2015-413 / TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150413-42293 Date Issued: Wednesday,January 11,2017
This is to certify that work requested to be done as shown by Permit Number P20150413-42293
has been completed.
Tax Map Number: 308.19-1-42
Location: 31 PINELLO RD
Owner: Richard Pashby
Applicant: Richard Pashby
This structure may be occupied as a: Bilco Door
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance 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 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150413 Application Number: A20150413
Tax Map No: 523400-308-019-0001-042-000-0000
Permission is hereby granted to: RICHARD PASHBY
For property located at: 31 PINELLO 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: RICHARD PASHBY Residential Alteration $900.00
31 PINELLO Rd Total Value
QUEENSBURY,NY 12804 $900.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-413
Bilco door
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 14,2016
(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 o ueens ry; o • ay, September 14, 2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
�n
- Received:
PRINCIPAL STRUCT -' iwi Tax Map ID: 3,o -. 11-i —14--a
Permit No.: lot 5 413
A permit must be obtained !Jeff rMe!inning construction Permit Fee: $ 0 o, 0 0
Cl SEPn8 1115
Please read: *TB resolution 86-2013(1-28-20 '1:,0 recreation fee for new dw>ling *Rec Fee: $
units, including single-family dwellings, duplexe or tw i:4. ..... b" .; Wdily I Site Plan No.:
dwellings, apartments, condominiums, townhou.es, +4 uggC@ESdular Subdivision No.:
homes,but not including mobile homes. This is -$4. ',-1-- - .
Date 713/ 13 Applicant ci`C. PGs k iy
Tax Map ID 3oc-. 0-1 -4A-4A Address
Zoning
Peithd
Phone/E-mail
(`CProperty Owner iG�r Contractor/Agent
Address 3 i 'ine Lb R Address
Phone/E-mail '74)--in,geo (4,.vL(A,.� Phone/E-mail
C ,1: 23 — '-3)a
Contact Person for Building &Code Compliance: Day Phone:
Building Street Address:
Subdivision Name: Lot#: Historic Site: Yes No
Estimated cost of construction: $ 1 ao
Type of Construction:
Check all that apply Please indicate measurements as required below:
c =
o c
as 1st Floor 2nd Floor Other Total Height
F a a
* akL o Dor —
Single Family _ r, til
Two-Family
Multi-Family(#of
units_)
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(# )
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business
Proposed use of building or addition
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" Yes No
Are there structures not shown on plot plan?
Are their easements on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction: Yes No
d. Public water or Private well
e. Sewer or Private Septic System
Value of all work to be performed(labor and materials) $
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. 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 and agree to the above.
X);nt Name: 1 C ( d fa% nature: 4� -'
Date:
/ f �
FOR
OFFICE USE ONLY:
Operating Permit Issued: _Yes _No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: b7/3
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 4cm/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: (') PERMIT#: � -/
LOCATION: 3/ /i 'i (`0 / ' INSPECT ON:TYPE OF STRUCTURE: 3 ► C O —
Comments
N N/A
P/1,
n ` (/ e c�(.�v 71 T-0 SC 4
Footings V
Piers a — 22° I `
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
ackfill Approval �}"iCo DaG�
CPlumbing 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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TOWN OF QUEENSBURY
BUILDING DEPARTMENT fiance
Based on our limited examination comp
with our comments shall specifi specifications a can
indicating the plans and sp
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