95-373 r ,
- --
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
August 23 95
This is to certify that work requested to be done as shown by Permit No. 95373
has been completed.
This.ystructure may be used as a .E_EuLACING PIERS UNDER CANE'
Location CLE;VEIUf,L„ tall .
Owner COOJL1 Y , sd ti,LIA14
By Order of Town Board .
TAX tHA! No , ' ._- . - -- t ', TOWN OF QUEENSBU Y
Director of Building. &i=Code Enforcement
*..... .. .__ .. - . - _ .
•
BUILDING PERMIT
VALUE $ 16275 TOWN OF QUEENSBURY No. 95373
TAX HAP NO. 13. -2-15
WARREN COUNTY, NEW YORK
COOLEY, WILLIAM
PERMISSION is hereby granted to
CLEVERDALE RD.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
REPLACING PIERS UNDER CAMP
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
CLEVERDALE RD
CLEVERDALE, NY
2. CONTRACTOR or BUILDER'S Name
COOLEY. WILLIAM
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ALTERATIONS
( )Wood Frame ( ) Masonry ( )Steel 1 )
7. PLANS and Specifications
REPLACING- PIERS UNDER CAMP AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
REPLACING PIERS UNDER CAMP
$ 44 7
PERMIT FEE PAID —THIS PERMIT EXPIRES August 22 ��
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 2 � Day of August 19 95
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
Hunt of Community Development Reviewed By: .jc_____ `f arc
.,aing & Code Enforcement. (�B�;l ;n Ins e r
Town of Queensbury E.,0 Permit No. �" 1 `�
742 Bay Road �/" � $ /. C9 c�
Queensbury, New York 12804 Fee Paid $ I- r-
(518) 745-4447 Building Permit Application
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
// /�/� // (Inci
Applicant: _�C 1L/i�'m Cc44 y Owner:�Gl���l�
�� LScow ////l � e-A-/6
��f • Address: 0 leINA(0 I' ,ip R�Address: (ADLp
e,okuumAi,OQ,
Phone # ( ) 7T 7 - le 7f Phone # ( � V
Property Location: /3 i 2 1 /,j
Tax Map Number _
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ /4 019 .0
residence / commercial
Addition to Building: -
residence / commercial OCCUPANCY INFORMATION:
(\ Altera ' - - _ Building: Primary Building -
sidence / commercial Single Family Dw •
9 Resid- n - '•mmercial Two Family Dwell nRECEIVED
no change to exterior size Family Dwe ling
Office JUN -3 01995
Other Work (describe below) Mercantile
Manufacturing TOWN OE QUEENSBURY
Other ()I
BUILDG AND CODE
GROSS AREA OF PROPOSED STRUCTURE: 01(
sq. ft . If AD ITION, what will use
1st Floor
/N S of new addition be? :
2nd .Floor sq. ft .
Other Floors - - ---- -sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1 , 2 car
TOTAL FLOOR AREA: j 7r SQ. FT. Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
f Other
c2 J FEET X 5/,/ FEET
Foundation Type: Will any second-hand or ungraded
Number of Stories : //z lumber be used? If so, for what?
(habitable space only) /
/
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: _ ctric / 1° / Gas / Wood
Forced Hot Ai ' / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
_ es,s Phone
Builder: �i(/, /a cme 7��7 Ad , 7 ei
Plumber: _ /f
Mason:
Electrician:
DECLARATION
To the best of my knowledge the statements-"-contained- in this appli-
cation, 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 I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing act al location of pr ject on premises .
Signature: AI „‘-A
(owner, owner' s agen itect, contractor)
410016. TOWN OF QUEENSBURY
..ET�i� BUILDING & CODE ENFORCEMENT
7 � 742 BAY ROAD
/"� QUEENSBURY NY 12804
(518)745-4447
ARRIVE: f� A
- fO DEPART: PB' t 5 INSP: �/�
FINAL INSPECTION REPORT - RESIDE TIALI
DATE INSPECTIONSPI REQUEST RECEIVED: '- [ 7�'_
NAME e-CIO�uu���r !/. 1 L I-I/ ,
LOCATION vV&II9 C4..
DATE ,A 7,, PERMITIT N �,f,�'779
TYPE OF STRUCTURE /1-T_ 0 4 ti J
FOOTINGS FOUNDATION BAC14FILL FRAMING
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL _ WOODSTOVEI
OR FIREPLACE
N/, YES NO
CHIMNEY HEIGI4T/B VENT/HEIGHT
PLUMBING VENT ' f
7
ROOFING
EXTERIOR FINISH /
DECK PORCH STEPS RA LINGS /
RELIEF VALVES
FURNACE/HOT WATER OPE, .TIN'
INTERIOR TRIM/PRIVACY .00'S 7
FINISH FLOORS: //
BATH/KITCHEN WATERTIGH ,,
OTHER FLOORS SWEEPABL: \
t
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILI S i
SMOKE DETECTORS //
BATHROOM FANS /PLLUU BING FIXTURES \ ( //
_
"FOUNDATION 1-1441" ei
GARAGE FIRE PROOFING /
DOOR CLOSERS /
FINAL ELECTRICAL r
SITE PLAN/VARIANCE REQ. 1:///
FINAL SURVEY PLOT P
OK TO ISSUE C/O OR /C y
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 y
INSPECTOR'S REPORT: ARRa EPAR7 (%1INT J
REQUEST F INSPECTIION RECEIVED:�i �7 j/
NAME evi.6% ore4
41
LOCATION Ce.-6�,/,[E.4i(1l`I ,af '��373
DATE 87 37� PERMIT # �V 9rif
TYPE OF STRUCTURE: 47 i z> e)--
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FARM
REINFORCEMENT IN PLACE
{
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TIO1 FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE\
MATERIALS FOR THIS PU'POSE ON SITE
_
FOUNDATION/WALLPOUR
3
REINFORCEMENT IN PLACE
N
F UNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLAC
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS[HEADERS
_ BRACING/BRIDGING
JOIST HANGERS i -
JACK POSTS/MAIN BEAM 1
i
AIR INFILTRATION BARRIER „
HEATING ROUGH-IN t
i
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- -
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
42'5 AL
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURRYYNYNY 12804 /-'
INSPECTOR'S REPORT: ARRV"/+./DEPART MINT
REQUEST FOR INSPECTION RECEIVED: :
NAME .,V\)t *�V�
LOCATION ,,>k()C !J' 37-5
DATE R c-;)-;. LS- PERMIT #
TYPE OF STRUCTURE: tioe_.$ ) criv,
RECHECK Gl A C' C1 YS APPROVED
42,y N A Yu NO
FOOTINGS PIERS
MONOLITHIC POUR FORM]
REINFORCEMENT IN PLA E
THE CONTRACTOR IS REAPONSIBL FOR
PROVIDING PROTE TION FROM F EZING
FOR 48 HOURS FOLLOWING THE CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURtOSE IN SITE
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE "
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL \j
t
PLUMBING VENT/VENTS IN P ` Ct
ROUGH PLUMBING
PLUMBING UNDER SLAB \
FRAMING:
JACK STUDS/HEAD S
BRACING/BRIDGIN
JOIST HANGERS
JACK POSTS MAI BEAM ‘
AIR INFILTRATION BARRIER
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-
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Page No. I of I Pages
p 11VILUAIA A. COOLEY f ,��er
rt t
. (7 -c/6 7? •
PROPOSAL SUBMITTED TO: DESCRIPTION OF JOB:
/*/%1a a 7eAJo�d Job C le ve,c - /e_
•
�[ Addre
p4t cie/2 //41 / /t,7o,- 1:2,,A,e_ . /e r'erda /e /ea.
C �, ` ,\ City /(e 6 e... S ec t/ 7
--` Phone Date
• —27-2.
�'
1;1;E ere 7.1,$tilantif specifications and estimates for__. 4 ._ '.7:. e_u /'// /1aet
__,._
/Pe/iv c i.t. . C,c.4 .!'. C.as'7L__e'K7� _ _ift4'.'f!__aS_.._:. I�
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a v e ,/ar it . ... !-Si. / ... . cam"n
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_tf/_ _.._.bra_._., '- , ems c.e./__. re-'!!IGC.y._ C'` :+ •c + /1il? '
_ 4
i‘,— 127� .._.__ _ . _._ ___-_.__- .__. __ __ _____A__ !-r\ 4..'fir'-"
IN e terebg Propose t. and materials complete in accordance with the above s ifications,.for the r
sum of , il; " 'I 1.--. 1*! . --- — -isi...ri. _ _ , J
to be made as follows. `�/6, c 'With
payment j
All material is guaranteed to be as specified. Aft work is to be completed in a workman- AuthoriZed�% V,/. , a
like manner according to standard practices. Any alteration or deviation from above Signature F
specifications involving extra costs will be executed only upon written orders, and will
become an extra charge over and above the estimate. All agreements contingent upon Note: This proposal may be with-
strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other �"
necessary insurance. Our workers are fully covered by workmen's compensation insurance. dawn by us if not accepted within days,
creptantre of Proposal—Theabove prices, specifi-
cations and conditions are satisfactory and are hereby ac-
cepted. You are authorized to do the work as specified. Pay- Signature
ment will be made as outlined above.
Date Accepted Signature
pord.r horn 8pf.113 0 Wh..1.r Group Inc.1982