POOL-0240-2018 TOWN OF QUEENSBURY
f 742 Bay Road, Queensbury,NY 12804-5904 (518) 761-8201
�► Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: POOL-0240-2018
Tax Map No: 315.6-1-9
Permission is hereby granted to: Sprague's Mermaid Pools
For property located at: 3 MCCREA RD
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: GERALD LAPIER Swimming Pool $0.00
Owner Address: 3 McCrea RD Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name 1 Address Electrical Inspection Agency
Sprague's Mermaid Pools
300 Broadway
Fort Edward,NY 12828
Plans&Specifications
In ground pool 18'x 30'
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, May 16,2019
(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 Townnlp4w
e 16,2018
SIGNED BY: for the Town of Queensbury.
XDirector of Building&Code forcement
OL SWIMMING POOL PERMIT APPLICATION office use only
Permit#:_moot--() • 2�3
Town afOycenx atY Permit Fee: $ ;Invoice#: Dc�7
742 Bay Road,Queensbury, NY 12504
P:518-761-8256 www.gueensbury.net Nates:
Project Location: 3 M , (:rec- 4z
Tax Map ED #: - 15- (O -I ' Subdivision Name: le "st
CONTACT INFORMATION:
• Applicant-
Name(s):
licant-Name(s): "1CJ
Mailing Address, C/S/Z: m c-c-rrecs
Cell Phone: ( i 8 ) 2 9 - i 1 T^? Land Line:
Email: i ay u U " ,oh nG--
• Primary Owner(s):
Name(s): 5 �
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email:
• Installer/Builder: ^
Business Name:
Contact Name(s): t
Mailing Address, C/S/Z: i U r F1,:: 0-r e
Cell Phone: _( 5+ ) 260 `k4I1) La d Line: _( 5) ; ) 1-1112- Y2-iln
Email: > ( Zp 1
Contact Person for Building & Code Compliance: 8-erc-1 r?( Lt of
Cell Phone: _(,]IY ) 73 1 IT Land Line: -
Emai l: MT�oj a �,i b hr r;. ne
DN [EC � 0 W IE
NMAY 1 1 2018
TOWN OF O.iaErNSBLiFY
Town of Queensbury Building&Code Enforcement _ Revised March 2018
SWIMMING POOL INFORMATION:
CIRCLE ONE: ABOVE-GROUND -GROUN
SIZE OF POOL: $ x3 n
MANUFACTURER:
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 1 have read the
application and plot plan requirements and I, or my agents, will obtain a certificate of compliance before use
of the pool.
I have read and agree to the above:
PRINT NAME: ,,A'� L—C'.
SIGNATURE: EDATE:
Town of Queensbury Building&Code Enforcement Revised March 2018
G.M. E C E 0 W
19 MAP REFERENCE:
MAY 112018
MAP OF SECTION SIX
BEDFORD CLOSE
TOWN OF QUEENSBURY BY COULTER & McCORMACK
BUILDING&COD"ES
DATED MARCH 29, 1989
LAST REVISED NOVEMBER 2, 1989
TOWN OF QUEENSBURY
car 6 C*f N56*38'4OnE BUILDING & CODES I)EPT.
50.8V Reviewed By:
Date: jT
TOWN OF JJE-ENSBURY
BUILDING DEPARTMENT
Based on our limited examination,com ian
with ourcomments shall not be construed
indicating the plans ana specifications a
k L T1s ull compliance with the building Co
lit St DQ w York State.
Attention Home 0
Please assure YOU are familiar with
PY
P001 Encl6sure requirements specific to
Y`Jr P061. We will be happy to explain LEGEND:
what Requirements YOU will have to OIPF — IRON PIPE FOUND
meet per Appendix G Of the OCIRF = CAPPED IRON ROD FOUND
sr
New York State Residential Code. aC.M. = CONCRETE MONUMENT
= LAMP POST
LOT165 pOb P MIT PLOT PLAN
I HAVE PERSONALLY MEASURED THE DISTANCE
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