 7,3
LOCATION: (()! co) 51 —1' h , INSPECT ON: / C o
TYPE OF STRUCTURE: - -n -/1-e_
Comments
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 � rl
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofmg
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:\Buiiding&Codes Forms\Buiiding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM