2009-254 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090254 Application Number. A20090254
Tax Map No: 523400-301-012-0002-054-000-0000
Permission is hereby granted to: ALAN & CAROL KITCHEN
For property located at: 24 HEINRICK Cir
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: ALAN&CAROL KITCHEN
�
24 HEINRICK Cir
$1,000.00
QUEENSBURY,NY 12804-0000 Total value $1,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-254
510 sq ft carport
$51.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,June 30, 2010
(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 th own Q t�sr, y,June 30, 2009
SIGNED BY for the Town of Queens
bury.
ury.
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
CERTIFICATE OF COMPLIANCE
Permit Number. P20090254 Date Issued: Friday, August 28, 2009
This is to certify that work requested to be done as shown by Permit Number P20090254
has been completed.
Tax Map Number. 523400-301-012-0002-054-000-0000
Location: 24 HEINRICK Cir
Owner. ALAN & CAROL KITCHEN
Applicant: ALAN & CAROL KITCHEN
This structure maybe occupied as a:
Carport
By Omer of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the FY�I �X
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.
__________�_______-------------------__.___---�--
% OFFICE USE ONLY �
TAX MAP NO. 'T PERMIT NO. g-2 5-/ 15 �U
FEE PAID = BLDG. &CODES APPROVAL EMI� � 2009
ACCESSORY STRUCTURE BUILDING PERMI BUILDING&CODES
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED
A VALID BUILDING PERMIT.
OWNER: 1 l N J-� �/�/ INSTALLER/BUILDER::/
ADDRESS: _Z,f Eri1��Z C/C G-j� ADDRESS: Z`�/ /"�`�.Z' Z2: C`< GX,Q_,
PHONE NOS. 799-- V,573 s--J/����o%9/7.�923 PHONE NOS. 7 H-L1s 35- 12-/ '71 7_ /9 9
LOCATION OF PROPERTY: �7 h7�L�jV�i�ZC� E.�/Z SUBDIVISION NAME: �/F/� �iilZG GN
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 2g AELVEzc,L L Z,� .✓ ,�- � Gsi¢KX1�,mac'
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑YES cirNO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? _
IF YES,PLEASE LIST: 5 14 Eb y, Q
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: im ftJ•N PHONE: j11�S
sT ND PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SO.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH .
I
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSO Y S T
'CONSIDERED FLOOR AREA & MUST COMPLY WITH FAR [FLOOR AREA RATIO] REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done
on the described premises and that all provisions of the Building Codes, the Zoning Ordinance,
and all other laws pertaining to the proposed work shall be complied with, whether specified or
noted, and that such work is authorized by the owner. Further, it is understood that I/we shall
submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested
by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed
surveyor, drawn to scale, showing actual location of all new
construction.
QUESTIONS? 'CALL OR EMAIL
Inspection for Permit to Occupy
Fire Marshal's Office Request R ec� Permit No.�
Town of Queensbury
742 Bay Road {�
Quee sbury,NY 12804 Scheduled Inspection Date: v4& _ Time:
Phone: (518)761-8206 Business Name:
Fax: (518) 745-4437 location: v `
Type of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sian-normal
Sign-battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System FDC
Fire Suppression-kitchen
Fire Suppression-Gas Islan
Generator V'
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas Aor
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box ✓
F.D.Si na e-Utility Rooms ✓
No Smoking Signs —Fa
Maximum Occupancy Sign
Emergency Evacuation Plan
Approved (If no other approvals apply,the B&C Office will issue the Certifica of Occupancy)
❑ Denied / call for Recheck
Inspected B —
L:\FireMarshal\FM Forms Masters\permitto occupyform.doc
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No.y�
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: /Z/5 /12 _ Time
Phone: (518)761 8206 Business Name: L �Zepv
Fax: (518) 745-4437 Location: 7-7
Type of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-battery
EVAC signs in rooms
TRUSS ID SIGNAGE zz
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown V11
Fire Sprinkler System (FDC) i/
Fire Suppression-kitchen
Fire Suppression-Gas Islan --- --�
Generator
Hood Installation
Elevator l�
Interior Finishes ✓
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical �2 1'v�►�
Electric Wiring Enclosed/Labeled
Combustible Waste Q �✓1c(5 2
Vehicle Impact Protection 1 -
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
o proved (If no other approvals apply,the B 8.C Office will issue the Certificate of Occupancy) --"
Denied / call for Recheck
1nsprey--:
L:\FireMarshai\FM Forms Masters\permitto occupyf
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: KzzbA4@Q PERMIT#: r-17
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NA
F
onolithic 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
Baclfill 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\lnspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Queensbury Building.& Code Enforcement es'idential Final Inspection
Office No. (518) 761-8256 Arrive: am/ern Depart am/pm
Date Inspection request received: Inspector's Initials: /'
NAME: r PERMIT#:
LOCATION: 2 r✓' DATE: — `r
TYPE OF STRUCTURE:
Comments:
N rya
,C BuildingNumber Address visible from road
ChimneyHeight/"B'Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co lets/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers v
Guards at stairs decks ios 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 e /regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety alazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup.
Attic aocess 30 inches x 22 inches x 30 inches, hei ht in accessible area
Crawl Spaces 18 inch x 24 inch access 1 sq.ft.-1 50 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emeruency 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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock underside minimum'A'Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed Properly
Gas Logo in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan _+
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance r2guired
Flood Plain Certification,if re aired
Okay to issue C/C or C 10 1 Tern ra /Permanent
LABuilding&Codes Forms\Building&Codes\lnspectiron FonnsWesidenfial Final Inspection Form revisecL 100405.doc;Revised
January 7,2008;Revised BM08
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: m/pm
Date Inspection request received: Inspector's Initials:
NAME: V PERMIT#: 2
LOCATION: TX DATE:
TYPE OF STRUCTURE:
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 6 inches *-
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers l
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 r--
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/Carton Monoxide Detectors A- .--
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, i sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency ress 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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A'Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Loge in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if re wired
Okay to issue C/C or C 10 Temporary/Permanent
LABuilding&Codes Forms\Building&Codesllnspec ion FormsWesidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08
BPC Make Report Page 1 of 2
Building Permit Checklist(BPC)Support
Checklist Report
Parcel #30101200020540000000 (NEWSBL)
Tax map#: 301,01200020540000000
Current Zoning: 'SFR-I.A' ��rry v i„ ,
APA B1ueLine Status: Outside of APA f0WNOFGUE,_,`;,::,.,�` '!.,��.';""DEPARTMENT
Manual Check: Flood Plain Status: Within: Not Within.
132sed on om i s'en examination,
compliance- mth our comments shall
Zoning setback requirements(effective-2002): not be consmjeC -as indicating the
plans and specitic�°,�nK are in full
SFR-IA- Single Family Residential coin i:ancewitti Wit Luii0m9 Codes of
Setbacks Required New York State,
Front 30
Side 20
Rear 20
Shoreline becomes front yard 75 Feet
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