2014-269 ,� � TOWN OF QUEENSBURY
/W 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140269 Date Issued: Monday, July 06, 2015
This is to certify that work requested to be done as shown by Permit Number P20140269
has been completed.
Tax Map Number: 523400-289-008-0001-079-002-0000
Location: 958 Bay Rd
Owner: ALISON BOHANNON
Applicant: ALISON BOHANNON
This structure may be occupied as a:
Above 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 ��.
Direct. uildmg&Co. nfor. ent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
ia742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140269 Application Number: A20140269
Tax Map No: 523400-289-008-0001-079-002-0000
Permission is hereby granted to: ALISON BOHANNON
For property located at: 958 Bay 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: ALISON BOHANNON Above Ground Pool
958 BAY Rd Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-269
POOL above ground 27'round x 54" high
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,July 01, 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 eensbu � Tues t a , July 01, 2014
SIGNED BY for the Town of Queensbury.
Director of Building& de E•tmrcement
Town of Queensbury Building & r4� 7 ��\J °ffio�use'oniv
Rece111\
SWIMMING POOL PERMIT APPLICATION 2ft\bjax Mp ID:
A permit must be obtained before beginning construction 9 t y_ q
o��a Permit'No.:
cy�p
IC 0'121 ,Site PIIanNariance No.: 4 n
1. Date: 30- I`
2. Tax Map ID: nnA� ell, $ --1--59. 3(
95 3. Pool Location Address: bay e ...
4. Zoning Classification: OA
5. Site Plan Review,Variance or Subdivision Approvalsr `12
(list)
6. Property Owner: h�15n BOha.. f\C Phone: 1 -b41{
Mailing Address: q 6 cJA a.
City: PO\ 12804
7. Contractor's Name: MtChM,' P?,(fY\ct_t_te•- ( Phone:
Mailing nAddress: 1004 Gu,?'-sl1SV`2icp 5r'�eeneate(d ettLt- A N/
/ 179533 x,33
8. Contact Person for Building&Code Compliance: f 1 SOY\ a b"'.n t\v-, Phone 19
ABOVE-GROUND OR INGROUND?
SIZE OF POOL 2l tt N. q11
(�J
MANUFACTURER: I S)OtdgA rlXlu'Gf'1CC
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl 'F 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: -A`lson i
•
Signature: Date _ (g1-6611-1
N
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
-1'`*u
g-t
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: 21115
NAME: JA�'lak-n n
LOCATION:
PERMIT#: lq- Zbg 7�—
INSPECTED ON: l2 7AriS am/pm
Arr ie: am/pm Depart:
am/pm
I pectoris Initials;
Above Ground: In-Ground:
Pool enclosure around �4.
.001 or and ��■
4 feet above •rade
2 inch maximum ..�
clearance to grade from
underside of fence
4 inch maximum .�115
clearance in fence
•ickets
Wall devhave self ,
closingg device or alarms
30 second Alarm time
Surface Motion
�■.
Alarm
Ladder secured in place Ea
and
and latched
Deck gate < to
no more than 1/2" spacing ��■
in •ate o•enin•s
Gate opens outward, self Oa.
Padlock provided on �■.
•ates or ladder
Indoor pool all doorssett
alarmedper .��
closing or per
AG 105.2 Item 9
Timermpoolpump (no ��.
lie in timer allowed
Final electrical rA
Vehicle access gate
closed & locked
Ok to issue C/Crt_
_
COMMENTS:
•
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main office 176 Doe Run Road-M■nhoim,PA 17545
•
•
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL •
N° 27748
Permit No......./..Y— 2 G 9 Cert. Cut-in Card No
Owner ALK ,Ia johemAn-
Location................`.,ar.&.---..lityY...../..?g Qum:,firs.lard e3 Y.,_....... _.._...... ..
i
' Installation Consisting of A,41ri.I.tt:t 0-Pirse •O ,j•....J• ,ent. __"GO e—• ...
r •
xr..hi.nS .m4r . K r. .
.
Installed By C.9 i..Y tP% /r�.'..(..<.* A I.c„, 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 ns of date. Upon the j
introduction of additional equipment or alterations,application shall be 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. G)
•
. Date 7—i VS INSPECTOR 1 1. . I+
Member N.P.P.A-,IA.E.1.
ZO 39tld O)BNff NMI 489T86L SS:Ot StOZ/80/LO
Z00•d 08S 186L £1:60 S 102180IL0 aw111a3e0 X8
LEGEND
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AREA \ DEED REFERENCE:
1.001 ACRES
43,3791 SO. FL RONALD ft. & SHIRLEY A HARRIS
RONALD Hi & SHIRLEY A. HARRIS
DdTEN FEBRUARY 18 2004
o RECORDED IN BOOK 1369 OF DEEDS AT PAGE 42
- - C
IN THE OFFICE_ OF THF WARE2F_tJ COUNTY CLERK i
r
- - --
I
MAP REFERENCE:
MAF' ENTITLED "MAP OF A SURVEY MADE FOR
p JI097' RONALD HARRIS"
t1 9 `d PREPARED BY VANDUSEN & STEVES LAND SURVEYORS
DATED OCTOBER 2, 1997
�> PERMIT PLOT PLAN LAST REVISED SEPTEMBER 3, 2003
HAVE PERSONALLY MEASURED THE DISTANCE - FILED INiPLAT CABINET B, SLIDE 242
FROMTHE PROPERTY LINES'1'0 THE 1N THE OFFICE OF THE WARREN COUNTY CLERK :.
OR SIGN S) "P
G,l, )A
NOTES:
1) THIS SURVEY WAS PREPARED WITHOUT THE
BENEFIT OF AN ABSTRACT OF TITLE AND IS
THEREFORE: SUBJECT 'TO ANY EASEMENTS,
COVENANTS OR RESTRICTIONS OF RECORD
ANY STATEMENT OF FACTS SUCH DOCUMENT
WOULD DISCLOSE.
2) UNAUTHORIZED ALEERATION OR ADDITION TO A. SURVEY
MAP BEARING A. LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB- DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.
3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF IHE LAUD SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES:
i