Loading...
2010-213 TOWN OFQ UEENSBURY F4T-.0 742 Bay RoadQueensburyNY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20100213 Date Issued: Monday, November 22, 2010 This is to certify that work requested to be done as shown by Permit Number P20100213 has been completed. Location: 34 CHARLTON Ln Tax Map Number. 523400-308-006-0002-009-000-0000 Owner. LUZERNE VENTURES, LLC Applicant LUZERNE VENTURES, LLC 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 / ) ,,j /14,1t* 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. 41�` TOWN OF QUEENSBURY Forro 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100213 Application Number. A20100213 Tax Map No: 523400-308-006-0002-009-000-0000 Permission is hereby granted to: LUZERNE VENTURES, LLC For property located at: 34 CHARLTON 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: LUZERNE VENTURES, LLC 22 SULLIVAN Pky Residential Addition $20,000.00 FT. EDWARD, NY 12828-0000 Total Value $20,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-213 320 sq ft residential addition $75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, May 10, 2011 (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.) � / 1 Dated at the own Queernsbui+y; i" 1 "�'nday, May 10, 2010 t " 4 \ � / � SIGNED BY 4S L'f ` for the Town of Queensbury. Director of Building&Code Enforcement AVOWS/ . , .. _ ___ OFFICE USE ONLY '' ' E.',;4-:,:r,"'".':L', .71. r]::' ---- -1 1H TAX MAP NO. % PERMIT NO. '' MAY ') 5 201 I ; '- '1 FEES: PERMIT C EATION , ENGINEERING .� .. '-i71.7-1::_ (If applicable) �v.�.._�. , •4_,w • 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: (_LJN{-. �.- >�`-3:v OWNER: CL)' /L &ze v- -.p ADDRESS: (c --(cc&.-,. e G&, '-/ ADDRESS: PHONE NOS. -743 '7 ? 7 PHONE NOS. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: c7 -1/4.. PHONE: 3(.05 ( S� LOCATION OF PROPERTY: 3 Li c ,ms`s--� ���,�. t HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ES 0 NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: C_C-Nc�.ty, . A-1-1.c— PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z APPLY TO YOUR Z O� w I- 0 . O w PROJECT O O O co o � � i � w fX Q a2v = c� Z Q ¢ N 0 o LLL ~01- CL w Z I- U. LI. 205 SINGLE FAMILY ,/ ��® ,/' 'S 2c 1 (4,1 TWO-FAMILY 0 / / / • rf0 'i r , _./, MULTI-FAMILY (NO. of UNITS ) r (C_P• TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL– NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: 7O/QO0 FUEL TYPE: 4- 9 4 B 3-LGL 11-05 eV f re ? sl wIt • 4 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 11; .�, , , `' 1140.0 Ntm i 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 pre '•e an as-built survey by a licensed land surveyor of all newly constructed facilitie = or to i -uance of a certificate of occupancy. I have read . d agree t. e abo - Sign:d / 11 y hi. ector 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: l B f'i I & CODES • -PROVAL ZONING APPROVAL D E DATE QUESTIONS? CALL 761-8256 OR EMAIL codesAqueensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATIcN OFFICE USE O LY ;I TAX MAP NO. PERMIT N• Lf,Agjiti PERMIT FEE , ' :k APPROVALS: ZONING TOWN CLERK . s. APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. �—� OWNER: C LJ (��z� v r- 'f INSTALLER: C`.� �-- 1 � '� -- `P"C• ADDRESS: ADDRESS: "�-C �2n - 1 C_ ` : PHONE NOS. PHONE NOS. -79 3 7 a7 7 LOCATION OF INSTALLATION: J Lf C,�/SCS-r-1�•� RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW BEDROOMS GARBAGE GRI D(� E. 1980 or older X 150 gallon per bedroom = INSTALLED? l�„J� 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TU 1992-present tir X 110 gallon per bedroom = (._/y o INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling Steep slope %Slope ✓ SOIL NATURE: Sand Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? / DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic system absorption is ft.) ✓ PERCOLATION TEST: Rate is minutes per inch [MPI] (Test to be completed by a licensed professional engineer or architect.) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for • each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: • f X<BSORPTION FIELD (WITH NO. 2 STONE) Total length7-©O ft. Each trench ,R X S (� ❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ❑ ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. /�1 Queensbury Building & Code Enforcement - Residential Final Inspecti- Office No. (518)761-8256 Arrive: am/p Depart:L ` 2 \ "\ am/pm Date Inspection r+eq receivsid: Inspector's Initials: C- NAME: ,/s.,' a PERMIT#: LOCATION: A t, DATE: fi/2' TYPE OF STRUCTURE: 5 /Lc ' Comments: 4' Building Number Address visible from road ��`, Chimney Height/B'Vent/Direct Vent Location , //f-Fresh Air intake '? 3 inch Plumbing Vent through roof minimum 6 inches C/6; 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 rade 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 = / _,ulator 18 inches above ,rade 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 bedroom area: Inter Connected: 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 I Insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergencyegress 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 IA'Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing 1%hour fire door/door doser Duct watt Sealed properly Gas Logs in Sealed or Glass Enclosure I Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System I Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C/0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codesllnspec tion Forms1Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 ( 3'. oO) Z - 4 /✓'drns0( Queensbury Building & Code Enforcement - ResidentialFinal Inspection Office No. (518) 761-8256 Arrive: am/pm Depart:'�m/pm Date Inspection request received: Inspector's Initials: _ NAME: dPERMIT#: /0"2/; LOCATION: ' al l a r I tz,i - 7-2/-DATE: TYPE OF STRUCTURE: -7--\-) Comments: yilsAwsz N/A 4" Building Number Address visible from road V Chimney Height/11°Vent/Direct Vent Location Fresh Air Intake ✓� 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at allexterior doors _ /''' Handrail 4 or more risers V Guards at stairs,decks,patios more than 30 inches above !rade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more i Handrail Termination at Newell Post or Wall interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp CompliantchU- Gas Grade away from foundation 6 ines with 10 feet 6 inch clearance to sill plate Valve shut-off exposed/regulator 18 inches above gradeInterior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight / Safety glazing I Win in stairwells safety gi ing 1( Interior Smoke De ors/Carbon oxid etectors / Every level ery Bed �y/ Outside every bed area: Inter Connected: Battery backup: I J. Attic access 30 inches x 22 inches x 30 inches(height in accessible area d C511<— jy�-TC) rv.� Crawl S'aces 18 inch x 24 inch access 1 •.ft:150 =•.ft.vents / . Bathroom Fans,if no window � Plumbing fixtures 'V/ Foundation insulation/Insulation Certification V / -Z. Floor truss,draft stopping finished basement 1,000 sq.ft. h1 ` t 1 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 / T-')' ->Alt-- yoikK> Fumace/Hot Water Heater operating /f �� s Low water shut-off boiler V Relief Valve(s)installed/Heat Trap/Water Temp 110 i /, Enclosed Stairs Sheetrock Underside minimum W Gypsum �/ Basement stairs closed rise>4 inches ic' Garage Floor Pitched Garage fireproofing/%hour fire door/door closer / Duct work Sealed property ! . Gas Logs in Sealed or Glass Enclosure �l Final Electrical ''--t�� Final Survey Plot Plan —' - Arc Fault Breaker in Bedrooms / Flex Gas Pipe Bonding 4// As Built Septic System I Sewer Dept. Inspection Sticker a/ Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C I 0[Temporary/Permanent] L:\Building&Codes Forms1Building&Codesllnspectlon Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Rough Plumbing / Insulation in - %ection Report Office No. (518) 761-8256 Date Inspection,�•�•► •: Queensbury Building &Code Enforcement Arrive: = a014717 ST'art: (r• ,. 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: /y NAME: PEIT#: 21 LOCATION: ' r INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing/Nail Plates Plumbing Vent I 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 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Ve , -ttir,Vent Do WindowSealed Flo Insulation) Du Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 /Aters S I e r) 2 -L/ ` tri i G( Rough Plumbing I Insulation inspectiori Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart' cJ am/pm 742 Bay Road, Queensbury, NY 12804 lnspectoes Initials: NAME: 00 PERMIT#: /i92/3 LOCATION: 34 r 1 INSPECT ON: TYPE OF STRUCTURE: __.__r. Y N , N/A , 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 /Head 50 PSI •r 15 minutes Insulation Residential Check/Commercial Check 'miler 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/No duct tape COMMENTS: Q Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report C2 t-OVA 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:6. 4 t ) NAME: k) `�� PERMIT LOCAT : T �l C INSPECT ON: //)-- /0 TYPE OF STRUCTURE: ( Y N N/A COMMENTS: Framing Attic Access 22"x 30" minimum Jack Studs/Headers i Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. /4/ Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. • Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 6(w) 16 gauge (8) 16D Haas 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 , hour Firestopping 16 inch insulation in cavity min. Garage Fire Separation House side 16 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:1Buiiding&Codes Forms-OLDDBuiding&CodesYnspeefion Foens&Framrng Firestopping Inspection Repo tdoc Revised January 7,2008 Rough Plumbing I Insulation Insv tion Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart -l 1c am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:�k G NAME: V+" PERMIT #: Z/_ LOCATION: 3 C 0 G.`, INSPECT ON: = e t'#. TYPE OF STRUCTURE: I11111111111111111 Y N N/A Rough Plumbing I =ii Plates = ents in Place v/ 1 'r4 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet 1 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 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/No duct tape COMMENTS: Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Choc Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm I : • :rt: r am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .�•. /(.) OF NAME: cit� � PERMIT •: 2/LOCATION: 1 (Mar I- v� INSPECT ON: /0 TYPE OF STRUCTURE: Y N WA 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 PI 1 %(w) 16 gauge (8) 16D nails side Draft stopping 1,000 sq. ft. floor trusses 7Arif ort : ft. or less on center Ice and water ; ieid 24 inches from wal _ - _ = 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 I Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\Building&Codes Forms-OLD1Buiiding&Codes\inepec tion FormslFtmming Firestopping Inspection Repod.doc Revised January 7,2008 .i f 7 " f u `-'' . Septic Inspection Report -4bffice No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: C fa,am/pm 742 Bay Rd., Queen bury, NY 12804 Inspector's Initials: L (� NAME: __„..1'tP IT NO : LOCATION: 1 '' s INSPECT ON: RECHECK: Nil ! y p y - iii, Comments and/or diagram SiglaTiymq Sand/ Loam/ Clay F1 LE icipal/ Well Water - erl a -- paration distance it______ft. Well se -ration distance ft. FigiCv Other wells: ft. ', Well Casing;Len• h 50' + / - Y N N/A 1 Absorption Field: otal length ft. Length of e•ch trenc ft. c-e_J-2k Depth o•trenc - ft. Size of S •ne Seepage Pits: ber Size: x i Sto e .ize: 1 0 t L Ik'S .... ------3' P'ping Size Type I Building t' tank Tank tci Distribut•n Box Distribution1Box to F -Id/ Pit ,, Openi • Sealed: Y N •_ End Cap Y ."- -rilk LJ iN Inlet/Outl t Pi•-s&Baffles ^ ilV f 1 Locaiiio / Separations • Fo dation to tank ft. Fll i� 0 Founda,'•n to absorption . w c... -paration of Pits Confor, s as per Plot Plan _Y Engineer •eport and As-Built Y , - v Location of System on Property: Front Rear Left Side Right Side Middle Front "it ick t� rP 1 LI System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc May 19 10 06:56a p.2 fta G ritiZaar r mac. di6f 4:3 s.Y --� \-n3 " ke.56/ Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/ m part: 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: / NAME: l�IV �_. PERMIT NO.: /0-21.3 LOCATION: INSPECT ON: . RECHECK: Iti .' - Comments and/or diagram Soil Type: Loam/ Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft.Well Casing Length 50' +/ - iegg5k N N/A [150'to well required if NO] Absorption Field: Total length �-�� ft. Length of each trench ft. Depth of trenches "1,-k- ft. Size of Stone Seepage Pits: Number Size: x Stone Size: _ Fa „VL- 0 Piping Size M Building to tankos Tank to Distribution Box A-- Distribution Box to Field/ Pit 314 Opening Sealed: N End Cap N Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade Y—N [provide extension collar if Yes] Y.� N Location/ Separations Foundation to tank ii ft. Foundation to absorption •'L- ft. Separation of Pits XJ Conforms as per Plot Plan _Y Engineer Report and As-Built Y N ETU Maintenance Contract Y_N provided Location of Syste - •roperty: Front Rear Left Side Right Side Middle Front Middle Rear temU - Approved T Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report 03 29 10.doc Foundation Inspection Report Office No.(518)761-8256 Date Inspection , ved: Queensbury Building&Code Enforcement Arrive: "' ' - tart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Inti II� NAME: (" �"� PERMIT#: \E LOCATION: �' — ' SPECT ON: I � TYPE OF STRUC : ,;aV Comments Y N N/A Footings Piers /� Monolithic Slab Reinforcement in Place i`� � The contractor is responsible for providing protection from freezing �f� 0 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 I 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 May 19 10 02:10p p.2 cDe-C-t- k0 -- --,(,. . i-irt) .- )cl,0 -11 A ._'_?_e_ e4-1. c__. coo° 4 A: &(( 41 ' '2" 1 5(9 ' _ i r,,,,,,x [_.______, . , , II t-7 9`r, a50 so_k LANDS N/F OF MOSHER . 1% IV 20 "� NO CUT ZONE V' LOT 7 LOT 8 0 LO N LANDS N/ HEWIT III have see or ob all objects ect b I Saw evidence of, 1 s ch aeU shown on s, trees, fences, etc., ocumen I o t that have persona mea red a et forth o the diagram." IGNATURE —574 —I I 5a' �A± O oRnPnSFD -Z - -