BOTH-000340-2015 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: BOTH-000340-2015 Date Issued: Friday, September 22, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000340-2015
has been completed.
Tax Map Number: 289.12-1-7.22
Location: 36 FIELDVIEW RD SOUTH
Owner: Nicole Salone,JOSHUA SALONE
Applicant: JOSHUA SALONE
This structure may be occupied as a: Inground 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,
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: BOTH-000340-2015 c
Tax Map No: 289.12-1-7.22 pig /� (�
Permission is hereby granted to: JOSHUA SALONE R E V I S E D
For property located at: 36 FIELDVIEW RD SOUTH South d V
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
Tvce of Construction
Owner Name: Nicole Salone Swimming Pool $0.00
Owner Address: 36 FIELDVIEW RD SOUTH South Total Value $0.00
Queensbury,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
Bob Baker Pools
75 Sisson RD
South Glens Falls,NY 12803
Plans&Specifications
Inground pool
PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,August 22,2016
(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 TownQ ueens (; Fn a 28,2015
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
411111114
` � 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150383 Application Number: A20150383
Tax Map No: 523400-289-012-0001-007-022-0000
Permission is hereby granted to: JOSHUA&NICOLE SALONE
For property located at: 36 FIELDVIEW RD SOUTH
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: JOSHUA&NICOLE SALONE In Ground Pool
36 FIELDVIEW RD SOUTH Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
BOB BAKER POOLS
SISSON ROAD
SOUTH GLENS FALLS,NY
Plans&Specifications
2015-383
inground pool 16 x 32
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,August 28,2016
(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 T n o ueen ry;/J A i r 4 gust 28,2015
�rY/ if
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction 20`5- aj 3
Permit No.:
Permit Fee: $ -7,V2 i PG�
Site PlanNariance No.:
1. Date: g -23_6
2. Tax Map ID:
3. Pool Location Address: 3c. f iJ 1i ccw i4d oath �., AUG 2 4 2015
4. Zoning Classification: Res:c v -4.L •
TOWN OF QUEE $1RY
BUILDING& CODES
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: S,a. ic Phone: 7y,L— 67,0
Mailing Address: jL /-1d v c4.‘, S,:,jth
City: Qute, �."-/ r 1 g o'
7. Contractor's Name: Y0OtES Phone: -7(13- EA)-Z
Mailing Address: —).S Si 1-111s
City: Ivy '&?(23
8. Contact Person for Building&Code Compliance: Phone
ABOVE-GROUND OR INGROUND? ✓1 c�ruJ.�
SIZE OF POOL: f ..x31
MANUFACTURER:
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel/Vinyl L/ Fiberglass Gunite Poured Concrete L---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: .1)`)k lio ''
Signature: ./ Date 9-023
Name/
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
7L. f6 7---ie%' ;eur ,ZZ --C::;(-112 -
r. I,., h ,,e sten or ob;('ruled, or believe I saw evidence of, /'t
I- ;,ll :,f, , . :i.ic.h ar. i:ili';es, wells, trees, fences, etc., L
�._`,_4 , -, , thic ;lr ,!wnt. I also represent that I have
n, r f il±c distances set forth on the diagram." �C t-
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TOWN OF QIJEENSBURY
L TOWN OF QUEENSBURY BUti_DfNG DEPARTMENT
/� Based on our limited examination compliance
N I s BUILDING & C with our comments shall not be construed as
indicating the plans and specifications are in
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Reviewed �: full compliance with the Building Codes of
�> New York State.
`� 3 Det
i�
8 h _Attention Home Owner
u M a+,.,, LAO Please assure you are familiar with the
. Pool Enclosure requirements specific to
-.C . Your pool. We will be happy to explain s
- what Requirements you will have to 0
7 `, ( o c)d, ,meet per Appendix G Of the
New York State Residential Code.
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COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
3A0.. 20 jSNo 28758
Permit No................. .....................Cert. � Cut-in Card No.....................................
Owner..........................S.A'L'a.A (S ............................................................
Location....3..6....r-1...�.�....P..V t 1p /?,P
Installation Consisting of AkvC........ R ..... ":?l ..� f. t
..............
....................................................................................................................................................................................
................................................y......................................................................................................................................
InstalledBy........e'—.... L-0........................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be pro made for inspection.
Inspectors of this Company shall have the privilege ing ins ctio at any time, and if its
rules are violated,the Company shall have the right to re th' cert' e.
Date.......1..... y..l.J......... INSPECTOR.................. ................ ........................
Member N.F.P.A.,I.A.E.I.