BOTH-000286-2015 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-000286-2015 Date Issued: Tuesday,November 1, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000286-2015
has been completed.
Tax Map Number: 301.17-3-48
Location: 19 CAITLIN DR
Owner: Joshua Muldner
Applicant: Joshua Muldner
This structure may be occupied as a: Inground Swimming Pool
By Order of Town Board
TOWN OF QUEENNSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the (j4k�--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
Community Development- Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000286-2015
Tax Map No: 301.17-3-48
Permission is hereby granted to: Joshua Muldner
For property located at: 19 CAITLIN 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
Owner Address: 19 Caitlin DR Swimming Pool $0.00
Queensbury,NY 12804 Total Value $0.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Northern Poolscapes
159 SUNNYSIDE RD
Queensbury,NY 12804
Plans&Specifications
Inground Swimming Pool
PERMIT FEE PAID-TMS PERMIT EXPIRES: Thursday,October 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 exp•(�ation/date.)
Dated at the Town of ueensb { / /Frida r ,2015
SIGNED BY: GwWNI-/ /VJ date')
the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Build hgALndes
Office Use only
LS C a l/ ed:
SWIMMING POOL PERMIT ap ID:
A permit must be obtained before*ir consU"""7 2015 t No.: ��S 8
Perm t Fee: $
TOWN OF QUEENSBU
BUILDING& CODES YSite IanNariance No.:
1. Date:
2. Tax Map ID:
3. Pool Location Address: l q CCS t �j r vt of jyl!�
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list) 7
6. Property Owner: JOS u& ij(d Aff Phone: g —75 3
Mailing Address: 1
^/9 (,Qi V 1/1 Or
City: r2QiA�2LA, A07Y6Z/
i
7. Contractor's Name: �.Jc11ACwuati(LQQ v- Phone: �J
Mailing Address:
City: SafVL, C lD`n 9 (teal lg q
8. Contact Person for Building&Code Compliance: LTA Uayw�y we�,l a✓ 7 6 Phone g— 2&3
ABOVE-GROUND OR INGROUND? TV-1 av-du!4
SIZE OF POOL: �1C
MANUFACTURER: AVNAOIA Pc>�I ram
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 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 1 or my agents will obtain a certificate of occupancy before use
of the pool.
Print Name: O
Signature: Date
Na /title'
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
2 &
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
MAIP,Office 176 Doc Run Road-Manheins,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
.............Ccrt. N2 42254 Cut-in Card No.....................................
Owner......................z".J.A V.k,AzP/................ .............................
........................
................
Location.............. _rj.......C�4,1
013............................
.. .................
Installation Consisting of....1.k)..... ......
..........—------
. ........................................I..........
4 4 ..................................... ........
........................................................I...........................................................................
Installed By........Ca2Wuxi ..... .......................Lic.No.............................
The conditions following governed the issuance of this certificate,and any cenificuld Previously issued is
cancelled:-
.
This certificate only covers the electrical equipment and installation conditions as of date Upon the
introduction of additional cquipmont or aherstiorni.application shall be promptly made for inspection.
Inspectors w this Compmy sli4al have the privilege of making inspections at any time, and it its
rules are violated.the Company s.hall have the right to revoke this conificate.
Date........ 7:7.1.6............ INSFECTOR.,
. . ...............................
Member N.F.P.A,I.A.Ll,
10 39Vd oiawm NON 089186L 90:61 GIOZ/EO/Zl
w LOT2
sh ` TOWN OF QUEENSBURY
Fo \ \ \ Bas BUILDING DEPARTMENT ed on our-hmit„d exam nation,c mpliance
with our comments shai not hP co strued as. ..
l p7"E indicating the plans ands acifr,ai ons are in
7po 55 ��� \ full compliance wish the uilding Godes of
N Zq5. a�\ // New York State.
0 LOT 9 .
(LFP \ qty �• �`-' P' F� e E-
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AREA Qo� 2 STORY TANK AelltlOn I'�011l@ Owr)@►° : e`
9•. WOOD. FRAME ��
55,485.851 s ft.. ttousE 6Rlease assure you are familiar with-the
1.27± acres \ Fool Enclosure requirements s ecifcta
•y ,t� Your pool. We will be happy to n !
what Requirements you ave to
meet per Ap x G Of the
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Ao. I HAVE r R.`;` :JY ; ;:'a— SI
FR.OP�OSE�R EiS�Uri
• P DATE J -
GN' RE >
Joshua Muldner BP 2015-488
19 Caitlin Drive
Inground Swimming Pool
,