POOL-000643-2017 ock
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-000643-2017 Date Issued: Friday, July 13, 2018
This is to certify that work requested to be done as shown by Permit Number POOL-000643-2017
has been completed.
Tax Map Number: 301.13-2-44
Location: 29 ALGONQUIN DR
Owner: KEVIN HAJOS,Rachel Hajos
Applicant: KEVIN HAJOS
This structure may be occupied as a: In ground pool 15 x 29
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,
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.
eF ?, 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-000643-2017
Tax Map No: 301.13-2-44
Permission is hereby granted to: Sprague's Mermaid Pools
For property located at: 29 ALGONQUIN 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: KEVIN HAJOS Swimming Pool $0.00
Owner Address: 29 Algonquin DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Sprague's Mermaid Pools
300 Broadway
Fort Edward,NY 12828
Plans&Specifications
In ground pool 15 x 29
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,October 16,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ury; Mond , c ber 16,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code En orcemen
SWIMMING POOL PERMIT APPLICATION office use only �h
Permit#: PDOL -6'TJ'�`
Town of Queensbury Permit Fee:$ Invoice#:
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbury.net Notes:
Project Location: 29 ALGV0NQk1ZN
Tax Map ID —Z -44 Subdivision Name: tYm' 5AmD
pCCE9WE
CONTACT INFORMATION: Pl uEocT
1 2 2017
10
• Ap li�can : ` TOWN OF QUEENSBURY
Name(s): v-'J t4 w BUILDING R CODE=S
Mailing Address, C/S/Z: 2cl A1,-GONS�'-�►J OKWZ
Cell Ph n 5( 1g ) 2Lc0-�4r11. Land Line: ( 5A.X.T�) 81t4-9,5-6
Email: C�S' 0 WOA''CenC0%3(1! /tJdQ I. GVM
• Primar Owner (s):
Name(s): VFV-Xt4 4 K=009L 0 A:r05 _
Mailing Address, C/S/Z: -5f:TyA . AS 6-1504E
Cell Phone: _( ) Land Line: _( )
Email:
• Installer/Builder:
Business Name:' y ° `
Contact Name(s): AwvJ SWACaof—
Mailing Address, C/S/Z: 7�S`-C ,,�{ >y°
Cell Phone: _( ) Land Line: _( _jj`1 ,
Email: SP �' )S �e�`tof�• ne,T
T
Contact Person for Building & Code Compliance: Ke;"4
Cell Phone: ( 51b ) 260 Land Line: _(56. ) 2r,4 -` 539
Email: k -csv�p ,,,s .
Town of Queensbury Building&Code Enforcement Revised May 2017
SWIMMING POOL INFORMATION:
CIRCLE ONE: ABOVE- GROUND IN-GROUND
SIZE OF POOL:
MANUFACTURER:
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel/Vinyl n 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: jEqTt4--s
SIGNATURE: DATE: 10 14-r\1
Town of Queensbury Building&Code Enforcement Revised May 2017
301.13-2-44 POOL-000643-2017
Hajos, Rachel & Kevin
29 Algonquin Drive
In ground pool
I
1NOTES
s - G oln link fence _
TOWN OF QUEENSBURY: 301.13-2-44 ° capped hon pin found
.had
Aftention Home Owner
lands now or formerly of
Valerie Y. Lathrop Please assure you are familiar with the
A-bale f--_ " beard fence Pool Encl®suro, requirements specific to
0 Your pool. Wi:will be happy to explain
lands now or formerly of �6 what Requtrtilments you will have to
Scott do Michele L Schwartz 4
meet pet Appendix C Of the
PLaN ; 4e.67al New York E tate Residential Code.
AVE PEr;SCNfi'.LLY MEAsIiR�o THE DISTANCE
�
bs Iron pin found
t c nP,THE EF:oPERfY LINES TO THE
FP, S OR SI ;NS) ketD Al `° fence
PRO' OSI RtJCTURE( ) cedar tree row Y aWN of QUEENSBURY
t pa ad dd�,.aY PWL €UILDING DEPARTMENT
'S�° `�c°� Based on c ur limited examination,compliance �
DATE with our cc-nments shah not be construed as
RE indicating t le plans and specifications are in
— e --?2,i6al - full compliit'nce with the wilding Codes of
+,� m New Yorkk ,;ate,
AC unJ
11
Wei—.\ �concreta walk -
�� � —cevared etaln 3 .
bto bowrnont
—.3'
,G a Belo Iron de 'fund /' concrete.lab f lands now or formerly of
se
?c. O abes Qf°d° hou ❑ w/Ac unit Sona M. Sidhu
catch buin Y
2� brkk Wolk/ st-P�
+o.s' fn a a1 i.y es,
MAP
F1
hmp Put - - -• .....
A�it�8S1� �J70 +`dM � stop� t? ----- ��`
N 89.3'
110 8 } 0.791f acre
Qjj
FILE COF Y1,
jo
,11 underground.BIBk.
N i T'_20'W lands now or formerly of
Iron pin found 182.58' Jaffrey M. dr Lindsay M. Tyler
.3'bsknr grade
lands now or formerly of
William G. Iger, Jr. ; ¢—capped Iron pin found
ac
Catherine M. Ladiger 11
X"
MAP OF 29 ALGONQUIN DRIVE 1' - 20'
- FEW W.OV
cauprnws
10/10/17
0' 20' 40' 60' we wswwe
TOWN OF QUEENSBURY, WARREN COUNTY - ra—
NEW YORK
6