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POOL-000381-2017 ,011014. 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-000381-2017 Date Issued: Thursday, July 19, 2018 This is to certify that work requested to be done as shown by Permit Number POOL-0003 81-2017 has been completed. Tax Map Number: 301.17-1-33 Location: 3 CHEROKEE LN Owner: Andre Thermidor, Wilberthe Bosselange Applicant: Andre Thermidor This structure may be occupied as a: Above ground swimming pool By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the rek40 4 property owner of the responsibility for compliance with Site Plan, 74t— 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 qL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: POOL-000381-2017 Tax Map No: 301.17-1.33 Permission is hereby granted to: AFrame For property located at: 3 CHEROKEE LN 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 Tvne of Construction Owner Name: Andre Therrnidor Swimming Pool $0.00 Owner Address: 3 Cherokee LN Total Value $0.00 Queensbury,NY 12804 Contractor or Builders Name/Address Electrical Inspection Agency AFrame 615 New Loudon RD Latham,NY 12110 Plans&Specifications Above ground swimming pool $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 7,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the exp tion Adate k' 6— nee Dated at the Town of nsb /arid17 SIGNED BY: (((wwwNNN���__���"'ff"`V// /� for the Town of Queensbury. Director of Building&Code Enforcement SWIMMING POOL PERMIT APPLICATION Office Use `yOnly � Permit#: r'-"'L 381-aol-7 00 Town of( ucensburr Permit Fee:$-44a- :Invoice#: (9G 742 Bay Road,Queensbury,NY 12804 P: 518-761-8256 www.gueensbury.net / Notes: -{ /4e -r— Project C Pro ect Location: ' r�l aAC`I ftJ ��G. G(oo.rrCCo�6(�.vLfLa7 - t-CMcrri.[. rV Tax Map ID #: 3O I.( 7--(- 33 Subdivision NamerC0M,V1UNl �/ CONTACT INFORMATION: • Applicant: OPMENT Name(s): /' Mailing Address, C/S/Z: L %�1�Xs-oma Cell Phone: (SI k ) 5-35 Land Line: rte) 6sar -sa frs Email: • Prim r Owners Name(s): r Mailing A dress, C/S/Z: 3 Cell Phone: _ s7k ) 5U-once Land Line: _(6-1,P )/36- is s' w Email: • Installer/Builder: Business Name: L RA ! , Contact Name(s): /:;.4) Z � �/ Mailing Address, C/S/Z•�_�a�J i2� 6xDou � d aku nlu /TWO— 40 2-3 Cell Phone:_( 518 ) 79"s=Ii/ 7 / Land Line: _( SIS ) 78 Email: Contact Person for Building & Code Compliance: Cell Phone: _(-Ic ) , �'s-oc S& Land Line: _( s't ) -3C -STg�4 Email:. Town of Queensbury Building&Code Enforcement Revised February 2017 SWIMMING POOL INFORMATION: CIRCLE ONE: =ABOVEGROUND IN-GROUND SIZE OF POOL: i r MANUFACTURER: //lSla_. 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 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: SIGNATURE: 42-r DATE:����s1� Town of Queensbury Building&Code Enforcement Revised February 2017 0 i � Pearl France uritis Vista Wall pattern Round Pool 52" Size/Feet r 15' x 52" 18' x 52" ' x 52" .35 24' x52 27' x 52" Oval Pool 52" Size/Feet 15' x30' x52" 18' x 33' x 52" 7 .5" INJECTION MOLDED TOP LEDGE INTEGRATED RESIN & STEEL COMPONENTS '� TOWN OFQUEENSBURY 301.17-1-33 POOL-000381-2017 BUILDING DEPARTMENT Bosselange, Jean & Wilberthe Based on our limited examination;compliance 3 Cherokee Lane with our comments shall not be construed as indicatingl0plithece wthathesBulding Codes of Above Ground Pool New York State. LijvG & CO d P S P7. 4jAttention Home Owner _ ® Please assure you are familiar Wit i the I Pool Enclosure requirements s C to Your pool. We will be happy to a Iain what RequiremLa is you will have�o^� W - i, meet r.Ap clix G Of the ® � ® New Yorf�tate esidential Code. ` log � o CT >Ilb ` • 1 aso r �® PERMIT I HAVE PERSONALLY h'IEAS;::: FROM,, THE PROF'c-?TY IJid PROP ',ED STRUCTURE(5) OR 51ui1(;i) Qc �7 r� ure UAiL L TOVVN OF QUEENSBURY COMMUNITY DEVELOPMENT Certificate of Electrical Compliance New York Atlantic-Inland Inc. 997 McLean Road Ext. r Cortland NY 13045 Certificate No.:619210 Building Permit No: Issue Date: 9/14/2017 Building Permit Date: Inspected By: Devin Pratt Occupancy: R-3 OWNER SITE ELECTRICIAN Jean &Wilberthe Bosselange 3 Cherokee Ln Shannon Loveridge 3 Cherokee Ln Queensbury , NY 12804 Upstate Finest Electric Queensbury , NY 12804 Town of Queensbury 12 Carpenter PI Stillwater, NY 12170 SCOPE Permanently Installed Above Ground Pool INSPECTION INFORMATION Outlets: 1 Switches Pool: Conductive Pool Shells Bonded: Y, Perimeter Surfaces Bonded: Y, Metallic Components Bonded: Y, Pool Water Bonded: Y, Electrical Equipment Bonded: Y, GFCI Production Provided Bonded: Y, 120V 9A 1 HP Pool Pump, Double Ins., 120V 20A Twist-Loc recpt. &plug >✓- ? - 1 T LLC" EQVE SEP 2 7 2017 TOBUILD NG&CODES ENSBURY This certifies that the process noted above was complete as specified at the time of inspection and any conditions not within the scope of the inspection are excluded. Because there exists a multitude of proprietary specifications,the adherence to the relevant Building Code of New York State is applicable to the electrical requirements on the above noted date and valid for one year forward. In connection with areas at the time of inspection and does not constitute areas that are enclosed,concealed or inaccessible. Should the electrical system be altered in any way,including,but not limited to,the introduction of new electrical equipment,this certificate shall be null and void. This certificate only applies to the occupancy use as stated. Changes in use,or occupancy as indicated above,negates this certificate in its entirety.