BOTH-000350-2016 }` 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-000350-2016 Date Issued: Tuesday, September 26, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000350-2016
has been completed.
Tax Map Number: 266.1-2-41
Location: 63 BOULDERWOOD DR
Owner: Eric Seelye
Applicant: Eric Seelye
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,
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.
iliaTOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
-- Community Development -Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: BOTH-000350-2016
Tax Map No: 266.1-2-41
Permission is hereby granted to: Eric Seelye
For property located at: 63 BOULDERWOOD 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: Eric Seelye Swimming Pool $0.00
Owner Address: 63 Boulderwood DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Sprague's Mermaid Pools
300 Broadway
Fort Edward,NY 12828
Plans&Specifications
Inground Swimming Pool
S 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,.lune 13, 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 Townof bury; 2016
SIGNED BY: /// on , for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building& Codes o u only
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID;
A permit must be obtained before beginning construction Permit No.:
Permit Pee:
Site PlanNarianae No.:
1- Date; Cp
2, Tax Map ID:
3. Pool Location Address: . a�f� 5"
r
JU n 2a�s
4. Zoning Classification:
5. Site Pian Review,Variance or Subdivision Approvals(list)
6. Property Owner: Phone: 506 -21-5-9-770-2
Mailing Address: .
City: jr l
7. Contractor's Name: r Phone: 51-6
Mailing Address:
City:
8. Contact Person for Building&Code Compliance: I T, Rhone J I
ABOVE-GROUND OR INGROUND?.
SIZE OF POOL: 3�
MANUFACTURER:
MATERIALS US DIN CONS7RUCTIt}N (CHECK ALL THAT APPLY):
Steel 1 Vinyl_ Fiberglass Gunite Poured Concrete Other
Declaration: I acknowledge no construction activities shall be commenced prior 10 Issuance of a valid permit. I certify that the application,
plans, and supporting materials are a true and complete staternent/description of the worts 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; link Date � k.
Name! itle
Town of Guoonsbury Build Ing&Codes Swimming Pool Permit 518-761-8256
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COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
MTI*- °'P1bCert.N_ 44811
Permit No.MTI*- � Cut-in Card No.....................................
Owner...........0 ...........� -.. .L ...........................................................................................v.......
Location.�m�.....�—�. ..ReA.�.V G..r>P........................................�..... C�C-x./........
...... .... �.�.. .. ... 1�
Installation Consisting of.../Oc_v....�......!!. ...
....................................................................................................................................................................................
................................................p..�................................................................................................................................
Installed By.........e4.....f!.1..�..ee�-d.......................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making msp ons at any time, and if its
rules are violated,the Comppa_ny shall have the right tooevk..,tis ce ifi .
Date.........97....�. .k........ INSPECTOR........
Member N.F.P.A.,I.A.E.I.