2012-411 TOWN OF QUEENSBURY
wow742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120411 Date Issued: Tuesday, October 09, 2012
This is to certify that work requested to be done as shown by Permit Number P20120411
has been completed.
Location: 15 HEINRICK St
Tax Map Number: 523400-301-008-0001-073-000-0000
Owner: LORI & LEON BOUTON
Applicant: LORI & LEON BOUTON
This structure may be occupied as a:
Residential Alteration By Order of Town Board
,TOWN
//O��F QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property C ! /
owner of the responsibility for compliance with Site Plan, Variance, or �/ /d ��
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
742 Ray Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120411 Application Number: A20120411
Tax 141ap No: 523400-301-008-0001-073-000-0000
Permission is hereby granted to: LORI & LEON BOUTON
For property located at: 15 HEINRICK St
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: LORI & LEON BOUTON Residential Alteration $24,874.00
15 HEINRICK St Total Value
QUEENSBURY,NY 12804-0000 $24,874.00
Contractor or Builder's Name /Address Electrical Inspection Agency
COMFORT HOME IMPROVEMENT CO.
ROBERT FORCHILLI
783-3171 / 495-2155 BOB F.
898 TROY SCHENECTADY Rd
LATHAM NY 12110-0000
Plans&Specifications
2012-411
Residential Alteration - Finished Basement 576 sq ft
$86.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 29,2013
(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 Town of Queensbury; Wednesday,August 29,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
f� r�'�' :Tr— -r:-ter_.�..»070
OFFICE USE ONLY 'J it °+''
Q� 1� 1 �J r �� J cw- ,•)
TAX MAP I, J} * / 3 PERMIT NO. � - fl �i �; � ' I
E 1�jj// =`la � tt t;)J 4116 21 2012 �� ,
FEES: PERM! plc RECREATION ENGINEERING til e I ,
(If applicable) LL
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL`&BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF/AA VALID
�PERMIT
TFFOR CONSTR CTION._ �pj//1/i6c6 per/
APPLICANT/BUUIILLDER::7y??�eee r lt/6ud OWNER: n Se Amts //04 �JJ
ADDRESS: Ste We.01 - r�1' seriet KD- ADDRESS: /S h //I1,&Cr7C a "�0 ,
PHONE NOS. 7513 - 3 1 I ( PHONE NOS. y9 —// 7 3
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: BOB F PHONE: 1" K
/57 Z�S
LOCATION OF PROPERTY: /6----
4'/VCZ Sr, Q& U/tY "2 ) /2So/
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p 0 i-
APPLY TO YOUR z p O O w ww LL.Lii
PROJECT ( Si. 1 LL w ¢ a ' x
o x 1—
o
O - Z
cc wZ Q Q LCNJL ID U- OLL d2o6
SINGLE FAMILY 576'661f
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE 4•
FACTORY OR
INDUSTRIAL 0
ATTACHED ,ir'
GARAGE(1,2,3) r
OTHER -
I .,. _
Town of Queensbury * Community Development Office` 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUUSIIN7ESfS:
ESTIMATED CONSTRUCTION COST: 2H V I i .' FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S):
ZONING CATEGORY: /ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? /V O ) n
nrye
PROPOSED USE OF BUILDING OR ADDITION: iV Fi (5e J
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
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 / ! /20.gerz-r— rare-r--141L-e— r
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)
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
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Queensbury Building & Code Enforcement - Residential-Final inspectio
Office No. (518) 761-8256 /o Arrive: am/pm Depart: �' am/pm
Date Inspection request received: /d-/4!d- Inspector's Initials:A t.
NAME O� 11%—// Y
� PERRMIT#.. d1
LOCATION: (5 (VPi+h bel DATE:
TYPE OF STRUCTURE:
* Comments:
Yes No WA i—reoiot
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 I 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/doors/main entrance 38 inches
Bathroom/Kitchen watertight
Safety glazi endow in stairwells . • azing
Interior mokeD ors/ - : ••n ' !no ,- 'etectors
Every lev . Every ?I'. .• :
Outside every bedroom area: / 7—> 1-v ..
Inter Connected: Battery backup: V."
" Li—>t4` e...)
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 to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor buss,draft stopping finished basement 1,000 sq.R
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Fumace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Vedly (s)Lairs talled/Heat Trap/Water Temp 1G
Enclosed Stairs Sheetrock Underside minimum:4"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/ hour fire door/door closer
GasLogs 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 Slicker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C 1 C or C/O[Temporary/Permanent]
L:1Bulding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6126/08; Revised 12/22/10,Revised 04/13/11
cla
Queensbury Building & Code Enforcement - Residential Final 'Inspectiont
Office No. (518) 761-8256 Arrive: am/pm De rt� \ m/pm
Date Inspection request received: Inspector's Initials: �/ ,d ,c
NAME: Wa�tE - PERMIT#:
LOCATION: /1 t�-/I NJ 2 l Lilt_ sr DATE:
TYPE OF STRUCTURE: Q t-( Comments:
Yes No N/A
4" Building Number Add -:: visible from road
Chimney Height/"B"Ven 'rect Vent Location
Fresh Air Intake ■
3 inch Plumbing Vent th roof minimum 18 i • es
Roof Complete/Exterio Fin h Complete
Platform at all exterior d••rs
Handrail 4 or more rise
Guards at stairs,decks, •atios ore than 30 • above grade -��
Guard at stairwell at 34 ches •r more
Guard at deck,porches inch-s or more
C>-7ge3-57-CrPN-35
Handrail Termination at ewell ••- or Wall
Interior/Exterior Raft., 34 inch-. to 38 i -
Deck Bracing/Hand•= ••_. Ra • Comp!':nt
Grade away from foun•_ i on 6 in• es with 0 feet
6 inch clearance to sill •late
Gas Valve shut-off e 4.•sed/regu - or 18 nches above grade
Interior privacy/trim/ ...Ts/main tra •- 36 inches \�
Bathroom/Kitchen watertight
Safety glazing/WindS in stairwells :. - glazing
Interior Smoke Detectors/Carbon ',•de Detectors
Every level: every Bed •• V—.././.05„a-S4.. Tr
Outside every bedroom=ma:
Inter Connected: Battery .-• up:
Attic access 30 inches x+ inches x /'inches(height)in accessible area
Crawl Spaces 18 inch x 4 inch a••-z ,1 sq.ft-150 sq.ft.vents KW-rW . 1
Bathroom Fans,if no win<ow
1
Plumbing fixtures
Foundation insulation to fl •r/Sti• -r on •anel
Duct work sealed properly Blower.I.••r t Certification • 0-R1 'k--)q )1/4C-t-r—.
Floor truss,draft stopping ished .:seme 1,000 sq.ft.
Emergency egress below g .de
Gas Furnace shut-off within k k - . or withi line of site
Oil Furnace shut-off at entra •- • furnace a =_
Fumace/Hot Water Heater o•- .ting
Low water shut-off boiler
Relief Valve(s)installed/Hee rap/Water T- p 110
Enclosed Stairs Sheetrock U =rside minimu W Gypsum
Basement stairs closed rise> ' inches
Garage Floor Pitched
Garage fireproofing/%hour fi'- door/door do- -
Gas Loqs in Sealed or Glass kJ •osure
Final Electrical;Energy Savin! Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper P • Receptacles
Flex Gas Pipe Bonding r.
As Built Septic System/Sewer Dept. Inspection /• er C ``
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms1Building&Codesllnspection Forms1Restdential Final Inspection Fonn_revised_100405.doc; Revised
January 7,2008; Revised 626/08;Revised 12/22/10, Revised 04/13/11