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2006-742 0111fai TOWN OF QUEENSBURY wvo742 Bay Road,Queensinny,NY 12804-5902 518761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20060742 Date Issued: Monday, August 26, 2013 This is to certify that work requested to be done as shown by Permit Number P20060742 has been completed. Location: 21 TREASURES P1 Tax Map Number: 523400-302-008-0001-058-000-0000 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 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 Planning Board ` Director of Building&Code Enforcement or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060742 Application Number: A20060742 Tax Map No: 523400-302-008-0001-058-000-0000 Permission is hereby granted to: AMEDORE GROUP. INC. e9".v.) For property located at: 21 TREASURES P1 ?\@ 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- I Car Attached 1900 WESTERN Ave Townhouse 517,500.00 ALBANY,NY 12203-0000 Total Value 517,500.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2006-742 Renewal fee paid thru 9/21/2013 BUILDING 2 21 TREASURES PLACE (DOWN,RIGHT) 1234 SQ FT CONDO WITH ATTACHED 260 SQ FT GARAGE $198.76 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,Septemb• 1,2013 (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 f Que sbuti- r TIr .September 21, 2006 SIGNED BY `~>/, ht'1`,)'c for the Town of Queensbury. Director of Building& Code Enforcement " TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060742 Application Number. A20060742 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: AMEDORE HOMES Garage- 1 Car Attached 1900 WESTERN Ave Townhouse $17,500.00 ALBANY, NY 12200-0000 Total Value $17,500.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2006-742 BUILDING 2 21 TREASURES PLACE (DOWN,RIGHT) 1234 SQ FT CONDO WITH ATTACHED 260 SQ FT GARAGE $198.76 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 21, 2007 (If a longer period is requited,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tc(wn of eens rya '1'; I I ..,. September 21, 2006 SIGNED BY ` for the Town of Queensbury. Director of Building&Code Enforcement .. .....& / Ld/'J/LCI..id•. ••, ..2.. - __ _ae... rr :r; ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? - , NO ARE THERE EASEMENTS ON PROPERTY? () ! 1 j iy CaS pr- -$ I acknowledge no construction activitiesshall 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 toissuance of a certificate of occupancy. I have read and agree toe above, r / , V/ Signed - _ - — Director of Bu;ldin _ .es,. 761-8265(for'questions.r..egarding,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 Application: zoning Laws of the Town of Queerrsbuy. 1.,/ h 4 4 AO " BUIL RI,4G r. CODESAP-7 • rA ZONING APPROVAL • A ip DATE DATE J QUESTIONS? CALL 761.8258 OR EMAIL ode ueensbtv net VISIT OUR WEBSITE FOR MORE INFORMATION vy, "`• ,. `f3u _et ..• J;�w Town ' yof Queensbury• Community Development Office . 742 Bay Road, Queensbury, NY 12804 RX Date/Time 09/1112013 10:33 P.018 �.,v,, c, • 11. 2013 10;47A .'aHome Funding Finders�'v(.••1 �..'r��'.'� %..ii°v...;#i�,i.�;/�;,,4:No. 53964c4P 18/18••1 EA MIDDLE DEPARTMENT INSPECTION AGENCY, INC. =t C c, e.re tea that the electrical wiring to the electrical equipment listed below has been examined and is approved as > being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date � , P4' noted below and is issued subject to the following conditions. rt i Owner: Amadore Builders Date: gi•i t ) 08/23!2013(�� Occu ant: :' • p Same Location:21 Treasures �.' C� l•I Occupancy. 1st Floor Right Queensbury, Warren Co. NY =i er :_l Applicant: ��i savImmanuel Electric Inc. 2 Mohawk Ave. . .< �� . ,;w..�:- •, Gt (caj Alplaus, NY 12008 •' :., .,4: ,.•:, 'r . ,'; r: :c; - ;;A,•:: s rg R(Chj2c_ .. r T:x ..- >> Joseph A.Holmes' M:::" r;:,. ,. •.• 7.5 �' 140884'1$2d97t f;:�:;s=,:e";.e, ",.:4.:•,.., ." •'e;•;t• �t:,. 5 tri menta % _ t' �.,(N -• AI•C l-" • ( 2 - 100 Amp. Service Equipment 4/0•;,24'='Switches "Race tacles,49i Fixture 1'—Range'', 1 - Water Heater, ,/ Air Conditioner; 1 - Burner,(Wiring &'Controls Gas; 1 - Dishwasher 1 - Dryer; 1 -20%Amp. Receptacle Washer; 2 - ) Vent Fans; 4 -Smoke Detectors;:1==:100•�Amp Sub Panel r•••(:- '.t:: r� • l gi - ;.. s �j :_ . f nSW I. (%N�` 'a,. .�1.;. :.',t ' :'.•'.,:"r' •;•1:;,:t `..�. rte•.•:....„.•,.,<i V.) �, - •ro, `r:.. t„; •S�a_. i' fid) g. This certificate applies to the electrical wiring to the electrical equipment listed immediately null end void, This certificate applies only to the use,occupancy and above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership (aryl •_N (0 inspection. No warranty is expressed or implied as to the mechanical safely,etti- of the property indicated above•this certificate shall be Immediately null and void. ((N: (%6 clency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes Invalid based upon the above conditions. >f) jj„�• be valid for a period of one year horn the above noted dale. Should the electrical this certificate may be revalidated upon reinspection by Middle Department �;,. 1�;�) system to which this certificate applies be altered in any way,Including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle (<;�� ed to.the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency. Inc. to Initiate the inspection and revalidation t4�, any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. ^ Yl O%:ay. is, ��qq `���•� �>%=�i%�9 o�ir' r^� �i: is�riia. �• �•••:• `• :% %`r ✓'• ra �r v �• i`.`4.4tW �`t: w}.� ,:fi C• ..• '- e.eNI•,.r•74• %. �• %Y{ 41.. ) �•.� Z ray:v� •�• v Is �.'•\.n•• �.�TAr3:.,�.`.f�. ��.� J:���' i�✓�r.1:�� eii�4 a:� � . �r <'��C�.. (•� OF r/.��err,r�>r�5'. >i'�,i'�•�•.� �..���..��.: •�' �.�.�• .� �.`..�.c`.�,1,•�ti'�!.�•i.��'`���;�1;�r��;�i'?�•r.�J�.�r.�?'`�;�•2::S;l•,S,z�•'�ti!:��i� i`✓� �"ti 3>` 0 ---1 �� SEP 1 2013 Queensbury Building & Code Enforcement - Residential Final s e, io p ctlon Office No. (518) 761-8256 Arrive: am/p art: �� am/pm Date Inspection request received: �__ y°13 Inspector's Initials: NAME: (1-\"f ti� c i��-6/9 PERMIT#: ( � . 7� LOCATION: .h-: ; .�,�� ,- J,;-,_r DATE: S�;) -/-7 / 3 TYPE OF STRUCTURE: Comments: YeslNo N/A 4" Building Number Address visible from road V/,. Chimney Height/13"Vent/Direct Vent Location t/ Fresh Air Intake t7 3 inch Plumbing Vent through roof minimum 18 inches V Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Y/ Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 Inches or more V/ Guard at deck,porches 36 inches or more VVz 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 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade /r Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Y Safety glazing/Wind in stairwells safety gl. ' g o e, s Ls-�,,J'0- Interior Smoke De /Carbon M oxide etectors '�t Every level: ✓✓✓✓✓✓ Ev ry Bedro . _ / — ,o- k:r'\ e'N lit Outside every bedroo ea: ! / '1 Inter Connected: ,, , Battery backup: </ / 64—)1;41— f7i� 312' 1( Attic access 30 inches x 22 inches x 30 inches(height)in accessible area `�U Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents 1/ Bathroom Fans,if no window c� Plumbing fixtures _Foundation insulation to floor 1 Sticker on Panel Duct work sealed properly/Blower Door Test Certification Floor truss,d ft. Emergency egress below grade 1/ 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 V Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum h/z"Gypsum ti// Basement stairs closed rise>4 inches V Garage Floor Pitched Garage fireproofing/'/.hour fire door/door closer V„.. Gas Logs in Sealed or Glass Enclosure tV, Final Electrical; o V i Final Survey Plot Plan :/' Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles ! ` Flex Gas Pipe Bonding V 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] 't071/1 L:1Building&Codes Forms\Building&Codeslinspection Forms1Residential Final Inspection Form_revised_100405.doc; Revised January 7,2008; Revised 6126/08; Revised 12/22/10, Revised 04/13/11 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury, NY 12804 Date received: )-'13 NAME: --- LOCATION: • _ Q. ,�• i . PERMIT#: 6 Cn 7 oc.p. 73a Final Survey Plot Plan (2(Q Approved Denied The attached final survey has been received by the Dept. of ✓ Community Development. Upon review the survey has been: Cra 6wn, Zoning Administrator Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depa - am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: PERMIT #: O (-0- 71 a -� LOCATION: 211..0 1§2,L _ INSPECT ON: ') -9-'J 3 TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates i) L9-73 a Plumbin. Vent/Vents in Place - -r)% inch minimum Drain Size b --r) 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 l Head 50 P.S.I for 15 minutes Insulation I Residential Check / Commercial Check or Similar Exterior Sealant 1Cpr � Tyvek � _ Proper Vent, Attic Vent Door/Window Sealed (No Insulation) �/ ` Duct 1 Hot Water Piping Insulation c? - 1 1 If required unheated spaces vl Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape _ NI —24,d1) ej\i/OA- COMMENTS. /4--t,!;15 p.? W-7?) -1-z) (34-- 4-Po a 01 9.44 Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008 Town of Queensbury Fire Marshal � � 742 Bay Road V1 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 O� 9c instructions or pec'fications is allowed. Permit# — , Schedule Inspection j&/& ? Time a pm anytime Inspector "ill'' Name /014(11fie" Address p� / /Y ?$ '/2� ,PL Rough ( Final_ Appliance Manufacturer 40/.4 /1/'*---1 Model# D tic,3/3l_`'�_ Direct VentXFactory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Af iii//L= 2'°3/ Clearances to Combustibles (all sides) Firestop(s) Vertical Chase 1)(Wall Penetration Vent Clearances to Combustibles 54,70, �P%l/L�/1kba at c Vent/ CljTermination Chimney height must be 3 feet above roof y;; if rtG penetration;2 feet above any combustible C� construction within 10 feet /6'ilik7irki- Gas Shut-Off Valve /v. Combustion Air A ______- C-0, 725,ii 3-----._ Hearth Extension (if any) 7QCMantelACWfliagt— Height above f/p opening P/i-R6 it *th - /0s ��%t I Witness Operation Tank Placement(if LP) CO DetectionX , ,,,,,,\C CSST Bonding White—Building Dept. Yellow—Cust)mer Pink—Fire Marshal Framing I Firestopping Inspection Report 0611b2. Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: '��InitiC' a /pm 742 Bay Road, Queensbury, NY 12804 Inspectdr'� Is: . NAME: , e v_ra_ PERMIT#: i ' — 17/ LOCATION: / 5 'r LSl f Q INSPECT ON: TYPE OF STRUCTURE: Y N N/A _._.._ COMMENTS: Framing � I Attic Access 22" x 20" minimum f b fs —c °+. Jack Studs / Headers Truss Specification Provided Bracing / Bridging a/ d Joist hangers SYJ/ 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 Ice ans water shield 24 inches from wall Fire separation 1, 2, 3 hour �f Fire wall 2, 3, 4 hour L C / �r r Fire wall V /Am \-A-'11 -115) 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 Design Professional Sign-off, If required Framing Firestopping Inspection_Revised_02 05 13 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: r am/p a- 'art �m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ... l ( -2 NAME: .A-00 eat, ;- PERMIT #: C 6;---'1/ a LOCATION: j ri - z _Li,' _ INSPECT ON: Ly -Ji--1.) TYPE OF STRUCTURE: _ .- `7,A,I -73 ©/ N N/A -- --)-'1,,i Rough Plumbing / Nail Plates rd Plumbing Vent/Vents in Place 1 1/2 inch minimum Drain Size MI Washin• Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction OM Pressure Test MN Drain /Vent Air/ Head 1E 11 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping I iiddit 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 r-•uired unheated s*aces Combustion Air Supply for Furnace Duct work sealed properly 1 No duct tape `� Ell COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008 Foundation Inspection Report ,3 Office No. (518)761-8256 Date Inspection request received: / ' r ao 13 Queensbury Building&Code Enforcement Arrive: am/pm 7Depart: _ . pm 742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials: NAME: r� I f3-1h PERMIT#: LOCATION: j pysr v-eo e INSPECT OR 4-41)/k0/3 TYPE OF STRUCTURE: II Comments Y N N/A Footings C-Gr.e' pL' eo C7-71. Piers Monolithic Slab � 1 7 )r - r , 6166-7 a-2 Reinforcement in Place P- • 1 I TF--eAs(,c / - 0),%,-7- The contractor is resp m ible for providing protection from freezing �L for 48 hours following the placement v2 26.06- 74Q of the concrete. Materials for this purpose on site. � � �'� � �� Foundation/Wallpour C -rfbc.r o t. Reinforcement in Place Footing Dowels or Keyway in place v ✓���` �v�� Foundation Dampproofing PD y - 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 Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: . _am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,{ 1 � NAME: rAD re- PERMIT#: C) 'l0 7 / 0/ LOCATION: 1 n 2 INSPECT ON: – la. --/3 TYPE OF STRUCTURE: _moi 6 dCom anents Y N N/A Footings ]3 Piers a 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 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 l Plumbing Under SIab 13V9 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/prp Depart: �4rn/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: �r� NAME: 11 '0OA PERMIT#: C)(C' 7/ os 'l` LOCATION: IF /_ / 3 `{�� -�-�� r. .l� INSPECT ON: TYPE OF STRUCTURE: L="x..`i1,4;('')''l�`�. g) 3 aComments Y N N/A —r7 as/-J Footingsv W, Piers 1 a Monolithic Slab II `--) Ala 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 'ra' Footing Dowels or Keyway in place ' fY 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 7-C/ ✓ �✓ Rough Grade 6 inch drop within 10 ft. -� 2'()/ L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM mak sIa . air Foundation Inspection Report C.) Office No. (518)761-8256 Date Inspection r-.400.iv: : Queensbury Building&Code Enforcement Arrive: tZ 13l 0: '� pie - Depart: 12; 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial NAME: i rC O P ' ' I T#: �1 I LOCATION: "�n Q�� INSPECT ON: TYPE OF STRUCTURE: 6154A 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 3 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 11 "3hw JO Jo), ( \ 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: C' teclo t'e PERMIT#: D ( 2— 71 cl LOCATION: / 5 `14 rec. s py 1, INSPECT ON: — g -J3 TYPE OF STRUCTURE: Xi x, p Comments 0 �T Y / N N/A '7 k) 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 2,, t 5 C : 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:\Buliding &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM