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POOL-000715-2017 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-000715-2017 Tax Map No: 308.12-1-32 Permission is hereby granted to: DANIEL SNYDER For property located at: 100 BURNT HILLS 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: DANIEL SNYDER Swimming Pool $0.00 Owner Address: 100 Burnt Hills 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 Inground Swimming Pool $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,November 20,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury beforjthee ration dDated at the Town o Queens4mk= r 20,2017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement l " SWIMMING POOL PERMIT APPLICATION office Use only Permit#: Poo L 715-207 Mown of(juccnsbury it Fee:$ ;Invoice#: l q9 742 Bay Road,Queensbury,NY 12804to L 1 V 41� Q P:518-761-8256 www.gueensbury.net D NOV 15 2017 ah �r-7 Project Location: .)rjvr N OF QUEENSBURY COMMUNITY DEVELOPMENT 'fax Map ID#: a68 , /r) - / - 3,2 SubdivisionName: CONTACT INFORMATION: ® Applicant: Name(s): Mailing Address, C/S/Z: /60 8 - sur 14&/ 00_OvetoA6-r /U y >21o4( Cell Phone:_ Land Line: � ) Email: DAA,)62 StoXf)e .3DrykzaIt 6©•1- v ® Primary Owner(s): Name(s): '9AmG= Mailing Address, C/S/Z: Cell Phone:_( ) Land Line: _( ) Email: ® Installer/Builder: Business Name: ---)p�-A- t-)F5 Aek1hAI D P00I1� Contact Name(s): A,unj/ Mailing Address, C/S/Z: 3yo Or-6.41)U4 , CD17- C.i2wA A A) V 1,12* Cell Phone:_( ) Land Line: _(SiO ) 7q7 - ZZ 76 Email: 'prod:t?pPools 1)-&(n7&,j • A.;er Contact Person for Building & Code Compliance: Cell Phone: ( ) Land Line: _( ) Email: Town of Queensbury Building&Code Enforcement Revised May 2017 SWIMMING POOL INFORMATION: CIRCLE ONE: ABOVE- GROUND IN-GROUND SIZE OF POOL: l(,, x MANUFACTURER: MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY): Steel/Vinyl_ X 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: � ti��c ')N IL SIGNATURE: -- DATE: E Z) Town of Queensbury Building&Code Enforcement Revised May 2017 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL fbo t---4A,5—zo%-+ Permit No.......-,2.te.- ..c,,t. N2 29162 Cut-in Card No..................................... Owner.......... AV tv e__1 9z Location.... .......... ......P.......... Installation Consisting of 1 "6VM ............................. .................................................................................................................................................................................... .................................>................................................................................................................................................ InstalledBy...... ...................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be romptly made for inspection. Inspectors of this Company shall have the privilege o ,f,makin insp coons at any time, and if its rules are violated,the Company shall have the right this rtifi te. Date....15.W.... ................ INSPECTOR... . . .... ...... -AT ............................ Member N.F.P.A..I.A.E.I. ision blade For j OWN OF QUEN�►B Y t, LLC ?003 BU(LDIN & CO. EPT". E C E 0 V E y 4, 2094 Reviewed, B : D 3teves :11at C®349 — Date: 01 NOV 15 2017 TOWN OF QUEENSBURY LOT 6 TOWN OF QUEE SBt r`�-a.�lttlsE'I`ITYY DEVELOPMENT BUILDING D-F r _ ,.g Based on our limited eX AR ,�E with our co min tion`: mplian�, indicating mments sha not a,I i full camp)ah eel witha(h Ise f n hued t s are it New York State. ; ull des i 1 t t ' r O i N Ln q c ' O 5�e�� _ s � � ,�� � `st O N79 5 q '� ��5h� ':t p - 425 a�6 5�p° "';cc y Water J Service Q N - 9 fn N p y ® 1 t •� 0 349.7 [ ,f i sc X N 4 L d � K 5 Attention F ' m ner '` o >,CO 0 LOT 7 t 1 p C p m Please assure you miliar wit# th ch cn 11F OF 71 634.31 sq. fte " . t . l CLARK 9 YourPool Enclosur uirements specific to l '63 1.65 acres `sp . e will be happy to expl64n w equirements you will have to 1r?a luJrtt Hills Dries meet per Appendix G Of the \ New York State Residential Code. � �t . ® J ul w o e Z 3: 00 r .. �. L tty Uj �- Covenants,Conditions,Easements,Leases,Agreements Of Record Q As Set Porth In Title Policy No.15-14067 LOT Written Ey Stewart Title Insurance Company 4, C6 Dated.February 1 e 2016. Ci _ — 1)Utility Easement In Rook E32 At Page 221-,Does Not Affect Property 2)Utility Easement In Book 5182 At Page 169-As Shown 3)Maintenance Easement In Book 529E At Page 229-Affects Islands Within Burnt Hills Ddye And Lots 13&14 Only 4)Warranty Deed Book 529E At Page 233-Burnt Hills Drive And Wooden Lane TO Town Of Queensbuty. 5)Declaration Of Covenants,Conditions,Restrictions,Easements • `A And Liens In Book 529E At Page 238-Covers Entire Subdivision 6)Piled Subdivision Map Referenced \. r)No-Cut Zone-Shown \ i