2001-797 TOWN OF QUEENSBURY
742 BayRoad eensbu NY 12804-5902 (518) 761-8201
��_ ,Qu rY,
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Perna Number: P20010797 Date Issued: Friday, May 24, 2002
This is to certify that work requested to be done as shown by Permit Number P20010797
has been completed.
Tax Map Number. 523400-308-005-0001-077-010-0000
Location: 131 LAUREL Ln
Owner CHRISTOPHER & LESLIE FEZZA
Applicant CHRISTOPHER & LESLIE FEZZA
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
(-34WP 4
Director of Building& o de E oreement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010797 Application Number: A20010797
Tax Map No: 523400-308-005-0001-077-010-0000
Permission is hereby granted to: CHRISTOPHER&LESLIE FEZZA
For property located at: 131 LAUREL 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: CHRISTOPHER&LESLIE FEZZA Residential Addition 15,000.00
131 LAUREL Ln Total Value 15,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
BP 2001-797
320 sq. ft. residential addition as per plot plan and specifications
Clendon Ridge Subdivision
$75.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, October 30,2002
(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 of} �R b %`;�. ay, October 30,2001
SIGNED BY ' . ? Y �S ' for the Town of Queensbury.
Director of Buil• g& ode Enforcement
Town of uecnsbur 742 BayRoad,Queensbury,NY
Fire Marshal's Office Q Y�
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel &vented gas appliances •
�/ �f
Date / -3 , 20 0(9) Permit No. Of / 9
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to.the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: �,�{,Q.,, GL____ Stove: wood coal pellet gas
Fireplace insert
Address: /31 cAtiiLd C CL.Q� Fireplace, factory-built: wood gas
Q aft u,/u� Fireplace, masonry: wood gas
+� Furnace: wood gas oil
I Phone: �.o —b 2 O 3
If non-masonary applicance,please provide
' a0ta: Manufacturer Name: Itelif-/U-)J-C,B�
Owner: i i
Address: / / CA/AV Model Number: SI.- 5-6-0TR5- e:
•
Chimney Information
1 _
Phone: ' ?'o 3 (circle appropriate words)
Masonry block brick stone •
Flue tile steel size: inches
Exact Address: /3 %l,aJLji t �
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction I Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting
Chimney Liner
Ca e'hatez-'rr Dep .rt exzt—3'o-wwrn col'QrxeesiAfilbzuy, Ares Yor.ir.
•. " •'.A" . - ,.. •'F -5,. n n. '�'` .. .. w .,x " .. ., i,f F s ..fir:+� ... . • • r
Fire Marshal Code# $Collected $Refunded Received fi onr(refunded to):p�--e `1 is- S...e. .-z.,2_0‘
address:
A 173 3389 (190) Public Safety 82 5: ��
A 233 2655 (230)Minor Sales
DATE: E.
, .,. 4.w- Tw,,, Cee,tic,01.Deputy.
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.)
,
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.„,„0f _
No inspection will be made until applicant has received a Fee Paid / ""r ``C7
valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the• Reviewed B;-
application form.
Applicant:�2 C L Owner:
Address: 1 —2t--3 Address: iZi LA..)
Phone#(E r i ) Z.- c-'3 Z Phone# (S�)yt 1
Property Location: Lot Number: / House Number 13 / LA A-ku t
Subdivision Name:('.3— w� mon .2-\ Tax Map Number:
❑ New Building: reside e /commercial Estimated Market Value of Construction: $
is-'Addition: esidenc commercial If aj,Addition,w will use of new addition be?
❑ Alteration: residence/ commercial � Ly
❑ No change to exterior size: residence/com'l �i'
❑ Other work(describe ) • ` '
QUEEN
Check Occupancylnformation 1st Floor 2" Floor Other fl��t� ,� Z tal
Below sq.ft. sq.ft. ®��.�� Square Feet
uER
` Single family dwelling ILDIN ND
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ :3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure feet ° inches
Will any second-hand or ungraded lumber be used? If so; for what? kt h .
Type of Heating System: electric/ oil / wood / orced hot / baseboard/other:
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder F14yVL Lr '2-/I-2'3 hi) ?l? a--3 L
Plumber PTO
Mason 3 ayvq
Electrician 'irLZ
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 Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all ne tru ri n.
Signature• owner,owner's agent,architect,contractor
•
4, ENERGY CODE COMPLIANCE APPLICATION .
. - ` TOWN OF QUEENSBURY, WARREN COUNTY
- = 9000 HEATING DEGREE DAYS 6o/_7q7
Compliance Methods : PART 5 - Acceptable Practice Method - ..
=i%`-'= 1&2 Family Dwellings (only) r.44-r "_
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings;. Multi-Family
Dwellings (3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME : PROPERTY. LOCATION:
L )3► L ��� UAW
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 3S square feet
2 . Type of Heat - Electric Oil 'Y Gas Other
3 . Is building mechanically cooled? Yes . )( No
4 . Percentage of area of windows and doors K Over 17% Under 17%
5 . R-VALUES FOR .INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R ZI)-.
b . Exterior walls R IC?
c . Glazed areas R
d. Exterior doors R
e . Floors over unheated spaces R ` 1
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R
i . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code cYes No •
15
TEMPERA E CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Applic t' s . ' nature Date Pholle Number
INSPECTOR' S REMARKS :
RESIDENTIAL,FINAL,INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement /
Dept. of Community Development Arrive Ve3 am/pm Depart �ym/pm
Town of Queensbury Inspector's Initials)bL-
742 Bay Road
Queensbury,New York 12804
NAME 'Z 1�\J.thb PERMIT ii c)11-___A
LOCATION 1-6 .r.�1 r p DATE S -c�
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,Ianding 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shutoff within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater opera' g
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more an 3 risers
Interior privacy/trim/doors/main entrance "
Floor Finish
Bathroom/Kitchen watertight X \
Interior Handrails Balconies/Landing 18 in.or more r
Railing across window in stairwells \�
Smoke Detectors: I
every level 1 N
every bedroom r N
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy) 1%
FIRE MARSHAL
TOWN OF QUEENSBURY
j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# a pt-197
NAME F- z:z A
LOCATION L_.A\p�_U UHF.
SCHEDULE INSPECTION ON / P 3---
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTE _
FIRE SUPPRESSION S TEM
HOOD INSTALLA ION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLE'!S
CLEARANCE TO HEATING U ITS
REQUIRED SIGNAGE
CHIMNEY ‘ge
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT (,Pc)7
‘ Pck/
REMARKS: 'OK TO THIS DATE
INSPSLUP.PUB .INSPECTO
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 2 60 1-7 f
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. Cert. No 73582 Cut-in Card No.
Owner C °¢ L. ••
Location f ! LA1.4-12- -, L! • e'ac ty
Installation Consisting of It W I rr-14"/ o c pf
Installed By ' Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued i
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon ill,
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin. inspections at any time, and if it
rules are violated,the Company shall have the right to oke thi ifica e.
Date.
1�7'07' INSPECTOR `%i�`
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST R CEIVED PERMIT#E i9
NAME
LOCATION
SCHEDULE INSPECTION ON / a `
1 v J - 9 . A PM NYTIME
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
ti
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINkLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE i
CHIMNEY I
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT 2y Fi;3AL,
REMARKS: ❑ OK TO T DATE
Ct2- 2 ']
INSP$LIP.PUB I SPECTO
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: J r
Building&Code Enforcement
Dept.of Community Development Arrive 1'•30•v4• _Depart '-
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York 12804
NAME , .2�` Ny PERMIT# /
7
LOCATION / 1 � ,L 'te Q DATE c3— -
TYPE OF STRUCTURE p"' �
N/A YES NO COMMENTS
Chimney Heightl"B"Vent/Direct Vent Location
Fresh Air Intake 9
Plumb Vent through roof
Roof Complete ✓�
Exterior Finish Comp to A/ / �� �a 1
Interior/Exterior Rail le s 30"to '6" Ott
Exterior Handrails,b• conies,Ian.:•g 18 in.or more ✓, �C -°"( �; ��
Interior Handrails s • s both sides ' or more risers
Grade 2%away from undation
8"clearance to sill plate
Gas Valve shut-off expos.-• regal. or 18"above grade
Gas Furnace shut-off within'0 f- or within line of site
Oil Furnace shut-off at entranc: $furnace area
Furnace/Hot Water Heater ope • g F1 CZ�� ..-.EN
Relief Valve(s)insta -
Headroom,6 ft.6 in.on stairs -
Basement stairs,6 ft.4 in. CC��
Handrail exterior stairs both sides mo - than 3 risers /
Interior privacy/trim/doors/main entran e 36"
Floor Finish $
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 1 f in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical `'ti= �=C—� AEc--
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance) /
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy) V
/114-1
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received/c; / 0 I
Building& Code Enforcement
742 Bay Road •
Queensbury,NY 12804 Arrivef` Depar '-
Inspector's Initi
NAME: v PERMIT# ^79 7
LOCATION: :
TYPE OF STRUCTURE: a(J .S f. c;YiA-dee(
RECHECK_ oGeS 6i
_ N/A YES NO COMMENTS
Footings/Piers I T I
Monolithic Pour Form
Reinforcement in Pl. e
The contractor is espons.ale for
providing protecti in from eezing
for 48 hours folio 'ng the elacement
of the concrete.
Materials for this pu .se on to
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi ;
Backfill Approv.
Plumbing Under Slab
Plumbing Vent/Vents in Pla,e
Rough Plumbing
Heatin Rough-In
4_, Insu anon -��
Foundation Walls nterior
Foundation Walls Exterior R
Floors R-
WallsWalls R- _____ t /
Ceiling R- 1 <7 b ,./.;;;
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
Rq)c)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive t5--7Z> Depart airg
spector's l(ni
NAME: e-Z 7 _ PERMIT# 1- 79 2
LOCATION: ;�y I �v ,p C7,�J�� DATE : / - /
TYPE OF STRUCTU �� 6 t Ai lrs-�
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-77 1
Monolithic Pour Form
Reinforcement in Place
The contractor is r nsible for
providing protection o freezing
for 48 hours followin the lacement
of the concrete.
Materials for this purpose Oy1 sit
Foundation/Wallpour \
Reinforcement in Place
- Foundation/Dampproofing \/
Backfill Approval "
Plumbing Under Slab
Plumbing Vent/Ven ' Place,
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior -
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pr r Vent,Attic Vent
- F aming
Jack Studs/Headers
Bracing/Bridging1'C-01 �, — V)�i N,t
Joist Hangers
pck Posts/Main Beam VI- BLS t'3N:" — Pl
V.Or Infiltration Barrier ✓ - CaD /
Fire Separation 1,2, 3,hour �EV:
0 "
Penetration Sealed
Fire Wall 2, 3,4 hour 11‘IC=-\"4C. '?---- Lt L.C-A-27
Firestopping '1-1 C.JD "-vv--
W\C\\
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart"- amr
�— 2:2.-4 Inspector's Initials '.1 UL
NAME: PERMIT#
3'LOCATION:. (Ns? DATE : — (900 I
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers �— I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezi'
for 48 hours following the pla -ment
of the concrete.
Materials for this purpose on sit:.
Foundation/Wallpour
Reinforcement in Place
Fo tion/Dampproofing
ekfill Approval t'-
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
011
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrivc '-O pp") Depart/ a gripm
spector's Initial-
NAME: _ PERMIT#
LOCATION: ) 3 c1 L:y eft t�y�,�l_Q� DATE : 1
TYPE OF STRUCTURE: QNF`S -T
RECHECK •
N/A O COMMENTS
otings/Piers
Monolithic Pour 'orm
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours fo lowing the\placement
of the concrete.
Materials for this purpose on site
Foundation/Wall.i•ur
Reinforcement in • .ce
Foundation/Da A.. ,•• •
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte c or R-
Foundation Walls Exte k or R-
Floors
Walls '-
Ceiling "-
Duct work or piping in
unheated spaces
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
-Joist Hangers - - -
•
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping