CC-000334-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
0-1w Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-000334-2015 Date Issued: Tuesday, November 24, 2015
This is to certify that work requested to be done as shown by Permit Number CC-000334-2015
has been completed.
Tax Map Number: 308.16-2-2.2 eqrLk
Location: 27 CAREY RD 10
Owner: Signworks Sign Corp.
Applicant: Signworks Sign Corp.
This structure may be occupied as a: Comm.Unheated 3840 s.f.
3-sided truck shelter By Order of Town Board
TOWNOFQUEEENNSBU/JRY
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 Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
OL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000334-2015 20 N9 — Z i
Tax Map No: 308.16-2-2.2 REVISED
Permission is hereby granted to: Signworks Sign Corp.
For property located at: 27 CAREY 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
Owner Name: Signworks Sign Corp. Factory-Industrial-New $88,000.00
Owner Address: 27 CAREY RD Total Value $88,000.00
Queensbury,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
Jim Minnick
Plans&Specifications
Comm.Unheated 3840 s.f.
3-sided truck shelter
PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 12,2015
(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 of n' '
j
}yedne d y, r 12,2014
SIGNED BY: / for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATI11ONOffice Use Only
DATE �G l(0>2l
U) Received
C7 q y Tax Map ID
TAX MAP ID lidPermit No.
Permit Fee gq
ZONING Rec Fee
Site Plan# b
HISTORIC SITE qI_—Yes _No ) J Subdivision #
SUBDIVISIONNAME IVOrgq ej-t,
TOWN BD.RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLDCEc-
OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED &
MODULAR HOMES,BUT
'N-O_T MOBILE/HOMES. THIS IS IN ADDITION/TOO THE PERMIT FEE.
APPLICANT Knt�'� O �/S 1 ��s OWNER
ADDRESS 27 CaRBy 41)• ADDRESS
�
j I n
PHONE/E-MAIL 7(/� v / 00 PHONE/E-MAIL VQ12ONi til T
CONTRACTOR 6-FT — J_k6l lM fAIAIIC/C COST OF CONSTRUCTION(ESTIMATED): $ ODo
ADDRESS: ABUILDING ADDRESS: 27 C42± /�/✓
PHONE/E-MAIL
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE' PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1s'floor sq,ft. V floor sq.ft. Total sq,fl. Height
Single Family
Two-Family
Multi-Family
(# of units_)
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial g
Attached Garage
(# of )
Other
i
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business 5'16:VAW,'Z*_ 0V1 Q
Proposed use of building or addition miele (5-a
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances& �O -
Chimneys
Are there structures not shown on plot plan? AJ O
Are there easements on the property?
Site Information
a. Dimensions or acreage of lot /.7 4(f/ZE?,S
b_ Is this a corner lot? N p
c. Will the grade be changed as a result of construction X Yes No
d. Public water or Private well 14 V " L
e. Sewer or Private Septic System SEPTIC
Value of all work to be performed (labor or materials) $4> 00
DECLARATION-
1.
ECLARATION: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. 1 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. 1 acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy.
5. 1 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.
1 have read and agree to the above: PRINT NAME: 26622 �A DATE fid—
SIGNATURE: DATE /D—/S/
FOR OFFlCE 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
i - 3
Foundation Inspection Report
Office No.(518) 761-8256 Date InspectionrequeeQueensbury Building&Code Enforcement Arrive: rt: o742 Bay Rd.,Queensbury,NY 12804 Inspector's I1mtiNAME: A LOCATION: 1
TYPE OF STRUCTURE:
Comments
YN N/A
Footings
Piers
onolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
1J110mbfor wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection r est re 1 S
Queensbury Building&Code Enforcement Arrive: epart: am/
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial .
NAME: ERMIT#: 52-I
LOCATION: INSPECT ON: 1 rJ
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request
Queensbury Building&Code Enforcement Arrive: yam/ Depart: 7Gc�ant/ m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: S0 LAD p g ERMIT#: y 5v7
LOCATION: ') l: cq-r P—!. INSPECT ON:
TYPE OF STRUCTURE: ltrv,
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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 V34\\— A>�%crr—
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection reques cel ive'd:
Queensbury Building&Code Enforcement Arrive: =C��a part: �� pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial • —
NAME: To 0. ► fJ D ERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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. V, L3'UPINEMIR
n�Vallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under stab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
Foundation Inspection Report l
Office No. (518) 761-8256 Date Ins ectio nest e'
Queensbury Building&Code Enforcement Arrive: Depart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi
NAME: S ' PERMIT#: b d
LOCATION: A C'&L r a 14 Aj INSPECT ON: a-A 3!1
TYPE OF STRUCTURE:
Comments
Y N N/A
Piers
Monolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
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