POOL-000581-2017 #01110k 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-000581-2017 Date Issued: Friday, September 14, 2018
This is to certify that work requested to be done as shown by Permit Number POOL-000581-2017
has been completed.
Tax Map Number: 308.18-2-2
Location: 36 Brickoven RD
Owner: Daniel Hunt
Applicant: Daniel Hunt
This structure may be occupied as a: In ground pool 20 x 40
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the 4 4t-P 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
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: POOL-000581-2017
Tax Map No: 308.18-2-2
Permission is hereby granted to: Concord Pools Ltd.
For property located at: 36 Brickoven RD
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
Tvne of Construction
Owner Name: Daniel Hunt Swimming Pool $0.00
Owner Address: 31 American Way 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
In ground pool 20 x 40
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,September 18,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queens ug before the exp' tion datektem--
Dated at the Town of ueensb 4onber18,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
SWIMMING POOL PERMIT APPLICATION Office Use Only s-
Permit#: 1P00L — o(?0
K _-Zu l
«, i c Zutrri:;t w7 SEP I Z 2017 Permit Fee:S 7.i,UU;Invoice#: Q35
-
742 Bay Road,Queensbury,NY 12804
Notes:
P: 518-761-8256 www.gueensbuy.net
Project Location: 3(o brk(-�k C>\Jkv► 1
Tax Map ID#• . -303
O—v�" Subdivision Name: "ji -d ed
CONTACT INFORMATION:
• Applicant: i}
Name(s): D�, A 0
Mailing Address, C/S/Z: 3' 4Jca1AJ Y
Cell Phone: &�'g ) 3(0l- 3i Land , ine:
Email: t� w`h`� >.,�a 97y(� �. t^ � (e)vr.
• Primary Owner(s):
Name(s): i'�cL� �� u & –
Mailing Address, C/S/Z: C m6;:-
Cell Phone: _( ) Land Line: _( )
Email:
Installer/Builder:
Business Name: O XA L'j-CA -P('AC
Contact Name(s): (;, ;O (-
Mailing Address, C/S/Z:
Cell Phone: _( s1 S ) 3CnS-02'34 Land Line: _( )
Email:
Contact Person for Building & Code Compliance: VO,, �UAN—
Cell
Phone: _( S- A ) '3(p I" Land Line: _( )
Email:
Town of Queensbury Building&Code Enforcement Revised February 2017
4
SWIMMING POOL INFORMATION:
CIRCLE ONE: ABOVE- GROUND (N-GROUND
SIZE OF POOL: C) o Q
MANUFACTURER:
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT 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
otthe NYS Building l acknowledge hatel,havelreaddthe
ing
laws and ordinances and in conformance with local zoning regulations.
application and plot plan requirements and I, or my agents, will obtain a certificate of compliance before use
of the pool.
PRINT NAME:
DATE:
SIGNATURE:
Revised February 2017
Town of Queensbury Building&Code Enforcement
• 1DIECIEOW7
11 AUG 18 2018 ' 0
TOWN OF QUEENSBURY
BUILDING&CODES
?0 6 L_ — FJ 61 . 2Q n-
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. .
Main Office 176>DOe Run(load-Manheim,PA 17545
NIV.NIl4"IPAL CERTIFICATE - ELECTRICAL APPROVAL
; i Permit No. Geis" N 0 4 2 2 0 2 Cut-in Card No '
.';. ; • • ' Owner !Art.......4•4'tt"T'
!�` Location ,c7. ....", . Kc1c;g3/ rl .!"?n 0We7.i_.6.rr.'!
y.,:
r..> ; ' Installation Consisting of.,.,..4r..] .Gcci?Sd c?.CJ s: .fRsli"Et.tAn.l i+ 4- POP Sr
i
'..` ' i Installed By 46"1173,c Lie.No.
Fl`'' .• The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:• _
' E This certificate only c€ lers the electrical.equipment and installation conditions as of data Upon the
introduction of additional equipment or attcrations,application shall be promptly made for inspection. j :i:
•
Inspectors of this Company shall have the privilege of making inspections at any time. and if its •
' rule; are violated,the Company shall have the right to revoke this Certificate.
', Date •7,:' /.e.......,..",..,,.,... 111.PGCTOR, •47,— ivrerrrsg.
Member N.F.P.A.,1.A.g.l.
Z0 39dd oiswnN NO?J b89T86L 6Z :tt 8ZOZ/9t/80
--_ TOWN OF QUEENSBURY
.. BUILDING DEPARTMENT
4. Be m our limitea examination,compliance +T'-
wit Oc timents sha° ,°ot be construed as- «,
indr ating t ns anu s ecifications are rn - -
full compliance w e wilding Codesk � a �"
New York State.
_.- x 1
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�f TOWN OF QUEENSBURY
to
Revipwe ° BY:
t Date:
s Attention Home Owner
Please assure you are familiar he y
Pool Enclosure requirements s c to
Your pool. We will be happy to Iain i
w what Requirements you will t ave to
rn o meet per Appendix G oe
05co. New York State Residenti . Cade.
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