POOL-0445-2018 �^ TOWN OF QUEENSBURY
� 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
--__ Community Development - Building & Codes (518) 761-8256
CERTIFICATE OFCOMP 1ANCE
Permit Number: POOL-0445-2018 Date Issued: Thursday, June 20, 2019
This is to certify that work requested to be done as shown by Permit Number POOL-0445-2018
has been completed.
Tax Map Number: 296.10-1-53
Location: 34 ORCHARD DR
Owner: Sean Kennedy, Jennifer Kennedy
Applicant: Sean Kennedy
This structure may be occupied as a: Inground 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
ti , h 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
--. ='... ; Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: POOL-0445-2018
Tax Map No: 296.10-1-53
Permission is hereby granted to: Pools Plus
For property located at: 34 ORCHARD 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: Sean Kennedy Swimming Pool $0.00
Owner Address: 34 Orchard 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
Inground Swimming Pool
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,July 23,2019
(If a longer period is required,an application for . extension must be made to the code Enforcement Officer
of the Town of Quee)w.ury befor:, i e e irat'. d 1
Dated at the To i of Qu.'el.. ►! ;r/ , July 23,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
SWIMMING POOL PERMIT APPLICATION Office Use Only
Permit#7?e>01-. 41-1C")-0 IS
6. 6,
Permit Fee:$ ;Invoice#:
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 Notes: CoO 145
Project Location: 3/-1 Or cinarok we pj&fi
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Tax Map ID#: IV I — Subdivision Name: Of cAmo,cd Es\ ciP•f-e--2
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CONTACT INFORMATION:
!1-,J 2ILM
• Applicant:
N a m e(s): Skoar) k -4-Qt-mr-1 K-e_Anno GU/ TOWN OF OUEENSBURYcrwENT
Mailing Address, C/S/Z: 3L farvira. Npr
oiv,mu%,
Cell Phone: ( \S"-- ) a0-1 - (9-)9.9 Land Line: (
Email: -e._aor--) kciae- 1,-)Orre-)cu,\ c-usry-N
• Primary Owner(s):
Name(s): Siz on21-ei-vnge,r KunrozcL
Mailing Address, C/S/Z: 31i ç -' ç avLw%) f\Ni
Cell Phone:_( 5\S- ) ab--) co---)gq Land Line: _(
Email: a-sz_cphVN c, V,0\--preo..1
• Installer/Builder:
Business Name: pco\S P1QS
Contact Name(s): brxv42 SG-pekro /OA.)
Mailing Address, C/S/Z: L45 ;CY-1w n t24RDC-/
Cell Phone:_( Land Line: _(511'''' ) -
Email: ri-N, c)o-6\sploS (.30 C.A.,NC`r)
Contact Person for Building & Code Compliance:n. p(vat otil
Cell Phone: ) c9D-) GD--)q9 Land Line: _(
Email: Sem)k4 k rraa Cs•- ••-•
Town of Queensbury Building&Code Enforcement Revised November 2017
SWIMMING POOL INFORMATION:
CIRCLE ONE: ABOVE-GROUND IN-GROUND,
SIZE OF POOL: I ( yol 6 a k cfne j
MANUFACTURER: Ga tr► ?00 iS
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: e ��v��� � Ksunr
SIGNATURE: / e _/7 DATE: "-49 jig
THIS PLAN TO BE ON PROJECT
SITE AT ALL TIMES FOR THE
DURATION OF CONSTRUCTION
Town of Queensbury Building&Code Enforcement Revised November 2017
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination.compliance
_wilimments shall not be construed as
<----17--; vu. 'YN C-‘( 4- C ——- 'indicating the pans and specifications .are in
pittention Home Owner full compliance with the building Codes of
Please assure you are familiar with the New York State
Pool Enclosure requirements specific to _
Your pool. We will be happy to explain
-,------ ,-----what-Requirernefts you will have to t ,
1 meet per Appendix G Of the • :
New York State Residential Code. TOWN OF OUEENSBORY
go Vco`me'
cm' BUILDING 8,ti CODES 9E:Tri.-.
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COMMUNITY DEVELOPMENT
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I . PERMIT_Pt
I HAVE PERSONALLY MEASURED THE DISTANCE
FROM THE PROPERTY LINES TO THE
PROPOSED UCTURE(S) OR SIGN(S)
296.10-1-53 POOL-0445-2018 s
Kennedy, Jennifer & Sean SI UR A
34 Orchard Drive
In ground pool
,