BOTH-000273-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
at Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000273-2016 Date Issued: Wednesday, June 7,2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000273-2016
has been completed.
Tax Map Number: 308.7-1-19
Location: 42 WESTBERRY WAY
Owner: TIMOTHY KNILL,Kelly Knill
Applicant: Kelly Knill
This structure may be occupied as a: Inground Pool 18 x 29 x 37
By Order of Town Board
TOWN OF QUEENSSBBURY/f
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.
nSr1mJ, TOWN OF QUEEN BtJRY
D 742 .Bay Road,Queensbury,NY 12804-5904 (51.8)761-8201.
Community Development - Building & Code; (518) 761-8256
BUIL INN PERMIT
Permit Number: 130111-000273-2016
Tax Map No: 308.7-1-19
Perunission is hereby granted to: Concord Pools& Spas
For property located at: 42 WESTBERRY WAY
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 time Queensbury Zoning Ordinance
Tuve of Construction
Owner Name: TIMOTHY 1{NILL Swimming Pool $0.00
Owner Address: 42 Wdstberry Walk Total Value $0.00
Queensbury,NY 12804
Contractor or Builder`s.Name 0 Address Electrical Inspection Agency
Concord Pools& Spas
156 Sparrowbush RD
Latham,NY 1.211.0
Plans& Specifications
Inground Pool 18 x 29 x 37
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, May 1.1, 2017
(If a longer period is required, an application for tan extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Towno ue ury; Iota a , 2016
SIGNED BY, for tlae Town of Queensbuay.
Director of BUilding&Code Enforcement
Town Of QUeensdeur y BuildinOffloe 1Jse,0ntV
SWIMMING POOL, PERMIT APPLICATION Tax Map ID:
A permit must be obtained before begirming constructlon Pormit lqo.: nD±-_2"q3 ..........
Permit Fee� $-3f
Site Planftdanre No.:
1- Date;
2. Tax Map ID: O'S/, -7
3. Pool Location Address,
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: PhOnO. i 1 �o S(�-
Malling Address:
clity,
T Contractor's Narno, q I((0 r— L Ali ek 4 piions:
_10a— S-
!-, - rcA�I
Malling Address: IS 11; i,rcA�
City:
S. Contact Person for Building&Coda Compliance- gcd ok n.Mcc�re ll"c)A,-(j Phone 36
ABOVE-GROUND OR iNGROUND?,
SIZOF E POOL: )_CL,
MANUFACTURER:
Pei �_aa�f16' MAY -9 2'0"1'6
MATERALS USED IN CONVIRUCTION (CHEC�K ALL THAT A,PPLY)�
jz�y
Steel lvinyl _,� _ Fiberglass_ Gunite__ PouredConcrete— a._ ..........
ggglaration. I acknowledge no construction actIvilies shall be commenced prior to Issuance of a valid permit. I certify that the application,
plans, and:, supporting materials area true and complete stalemenYdescription of ft work proposed, that all work will be performed in
accordance with the NY State Building Codes, local buRding laws and ordinances, and In conformance with local renin requilations. I
acknoWedge that I have read The application &plot plan requirements-and I or my agents Will obtain a cartiftate of occupancy before use
of the pool
Print Narne:
Signeture, Date
blame ' 'Itle
Town of Queensbury Building&Codes Swimming Pool Pearit 518-761-4256
Nov. 14. 20169 1 : 30PNMMDIA No. 5459 P. 3/3
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
e that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Date:
Jim Knill 11101/2016
Occupant: Location:
Pool 42 West Berry Way
Occupancy: Queensbury, Warren Co. NY
/
Applicant:Ilimming Pool
S&J Electric
68 Burden Lake Rd
East Greenbush, NY,..120ti1:;,`..' ' ;;:..: •
No.
Joseph A.Holmes :"
-
141022�026.89EL'
Equipment:
1 -GFCI Receptacle; 4 -Fixtures; 1 =�.Surner, Wiring &Control; 1 -Pump; i - 1 HP Motor, 1 -Water San'ltizer, 1 - East
ouch Panel
This Certificate applies to the alearlcal wiring to the elacidcal equipment listed immediately null and void. This certificate applies only to the use,occupancy and
above and the Installation inspected as of the above noted date based on a visual ownership as Indlraled herein. Upon a change In the use,o=pncy or ownership
Inspection. No warranty is expressed or implied as to the mechanical safety.effl- of the property indicated above,this cartilicate shall be Immediately null and void.
dency or(ilnEas of the equipment for any particular purpose. This certlgcale shall In the event that this cen�care becomes Invalitl Cased upon dire above conditions.
be valid for a period of one year from the strove noted date. Snould Ina electrical thi9 certificate may be revalidated upon reinspection by Middle Oepariment
system to whlth tttia certifxste spplles De altered in anyway,Inelutling but not IImi4 Inspection Agency,Inc. An application far inspecdon must be submined to Middle
ed to,Ina introduction of atltlitionel electrical equipment and/or the replaeemenl of DeDenment Inspection Agency, Inc. to initiate the inspection and revalitledon
any Cf the components inalalled aS 01 me above noted dale,this Certificate shall be process. A fee will pe dtarge0lorlhis service.
Attention Home Owner
l ase seer you a ) ml�lat� i G the
your c'6. e will happy e �lai.
What uieement
s you will ave .
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PROPOSED POOL DECKvv�� ry
PROPOSED FENCE 'BU 11 AN C tE PA t t��l Ct, 0
a sed cm�)L IIA riiu d exwllh-r@ion,d,u nlru No�k��u�, r�
PROPOSED POOL ... l �� Vuitt c u�u�c�ud rut A �t�.cti not P c nstr ued f
,w -4
pllxuu�.�n @ulct u�u,lliuuhutGor��s �uuc�
V� compliance %Iflh the, Iiufldh , Coins, r�
� I� New yoITk Pa
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APPROXIMATE LOCATION
. .. . OF SEPTIC SYSTEM'
i t
EAVING MDSE
WESTBERRY WAY
20 0 20 40 60 90"
42 WESTBERRY WAY
V = 40' TIMOTHY AND KELLY KNILL
PLOT PLAN WITH PROPOSED POOL LAYOUT