BOTH-000249-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community development- 131.1ildinq & Codes (518)761-82.56
BUILDING PERMIT
Permit Number: BOTH-000249-2016
Tax Map No: 308.18-2-73
Permission is hereby granted to: Pools Plus
For property located at: 12 ROBERTS CT
In the Town of Qucensbury,to construct or place at the above Vocation 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 Narne: Joseph Carbotti Swimming Pool $0.00
Owner Address: 12 Roberts CT Total Value 50.00
Queensbury,NY 12804
Contractor or Builder's Name f,address Electrical Inspection Agency
Pools Plus
45 MAIN ST
Queensbury,NY 12.804
Plans&Specifications
Inground Swimming Pool
Imperial 16'x 32.
Property Owners:
Joseph&Linda Carbotti
Robert&Shannon Jones
$75.00 PERMIT FEE PAID-TI[IS PERMIT EXPIRES: Friday,April 28,2017
(Ifa longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town ol'Queensbury before the expiration date.
L?�rtedatthe'1"ac ofQue bury; T' d 2016SIGNED BY: � for the Town of Queensbury.
Director of Building&Code Enforcement
office Use Ong
Town of Queensbury Building & m
c''qived:
SWIMMING POOL PERMIT APP10 � Tax' IQ: 30 - i ��- 2 �- 33
A permit must be obtained before beginnin ructi � � 6Per �i
G G ���,, er it Fee, t A e �
V.._._...
" Jii a ip 'E$1te Ian, ariance No
1. Date: lb
2. Tax Map ID: 73
3. Pool Location Address: 0
4, Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: e,tvj Phone:
Mailing Address:
City: .
7. Contractor's Name: " W ° Phone: _ - 4Z9
Mailing Address: .. 1754 (" . ...
City: I eAL11I )/Xt VIA
6. Contact Person for Building &Code Compliance: '� R — -- Phone
ABOVE-GROUND OR INGROUND? _.- I% -
SIZE OF FOOL: K3 C_
MANUFACTURER: 6,15
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 state me nt/descriptio n 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: .
Signature: Date
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
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