POOL-0488-2018 �^ 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-0488-2018 Date Issued: Thursday, June 27, 2019
This is to certify that work requested to be done as shown by Permit Number POOL-0488-2018
has been completed.
Tax Map Number: 296.9-2-49
Location: 28 OAKWOOD DR
Owner: Jessica Howard
Applicant: Jessica Howard
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 /% -----
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.
iglik TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: POOL-0488-2018
Tax Map No: 296.9-2-49
Permission is hereby granted to: Pools Plus
For property located at: 28 OAKWOOD 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: Jessica Howard Swimming Pool $0.00
Owner Address: 28 Oakwood 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
In ground pool
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,August 6,2019
(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 date.)
Dated at the Town o ueen ury; 4.0 4. �'.:. 6,2018
SIGNED BY: If \ for the Town of Queensbury.
Director of Building&Code Enforcement
, 14ct ft Lc/IL_
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Town of Queensbury Building & Codes Office Use Only
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID: 2e'IQ •el " 2 -4 et
A permit must be obtained before beginning construction Permit No.: POb L..- ozk8 8 ' lA I.
Permit Fee: $ 12J
SitldvAlieriantrIgo.:IY1N0 t uLS 112E
1. Date: Z(.11 r
2. Tax Map ID:
3. Pool Location Address: o y? O' A.kwoo(11/4_ )0/ kLr1 hury PY I ztt -
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property yOwner: di t 51(4 Aul ti/ Phone: c/t'3-3 Z '3'TCPMailing Address: 2 O kW vu k /
City: (U�thS\-3u47 P 1 2 Z 9
/ 7 3 J
7. Contractor's Name: `'�c LA M VA,S Phone: r 3 3 Z_3 '
Mailing Address: L /r tQ+n S* ri.i.�j..
City: Cijoiri 1 iZ WrA
8. Contact Person for Building �.{ �o &Code Compliance: A. Phone�� ��� ��
ABOVE—GROUND OR INGROUND? a YO%f _._.�_.�._._.v, _..,.__. _.�,-: �_.... ,
SIZE OF POOL. DIF A 21.f+ i e1. z:: ,.: .}.,. a..,.:..:s a-s 7;- t
MANUFACTURER: )MK f.(-k � 's ° JUL 3 0 201$ ; J z
31
7d9
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl_ X 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 NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I
acknowledge that I have read the application &plot plan requirements and I or my agents will obtain a certificate of occupancy before use
of the pool.
Print Name: ]/SJk&. ttgi(dt O-S
Signature: ,i iC3, Date Z.1/ 1
le/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256