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BOTH-000234-2015 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: BOTH-000234-2015 Date Issued: Friday, October 30, 2015 This is to certify that work requested to be done as shown by Permit Number BOTH-000234-2015 has been completed. Tax Map Number: 308.18-1-45.12 Location: 41 REVERE RD Owner: Dave Monsour Applicant: Dave Monsour This structure may be occupied as a: Swimming Pool By Order of Town Board TOWN OF QUEENSBUR,gY Issuance of this Certificate of Compliance DOES NOT relieve the /! property owner of the responsibility for compliance with Site Plan, �d 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 Community Development- Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: BOTH-000234-2015 Tax Map No: 308.18-1-45.12 REVISED Vy Permission is hereby granted to: Dave Monsour For property located at: 41 REVERE 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: Dave Monsour Swimming Pool $0.00 Owner Address: 41 Revere RD Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Sprague's Mermaid Pools 300 Broadway Fort Edward,NY 12828 Plans&Specifications Ingmund Swimming Pool PERMIT FEE PAID-TIES PERMIT EXPIRES: Monday,August 1,2016 (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 cxJPJ�Jation/���JJdate') Dated at the Town of ueensb F/ /�flhur gust 6,f,2015 SIGNED BY: y for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 1;4 tAy Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150332 Application Number: A20150332 Tax Map No: 523400-308-018-0001-045-012-0000 Permission is hereby granted to: DAVID MONSOUR For property located at: 41 Revere 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: DAVID MONSOUR Inground Pool 53 PINEWOOD Rd Total Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency SPRAGUES POOLS 294 BROADWAY FORT EDWARD Plans&Specifications 2015-332 Inground pool $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, August 06,2016 (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 To n of ens ;/J ,August 06,2015 SIGNED BY �� 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.: Zot5 Permit Fee: $ 4*-10 Site PlanNariance No.: 1. Date: 7102 ihi- 2. Tax Map ID: '4-/5. LA 3. Pool Location Address: // Zeo e .1/61 4. Zoning Classification: QZ1`►d- At I JuL 8 1015 TOWN OF QUEENSBURY 5. Site Plan Review,Variance or Subdivision Approvals(list) BIM ninlc& CODES 6. Property Owner: 1/1110•1`)e)ii evil"iise^j LU Phone: Z/hl-I71'5 Mailing Address: 5 3 Pi/til a/xd Jed City: (Vi it5r)Lc? Ui'? i?P1,'Y/ 7. Contractor's Name: 103 j4 PA 00()) Phone: 7-O-9J7O Mailing Address: City: + audited i y 8. Contact Person for Building&Code Compliance: L r +CI d)6, V)i cL Phone Lib/-17,3 ABOVE-GROUND OR INGROUND? 7-1/13 r„w.ri SIZE OF POOL: ) , ►( 3 MANUFACTURER: MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY): Steel/Vinyl Fiberglass 474 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: a r` / , Signature: if ri_ Date -71;-7/J Name/-Title Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256 f) 1ç 3,---1 50 ro...--A- • _ BUILDING DEPARTMENT � �` Ba•ed on our limited examination,compliance 140 wit. our comments shall riot be contrued as ind -sting the plans and specification s rare in tall compliance with the Building Codes of _.._._ _____..... . -17(1— Ne York State. .6ir 'W ErCz) \ Loa ' t ---/ Attention Home Owner' 0` __ PoolleaseEnclosure assure you are familiarenspecific sr to THIS P TO BE ON PROJECT Your pool. We will be happy to explain SITE A LL TIMES FOR • _ what Requirements you will have to DURAT OF CONSTRU TION meet per Appendix G Of the New York State Residential Code. ct TOWN OF QUEENSBURY BUILDING & COsES R PT. Review-. : ____ uu ,eg fig- L p Date: #. lJ ileo eye_ )ect COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL PermitNo........... ...............Cert. 0 28749 Cut-in Card No..................................... Owner.................j�(/C. W0 115. 1tIL LIZ ,, .................T.......... ............................................................................................. Location....7.Z..... � 6Y .................p................ .. ............................................. .. .. .................. Installation Consisting of....Q... ........ .d'/Zl. t�..... ..................................................... .................................................................................................................................................................................... .............................//..................................................................................................................................................... InstalledBy....(..�:.t....m.l ! t... ............................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 f kinFlt tions at any time, and if its rules are violated,the Company shall have the right to re o t ie. Date.........................................../7— !� INSPECTOR.............. ........................... ..... ...................................... Member N.F.P.A.,I.A.E.1.