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POOL-0481-2018 TOWN OF QUEENSBURY •1 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 '`" Community Development- Building& Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: POOL-0481-2018 Date Issued: Wednesday, October 3, 2018 This is to certify that work requested to be done as shown by Permit Number POOL-0481-2018 has been completed. Tax Map Number: 295.20-1-63 Location: 153 FARR LN Owner: Jason Zehr Applicant: Jason Zehr 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 ( 00;P 4 )0t- 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. t TOWN OF QUEENSBURY _ :. ems; i /P 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 ' --- ,; Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: POOL-0481-2018 Tax Map No: 295.20-1-63 Permission is hereby granted to: Northern Pool Scapes For property located at: 153 FARR LN 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: Jason Zehr Swimming Pool $0.00 Owner Address: 153 Farr LN Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Northern Pool Scapes PO Box 791 Glens Falls,NY 12801 Plans&Specifications In ground pool $ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,August 1,2019 (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 d.te. Dated at the Town f Quee ury; 4 W-i r e ,, .;` ugust 1,2018 SIGNED BY: ' for the Town of Queensbury. Director of Building&Code Enforcement 'w« SWIMMING POOL PERMIT APPLICATION Office use Only Permit#: C,o b k-t` 1 er Town of Queen$bu y i ' �.; [ Permit Fee:$ 12 ,: Invoice#: 679 I 742 Bay Road,Queensbury,NY 1280 1TT P:518 761 8256 www.queensbury.n'et JUL 25 2M0j j I` Notes: Project Location: /S3 ff3R,2 4/�i(f)BL DING&a0DPS Tax Map ID#: 295. 20 - / 63 Subdivision Name: 2-N13' sJ d"4, Prig) CONTACT INFORMATION: • Applicant: Name(s): .won/ s f4NA/A AMC. Mailing Address, C/S/Z: /S3 $ 4IZ, . G/s/ bMee-MS.9Vie/ Cell Phone: (S/8 ) /96-gee 0 Land Line: ( S18' ) ?`72, -6,P6Y Email: 2E/t,$@MSh.(Do✓1 • Primary Owner(s): Name(s): SA,»E / APPGtc T Mailing Address, C/S/Z: Cell Phone:_( ) Land Line: _( • Email: • Installer/Builder: Business Name: No,e'VEgAi Poo4Scitoe5 Contact Name(s): $,e -r Yr9-/VDEvW L/1E2, Mailing Address, C/S/Z: Sou 3- 6taus Flu-S Cell Phone: (S4? - 65/7 Land Line: _( Email: bVpoo/.Scgfle5'(tivrieiL . ('off • Contact Person for Building & Code Compliance: APP/WWifid Cell Phone: ( ) Land Line: ( Email: • Town of Queensbury Building&Code Enforcement Revised November 2017 PIPIPL SWIMMING POOL INFORMATION: CIRCLE ONE: ABOVE- GROUND IN-GROUND &' ....... SIZE OF POOL: /6 X 3 ��------'''"' 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: .J'"J 2W'& SIGNATURE: DATE: 1/21 Town of Queensbury Building&Code Enforcement Revised November 2017 .:, ,'",,).'",-. .,.!q",-••,'..',-",--•"•,,,,•:,:•"t"•...N,"-X...1.,', ,:',c,;')•a. ,,,...,,,,,,,,,,,,,,,E,,,,, E,-,..-,,,.4,-, ,,)',,,,• -•••'''',•,•,,,:'''')'-i-•'..•.)•1.--V.,'"..,t'r-.!•)'.kl-•••-'5,',....".•,;,',4••-••A-,-,, ' , ,,..,..1,,y ,.,,„,••,,,,E,,i,gt.,E,„,,,,,..•,4,•x.• :-E,,,,,,,,,,•4„,, ,,,'•:•.2•,1E,,,,••„":,•'14,,SM,;;•,,V.:,j- -.,,'i,..•`Et..••:Pr.-q.:..,;,i,,-.--,eq.,,,.;',..3,,,,,, ,,,te•,,,.„,,,t...,==-",..,,,,,,,73'0,.,.•P'z.f.•.,..".,-.'.4.,,Y,";:;11.1.....:,,,,••.,-,,,,,,e,,•:••••5e•,:r.,.,',K'.e.."• p*,,w.,..,,,,,,,,e_.,-;.,-..t,•;01.,-,',,,,:.:?,,,;',,,..,..'•..,,,,=,"..•'1;:'.',, :,''.•..,•-.-.:,..,':';,,''.'.1".•••:,Jet ,;,!,:f:Zklia..‘,•.k.".'.'',,,i,,;4•,:,,,,'W'';,.•,,-.3' ,,:,`i,A,',,y,:,f,*5,A,."•••4,4. .,,' Amf-4t,7,3-,..:vvt-::,--r..;,?j,,,'.,r-3-,.j,,f,;,,,,.,.,?••;•.,,04 ,-Wd,:',..,:;'^':."•:,;-.",",'•'.',1.= ','',.•Z,n.V,'.,::'-'%'i'-',-W,:,,,,,.*,t,.,',*--,--i-e:-..,..,,,,,,-,;;A:iv.,Y4,';',.-.;,x-.r'1;',._.-i,.-::`,:,,,, ,--, ki•'..474:,,,'4,'..r:11!1.,'•44P;41.,• r:F.,.,;'•:,',.r..'.••.;'•,•..ri...•••• ';e'4'4i.:.,:''.:':•0•'•:.,75,1'Aigti;',WF•;:''' ,I40 t;',...i*.••'0'..V'ir'...4••;4i'ii•'47'iTill:rP3K.,',.•'1,,TAK4:••• V.'V•,1',,',•,•.;M2',..g''‘Pr.,. .•.,••.0.*V\i'.,,O,',•"(:••Rr'r,S',;••'.•''''':•••:0-7••,:Wt7,t,:%q.'-„1..;',,,-,4V,„%,".,''.,-,:;":',,14,',Vi.;;,'• S':::4,'",,c14,''',f4t,,,V,I,R .:::';',1".-,'F,S2.;,%'0%;'1, '5Prfk.,4.%:,"4.11''',;-rg','!'i 41''- ,,,,:,ti^..A.,,,,I.,t4,11,74>',4Z.',',0:';,*:.•;04,,,.'1,..,:;:;",t',44;??4 ,0::',..,•;.,044.„''.,,:taA,,f7-A,kic"...-:!:,''."..a:,V,'',$'%1-2' ''.:1-..Z.',--•;,''"'St.'- ',',..'""r*i-ici,k.''''. .,:-1','',71`..:'.,f-'1'S':F",,I.,.:il,'.":,,,'--:--'.',-,-,,,-,"„r,,,,,,,,,,,:".-;,'Z'_%:,:"..-.. ,Vi,,k', ,,;'?').-:M.?":4'...,,.'' 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