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2006-870 r ' 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: P20060870 Date Issued: Monday, September 10, 2007 This is to certify that work requested to be done as shown by Permit Number P20060870 has been completed. Location: 43 SHERATON Ln Tax Map Number: 523400-297-010-0001-021-000-0000 Owner: STEVEN SCALIA Applicant: STEVEN SCALIA This structure may be occupied as a: Residential Addition By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the ` >44/15ti ....:/:)atfp 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. TOWN OF QUEENSBURY /Foti ._,.... 742 Bay Road,Queensbury NY 1230+-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060870 Application Number. A20060870 Tax Map No: 523400-297-010-0001-021-000-0000 Permission is hereby granted to: STEVEN SCALIA For property located at: 43 SHERATON Ln 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: STEVEN SCALIA MARY ELIZABETH MC CORMAC Residential Addition $175,000.00 43 SHERATON Ln Total Value $175,000.00 QUEENSBURY, NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency MCAVINNEY BUILDERS 83 CARE FREE Ln LAKE GEORGE,NY 12845-0000 Plans&Specifications 2006-870 800 SQ FT RESIDENTIAL ADDITION $96.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, December 19, 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 beforejiration date.) n - Dated at the To of Qu /1 T ,s y y, December 19, 2006 , SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement RECF!\IED EG,u b O6 OFFICE USE ONLY 77 7./0--/-21 TAX MAP NO. , - PERMIT NO. /CJ —S7C TOWN. lt�1L.�1 CQGDE ir? // r �,,� UILD1NI 16 FEES: PERIVtri l cfritRECREATION ENGINEERING Ba (If applicable) � � PRINCIPAL STRUCTURE: 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: MMU() Ali l�(��uIdIi OWNER: S EV(; &-:1:11 64 Sof u/i- �� • Atte ADDRESS: L� / Attt LI L/ 1A,L, ADDRESS: L Citi—V47-0 C,lgyu�_� PHONE NOS. 1V—e/10 i(,1 [--; (vO � PHONE NOS. /L1)_ Z-LI CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE: LOCATION OF PROPERTY: 41 3j 5 tomie SUBDIVISION NAME: I UL-L9 649 12 I PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z APPLY TO YOUR z 0 et C o f PROJECT g 0O O o w � E � � w ¢ a = Z ¢ Q :- v) cv � OLL O o:w — SINGLE FAMILY iler0 'S (�16 ; / 14 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 BUSINESS: ESTIMATED CONSTRUCTION COST: (') I CIC)0 FUEL TYPE: Vi(,- HEAT TYPE: Ft (A) fJ *HOW MANY FIREPLACE(S): 0 AND/OR WOODSTOVES(S): v ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? i� IS THIS A HISTORIC SITE? J() PROPOSED USE OF BUILDING OR ADDITION: rj t( r2f10 l //VS( ic..c ? - *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05 ati 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? f.Jcl 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 haved ag� tot above 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: BUILDING &CODES APPROVAL ZONING APPROVAL DATE DATE QUESTIONS 7 CALL 761.8256 OR EMAIL codesAqueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 �+ fiAvkataiy ?//0/0 - Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: Z_ am/ m epart: am/pm Date Inspection request received: Inspector's Initials: NAME: 5Ca1 j Gam, PERMIT#: -E20 , LOCATION: 14 5 Wrad- J 10`... , DATE: TYPE OF STRUCTURE: Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches111 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 Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate1/// Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight :7/ Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detectorit/ 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 Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or GUss nclos Final Electrical biP r Co( Final Survey Plot Plan As Built Septic System/Sewer ept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required 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 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: (0/510 7 Queensbury Building & Code Enforcement Arrive: (• Zd am/p�n� part: jam/pm 742 Bay Road, Queensbury, NY 1-2804 Inspector's Initials: e • d.(e0o-M-7 3OtIAI f'icAvir�NC NAME: C In RMIT #: _ •�� � LOCATION: Vo(.�,f r d2.t 43Rt-/-4fiANSPECT ON: TYPE OF STRUCTU : C ReA,V6:11°11 6,)-(ez, 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 L � Water Supply Piping Air / Head -cdw,t) _ /,ti 51 • 't, or 15 minutes _ Insulation, Residential Check/ Commercial Check .9-r ent, Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape 26-57- COMMENTS: L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 0 -17 . 5/2-2/07. Framing / Firestoppin.g Inspection Report Office No. (518) 761-8256 Date Inspectio rte.uest received: �d 1 Queensbury Building&Code Enforcement Arrive:�.D ` am/pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: C� _ PERMIT#: LOCATION: l/J A f'/4 TO t, Lk. . INSPECT ON: TYPE OF STRUCTURE: —Y /Framing CO S Attic Access 22"x 30"minimum 1� ilkOV zZ ?`3a Jack Studs/Headers Bracing/Bridging - Joist hangersf 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 '/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 • a ,4 hou Firestopping / ,LL /AO e Penetration sealed 111 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 , K Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sfgrade - Lit en. Framing / Firestopping Inspection Report A2 j_ Office No. (518) 761-8256 Date Inspection quest received: Queensbury Building&Code Enforcement Arrive: .. ,55 am/p Depart: m/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials:_ S7 NAME: C-"l` ( i PERMIT#: 6)0 _ LOCATION: 3 4t.e( t`Cvi, INSPECT ON: (���!-� ,' l7/Q TYPE OF STRUCTURE: Y N N/A COMMENTS Framin ttic 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 '/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 1 Fire wall 2, 3,4 hour Firestopping^ ,/kr PPkDC( � I Penetration sealed , 16 inch insulation in cavity min. /4 5 1^v Garage Fire Separation House side Y2 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 .:►,�a,t Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 17/0 7 Queensbury Building & Code Enforcement Arrive: am/pm D part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: SLAL(- A- PERMIT #: SCP - , ' 0 LOCATION: if-2) , '-- ---(1) --- INSPECT ON: TYPE OF STRUCTURE: i Y N N/A Rough Plumbing / Nail Plates m / Vents ' e iich-rrrtimu Drain Size Washing Machine D ' inch minimum Cleanout every 100 feet/ change of direction Pressure Test D an / Vent / I /1)4"-7111‘4 - A / Head D.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test 1. / ter Supply Piping V Al ti Head 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 '� l Framing / FirestoppingInspection Report Office No.(518) 761-8256 Date InsEt.i9,A request received: 6 Queensbury Building&Code Enforcement Arrive: am/pn D part: pm 742 Bay Road, Queensbury,NY 12804 Inspector s Initials: C./ NAME: S( PERMIT#: —41 �d LOCATION: INSPECT ON: itiftql, TYPE OF STRUCTURE: I a- 7 l Y/ 1v N/A COMMENTS raming Vj At is 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 %(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 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 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection uest received: Queensbury Building&Code Enforcement Arrive: /D •)jc)am/p1n pepart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: c c-1 PERMIT#: 0 .— 670 LOCATION: 5f.(4R4 re.fL) (A) INSPECT ON: C cg 7 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 I 'h(w) 16 gauge(8) 16D nails each side Dra stopping 1,000 sq. ft. floor trusses chor 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 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 1 K r / //z Foundation Inspection R- r, .rt Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive:2'. 0?) am/ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 870 . LOCATION: ci / INSPECT ON: TYPE OF STRUCTURE: Comments -r 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 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\Inspecdon Fo nsVoundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518)761-8256 Date Inspectionrhe uest received: Queensbury Building&Code Enforcement Arrive: ( am/pDe art: am/pm 742 Bay Rd.,Queensbury,NY 12804 InspectoPis Initials: NAME: PERMIT#: d�-- e 72:) LOCATION: ' ij 14Z4-T-0/3 INSPECT ON: '11/ ( -- 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 Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width finches above footing 16 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 /U Office No. (518)761-8256 Date Inspecti request received: Queensbury Building&Code Enforcement Arrive:/b, am/pip Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect is itials: VFt_ NAME: 5' eer`'(<?... PERMIT#: ®C / LOCATION: �,2t��� e---,ti `'_ INSPECT ON: i1 (t l(�'7 TYPE OF STRUCTURE: I 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 Dampproofing undation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 2 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 PP-- Foundation Inspection Report Office No. (518)761-8256 Date tns ectiouest received: J �'�'—' lcS" 7 Queensbury Building& Code Enforcement Arrive. I am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ?-- NAME: Li G�- PERMIT#: U4' -Y'7D LOCATION: j 3 S4 et-4/DI- INSPECT ON: —e—r /6 jet 7 TYPE OF STRUCR• /) �t-- 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 Dam roofmg Foundation Waterproofmla Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width // ' t,} 6 inches above footing 44i 1.// 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 Wiest received: Queensbury Building&Code Enforcement Arrive: 0. 051m/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: SC: --/R- PERMIT#: ° � 7— 7 0 LOCATION: S k `d 4-,,J INSPECT ON: i /I to 07 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 /" Materiais of the concrete. for this purpose on site. Foundation/Wallpour einfo : c.- s t in Place Foot'1,: Dowe . or Keyway in place 17 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 J5DA-y ///6/0, _ Foundation Inspection Report Office No.(518)761-8256 Date Ins ;o request received: Queensbury Building&Code Enforcement Arrive: 610 r - p �_i part: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto s Initials: NAME: ICS / PERMIT#: 6 ---xFo LOCATION: L1 3540.0.;er- ��.—� lir h INSPECT ON: TYPE OF STRUCTURE: Comments X N N/A Footings Piers Reinforcement in Place The contractor is nsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour kb-Api2 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:\Bulldtng&Codes Forms\Butiding&Codes\InspectIon FormsWoundation Inspection Repoitdoc Last printed 12/20/2005 9:24:00 AM Q T7E //, /e) - Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm part: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:—)'U NAME: SCO--// . PERMIT#: o6' LOCATION: Li 3 3 k.. _ INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footin: Piers Monolithic Slab Reinforcement in Place •2-- �� The contractor is responsibrefor 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 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Fonns\Building&Codes\Inspectlon Forms\Foundatlon Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MYNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No.4..e'44......1...:... ::..Cert. 3 1 2 7 Cut-in Card No..................................... Owner.......... .................. ... :. C.1 �!``" .... ........ .................................. Location..................... >r .�=! � fes-' r . .........I........ Installation Consisting of./..�,. '� c� � �f�t;'°�"' � � .� ....................................�.........�...d..�.7 . ................. rc ...... '00 ...................................................................................................................... .................................................. .............................................................................................................. Installed By..........A4 ..............................Lic.No................. . .................................................. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its rules are violated,the Company shall have the right to r vo e this cate. Date.... ...� ::s<<................ INSPECTOR..... ... .z .. . .... ... .................................:. ....................... Member N.RP.A.,I.A.E.I.