2015-117 TOWN OF QUEENSBURY
FV$1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150117 Application Number: A20150117
Tax Map No: 523400-308-019-0001-028-000-0000
Permission is hereby granted to: DARWIN & JACOUELINE WILLIAMS
For property located at: 39 OGDEN 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: DARWIN &JACQUELINE WILLIAIs
39 OGDEN Rd Above Ground Pool
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-117
above-ground pool
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 30,2016
(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 Town ofmy; Tours / • 30,2015
/VJ .,
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction Permit No.: 201 r —i
Permit Fee: $ 1°
Site PlanNariance No.:
1. Date: 4 - 3 Ll' -
pC � tip
2. Tax Map ID: G� l -
• � l' ZS _
3. Pool Location Address: ��► C)C-� � 2-1� _ APR 2 4 2015
4. Zoning Classification: _ TOWN OF QUEENSBURY
BUILDING & CODES
5. Site Plan Review,Variance or Subdivision Approvals(list) -�--
6. Property Owner: r'l v rTh 3c e LC)W► t( volts Phone: j 2- -I 6c-i 9
Mailing Address: 1,
City: L\s&f, K)y I a o4
7. Contractor's Name: t —Po b i Phone: — 09 S
Mailing Address: ( cl to 1 (_iLv k—rt•-J /kv t-
City: ► A) 1 265
8. Contact Person for Building&Code Compliance: Phone
ABOVE-GROUND OR INGROUND? f �?(2 \ L:
SIZE OF POOL: CS
MANUFACTURER:
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel I Vinyl SG 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:
Signature: _. 4 r) Date
a -/Title
j
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
roils. Queensbury Web Map
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Attention Home Owner
ly Please assure you are familiar with the
1" "' wool Enclosure requirements specific to
•• I. We will be happyto
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i New York State ' esidential C•oe,
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TOWN IT QUEENSBURY
BUILD! G DEPARTMENT
Based on our limit•d examination,corn'fiance I
with our comment. shall not be constr ed as
L - indicating the pla and specifications re in
full compliance w th the Building Co4Pof
/ New York State. NO IM
15-i tq- TOWN OF QUEENSBU'Y �,
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BUILDIN & COD rte
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APR[ 425 Date: '1 , "
TOWN OF QUEENSBURY `�
BUILDING & CODES
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Certificate of Electrical Compliance
D,,,c New York Atlantic-Inland, Inc.
Y � 997 McLean Road Ext.
.r., Cortland, NY 13445
Certificate No.: 603014
Building Permit No.: 2105-117
Issue Date: 6/24/2015 Building Permit Date:
Inspected By: Devin Pratt Occupancy: R-3
OWNER SITE ELECTRICIAN
Darwin &Jacqueline Williams 39 Ogden Rd owner
39 Ogden Rd Queensbury, NY 12804 39 Ogden Rd
Queensbury, NY 12804 Town of Queensbury Queensbury, NY 12804
SCOPE:
Permanent Above Ground Pool
INSPECTION INFORMATION:
Misc: 1 Pool Bonding and GFCI Protection
Pool: Conductive Pool Shells Bonded: Y, Perimeter Surfaces Bonded: Y, Metallic Components Bonded: Y, Pool
Water Bonded: Y, Electrical Equipment Bohded: Y, 120V 12A 1 HP ,�ol Pump, Double Ins., 120V 20A Twist-Loc
recpt. & plug, 120V 20A 2HP Timer
cr
- 0
This certifies that the process noted above was complete as specified at the time of inspection and any conditions not within the
scope of the inspection are excluded. Because there exists a multitude of proprietary specifications,the adherence to the relevant
Building Code of New York State is applicable to the electrical requirements on the above noted date and valid for one year
forward. In connection with areas at the time of inspection and does not constitute areas that are enclosed,concealed or
inaccessible. Should the electrical system be altered in any way,including,but not limited to,the introduction of new electrical
equipment,this certificate shall be null and void. This certificate only applies to the occupancy use as stated. Changes in use,or
occupancy as indicated above,negates this certificate in its entirety.