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2011-486 TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Q rY> Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110486 Date Issued: Thursday, March 22, 2012 This is to certify that work requested to be done as shown by Permit Number P20110486 has been completed. Location: 337 RIDGE Rd Tax Map Number. 523400-303-005-0001-070-000-0000 Owner: DEVIN & BONNIE SPENCER Applicant: DEVIN &BONNIE SPENCER 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 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 411111INA 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110486 Application Number: A20110486 Tax Map No: 523400-303-005-0001-070-000-0000 Permission is hereby granted to: DEVIN &BONNIE SPENCER For property located at: 337 RIDGE 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: DEVIN&BONNIE SPENCER 337 RIDGE Rd Residential Addition $45,000.00 QUEENSBURY,NY 12804 Total Value $45,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-486 899 sq ft residential addition- also foundation only for garage 672 sq ft- fee for gargage will be paid when seperate permit for garage is applied for $179.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 11,2012 (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(li-e—fik7 of en u ry•; �f� day, October 11,2011 SIGNED BY -r ' ', J for the Town of Queensbury. Director of Building&Code Enforcement Pr • 30.3..c---/ ,_ .h,,) OFFICE USE ONLY 7_4. ----_ --.._�Y ; rir TAX MAP .2-7- '.^,i ". `;` FEES: PERMIT° /7/ RECREATION ENGINEERING '' I : t. 1.-� ; 1,1',,' I t (If applicable) ` �' ; `' '� r' .. s 4 ,_/:..�/..I.R.?iiia i��il {{I PRINCIPAL STRUCTUR . b` ''"`'"` = J'=4--J 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: r �;i I ,f �C � �Jt�k �`' OWNER: QQ V 1 0 Fcr (of ADDRESS: CI.d) 1.7 (il)(1./ fl,/ C... km_cc6c1r f ADDRESS: 3� 7 e ,(� .c ,P) PHONE NOS. 71` ' 2 1.2---(%l 7 6 PHONE NOS. 1 et ‘3 CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: i.)0\\---i A i PHONE: 1.Y ) 1 L 4i %ef LOCATION OF PROPERTY: 3 J } dL i ct 9.14 HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVA ? ES 0110 () IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: Al C.?(f" 17 Ati 5---9-2o// PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR z 0 cc 0 d p w L , PROJECT OOH p p.. co 2 " D � •� o u. _ 1- O � Z z < -J :- � c� CO Ori 0u... �ai0s SINGLE FAMILY / TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE , BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE((�1,2,3) OTHER i��i'i }J{�.- �� root/ hcx.-_0,Li — Fe_ For curc�2 1 V`IJ i-cN-1 0"/ i /-.) -1-2 t,) it !AZ /ICL 04 1..-)ke y` c T�� perM,r Tom, j,-ret-3 _ /S �...piv,eel (---4,-- IF IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: il Li c! l"i;J FUEL TYPE: HEAT TYPF• A C *I-1r11A/ RAAAIV CtDGDI Ar+c/e%. : Aran ,nn tA,i1�mc+TiN„u-n.n‘_ n. ,RE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? NO ARE THERE EASEMENTS ON PROPERTY? /'J 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 above. Si, -. __ i�� - ......_ 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? CALL 761-8256 OR EMAIL codes(c ciueensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION Queensbury Building & Code Enforcement - Residential Final Irispection Office No. (518) 761-8256 Arrive: am/pm I-tart: I ,d) am/pm Date Inspection request received: Inspector's Initials: . .I NAME: .a� ��1�� PERMIT#: _111. — ,�.�• LOCATION: �j � �L� tZ ►� DATE: TYPE OF STRUC ' iT'((JJ E: 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 Handrail 4 or more risers 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 Deck Bracing/Handicapped Ramp Compliant �vJ 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 Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: / Outside every bedroo rea: Inter Connected: V Battery backup: 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/Insulation Certification/Sticker on Panel 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'/"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3 hour fire door/door loser Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if required Okay to issue C I C or C/0[Temporary/Permanent I V - L:1Building&Codes Forms\Building&Codes Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised January 7,2008; Revised 6/26/08; Revised 12/22/10 ( I .G /U 7t Queensbury Building & Coide Enforcement - Resi tial Final Inspection bffice No. (518)761-8256 Arrive: am/pm Depart: ( lam/pm ate Inspection request received: Inspector's Initials: 61Z)._____ NAME: 04(--e -) PERMIT#: .r ,! -1 rte '-- LOCATION: js 7- cli.o DATE: ��7 ; TYPE OF STRUCTURE: p � .. AA\ AS Comments: Yes No NIA 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 Handrail 4 or more risers 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 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 Interior privacy/trim I doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors �� Every level: Ev Bedroom: Outside every bedroo rea: Inter Connected: Battery backup: y, c A. Attic access 30 inches x 22 inches x 30 inches(height)in accessible area 7� �'" Crawl Spaces 18 inch x 24 incl access,1 sq.ft.-150 sq.ft.vents ' L ,C___-k-- Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification L4/44...4.,,_ 1- Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade .." z� J 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 W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/$ hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required 7 Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent] L:1Building&Codes Forms1Building&Codes\Inspection Forns1Residential 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 Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:3.1.73epam/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: 35-1 INSPECT ON: ./EU "2- 'TYPE TYPE OF STRUCTURE: Y BA C MMENTS: Framing Attic Access 22"x 30" minimum Jack Studs/Headers çvf)Bracing/Bridging Joist hangers C X�,/� Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. G-1 Headroom 6 ft. 8 in. ftfri_ --- Stairwells 36 in. or more Exterior Deck Bracing , �,,/ Headroom 6 ft. 8 in. j/i 1 • Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 ,6(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'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 LABuilding&Codes Forms-OLDrBuOdi g&Codesllnspedion FomnVFramUp Flmstopping Inspection Repatdoc Revised January 7,2008 Framing / FirestoppingInspe n R port Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/prr� rt: ' •\ ' -am/pm 742 Bay id, Queensbury, NY 12804 Inspector's Initials: NAME: t' PERMIT#: ` '8 LOCATION: 3 7-- P INSPECT ON: �- ;n.� / TYPE OF STRUCTURE: ( \-41A I A COMMENTS: Framing 22' x 30"minimum L-- Jack Studs/Headers -, Bracing/Bridging t 1 t-' Joist hangers Jadc Posts Main Beams Exterior sheeting nailed properly 12"O.C. `-/,,, • i - Headroom 6 ft. 8 in. C� Stairwells 36 in. or more Exterior Deck Bracing _.. Headroom 6 ft. 8 in. • Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate Draft(w) 16 gauge } 180 each side i �J� fi f " �" stopping 1,000 sq. 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 6 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 Fenn-OWIBulidirg&Code&Jn spection Fonns\Fretnirg Firestopping inspection Repottdoc Revised January 7,2008 Rough Plumbing I Insulation Ins + ,- ction Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: /1 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:6144)7_ NAME: (°-e/�' PERMIT #: //-4/-v � LOCATION: MangWarr INSPECT ON: 12 /7-1/ TYPE OF STRUCTURE: 1 - AA-Lti Y N N/A J Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %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 s.r. •r 15 minutes T =k • Similar Exterior Sealant I - ,• • =r Vent, Attic Vent Door/Window Sealed (No Insulation) Duct I Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Q -7) kiL)--ilvikiL) Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report ZzLI; Office No. t J Q bury ldI&Code Enforcement Arrive: am/pm Depart• t a pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:600 NAME: U �L— PERMIT#: LOCATION: .3 3'I 10- 9 INSPECT ON: TYPE OF STRUCTURE: r kjaming Y ill& CONMAFNTS: Attic Access 22"x30" minimum Jack Studs/Headers Bracing/Bridging V 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 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:1Building&Codes Forms-OLDrBuilding&CodesUnspsction Fomrn*Vrsming Firestopping Inspection Report.doc Revised January 7,2008 eLr//(j- .3 kWh( /lam r raming / Firestopping Inspection Report Office No. (518)761-8256 Date I - • • ;• • Queensbury Building&Code Enforcement Arrive: w 't _ • 742 Bay Road, Queensbury, NY 12804 Inspector's In'; . p 44/NAME: Ce� / "PERMIT#: LOCATION: dorai" , INSPECT ON: / TYPE OF STRUCTURE: I H 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/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gage(8) 16D nails each side Draft stopping 1,000 sq.ft. floor trusses « • :^ : or lesson enter ce and water s -Id 24 inches from wall V on1, 2, 3hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 6 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:iBuiidirg&Codes Forms-OLD Building&Codes lnspection Fomnt�cmming Firestopping h spidlon Repoctdoc Reined January 7,2008 L3 : ) 2 / r, i Foundation Inspection Report 7- 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: PERMIT#: LOCATION: 4/,,f INSPECT ON: £ - �'- TYPE OF STRUCTURE: M)) Comments Y N NSA Footings � �''C� Monolithic Slab p27-2 Reinforcement in Place ` iA— Z 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 V 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:�Buildirg&Codes Forms\Bulding&Codes\Inspectlon Forms\Foundatlon 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: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 221 l.-3c (c.-.) LOCATION: `23 \ INSPECT ON: /0 (2.4 TYPE OF STRUCTURE: RgS Comment, Y N N 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 ' 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:\Bullding&Codes Forms\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 Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pAm L Depart:'2A, A, / pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: */ C•��'� z PERMIT#: LOCATION: 7( INSPECT ON: a-Y-Z TYPE OF STRUCTURE: 1' cornmeal I 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/Wailpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: width ches '•ve footing / 6 mil .• or wet areas under slab Backfill A. . i val ' .'1 : •nder Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM / -4- YL-- Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: l 0 A . s/ Queensbury Building&Code Enforcement Arrive: am/pm Depart: /' . pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: %w NAME: (/)I cV e C 4 f--a'L. PERMIT#: O//- g('- ' LOCATION: 3 -) P.rCt ( INSPECT ON: ' r TYPE OF STRUCTURE: ...f ' l J Comments Y N N/A Foo gs — — (119 �P )� - - onolithic Slab *,.I orcement in Place The contractor'- . -•onsible for . • '...1, : protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. _ Foundation/Wallpour ':/ Reinforcement in Place tiJV ek►'u5 Footing Dowels or Keyway in place M— 17e4C11(4 -- . Foundation Dampproofmg Foundation Waterproofing -vc)V at C ' t 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 2- -;/ kkJg, t , 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: _ / NAME: Ir' PERMIT#: G — 1/8'� LOCATION: k;i INSPECT ON: /0— /2—1/ TYPE OF STRUCTURE: J 4 J Comments N A Footings N'i► Piers •.11C 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 6pc'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 For sWOufdation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM