2007-299 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070299 Application Number. A20070299
Tax Map No: 523400-302-014-0001-017-000-0000
Permission is hereby granted to: CLARK C WOOLEY III
For property located at: 15 PERSHING 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: CLARK C WOOLEY III
15 PERSHING Rd Septic Alteration Residential
QUEENSBURY,NY 12804 Total Value
Contractor or Builders Name/Address Electrical Inspection Agency
SANITARY SEWER
DAN DRELLOS
PO BOX 224
GLENS FALLS NY
Plans &Specifications
2007-299
SEPTIC ALTERATION RESIDENTIAL
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, May 23, 2008
(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 To ! of ;:b 4ray, May 23, 2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20070299 Date Issued: Wednesday, January 09, 2008
This is to certify that work requested to be done as shown by Permit Number P20070299
has been completed.
Tax Map Number. 523400-302-014-0001-017-000-0000
Location: 15 PERSHING Rd
Ow11er CLARK C WOOLEY III
Applicant: CLARK C WOOLEY III
This structure maybe occupied as a:
Septic Alteration Residential
By Order of Town Bowl
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the )JW
property owner of the responsibility for compliance with Site Plan, 4 -
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.