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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