2013-477 TOWN OF QUEENSBURY
742 Ba•Road, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130477 Date Issued: Friday, April 18, 2014
This is to certify that work requested to be done as shown by Permit Number P20130477
has been completed.
Location: 21 PINION PINE Ln
Tax Map Number: 523400-301-006-0001-031-000-0000
Owner: JOHN & JUDITH BULOVA
Applicant: JOHN & JUDITH BULOVA
This structure may be occupied as a:
Garage Attached 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, Variance, or
other issues and conditions as a result of approvals by the PlanningBoard
Director of Building&Co d :- nfo :ment
or Zoning Board of Appeals.
0.k4 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130477 Application Number: A20130477
Tax Map No: 523400-301-006-0001-031-000-0000
Permission is hereby granted to: JOHN & JUDITH BULOVA
For property located at: 21 PINION PINE 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: JOHN & JUDITH BULOVA
21 PINION PINE Ln Garage Attached $24,000.00
QUEENSBURY,NY 12804-0000 Total Value $24,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
PRECISION CONSTRUCTION
8 CONNER DRIVE
SOUTH GLENS FALLS. NY
Plans&Specifications
2013-477
Garage Additon 12'x 24'
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 16,2014
(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 of Q ensb ;04 i ir,day, October 16,2013
SIGNED BY 4\ for the Town of Queensbury.
Director of Building&Code Enforcement
•
Office Use Only
Town of Queensbury Building & Codes
Received:
Tax Map ID: 0-.1, Q 2.M3 �l ��I-31
PRINCIPAL STRUCTURE APPLICATION Permit No.: 13— <177
A permit must be obtained before beginning construction Permit Fee: $ <D pat
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $
units, including single-family dwellings,duplexes or two-family dwellings, multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including mobile homes. This is in addition to the permit fee.
Date /0, x013 Applicant jolt jvAi te.-v •Ru_Lovet
Tax Map ID OL 6 - /- 3l Address t Pi r,fov P; vv
Zoning / 1 D R
Phone I E-mail$" , 0.4.tvr,um
Property Owner Toti►-, 1- J uc1r+L c /DVC Contractor/Agent '
Address ,31 eh,„ Address ?Covron -
G?ucr'v,S4 i." /'l y / Ar-1-C6 Sc�IA Glw,.,r ��t Ire Y1i.y 1,2S-(23
Phone/E-mail, - Y3- 5-,g Ste/ e/..1S—Frtrr_lvuc..rrhoneIE-mail51S--?9E•/Si/
C.Jvn
Contact Person for Building&Code Compliance: Pc--I-ev' S I itr k Day Phone:5I 9-9W151/
Building Street Address: 2 plot- L11 uP t
Subdivision Name: 1- rt u t c`> Or, Lot#: I I Historic Site: Yes x No
Estimated cost of construction: $ ;75/ O0d
6713FVP g�3
Type of Construction: 4v'
Check all that apply Please indicate measurements as required below:
3 m 1st Floor 2nd Floor Other Total Height
F a a
Single Family
Two-Family
Multi-Family(#of
units )
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(# I )
—ez-er i'�i07n
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business
Proposed use of buildin r addition aria' c P i'�`ewr — 441 ..fr m /C
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes _No
Are there structures not shown on plot plan?
Are their easements on the property? 0
Site Information
a. Dimensions or acreage of lot b i y 4
b. Is this a comer lot?
N.
O
c. Will the grade be changed as a result of construction: Yes X
d. Public water or Private well
PuIrc-
e. Sewer or Private Septic System
Value of all work to be performed(labor and materials) $ /� o –
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. 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.
Print Name: C)1rrrr '4- wd if (LLIdVc_
t,_
Signature: 9
N._ Date: /0/0//3
9taiG.17?_, 7 41•0'Elf-I-C-2— .V C:7///C C::)/7-c_9--
FOR OFFICE U ONLY:
Operating Permit Issued: _Yes No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit: •
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
rri1- 3
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/p se•art:, k m/pm
Date Inspection request received: Inspector's Initials: A. kIIIP
NAME: j Ui.o v PERMIT#: / 3 `" ti n
LOCATION: 1 P'i e i 0A Pi`n DATE: "/-- / 1 -i'y
TYPE OF STRUCTORE:
Comments:
_Yes_No_N/A_
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/Exterior Finish Complete i
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: 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 to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test 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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/Z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Ene gy Saving Light Bulbs 50%
inaFSvrve o Ian
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/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Framing / Firestopping Inspection Report
Inspection request received:
Name: Inspected on:
P,Location: p� 1 t n l Arrive: a.m.I p.m.
Permit No.: / 3—</'1) Inspector's Initials.
TYPE OF STRUCTURE: QAcQ
N NIA
Framing — COMMENTS: Q
Attic Access 22'x 30"minimum r �I
Jack Studs/Headers -
Truss Specification Provided P
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 1�S
Headroom 6 ft.8 in.
Notches/Holes/Bearing Walls �� e Gas
Metal Strapping for Notches Top Plate
1 Y2(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
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side Y2 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
Design Professional Sign-off, if required
Framing/ Firestopping Inspection Report
Town of Queensbury Building & Code Enforcement F-A:vizt N'
Office No. (518) 761-8256 , a
0441 riA la)
Framing / Firestopping Inspection Report
Inspection request received:
Name: a )0k) a- Inspected on: A \\\
Location: a‘ F\ t b A Pt( in c_ Arrive: a.m./p.m.
Permit No.: 1 7 - 7 7 Inspector's Initials: 6+)
TYPE OF STRUCTURE:
N NIA COMMENTS:
Framing /
Attic Access 22"x 30"minimum `�
Jack Studs 1 Headers
Truss Specification Provided
Bracing 1 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 1/2(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
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 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 1 below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report
3
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart:�pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 4.6s ---)
NAME: r40PERMIT#: / :3 y
LOCATION: `� ?
--�21 � ���� t,n Q INSPECT ON: / 6 �-=,2�
C
TYPE OF STRUCTURE: . i; F_
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
of the concrete.
Materials for this purpose on site.
Foundation/Wailpour
Reinforcement in Place \t/ r
Footing Dowels or Keyway in place
R. -_, 4.�
Foundation Dampproofmg v
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:\Buliding&Codes Forms\Building&Codes\Inspection Fors\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
- 3/0",„
Foundation Inspection Report I
Office No.(518)761-8256 Date Inspection reques K yged
aiU j Z g/jQueensb�
Queensbury &Code Enforcement Arrive: 2-7:10 Depart:
Q aai/p�
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: c
•� if
NAME: r3 ) ��� lPERMIT#: /
V( 0 V ; l 77
�
LOCATION: a ( p i ;;� �,,,, pi ,� L,i-Av` - INSPECT ON: /() a R//
TYPE OF STRUCTURE:
Comments
N N/A
�i
`�_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
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\Inspec ion Forms\Foundatbn Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM