2010-531 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100531 Date Issued: Tuesday, November 15, 2011
This is to certify that work requested to be done as shown by Permit Number P20100531
has been completed.
Location: 118 DIXON Rd
Tax Map Number: 523400-302-014-0001-034-000-0000
Owner: CASEY L SCOVILLE
Applicant: CASEY L SCOVILLE
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
ProPe3owner of the responsibility hfor compliance with Site Plan,
c-1.)4('
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code E orcem t
Planning Board or Zoning Board of Appeals.
" TOWN OF QUEENSBURY
ION 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100531 Application Number. A20100531
Tax Map No: 523400-302-014-0001-034-000-0000
Permission is hereby granted to: CASEY L SCOVILLE
For property located at: 118 DIXON 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: CASEY L SCOVILLE
161 RIDGE ST. #2 Residential Alteration $5,000.00
GLENS FALLS,NY 12801-0000 Total Value $5,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
T. MARTIN CONSTRUCTION
18 FOUNDERS Way
QUEENSBURY,NY 12804-0000
Plans &Specifications
2010-531
203 sq ft residential alteration
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,November 09,2011
(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 own Quefi bu , /TA. e ,November 09,2010
ay
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
, OFFICE USE ONLY R. '�;'
TAX MAP NO. ��/ 1:,
�`/ j/ PERMIT NO. �� !b OCT 21 2010
FEES: PERMIT 7 kl RECREATION ENGINEERING # '''1A/N OF
(If applicable) , ,ti BUILDINGUEENSB ,Ry
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
Casey Scoville-Hammer
APPLICANT/BUILDER: T. Martin Construction OWNER: & Eric Michael Hammer
ADDRESS: 18 Founders Way, QBY ADDRESS: 118 Dixon Road, QBY
518-955-8042 (Cell) 518-307-6235 (Casey)
PHONE NOS.518-798-4841 (Home) PHONE NOS. 518-926-9480 (Eric)
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: Todd Martin PHONE:Same
LOCATION OF PROPERTY: 118 Dixon Road, QBY
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES IXI NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p p E-
APPLY TO YOUR OZ p 0 p u) O w
PROJECT 1 OH OJH � a = =
Q u) di ~ OOZ Q - vOu.. - Ion
SINGLE FAMILY X 203
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: N/A
ESTIMATED CONSTRUCTION COST: >$5, 000 FUEL TYPE: Kerosene
HEAT TYPE: Hot Air *HOW MANY FIREPLACE(S):1-ExistAND/OR WOODSTOVES(S): 0
ZONING CATEGORY: NR ARE THERE WETLANDS ON THIS SITE? No
IS THIS A HISTORIC SITE? No
PROPOSED USE OF BUILDING OR ADDITION: Single-Family Residential
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? No
ARE THERE EASEMENTS ON PROPERTY? Unknown
"Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. 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. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. 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 occupancy.
I have read a,D.d agree to the above.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a�queensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
042.
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/p D- - \ am/pm
Date Inspection request rec ived: // /1/ , ti/ Inspector's Initials:
NAME: . PE' IT#: �'
LOCATION: . ✓ t -r DATE: 1111•
TYPE OF STRUCTURE: .dpi
Comments:
Yes No N/A
4" Building Number Address visible from road � �j�
Chimney Height/"B"Vent/Direct Vent Location _ _✓1 /14.<-),-\
Fresh Air Intake �
3 inch Plumbing Vent through roof minimum 18 inches ; ' cc '
Roof Complete I Exterior Finish Complete
Platform at all exterior doors d\--E- -0 S
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 -14A4-411--
Deck Bracing/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'. - a e g azing
Interior Smoke Detector Carbon Monoxide Detectors
Every level: Ev-k 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/Insulation Certification/Sticker on Panel
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 W Gypsum
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
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Gam/
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
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
11/4 Queensbury Building & Code Enforcement - Residentia incl Inspection
Office No. (5-18)761-8256 Arrive: am/pm Depart:_3y0 am/pm
Date Inspection request received: Inspector's Initials: ll`"'
ee.Vr__
NAME: SO t r; fr . .. PER IT#: I
LOCATION: 1/ J c.- 2) DATE: I f
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 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 - re/6(/
(J' r
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/ :f is. Monoxide Detectors_
Every level: Eve __. -_ :
Outside every bedroom area: eD
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 Y" '
Plumbing 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 1--"a
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 V /"
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched CBZCD1
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical;En o G�
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
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes Inspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. -53/..Cert. No 2 21 O Cut-in Card No.
Owner p1444m"4 v
Location // �1 1)/X 4J IZ—/2 ,�C� 4- '/
Installation Consisting of...Lam lr� 77-44i. 3 A-Er- P, . -1 9-95
Installed By...L riLic.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 promptly made for inspection.
Inspectors of this Company shall have the privilege of aking ins tions at any time, and if its
rules are violated,the Company shall have the right to v this ce e./
Date /°-1 (/ INSPECTOR `
Member N.F.P.A.,I.A.E.I.
atois Rough Plumbing / insulnnpion Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/p Depart: ( m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: I.
•
NAME: it 41,t `i PERMIT#: /6 '
LOCATION: 9/ ;?e . _ /41r/ INSPECT ON: / w f//)
TYPE OF STRUCTURE: iThc ` -A-A)0
Y N N/A
Rough Plumbing/Nail Plates
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air I Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
r/
50 P.S.I for 1 minutes
/
Insulation I R idential Check I Commercial Check l
= or =r 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
COMMENTS: Q - ur
_ 3C ' L - --'CL>
Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005,revised January 7,2008
Framing I Firestopping Inspection Re&ri
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p�mmD_Depart m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:6 ' /
NAME: 1/6,iv-Aker- PERMIT#:
LOCATION: )/S3-- h5x- y, INSPECT ON: l2
TYPE OF STRUCTURE: �! - 13,_
Framing
COMMENTS:
rA
Access 22"x 30" minimum
Jack Studs/Headers J
Bracing/Bridging
Joist hangers
Jack Posts 1 Main Beams
Exterior sheeting nailed properly
12'O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom eft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'fs w 16 . .e 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 6 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
L:1BuiWkrg&Codes Forms-OLD Bullding&Codeslinspedion FonnsFFraming Firestopping Inspection Repo,tdoc Revised Anxiety 7,2008
g i d:44
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FACSIMILE TRANSMITTAL
To: Building & Codes Department From: E.M. Hammer
Organization: Town of Queensbury Re: 118 Dixon - Building Permit
Fax No.: 518-745-4437 No, of pages, including cover: 5
Date: Thursday, November 04, 2010
Time: �;67Piv1
Message:
Dave Hatin, Director:
Pursuant to your request for additional information, the following items are included
with this Facsimile Transmittal for your review and approval of a Building Permit:
• Inspection Checklist as provided by ResCheck (3 pages); and
• Plot Plan showing existing setbacks (1 page).
We trust this information to be sufficient for your use. Thank you.
Signed,
E.M. Hammer
118 Dixon Road
Queensbury, NY 12804
Mob.: 518-926-9480
This message is intended for the use of the individual or organization to which it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If the reader of this fax is not the intended recipient,
employee or agent responsible for delivery, you are hereby notified that any dissemination, distribution and/or copying of this
transmittal is strictly prohibited. If you have received this fax in en-or,please immediately call 518-926-9480.
500/100d Wd6V:90 01-01 V AO 1510-E6L-815:xej sniaMar mons
fEScheck Software Verskrrn 4.3.1
Inspection Checklist
ceilings:
J Ceiling 1:SYeer.is svieftsr.18-o.c.:.7x10.P-88.0 cavity insulation
Corner tri --.� -�— --
Above-Grade
_....._Above Grade Wane:
LI vak 1:Wood frame,18"o.c.,Fl-19.0 r vi y Ir1$11irll0.yrl
Comment - --.
LI Wail c:W1304 game: 1 S'co.,R-19.0 cavity insuiation
Comments.
Witetdoeis:
l Window t:Vinyl Frame.Double Pane.'.bfactrtr:t}.3nt
For windows without laaelec ti-factors,describe features:
:Pangs_Frame?yam -- .-Thennal Bank?___Yea Nc
Comments: _
Doors:
U
Door 1:Giass.t3-iscror:0.:350
Comment:; — —
Heating and Cooling Equipment:
.l Furnace 1:Forced Hot Air:85 AFUE 3r riighar
Make rid Model tiesrh>E`"
Air Leakage:
t .hinds,Penetrations,at-4 eU other such openings in the bu8diria envelope that are scwrc4 of air leetca9e are seated.
l] k cense o lights are 1)Type;c mated.or 2)instated Inside an appropriate air-tight assembly with a 0.>"clearanr,e from combust e
materiels.It not C rated,frxiuras ere ir;stsulEd with a 3'-aaaretios from Insulation.
Vapor Retarder:
• installed on tote warns ir-winter side ot 84t non-tented framed catlings,watts.and tiPors,
Materials Ident ficatian and kr&taliation:
O Materials and equipment era instead in at-co--dance with the rr'rarttttitottrars itetellation instructions.
0 Innen on is instat:ed 3n substantirt c ritaa with the surface being inearktled said in a Menne,'that achieves the rated R-value.
• lilateriais end egiiorsent are identsled so that coY±sssile/x:a Cart be determined.
❑ Manufacturer manuals Tor ail inatasted beatify and cooling s tent and sr: rice water heating exl;apmern have been reed.
J InsuteYan R•vauues.glanno U-rac:ors.anis heating est-imeu si'lclency are olesriy marked on the isvitding plans or specifications.
Duct Insulation:
• Supply ducts in uncc d tioned attics or outside the btalcing are ii suiatad to at least 1;1-11.
-t Return ducts in urn ortoitivnad attics or outside the bulldtreg are:notated te at lees;A4.
J Sup*ducts in uricenciitioned spaces are insulated to at toast
Return ducts in unconditioned spaces(except mens )ars insulated to A-2.lnsu2on is not requited on return ducts in basements,
Duct Construction:
Li Ail ioins,seams.and connections are securely fastened with weld .gaskets:mastics(adhesives).;ratio-plus-smbedaed-fabs.or
tapas.Tapes and maatica are.rated UL 181A or UL 1818.
Prciect Titfa:Hammer Fiesiaence Fieuro date: 11WD3f10
Data`";ierlarres:C::tssersJatirgibkriectiments'.REScitedct-lamrrtet,Yoc Page 2 of 4
500/ZOOd Wd6V:90 OLOZ V ASN 1510-E6L-815!xei ani amar affirms
• •
CCa+i meesiy welded&oil iochirtg-type longitudinal joins end seams on OLrot3 operating at lase then iii.w.g.(500 Pa).
:_j The!-1Vr C Sy:MOM t i de`!51 it carie for balamieg air and water systems.
Temperature Controls:
Each;vigil+!:g una has at seam one thermostat tat pie of autivriatical y sa}uerii j the stsace turrperat ire set point of tha iarga t ztrte.
Electric Systems:
Li Sete 8i4X:t ie Mars exist for cou-li dwallirfg
i✓lnaPI$ce$:
Fi:r►places are?nat:rited With sight ritln nen- rnbuatibie f ngslaea doors.
Fireplaces have a source of r,cwrfaistn a)r,as recRired Dy the Fireplace vanen jcrion isi ns of the ei,lirting Cede of New Yo
Sta:e.the Rssident of C widow York Stele or the New Yorir City Burkfing Cato a9 applimwa.
Service Water Heating:
i 3 WaTer netrisrs with vsr!cal 449a risees have a heat trap on both the inlet and a isei "less the water hewer.er''has ah irteorei rpt trap or
:s part;,-f a arcaiatiN system,
Clrce.ilatirsg riot Water SSyams:
j Cite:Awi::not water pipes are ih ihated to the leveis ic1 TeVe t
Heating and Cuoiing P rg t1 en:
iWr t-1VAC,piping Convey*ttuiita above 105 degreee F or crailsrs fialcia bet *s_degrees F ars inscdazed to tree!awls in Tel*2.
Swimming Pooi6:
i� M hec eti s.werxnsrsg pools ha a sn ontoff dealer swig asd a cover urriess over 20%as the heating anergy is;tarn noni5epietatiie
saufees.Foci p ei ?s have a erne dolt,
Proi3Ct Teas: Harnrrn�r Retrarace _... Reeart date; 11,)W0
Data fi!an`mc C;Users\kiriebA:tocaurertra,RE6 ck1t•#arnr!ierrrcit Page g el 4
500/E00d Wd59:90 OIOZ P ^°N 1.510-E6L-OLS:xa. sJaiamor oll!Ao3g
Table 1:Minimum insulation Thickness for Circe. Flit Water Pipes
luaulation Tnicknosa in Incfeas by Pipe Slxas
tort-Caeulating RuneuIs Ci cuiatirn gains and Runpu1s
!iEatAd'�V41er liptst• i.3ptr.1.225' i,5"1,:2.0' Ovar2`
Temperatura(•'F)
170-10 0.5 1,0 .... 1 2.0 —
140-189 0.6 0.5 1.0 1.5
100-1:',8 0.5 0.5 0.5 1,0
Table 2:Minimum invitation Thicket ;tsi HVAC Pipes
Fluidaatp. __ Insulation Thickness in beast hy Moo Suri
Piping System Typns Rout `Fl 2'Fcurouis 1'anC Less 1.25'to 2,0' 2.5=1.0 4. ...
Heating Systems
— — "--"
Loin Presi ureiTaverzturs 201-250 1,0 1.5 1.5 2.0
Lam i e{t)Grature 12020G 0.5 1.0 1.0 1,5
Steam Concionsate(for teed wagert a'ty 1.0 1.0 1.5 2.0
lrboiing Systems
Chilled Water,RehigerAnt and 4055 0,5 0,5 0,75 1.0
eri;18 Below 40 1 0 1.0 1.5 1,5
NOTES TO FIELD:(Sundial:,Department t Iy)
Prniem Tile:iiammar Flusidence Repor daze: 11/03,')0
De'.a filename;C:',Ussrs3aine it(?OCtlfCles'riitRE-Ses!eckWa,' iliir.rck Pais C 4i C
500/V00d wd6V:90 0102 V AN L51O-E6L-8[9:xel S.121OM2f allooas