AST-0752-2018 �^ TOWN OF QUEENSBURY
� 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
--__ Community Development - Building & Codes (518) 761-8256
CERTIFICATE OFCOMP 1ANCE
Permit Number: AST-0752-2018 Date Issued: Monday, May 20, 2019
This is to certify that work requested to be done as shown by Permit Number AST-0752-2018
has been completed.
Tax Map Number: 302.7-1-37
Location: 40 NORTH RD
Owner: KRIS ROGLIERI
Applicant: KRIS ROGLIERI
This structure may be occupied as a: Stone Gazebo 144 sq. ft.
Cross Ref. Z-AV-49-2018 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.
TOWN OF QUEENSBURY
`�' 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
wy
Community Development - Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: AST-0752-2018
Tax Map No: 302.7-1-37
Permission is hereby granted to: KRIS ROGLIERI
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 Gazebo $10,000.00
Owner Address: 40 North RD Total Value $10,000.00
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
Stone Gazebo 144 sq. ft.
Cross Ref.Z-AV-49-2018
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,December 6, 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 the expiration date.)
Dated at the Town sbury; 4 Th-r.d.,/ '= mber 6, 2018
i
SIGNED BY: ' \ for the Town of Queensbury.
Director of Building&Code Enforcement
302.7-1-37 AST 752-2018
Kris Roglieri
40 North Road
Stone Gazebo 144 sq. ff.
ACCESSORY STRUCTURE
PERMIT APPLICATION Permit Fee: $ 7 S� 00
Tsvuof Qtee, -: 1 �(
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.uueensbury.net
Project Location: 40 North Road
Tax Map ID#: 302.7-1-37 Subdivision Name: 1�1 1/
CONTACT INFORMATION: NOV 2 9 2018 �`�
• Applicant: COMM TOWN OF QUEENSBUR�
Name(s): Kris Roglieri UNI1 y DEV •
Mailing Address, C/S/Z: 40 North Road, Queensbury NY 12804
Cell Phone: ( 518 )852 9933 Land Line: (
Email: kris@primecommerciallending.com
• Primary Owner(s):
Name(s): same as applicant
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( )
Email:
• Contractor(s):
Business Name: Johnson Electrical and Contracting,LLC
Contact Name(s): Joe Johnson v2 1 u-�C gel7,IL' 1a 3%
Mailing Address, C/S/Z:
Cell Phone: ( 518- )423-7628 Land Line: (__. )
Email: Johnson Contracting<johnsoncontracting@yahoo.com>
• Architect(s)/Engineer(s):
Business Name: n/a
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( • )
Email:
Contact Person for Building& Code Compliance: Joe Johnson
Cell Phone: ( 518 ) 423-7628 Land Line: ( )
Email: Johnson Contracting<johnsoncontracting@yahoo.com>
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
PROJECT INFORMATION:
TYPE: Commercial x Residential
WORK CLASS:
Deck,Open Porch _Solar Panels(w/o rafter upgrades) Carport Cell Tower
Shed —Pavilion,Pole Barn,Canopy _Dock x Gazebo
_Detached Garage __..Boathouse(with or w/o sundeck) 3-Season Porch
_Other(description: . . ?
SQUARE FOOTAGE OF STRUCTURE;
1st floor:
2nd floor:
Total square feet: 144.... .
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ 10,000
2. if Commercial project,what is the proposed use:
3. Are there any structures not shown on the plot plan? YES NO Explain:, no
4. Are there any easements on the property? YES NO
pECL.ARATION:
I. I acknowledge that no construction shall be commenced prior to Issuance of a valid permit and will be
completed within a 12 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-buiitsurvey 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: Kris Roglierl �T^
SIGNATURE: rf —.-� _� _ �'
DATE: 11/28/18
Town of Queenshury Building&Code Enforcement Accessory Structure Application Revised April 2017
• FILE COPY
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INSPECTION WORKSHEET (002449-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:AST-0752-2018 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
Applicant ROGLIERI, KRIS
Primary Owner ROGLIERI, KRIS
Granted Permission ROGLIERI, KRIS
Contractor Johnson Electrical and Contracting LLC
Checklist Item Passed Comments
Building Inspector Notes YES 5/3/19 Final Inspection Partial Approval
- Site Plan Inspection
Site Plan / Variance required YES 5/3/19 Final Inspection Partial Approval
- Site Plan Inspection
Okay To Issue CC YES 5/3/19 Final Inspection Partial Approval
- Site Plan Inspection
5/20/19 Final Inspection Approved - Ok to issue CC!
May 20, 2019 Page (1)
O'Brien, John (Inspector)
INSPECTION WORKSHEET (002363-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:AST-0752-2018 Case Module:Permit
Inspection Date:Fri May 3, 2019 Inspection Status:Partial Pass
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
Applicant ROGLIERI, KRIS
Granted Permission ROGLIERI, KRIS
Checklist Item Passed Comments
Building Inspector Notes YES 5/3/19 Final Inspection Partial Approval
- Site Plan Inspection
Site Plan / Variance required NO 5/3/19 Final Inspection Partial Approval
- Site Plan Inspection
Okay To Issue CC NO 5/3/19 Final Inspection Partial Approval
- Site Plan Inspection
May 03, 2019 Page (1)
O'Brien, John (Inspector)