BOTH-000390-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
4W Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000390-2016 Date Issued: Friday,August 26, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000390-2016
has been completed.
Tax Map Number: 308.5-1-77.1
Location: 89 LAUREL LN
Owner: Andrew Capone
Applicant: Andrew Capone
This structure may be occupied as a: Inground Swimming Pool
By Order of Town Board
TOWN OF QUEENSBUR/YJ
Issuance of this Certificate of Compliance DOES NOT relieve the r: /J J
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
,r. Community Development -Building& Cedes (518) 761-8256
BUILDING PERMIT
Permit Number: BOTH-000390-2016
Tax Map No: 308.5-1-77.1
Permission is hereby granted to: Andrew Capone
For property located at: 89 LAUREL LN
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: Andrew Capone Swimming Pool $0.00
Owner Address: 89 Laurel LN Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Pools Plus
45 MAIN ST
Queensbury,NY 12804
Plans& Specifications
Inground Swimming Pool
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,June 23. 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 of ury; esd J e 28:he
16
SIGNED BY: Town of Queensbury.
Director of Building&Code Enforcement
Town Of Queensbury Building & Codes office use onl
SWIMMING POOL PERMIT APPLICATION Received:
A Permit must be obtained before beginning construction Tax Map ID: -1-77 r`
l i f ' &nit No.:
Permit Fee: $ 7
Site Plan/Vadance No-:
t. Date:
2. Tax Map ID:
3. Pool Location Address: 308.5-1-77,1 BOTH 390-2016
Andrew Capone
4. Zoning Classification: 89 Laurel Lane
Inground Swimming Pool
5. Site Plan Review,Variance or Subdivision Approvals (list)
6. Property Owner:
Mailing Address: Phone: 3 6 5�j
City:
,1 InlAJ f Cjc
7. Contractor's Name;
Mailing Address: �e Phone l
City: ti` CIL
8. Contact Person for Building&Code Compliance: L
Phone 9
ABOVE-GROUND OR INGROUND? L.v�r .,.A
SIZE OF POOL: I t _ x
MANUFACTURER: -21
MANUFACTURER:
s
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl_ Fiberglass_____ Gunite Poured Concrete X
Oilier
Declaration; I acknowledge no construction activities shall be commenced prior to issuance of a valid Permit. I certify that theapplication,
plans, and supporting materials are a true and complete statemenUdescription of the work Proposed, that all work will be
accordance with the NY State Building Codes, local building laws and ordinances, and In conformance with local zoning regulations. I
acknowledge that 1 have read the application&Plot Plan requirements and I ar my agents will obtain a certificate performed in
of the pool. 9
Of occupancy before use
Print Name:
Signature:
pG'�1V $ C w°� Date
e/Title �.�
Town of Queensbury Building&Codes Wmming Pool Permit
518-e61-8256
)D TOWN OF QUEENSBURY t;
pehiaoaa PT. i, .fl IN 2016
BUILDING & C
Review d y:
v
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
aced on our limited examination,compliance
ith our comments ,ct be construed as
ndicaling the plans and %ecifiications are in
ull compliance %vith the ,uilding-4Qdes of
ew or a N 0556'00 E
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194.91'
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S 06'3,2•59 w Attention er
4
� Please assure you are familia with the
Pool Enclosure requirements pecific to
Your pool. We will be happy o explain
+ C what Requirements you Wil have to
M meet per Appendix G the
O New York State Residential Code.
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308.5-1-77.1 BOTH 390-2016
Andrew Capone
89 Laurel Lane
Inground Swimming Pool
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
grn•�Jqa• Ib N_ 44812
Penni[No....o....................................Cert. 0 Cut-in Card No.....................................
Owner.......... .Ci�- /t-�(3T
Location...271.....Ll -[; L( L.....L...................................................j.S..�G..�. ..�X.........._
Installation Consisting of..a ...... L(.G .............-
....................................................................................................................................................................................
....................................................................................................................................................................................
Installedey....... ....j7..C�..�:.5....... ...............................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 makin spections at any time, and if its
rules are vvipiolateedqd'�,the Company shall have thr right to r/e�k�e t i ert ficat
Date.....0....:...F.7:. -[....74............... INSPECTOR... .Jl...a... ......
........................ ..
— Member N.RP.A.,1.A.E.1.