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BOTH-000444-2016 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-000444-2016 Date Issued: Friday, September 30, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000444-2016 has been completed. Tax Map Number: 290.17-1-14 Location: 30 MASTERS CMN SOUTH Owner: BRIAN ROZELL Applicant: BRIAN ROZELL This structure may be occupied as a: In ground Pool 18'x 34' By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the r:2)j ^,/ 4 property owner of the responsibility for compliance with Site Plan, �/ y 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 dab% 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development - Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: BOTH-000444-2016 Tax Map No: 290.17-1-14 Permission is hereby granted to: BRIAN ROZELL For property located at: 30 MASTERS CMN SOUTH 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: BRIAN ROZELL Swimming Pool $0.00 Owner Address: 30 Masters Common S Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Rozell Industries Inc. 129 Park RD Queensbury,NY 12804 Plans&Specifications In ground Pool 18'x 34' $ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Sunday, July 9, 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 a expiration date..) Dated at the To of Qu sbu , T ,July 14,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Offi Use only Received: SWIMMING POOL PERMIT APPLICATION Tax Map ID: A permit must be obtained before beginning construction Permit No.: bDNr'ow q.4 •_7-CCZ t 1c� Permit Fee: $, r Yl i Lt Site PlanNariance No.: 1. Date: r'//ZA�- 2. Tax Map ID: C R) 3. Pool Location Address: 30 ASAW caootmSpv �/'.�; /M1 0 4. Zoning Classification: Ae t G 5. Site Pian Review,Variance or Subdivision Approvals(list) 6. Property Owner: �rfan d-�Il+'1►ti cv o7iP�L V Phone: 7j Mailing Address: _Z© mita rtm- [,Q,y� �aC,� City: K1 /?. . 7. Contractor's Name: RAx%yer' Phone: Malting Address: l Z _ Pc`ric city: 8. Contact Person for Building&Code Compliance: ' 0 i✓ Phone /ST"? ABOVE-GROUND OR INGROUND? -17.17 r —rn SIZE OF POOL: � 3 u f M `L` . MANUFACTURER: UL 11 2016 : '� . 6-4 MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY): I✓Qtl� _%(�G�S Steel 1 Vinyl StJi Fiberglass Gunite Poured Concrete. Other I IG 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. 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. nn Print Name: t'PQ Kd�eL� Signature; Date 7/1 Name 1 Title Town of Queensbury Building&Codes Swimming Pool Permit 518-769-8256 ----.--._- ---_-----_ ------------- — ,- - . -,: :.. _ -.- . -..:- ,.: , ," :.. , . ; .' I . .;.. i . :., . :•.: . ,::.":: s.N,Y llv livew v'L+ ..a YvdlwuYi _ - u.1 a.� ,i . . - .- ua KYv � ,� .. I �. � v ,i : vi vi,:i, .� '....n:�� oil liii I::i�� J.. , , , - ­ , _ .:.: ., �:. . ,. ,-, : ��� 1;_ - ., , : . � , , . . . * I ....��:: :� _ . * - .11 11.1111.-i'11,.-i"'I 1,1 V, .1 . w�i�u.v v� .�. ...v.v v•. i..�•.v my �:v iv..�e+v-+w:.w . 1 ­ � .- 1, I � I ��_ . : .. �. ,.. . .' 'i i '.."... —, : ... .:�.�, . _,. . �� _ ?. �. . , . 11. ., - .. _ i. FF, :. � _ M/jam 7}^�� F RENCE. 6�8`bi REFERENCE: ,. - _ - - - . - ' i - - MA4.5TER S COMMON SOUTH " , " - :: '>' .. . . : - _. REVISED: DATED AUGUST 26, 1987 , . FILED IN THF WARREN COUNTY RCH 1 Q 198s . OFFICE ON MA , ', i :LaT CLERK'S . , . , �: " IN DRAWER 17 FOLDER 1 rr . . . . .. . , .. . - O . `� F . 0 :, e� 00� � �, - 1. ��' ��� t ��. . - - ':" - . - . REVISEb.--:'. F . , . LOT 4 ':..., :. ,: ~:' 3 A ,.967 "sq.ft: ` . ��• 3� - I 1- �'0 1'acres �� °� �' . , � . 0i :.. - . r 6: - : ,�.:\ I I.:�, I ; . �; :. . 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I .;I & � : :.; - - '' - -C*LY Coe"PI TM:Od.#"or I"WMIrr '' -. . . - nwAxm vAmAli avc«AL Dr me wo elNvnrole o� _ � SGL SHALL BE QW)ERM TO K VALID TRUE COPICS•' BL WILD .. V �J11L1 -o � . •cERTKTCAy �CMATED HEREON sKaAPT'THAT : IMV I - TMS SENNET 043 PREPARED M ACCOitDANOE YA1H i!E .:, _ MSTM CGDE%r PRACTICE FDR LAND SURVEYORS ADOPTER , _ :` �. " - , a : BY THE NEW KIRK STATE ASSOCIATION OF PROFESSIONAL .. ., „. ,,,,,,,...,Y..�....._,. ,. - uw suar[Yoas.SAO cERTRTCATwws SHAu RUN ONLY " d _ TO THE PERSON FOR rHOM THE SURgEY I5 PREPARED.AND - •� �,/ ., : pl M5 BEHAlf TD THE RTIE COMPI6NY,DDVERt11ENTAt, ry a a1 .., „.,, . .��., ... "✓ AGENCY AHD 11?IORIC*MTt4MN LISTED HEREON,AND d O V� OA QuR�iFiIIsbU F � err aunty, New ark ' - ,TomEAx WftDr"WWW,WITILT .1Q .'.. CRiPTl®N • � " NpLQ� rk 1 804 vitanci it�, rl Queensbury, New Yo �' Np,. DATE ­111.1--l—�.Y�_ 109e1. ,.�A. • - !II .IY DES � � s2- 44 a...,.. New York Lie. No. 50135 . . s Oct. 4. 201611 :§3a MDia No. 4806 P. 3 MIDDLE DEPARTMENT INSPECTION AGENCY, INC. lii� a that the electrical wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date noted below and is issued subject to the following conditions. Owner: Date: Brian Rozell 09/26/2016 Occupant: Location: Pool 30 Masters Common South Occupancy:wimming Pool Queensbury, Warren Co. NY Applicant:-S7 Crannell Elect, Design&Const PO Box 4074 Queensbury, NY 12804:; No. Joseph A.Holmes . 1415542037:1 BEL Equipment: 1 - 100 Amp. Sub Panel; 2-Switches:,.-3--Low Voliage Fixtures; 1 -Pump; 1 -Time Clock; 1 - 1 1/2 HP Motor; 1 - Disconnect; 1 -Heat Pump a This certificate applies to the electrical wiring to time electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and above and the Installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership inspection. No warranty is uprassed or implied as to the mechanical salary,eftf- of the property indicated above,this certificate shall be immediately null and void. deny or fnneas of the e0ulpment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department system to which this certificate applies be aherad in any way,including but not limit- Inspection Agency,mc. An application for inspection must be submitted to Middle ed to,the Introduction of additional electrical equipment and/or the replacement of 0apartment inspection Agency, Inc. to initiate the inspection and revalidation any of the components installed as of the above noted date,this certificate shat)be process. A fee will be charged for this service.