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POOL-0203-2018TOWN 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-0203-2018Date Issued: Monday, April 22, 2019 POOL-0203-2018 This is to certify that work requested to be done as shown by Permit Number has been completed. 266.3-1-66 Tax Map Number: 20 CLEMENTS RD Location: Robert Morgan, Carrianne Morgan Owner: Robert Morgan Applicant: This structure may be occupied as a: In 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, 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 CERTIFICATE OF COMPLIANCE Permit Number: POOL-0203-2018 Date Issued: Monday, April 22, 2019 This is to certify that work requested to be done as shown by Permit Number has been completed. POOL-0203-2018 Tax Map Number: Location: Owner: 266.3-1-66 20 CLEMENTS RD Robert Morgan, Carrianne Morgan Applicant:Robert Morgan This structure may be occupied as a: In 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, Variance, or other issues and conditions as a result of approvals by the Planning Board or Zoning Board of Appeals. Director of Building & Code Enforcement ,, TOWN OF QUEENSBURY 1= 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 1 a' Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: POOL-0203-2018 Tax Map No: 266.3-1-66 Permission is hereby granted to: Sprague's Mermaid Pools For property located at: 20 CLEMENTS 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 Type of Construction Owner Name: Robert Morgan Swimming Pool $0.00 Owner Address: 20 CLEMENTS RD 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 Swimming Pool $ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,May 4,2019 (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 da,-.) Dated at the Town •`Queen : y '"_,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement l ' S • °`E SWIMMING POOL PERMIT APPLICAYION Office Use Only 5 � L © E ii !J E Permit#: FC701- a2,03- Zv (S Town o£Queensbury 2 Permit Fee:$ Z- finvoice#: 0333 742 Bay Road,Queensbury,NY 12804 APR 7 2018 Notes: P:518-761-8256 www.queensbury.net TOWN OF QUEENSBURY BUILDING&CODES Project Location: GIB ' Tax Map ID#: 2�" • �/ /- (,� 1 Subdivision Name: CONTACT INFORMATION: • Applicant: Name(s): 2o� i 6' -.e-- "494 gi Mailing Address, C/S/Z: 4/7 /Z-k 5/ Cell Phone: ( ,j"/,- ) yD 7 Land Line: ( ) Email: 1Zot- q cc�✓ PFeG.��r�r /Ana, • Primary Owner(s): Name(s): (fat k, — Wail ei Mailing Address, C/S/Z: )e C6:oti.e,:4e:1 af„.er 4 /1/ Cell Phone:_( ,)7g- ) � 6ycG' Land Line( ) Email: Ca.,-77"kip./7,piki(20 n.a7 • • Installer/Builder: Business Name: Ocj(rieet Contact Name(s): i"A ci'Mailing Address, C/S/Z: 60 0 M(9-5 , t Cell Phone:_( 8 ) �((�(`) �. Land Li : _(_ ) rrk- 'N (19 Email: (�t((Ue-, . \LS (� f(',l�l zor. a CAContact Person for Building & Code Compliance: �� ram,'Cell Phone: _( '1 l Land Line: ( (t9 ) ti-{ " Z.rf D Email: • Town of Queensbury Building&Code Enforcement Revised March 2018 SWIMMING POOL INFORMATION: CIRCLE ONE: ABOVE-GROUND IN-GROUND SIZE OF POOL: 4) Yz MANUFACTURER: 6Q C � MATERIALS USED I CONST UCTION (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: Ze-R/1" Aft- igeTai4 SIGNATURE: 7,r/I. / DATE: G/" Town of Queensbury Building&Code Enforcement Revised March 2018 m� v o zV)> vrc- " cnm r-- m zW Qr.vm til Od m G —4 ;0 � O tN,+ Z 'D tf� ©� ; 03 e* V� � 4 o H m 'n�'n � Vs z o too, o �' r -�- 0 � Q N05'23'25"E ?� N 300.00" � CO r R CRUSHED STONE DRIVE R # ,. � ' oil ,' En ,� 180.38' "-- 1 _ 0-3 x - N OD (A �► � W 00 0 � N Z Oa 00 �— m �► lui� a b APR 2 7 20% !� `4 TOWN OF QUEENSEJRY ts BUILDING&CODRS co o 00 w -4 �+ C� 300.00' o S05"22'30"w Attener on Home NfF OF KOCH Please assure O are familiar th=the Pool Enclosure requirements speci=to Your pool. We will be happy to ex - in what Requirements you will have OF QUEENS meet meet per Appendix G Of the �O�N T. New York State Residential Cod BUILDING & CO ES Z Reviewed y� Date: v z a > - Co n -p n T0�NN CAP QUEENSBURY ? rn BiAL DING DEPARTMENT r limited examination,com lianre Based } p II li I � with .:c��nrn�nts shah not be construed )s �'�� c, indicatiw,. the •lass and specifications are in c, 'n � 'X D full con; ance with the building Codes of c rp r- "o New York, State. 2 x 1999 • �.1 AS p"Xp MAP Nr� � n � A m o 266.3-1-66 POOL-0203-2018 Morgan, Cardanne & Robert 411, o g 20 Clements Road z �i 1•-' in ground pool c� C;11