2014-202 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140202 Date Issued: Monday, July 06, 2015
This is to certify that work requested to be done as shown by Permit Number P20140202
has been completed.
Tax Map Number: 523400-297-014-0001-003-006-0000
Location: 499 RIDGE Rd
Owner: ERIC G JOHR
Applicant: ERIC G JOHR
This structure may be occupied as a:
Inground Pool
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the ( J 4 )0t
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
/4,0742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140202 Application Number: A20140202
Tax Map No: 523400-297-014-0001-003-006-0000
Permission is hereby granted to: ERIC G JOHR
For property located at: 499 RIDGE 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: ERIC G JOHR ingroutld Pool
SUSAN M. BRUMGARD-JOHR Total Value
499 RIDGE Rd
QUEENSBURY NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans& Specifications
2014-202
POOL Inground 18' x 36'
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 06,2015
(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 Quee bury �JFri t •, , ,/ i i 16,2014
f0/ G
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: ,c'7, /</ .-/- 3 .• CP
A permit must be obtained before beginning construction Permit No.: I 41-- aJ
Permit Fee: $ 75 U l'ptel/
Site PlanNariance No.:
1. Date: 5I(),C1 I I�
2. Tax Map ID: Pi 7. 14 1 -3,4 ' �i�
3. Pool Location Address: Lkc\ 1 R e RA. Q LI ee(hsh�a i( JLj 3 0 2014
1
LJ �J I LLP:AY4. Zonin Classification: 1 eg �, snr1�en�-k�C�l OF C,UEE�USBURY
ILDING & CODES
5. Site Plan Review,Variance or Subdivision Approvals(list) � 2!
6. Property Owner: �C'tC', Jc�r are‘ -LuS ir' Phone:
Mailing Address: q c-► C' Qci
City: queeAbar N
7. Contractor's Name: �ra UeiS C61amad f- Phone: ?A °P40
Mailing Address: 3e0 fc -jj^(p a mite
City: rt- cdaxi rd. N� 1 a7 �
8. Contact Person for Building&Code Compliance: Phone
ABOVE-GROUND OR INGROUND? TC(1C,lb f rl
SIZE OF POOL: X '3L ��.
MANUFACTURER: en 0.I Pun>S
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl x 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: 6-I S' L. /
Signature: Ot -r <- Date c /14/f`f
ame/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 128 4
Date received: V/2. q
NAME: —Otil [
LOCATION: / / -2 i �2G
PERMIT#: --�b
INSPECTED ON: 7 //Pam/pm
Arrive: am/p Depart:
C' tzr's
am/pm
Initials:
Above Ground: In-Ground:_
Y N L
Pool enclosure around
pool or yard
4 feet above grade r/
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 V
Ladder secured in placeL- , /
and latched 0�
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
AG105.2 Item 9
Timer on pool pump (no
plug in timer allowed) /�
Final electrical v
Vehicle access gate
closed & locked
Ok to issue C/C 0 .
COMMENTS:
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: Era 6 Vh
LOCATION: C15,La
PERMIT#: .,d.1.
INSPECTED ON: (131tA
iLi am/pm
Arrive: am/prn Depart:
4ss Initials:
Above Ground: In-Ground: ':// '
,_ii_A_
N
Pool enclosure around
pool or yard
4 feet above grade
2 inch maximum
clearance to grade from
underside of fence
4 inch maximum J
clearance in fence �/
pickets
yk(
Wall or Doors have self
closing device or alarms ...0e-
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 J
gates or ladder I
Indoor pool all doors self
closing or alarmed per
AG 105.2 Item 9
Timer on pool pump (no //
plug in timer allowed) /
Final electrical v
Vehicle access gate
closed & locked
Ok to issue C/C
COMMENTS:GU 1.A -
7(e 1 - zo7
I
1
III lig
I' � Ilia j
MAP REFERENCE:
MAP OF A SURVEY MADE FOR
MICHAEL GANTIELLO1
TOWN Of QUEENSBURY
"
BY- VAN DUSEN f 5TEVE5
BUILDING DEPARTMENT
' Based on our limited examination, compliance
DATED, AUGUST 14. 2002
with, our comments shall not be construed as
LAST REVISED- OCTOBER 10. 2002
7
indicating the plans and sppecifications are in
Building Codes of
LOT
LOT 6
;r
-fO l OF ��i Ecti"9 ssa
full compliance
New York
with the
State,
i
^
f'�
F
582 17.15-E
I
FFI
204.41'
w
�
A
I
�7
l9
is t.6d�:Y ii?$ii•t l9il.'.i fyt •i`iY:'r
o
LOT
Rase assure you are familiar with the
ti
b
Pool Enclosure requirements specific to
ur p6l. We will be t
rements
have to
rota t Requ yon w llra
2 t
i-neet per Appendix G O tf a
�I�•rllc'I
215Ff
{'iiw, °r'OiiCStatP. { ...3j=.'U^ftidi s•oJE'o
�
�
LOT 2
65,588 sq.ft.
l
1.51 acres
.