POOL-000259-2017 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: POOL-000259-2017 Date Issued: Thursday, October 12, 2017
This is to certify that work requested to be done as shown by Permit Number POOL-000259-2017
has been completed.
Tax Map Number: 290.13-1-7
Location: 55 MASTERS CMN NORTH
Owner: VICTORIA DELLA BELLA
Applicant: VICTORIA DELLA BELLA
This structure may be occupied as a: In Ground Pool
16 x 32 By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
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: POOL-000259-2017
Tax Map No: 290.13-1-7
Permission is hereby granted to: Sprague's Mermaid Pools
For property located at: 55 MASTERS CMN NORTH
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: VICTORIA DELLA BELLA Swimming Pool $0.00
Owner Address: 55 Masters Common North 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
In Ground Pool
16x32
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,May 22,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ens t�onda , tt!ortheTownofQueensbury.
7
SIGNED BY: /v/
Director of Building&Code Enforcement
SWIMMING POOL PERMIT APPLICATION Office Use Only
QLPermit#: PSL—�2`�1 • 701
limn of lLiccnnhun Permit Fee:$ "IrrD ;Invoice#: I kk
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbuy.net Notes:
Project Location: I I
Tax Map ID #: (� 1 , �'TI Subdivision Name:. 91 A `—-- —
L/
IIITT[[`SM �t���5� V
CONTACT INFORMATION: MAY 17 20)7 D
• A I ant: i� TOVJNOFQUEENSBURY
Name(s):
f l BUILDING& CODES
Mailing Address, C/S/Z: G
Cell Phone: Land Line: 1 )
Email: r ' C
• Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Phone:_( ) Land Line: _( )
Email:
• Installer/Builder: (�
Business Name: t t
Contact Name(s): e I l(,
Mailing Address, C/S/Z: U i2' 12026
Cell Phone:_( 51F ) 20o-4111 Land Line: _( Sly, ) 74'7 - 9270
Email: YA-V(U ?0� an ✓e((ZOf7 I LIQ
Contact Person for Building & Code Compliance: Ikt1��P12 ) 1(Jt��tX
Cell Phone: ( 151 ) 20044hl Land Line: ( I ) 14 -y2g0
Email: W l Wgd
Town of Queensbury Building&Code Enforcement Revised February 2017
SWIMMING POOL INFORMATION:
CIRCLE ONE: ABOVE- GROUND IN-GROUND
SIZE OF POOL: Ay X R
MANUFACTURER: LIS
MATERIALS USED ISI 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 NYS Building Codes, local building
laws and ordinances and in conformance with local zoning regulations. I acknowledge that I have read the
application and plot plan requirements and I, or my agents, will obtain a certificate of compliance before use
of the pool.
PRINT NAME: ITnU I)
SIGNATURE: DATE: �Z
I
i
Town of Queensbury Building&Code Enforcement Revised February 2017
TOWN OF QUEENSBURY
OMENT
Based on our l limited examination,LDING ompliance
with our comments shall not be construed as
indicating the plans and specifications are in P
full compliance with the Building Codes of
New York State.
TOWN QE QUEENSBURY
BUILDING & C cin '9 4
EPT.
RevieWed y;
Date.,
U
tt tion Home Owner
P ease ass you are familiar with the
Pool E closu�e uirements specific to
Your ool. We wl happy to explain
wha Requirement ou will have to
rpeet r Appendi G Of the I I;AVE PERSONALLY i,i A^L!REL�THE o., i,4
w York State Res al Code. �, , _E
o FROM T. .t_ , ROf'EI�Tti LINES ( , T
Pi\riPOS Q S 1 i?UC T RL S) OR S. 1'
ui:E, Df rE
.eoo
(7- �cwv
tl
Eor
?G,.23. + /f/. 7s yam.. i.z vP�•v Q� �
JFr�'` M \ ' MAP /eEFE,t?ENE -
� �c2�a-- --. MA✓'TE,e,!' COMMa/Y NO.eT,Y
ry /�Po,oprFo
'ay !/.9H DUJE�t/ J'rEl�EJ
o.9rEo 44160J7 /987
zo Mei Mi9•e c"l /O, /9ee
/A,' H�E.2 17, FOlOfe J
a lift ryE 1Y.s�,P,eE,�r Cov,VTy
J'E'j' ,vr aL[ ` �t�.5• �'�E.P�J OFF/G'c�
' NouJE Co•�'NE•eJ. !•Y3�
/Kos.2ov
•,, .rEr h �' v
7/�O� �•PoNPOO -/
JCr /O
N zo M?N.
. W
ti
(1f. rJAN 1995 ;1
Received
o Town of
f
Queensbury
.�.x TCLEpNoNF ��,: idt�• Dept.
ELECrR/C O ��yu.�r.o.y b •-`,'�/
TRA.vJFaR•yl f l• „ 7vC;I
3x0.0 d' f t�1 !` VVP r
/ t4AY 17 2817
O c
00
FouNO� \ TO 'iN, OF S:UEEI`IS:=
.&X90-13-1-7 POOL-000259-2017
4-1 Della Bella, Vicki
55 Masters Common North
Inground Pool
•�w� VI`I:o sp,��FM•• Jvev�-y�`M.9P Lsy
-k' PAcCpr 1KW/ GF L4A1 'JS OF
� may/ .•::�`•. >_
1,A1 Z_
CE•✓
. y \� _�- • L/ J,EO LAND .1'U,eliEyO,eS
o•Pf` 3773` y �Y 9.2 • Y�3.9J'T,eE'ET
•. �f jll� $;���, .' ��•E/NG LoT !J OF /t"7AJ"�"E2J' COM,�Io,✓ NO.eT,6��
`'a- . • • " �GEi(/,1'fq,L,CJ' � /t/,Ell/ y0?.� TOWN OF G7U.E.E'�LJ'BU.E'.y
1�A.P�'EN COl/NTy /V,E'l�/ .S/p.e'c
30 TAX �'!AP. -J Ec rio� ' 46, 'Gz 0 C,c