POOL-0104-2018
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-0104-2018Date Issued: Wednesday, January 2, 2019
This is to certify that work requested to be done as shown by Permit Number
POOL-0104-2018
has been completed.
290.6-1-65.2
Tax Map Number:
16 SUNNYSIDE RD EAST
Location:
Josh Fish, Theresa Fish
Owner:
Josh Fish
Applicant:
This structure may be occupied as a: Above ground pool 24' round
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-0104-2018
Tax Map No: 290.6-1-65.2
Permission is hereby granted to: Pools Plus
For property located at: 16 SUNNYSIDE RD EAST
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: Josh Fish Swimming Pool $0.00
Owner Address: 16 Sunnyside E 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
Above ground pool 24'round
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, March 26, 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 da e.)
Dated at the Town Queen ury; 4M*r-c—h 26, 2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
SWIMMING POOL PERMIT APPLICATION office Use Only
i
Permit#: PO()L_— O 1 Q4 21)1�
Town of(Lum7sbury Permit Fee:$ 125 ; Invoice#: 0 Z-
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbury.net Notes:
Project Location: A&Cb- Pic ss�-
u EC9 [
Tax Map I®#e 5 1( �•c"�.CO-� -(a Subdivisi a
MAR 15 2()1
CONTACT INFORMATION' TOWN OF QUEENSBURY
BUILDING&CODES
e Applicant: L
Name(s): � C4 T ► 1
Mailing Address, C/S/Z: 6A t .►
Cell Phone: (MSS )_h& 3 c 3 ` Land Line: (,� 1 �) 3 a Q g
Email: ' t co ry--)
e Primary Owner § :i
Name(s): Of sc-_ ' JC�
iviaiiing Address, C/S/Z: K-p SunruSirlp
Cell Phone:J _) laU 3U"�IJ Land Line: _( F- t )`f
Email:- i`t 15Vhq) ( Ca
o Installer Builder:
Business Name: ta—C-1
Contact Name(s): 4 Q-, S %--A
Mailing Address, C/S/Z
Cell Phone: _( ) J Land Line:
Email: LS cv
Contact Person for Building & Code Compliance:
Cell Phone: _(`-I )jr)�V ���,3�� Land Line: _( `�I � ) �13.?��f�l
Email: o<,hr%' v'm59IaS�S f���( �. L0ry--)
Town of Queensbury 5uilding&Code Enforcement Revised February 2017
SUfJll9ilMING POOL INFORMATION,
CIRCLE ONE: CA:BOVE-ROUND IN-GROUND
SIZE OF POOL: rC �jiCOI
MANUFACTURER: �(,°.tv'IMc ��J" 55T O�,Iet nfcx�� pall, } J
�u� C1 cic -
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.
f
SIGNATURE: DATE:
l
Town of Queensbury'Suilding M Code Enforcement Revised February 2017