2015-251 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
i
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150251-42044 Date Issued: Wednesday,November 9, 2016
This is to certify that work requested to be done as shown by Permit Number P20150251-42044
has been completed.
Tax Map Number: 309.15-1-59
Location: 56 CAROLINE ST
Owner: Cathleen Miller
Applicant: Cathleen Daly
This structure may be occupied as a: Above-ground Pool
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, 1�e
Variance,or other issues and conditions as a result of approvals by the
Director of Br ilding&Code Enforce nt
Planning Board or Zoning Board of Appeals.
100 TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150251 Application Number: A20150251
Tax Map No: 523400-309-015-0001-059-000-0000
Permission is hereby granted to: CATHLEEN DALY
For property located at: 56 CAROLINE St
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: CATHLEEN DALY
56 CAROLINE St Above Ground Pool
QUEENSBURY,NY 12804 Tota Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-251
Above-ground pool 24'
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,June 16, 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 Town of Queens. ry;/ e)ay,June 16, 2015
SIGNED BY �! for the Town of Queensbury.
Director of Building Code forcement
Office Use Only
Town of Queensbury Building & Codes
Received:
SWIMMING POOL PERMIT APPLICATION Tax MapID: 17 • 1`�3" x'`3°1
A permit must be obtained before beginning constructionPermit No.: 2 31
Permit Fee: $
Site PlanNariance No.:
•
1. Date:
2. Tax Map ID: 339 /.S—/
3. Pool Location Address: J 6 (,...9/4„4",,,e t
JUN 1 1 21115
4. Zoning Classification:
TO — - RY
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: c�r � 'V�� Phone: 71� 3 - 6 '�‘'
Mailing Address: 4-6 69/1.9 Jt - S/
City: (2/-
/L4, 11.1/
7. Contractor's Name: Phone:
Mailing Address:
City:
8. Contact Person for Building&Code Compliance: Phone
ABOVE-GROUND OR INGROUND? A8O e
SIZE OF POOL: 2
MANUFACTURER:
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel/Vinyl Y 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:
Signature: Date
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
' 'Development Oce BP t ?O
!ensbury • 742 Bay ffiRd. I
\
ry, New York •12804 PLOT PLAN
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ill existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines. i ‘4
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LINE ,
Please assure you a - = I := TOWN OF 0.LEENSBURY
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Queensbury Web Map
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Map is for GENERAL REFERENCE ONLY.
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