BOTH-000177-2016 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-000177-2016 Date Issued: Thursday, May 17, 2018
This is to certify that work requested to be done as shown by Permit Number BOTH-000177-2016
has been completed.
Tax Map Number: 301.13-2-66
Location: 18 ALGONQUIN DR
Owner: Robert King
Applicant: Robert King
This structure may be occupied as a: Above Ground Swimming Pool
Building Permit renewed 5/11/2017 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
t�
742 Bay Road,Queensbury,NY 12804-5904 (518)76 1-8201
�� p Building ' ( )761-8256
C.,00rrrartrtrrt Development_ �, Codes �1
BUILDING NI IZMIT
P rinit Nuniber: 1301'11- 00177-2016
fax Map No: 301.13-2-60
Pennission is hereby granted to: Robert Kong,Adirondack Pavilion fools
For property located at: 18 f LGONQUIN QR
In the Town of Queensbauy,to construct or place at the above location in accordance with application together
with plot plans and other inliarnration hereto riled and approved and in compliance with the NYS 1 Pnili„arnr
Building Codes and the Queensbury Zoning Ordinance
Type o@"C.'onstruct on
Owner Name: Robert King Swimming fool $0.00
Owner Addreso: 18 Algonquin DR Total Value $(M)C1
Queensbury„NY 12804
Contractor or Builder"s Carne I Address Electrical Inspection Agency
Adirondack Pavilion tools
946 Lake AV
Saratoga Springs,NY
flans&Specifications
Above Ground Swimming fool
$40.00 PERMIT L'EE PA H)-THIS PERMIT T;
Town of Queensbury Building & Codes Office Use Only
Received':
SWIMMING POOL PERMIT APPLICATION' Tax Map ID: _Sn�_ j
A permit must be obtained before beginning construction Permit No.: rVrIA Ai
.-I rlL,)
Permit Fee: $ ..............
—.%te.P1anA1a6anoe-N
1, Date:
2. Tax Map ID: APR 0 A 2016
3, Pool Location Address: CD
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6,. Property Owner, \C_k C-1)
Mailing Address:
City: CS.
7. Contractor's Name: Pa Q't � �A GV) Phon(ZaS__�_50 0'
Mailing Address: pc)o
City: LY,'`µS
U 14 U
B. Contact Person for Building&Code Compliance: Phone
ABOVE-GROUND OR INGROUND? e&:�:_Dave�-, -
SIZE OF POOL: � G `�
MANUFACTURER: Pe_,�L
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl %� 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: c-,
Signature: Date
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
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