2004-289 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: P20040289 Date Issued: Monday, June 27, 2005
This is to certify that work requested to be done as shown by Permit Number P20040289
has been completed.
Tax Map Number: 523400-301-006-0001-045-000-0000
Location: 6 SUGAR PINE Rd
Owner: WILLIAM & PAMELA PACULAVICH
Applicant: WILLIAM & PAMELA PACULAVICH
This structure may be occupied as a:
Shed/ Storage Sheds
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance 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 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: P20040289 Application Number;: A20040289
Tax Map No: 523400-301-006-0001-045-000-0000
Permission is hereby granted to: VTffJ,TAM&PAMFLA PAC;TTLAVTC14
For property located at: 6 SUGAR PINE Rd
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: WMLIAM&PAMELA PACULAVIC
6 SUGAR PINE Rd Shed/Storage Sheds $1,500.00
Total Value $1,500.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications .
2004-289
200 SQ FT STORAGE SHED
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, May 12, 2005
(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 Qu sbu W� ay 12, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. d` L!a?9
No inspection will be made until applicant has received a Fee Paid
valid building permit. All applicants, spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant: EA ln As %0A)e/L- Owner: ( /q c- ,t-[e-,vi
Address: Address:
s
Phone#(_) Phone#(_)�t- co�ra3
Property Location: Lot Number: / House Number SO J /' P/,e
Subdivision Name: Tax Map N er:
New Building: residence /commercial 'Estimated MaQ�a� s ' n: $ 9 Ibo
o Addition: residence/ commercial If an Addition,what will uusse o n •'tion be?
O Alteration: residence/ commercial
0 No change to exterior size: residence/com'1 _ �4
0 Other work(describe )
r OF ni rk r
Check OccnpaIIcyInformation i' Floor 2qqdawxy Total
Below sq.ft. sq.ft. �` aq:f Square Feet
o Single fhmily dwelling
0 Two ftfly dwelling
c Townhouse
o Multifamily dwelling
#of units
0 Office
o Mercantile
o Manufactutin
0 1 car detached garage
0 2 car detached garage
0 3 car detached garage,
0 1 car attached garage
0 2 car attached garage
0 3 car attached garage
0 Storage building-
rcommercial S
Storage-building- , '�
residential 0 xC-0 A
Other
What is the proposed height of the structure 1,o feet .2— inches
Will any second-hand or ungraded lumber be used? If so,for what? O
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: /�A-7
Number of,Fkenlaces to be installed D Number of Woodsteves to be installed
List below the persons)responsible for supervision of work as regards to building codes:
Nam . Address- Phone Number
Builder �,, �Aeu7 2 S V�
Plumber
Mason
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this 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 Code,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 Uwe 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 Bulle Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: .(AI owner,owner's agent,architect,contractor
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p ep ni/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: f 3Aortc.' �' fyip PERMIT#: o
LOCATION:i JLo Utzh INSPECT ON:
TYPE OF STRUCTURE: U .S F-D
Y N 1v/a Framing COMMENTS
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
Headro6m 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
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
e and snow shield 24 inches from.wall p
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
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection reque t re ed: 30,
Queensbury Building& Code Enforcement Arrive: a p part: a
742 Bay Road, Queensbury, NY 12804 Inspector's Initia
NAME: PERMIT#:
LOCATION: `Jj INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A Framing COMMENTS
Jack Studs/Headers
Bracing/Bridging Q�
Joist hangers
Jack Posts/Main Beams ✓ ��%�`�`�' �(��
Exterior sheeting nailed properly '2
12"O.C. ,J
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z (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 snow 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 '/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/below grade
5.0 sf grade
LASueFlemingway\BuiIding.Codes.Inspection.FORM STraming Firestopping Inspection Report.doc January 28,2003
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart:l 'apm
Date Inspection request received: Inspector's Initials: —M;)
NAME: PERMIT#: V —�
LOCATION: _ DATE: -
TYPE OF STRUCTURE:
—�� Comments
-- Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location O
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" _
Roof Complete/Exterior Finish Complete V
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum 1/"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.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 Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
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
Attic access 30 in x 22 in.x 30 in,(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\fnspection Forms\Res, Final Insm form 2.docLast printed 2/12/04
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TOWN OF OUEENSBURY
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