2001-649 a `�4A TOWN OF QUEEN
SBURY
742 BayRoad,Queensbury, 12804-5902 (518)761-8201Q n',
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010649 Date Issued: Tuesday, November 09, 2004
This is to certify that work requested to be done as shown by Permit Number P20010649
has been completed.
Tax Map Number: 523400-302-017-0003-052-000-0000
Location: 32 OAK TREE Cir
Owner: PHILIP & MARY KALISZ
Applicant: PHILIP & MARY KALISZ
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
r • ,`E��,
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010649 Application Number: A20010649
Tax Map No: 523400-302-017-0003-052-000-0000
Permission is hereby granted to: PHILIP & MARY KALISZ
For property located at: 32 OAK TREE 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: PHILIP & MARY KALISZ Residential Addition 15,000.00
32 OAK TREE Cir Total Value 15,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
MATT HANCHETT COMMONWEALTH ELECTRICAL A(
12 BLUEBIRD TERRACE •
FT. EDWARD,NY
PO BOX 706
HAGUE,NY
Plans &Specifications
2001-649
320 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
$75.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday, September 07, 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 the T n Quee I u ; Fr' a , September 07,2001
SIGNED BY c/: for the Town of Queensbury.
Director of Building& Co Enforcement
Lii(
V
LJ 1 (co
ENERGY CODE COMPLIANCE APPLICATIE .t!� •�
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS 'WU 2 B 2QO1:
•
TOWN OF QUEENS
EY
Compliance Methods : PART 5 - Acceptable Practice M I IN_
DC
1&2 Family Dwellings (only)
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:
CaN:s rn.0 e:Tre) /t 3 L 0 •7-Q
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - square feet
2 . Type. of Heat Electric Oil X Gas Other
3 . Is building mechanically cooled? Yes >' No
4 . 'Percentage of area of windows anddoors Over 17% Under 17%
5 . ' R-VALUES FOR INSULATION' GIVEN 'BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof : R .38
b. Exterior walls R 19
c. Glazed areas R "
d. Exterior doors
e. Floors over unheated spaces R
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 7-,f;
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Appl ' antature Date Phone Number
i - s0I '79?- F727
INSPECTOR' S REMARKS:
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. Li 9
No inspection will be made until applicant has received a Fee Paid $ •7 c,
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: MA' 1-1-4 JC49•E — Owner: eli'LL t F6 •i.S 7--
Address: 1a,6vuteZIzi Address: 32 C`t�K_ LEA
% ta��
F I�`-f 8 , ,=
Phone#(S G) 79 -g 7 2 7 Phone#( ) 7y:; - i 2,
AUG 2 8 2001
Property Location: Lot Number: / House Number .3 2 / oak 70F QUEENSBURY
Subdivision Name: arj 4-t-_U Tax Map Number: _ BUILDING Atm CODE
❑ New Building: residence /commercial Estimated Market Value of Construction: $1,5 G1O OO
Addition: residence/ commercial
If an Addition,wh4..ivill use of new addition be?
❑ Alteration: residence/ commercial
Ffl
❑ No change to exterior size: residence/com'1inT)-'1 @rti
❑ Other work(describe )
Check Occupancylnformation is'Floor 2nd Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
X Single family dwelling 3 ()
❑ Two family dwelling
❑ Townhouse
Li 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
•
0 Other
What is the proposed height of the structure G/ feet G inches
Will any second-hand or ungraded lumber be used? If so, for what? NO
Type of Heating System: electric/ oil / ga J wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed C! 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 1-1610e,ot°tr-61ii S 2,bGTGA.1 � i.0 'gip `n2'2`7 2 7
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 Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: 0///F owner,owner's agent,architect,contractor
ueensbu Building & Code Enforcement - Residential Final Inspection I_
Q rY p "i.'�(fl/-
Office No. (518)761-8256 Arrive: am/p D Apart/&,/ V am/pm v
Date Inspection reque received: Inspector's Initials:' c\�. -/0
NAME: C� �jZ PERMIT#: - f(d-f
LOCATION: DATE: -7 4.'r=`p .
TYPE OF STRUCTU .Re,5 ��t
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location 7� I '
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
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 'h"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post 6r 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 Valve(s) 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
IGarage fireproofing/'/4 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 sq. ft. vents
Building No./Address visible from road G r C�LG-' -
Final Electrical Jt�i
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/0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection 4.,32
i ice No. (518)761-8256 Arrive: am/ m p �e / ~3 1m/pm
Date Inspection requ received: Inspector's Initials: 0 �`�
NAME: � • PERMIT#: c! -6
LOCATION: 9 DATE: _ l(,
TYPE OF STRUCTURE: P
1
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" p
Roof Complete/Exterior Finish CompleteGuard 30 in.or more(a�stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more C/
Exterior Finish Complete i •
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 %2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall I `
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 Valve(s)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/3/4 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 sq. ft. vents
Building No./Addre v' ibl fro o
Final Electrical
Site Plan /Variance e ired
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. 0
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL \
Permit No. Cert. Cut-in Card No. ...
Owner �� rr -7. 86015
Location - C r�/tom 7 &I
Installation Consisting of V A c I L ri---t Z- 5/9-C 4:90/-7
•
Installed By Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be omptly made for inspection.
Inspectors of this Company shall have the privilege •f makin ins ections at any time, and if its
rules are violated,the Company shall have the right to re, e this icat
e
Date / /- Q f INSPECTOR
Member N.F.P.A..I.A.E.I.
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury '
Dept. of Community Development Date inspection request received:_
Building& Code Enforcement c
742 Bay Roadct,t10
Queensbury,NY 12804 Arrive am/pm Departi a / m
Inspector's Initials j i 6-t�
NAME: ,tt-[..fr5j Z PERMIT# 0' — 7 /
LOCATION: .4Z-C44-1-r2C-C 02 - DATE : 1/f O/
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7 I
Monolithic Pour Form
Reinforcement in P : -
The contractor iL. re .. sible for
providing prote. ion fr freezing
for 48 hours foll•wing t e placement
of the concrete.
Materials for this pu ..s- on site
Foundation/Wallpou
Reinforcement in Plac:
Foundation/Damppro 4 1 g
Backfill Approval
Plumbing Un•: lab ,__
Pluming Vent/Vents in Pla e
Ro bh Plumbing
Ling Rough-In
Insulation �/Foundation Walls Interior ''- /vor *9�
Foundation Walls Exterior R
Floors R-
Walls R- _
Ceiling R- 46/1,60
Duct work or piping in C a
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
1 Firestopping
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 - m/
Inspector's Initials
NAME: ( I Z PERMIT#
LOCATION: (LG�C DATE : 11 CP 6 �
TYPE OF S UCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo 'ble for
providing protection fr•m eezing
for 48 hours following t e • acement
of the concrete.
Materials for this purpose •n s to
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plum 'rig Vent/Vents in Pl-c-
Ro Plumbing\
ting Rough-In
Insulation
Foundation Walls Interior. R-
Foundation Walls Exterior R-
Floors R-
Walis
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
i. ram' k =
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road i
Queensbury,NY 12804 Arrive am/pm Depart ` , a p
Inspector's Initi is -
NAME: 144-L1` Z PERMIT# CV—Cb,/
LOCATION: ;32 j i& Co Q- , DATE : /l/jib /
TYPE OF S TURF:
RECHECK
N/A YES.NO COMMENTS
Footings/Piers 1-7— 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freea ng
for 48 hours following the pla nent
of the concrete. i
Materials for this purpose off►site
Foundation/Wallpour \_
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
1
ting•Rou -In
,A' ,nrulation—_ /4/0"( R(Z/ L
oundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- L)
Ceiling R-
Duct work or piping in
iunheated spaces R-
oper Vent, Attic Vent
r_ .Fi+a%ding a /
Jack-Studs/Headers
Bracing/Bridging 1
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penes tion Sealed7
Fi all 2,3,4 hour
e iresto g i
•
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 Depa m/ m
Inspector's Initials
NAME: ` /`t lL� JiL 4/, S — PERMIT# `'��£1- /9
LOCATION: 3r2 C '' DATE : d-er)/
TYPE OF STRUCTURE: Reo
RECHECK 1 .�
798 - 8'7 c>'7
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible ff r
providing protection from freeiing
for 48 hours following the pla•-ment
of the concrete.
Materials for this purrse on site To Foundation/Wallpour O U
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing VentNents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
uct work or piping in
unheated spaces R-
oper Vent, Attic Vent
Framing CovL `r c-
Jac Studs/Headers / lA)3r Pt'LL°— 2 X n /�
Bracing/Bridging o,BL& y� F � I1"k 1 f/ ,y ootc:
Jai Hangers I OV6'R f‹,N-ul.try
Jackk Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
P- etration Sealed I
'ire Wall 2,_3, 4hour
•
` vFiresto /!/ 'o( & t ( - / 7, ,z l`' J ,W(2-
146(--0 . (PP6o7O tu-- Pc,4-7—)
C--(.1&IPN1, 901
l'IdelzeierAaf
y. � y
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road Ffic
Queensbury,NY 12804 Arrive am/pm Deparpbg /411ry,/pm
Inspector's Initials J c--c
NAME: PERMIT#0! C
LOCATION: ,`-p .0 .CLV�
DATE : /
TYPE OF STR TURE: 1G��\ �C��
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible o
providing protection from fr ezing
for 48 hours following the p1 cemen
of the concrete.
Materials for this purpose on sit
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab N.-
Plumbing Vent/Vents in Place
Rough Plumbing
Heat. Rough
t��11 L
ation, - tile.
Foundation Walls Interior R-
Fou •tion Walls Exterior R-
t.-Floors R7
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
per VenC== 'c Vent
F
ae Sheers 1 ceders
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
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 � m epa . s •m
spector's
N �Q\•, L L_ PERMIT
(0219
( 3g)LOCATI N. DATE : —
TYPE OF STRU TURE: \ 1.
RECHECK
d ' N/A YE4 NO COMMENTS
ootings/Piers ~�:
Monolithic Pour Form
Reinforcement in Place
The contractor is respo sibl;for
providing protection fro •ezing
• for 48 hours following th- • acement
of the concrete.
Materials for this purpose o ite
Foundation/Wallpour
Reinforce s ent in Plac-
Foundatio I•i,-:• I ofing
Backfill Approval
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