2015-374 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: P20150374-42240 Date Issued: Thursday, September 21, 2017
This is to certify that work requested to be done as shown by Permit Number P20150374-42240
has been completed.
Tax Map Number: 301.17-3-70
Location: 470 WEST MOUNTAIN RD
Owner: Diane Howard,David Howard
Applicant: David Howard
This structure may be occupied as a: in ground pool
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the a; 4 4 t
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 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150374 Application Number: A20150374
Tax Map No: 523400-301-017-0003-070-000-0000
Permission is hereby granted to: DAVID & DIANE HOWARD
For property located at: 470 WEST MOUNTAIN 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: DAVID & DIANE HOWARD In Ground Pool
470 WEST MT. Rd Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
CLEARWATER POOLS
1100 ROUTE 29
GREENWICH NY 12834-0000
Plans&Specifications
2015-374
inground pool 12 x 24
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, September 11,2016
(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 n of ens w ' rde - ' +tember 11, 2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
1
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Office Use Only
Town of Queensbury Building & Codes
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction Permit No.: 201
Permit Fee: $ �
Site Plan/VarianceNo.:
1 e 11 re.
1. Date: )9-tN,10N
2. Tax Map ID: I , I� -3-9•0 n„
3. Pool Location Address: L/TO -c-rC YYJQc c d 6:)ccc-c-ex.b.,
AUG 1 9 2015
4. Zoning Classification: •
70t/VN QF QUEENSBURY
5. Site Plan Review,Variance or Subdivision Approvals(list) BUILDING& COQ
6. Property Owner: l)r2.v;c1 - Menti/Ci Phone:
Mailing Address: /7C Z .J(Jf 977644 7f4 r" /LC/
City: 4)i.4 91 Cl/fila'l'
7. Contractor's Name: elect Lt)c.' T?Oc,i" t9 Jm Phone:
Mailing Address: t/
City: /t'r:nfJ;C-c--c
8. Contact Person for Building&Code Compliance: Phone
ABOVE-GROUND OR INGROUND? .L _n C—'-
c
SIZE OF POOL: •
MANUFACTURER:
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl .7' 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: CinAA. 9 y
Signature: 27 7 c Date ,/U
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
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