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Of Q� 8201
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Issuanee°f ner of the r d conditions as
proper oor other yssueingBoard of App
Varnn ng�°ardor Zan
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TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130324 Application Number: A20130324
Tax Map No: 523400-308-018-0001-030-000-0000
Permission is hereby granted to: NEIL LA JEUNESSE
For property located at: 20 HONEY HOLLOW 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: NEIL LA JEUNESSE Inground Pool
20 HONEY HOLLOW Rd Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
CONCORD POOLS
587-4949
156 SPARROWBUSH Rd
LATHAM NY 12110-0000
Plans&Specifications
2013-324
POOL inground 18' x 35'
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,July 22,2014
(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 Tow nsbu d y 22,2013
4
SIGNED BY � for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID: 30
A permit must be obtained before beginning construction v.
Permit No.: 03 ' oZ
Permit Fee: $
Site PlanNariance No.:
1. Date: Ill1 01 3
2. Tax Map ID: 1 ��� 3�
3. Pool Location Address: aD t
4. Zoning Classification: &fl C9
5. Site Plan Review,Variance or Subdivision Approvals(list) ( 3Z " 137//7,�r�/3
6. Property Owner: !�� f fit. Phone: q61
Mailing Address: 'd n 71. Z. 0-->
City: z�
i
7. Contractor's Name: 14-C-6 f� ���s Phone: 2-1/3 8 Asa-
Mailing Address: l 5
City:
8. Contact Person for Building&Code Compliance: Phone
ABOVE-GROUND OR INGROUND?
SIZE OF POOL: $ X 3 5- 1
MANUFACTURER: ver aL� 0 5
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
2 Sttoel/Vinyl V Fiberglass Gunite Poured Concrete Other
�1 y1✓11�
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: 1 • 10. Date 7 j
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
j (? ? Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: a �J-eu�je55-e_
LOCATION: .c�� ( rdott ,
PERMIT # : JI - r
INSPECTED ON: A1,-?-X(q am/pm
Arrive: ._ , fpm Depart:
am/ r�
Inspector's Initials:
Above Ground: in-Ground:
Y N NA
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 1 01
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
in gate ol2enings
Gate opens outward, self
closing
Padlock provided on
ates or ladder
Indoor pool all doors self
closing or alarmed der
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
k4-
NAME: �� �
LOCATION: "Zv _
PERMIT#:- :-'\
INSPECTED ON: am/pm
Arrive, am/pm Depart;
am/pm
�lnspector's Initials:84fl)_
Above Ground: In-Ground: .
Y N NA
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
Alarm
Ladder secured in place
and latched
Deck gate <56" to latch
no more than 1/2" spacing
in gate openings
Gate opens outward, self
closing
Padlock provided on
gates or ladder
Indoor pool all doors self
closing or alarmed per
AG 105.2 Item 4
Timer on pool pump (no
plug in timer allowed
Final electrical
Vehicle access gate
closed & locked
Ok to issue C/C
✓ A A
COMMENTS:- 0 Z, �v�1
r;i—AA I ool inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: � n�'
LOCATION: "� +4r I P_ 400 OW
PERMIT#:
IrIl AdIll ,.ON: l am/pm
Arrive: am/pm Depart:
a
Insp ctor's In! gals:
Above Ground: in-Ground: v/
Y N NA
APool 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
ool Surface Motion
Alarm +
Ladder secured in place
and latched
Deck gate <56" to latch
no more than 1/2" spacing
In qate openings
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
.plugin timer allowed
Final electrical
Vehicle access gate
closed &locked
Ok to issue C/C
COMMENTS:
� Z .
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME:
LOCATION:
PERMIT #.
INSPECTED ON: am/pm
Arrive:e- am/pm Depart:
06_xl� am/pm
Inspector's Initials:
Above Ground: In-Ground:
Y N &A::
Pool enclosure around
pool or and '-
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
Z.Alarm,
Ladder secured in place
and latched
Deck gate < 56" to latch
no more than 1/2" spacing
in gate openings
Gate opens outward, self
closing____
Padlock provided on
�Qates or ladder
Indoor pool all doors self
closing or ninrmp.H npr
ft
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