BOTH-000319-2016 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-000319-2016 Date Issued: Monday, June 5, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000319-2016
has been completed.
Tax Map Number: 301.17-3-59
Location: 32 CAITLIN DR
Owner: Nicole Dutch,EVAN DUTCH
Applicant: EVAN DUTCH
This structure may be occupied as a: Inground Pool 30 x 17
By Order of Town Board
TOWN OF QUEENSSBBURY
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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building& Codes (518) 761-8256
BUILDING PERMIT
Permit plumber: BOTH-000319-2016
Tax Map No: 301.17-3-59
Permission is hereby granted to: Cypress Pools, Ltd.
For property located at: 32 CAITLIN DR
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 the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Nicole Dutch Swimming Pool $0.00
Owner Address: 32 CAITLIN DR Total Value 50.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Cypress Pools, Ltd.
115 Wade RD
Latham,NY 12110
Plans& Specifications
Inground Pool 30 x 17
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, May 27,2017
(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 da .)
Dated at the Town o ueens ry; ke , une 1,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use 0111y
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction Permit No.: _��1� - -1)tC
Permit Fee- $ ��. C O 1Y 06
F/ Site PianNariance No.:
1. Date: FJ 2.,rf 4
2. Tax Map iia: 301.17:.3-5C1
3. Pool Location Address: 3Z COIk\;1\ ; ,t
4. Zoning Classification:
S. Site Plan Review,Variance or Subdivision Approvals (list)
6. Property owner: L,r&n + 1 + phone: _94-70 71 Q'G
Mailing Address: 52-_ ��r
City: QttN 'r "1 11101
7. Contractor's name: CXer q S 1pP CAS -7- phone: -5 - sl
Mailing Address: l— W fL d,t &S
City: L irk Z 1 14 ,+�-M.�; Pte+ �+►� �+�
S. Contact Person for Building&Code Compliance: JF4kn Phone CV- 72S--7I t
ABOVE-GROUND OR INGROUND? ':;q r n
SIZE OF POOL: O x �
lL.'9 l4.
MANUFACTURER:
e f; AI POD\J 7n t
MAY 25 20151
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
0F J
Tu L'1 DJ'N'G 8� L URY
Steel/Vinyl / Fiberglass Gunite Poured Concrete Other �- �„��pCODES
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 state m enUdescription 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: L�JA Ttrt-►
Signature: Date ZZ L-1 01
Name 1 Title
Town of Queensbury 8ultdfng&Codes Swimming Pool Permit 518-761-8256
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301.17-3-59 BOTH-0003x9-2016
Dutch, Evan
32 Caitlin Drive
lngroL,I)d P001 30 x 17