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2015-103 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20150103 Date Issued: Wednesday, August 12, 2015 This is to certify that work requested to be done as shown by Permit Number P20150103 has been completed. Tax Map Number: 523400-301-013-0001-086-000-0000 Location: 574 WEST MT. Rd Owner: WILLIAM & MARY HAYES Applicant: WILLIAM & MARY HAYES 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 (DJ property owner of the responsibility for compliance with Site Plan, ,VJ Variance, or other issues and conditions as a result of approvals by the Director of Building&Co e Enfor ement Planning Board or Zoning Board of Appeals. 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150103 Application Number: A20150103 Tax Map No: 523400-301-013-0001-086-000-0000 Permission is hereby granted to: WILLIAM& MARY HAYES For property located at: 574 WEST MT. Rd 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: WILLIAM & MARY HAYES In Ground Pool 574 WEST MT. Rd Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2015-103 inground pool 16'x 32' $4Oi i PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 27,2016 (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 To n of ens i , ay, April 27,2015 SIGNED BY \ for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only Received: SWIMMING POOL PERMIT APPLICATION:...-.---- .• ap ID: A permit must be obtained before be+in. tngentwctO 11 t No.: Zb�5�0 t Fee: $ 7D i, ex, PR 2 0 2015 :''"- • anNariance No.: 1. Date: /./026/,5 •WN OF QUEENSBU' Y BUILDING t,CODES 2. Tax Map ID: 3©I. / 3- - : - �-�--/ DeAt/L(6,-eL,.. --6-c.j_iiRci--- 4. 3. Pool Location Address:Zoning Classification: 5. Site Plan Review,Variance or Subdivision Approvals(list) 6. Property Owner: /'„ / ��d/ -1CLl t / ( I C-7/(5 Phone: 7 B) / q3 L Z9 Mailing Address: ��/ e, me-wild-0 led City: Lok-e-e_i i o_ jul'yt / 7. Contractor's Name: 0 y/Ore Phone: Mailing Address: City: t. OLa—ri2__. / Ai, y . 8. Contact Person for Building&Code Compliance: / Phone • ABOVE-GROUND OR INGROUND? I fJ YDu!'�c1- SIZE OF POOL: 11' X 32 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 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. � � Jf f Print Name: 7 7LCL -ye5 Signature: _2d-77AC/cz�r _5d� Date f/2 /5 Name/Title Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256 I ov , Pool Inspection Queensbury Building & Code Enforcement Office No. (518) 761-8256 742 Bay Road, Queensbury,_ NY 12804 'L v Date received: 4 2-x.15 NAME: tkayS LOCATION: 511 V J.i t Mk-h eel. , PERMIT#: IS -103 INSPEC ON: 8 1- 20k, am/pm Arrive: •3V /pm Depart: am/pm / Inspector's Initials: Above Ground: In-Ground: V Y N N/A Pool enclosure around —/ pool or yard � 4 feet above grade 2 inch maximum clearance to grade from ‘7' underside of fence 4 inch maximum clearance in fence pickets Wall or Doors have self closing device or alarms (30 second Alarm time) /� Pool Surface Motion e// Alarm Ladder secured in place and latched Deck gate <56" to latch no more than 'h" spacing in gate openings Gate opens outward, self closing Padlock provided on gates or ladder Indoor pool all doors self closing or alarmed per ✓ AG 105.2 Item 9 Timer on pool pump (no plug in timer allowed) Fin ' I o ehicle access gate .1 losed & lockp. Ok To issue C/C COMMENTS: . . COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. .., , Malts Office 176 Doe Run Road-Maitheim.PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL,APPROVAL ., ::. Permit No. ,./k, -210J Ceirt. 85620 Cut-in Card No, Owner • : . Location IS 7 V 144- AIS..(17.1ilri- /2-49 clv c-cris 6y fy ... Installation Consisting of / G7.1. A-..fz. , Ii knert..,,, G. ,,, • :. • < . . . .. .• ... Installed By.. Lie e.',c,isio,... .„4;.-,L(7rn,4.c., Lic. No. . . • • The conditions following governed the issuance of this certificate,and any certificate previously issued is • . cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the . • introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any rime, and if its .. • • rules are violated,the Company shall have the right to revoke this certificate. .,. : • • Date C-2 2-115- INSPECTOR ......L.:21 fr-e2-"Crwin-14,-14"..".- Member N.F.P,A.,I.A.ILI. TE oiawn/4 Nal 178S18E,L LI :13I STOZ/ET/L LOO'd EI 1 39Vd VIM LS6L VE:80 S 10Z/£11L0 amtialea XS c:, 1 HEREBY CERTIFY TO PETER D. & MICHELE HERMEUX-GSGCOD PIONEER SAYINGS BANK, ITS .,UCCESSORS ANCHOR ASSIGNS TRW T'lLE INSURANCE OF NEW YORK, INC" THAT THIS MAP WAS MADE FROM AN ACTUAL SURVEY ON THE GROUND ACCORDING TO RECORD DESMPTIONS AND SHOWS EQCITiOiis OF BOUNDARIES AND IMPROVEMENTS ON T}}�" R IL* S•THERE ARE NO ENCROACHMENTS [, D i :E +FP QEfB \Yi \ �°'' ae. NrF� NF1' • �` • moi.. � � : w E. D4Ej�. UL ••' ,rF Of NE7 �,'• R.F. SJq ���rt T� �. ASf �Er+TS b'r (C 6l�L✓ jO rSJ �.GT TO SJBOJi jia.+ CoJIT MAN"PS <. �.. iE<.oG0 c0 N .ALL A,N CuaNY`t C�,Z, L.K.$ •\ >F OCLOS A'T `✓ p•6C-a1 77 QJ Vr. 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SAaD Cf P.TWtCATKMel ST1AL1. NUN TO 7W PFA:GK VOR WHOM T'!F SURvEY IS PRE'DARED. ANO ON HIS 0CH F T, TW "P,F COMPANY GOAXNMENTAL A6'EN£Y V UN:,!NL NS'TAttAIN} z IfTFM HFRIF N, AND X ;NE ASG 1U, ni 4* ;FN'}INU NSTTlJTION.' A SURVEY MAB_ r �k i A x R1' ,vj Lg ` In� 2 0 2U15� U P, PETER D. & MICHELE IIERVIEUX-OS'GOOD Y Ir 11tr`r%fi I.R.F. IRCI, M O r _N O N M m CV co x 'O C. E0, c o Q y � c O to 'T0) 2 Lo E- aT 0 L t x > d N 0 ;. t� E w c a3U c a)�- -6u) cu ti N L6 C oE r1 16 o (D d Q) ¢ Cn a:1 co °=� �} Q �� E 3 (00)w C13 :3 z � Q \ LOT /1y l,`�% PFRqT EL^ f I nn 1�T "V- v4 y� . 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