2001-516 .AI, TOWN OF QUEENSBURY
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VITIW 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010516 Date Issued: Monday, December 10, 2001
This is to certify that work requested to be done as shown by Permit Number P20010516
has been completed.
Tax Map Number: 523400-295-010-0002-025-000-0000
Location: 2 SHALLOW CREEK Rd
Owner: CHRISTOPHER&LINDA HEARLEY SR
Applicant: CHRISTOPHER&LINDA HEARLEY SR
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
(---
irector of Build & C e Enforcement
TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010516 Application Number: A20010516
Tax Map No: 523400-295-010-0002-025-000-0000
Permission is hereby granted to: CHRISTOPHER& LINDA HEARLEY JR
For property located at: 2 SHALLOW CREEK 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: CHRISTOPHER&LINDA HEARLE Residential Addition 14,700.00
2 SHALLOW CREEK Rd Total Value 14,700.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
LARRY FREDELLA
32 WINDY HILL
GLENS FALLS,NY 12801
Plans &Specifications
2001-516
280 SQ FT ADDITION (BEDROOM)AS PER PLOT PLAN SPECIFICATIONS
$75.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,August 02,2002
(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 b ; 'u :day,August 02,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Quccnsbury—Dept of Community Development, 7,12 Bay (toad, Quccnsbury, NY
(518) 761-8256
A permit must be obtained before beginning construction. Permit File No 4 /� r
No inspection will be made until applicant has received a lee Paid l
valid building permit. All applicants' spaces on This Rec. I'cc Pai
application must be completed and must appear on the Reviewed 13
application form./
Applicant: _ "A.i�.' , �.� ' �/ ? Owner: �� 4 •4. ', .,
Ad ress: ���C � 'y/-� --� Address: Zj I ��t ✓L,0_
62 .aS ra �s 9,:g <, .i' f, i Fe zz=xi g GA7 7i " i o �-
. Phone ). '7g� lea/ Phone it ) 7.0 - l
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y
Property Location: Lot Number: / us' Number 2 /cS'riRL G Cl OW �%.�'` ' k 0
Subdivision Name: V W Tax Map Number:
t.
❑ New Building: residence /commercial Estimated Market Value of Construction: $ i2,
( Addition: resit cucc conancrcial If an Addition, what will use of new addition be?
LiAlteration: residcncc/ commercial ��a ,��
❑ No change to exterior size: residence/com'l ��� V
❑ Other work(describe )
JUL 1 1 2001
TOWN OF QUEENSBU Y
Check Occuparreylrrfor'rtra1ion 1 •Moor —.-2"a-Moor 0Iller Ida NIQiCODE
Below sq. 1.1. sq. rt. sq. rl. Square heel
4 ,D
GO/ Single family dwelling O
❑ Two famil dwellin:
o • Townhouse .
❑ Multifamily dwelling
it of units -
O Office —
❑ Mercantile
❑ Manufacturing - --- �
U I car detached garage — —
❑ 2 car detached garage _
❑ 3 car detached garage
tt I car attached garage -
_
U 2 car attached garage — -- — —
u 3 car all ached garage —_ — _--- ____
u Storage building -
commcrcial
Li Storage building-
residential - _ -- —
u Other ——
Will any second-hand or ungraded lumber be used? If so, for what'? 4)0
Type of hinting System: electric/ oil / gas wood /forced hot air/ other:
Number of Fireplaces to be installed ./ is)a- Number of 1Voodslones to be installed /(2,04),
List below the person(s) responsible for supervision of.work as regards to building codes:
Name Address Phone Number
Builder , ii —
Plumber -s .• /, ' (45,,
. Mason —
Electrician -- - 44 •
Dcclaratigj: please sign below allcr 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 propose)work to be done on the described premises and that all
provisions oldie !Wilding('ode, the Zoning Oidinaace and all other laws pet taining to the proposed work shall he complied
with, whether specified or noted,and that such work is authorized by the owner. Further, it is understood that I/we shall
submit,prior to a Certificate of Occupancy or('crlificate of Compliance being ISSIIe(I, as requested by the Zoning
Administrator or Director of liuil(ling and('odes,an/Is Bull(Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction..
Signature: ��f i^ owner,owner's agent,architect,contractor
CO/---<0
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY st 6 e
9000 HEATING DEGREE DAYS 11a
Compliance Methods: PART 5 - Acceptable Practice Method -
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:
6 ROc c .-a- PARS?
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 80 �.�' square feet
2 . Type of Heat - Electric Oil Other
3 . Is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors Over 17% (/ Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R ,36
b. Exterior walls R f'j
c . Glazed areas R 1, 9
d. Exterior doors R
e. Floors over unheated spaces
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 s' Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Ap ' cant' s Si to Date Phone Number
6�,4.v�a�la2� `7`/3/0 / -VC) /
NSPECTOR' S REMARKS : J
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart/ < ai�p
Town of Queensbury Inspector's Initials f'
742 Bay Road
Queensbury,New York 12804
NAME ti\ C,00 ` �` PERMIT#c �'`LOCATION L ��Ci t`?i1 R 0 c)0 DATE 0
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake UG G U�, C-1P
Plumb Vent through roof
Roof Complete •
Exterior Finish Complet:
Interior/Exterior Railing. 30"to 3."
Exterior I-landrails,bal inks,lan.'i g 18 in.or more
Interior Handrails stairs .oth side'3 or more risers
Grade 2%away from fo 'dation
8"clearance to sill plate
Gas Valve shut-off exp 1 sed/re ator 18"above grade
Gas Furnace shut-off wi in 30 eet or within line of site
Oil Furnace shut-off at e Iran e to furnace area
Furnace/Hot Water Heat o.crating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stNirs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both\sides more than 3 risers
Interior privacy/trim/doors/nil in entrance 36"
Floor Finish
Bathr 'tchen watertight
Int or Handrails Balconie ...ding 18 in.or more
ling across window in s •lls
' woke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/a 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)
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RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: .....-
Building&Code Enforcement I�6 6`7
' Dept.of Community Development Arrive am/pm Depart( ` p
Town of Queensbury , Inspector's Initials c`�'Pnaim
742 Bay Road
Queensbury,
New York 12804 (n
NAME \Y1 `.� 4eX,. V\ PERMIT#/C900 I—57 `!C
LOCATION_,.5 j ,7 Q DATE !(+ —3— & i
TYPE OFSTR TUBE J J t4 7cv,r.
N/A YES/ NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location 4
Fresh Air Intake i'�
Plumb Vent through r...f \ //�
Roof Complete
Exterior Finish Comple •
Interior/Exterior Railing<30"to 6"
Exterior Handrails,balco 'es,Ian.' g 18 in.or more V
Interior Handrails stairs b.th sides ' or more risers
Grade 2%away from fount.tion
//
8"clearance to sill plate
Gas Valve shut-off expose.i regulat.r 18"above grade
Gas Furnace shut-off within ;0 feet .r within line of site i/
Oil Furnace shut-off at entr. e to ' ce area ,/
Furnace/Hot Water Heater op- a• g /
Relief Valve(s)installed »>////
Headroom,6'f.6 in.on stairs •//
Basement stairs, . •. i/
Handrail exterior stairs both si•-s more than 3 risers y/ i
Interior privacy/trim/doors/ma•. entrance 36"
Floor Finish / ✓
Bathroom/Kitchen watertight J
jr
Interior Handrails Balconies/Lan • g 18 in.or more
Railing across window in stairw is
Smoke Detectors: 1.4,EG✓%,41--(-- 17 CO17 ,, ,
every level
every bedroom I
outside every bedroom
inter connected /
Bathroom fans i/
Plumbing fixtures I
Foundation insulation I ✓/
3/4 hour fire door/door closer I
Garage fireproofing /'
Garage penetrations sealed ` �/
Furnace in separate room protected(in garage) J
Light ventilation per r om
Safety glazing 18"or 'from floor
Final Electrical it (A LE(
Site Plan/Variance required i
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)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAPZ
CSN/L
Permit No. Cert. Q 7 5 Cut in Card No
Owner 1.6 /U P P. 1� 2 li635)
•Location c- S a922B1 V
Installation Consisting of..1D...dr&s.�/�} ` gec ` Mae(
i 7 4i -
Installed By LI..../174'6 vt/9 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 promptly made for inspection.
' Inspectors of this Company shall have the privilege of maki spections at any time, and if its
rules are violated,the Company shall have the right t re ke t ' fica .
Date.J/zU—Q 1 INSPECTOR
Memher N_RP.A._I.A.E.I.
P1111111r' ' -
GENERAL INSPECTION REPORT •--0 * ° ,,'-'--
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road r
Queensbury, NY 12804 Arrive am/pm Depart`. p n
Inspector's Initials
NAME: 14 K L PERMIT# 01 — "!r'`-e-
LOCATION: �i-t Cgi< • DATE : A., U (�
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form - _ •
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place .
Fou ndation/Dampprool i ng
Backfill Approval
Plumbing Under Slab /
Plumbing Vent/Vents in Place f
h Plumbing
n;R6I1gIi�Iiln , / .
,
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
Fi Separation 1, 2, 3, hour
• P nctration Scaled /
ire Wall 2, 3, 4 hour/.
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GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road L.
Queensbury,NY 12804 Arrive am/pm Depart— mlpm
Inspector's Initials �� -�
NAME: % eD\- 0 / 52 PERMIT# �LJ
LOCATION: a L rat 1 -) DA11, : / (? —9 -,_a_p)
TYPE OF STRUCTURE: C)C>
RECHECK
c>11..A YES NO COMMENTS
Footings/Piers `N.j
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing \
for 48 hours following the placement
of the concrete.
\
Materials for this purpose on site \.
Foundation/Wallpour
Reinforcement in Place N
2\
Foundation/Dampproofing
Backfill Approval
Plumbi Under Slab
- l' ing Ven Vents in Place
`Rfau:i'Writhing ,
-0 1 Ong Rona n 7 — , o/ C1-606—
,r .-116sulation .tb
_ Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling �//'-
R- 4 V!
Duct work or piping in
unheated spaces R-
oper nt,Tp is Vent
' FF�-. ott5% CO 1vs//,/
Jack Studs/Headers `
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
ire Wall_2,3 4 hour1 it ppang colNA PC&• T l (9, . 172- A-
GENERAL INSPECTION REPORT ✓^
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Roadrk,
Queensbury,NY 12804 Arrive am/pm Depart
fp
Inspector's Initials ((��
NAME: 1A6--A-0.. y PERMIT# j f 5WO
LOCATION: 5 h 4-LLo tzs C 2&c/ Poi DATE : /a f i-1/o l
TYPE OF STRUCTURE:
RECHECK
N/A YES-NO COMMENTS
Footings/Piers '-----1: I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl: for
providing protection from :ezing
for 48 hours following the p1. -me
of the concrete.I
Materials for this iurpose on si
Foundation/Wallpo,
Reinforcement in Plac-
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab _
P bin Ve f/yts n>Place
u g ✓ ACC VG—r6T KR
°u' eating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R-
Ceiling /
R-
Duct work or piping in
nheated spaces Vent°:At R-
r tiVent C X
- c-
'-� 1NSTPrU-- I_A-(.0S 6l5
41
Ong
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Seal /
2,-3,�4 0,
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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 I 1 •, pm
r 1 C- i C 1 Inspector's Initials
1 //
NAME: ����'�_ �•��1 PERMIT# 02�I -S( l_(J
LOCATION: �j\C1c,,, `, R Q. C , ) DATE : /0 -n/-0/
TYPE OF STRUCTURE: f 4 '1 t`r�
RECHECK `
N/A YES NO COMMENTS
Footings/Piers !
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection fr.m freezing
for 48 hours followin_ th,- placement
of the concrete.
Materials for this purpos. on ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin, _ .� n
Bacldill Approval pl�-.- 0\6- , I b,1 ,U oa,
Plumbing Under Slab �Oiv l C
Plumbing Vent/Vents in Pl.ce A �� TL pcA.--c-(7/--›
Rough Mu bung (fly �`
--Heating Rough-In
Insulation
Foundation W. . terior R-
Foundation Walls Exterio R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
Bated spaces R- /
Prope ent,Attic Vent f J//
J k Stads/Headers j
Bracing/Bridging
Jois ngers r
J osts/_Main Beam V /
Vill InfiltratiorilBa pier ✓✓
Fire Separation 1,2,3,hour
P netration Sealed
ire Wall 2, 3,4 hour ,9 & (fir/a�S
4 Firest9ypn , !<<-�
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OCT 17 4 1 i ..
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�-Q L Ki "c'� Zoning Administrator Q
TOWN OF QUEENSBURY ,.`
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