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TOWN OF QUEENSBURY
`it 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150177 Application Number: A20150177
Tax Map No: 523400-301-018-0001-018-000-0000
Permission is hereby granted to: CYNTHIA LEGAULT
For property located at: 724 SHERMAN Ave
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: CYNTHIA LEGAULT
C. CRISPIN MURRAY Above Ground Pool
724 SHERMAN Ave Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2015-177
above-ground pool
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, May 22,2016
(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 n o uee u , ,, ay 22, 2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
• Office Use Only
Town of Queensbury Building & Codes
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction Permit No.: 2.O ' "191
Permit Fee: $ 40
Site PlanNariance No.:
1. Date: 5.110f11
2. Tax Map ID: 30i. / 4'" I- /e diL' CE [1 "\WE '
3. Pool Location Address: 2z/ 5-#7i/EW L .4-c) .
1. MAY 192015
4. Zoning Classification:
TOWN OF QUEENSBURY
5. Site Plan Review,Variance or Subdivision Approvals(list) BUILDING &. COD
6. Property Owner: �/✓�f / L, /S�� Phone: 79.3 /031
Mailing Address: /'h e/fe/1&l )
City: 729 spiz-w N 'N„9'ee
7. Contractor's Name: f��t�� s�/� �z�c���i�si�ttrt', ihone: 93.(-- 7742
Mailing Address: J 7/ rll Ade::
City: 202 el
8. Contact Person for Building&Code Compliance: Phone
ABOVE GROUND OR INGROUND? Of c— nee
SIZE OF POOL: r
MANUFACTURER: f'rind-1'4 C
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel/Vinyl Fiberglass Gunite Poured Concrete Other
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. 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 I have read the application & plot plan requirements and I or my agents will obtain a certificate of occupancy before use
of the pool.
Print Name: 71 (1 G A/ NLS/,!
Signature: `��� ��Wlii Date
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No.20 — Cert. N2 28736
Cut-in Card No.
Owner C t /n U !` t'
Location....7.t.3Y S..hit- 14-0..] S.. i.tete.7
Installation Consisting of..Porp f Kr'1.C- MdfoeivelP
Installed By /9... ../9-7--E-3 Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making i spections at any time, and if its
rules are violated,the Companyanshall have the right to r v this cAl:cate.
Date 7-Z..O els„? INSPECTOR. of)//01.10),
Member N.F.P.A.,I.A.E.I.
----------------
314-6,em4 ,9f
TOWN OF QUEENSBURIS"
BUILDING & COD S S . PT,
Reviewed B : .414,36
Date: On v
6' A 7-4 , ,
• ...___ •--;11 0
PERMIT P_LOTTLAN
I HAVE PERSONALLY EASURED THE DISTANCE
FROM THE P'' ERTY LINES TO THE ;� 1197
PRO'?:' 11 , ,UCTRE(S)GR N(S M c'41,-,
i 4..44, lc
,` SI A 's0ATE
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APP -o LEC [E0 ILE
. .•,.
VieSAY 19 2015
iii*!., 1 TOWN OF QUEENSBURY
I - BUILDING& CODES
_ ! -cJ
N.
7.,)1,13 Administrator 4
TOWN OF QUEENSBURY
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