2015-178 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150178-41949 Date Issued: Friday, June 30, 2017
This is to certify that work requested to be done as shown by Permit Number P20150178-41949
has been completed.
Tax Map Number: 296.10-1-19.1
Location: 6 Clubview LN
Owner: Patrick Bulman,Jessica Chenier
Applicant: Patrick Bulman
This structure may be occupied as a: Inground Pool 30'x 16'
By Order of Town Board
TOWN OF QUEENSBUURY/f
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.
01.4 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
VarS
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150178 Application Number: A20150178
Tax Map No: 523400-296-010-0001-019-001-0000
Permission is hereby granted to: PATRICK BULMAN
For property located at: 6 Clubview Ln
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: PATRICK BULMAN Inground Pool
JESSICA CHENIER
Total Value
31 NICOLE Dr
QUEENSBURY NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-178
inground pool
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, May 22, 2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before t expiration •. e.)/
Dated at the T n of 4rf .y, May 22,2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Cod f C
Received: I
SWIMMING POOL PERMIT APPLICA ,I Tax Map ID:
A permit must be obtained before beginning construed n ` ,t j 2.0\ — 1�$
Permit No.:
TOW" Permit Fee: $ 5 100
f o.•
131.
Site PlanNariance'No.:
1. Date: .4'/h y iq c/f-
2. Tax Map ID: �n,//2"-M`
3. Pool Location Address: , et eig / 7) /,v 7 Qt Jo9Cr y
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals (list)
6. Property Owner: f'!r,exii/111/1 k ?�,-A,ryi 64 ' Phone: '96 OO'r/&o&
Mailing Address: a0e/J//J7/2)
City: /2a21..)");
7. Contractor's Name: 6P0?f Si q,2? Phone: ,)-1,5 9210
Mailing Address: goo 6e ?DZ).l4)
City: RirXr tlY434,D, iCy /23Z5
8. Contact Person for Building&Code Compliance: ,9 7q/&' Phone 7'/792.7o
ABOVE-GROUND OR INGROUND? /,u(e2F 7f)XJh
SIZE OF POOL: X-/6, tincyjii
MANUFACTURER: h7' b7Lg
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel/Vinyl Fiberglass Gunite Poured Concrete Other
(7Fam petro
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: J 2 F/(//
Signature: Date
Nan/
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
v-1�1ake.�• t-hov-.
Pool Inspection N"
Queensbury Building &Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME:
LOCATION: _b CAoyi f_w L1
PERMIT#: 2-o 15- 1-1-1b
INSPECTED ON:S `` 1 Dam/pm
Arrive: arnhorn Depart:
• a
Inspec or's Initla s:JA
Above Ground: In-Ground: Z
Y NA
Pool enclosure around
pool or yard
4 feet above prade
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 401
30 second Alarm time
Pool Surface Motion
Alarm
Ladder secured in place
and latched
Deck gate <56" to latch
no more than Yz" spacing
In gate o enin s
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
pluq, in timer allowed
Final electrical
Vehicle access gate
closed & locked
Ok to Issue C//CC
COMMENTS: �l�<
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manhetm,PA 17545 •
MUNICIPAL, CERTIFICATE - ELECTRICAL APPROVAL
Permit No. ` cert. 6 5 614 Cut-in Card No
Owner ,, T s�?,,;w 4.1.a9 rt_
Location ,72, Lt3......tJ.d..4c,1„.t iR.Y4- G v aC.A_S
Installation Consisting of s:.f 1, Cr(zkwrRr2 c,iA.,414-4.t in n G: o a
4-i ' r Vi fir` c4- bc, .de ni err'
Installed By,,,,$'—._.. `L C.J Lic..No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled: -
This certificate only cover's the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations, application shall he promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated, the Company shall have the right to revoke this certificate.
Date Via..- INSPECTOR _..-�, G . ��""' VY
Member N.F.P,A.,1.A.E.i.
TO 3.9 d O1HNf1N NON t'8ST86L ZI :LT 5T0Z/120/90
l00'd V8S 126L 0£:S l S LOZ/V0190 awillalea X?l
`I I
I r
LINE OF SEVERE ' pp rg CNn I E 1`
SLOPING GRADE
MAY 19 2015 U
I I ! ITOWN OF OUEENSBURY
BUILDING & CODES
PROPERTY LINE—'� I I �m ^� '
Attention Horne OWnei,
I I Please assure You are familiar with the
=MLj=pLQTJP ILDING SETBACK LINE Pool Enclosure requirements s
F
I NAVE PER UNALL E!1500
THE DISTANCE I I I I dt Your pool. We will be ha peXpl to
F ROM E P . ENES TO THE happy to explain
I LOT 1 what Requirements You will have to
PR 1E ST UC) OR SIGN(S meet r
q_'1+/-4GRE5 � per Appendi�cGOfthe
5A is I New York State Residential Code-
U E IN
Q
I
GALLON SEPTIC TANK ►� TOWN OFQUEENSBURY
MINIMUM 1 O' FROM HOUSE I - , f BUILDING DEPARTMENT
Based on our limited examination, compliance
with our comments shall not be construed as
DISTRIBUTION BOX I z indicating the plans and specifications are in
=o full compliance with the Building Codes of
I ! I New York State.
LEACH FIELD:
4 RUNS OF 20' EACH I
TOTAL LENGTH: 50' I
MINIMUM 20' FROM HOUSE
I
1 O' 5EPTIG SYSTEM 5ETBACK-
I
50% EXPANSION
(SHADED)
50'x50' NEW SEPTIC, SY5TEM SOILS
TO BE BROUGHT TO SITE.
PRECULATION TEST 5HOULD BE
PERFORMED AT BORROW PIT PRIOR
TO EXCAVATION OR TRUCKING.
PERRCULATION TEST SHOULD BE
WITHIN A 1-5 MINUTE RANGE.
121 WIDE DRIVE
LINE OF NATIONAL
GRID EASEMENT
I
i I
IBULMAN—GHENT
POOL PLAN
SGALE:1'-40'-O"
i I
�g OS4� 32
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wO�N
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