2015-059 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
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Community Development-Building& Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150059-41747 Date Issued: Friday, June 23, 2017
This is to certify that work requested to be done as shown by Permit Number P20150059-41747
has been completed.
Tax Map Number: 301.12-3-58
Location: 13 ZENAS DR
Owner: Lorinda Brewer
Applicant: Lorinda Brewer ,
This structure may be occupied as a: Above Ground Pool
By Order of Town Board
TOWN OF QUEENSBBURY/�
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.
TOWN OF QUEENSBURY
CL 742 Bay Road,Queensbury,NY 128045902 (518)761-8201
Community Development- Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20150059 Application Number: A20150059
Tax Map No: 523400-301-012-0003-058-000-0000
Permission is hereby granted to: LORINDA M BREWER
For property located at: 13 ZENAS Dr
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: LORINDA M BREWER
Above Ground Pool
13 ZENAS Dr
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2015-059
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 09,2016
(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 Tn o een ryjl' ,April 09,2015
SIGNED BY �� for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150059 Application Number: A20150059
Tax Map No: 523400-301-012-0003-058-000-0000
Permission is hereby granted to: LORINDA M BREWER
For property located at: 13 ZENAS Dr
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: LORINDA M BREWER
13 ZENAS Dr Above Ground Pool
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-059
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, April 09,2016
(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 T n o een ry• ► /: . . ',April 09, 2015
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: I a - 3 -S
A permit must be obtained before beginning construction Permit No.: _orY1
Permit Fee: $
lee Pd
Site Plan/Variance No.:
1. Date: 20 6015
2. Tax Map ID:
_3671, la-3 - 5�' E e u ' .-!
3. Pool Location Address: 13 � CSS 1�C�f, ' 2 0 2015
4. Zoning Classification: TOWN OF(QUEENS U Y
BUILDING& CODES
5. Site Plan Review,Variance or Subdivision Approvals (list)
6. Property Owner: Lo rin g t4 51t
" Phone: /yu- 2 5 D
Mailing Address: l b •
City: siem.3tu,.› `Wa. I2R'6`'1
7. Contractor's Name:
cb-t u1A A LC1- c-Lo Phone:I I -o W
Mailing Address: \cam- le✓RIA
City: . J 4 17-Ji(A.
8. Contact Person for Building&Code Compliance: Phone
�kBOVE-GROUND OAF INGROUND?
SIZE OF POOL:
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.
Print Name: Lor/iidi I� 5 his
Signature: ADate 312-pI2O 3
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: t
LOCATION: P
PERMIT#: 1
INSPECTED ON: _,S \./tiara/pm
Arrive: m/pm Depart:
'f2..' 1=J am -
Inspector's Initials: 6\)i
Above Ground: K., In-Ground:
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 f`I`\
iti(closing device or alarms
(30 second Alarm time)
AgPool Surface Motion
Alarm
Ladder secured in place
and latched
Deck gate <56" to latch
4_no more than 1/2" spacing401
in gate openings
di Gate opens outward, self
losing t
IPadlock 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
Vehicle access gate
closed & locked
Ok to issue C/C
COMMENTS:
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COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. . . . •
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Main()Mee 176 Doe Run Road-Manhoim,PA 17545
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MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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installation Consisting of A b.C•1•14 Cd-• 0-/2-ose441 1.51.4,4 rrl Krz I n.
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The conditions following governed the issuance of this certificate,and any certificate previously issued is . ' . •
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This cenificare only covers the electrical equipment and installation conditions as of date. Upon the , •
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introduction of additional equipment or alterations, application shall he promptly made for inspection. .,
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ej • lnspeciors•of this Company shall have the privilege of making inspections at any time, and if its • .. .
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rules arc violated, the Company shall have the right to revoke this certificate.
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Member N.F.P.A..1.A.E.l.
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