2014-410 01111104, TOWN OF QUEENSBURY
w 742 Bay Road,Queensbury,ueensbu NY 12804-5902 (518)761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140410 Date Issued: Friday, February 27, 2015
This is to certify that work requested to be done as shown by Permit Number P20140410
has been completed.
Location: 11 DIXON Ct
Tax Map Number: 523400-302-014-0002-015-000-0000
Owner: MARGARET S SMITH
Applicant: PHILIP A SMITH
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
•_=_.tee..
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 Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
FON 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140410 Application Number: A20140410
Tax Map No: 523400-302-014-0002-015-000-0000
Permission is hereby granted to: PHILIP A SMITH
For property located at: 11 DIXON Ct
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: MARGARET S SMITH Residential Alteration $50,000.00
11 DIXON Ct Total Value 550,000.00
QUEENSBURY,NY 12804
Contractor or Builders Name /Address Electrical Inspection Agency
Plans&Specifications
2014-410
Res. Alterations 600 sq..ft.
$90.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 11,2015
(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 Town f Q`9 bury ,/Th tember 11,2014
f
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
DATE 9/4/ (#- Received , 2a,` Tax Map 1b
TAX MAP ID 362,,1-1 - 2 ( C Permit No. P'1,--zio
Permit Fee 496 nli
ZONING NQ Rec Fee j(
Site Plan#
HISTORIC SITE Yes No Subdivision #
SUBDIVISION NAME Lot#
TOWN BD.RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLEXES
OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED &
MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
APPLICANT PF-( t(-t e A . L-1 1 i H OWNER
ADDRESS t Dkic63-. Ccrt, z-T ADDRESS
(Q vice s3v-n i , Imo`/ i i c f
PHONE/E-MAIL 1-1k17,3- S"C„, (.., C-, PHONE/E-MAIL
CONTRACTOR -0 ( (1u-JJPA-A-,r-c) p COST OF CONSTRUCTION(ESTIMATED): $
ADDRESS: 3/C� Y Y l- cI cQ ,.. l L
„. 6acii BUILDING ADDRESS:
_Le-{ L4 c,Le1 k)7 IZl`5%---
PHONE/E-MAIL
-PHONE/E-MAIL `? `./5/.7
3 I - l7 O
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: .PN 1 t.4 P j H1-04- PHONE 7 -S
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1st floor sq. ft. 2nd floor sq.ft. Total sq.ft. Height
Single Family X X . (6O SI, _
Two-Family
Multi-Family
(# of units )
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(# of )
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business
Proposed use of building or addition
Source of heat (circle one) Gas Oil Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information
•
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction Yes No
d. Public water or Private well
e. Sewer or Private Septic System
Value of all work to be performed (labor or materials) $ 5.01 000
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed,subject to fees and department
approval.
3. 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.
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy.
5. 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 occ 4 ancy.
I have read and agree to the above: PRINT NAME: ' . I a . OF .4iL DATE
SIGNATURE: Fir' DATE /)4/2_0 l'`j-
. 411,
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256I / Arrive: /d-)'• am/prp.. Depart: am/pm
Date Inspection request received: I2) / 5 Inspector's Initials: •1)/"
NAME: `7;-1 1 1\ PERMIT#: LLO
LOCATION: l `7 ,` c ��— `i , DATE: 2 / Z (// _S_
TYPE OF STRUCTURE:
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
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 I 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 lazing
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
Plumbic 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/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan
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 Q /
Okay to issue C/C or Cl 0[Temporary 1 Permanent] 7 A'-
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L:1Building &Codes Forrnsi8uilding Codesllnspection Fomis\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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
ViO Community Development-Building& Codes (518) 761-8256
Inspections per Permit
Permit# P20140410
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
09/04/2014 Miscellaneous Residential Alteration STAFF
Misc 2014-410
permit app rec'd&entered
09/11/2014 Miscellaneous Residential Alteration CRAIG BROWN Staff
Approved 2014-410
zoning apprved
09/11/2014 Miscellaneous Residential Alteration JOHNO'BRIEN
Approved 2014-410
permit approved
11/20/2014 Framing Residential Alteration CHARLES DYER Staff
Approved 2014-410
Bracing;Joist hangers
12/03/2014 Insulation Residential Alteration CI IARLES DYER Staff
Approved 2014-410
Foam closed cell-R-21 +walls
R-38+Ceiling
Verified Ht R Tape
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials:
NAME: Sri,/ %/ PERMIT#: y-"M
LOCATION: // /�� ;�,.. C DATE: Zi tltr
TYPE OF STRUCTURE:
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
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 awy 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 1 doors I 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 1 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 1/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding y� /
As Built Septic System/Sewer Dept. Inspection Sticker _ _ /// /�t
Site Plan /Variance required /
Flood Plain Certification, if required
Okay to issue C/C or C/O[Tempora ermane t 1/
u..Sg \f S c.incecs5e. 3.15«5 6r newer
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
Rough Plumbing / Insulation Inspection Report (,--3/poN
Office No. (518) 761-8256 Date Insp;c 101 res vest received: 11a. 4,/,I
Queensbury Building & Code Enforcement Arrive: -. d .m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initi FIs •
NAME: Y ►`i � PERMIT#: ca0 ` /a
LOCATION: I1)(1 ,(� INSPECT ON: _ i t. WeATYPE OF STRUCTURE: 34
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
' S.I. for for 15 minutes
nsulatio Residential Check/Commercial Check
►► iw Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
COMMENTS:
�6-1/A4A-A.—
V ` l "' a" Rough Plumbing_Insulation Inspection_02 05 13
Town of Queensbury Building & Code Enforcement ✓L — <4
Office No. (518) 761-8256 h CUA
Framing / Firestopping Inspection Report 11.W ,,,)
Inspection request received:
Name: `Nc`k4.1-k ' Inspected on: � t LO
Location: /l 0 i xC Arrive: :' . ,I a.m.I p.m.
Permit No.: 1z1-4/0 Inspector's Initial : L1 1M.
TYPE OF STRUCTURE:
... 3Cn1-I\?0Q
N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs I Headers
Truss Specification Provided
Bracing/Bridging /'
Joist hangers
Jack Posts I 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/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report