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TOWN OF QUEENSBURY
ififp_IVJA
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150243 Application Number: A20150243
Tax Map No: 523400-266-001-0001-009-002-0000
Permission is hereby granted to: JENNIFER BALL
For property located at: 253 Pickle 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: JENNIFER BALL In Ground Pool
93 WOODCHUCK HILL Rd Total Value
LAKE GEORGE NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-243
in-ground pool
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,June 12,2016
(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 Tor of eens ; /f ' ► d I . . i e 12,2015
ici
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
To✓vn of Queensbuy Binding&Codes
Received:
SIMNMNG POOL PER IT APPLICATION Tax Map ID:
A perrrit must be obtained before beginning constructionit . pent No.:
/015
Permit Fee: $�S ��
J J iV 1 l ?O'" Si . 941rNariance No.:
1. Date: 12 �.�._.F C,..
Z Gam, WN OILiEENSBURY
2. Tax Map ID r/
'} /(eY JDING&CODES
3. Pool Location Address: 53 7 1 ( I ` at.al
4. Zoning Classification: ry&jI.CLO- >1-t'CLP
5. Site Ran Review,Variance or Subdivision Approvals(list) k) (4
6. Property Owner: I,( Phone: 5 J S'3(D ( 22 3
Mailing Address: c/53 Pr'ci< !,p th• (i2p)Q d
City: ( L)�2ns Dvr9 (Q y. /abuy
7. Contractor's Name: [JcHAJ kC' tia (�- Phone:
Nailing Address: Pro r f,J - 2 (—
Cit : �' (L'I ) , /,
Y U t � � y IaTc4-
8. Contact Person for Building&Code Compliance: Pin fir`-' 4rA K i Phone 613 . $' 13Z!-(
ABOVE-GROUND OR I NGROUND? / VI (CA)
SIZE OF POOL: /(QLJ (
MWJFACTURER (U. rd(-Ad 5-j&i i -
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl .\X Fiberglass Ganite - Poured Concrete - Other-
Declaration: I acknowledge no construction activities shall be corrmrerxed prior to issuance of a valid permit. I certify that the application,
plans, and supporting riiilerials are a tn.re and corrplete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building lavas and ordinances, and in conformance with local zoning regulations. I
ackrx7Wedge 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 Narre: iff (
, 1
Signature: at at _ ` , , Dame I Q U
Nacre/Trlle ✓
Town of Queensbury Building&Codes Swimming Pod Permit 518-761-8256
MAP REFERENCE.•
MAP ENTITLED "MAP OF A SURVEY MADE
FOR PAMELA J. HARRIS"
DATED MARCH 5, 2013, LAST REVISED 7/09/2013.
PREPARED BY DAVID J. BOLSTER, LLS
DEED REFERENCE.•
PAMELA J. HARRIS
TO
JENNIFER BALL
DATED JULY 12, 2013
LIBER 4805 PAGE 239
I HEREBY CERTIFY TO:
1) JENNIFER BALL
2) OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
3) HOMESTEAD FUNDING CORP.
THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD
SURVEY COMPLETED ON DECEMBER 14, 2013.
THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE
VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND
ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR
EXPRESSLY STATED HEREON.
'DAVID J. BOLSTER LLS
DATE: DECEMBER 15, 2013.
NOTES:
1) THIS SURVEY WAS PREPARED WITHOUT THE
BENEFIT OF AN ABSTRACT OF TITLE AND IS
THEREFORE SUBJECT TO ANY EASEMENTS,
COVENANTS OR RESTRICTIONS OF RECORD
ANY STATEMENT OF FACTS SUCH DOCUMENT
WOULD DISCLOSE.
LAND. N/F OF
PAMELA J. HARRIS
LIBER 4805 PAGE 234
_ 20" spruce
o iT---�^, _ tree a
FICKLE
LEGEND
2)
UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
o I.R.F.
IRON ROD FOUND
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE
o I.P.F.
IRON PIPE FOUND
NEW YORK STATE EDUCATION LAW.
o I.R.S.
IRON ROD SET
10�
UTILITY POLE
3)
ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
o00o
STONE WALL
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
-X--X—X-
BARBED WIRE FENCE
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.
o
POINT
W.F.P.
WOOD FENCE POST
4)
HIGHWAY BOUNDARIES SHOWN ARE ASSUMED 25' FROM THE
—ohw—
OVERHEAD WIRES
CENTER OF THE EXISTING ROAD SURFACE.
n/!
NOW OR FORMERLY
LANDS N/F OF
JOYCE L. MASSIANO
LIBER 1374 PAGE 98
CORNER
W.F.P.
662-27'
took .ol
ak
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N
Z
16" spruce
.,W�'
tree AN
H.
u !� J�lid 10 1U15
BUILDING &CODES
TOWN OF QUEENSBURY
BUILDING & C T.
Reviewed y:
Date:Vl
CIAF.
AREA
4.897 ACRES
house
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18' spruce
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43'
REWSIONS
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I.R.F.
I "IE p PERMIT— '?L`O'
FROM THE PROP IEASUFi€bISfiANC€
PROPOSE PROPERTY LINES TO
LINES OR SiGNHE
SIGNATURE (Si
nAt1=�
BUUILDING N OFDEPA TMENT
Based on our limited examination, complia;,c
With our comments shall not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes of
New York State,
LR.F,
C. 1. R. F.
Attention Home Owne
Please assure you are familiar wo
Pool Enclosure requirements
Your pool. We will be happysPecif,,
what Requiremets to expla
nYOU in
u will have to
meet Per APPendix G Of the
New York State Residential Code,.
LANDS N/F OF
STEPHEN M. METIVER
VOLUME 4294 PAGE 43
q
Ball, Jennifer
253 Pickle Hill Road
in -ground pool
266.1-1-9.2
BP 2015-243