2015-122 4�` TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150122 Date Issued: Tuesday, July 14, 2015
This is to certify that work requested to be done as shown by Permit Number P20150122
has been completed.
Tax Map Number:
523400-301-014-0001-033-000-0000
Location: 63 PEGGY ANN Rd
Owner: JOSEPH EPPEDICO
Applicant: JOSEPH EPPEDICO
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 (71)e440
/'property owner of the responsibility for compliance with Site Plan, �d
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.
TOWN OF QUEENSBURY
F.00 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150122 Application Number: A20150122
Tax Map No: 523400-301-014-0001-033-000-0000
Permission is hereby granted to: JOSEPH EPPEDICO
For property located at: 63 PEGGY ANN 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: JOSEPH EPPEDICO
63 PEGGY ANN Rd In Ground Pool
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-122
inground pool
$40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Sunday,May 01,2016
(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 of Qu-- . ik; / ri I y, 1 y)1,2015
SIGNED BY o„ -r`` for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received:
1 SWIMMING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction Permit No.: ;_liv 'ix
Permit Fee:
Site PlanNariance No.:
1. Date: 4 (21/4 r•
2. Tax Map ID: 3 0 1, 14-_I- 33 E C E IEI V L
lj
3. Pool Location Address: (7 ) ? 6'i 4-Nlk1 l2274i_
� �` APR 27 2015
4. Zoning Classification: ttl
TOWN OF QUEENSBURY
5. Site Plan Review, Variance or Subdivision Approvals (list) S l7C /0(4, A al I E.—WILDING& CODES
6. Property Owner: CJ OS GPH 1 PP ez!C%i2 Phone: ,q 3 - 2-
Mailing Address: 63 < C&/ fliviv R/
City: 62,f a E s'Ba tztgof
(o_ivol
7. Contractor's Name: SPRY Gist F Po di,_s tv ia./6) Phone: 74:2- Z 70
Mailing Address: 30t, EA96,9 sr Sr4 rt-e-
City: fr L�JLv ) '1 /2452-46
8. Contact Person for Building&Code Compliance: Phone
ABOVE-GROUND OR INGROUND? 62 O(.4/I 0
SIZE OF POOL: /6 X 32
MANUFACTURER: /1/1 Eii"i1D ?cx,L-S
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.
Print Name: JOS� 1P i tCO
Signature: S av Date 'V/27// c
me/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
elec. boi/A-
/- 3 th
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: 7/69/010/
NAME: <15-e- ;f ♦ Ci/ 6°
LOCATION: ^ 411h --
PERMIT#: /MIFF
INSPECTED 04.44', 7 g"/Sam/pm
rri e: am/pm Depart:
� � am gip
spector's Initi. s• -__
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 %/
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 y/
Alarm
Ladder secured in place
and latched
Deck gate < 56" to latch
no more than 1/2" spacing ✓
in gate openings
Gate open outward, self
closing
Padlock provided on
gates and ladder
Indoor pool all doors self
closing or alarmed per
AG105,2 Item 9
Timer on pool pump (no
plug in timer allowed)
%//
Final electrical
Vehicle access gate
Vir
closed & locked
Ok to issue C/C
COMMENTS:C.)14_455Z c:5b
PERMIT P
LOT PL N I GJ—I Z2-
1 HAVE PERSONALLY MEASURED THE DISTANCE
FROM THE PROPERTY LINES�O N E [ F Ir I
PROPOSED •TR�,CT,,► (S) Z'] `�- �-fir.
,� , 4t1 ,,�!�.� DAT SPP r� ZQ15
SI . ATU`'E
TOVVN EENSBU
BUILDING& CODESRY
Attention Home Ownee
Please assure you are familiar w' ,the
Pool Enclosure requirements speific to
Your pool. We will be happy to explain
what Requirements you ►yell ve to
meet per Appendix C.._ 4hei
New York State Residentia ',cif' 4,01 y?p4
/Jq.
1
TOWN OF QUEENSBURY
BUILDING DEPARTMENT _ _ _ — 'y_
Based on our limited examination,compliance ; t'
with our comments shall not be construed as '
indicating the plans and specifications are in )
full compliance with the Building Codes of
New York State. / 1
iit
TOWN OF QUEENSBURY---•---7\ -.,. .
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BUILDING & CO! S N, 'T. ''q �p . 5 2--- '
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Date: � 14 c. '� 0
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