BOTH-000197-2016 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-000197-2016 Date Issued: Friday, July 1, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000197-2016
has been completed.
Tax Map Number: 301.6-1-55
Location: 15 SUGAR PINE RD
Owner: Emily Didio
Applicant: Emily Didio
This structure may be occupied as a: Inground Swimming 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, a
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.
TO OF QUEENSBU Y
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Bnilding&Codes (5 18)761-8256
BUILDING PERMIT
Permit Number: BOTH-000197-2016
Tax Map No: 301.6-1-55
Permission is hereby granted to: Emily Didio
For property located at: 15 SUGAR PINE RD
in the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other inli>rrnation hereto tiled and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury"Zoning Ordinance
'1, e of Construction
Owner Narne: E'rnily Didio Swimming fool S0.00
Owner Address: 15 Sugar bine RD ..total Value $0.00
Queensbury,NY 12111.14
Contractor or builder's Nance f Address Electrical Inspection Agency
Adirondack fools
5 BOULEVARD
Queensbury,NY 12804
Plans&;Spccitications
Inground Swimming fool
$75.00 PI'RMIT l°EF PAID-'PHIS PERMIT EXPIRES: friday,April '7,2017
(11'a longer period is required,an application for an extension roust be made to the code i;nlr}rcenaent Officer
ofthe Towwra of Queenstaury before the expiration date.)
Dated at the Towyn cat'Queensbury; Tmaes y A it I2,2016
SIGNED BY: ( � AS for the Town of Queensbury.
Direct of building;&:Code En orcernent
Town of Queensbury Building & Codes Office Use On
Received: ra t('a
SWIMMING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction Permit No.: j-5o-f
Permit Fee: $ YS—"�
Site PlanNariance No.:
n-
1. Date: I,&; k,6 11;
2. Tax Map ID: �3 APR I 1 ?,,016
3,. Pool Location Address: 15 'SU 6 C( 0 0 d-
99' DE LD�NG & CS
4. Zoning Classification: ..........
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: Phone: q
Mailing Address:
City: aerdlbry j\jl 12J5,04
7, Contractor's Name: adl,(01 0&1 CIL PQ 61 S Phone:
Mailing Address: 155 V-b t 11,-C\.,),CA d
City: &UrM510 Li
M,I IV DI d 6................
8. Contact Person for Building&Code Compliance: �- t Pho4!DI Ll Ll-
ABOVE-GROUND OR INGROUND?
SIZE OF POOL"
MANUFACTURER: CO r CL I
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:
Signature: Date
Name I Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
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Aftention Hoff e Omer
Please aSSUre you are, familiar with Me F Q UEEN8BUR' l
Pool End6sure requireMents specific to 'F01"WN
Your pr6l. We wHI appy to explain RUILDING & CUD D T.
what Requirements yDu IwW have to e' k:,�wed y'
mese per Append G Of the
New "fork State Res entid Code. ate.:
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