POOL-000650-2017 TOWN OF QUF,ENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: POOL-000650-2017 Date Issued: Tuesday, July 10, 2018
This is to certify that work requested to be done as shown by Permit Number POOL-000650-2017
has been completed.
Tax Map Number: 308.7-1-45
Location: 30 WOODSHIRE CT
Owner: Chris Angell, Stacey Angell
Applicant: Chris Angell
This structure may be occupied as a: Inground Pool 24 x 40
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, 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.
r: 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-000650-2017
Tax Map No: 308.7-1-45
Permission is hereby granted to: Chris Angell,Stacey Angell
For property located at: 30 WOODSHIRE CT
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: Chris Angell Swimming Pool $0.00
Owner Address: 30 WOODSHIRE CT Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Pools Plus
45 MAIN ST
Queensbury,NY 12804
Plans&Specifications
Inground Pool 24 x 40
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,October 24,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town o bury; Tue tober 24,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code nforcement
4aSWIMMING POOL PERMIT APPLICATION office use on►y
- Permit#: P(mi, 201 '
I,'W11„f(Zu nhur Permit Fee:$—F'E> ;Invoice#: 2-2-'3A
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbuy.net Notes:
1'roJect Location: 30 W 6 Q ��� r Ct
Tax Map ID #: �j(� _ Subdivision Name: 1r12� _
CONTACT INFORMATION:
• Applicant:
Name(s):
Mailing Address, C/S/Z: 0 V_ C \7-440-q--
Cell
0Cell Phone: ( Land Line:
Email:
• Primary Owner (s):
Name(s): r-� (k\1. tk
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email:
• Installer/Builder: i
Business Name: 0jl� 1
Contact Name(s): C Ac
Mailing Address, C/S/Z: Ic it,n 0
Cell Phone: _( j Land Line:
Email:
Contact Person for Building & Code Compliance: 5<k"-r.
Cell Phone: _( ) Land Line: _( )
Email:
D
V
OCT 1 z01?
TOWN OF QUEENSBURY
BUILDING&CODES
Town of Queensbury Building&Code Enforcement Revised February 2017
yr
SWIMMING POOL INFORMATION:
CIRCLE ONE: ABOVE- GROUND IN-GROUND j
SIZE OF POOL:
MANUFACTURER: c'
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: C- DATE: C
Town of Queensbury Building&Code Enforcement Revised February 2017
v
TOWNIOF QUEENSBURY
KIII-DING DEPARTMENT
Based on :)ijr limited examination,compliance
with our comn-IOlIts shAF-iot be construed as
indicating the pans wj(i sp,-�cifications are in
full Complia;'c", witt, the 3uilding Codes of
New York St.,,
Attention Home Owner POOL-000650-20117
Please assure you are familiar with the 308.7-1-45
C3 Pool Enclosure requirements specific to ell, Chris Stacey
Ci M An 3 court
r- C:) Your po6l. We will be happy to explain 30 \NoodShIre
00 C--)
c)
Z what Requirements you will have to
inground Pool
meet per Appendix G Of the 'LE COPY
M C= New York State Residential Code.
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I HAVE PERSONALLY MEASUREDI I )ISTANCE
FROM THE PROPERTY Ljl,,Ec -11-0 THE
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POSE FSU TUR
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GNATL
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
QooL_
Permit No..........................................rrCert. O 4 4 9 9 4 Cut-in Card No.....................................
Owner.............C� }' A116-� _
.............................. .......................................................................
Location... ....c ?.. .... ............
al,
Installation Consisting of..:..................�.�................. .......................`.'� ............................... -.
....................................................................................................................................................................................
InstalledBy.. .....®"....74...........................................................Lic.No................................................... ,
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilegeof makin spections at any time, and if its
rules are violated,the Company shall have tb--ightto' ke thi ce ' icate.
/ ?a} �(/end,/�
Date... ...L... ... ................ INSPECTOR.... �`... .... .'f a .....................................
Member N.F.P.A..1.A.E.I.