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POOL-0231-2018 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518) 761-8256 CF,RTIFICATE OF COMPLIANCE Permit Number: POOL-0231-2018 Date Issued: Thursday, July 19, 2018 This is to certify that work requested to be done as shown by Permit Number POOL-0231-2018 has been completed. Tax Map Number: 302.11-1-77 Location: 20 Fort Amherst RI) Owner: Sarah Burr,Brian Burr Applicant: Brian Burr This structure may be occupied as a: In ground pool 18 x 31' 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. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 4FIOW Community Development- Building & Codes (518) 761-8256 BU I LDING PERMIT Permit Number: POOL-0231-2018 Tax Map No: 302.11-1-77 Permission is hereby granted to: Pools Plus For property located at: 20 Fort Amherst 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 Tyne of Construction Owner Name: Sarah Burr Swimming Pool $0.00 Owner Address: 20 FORT AMHERST RD Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name 1 Address Electrical Inspection Agency Pools Plus 45 MAIN ST Queensbury,NY 12804 Plans&Specifications In ground pool 18'x 31' $ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, May 15, 2019 (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 To of Q ;auq s 15,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement f SWIMMING POOL PERMIT APPLICATION Office Use Only Permit 4; rrusvtt(d(Licunshun' Permit Fee:$a6 ; Invoice 0:3(,00 742 Bay Road,Queensbury, NY 12804 P:518-761-8256 www,gueensbury.net Notes: Project Location: F�t'T pX34- 120ee I Tax Map ID ##: C� �, j ( _7 - Subdivision Name: ID CONTACT INFORMATION: MAY 01 2018 TOWN OF QUEENSBURY • Applicant: COrOW1UPI!-I-tis.DEVELOPMENT Name(s): r-;a Mailing Address, C/S/Z: :2 O Cell Phone: (' 1�- ) 66 '9. .25q ( Land Line: ( ±5:/Z ) 3 7-. 3 n q Email:^ t6 Lk rr3G ,-Lc�„� • Primary Owner(s): Name(s): 'Srik"'e Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( ) Email: Installer/Builder: Business Name: povl.g Contact Name(s): T Uk Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( j rX ? Email: Contact Person for Building & Code Compliance: '-Zcia' -Zyr-" Cell Phone: _t Syj�) 66f- 9St Land Line: _( Sj Y1 I Vy , .3 a S Email: L-L. 36 �, Town of Queensbury Building&Code Enforcement Revised May 2017 Y SWIMMING POOL INFORMATION: CIRCLE ONE: ABOVE- GROUND IN-GROUND SIZE OF POOL: X MANUFACTURER: MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY): Steel/Vinyl r/ 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: SIGNATURE: ,lames DATE: �•�J� Town of Queensbury Building&Code Enforcement Revised May 2017 �ehce TOWN OF QUEENSBURY BUILDING & CODS � Reviews_d Date: `f TOWN OF QUEENSBURY � � 'z e .2 BUI DING DEPARTMENT Bas'k( n our li_ ited examination,cord ian W •' with comments sha+i flet be construed a rp on o indican the ,plans an o s ecifCations are if tu(f 'Q pElance with the Bujlding Codes o - -!- New Y* State. � n Attention Home Own r ry 00 w Please assure you are familiar ith the U, CD e O Fool Enclosure requirements s ific to 0 0 'Your pool. We will be happy to xplain c ;:� cn what Requirements you will h ve to CL D d meet per Appendix G Of t o QIVa a s a � New York State Residential Code. 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Appl#:K18047 ELECTRICAL CERTIFICATE r irk e�r'd''•'t� �tf{ u¢r, fl '3 5° COMMONWEALTH ELECTRICAL 1tJ Va INSPECTION SERVICE INC. ` c '< 1 m Sill �r 176 DOE RUN ROAD, MANHEIM, PA 17545 �=a �� Itti, 4e �, TELEPHONE: (717) 664-2347 t ; New York Office: (585) 624-2380 Premises of: BRIAN&SARAH BURR as INGROUND POOL It ;r; l ?1 a Address:20 FORT AMHERST ROAD,QUEENSBURY NY Y County of: WARREN Permit#:POOL 0231-2018 rif `` �_ r�e �{}• Installed by: DAVE BARLOW-POOLS PLUS Apparatus: 1-220V RECEPTACLE, 1-110V GFCI RECEPTACLE,WET NICHE LIGHT, 1 IOV LP `'+a? GAS HEATER,220V 1.65HP PUMP, I IOV 20A BREAKER, 15A 2 POLE GFCI BREAKER,PUMP Iti,•a' 1� MOTOR TIMER GROUNDING&BONDING.INGROUND POOL WIRING COMPLIES WITH 2O14 �ir r NEC ART 680. Inspected by: MICHAEL KRATKY 1 r t >.�,`��•� ,if l The conditions following governed issuance of this certificate,and any certificate previously issncd is cancelled.Failure to have the property reinspected when additional equipment or wiring isf added;or within one year from the date of the certificate shall void the certificate in its entirely and the N.-� company shall not be liable for any damages whatsoever, i I+ 6 It, This certificate does not guarantee efficient w qualities,maintenance or repair and the !1< X 'egg 9 company shall not be liable for any damages resulting from any defect or fault in the plans or specifica- b"' 7' =, tions,including repair,reconstruction,personal injury or for the death of any person;and h�gJ;:�rV ti This certificate only covers visual inspection of wiring and does not cover manufacture or use �rg3_ of wiring. Inspectors of this Company shall have the privilege of making inspections at any time,and if l !)� its rules are violated,the Company shall have the right to revoke the certificate. '" s. ems:; alar— 1 Itit ."I11t6 ti J', 1 Ill Et1 ii z,., .Iitf„,;. I E I tilt i`;._.1 J.f 11 tl It ItIF l;E)Iu1 ittfit l}itt1 till :�}Ii1tE t It/h._II I E; 1}II fIE a tnln: lt+llt• r1En�r: ir111i1t ::J+7ttn-;tl nn:r attl+nn a>.int�E- rEE}It• ;=1J+t!`tE<<:.nhtlt - :tnt4. .a rn r ,is tltul •r „il I ` 1 u tut .1� 9 1: t4 , 1 -:ti l. t S 4 1 t ,t�f 1 .-1 rililEt}t. Js/llal. ,.,Il,tlr ii:r""".°`i:':it �•!i:riif'��i:i:::�:4j:iii-'�`51'r�-�-:!:rii'i•�-!i'i'�'bitrilii"�.tellri'�"ii'+i!-d-ii'i:'1' •t�e��/�;t�,,t: sln r. -�n.r t� �r.uc t rrar-+gr ulr4� ..rt.ta' ,na ir's9,;. :;®ar!' +.�//:Y.'�a,/.S :.!•fG:::'.`.•f6�;.,.��de SY:.��, h,tJ♦,1,,,.�1f,.,.. / .1.I t/ ..aid, 1 /f r .a�/(:"t�i :Y.',1 a�i hrrvt�/ 511,.t'�j yr;, a�i rr15. �.y:.r'{•' •%ti17 ..: .•;:�.:, „ .�.. .�•,.,. .. atf,.,,!.�•.,tit•;• '.;:,;A?•.'r.'.,a.. 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