2002-335 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 128045902 (518)761-82 01
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020335 Application Number: A20020335
Tax Map No: 523400-302-017-0002-052-000-0000
Permission is hereby granted to: PAT JL&ROBYN DI PHILLIPS
For property located at: 36 HIDDEN 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 Value
Owner Address: PAUL &ROBYN DI PHILLIPS Inground Pool
36 HIDDEN HILLS Dr Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2002-335
INGROUND POOL AS PER PLOT PLAN SPECIFICATIONS
Area Variance No. 40-2002 Approved on Thurs.,June 6,2002
$35.00 PERMIT FEE PAID-.THIS PERMIT EXPIRES: Thursday,May 08,2003
(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 of Queensbury; Friday,June 07,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building& Codes Office SwimmingPool
Town of Queensbury
742 Bay Road Permit Application ' $
Queensbury,NY 12804 ,
(5I8) 761-8256
1. Applicant: ecxU — b X�V' 1 l �(-� Owner: w�e
Address:, 3Le Q 4 -e, )-( A� l f Address:
1 �-..Yv��'C'.�^C�4 j✓`-/ !�mil' ����
Phone No. L1'l, Phone No.
2. Person responsible for code requirements: S c o
3. Contractor/installer S CO'C-1— \.
Address eVf 0 L--
Fhone No.
4. Pool Location Address:
5. Tax Map_Number:
6. Type of Pool: above-ground pool / in-ground pool
7. Size of Pool: length 3(e ft. diameter ft.
width _ft. depth g ft.
8. Approximate Water Capacity gallons
9. Materials used in construction(circle below)
'Sieel/vin 1 Fiberglass Gunite Poured Concerte Other
10. Submit a diagram; drawn to show property lines, existing structures,proposed or existing septic
system,location of proposed swimming pool. Show all setback distances from property lines to
both the pool and the structures, as well as separations between them.
An electrical inspection is necessary before the Certificate of Compliance is issued.
See attached sheet for electrical inspectors.
The Building and Codes Office needs to be notified upon completion of construction;including
installation of fencing. A final inspection will be made before use of the pool is authorized.
Applicant Signa Date:4-1 ��—
Owner Signature: Date:
(if different from applicant name)
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