2009-027 el` TOWN OFQ UEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20090027 Date Issued: Tuesday, June 23, 2009
This is to certify that work requested to be done as shown by Permit Number P20090027
has been completed.
Location: 2 HEINRICK Cir
Tax Map Number. 523400-301-012-0002-057-000-0000
Owner. DENNIS J JACKSON
Applicant: DENNIS J JACKSON
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, �y�
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090027 Application Number. A20090027
Tax Map No: 523400-301-012-0002-057-000-0000
Permission is hereby granted to: DENNIS J JACKSON
For property located at: 2 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: DENNIS J JACKSON
2 HEINRICK Cir Residential Addition $47,350.00
QUEENSBURY,NY 12804 Total Value $47,350.00
Contractor or Builder's Name/Address Electrical Inspection Agency
SOKOL BUILDERS
PAUL SOKOL 798-3886
84 LAUREL Ln
QUEENSBURY,NY 12804-0000
Plans &Specifications
2009-027
576 sq ft residential addition
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, February 04, 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 the To e^ens 4, ec'esday, February 04, 2009
! f F b s� t,/ eG _
SIGNED BY ' `" - for the Town of Queensbury.
Director of Building&Code Enforcement
•
/ 2 / OFFICE USE ONLY
TAX MAP NOZ T ` '�
PERMIT NO. ( /,.s' C�'/ '
FEES: PERMIT RECREATIONENGINEERING a? '; ' ) 2U09
(If applicable)
PRINCIPAL STRUCTURE:
APPLICA TION 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: AUL Sbko
OWNER: \J�?ylqZ-- —3'i("AE. 6ri—)
ADDRESS: H4 1_.i\ucz_z,L Lt k - ADDRESS: Z hk IL K
PHONE NOS. 1 c/ (j- •j B•(„
PHONE NOS. -7 Q 8—i (3 S
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: C*c.)L
PHONE: 7q 43-3 e
LOCATION OF PROPERTY: Z NyLk --BCL2,
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES 4 NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR Z IX O 0 C'1 o F-
PROJECT O DO p L.L. w
0 W ...J LL � LL W Q d = 2
U
Z Q Q '- Cl) z i- 1..:
i— u xCO -
1-- u_ fl. 2xs
SINGLE FAMILY X 5- h( (p/ 7 b ' 8
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- IME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: -1- 1-1)
3 SSv, 00 FUEL TYPE: (--6-
A �j
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?ARE THERE EASEMENTS ON PROPERTY? 1 O
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 a d agree to the above.
Signed
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
codesaaueensburv.net
Office Use Only
VISIT OUR WEBSITE FOR MORE INPr PM A flr u
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Rough Plumbing I Insulation In pection 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: 1,.,t
NAME: Vic-- PERMIT #: /
LOCATION: 9 ilk;U.,r i cL ( 'a- le__ INSPECT ON:
TYPE OF STRUCTURE: CZ
Y N N/A
Rough Plumbing I Nail Plates
Plumbing Vent/Vents in Place
1 A 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
ad
50 P.S. r 15 minutes /r
Insul ttio Residential Check/Commercial Check 1/
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: R. -
2�
D .1 a--ttio-xe
C--` Jki-g-R I ----
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
(iizc ) /0 -12- i&' tesd
Rough Plumbing / Insulation Ins ectio Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/prp Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: CfCc PERMIT #: i - OZ
�-
LOCATIOV N/��, /' f e INSPECT ON: -Z - cc--
TYPE
`'TYPE OF STRUCTURE: �� v
� � Y N N/AJ
Rough Plumbingi Nail Plates V
bingderft/Vents in Place
1 1/2 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 f5....\.gcla\h-XPAir/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
(1'00n) r/(> -//.Z. buW//6-',Way
Framing / restoppig Inspection Report
Office No. (518)761-8256 Date inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm rt:�J am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: C x
� } j
NAME: � PERMIT#:
N: 2 ( ,
LOCATION: ,.�/',' y y INSPECT ON: )
TYPE OF STRUCTURE: Q " 5 M) 1)
Y N N/A COMMENTS:
Framing
A 22" x 3 " inimum
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 gauge (8) 16D nags ead,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:\Building&Codes Forrns-0LD1Building&CodesUnspedion FormsTraming Firestopping Inspection Report.doc Revised January 7,2008
Framing I Firestopping inspectiongReport
Office No. (518)761-8256 Date Inspection req f = •.
Queensbury Building&Code Enforcement Arrive: a.= tZa ��:., Z:y y ar
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: `3.- �'k 5c'r PERMIT#: 07-02_7
LOCATION: Z /J .'tir-,'C k (,.rr/P INSPECT ON: 4/-26- l2
TYPE OF STRUCTURE:
Y N N/A 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 I Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1A(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
. or less on center
(!ce and waters field 24 inches from wall sl'
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 i4 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-OLDlBuilding&Codes\Inspection Fomts\Framing Firestopping Inspection Report.doc Revised January 7,2008
Z____ 7 riz.//Qe.--d_ --- ;i4L4i---
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection !/Gg_iiiii.
requ�-s -�:
Queensbury Building&Code Enforcement Arrive: ‘ : , o. % -part: :.rte t
742 Bay Rd.,Queensbury,NY 12804 Inspector's 'ti-1 . �I
NAME: Iii c S(1r� . iRMET#: °CI °al
LOCATION: riq n tl i C Ui C,i C (e INSPECT ON: iiiiieiriii
TYPE OF STRUCTURE: II 7
\,_ j)\ �-� omments
Y N N/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/Wallpour
OReinforcement in Place
Footing Dowels or Keyway in place
4,Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
iv 6 inches above footing
413 6 mil poly for wet areas under slab
ackfill Approval
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 Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Ins
Inspection T..quest received:
Queensbury Building&Code Enforcement Arrive: l) 'j;nm/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: s, PERMIT#: C? 7 -
LOCATION: ? ,Ar''tINSPECT ON: 4
TYPE OF STRUC .
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement 7:'
of the concrete. /
=Ms-RI:pose on site.1pour
• ace
Foo '• Dowel. or Keyway in place
Foun• •n I.: • pproofmg
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\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
(2Tesd- -z -z/ _
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectionyquest received:
Queensbury Building&Code Enforcement Arrive: 'Z' .�am/pna .. Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �5if
•
NAME: /\. ',► • PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y / N N/A
Footings
•iers
Monolithic Slab
Reinforcement in Place - V
The contractor is resp sib e 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
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\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
!V — 7
t)eS( ! .
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/ m rt: (� - Ja►n/pm
Date Inspection request received: Inspector's Initials:
NAME: �_� PERMIT#: 0(-'7fil
LOCATION: DATE: -TYPE OF STRUCTURE: �+ -Kr(-Z4
{ -�
/1) Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/13'Vent/Direct Vent Location _ /
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete ' V
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 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors Carbon Monoxide Detectors
Every level: ery Bedroom: __
Outside every bedroo area: ‘//
Inter Connected: Battery backup: �.L
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
Plumbing fixtures
Foundation insulation/Insulation Certification
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 14"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/' hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical (.G 1 �
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 required
Okay to issue C I C or C I 0[Temporary/Permanent]
0
L:\Building&Codes Forms\Building&Codes\Inspection Fomis\Residential Final Inspection Form_revised 100405.doc;Revised
January 7,2008;Revised 6/26/08