BOTH-000417-2016 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-000417-2016 Date Issued: Thursday,November 16, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000417-2016
has been completed.
Tax Map Number: 309.17-1-24
Location: 60 BIG BOOM RD
Owner: Donald Kruger
Applicant: Concord Pools& Spas
This structure may be occupied as a: Inground Pool(Display Pool);also stairs
exiting building are part of this permit. By Order of Town Board
Cross Ref TOWN OF QUEENSBURY
Site Plan Review No. 39-2015 Approved August 19,2015
Area Variance 28-2015 Approved June 17,2015
Issuance of this Certificate of Compliance DOES NOT relieve the (72)a; 4 4t
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
law Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: BOTH-000417-2016
Tax Map No: 309.17-1-24
Permission is hereby granted to: Concord Pools& Spas
For property located at: 60 BIG BOOM 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: Donald Kruger Swimming Pool 50.00
Owner Address: 3 Osprey VW Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Concord Pools&Spas
156 Sparrowbush RD
Latham,NY 12110
Plans&Specifications
Inground Pool(Display Pool)
Cross Ref.
Site Plan Review No. 39-2015 Approved August 19,2015
Area Variance 28-2015 Approved June 17,2015
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, July 8, 2017
(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 Townsbury; Fri ,J y S 016
SIGNED BY: P4 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 constrJAq Permit No.: 69f —6WLI17—
Permit Fee: $ —7
1. Date: _ z 4 �
2, Tax Map ID: O 1 I
3. Pool Location Address: -r. C&V_52Y '
4. Zoning Classification: >�
5. Site Pian Review,Variance or Subdivision Approvals(list)
6. Property Owner: Phone:
Mailing Address:
City:
7. Contractor's Name: I S Phone: 5 Y
Mailing Address: k S v
City: ,� i f�j �_ i 2-1l ()
8. Contact Person for Building&Code Compliance: CC) Phone_
ABOVE-GROUND OR N� �.n��Q
SIZE OF POOL: _ 2— X
MANUFACTURER: �—
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel I Vinyl Fiberglass Z 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.
r
Print Name: L4 fttj
J
Signature: Date LG
Name itle
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
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