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2010-267
TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 V � Q rY, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100267 Date Issued: Thursday, June 07, 2012 This is to certify that work requested to be done as shown by Permit Number P20100267 has been completed. Location: 68 BOULEVARD Tax Map Number: 523400-303-020-0001-087-000-0000 Owner: BARBARA PERRY Applicant: BARBARA PERRY This structure may be occupied as a: Fireplace By Order of Town Board Single Family Dwelling 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 forc\ ent or Zoning Board of Appeals. TOWN OF QUEENSBURY e." V4.gra 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100267 Application Number: A20100267 Tax Map No: 523400-303-020-0001-087-000-0000 !, Permission is hereby granted to: BARBARA PERRY `, For property located at: 68 BOULEVARD , in the Town of Queensbury,to construct or place / •_ . at the above location in accordance with application together with plot plans and ether information hereto filed and approved and in cornpli nce with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: BARBARA PERRY 68 BOULEVARD I , , Fir ace QUEENSBURY NY 12804-00 ,1 Single amily 1 welling $40,000.00 Total Value $40,000.00 - n ' Contractor or B der's Name/Address 'Electrical Inspection Agency I '1 _4 1 �'` / / " /77 Plans&Specifications 2010-267 960 SQ FT SINGLE FAMILY DWELLING $115.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,June 14,2012 (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 the T wn of _ een ryy / �o,,f,_. une 14, 2010 SIGNED BY '' V' 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: P20100267 Application Number. A20100267 Tax Map No: 523400-303-020-0001-087-000-0000 Permission is hereby granted to: BARBARA PERRY For property located at: 68 BOULEVARD 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: BARBARA PERRY 60 BOULEVARD Fireplace QUEENSBURY, NY 12804 Single Family Dwelling $40,000.00 Total Value $40,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-267 960 SQ FT SINGLE FAMILY DWELLING $115.20 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,June 14, 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.) Dated at the To f Quee ury � da June 14, 2010 4 14 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement r ' OFFICE USE ONLY gay i p TAX MAP NO. PERMIT NO. PERMIT FEE APPROVALS: ZONING TOWN CLERK 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 1/ kX&C(L Per(j,L� INSTALLER: C1 O Vl Mer 1-6%.4.1J ADDRESS: UL U ,Y a C 1 `t t IC ADDRESS: -la-M.e_ PHONE NOS. PHONE NOS. 3 6 ( - 67,47 LOCATION OF INSTALLATION: Lc V d c) 6 NCI t s ti RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW BEDROOMS GARBAGE GRINDER 1980 or older X 150 gallon per bedroom = INSTALLED? NO 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present X 110 gallon per bedroom = INSTALLED? it y PARCEL INFORMATION: / TOPOGRAPHY: Flat rolling Steep slope %Slope ✓ SOIL NATURE: Sand X Loam Clay Other ✓ GROUNDWATER: At what depth? JV©A/ _ ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? 6 ✓ DOMESTIC WATER SUPLY: Municipal x Well (If well: Water supply from any septic system absorption is ft.) 11,, ,/ PERCOLATION TEST: Rate is i/Al,Vls /140-1 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: 106 v 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: xi ABSORPTION FIELD (WITH NO. 2 STONE) Total length /25 ft. Each trench '7 X ? ❑ SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size? ❑ ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? 16 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. :A 0,i'-,:, Tia._ CBf'Lal'4{f€ . -; _ - - APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building &Codes Office for the issuance of a Building& Use Permit pursuant to the New York State Fire Prevention &Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances,regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO A PLICANT: ROUGH-IN AND FINAL.INSPECTIONS ARE REQUIRED. / OWNER: 1 .‹.0:2..41., l�err y INSTALLER/BUILDER: Brit / �`4 tOl ADDRESS: CI Bi.vV aibio,f i NY: /21Q/ ADDRESS: 5;414' PHONE NOS. PHONE NOS. 3i// ‘/6 7 LOCATION OF PROPERTY: (5.74 OA. SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 761-8205 or 761-6206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: MASONRY** CHECK ONE ✓ 14-Ni - VISIT OUR WEBSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES __:._-:, ,,I=`` ! `reet FLUE CHECK ONE ✓ DOUBLE CHIMNEY WALL TRIPLE WALL INSULATED DIRECT VENT LINER CHIMNEY MATERIAL CHECK ONE ✓ YP **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. �" ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. ZOFFICE USE ONLY T P NO. PERMIT NO. --a� X MA0 • FEES: PERMITS/ YO.QECREATION ENGINEERING `3 gt (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: Rd'4 d,;1 M e rLo;,) OWNER: --7 ( (,v �e(N.„ ADDRESS: j).5 gap 621,6,,,,d A),Y, �J ��`f ADDRESS: j aYj`v(`J PHONE NOS. 36/-67, 7 PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: br;=tn Meriou' PHONE: 367- 6/67 LOCATION OF PROPERTY: Log ?\ 'd NI (aw--/ HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES 0 NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z R. cc O O C� o w PROJECT O Q 00 O v� v) 0 1_w � w � � w Q d = = LLI = c7 z Q Q .- u) NLO 0F.LLi OF- LL a = te SINGLE FAMILY v (76p 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: lia,(-=00 FUEL TYPE: ,V 4 wra.L 6- B 3-LGL 11-05 476 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? f6 • ARE THERE EASEMENTS ON PROPERTY? >i a 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. Signed Director of Buildinq & 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) r 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 & COD APPROVAL ZONING APPROVAL D701k-IQ DATE QUESTIONS? CALL 761-8256 OR EMAIL codes0.queensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION 1) d�escia - 1,38 3 Queensbury Building & Code Enforcement - Residential final Inspecton Office No. (518)761-8256 Arrive: am/pm Depart: Vam/ m P Date Inspection request received: inspector's Initials: NAME: ('rC{ PERMIT#: 16 --cab 7 LOCATION: 60 L0 V A I .1 d DATE: 14 _ to -i TYPE OF STRUCTURE: S t LLQ Comments: Yei,No N/A 4" Building Number Address visible from road e/� Chimney Height/"B"Vent/Direct Vent Location ✓� Fresh Air Intake t 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete I Exterior Finish Complete ‘V7 - Platform / Platform at all exterior doors V Handrail 4 or more risers 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 Handrail Termination at Newell Post or Wall • r. Interior/Exterior Railings 34 inches to 38 inches V /I' Deck Bracing/Handicapped Ramp Compliant t� �/ Grade away from foundation 6 inches with 10 feet f 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 V 7 Safety glazing/Wi .• in stairwells safety gl= mg Interior Smoke 9; M•rs/Crbon noxid Fr etectors Every level: Eve Bed m: Outside every bedroom a: 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 windowr:// Plumbing fixtures F ticker on Panel Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade / V Gas Furnace shut-off within 30 feet or within line of site Iv / Oil Furnace shut-off at entrance to furnace area / V Furnace/Hot Water Heater operating �/ Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'h"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/' hour fire door/door closer V.„. Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan V/ 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/C or C I 0[Temporary/Permanent] 0/1 L:1Building&Codes Forms\Building&Codesllnspection Fonns Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 Rough Plumbing I Insulation, nspection Report Office No. (518) 761-8258 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: c am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: _9 ,r)r NAME: d= PERMIT#: c r �% ( LOCATION: ' l j INSPECT ON: � -;�'j TYPE OF STRUCTURE: N N/A R• .h Plumbing /Mail Plates Plu ••w Vena/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 r 15 minutes "� Insulation/ jtesidentiai 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: tAa- TZ.— Rough Plumbing insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 /3:00) Z - 4/ / I'd Framing / Fi estopping 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:(Y yt NAME: 1:1'ir- ./ PERMIT#:LOCATION: 6v 800/evu la/. INSPECT ON: TYPE OF STRUCTURE: Ss-VI/ k..11,111_0:1) �t� Y N NA COMMENTS: • Attic Access 22"x 30" minimumP lZ Jack Studs/Headers >/r yOvr Bracing/Bridging V Joist hangers V 366 6/6 Jack Posts/Main Beams V Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more -Le_ 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 Firms Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side'h 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-OLDrBuildirg&Codesdnspec tion FormssFraming Fiestopping Inspection Report doc Revised January 7,2008 ,, _ 0--/O 1/JeCit -e4 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: 11 l , a-d lO Queensbury Building &Code Enforcement Arrive: am/ m Depart. .,M am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: i _C',r &rG. «1M6—d-�7 NAME: Perri', PERMIT NO.:LOCATION: (Q- 311/0/ INSPECT ON: !'l61 aG/(1 RECHECK: VO Pill #4 L Comments and/or diagra i Soil Type• : Loam/Clay Type of Water: r nicipal Well Water Waterline - e:ration distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' +/ - Y N N/A [150'to well required if NO] Absorption Field: Total lengthft. / �� Length of each trench ft. t ``�4►^ tZa Depth of trenches 2.ba 44. Size of Stone Seepage Pits: Number Size: Stone Size: } ....ill Piping Size TypeS1 ~' l • Building to tank IV' S k Tank to Distribution Box t''• 5eA4A-19 Distribution Box to Field/ Pit ` ,v4 - 1 Opening Sealed: N End Cap N Inlet/Outlet Pipes&Baffles _N Manholes 12"or less below grade —Y—N (I [provide extension collar if Yes] Y—N !-/� Location/ Separations Foundation to tank i(moi ft. Foundation to absorption -1 _ ft. "'Z ; Separation of Pits ft. Conforms as per Plot Plan —Y Engineer Report and As-Built Y N ETU Maintenance Contract _Y N provided Location of System on Property: Front 'ear Left Side Right Side Middle Front Middle Rear stem U - .k.: f- p,-1., ` /Approved ` VW 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 Repori_03 29 10.doc • ,, - . . . 5 0. 0 t'' • ,.• ' -214.1. / 1 1 1 1 11 g rt5 • (1 nlv 21 ! . • . • I ‘ • I 1 I . ,.: . , . , - o k S .. . , urtut; ,.i. la ' e:- • . :. . . . . .t ,..__ _ -,-• 41.-so- --ALI:.,i" i ix, •g--s?rt c41,,,•-iiii,iiii 1),v it: . 2, 2 '''0 I •,. i 104, 14/ S.B. . . ,i • . , . • . , . ' V . : 0 . ' It SQ . V. r • . . . . - , D i'Cz, rI• ...V. .. \i la _ V) - 1 i ,.i ,• _ _ . , , --. .. ! . .i. • . Framing / Firestopping Inspection Report - 1�) Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: C5aml am/ (3)34)P42 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: < ) NAME: ) I?AJ \,-' PERMIT#: " LOCATION: iP V 11)11 ,1_ _J� INSPECT ON: TYPE OF STRUCTURE: Il Framing I COMMENTS: 36 3IPN r Attic Access 22" x 30' minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc Posts/Main Beams 3/P1 _ l,/&7 Exterior sheeting nailed properly 12'O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more ��r��ti• 4-K YZi Exterior Deck Bracing S Y7 Headroom 6 ft. 8 in. S4 -j Notches/Holes/Bearing Walls � "— Metal Strapping for Notches Top Plate 1 %(w) 16 gauge(8) 16D nails Bath side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center e and watN'shield nes from wall ,-Fires-eepon 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side"r4 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:18ulldinp&Codes Forms-OLDeu1ldirq&CodesUnspedion FomnlFrarning Fireetopping inspection Reportdoc Revised January 7,2008 - Foundation Inspection Report Office No.(518)761-8256 Date Inspecti. nest received: Queensbury Building&Code Enforcement Arrive: ' p Dep ' am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's I tials: t NAME: 7� PERMIT#: -26'7. LOCATION: �' / /xC�r� INSPECT ON: �' ?•-/e? TYPE OF STRU TURE: Comments plz_ CiL/1 /3r/ Y N N/A 1 Footings Cyd t) re., ()C—. 700 r L7Gc_- 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: 6(zu(_& RA �{ 12 inch width / he above footing I6 mil po y for wet areas under slab Backfill royal 1 • g 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 -_5 /14c Foundation Inspection Report Office No.(518)7614256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m Depart/It/cam/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: rr PERMIT#: /D -? 7 , LOCATION: C INSPECT ON: TYPE OF STRUCTURE: Comments Y N N A c-` I rr` - Footings A.- 3 _ C/ C-72 • h /du am( re_Monolithic Slab Reinforcement in Place4‘).7 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\Buiiding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 1 mn or observed or believe 1 saw P' } C,' Bch as houses wells, trees, fe ces i riocument, l also represent gat i 'tom ,`. ;ure the distances set fyr h on URE rv._ tai fl O. _..- Ln 9�0� obi — ... ._...:.1 Aft.. a.