BOTH-000189-2016 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-000189-2016 Date Issued: Friday, August 26, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000189-2016
has been completed.
Tax Map Number: 301.6-2-15
Location: 8 WILLOW RD
Owner: Kevin Nesbitt,Natasha Nesbitt
Applicant: Natasha Nesbitt
This structure may be occupied as a: Above Ground Pool
24'x 52" 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 QUEF"NSBURY
742 Bay load,Queensbury,NY t2804-3904 (518)761-11201
L°oantrattttity^ Development-BuildingC'odes� (518) 761-8256
BUILDING PERMIT
Permit Number: 110T1Z-000189..2086
Tax.Map No: 30L6-2-15
Permission is hereby granted to: Adirondack Pools
I°orproperty located at: £I WILLOW RIJ
In the'Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other inlorunaation hereto bled and appro'wed aand in compliance with the NTS 1lnilorna
Building(,'odes and the Quccnsbury Zoning Ordinance
Type,of Construction
Owner Name: Kevin Nesbitt Swimming Parol 50.00
Owner Address: 8 WILLOW RD Total Value 50.00
Q Uecnshury.N`a' 12804
Contractor or Builder's Name P Address I:lectricaal Inspection Agency
Adirondack Pools
5 BOULEVARD
Queensbury,NY I2804
Plans&Specifications
Above(around Pool
24''x 52"
$40.00 PERMCI I"Et"' PAID-TI HS PERMIT EXPIRES. Thursday,April 6,2017
(If as longer period is required,an aappGic ation for an extension must he made to the code I',talorceunent Of"beer
Of the'Town of Gbueenslrury hetarre the expiration date.;)
Dated at the Town of t�atada ',Ap 1 1,2016
SIGNPI4 BY: a for the'Town ol'Queenshury,
a
Director of'I3adlding&Code F ntorcement
Town of Queensbury 130ding & Codes Office Use caul.
Received:
SWIMMING: POOL PERMIT APPLICATION Tax Map I D:
A permit must be obtained before beginning construction Permit No., b fit
Permit Fee: $ r y \V-)\J-o
Site PlanNariance No,:
1. Date:
E C E
............
2. Tax Map ID:
3. Pool Location Address:
APR 0 ?)j
3F
4. Zoning Classification: 5J�6U' i3
t 8,
5. Site Plan Review,Variance or Subdivision Approvals list)
Y�
6. Property Owner: 4 IV, � Phone:
D
Mailing Address: ,
City: Ir
J&
7, Contractor's Name: Phone:
Mailing Address:
City:
8. Contact Person for Building&Code Compliance: Phone
ABOVE-GROUND OR INGROUND?
SIZE OF POOL:
MANUFACTURER: AAA,
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steol/Vinyl '\V 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 statement1description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and Nn 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:
Name/Title\,j Date
Town of Queensbury Building &Codes Swimming Pool Permit 518-761-8256
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Certificate of Electrical Compliance
'10New 'York Atlantic-Inland, Inc.
'� 997 McLean Road Ext.
J
X Cortland, NY 13045
Certificate No.:608830
Building Permit No.:
Issue Date: 7/11/2016 Building Permit Date:
Inspected By: Devin Pratt Occupancy: R-3
Reprint Date: 7/19/2016 8:22:42 AM
OWNER SITE ELECTRICIAN
Kevin & Natasha Nesbitt 8 Willow Road owner
8 Willow Road Queensbury, NY 12804 8 Willow Road
Queensbury, NY 12804 Town of Queensbury Queensbury, NY 12804
SCOPE:
New Permanent Above Ground Pool
INSPECTION INFORMATION:
Misc: 1 Pool Bonding and GFCI w/Convienan Receptacle
Outlets: 1 Switches, 1 Receptacles
Pool: Conductive Pool Shells Bonded: Y;:.Perimeter Surfaces Bonded: Y, Metallic Components Bonded: Y,
Underwater Lighting Bonded: Y, Pool Water Bonded: Y,Electrical-Eggipment Bonded:Y, 120V 12A 1 HP Pool
Pump, Double Ins., 120V 20A Twist-Lcecp#. &'plug; 120V 20A 2H PTimer
0
RECEIVED
�'Z2
This certifies that the process noted above was complete as specified at the time of inspection and any conditions not within the
scope of the inspection are excluded.Because there exists a multitude of proprietary specifications,the adherence to the relevant
Building Code of New York State is applicable to the electrical requirements on the above noted date and valid for one year
forward. In connection with areas at the time of inspection and does not constitute areas that are enclosed,concealed or
inaccessible.Should the electrical system be altered in any way, including,but not limited to,the introduction of new electrical
equipment,this certificate shall be null and void.This certificate only applies to the occupancy use as stated.Changes in use,or
occupancy as indicated above,negates this certificate in its entirety.