BOTH-000477-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
— -4 Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000477-2016 Date Issued: Thursday, April 27, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000477-2016
has been completed.
Tax Map Number: 289.12-1-7.23
Location: 35 FIELDVIEW RD SOUTH
Owner: Debbie Welch, Robert Welch
Applicant: Robert Welch
This structure may be occupied as a: Inground pool 34 x 16
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, �d
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
QL Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000477-2016
Tax Map No: 289.12-1-7.23
Permission is hereby granted to: Concord Pools Ltd.
For property located at: 35 FIELDVIEW RD SOUTH
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
Tvce of Construction
Owner Name: Debbie Welch Swimming Pool $0.00
Owner Address: 35 FIELDVIEW RD SOUTH Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Concord Pools Ltd.
60 BIG BOOM RD
Queensbury,NY 12804
Plans&Specifications
Inground pool 30'x 14'
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,August 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 Queensbu before the exp' tion date.)
Dated at the Town ofueensb /�hurs a , st 18,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginn' g�cords tion Permit No.: C�(� -6061 -77-Zol b
JUS ti Lbs
Permit Fee: $
Site PlanNariance No.:
1. Date: ci 7& ZLL
2. Tax Map ID: 513 YOO p p J
3. Pool Location Address: V; EW l\U ,f Sovfr�
4. Zoning Classification:
5. Site Plan Review,Variance or Subd1ivision Approvals(list)
6. Property Owner: he-rt d- De, h,' W /c1, Phone: S18-7?A- 0S3A
Mailing Address: S /%; e c✓ cQ S,
City: e 4 ItK 6 v r
7. Contractor's Name: C a r-6 Yd. P00/ lv n, rrr 4�one: S�/�'' 7`f/ - D 6'�0
Mailing Address: 0 ' o
City: (i r,Gx< I LIq nn
8. Contact Person for Building&Code Compliance: Co w . /"6-&Kc OD �5 Phone -)Iw O k O
ABOVE-GROUND OR INGROUND7 H 4:�r 0 V cf
SIZE OF POOL: 30 , X W
MANUFACTURER: V; k,'hq POO 1s
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel I Vinyl Fiberglass_ A 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 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: --_�1 Date 6) Z d
Nam Tige
Town of Queensbury Building&Codes Swimming Pool Permit 518.761.8256
MAP REFERENCE: f
FINAL SUBDIVISION PLAN
P
PHASE 2 MAGRATIc 1996 l
! l
Li
DATED: JULY 26, 1999 [ L
BY: VAN DUSEN & STEVES LOT
LAND SURVEYORS, LLC
LOT 17
FIELD
�.,.� T 4EW S Q U T
CB
L 0 T �� ~� ir`�' 156.47`
E!I TRANS
PORCH
HOUSE
W r ry t - .'_ _ 32.39' - -•.,.
O - ' Y
C14 ►`)
LOT -
(D C14 13 oy LOT 5
0.73 ocrG ss
PERMIT PLOT PLAIN
7
TEL 1 g `�° °
I HAVE PERSONALLY MEASURE T��E DISTANCE
LOT — — -- F�oN1 THE r�rc��-'IWi;I Y LINESTO THE
PROPOSED STRUCI U f_-(S) , R SIGN(s)
SIGP/,ATS —a E�M�
FROM AN THAT THIS AP WAS PREPARED
AN ACTUAL FIELD SURVEY.
181.48' THIS CERTIFICATION SHALL RUN_ ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
N83 53 13"W BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND.,LENDING INSTITUTION LISTED HEREON.
j CERTIFICATIONS ARE NOT,TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT,OWNERS.
CN �--
�'" CERTIFIED TO: ROBERT & DEBBIE WELCH
LANDS OF i L�f [yJ FLAGSTAR BANK,
IT'S SUCCESSORS AND\OR. ASSIGNS
BETTY B. ZVERBLIS i Q FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
V"~�:�': i CERTIFIED BY: -
n s,a
MATTHEW C. STEVES, LLS NYS 50135
DATED: AUGUST 8, 2000
Date: AUGUST 8, 2000
Scale 1"=30'
D u s - UNAUl1KMU7ED ALTIINA'LAN OR ADDITION TOA 13 1, Map of a Survey made for -
/' ] MAP TION OF.
A 11IN*7,0 9.S -OM SION'i SEAL IS A
VIOLA TION OF.STE MU.710Y:SUB-OMSISIfI 1,OF THE i
NEW FORK STATE lDUCApON LAW
�^�y ��^^'��`' ��^`1�y ONLY COPIES FROM THE ORIGINAL OF.1HR WW4E'P
t V v e /....L/ MhfBM,ED WL AN<IPodNN.,OF THE LAND"VE-w"IMiCOIN
S - 1+�*'�"'
N.SHAWL BE CONSIO ATE ro BE,YALID (* H OPIES' ROBERT & DEBBIE WELCH
kERnncAnaNs INDICATED HERON.waNItr THAT
TH4 SUI WAS PREPARED IN ACCOROMISJE VAIN THE
. EXI". NO CODE OF RACTICE FOR LG$YK*YRADOD
BYTHE NEW YOK STATE ASSOCIATION OFlRO9NNlTand Surveyors , LTC LAND YERSs EEAICATIaHs$
I - 7lM1 OF 1 _
TO THE PERSON FOR WHOM THE SURWY I§pqjpAREp,AND
ON HIS BEHALF TO THE TITRE COMPANY,49YERNNENTAL
169 Havtland Road Queensbury, New York 128q i A%NCY AND L04DINO INsiTI LISTED Iii�+EON.AND Town of Queensbury, Warren County, New York
GERRONE
TO THE ASSif.YlEES OF WE LENDING UISn'fIj TION,'
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. N0. 96081-6
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