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POOL-0318-2018 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-0318-2018 Date Issued: Thursday, October 11, 2018 This is to certify that work requested to be done as shown by Permit Number POOL-0318-2018 has been completed. Tax Map Number: 302.18-2-57 Location: 108 COOLIDGE AVE Owner: Jason Krogmann Applicant: Jason Krogmann This structure may be occupied as a: In ground pool 18' x 36' By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the 4 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-0318-2018 Tax Map No: 302.18-2-57 Permission is hereby granted to: Pools Plus For property located at: 108 COOLIDGE AVE 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: Jason Krogmann Swimming Pool $0.00 Owner Address: 6 Maple DR Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Pools Plus 45 MAIN ST Queensbury,NY 12804 Plans&Specifications In ground pool 18'x 36' $ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,June 11, 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 Town u sb , M ay 1,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement T SWIMMING POOL PERMIT APPLICATION office use only Permit#: Town of Queensbury Permit Fee:$ `'Z5 ; Invoice#: ©4� 742 Bay Road,Queensbury,NY 12804 Notes: P: 518-761-8256 www.gueensbury.net Project Location: u ( r EP i � s- t t Tax Map ID #: L . 1 `a' 2 -` - Subdivision Nam iZ IE ( L ii JUN 0 4 20i8 CONTACT INFORMATION: {' I lei F UE''NISBUKY • Applicant: Name(s): J0"% e.•.dl �..-,rat w�a Mailing Address, C/S/Z: lol& Co-L Pvv-%, Cell Phone: E �'1g ) 2Z-2 -'I'A Yz- Land Line: Email: 1<V-0S On, •Cove. • Primary Owner(s): Name(s): ��`� Mailing Address, C/S/Z Cell Phone: _( ) Land Line: _( ) Email: • Installer Builder: Business Name: eJ Contact Name(s): vt- ��✓ Mailing Address, C/S/Z: $� u - ���-�~� �e ( ��Qt �8 Cell Phone: _( Sig ) R s5--!/� Land L Email: Contact Person for Building & Code Compliance: Cell Phone: (51e ) R55-100 Land Line: (c-is ZYZI Email: Town of Queensbury Building&Code Enforcement Revised March 2018 6 SWIMMING POOL INFORMATION: CIRCLE ONE: ,D ABOVE- GROUND I -GROUND SIZE OF POOL: MANUFACTURER: -Mee& iL --T 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 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: GZ . Wt"'P\_ SIGNATURE: '1 DATE:- 6113/// Town of Queensbury Building&Code Enforcement Revised March 2018 • �rY=+_vf ��� •-"v' �v ��.r���l?'R;�v zv —g5^�/-i���/ �:�:�/ � a•:���?`- fi��i �I.r. �:•..;• ..%yC�t!I::�.y�•c. .s t. .:�.f••::�a�:: :- .• ems• :•: .�.�: .:� .:='t ,F.•,.✓,. r3. •n/�,s�. ���/. �/ z..rs:•: .✓j%'J7. 4�r'o.i• •��r:•r•i�%J7:7•i••Jlu?•=J�•:i•.�:�'.`•'t.y�♦..��:9�..•'''t:i�•..i'-.4: .�..• •.rn'•i.•:Y•':.�:•,:•`:••..t. :.•�3:..�:�:�::i�:•a,..tif�:•:.9:.f�:�::�P. 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ELECTRICAL CERTIFICATE COMMONWEALTH ELECTRICAL >t�o INSPECTION SERVICE, INC. 176 DOE RUN ROAD, MANHEIM, PA 17545 TELEPHONE: (717) 664-2347t; .--• >r fi New York Office: (585) 624-2380 Premises of JASON KROGMANN as DWELLING r}i � 1` .� : >,r = Address: 108 COOLIDGE AVENUE,QUEENSBURY(TOWN)NY c` a', County of WARREN Permit#:0318-2018 M Installed by: DAVE BARLOW POOLS PLUS "•',;° Apparatus: 1-GFCI RECEPTACLE, 1-20 AMP TWIST LOCK RECEPTACLE, I-WETNICHE LIGHT, 1.65/220V PUMP,PUMP MOTOR TIMER, 15A/220V GFCI BREAKER, GROUNDING/BONDING 1-20A BREAKER HAYWARD 110V NATURAL GAS HEATER. ,. - APPROVED PER THE 2014 NEC ART 680 ==- =M Inspected by: MICHAEL KRATKY ~ " '+rr ' fit:•.�}ga' .+`--....,��••},.� The conditions following governed issuance of this certificate,and an y certi i ficate prevously `gam it issued is cancelled.Failure to have the property reins ted i0ien additional equipment or wiring is e' P Pe Y P� Ml •P g• added;or within one year from the date of the certificate shall void the certificate in its entirely and the =:myY a,:1;✓' Il company shall not be liable for any damages whatsoever, ilr vet'li This certificate does not guarantee efficiency, wearing pa y•.••�� gu cy, g qualities,maintenance or repair and the g company shall not be liable for any damages resulting from any defect or fault in the plans or� specifica- tions,tionc,including repair,reconstruction,personal injury or for the death of any person;and IRS•„tii This certificate only covers visual inspection of wiring and does not cover manufacture or use 7rr ofwhing. g , `b Inspectors of this Company shall have the privilege of making inspections at any time,and if 1{ a0t . its roles are violated,the Company shall have the right to revoke the certificate. 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