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AST-000793-2017 TOWN O QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 C RTIFICAT OFCOMP 1ANC Permit Number: AST-000793-2017 Date Issued: Tuesday, May 21, 2019 This is to certify that work requested to be done as shown by Permit Number AST-000793-2017 has been completed. Tax Map Number: 302.7-1-37 Location: 40 NORTH RD Owner: KRIS ROGLIERI Applicant: Joe Johnson This structure may be occupied as a: Pergola 1,000 sq. ft. Cross Ref. Area Variance Z-AV-17-2018 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. /` t TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: AST-000793-2017 Tax Map No: 302.7-1-37 Permission is hereby granted to: Joe Johnson For property located at: 40 NORTH 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: KRIS ROGLIERI Pavilion $25,000.00 Owner Address: 40 North RD Total Value $25,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Johnson Electrical and Contracting LLC 28 Haughney RD Troy,NY 12831 Plans&Specifications Pergola 1,000 sq.ft. Cross Ref. Area Variance Z-AV-17-2018 $ 40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, May 1, 2019 (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 t e expiration a at-,.) Dated at the To of Que bury T.e.• <%; ay 1, 2018 SIGNED BY: Y for the Town of Queensbury. Director of Building&Code Enforcement Office Use Orliy i'SR43A ACCESSOrif STRUCTURE Permit tt: ( 7 q 3-.)-0 I 7 fruEngliiirr ACMPURC,AlION Permit Fee:$ Town or Cbeensbury Y612 lay Road, sueensbury, :0_804 invoice tt: 15P-5 P:51'4-761-8256 'ilMili,f.ClUeeDSbUnf.41e Project Location: (ie.) 114)1141-1, Tam Map OD #: 3a).7-(-37 Subdivision Name: CONTACT INFOlUlATI*N: e Applicant Name(s): _10-C itviSck"- Mailing Address, C/S/Z: friv-u4t,iej Cell Phone: ( ) 747?-1- Land Line: ( ) Email: .)4v)504 6,141(40h'0j a 1a.00, • Primary Owner(s): Name(s): Kn Rpa leer/ Mailing Address, C/S/Z: ttd / o, <kA g-9 0 ue8, bc NV 1 a'rejti Cell Phone: ( c-tr ) T6-2 -61133 Land Line: ( ) • Contractor(s): Business Name: 1-6 IN/151 ‹ki--1-4.4. &Lc Contact Name(s): 3-4,6 70140-sch.,, Mailing Address, C/S/Z.: Mu 1,44-€ 7-ke,4.6 Cell Phone: (5' ) d-3 d-S)-- Land Line: ( ) Email: TV1,4,6e),-. cm"fca.chd Ves409 c<APk. • Architect(s)/Engineer(s): Business Name: Hotkexa /365/11-, Contact Name(s): Mailing Address, C/S/Z: C-Om fit-9-4X &irk I-hAA, i/VY ig-rg / Cell Phone: ( 6-6( ) C,31(a.--9 Land Line: ( ) Email: Contact Person for Building & Code Compliance: "C `--101^elo-d,1 Cell Phone: ( 61r' ) Land Line: ( ) Email: Town of Queensbury Bui'ding&Code Enforcement Accessory Structure Application Revised April 2017 rt/Pirc: Commercial 2 ---Residential WORK CLASS: Deck, Open Porch _Solar Panels(w/o rafter upgrades) Carport Cell Tower Shed APavilion, Pole Barn Canopy Dock _ Sazebo t 7-5a�� Detached Garage Boathouse(with or w/o sundeck.) 3-Season Porch Other(description: SQUAM E FOOTAGE OF STRUCTURE: 1st floor: 1/600 2nd floor: Total square feet: I, OO'u ADDITI'*-NAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$ c/ )O3 If Commercial project,what is the proposed use: 3. Are there any structures not shown on the plot plan? YES NO ='Explain: 4. Are there any easements on the property? YES NO DECLARATION: 1. I acknowledge that no construction shall be commenced prior issuance of a valid permit and will be completed within a 1,2 month period. 2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. I certify that the application, plans and supporting materials are a true and complete statement and/or description of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. 4. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy, 5. 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: PRINT NAME: Lu /) SIGNATURE: DATE: IA AV'all-7 Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 INSPECTION WORKSHEET (002445-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:AST-000793-2017 Case Module:Permit Inspection Date:Fri May 3, 2019 Inspection Status:Failed Inspector:John O'Brien Inspection Type:Accessory Structure Final Job Address:Parcel Number:40 NORTH RD Queensbury, NY 12804 302.7-1-37 Contact Type Company Name Name Granted Permission Johnson, Joe Contractor Johnson Electrical and Contracting LLC Primary Owner ROGLIERI, KRIS Applicant Johnson, Joe Checklist Item Passed Comments Building Inspector Notes NO 5/3/19 Final Inspection Partial Approval - Pergola - Verify Final Electrical Inspection for Pergola - Site Plan Inspection Site Plan / Variance required NO Okay To Issue CC NO 5/3/19 Final Inspection Partial Approval - Pergola - Verify Final Electrical Inspection for Pergola - Site Plan Inspection May 03, 2019 Page (1) O'Brien, John (Inspector) INSPECTION WORKSHEET (002450-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:AST-000793-2017 Case Module:Permit Inspection Date:Mon May 20, 2019 Inspection Status:Passed Inspector:John O'Brien Inspection Type:Accessory Structure Final Job Address:Parcel Number:40 NORTH RD Queensbury, NY 12804 302.7-1-37 Contact Type Company Name Name Granted Permission Johnson, Joe Applicant Johnson, Joe Primary Owner ROGLIERI, KRIS Contractor Johnson Electrical and Contracting LLC Checklist Item Passed Comments Building Inspector Notes YES 5/3/19 Final Inspection Partial Approval - Pergola - Verify Final Electrical Inspection for Pergola - Site Plan Inspection Okay To Issue CC YES 5/3/19 Final Inspection Partial Approval - Pergola - Verify Final Electrical Inspection for Pergola - Site Plan Inspection 5/20/19 Final Inspection Approved - Ok to issue CC! May 20, 2019 Page (1) O'Brien, John (Inspector) INSPECTION WORKSHEET (002362-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:AST-000793-2017 Case Module:Permit Inspection Date:Fri May 3, 2019 Inspection Status:Failed Inspector:John O'Brien Inspection Type:Accessory Structure Final Job Address:Parcel Number:40 NORTH RD Queensbury, NY 12804 302.7-1-37 Contact Type Company Name Name Contractor Johnson Electrical and Contracting LLC Primary Owner ROGLIERI, KRIS Granted Permission Johnson, Joe Applicant Johnson, Joe Checklist Item Passed Comments Building Inspector Notes NO 5/3/19 Final Inspection Not Approved Remaining Items: - Verify Foundation is 48" below grade. - Verify Septic System Holding Tank is functioning properly. Site Plan / Variance required NO Okay To Issue CC NO 5/3/19 Final Inspection Not Approved Remaining Items: - Verify Foundation is 48" below grade. - Verify Septic System Holding Tank is functioning properly. May 03, 2019 Page (1) O'Brien, John (Inspector)