2015-146 TOWN OF QUEENSBURY
woo 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150146 Date Issued: Monday, June 15, 2015
This is to certify that work requested to be done as shown by Permit Number P20150146
has been completed.
Tax Map Number: 523400-289-012-0001-007-019-0000
Location: 25 BERRY PATCH Dr
Owner: PATRICK & CYNTHIA HURLEY
Applicant: PATRICK & CYNTHIA HURLEY
This structure may be occupied as a:
Above Ground Pool
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the 4
property owner of the responsibility for compliance with Site Plan, (Da.P
45t
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
Foto 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20150146 Application Number: A20150146
Tax Map No: 523400-289-012-0001-007-019-0000
Permission is hereby granted to: PATRICK& CYNTHIA HURLEY
For property located at: 25 BERRY PATCH Dr
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: PATRICK& CYNTHIA HURLEY Above Ground Pool
25 BERRY PATCH Dr Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-146
above-ground pool
pre-existing pool for 15 years, notified by assessor's office
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 13,2016
(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 da .)
Dated at the T n of eennyi nesday, May 13, 2015
SIGNED BY 7� for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction Permit No.: /2O 5 l�\P
Permit Fee: $ Ib
ISite PlanNariance No.:
1. Date: 43) ' )S
2. Tax Map ID:
FQEC_ En 1/ kin-)
3. Pool Location Address: �.�Lt t—'n
1A D ,
�� (�. J rEEe8 2015 ig
4. Zoning Classification: TOWN OF-OUEEaSBURY
BUILDI;`! `;ODES
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: J i f ` C i)r i f'l `—LLV` - Phone: -7eit C Z3
Mailing Address: I
City: V\--vt 2nSD 4
7. Contractor's Name: S.Q l Phone:
Mailing Address:
City:
8. Contact Person for Building&Code Compliance: Phone
ABOVE-GROUND OR INGROUND?
SIZE OF POOL: d R S 2—
MANUFACTURER:
MANUFACTURER: Sa. S tZL�
MATERIALS USED` IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl 7� 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. 1 ` I
Print Name: 1�J . \AW
/ zez
Signature: _`►L► Date 5 J
itle
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
BUILDING DEPARTMENT
a on ouJIMIjeo
with our conts shall not be c
mmeonstruent as
MAP REFERENCE: indicating the plans ands fixations in
full compitance with Ute wilding Codes
of
FINAL SUBDIVISION PLAN New York State.
PHASE 2
DATED: JULY 26, 1999
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
TOWN OF QUEENSBURY
BUILDING & CODES UPT..
Reviewed
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Date:
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Land Surveyors, LLC
169 Haviland Road Queensbury, New York 128
518) 792-8474 New York Lie. No. 50135
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Please assure you-arejor, e
Pool Enclosure requ4ements�uc.c+ .: to
Your pool. We will be happy to ex�;lain
what Requirements you will have to
meet per Appendix G Of the
New York State Residenti,f rode,
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LOT 14
CERRONE BUILDERS
Town of Queensbury, Warren County, New York
LOT 13
52,175 sq. ft.
1.19 acres
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1.96-1"
DESCRIPTION
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