POOL-000588-2017 ,r F 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-000588-2017 Date Issued: Monday, July 9, 2018
This is to certifythat work requested to be done as shown byPermit Number
q s o Numb r POOL-000588-2017
has been completed.
Tax Map Number: 288.16-1-48
Location: 81 MCCORMACK DR
Owner: Sheila Mattison
Applicant: Sheila Mattison
This structure may be occupied as a: Inground Pool 14 x 32
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
owner of the responsibility for compliance with Site
property p tS' p 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.
_ li
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-000588-2017
Tax Map No: 288.16-1-48
Permission is hereby granted to: Florida North Inc.
For property located at: 81 MCCORMACK 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
Tyne of Construction
Owner Name: Sheila Mattison Swimming Pool $0.00
Owner Address: 81 McCormack DR Total Value $0.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Florida North Inc.
134 Vanderwerken RD
Sloansville,NY 12160
Plans&Specifications
Inground Pool 14 x 32
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 20,2018
(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 ex iration date.)
Dated at the Town of ueens �We e eptember 20,2017
SIGNED BY: �d for the Town of Queensbury.
Director of Building&Code Enforcement
:inwstilyio
� � � � Office Use Only
Town of Queensbury JI;n
eceived:
SWIMMING POOL PER ETax Map ID:
A permit must be obtained befo ��? Permit No.: L-UUV S -ZU(7F QUEENSSURYPermit Fee: $ 7 ., UaING& CODES Site Plan/Variance No.:
1. Date: - la
2. Tax Map ID: a — `y
3. Pool Location Address: SQ1 Inc,66I ' 7Ca,Cj� R
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: , She d&' rfla {f/.SOAI Phone: 51$ -76 L 0 29 4,
Mailing Address: I M C,CCrmCtc-hZ -b2
City: ._ke N, +!�.
7. Contractor's Name: r10 1'► d0. /� r n�_ �TYI C Phone: �1 `� u Z 8 E38
Mailing Address: iM Vander rK
City: 1oan�siri 11e�, IV„ ”( /n2D
8. Contact Person for Building&Code Compliance: C h e", Cca. YY1Gt S Phone ?U8 - 74-ABOVE-GROUND OR INGROUND? _ i In a Y-
SIZE OF POOL: X ��
MANUFACTURER: V- b f i CIO ,NO
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl Fiberglass V"' 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. I�
Print Name: 5 I �e_l l CL, SO
Signature: dhtd4 Date
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
�s
Q e ^Oa
Cs C E 0 d
SEP 16 2017 '`„' o
Cl 'ale#s JjqA MaN
Oulpl!M aouelldwoo Ilnj
TOWN OF QUEENSBURYI ul ale Swing! c sueld aqj bu}leolpu!
BUILDING&CODES C saz�, se panAsuoo aq jou leas sluawwoo mo l (M
aouelldwoo`uogeul xa palpil ino uo pasee
A3W18 30 9Nimin8
A868SN3 no 30 NMOL
'apoo leljuaPlse BIS )POA NON
a4310 J xipu y jed pow
��! 01 aAey ll!m nolo s wajmbaa je4m
:�► uieldxe of Addey n aMnoA
ol ooads s�uawa� baa aanso food
i•'l
941 41!m jel1lwe4 ai no amsse ass
ald
JOUMO aw H u01POW
� I
73XY��� F�•
t
" Q!
00
e
�RMIT P� T FU N
I HAVE PERSONALLY MEASURED THE DISTANCE
FROM THE PROPERTY LINES TO THE
PROPOSED STRUCTURE(S)OR SIGN(S)
_ f 288.16-1-48 POOL-000588-2017
4 TORE - DAT Mattison, Sheila
-- - 81 McCormack Drive
in ground pool 14 x 32