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POOL-0470-2018 osik 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-0470-2018 Date Issued: Monday, October 22, 2018 This is to certify that work requested to be done as shown by Permit Number POOL-0470-2018 has been completed. Tax Map Number: 308.8-1-71 Location: 84 BURNT HILLS DR Owner: Stephen Ringler Applicant: Stephen Ringler This structure may be occupied as a: In ground pool 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, 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 ,, ,� 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 e i e____; Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: POOL-0470-2018 Tax Map No: 308.8-1-71 Permission is hereby granted to: Stephen Ringler For property located at: 84 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: Stephen Ringler Swimming Pool $0.00 Owner Address: 84 Burnt Hills DR Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Cypress Pools,Ltd. 115 Wade RD Latham,NY 12110 Plans&Specifications In ground pool $ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,July 23,2019 (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 expirationd te.,, Dated at the Town Quee ury; 4.. ,.;� my 23,2018 6.4 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement , IWz SWIMMING POOL PERMIT APPLICATION Office use only Permit#: ?DOA--�" D � 20ta Town of Qttccnsbttry Permit Fee:$1ZS ; invoice#..0665 742 Bay Road,Queensbury,NY 12804 P:51B-761-B256 www.queensbury.net Notes: Project Location: 3V r, A:°�� Dr Z-A-Ri C vdriA- Tax Map ID#: �6. r } Subdivision Name: ecit1it CONTACT INFORMATION: o Applicant: Name(s): e R : P7c r Mailing Address, C/S/Z: Py' -717'I /9 ✓7" (Le �J / c, Cell Phone: (-177 )A -- Land Line: ( ) Email: s/,de , r �,r ®/ �-� `e 0,n • Primary Owner(s): Name(s): Ssier77e, Mailing Address, C/S/Z: Cell Phone:_( ) Land Line: _( ) Email: • Installer/Builder: Business Name: ey 4e ' few Contact Name(s): f?t/ -i C04/en Mailing Address, C/S/Z: /" / eU J kei J&//17 Cell Phone:_( i f� 3 - Land Line: _( ' ) 213 Email: oii z9. /04, ` 6)4/yeay) o Contact Person for Building & Code Compliance: PTO Cell Phone: _( `) Land Line: _( ) Email: ljECELIVE1 JUL172018OW E buuEENSBBUILDI G& :ODE Town of Queensbury Building&Code Enforcement Revised March 201& p r SWIMMING POOL INFORMATION: CIRCLE ONE: ABOVE-GROUND IN-GROUND SIZE OF POOL: /7--&X 2-o X 32- / MANUFACTURER: �fr �A'et I MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY): Steel/Vinyl X Fiberglass Gunite Poured Concrete -k 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: L9 ier7 de l'n / - s SIGNATURE: ,. DATE: 7 :. ,9- • • Town of Queensbury Building&Code Enforcement Revised March 2018 . . I . I I - ... . I I . � I� . � � . . � I . I . � . � � ,� . I . . . � I I - . � . I I � I .I 1.I I . -. . I � I . I . I . . I . . . . . � � I . - . I I . . � - . I .. � . �� - 1. 1. . . . . �1� I � .I .. II . . .. . . � . I . I � / . .I...,..� I I. I ;. . ,.. ..I I� I. I.,.-,� ....I . . .� . . . I -. � . .I I I . � � I . . .�. . . . .. .. . I- - � 1..� - . I . I . . - �� � 1. 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BY THE NEW PORK STATE ASSOCIATION OF PROFESSIONAL In groundpooaxl �r v r LAND SURVEYORS..SAID CERTIFICATIONS SHALL RUN ONLY - TO THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ■ SHEET 1 1 . ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL a r a�, • 1 n e r . AGENCY AND LENDING INSTITUITION LISTED HEREON,AND . 169 Havlland Road Queensburyy New York 12804 TO THE ASSIGNEES OF THE LENDING INSTITUTION." RINGER ..;:.: Town of Queensbury, warren County, New York N0: DATE QES�RIPTIQN DWG. No. 99241-3 � . 7.92 8474 New Yorl�;,*:..icy- No. 50135 . 4 . ',� . . r . . .. . - I - . .--. _ - , , , ,