POOL-000317-2017 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: POOL-000317-2017 Date Issued: Monday, July 3, 2017
This is to certify that work requested to be done as shown by Permit Number POOL-000317-2017
has been completed.
Tax Map Number: 296.9-1-60
Location: 8 CEDARWOOD DR
Owner: Jennifer Tripi,Erik Tripi
Applicant: Erik Tripi
This structure may be occupied as a: above-ground pool
By Order of Town Board
TOWN OF QUEENSSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the 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
qL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number; POOL-000317-2017
Tax Map No: 296.9-1-60
Permission is hereby granted to: Islander Pools
For property located at: 8 CEDARWOOD 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: Jennifer Tripi Swimming Pool $0.00
Owner Address: 8 CEDARWOOD DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Islander Pools
1967 Central AVE
Albany,NY 12205
Plans&Specifications
above-ground pool
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 15,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ueens n /ffhur ,J 017
SIGNED BY: /v1 for the Town of Queensbury.
Director of Building&Code Enforcement
SWIMMING POOL PERMIT APPLICATION office use only
QLPermit#: %0 L.-:v\'-- 2.01'
Town of Quecnsbuuy
LS
' H L •,� i? Permit Fee:$ `^I� :Invoice#:
742 Bay Road,Queensbury, NY 12804 ---"---'I (i —1—
P:518-761-8256 www.aueensbury.net U Notes:
FJUNG ;1
Project Location: v W ODATCVi OF C?UE'nJjc6URY
Tax Map 10#: 5-o{ 3400 -10 ubdivision Name: IBJ
CONTACT INFORMATION:
• Applicant: rnn
Name(s): trl K /1° /7/7/70er r, b
MailingAddress, C/S/Z:
Cell Phone: Land Line:
Email:
Primary Owner s
Name(s):
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( j' )
Email:
• Installer Builder:
Business Name:
Contact Name(s): 0/2 1
Mailing Address, C/S/Z: x/3,3 ,)olrAle 64z=1 Cee' D)l /3-t/JS n S;»4 . /Uy /d 6d 0
Cell Phone: ( ) Land Line: _( �7� ) R s?5 –//3/
Email:of/OCA
Contact Person for Building & Code Compliance:
CelI Phone:-(—) Land Line: ( )
Email:
Town of Queensbury Building&Code Enforcement Revised May 2017
SWIMMING POOL INFORMATION:
CIRCLE ONE: A/�BOVE-GROUND � IN-GROUND
SIZE OF POOL: 02 X00/ rV IL17d C 6;�Irr6es
MANUFACTURER: i;ta yC.Qaeleir
MATERIALS USED IN CONSTRUCTION (CHECK ALLTHAT APPLY):
Steel/Vinyl 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.
I have read and agree to the above:
PRINT NAME: JQArJ/�a1 , �Lo:
SIGNATURE: J. j J4 DATE:
Town of Queensbury Building&Code Enforcement Revised May 2017
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TOWN OF QUEENSBURY'.---
BUILDING DEPARTMENT 296.9-1-60 POOL-000317-2017 a qd Popl' 111-4e M
Based on our limited wexa6ma6on,compliance
with our comments shall not be construed in as
indicating le l ns and
S uilldiog Codes of Tripi, Jennifer & Erik
(up comp) B 8 Cedarwood Drive ---
NewYorkstate• Above-ground Pool - - — -
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t\ '� 8 Cedarwood Drive
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— �wd eve Above-ground Pool
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taxa � RODERT W.HORNE
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gv`.:ntF� DANA LYNN ROIINE
CMARWOOD DRIVE QUEENSDURY.NV
TOPOGRAPHIC SURVEYS
DOUNOARY SURVEYS
JOHN F. GRADY
AP �_`=- I
MAP
LICENSED LAND SURVEYOR
OF THE LANDS OF ROBERT W.ROHNE&DANA LYNN ROHNE
S05 OROADWAY,WHITEHALL.N.Y.
IN THE TOWN OF OUEENSBURY,COUNTY OF WARREN,STATE OF NY. H Y L.S.49136
Jul. 6. 2011 9: 56A MDIs No. 9424 P. 8/9
:ii hNOM:
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
mxlc�us that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Jen &Enc Tri I Dae:
Pp t 06/27/2017
Occupant: Pool Location
8 Cedarwood Drive
OccupancSwimming Pool Queensbury, Warren Co. NY
Applicant:
Brownell Electric
126 East Rd.
Fort Edward, NY 12828 '
Joseph A.Holmes
No. 144004136M16EL, - - - - - -
Equipment:
1 -Switch; 1,-Twist-Lock Receptacle°'1=Tiiiie Clock--
This cerllkate applies to the electrical wiring to the electrical equipment listed immediately null and void. This caNpcate applies only to the use,occupency and
above and the instanadon inspected as of the above noted date based on a visual ownership as Inodated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety.alb of the property indicated above,this certificate shall be immediatety null and void.
cony or fitness of the equipment for any particular purpose. This canificate shalt In the event mat this carliticate becomes invalid based upon the above condtions,
be valid far a period of one year from the above noted dais. Should the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be skated In any way.including but not limil- Inspection Agency,Inc. An application for inspection must be submitted to Middle
atl ro,the inirpduction of addkional eleetdeal equipment antllor ma replacement of Depemnent InapauMion Agency, Int.to initiate the Inspection entl revalitlaton
any of me components inatalletl as Of Me shove noted date,chis cenificete shall be process. A tee will he enargetl for this seMce.
JUL 0 b 2017 ` I�
TOWN OF QUEENS61"kAy
BUILDING
2C. I l-