POOL-000109-2017 TOWN OF QUEENSBURY
r,ll 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
' Community Development-Building& Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: POOL-000109-2017 Date Issued: Monday, October 16, 2017
This is to certify that work requested to be done as shown by Permit Number POOL-000109-2017
has been completed.
Tax Map Number: 302.13-1-16
Location: 0 HIDDEN HILLS DR
Owner: Teudy Nuesi
Applicant: Teudy Nuesi
This structure may be occupied as a: In Ground 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, VVY
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: POOL-000109-2017
Tax Map No: 302.13-1.16
Permission is hereby granted to: Pools Plus
For property located at: 0 HIDDEN HILLS 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: Teudy Nuesi Swimming Pool $0.00
Owner Address: 0 Hidden Hills DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Pools Plus
45 MAIN ST
Queensbury,NY 12804
Plans&Specifications
In Ground Swimming Pool
575.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 31,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town o ueens ; FrA017
SIGNED BY: % /VJ ' for the Town of Queensbury.
Director of Building&Code Enforcement
SWIMMING POOL PERMIT APPLICATION Office UseOnlV
Permit N: ?0Q&' - It�YdOI'}
fincu u((Zlcru>bun' r
+
Permit Fee:$ ;Invoice N:
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbuv.net
Notes:
Pru0 01 Project Location: Q NfdAev\ �,//S
Tax Map ID#: 30Z.113 ' I — 1 Subdivision Name:
CONTACT INFORMATION: I� MAR 22
f l l
• Applicant: TOWN OF OUEENSE4.)RY
Name(s): leud oe'sl
Mailing Address, C/S/Z: N,//s
Cell Phone: ( 307-14( 77 Land Line:
Email: _fAb0@0UT1g0K.Co,-1
• Primary Owner(s):
Name(s): /
Mailing Address, C/S/Z: 00 iJ� *//S IZ90 S
Cell Phone:_( ) Land Line: J. )
Email:
• Installer/Builder:
Business Name: POoA (1/u_S
Contact Name(s):
Mailing Address, C/S/Z: y5 P1Aivl SViee{ Quee�Shufr ) !� L80rj
Cell Phone:_( Ste_) 793 -Z ri zG Land Line: _( )
Email:
Contact Person for Building & Code Compliance:
Cell Phone: -O/t ) 3C7-i c- 7 :;z Land Line: 2 ,579 ) 193 - 2 4Qo2
Email:
Town of Queensbury Building&Code Enforcement Revised February 2017
SWIMMING POOL INFORMATION:
CIRCLE ONE: ABOVE- GROUND IN-GROUND
SIZE OF POOL: Z
MANUFACTURER:-- 2CI 'Plus _
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel/Vinyl )I Fiberglass Gunite Poured Concrete Other
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 statement/description of
the work proposed, that all work will be performed in accordance with the NYS Building Codes, local building
laws and ordinances and in conformance with local zoning regulations. I acknowledge that I have read the
application and plot plan requirements and I, or my agents, will obtain a certificate of compliance before use
of the pool.
PRINT NAME:
SIGNATURE: ",G ` % DATE: -3/Z�1J
0
Town of Queensbury Building&Code Enforcement Revised February 2017
MAP REFERENCE
MAP OF A SURVEY MADE FOR
CLUTE ENTERPRISES CJ
DATED SEPTEMBER 23, 2011 jj��I 1O j
LAST REVISED SEPTEMBER 4, 2014
BY VAN DUSEN & STEVES 1 QA
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AREA
a 5255. 1 Sq. Feet
0.58 Acres
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I HEREBY CERTIFY THAT THIS MAF WAS PREPARED
30 FROM AN ACTUAL FIELD SURVEY.
LANDS NIF OF / r
/ US o �', THIS CL=RTIF?CATION SHALL RUN ONLY TO THE PERSONS
CLUTE ENTERPRISES INC. / 90• !� FOR WHOM THE SURVEY WAS PREPARED,AND ON THEIR
N IUT ,J " 2a BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
2S'59, 103.C� S 70 AND LENDING INSTITUTION HSTFD HFREON.
/ dVCERTIFICATIONS ARE NOT TRANSFERABLE TO ADD' ! ,NAI.
S 8 00461 3„ �d INSTITUTIONS OR SUBSEQUENT OWNERS.
/ ��� CERTIFIED TO: TEDDY D. NUESI
USAA FEDERAL SAVINGS BAW,
/ I HP,�IE PE.RS� CHICAGO TITLE TCOMPANY
FROM THr a
302.13-1-16 POOL-000109-2017 i r;
�- i ;eu�l LANDs NIF OF Nuesi, Teud
CLUTE ENTERPRISES INC. 0 ,Hidden HIIIS Dr. G DBY:
/ MATTHEW G. :51 EVE5ELS NYS 501 35
/// In Ground Pool
DAT D: SEPTEMBER 17. 2::,;4
�'�y Dade: March 21, 2014
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OF I I RU , ,y SHEET 1 OF 1
LANG'�IRVEYORS.SAID CERTIFe eTNJNS SNAtI NUN�rx-
TO lin "ERSON FOR MMOM TNT -iURVEY IS PREPAhQ I ANI'
ON HI'.nEHALf TO THE TITLE i.,IMPANY,GOVERWDII., 1 -
169 Haviland Road Queensbury, New York 12804 TO T,, ^ND NETS OF ITHE LEN N STITED HEREON. +NI, Town of Queensbury, Warren County, New York
9/17/14 UPDATE CERTIFY c Lu;t C-2854
rD rlrl =sscNE�Es OF:THE tEN:,Nc NsnnrnDN.• -✓._
(518) 792-8474 New York Lic. No. 501.35 NO. DATE DESC,?IPTION DAV. 10. 1106-FINAL-3-21
302. 13- 1- 16