BOTH-000217-2016 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-000217-2016 Date Issued: Monday, July 11, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000217-2016
has been completed.
Tax Map Number: 302.17-3-3
Location: 29 MAPLE DR
Owner: Kristen Blakely,Neil Blakely
Applicant: Neil Blakely
This structure may be occupied as a: Above ground pool
21'x 54"Aqualeader Influence By Order of Town Board
TOWN OF QUEEENSB�UJRY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, X V
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.
" OF U N S B qu 7I R Y
742 Bay Road,Queensbury,NY 12804-5904 (5110 761-82€01
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: BOTH-000217-20 16
"1:ax.Map No: 30117-3-3
Permission is hereby granted to: Upstate Enterprises
For property located at: 29 MAPLE DR
In the Town of Queensbury,to construct or place at the above lunation 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
T e ofConstruction
Owner Name: Neil Blakely Swimming Pool $0.00
Owner Address: 29 MAPLE DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Upstate Enterprises
1.004 Locust Grove RD
Greenfield Center,NY 12833
Plans&Specifications
Above ground pool
21'x 54"Aqualeader Influence
$ 40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Sunday,April 1.6, 2017
(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 Town o hAEnforcet
Aril 2:1, 2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Codent
Town of Queensbury Building & Codes Office Use Only
Received:
SWIMM,ING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction Permit No.: C�TV)A 11 2.Q
Permit Fee: $ A() 4C1
Site Plan/Variance No.:
1. Date:
2. Tax Map ID: 3�X, 3
3, Pool Location Address: Madtllu-, av<lt- AIDIJ
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Aprovats(list)
6. Property Owner:
PN
b ,,
Mailing Address:
City: -LIri A) Y
7. Contractor's Name: ��r—p U(n
x Pones
Mailing Address: oq�lhv, 81
City: aLe y j933
8. Contact Person for Building&Code Compliance: Phone
ABOVE-GROUND OR INGROUND?
fill ' 11
SIZE OF POOL:
MANUFACTURER: ouu,
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinylz 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: Rki)6JI/
P"'-41 17eV
Signature: Date
Na e 1 Tide L
Town of Queensbury Buildings&Codes Swimming Pool Permit 518-761-8256
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