POOL-0179-2018 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-0179-2018 Date Issued: Friday, May 11, 2018
This is to certify that work requested to be done as shown by Permit Number POOL-0179-2018
has been completed,
Tax Map Number: 303.20-1-26
Location: 2 PHILLIPS AVE
Owner: Catherine Mahar
Applicant: Catherine Mahar
This structure may be occupied as a: Above-ground swimming pool
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, I
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
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742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
1 -r Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: POOL-0179-2018
Tax Map No: 303.20-1-26
Permission is hereby granted to: Catherine Mahar
For property located at: 2 PHILLIPS 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
Type of Construction
Owner Name: Catherine Mahar Swimming Pool $0.00
Owner Address: 2 Phillips AVE Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Upstate Enterprises
1004 Locust Grove RD
Greenfield Center,NY 12833
Plans&Specifications
Above-ground swimming pool
•
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 25, 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 th expiration a,'e. .
Dated at the Town f Quee ; 4Weii •>e;' ,April 25,2018
II, \.
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
SWIMMING POOL PERMIT APPLICATION On Use Only
Permit#: P45°2-- /97q
Town of Cticensbuq Permit Fee:$ J2 56211-nyoice
742 Bay Road,Queensbury,NY 12804
Notes:
P.518-761-8256 wytrw.queensbury.net
Project Location: '2- Ph IIpS AI -
Taxx Map ID II: _303 ,2c) —/ 2 C Subdivision Name:
CONTACT INFORMATION: 111
1! ;I APR 1 8 2018
• A rant: LI 61
Name(s): L iY2Lia 74 ° a 4 mr:mcn:11
Mailing Address, cis/z 2 ill OPMENT
Cell Phone: ( (cid ) 027 30/-(fl Land Line: ( )
Email: ( ilry)i4bi i(a/vi •
• PrIm9,Tv Owner(9:,,
Name(s): CAUL,/ iritkir
Mailing Address, C/g/Z: 4-gfia--0
Cell Phone:_(SLf7) Land Line: _(
Email: CM1/4/, g(vD14
• Installer/Builder:
Business Name: E4Pciaje e$
Contact Name(s): j si ceieepmaet
Mailing Address, C/S/Z: 20. g e #/-
Cell Phone:_( Land Line: (5"/9- ) 2kj7-1131
Email:
Contact Person for Building & Code Compliance: 5(644- j,,,-4e
Cell Phone: (5-iy ) .5-oz..-3rfc) Land Line: _( ec )
Email: A-1- Vicor eQue,-g14176 re...,27 2C a col
Town of Queensbury Building&Code Enforcement Revised March 2018
•
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SWIMMING POOL INFORMATION:
CIRCLE ONE: (BOVE-GROUND ' IN-GROUND
SIZE OF POOL:
MANUFACTURER:
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: (JAV-h. 4/J' r
SIGNATURE: We ,r i/a /` DATE: `f"
Town of Queensbury Building&Code Enforcement Revised March 2018
MAY 1 1 201819
• TOWN OF QUBBNSBURY
BUILDING&CODES
•
ei..'•• COMMON'WEAI;UI.ELECTRICAL INSPECTION SERVICE,INC. i .4
Main Office 176 hoe Run Road-Manheim,PA 17545 ;
�t• MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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. • Permit No Cert.N9 4 2 3 8 5 Cut-in Card No •
?. Owner C,r}.7:411 /'iz4,y,.- i
``•'" Location as trt.i:...1P?�._..A.$.l c.e al,U c.X.414.l_.6 se / r:.
Inetttilttttosl Consisting of,,,,.,,..,r :_b G.U G 4944 n F` llf-r 4.r Al.i r ie" L
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.s Installed By ,..Sdi;t,r�ri..c. Lic_No.
':' The conditions xollowing governed the issuance of this certificate,and any certificate previously issued is ^-i'
:i.: •• cancelled;-
: ,.• This certificate only covers the electrical equipment and installation conditions as of date. Upon the ; t
+,.,,.,.,• introduction of additional equipment or alterations,application shall be promptly made for inspection,
r Inspectors of this Coin eny shall have the privilege of making inspections at any time, and if its
•
rules are violated,the Company shall have the right to revoke this cceertit•icate.
Date S -.;':/ .,;;/... '.-........,. INSPECTOII.t....t"►r. - t;nr - '-� .
Mernber N.FP.A.,I.A.E.I.
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Attention Home Owner
co Please assure you are familiar w*the
Pool Enclosure requirements spec c to
Your pool. We will be happy to explain
what Requirements you will havo,to
meet per Appendix G Of the ' z
New York State Residential Cod6.
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