BOTH-000375-2016 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-000375-2016 Date Issued: Friday,June 2, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000375-2016
has been completed.
Tax Map Number: 301.17-3-53
Location: 25 CAITLIN DR
Owner: Jonathan Demers
Applicant: Jonathan Demers
This structure may be occupied as a: Inground Pool 20 x 40
By Order of Town Board
TOWN OF QUEENSSBBURYJ
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 Number: BOTH-000375-2016
Tax Map No: 30t.17-3-53
Permission is hereby granted to: Adirondack Pools
For property located at: 25 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
Tune of Construction
Owner Name: Jonathan Demers Swimming Pool 50.00
Owner Address: 25 CAITLIN DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Adirondack Pools
5 BOULEVARD
Queensbury,NY 12804
Plans& Specifications
Inground Pool 20 x 40
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,June 17, 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 f Quee ury; W*r4nme 22, 2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Gtftse Use Only
Received;
SWIMMING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction Permit No.; 60TY" 0 cm;z�;
Permit free: $_ fD
/ Site PlanNariance No.:
1. Date:
2. Tax Map ID: 1
1 Pool Location Address: c Lj R
4. Zoning Classification: JUN 17 2016
5, Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: ria ,.J ,y b �./ Irl one: Ko. -52-1- d ?-
Malling Address: 5-- CA l L 1 if
7. Contractor's Dame: AD1 P"q ]�} � � Phone: 4
Mailing Address: !V
City:
8. Contact Person for Building&Code Compliance: -PKT`-H-A- Phone
ABOVE-GROUND OR INGROUND?
SIZE OF POOL: Old
MANUFACTURER:
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel 1 Vinyl Fiberglass Gunite Poured Ccmcrete ' Other
Declaration, I acknowledge no construction actlMes shall be commenced prior to issuance of a valid permit, 1 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 hive read the application &plot plan requirements and I or my agents will obtain a certirfica%of occupancy before use
of the pool.
Print Name:
Signature: Date G ! 1
/meT'
Town of Queensbury Building&Godes Swimming Pool Permit 598-781-8256
MAP REFERENCE: A tentgon Home OViner
Please assure.you are ramii ar with the
MAP OF TOPOGRAPHIC SURVEY MADE FOR LANG .'NIF.O��nol Enclosure requirement; speck to
COLLETTE CONSTRUCTION KELACO;`LLC Your pool. We will be haps'y to explain
DATED:DECEMBER 1, 2008 what requirements you N All have to
BY: VAN DUSEN& STEVES meet per Appendix C Of the
New York State reside•Itial Code.
pFRMIT_F�LOU btl
HAT PE � PIS!l't I.fcA3llr; ; r 1r 3 ST NICE
FR0��1 THE PROPERTY 1`Y LH`'E f)THE
LAN
DS N/F OF
c - t a
JOSHUA_MULDNER
PR �, a ►Feu,rlJi� 1 ..� . s�c; ( ) Oi�l O1 '.ylf.
(�
z1116 -BUILDING ® '
1 /
.. - - -- - - _Ss°
IGP.LTi
r� �2r Revi>v ed By . �•
g)ate: —
Q ,
' 'JA 66
c.
IL COPS"
f � �
LOT #6 ^'Q
rn
62911 .9 Sq. Feet o
1 . 4 Acres
f , 4 �
LANDS N/F OF
- <. w MAX REICHEN
f fir
r t FOUNDATION ONLY
0 \ -
q� I HEREBY CERTIFY THATJH15 MAP WA5 PREPARED
FROM AN AGCUAL FIELD 5URVEY.
_ p
Ttt€S CERTIFICATION StfALL-RUN ONLY TO TEifs PERSONS
FOR WHOM T 5 A5
�' 1 J6
M
HE URVEY W PREPARED AND ON THEIR
A
,�� BEI�€ALF TO THE TITLE COMPANY, GOVERNMENTALGENGY
AND.LENDING IN5TITUTION 05TED HEREON.
`ani CERTIFICAT.ION5 ARE NOT TRAN5FERABLE TO ADDITIONAL
r; lid sal'g k t 1 € fl `IN5TITUTION5 OK 5UB5EQUENT OWNERS.
- i
TlF MICHAEL E.5HEA ERICA L. FITZGERALD
CER 1ED T0-
GLENS FALL5 NATIONAL BANK5 AND TRU5T COMPANY
o !T5 5UGGE550k�5, 1,0 OR A55€GN5
LANDS -N/F,OF COMMO WEALTH „. �.ITt�F�lN5URANCE COMPANY
GARY- VANHATTEN t • f,; �, t
301.17-3-53 BOTH-000375-2016
s Demers, Jonathan CERT€FEED •Y: x* i
5 `LL5 .5
Ey�IC3 !t �tYSE 0 5'T��'
�MATTH STEV 13
25 Caitlin Drive xe
Inground Pool 20 x 40
DATED: AUGU5T 15 ` €3
. . ate
15, 2013
- `UNMfTMORIZEO ALTERATION OR ADDITION TD A SUR\£'( - - - - -- -
HAP SEARFNQ A UCEHXQ LAND StNAEYORS SEAL-IS-A -- - - - Ma of a -Surveymade--for- - - - : - - -- 2 _3
IAugust
SCaI 1`_ 0•
MATIOH OF 7': 1204,WO-IXVISION 2 OF IRE -- - - - - -
- -"t8E5Y.YOPo(VAIE-EDUCAAtt{lAV4` _
- `tNiLY COPIES FRD11 UiE IXIIgNAE OF 1HF5 SURVEY • -
NARKED WTH AN OMgHAt OF THE LAND SURVEYORS
eves - Michael E . Shia �c . 1
_ -SEAL SH'DE f;'ONSICFRED(V 9E:VAW 7RUE CORES. _ - - .i.
St
CERTOCATWhS WMATED IIEKO-N SiGNFY THAT -
-- "S"cQ W*PRL)!ARED 44 ACCO SURVEYORS
W RS AD • L Fitzgerald
' _EIOSIWC CODE 4'PRJiOTICE,FUR LAN4 SURVEYORS-ADOPTER
- DY THE NEW Y9hK$TATE AS:umucN OF PROFE590NAi.-
yr�.
aI"1 d �' u r'•v e ors: LAND AIRVEYOR4.SAIB CERIIttCATIDNS 911U1 RM DNIY E i �e a
- - - .- -- - TD THE PERSON FOR NTlou.Q SURVEY IS PREPARED,-ANft - -- - - - - - - - - `a�,� OF
{
ON His GEHAF IU jg iFTLE:OFIPANY,GOVERNMENTAL - - - 7CIEE - - l
- -AGENCY.AID I-PO�1hsTITyi iiai USTED HEREON,AHD - -
169 Haviland Road Queensbury, New York 12804 TD THE ASSIGNEES FitLENIHN6 wsTITUTION.` Town of Queensbury, Warren County, New York SHEAT FITZGERALD
(518 792-8474 New- York -laic. No. _ 50135 NQ. DATE DESCRfPT10N DWG. NO.05-142-G
30€.17-3-53