BOTH-000423-2015 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-000423-2015 Date Issued: Thursday, October 6, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000423-2015
has been completed.
Tax Map Number: 289.12-1-7.21
Location: 33 BERRY PATCH DR
Owner: Kimberly Salatino,DOUGLAS SALATINO
Applicant: DOUGLAS SALATINO
This structure may be occupied as a: Inground pool 16'x 34'
By Order of Town Board
TOWN OF QUEENSSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the r: _ �/ 4
property owner of the responsibility for compliance with Site Plan, y4X'
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
OL Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000423-2015 1jQ Zp1 �' 3
Tax Map No: 289.12-1-721 REVISED
Permission is hereby granted to: Adirondack Pools
For property located at: 33 BERRY PATCH DR
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
Owner Name: DOUGLAS SALATINO Swimming Pool $0.00
Owner Address: 33 Berry Patch DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Adirondack Pools
5 BOULEVARD
Queensbury,NY 12804
Plans&Specifications
Inground pool 16'x 34'
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 tI/p/�exp/u ion d t
Dated at the To of Que ur {/ /1 tepternter 11,2015
SIGNED BY: ��/ V for the Town of Queensbury.
Director of Building&Code Enforcement
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.: 1.0 i�— 3
Permit Fee: $ 1-13 (1 21
Site PlanNariance No.:
1. Date: Z1—
2. Tax Map ID: at1
3. Pool Location Address: eCr ç04- L d c,
4. Zoning Classification: I '.
5. Site Plan Review,Variance or Subdivision Approvals(list) �1
6. Property Owner: C"-�1 P L,,AZ] P, O Phone:ataL2- a:Cf
Mailing Address: d� tR 1V
City: 'CQUEc UR �' WY
7. Contractor's Name: , b toL *A. teak _ Phone: '496 -
cg
Mailing Address: ►� L�'�/ ,R-O n �
City: v i'$ 0( 1(/ /dl(
8. Contact Person for Building&Code Compliance: atuG S At_Acr-) 0 Phone
ABOVE-GROUND OR INGROUND? -1—NI ( ko
� r
SIZE OF POOL: I X '
MANUFACTURER: CARDSYs-r-cAks
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel/Vinyl N 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
n andinconformance wi h local re regulations. I
accordance with the NY State BuildingCodes, local buildinglaws and ordinances, t
zoning 9
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: L� ov51c)
Signature: <i,vt - Date U Z81
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
Queensbury Web Map
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FILE COPY
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1c �'( -'. TC..tI D ,Y6 TOWN OF QUEENSBURY
�jBUILDING DEPARTMENT
�l i Based o our limited examination,compliance
,7t
with our: omments shall not be construed as
"��' _ indicatini
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 One Run Road-Manheim,.PA 17545
:;..
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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rr11 4 2 2 5 5 Cut-in Card No............
Permit No. 39..a. Carl.N2 .........................
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,;;•..�. Owner.................._l,../.Q.V Sr........a�./.a.tan:7.�i.r.W.................................................................._....
�> E Location..:3a....13.r.A7.rd�x...--Rc#,T.L:id_..,t2/.i.:................ .u..c..rzdLS.. .0�..�f— i ..
_ Installation Coaatsttng ot'........ ......C7cZ+ ........................._ �
........L.s.Sf..a7..i..v�:.L..:.x....6n..a..�(.i..rx.Lw—.......... ... : .,.
.r.. Installed By.:....,F.,... .M..n:1.F,rt.w.r/..................................................Lie. No..................._..............................
The conditions following governed the issuance of this certificate,and any certificate previously issued is i
cancelled:-
This certificate only covers the electrical cquipm6l and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate-
Date....l...l-.l.4..-1.tS............... INSPECTOR. d frf- .............................
Member NAPA,I.AXI.
10 39Vd Ol8Nf1W NOd 789186L 09:61 910Z/E0/Z1