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BOTH-000237-2016 ^� TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (5 t 8)761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: BOTH-000237-2016 Tax Map No: 301.18-1-68 Permission is hereby granted to: Kari Benway, JEFFREY BEN WAY For property located at: 13 FAWN 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: Kari Benway Swimming Pool $0.00 Owner Address: 13 FAWN LN Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Inground pool 16'x 32' Requires Area Variance for rear yard setback relief. $ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,June 30, 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 Quee j 4Tuo , 2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only Received: +{o SWIMMING POOL PERMIT APPLICATION Tax Map ID: 30 f. A permit must be obtained before beginning construction Permit No.: 13�-J-6 Permit Fee: $ Site PlanNadance No.: 1. Date: 2. Tax Map ID: } 3. Pool Location Address: 1 o_�,j►n cin e 4. Zoning Classification: 5. Site Plan Review,Variance or Subdivision Approvals(list) 8. Property Owner � p Phone: � ��; ✓'' Mailing Address: City: 7. Contractor's Name: Phone: Mailing Address: City: 8. Contact Person for Building&Code Compliance: Phone ABOVE-GROUND OR INGROUND? +nq SIZE OF POOL: k tE83 MANUFACTURER: } ;� jMATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY): R 26 2016 uSteel I Vinyl ✓Fiberglass Gunite Poured Concrete i/ OtherF QUEENSgURYING& CODES 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 ment/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 have read the application&plot plan requirements and 1 or my agents will obtain a certificate of occupancy before use of the pool. Print Name: r l Signature: � Date Name I Title Town of Queensbury Building&Codes Swimming Pool Permit 518.769-8256 r f ING OFFICE Lands Now or Formerly of Sher j ��} �.��,� man Pines Ilomeo�ners Assoclatrart, Inc. (S)� �� 15 OSOd©Hd hl`!�-10Hd 3Hl b' Jzl Book 1106 Poge 114 -�nS'd?W ATIVIdOS83d 3AVH I immmpeyy -1) aid Foundsna o .b 44j7p, Arm -24A ArM Rod Wim's AL q� CtePado �I c�ey w 1.11over Planter 2. Drive 2story f struchwe /C unit 3. 1.1'cantilever 4 6 Meter _ Ply Gas 3Q'Set&ck MAY rand LaMP Past Cork�ete Po Telephone W/step 1 77 Pedastal c�ctrieal �' Lands Now or Farmer/y of 5 Iron PFp�e Fow2d Tohn & Tanice Urban 6. Radius-325.Q7 p�Q Lmwm-vr.w, �d Book 1243 Page 288 ............................SR.20 �� 7 ...........................20,IW,54 Lot Wid&........,100, ~�,1�-, Setbacks .............................10`mirt(sum.30) °z`r r" DATE RDMOW RSXM/DMMpMN DRAFfM ...............................20' or Waorrm QlxA o I= O ZL � �7mda Ird is V , srar8:PArff.'t J;,, 40 bA b p 14 ��U�Nro 1 o nal w -=- l0X N 0 $ Lu L w i Iry e. IN a 3 o m w ry QO N y V N 5 94 �o G� o fn u Rc Opel fr+ NC'co cu N r' ��°9rs m o 3 Z 06 Z I � aQ, �RFIT X z p OD 4) m I /a O w ry �v� I Fare P f 0 y p Cc D�0 � app �Qp J p m I ti•�'� � I 1��1 all S O WOW M (/ 9,iGfi60o001lT � N ' ~ O O t.....,.�.....- \ 00C O _ 38 IVJI /... p o 5; CIO H v cc Y 0- 1- � wiu2elp ayj uo y}js}}as e1 Ip ainseaw AIleu spat ro w i o = ii o anew l le sa�das nsle�l';uawn slgj uo UM04S � Q �b � Oa aauai`saaak'sllaM asnog se ya s-�oa[go Ile aouapina MUS I anallaq Jo`panaasgo JO uaas l„ - b y r ca $ �'wr o ��ti y ti w Z s 4D4 off .