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2015-207 r-I � o " C,^ o W N II11 �, lf7 © vii C3 N � W y 00 o O Ln cl 00Gn 0-0 0 Ln z 1 o 0 � 0 d v o > rT, Ln CD C> y O o p c d •`� 42 cd A �� O o as u U En (14 V � ° Z-4 U 041 G " Q - C tC r C ifiek TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 CommunityDevelopment- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150207 Application Number: A20150207 Tax Map No: 523400-278-019-0001-016-000-0000 Permission is hereby granted to: TODD R ENGWER For property located at: 647 MOON HILL 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. Type of Construction Value Owner Address: TODD R ENGWER In Ground Pool 647 MOON HILL Rd Total Value LAKE GEORGE,NY 12845 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2015-207 in-ground pool $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 08,2016 (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 To ueens ; i a June 08, 2015 SIGNED BY I for the Town of Queensbury. Director of Building&Code Enforcement i Town of Queensbury Building & Codes Office Use Only Received: SWIMMING POOL PERMIT APPLICA c� ' ;cazMapi A permit must be obtained before beginning con t . ''�' ice- 1-5 toy 2 i Permit Fee:, nN• o.: !i 76 1 .. TOWN OFQJ ENSE3i 1. Date: DING& CODES 2. Tax Map ID: ('' 1- 1 (a 3. Pool Location Address: 6.4-1 Moo 1-1,1( 1� 4. Zoning Classification: J soco.,4' 5. Site Plan Review,Variance or Subdivision Approvals(list) 6. Property Owner: ocra K. rr1 eri Phone:Sik-33T0�3 Mailing Address: ��1 Moov (-k,11 (tea City: 60.)%e- 7. /L- X22- 7. Contractor's Name: �Y`��VU►�clCfwc;.lkti l A/ol'�-t �"�'�Phone: 611 7 Mailing Address: ( L W t 1. 0,' 54- City: Sz' , enc EU(5 Iv (1-W 3 8. Contact Person for Building&Code Compliance:"-1-066 incwef Phone j l(c`33T9Z'11 ABOVE-GROUND OR INGROUND? - N(a2©oc,i SIZE OF POOL: ,KZ r 1 ci,( (14.44- P Ja►udcrw�cwl fir" MANUFACTURER: __ J,A- Inc�,rnn �— (cagroNA Pu.Isc.- &s MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY): 7 ZZ- Gs1 47 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 NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that I have read the application &plot plan requirements and I or my agents will obtain a certificate of occupancy before use of the pool. Print Name: U-1 6 O. w -e-r Signature: dOt-lk Date SIS Its' Name/Title Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256 r 4 ipEcEuw -*[E -1 3 bli MA( 2 6 2015 J 5 TOWN OF QUEENSBURY ��" enc- _ BUILDING& CODES r41 , 6 1 3-1—L: '—,—� U-1/ �_. -� N E"J t �-� Llai I-Nate--f-ke•-v lc..iC ,_,-,,, , . ., 7-prsc.,06,,, , ,o, c.I.yl 5 r i of cit.c_4. (00-4/ poi. 000SC-- i TOWN OF �0 QUEENSBURY ' BUILDING & COpES $ PT. Reviewed :y:: , -u, Date: 1 J72'. /q -/-/10t i Le,rcic r i tu-e r i i O i i ...,.,l TOWN OF QUEENSBURY I ✓ BUILDING DEPARTMENT Based on our limited examination,compliance with our comments sham of be cons_v ued as indicating the plans an+:i specifications are in full compliance with the 13uiiding Codes of New York State. k .aOri ilrl 1 \ 4:10c,{( Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Septic Inspection Report Inspection request received: Name: tG L0 Inspected on: •-. Location: (o y7 M©bt -{1 u\ KV) Arrive: Permit No.: 1,S - 7 61 Inspector's Initials: o ments and/or dia•ram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone C V\ U Seepage Pits: Number Size: x Stone Size: Q \ 13(\ 0 uE `1-6 Piping Size Type L v3� ��, Building to tank J j cck_G Tank to Distribution Box Distribution Box to Field/Pity QJC— Opening Sealed: ✓Y`` N End Cap ✓Y N Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade Y N [provide extension collar if Yes] Y N Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y N ETU Maintenance Contract provided Y N Location of System on Property: Front Re Left Side Right Side Middle Front Middle Rear S stem Use Stat : Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report