2015-159 10 TOWN OF QUEENSBURY
co,ro 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150159 Date Issued: Tuesday, July 21, 2015
This is to certify that work requested to be done as shown by Permit Number P20150159
has been completed.
Tax Map Number: 523400-296-009-0002-004-001-0000
Location: 9 GREENWOOD Ln
Owner: BRIAN & JENNIFER SHANER
Applicant: BRIAN & JENNIFER SHANER
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
property owner of the responsibility for compliance with Site Plan, /
Variance, or other issues and conditions as a result of approvals by the Direc r ng do. '+'o •ment
Planning Board or Zoning Board of Appeals.
AO` TOWN OF QUEENSBURY
` r 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150159 Application Number: A20150159
Tax Map No: 523400-296-009-0002-004-001-0000
Permission is hereby granted to: BRIAN & JENNIFER SHANER
For property located at: 9 GREENWOOD 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: BRIAN & JENNIFER SHANER
9 GREENWOOD Ln In Ground Pool
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
BP 2015-159
Inground Swimming Pool
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 13,2016
(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 o Bens ; /J d , May 13,2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes % /5
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map In.
A permit must be obtained before beginning construction eamittin.7,Ark Vi •q -2-ekI /
Permit Fee: $ 7 S—r� ' `)
Site Plan/Variance No.:
1. Date: /
2. Tax Map ID: E c 2 � v �L
3. Pool Location Address: ? w(ee rt �..oocO t 6-)
t5 v �5
MAY 12 2015
4. Zoning Classification:
TOWN OF QUEENSBURY
5. Site Plan Review,Variance or Subdivision Approvals(list) ___BUILDIN ?? Fc
6. Property Owner: (V2 ciao .114 eirJ e Phone: t S l ( OO ca _a
Mailing Address: 6/Lee n cri cta L. [6+ '-cut.
City: C.114)0 e N\ 5v6-7 by I ao4
7. Contractor's Name: .S(/2/3-9 0L5 i2 /0-id Phone: rCS iZ 7c)
Mailing Address: 300 J r2 1414AWP cr
City: `-" NAA y r'2-i Lc�
8. Contact Person for Building &Code Compliance: ( Phone
ABOVE-GROUND OR INGROUND? i '/5
SIZE OF POOL: Zd 3 yr Brian Shaner BP 2015-159
MANUFACTURER: 9 Greenwood Lane
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY): lnground Pool
Steel/VinylQ 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: �l 1-i 4-we �—
Signature: Date fill/ (
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
Pool Inspection /5
Queensbury Building & Code Enforcement -1,0
Office No. (518) 761-8256 allit-
742 Bay Road, Queensbury, NY 12804
Date received: 7//7//C-
NAME:
/7//$
NAME: n^�r16`-
LOCATION: 'T G ! -- A LN.
PERMIT#: ic7 '"(srrj
INSPECTED ON: ,�((/
ami pm
Arrive: S"``T4" am/pm Depart:
am/pm iv
Inspector's Initials:
Above Ground: In-Ground: )(
Y N N/A
'- Pool enclosure around a//.
pool or yard /
4 feet above grade r/
2 inch maximum ,/
clearance to grade from i/
underside of fence
4 inch maximum /
clearance in fence ti,/
pickets ,
Wall or Doors have self /
closing device or alarms ,,/
(30 second Alarm time)
Pool Surface Motion
Alarm
Ladder secured in place
and latched
Deck gate <56" to latch
no more than 1/2" spacing z
in gate openings
Gate opens outward, self t/
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 I/
plug in timer allowed)
Final electrical I/ /
Vehicle access gate ✓/
closed & locked //
Ok to Issue C/C ,/
COMMENTS:
/W4, f Cc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No.2.01` Cert. N2 28719 Cut-in Card No
Owner S
Location 9 6/ -A/ V -D 14V
Installation Consisting of cul.R.641-6" Pize-v
Installed By......tre Ma/Jel SL ? 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 -ctions at any time, and if its
rules are violated,the Company shall have the right to r-volt,his ••Icate.
Date f- INSPECTOR f
Member N.F.P.A.,I.A.E.I.
`ow Queensbury Web Map
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___—'�, TOWN OF QUEENSBURY ,I',
________— BUILDING DEPARTMENT 0
i' Based on our limited examination,compliance
II with our comments shall not be construed as '�I�
III indicating the plans and sppecifications --• in '',
ill full compliance with the Build' •des�•f ` 61� II
II New York State. II
_ ,I J II
it
RR-3A ,11
I�
Guido Pass arelli li
Attention Home Owner TOWN •F QUEENSBURY
Please assure you are familiar with the
Pool Enclosure requirements specific.to BUILDING & CODES D PT.
I 1
I�
Your pool. We will be happy to explain Reviewed Br ,�� 1
10
what Requirements you will have to Date: v I
ii
meet per Appendix G Of the -_________
New York State Residential Code _________________
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