POOL-000261-2017 TOWN OF QUEENSBURY
t, 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: POOL-000261-2017 Date Issued: Wednesday, October 11, 2017
This is to certify that work requested to be done as shown by Permit Number POOL-000261-2017
has been completed.
Tax Map Number: 308.8-1-22
Location: 51 SMOKE RIDGE RD
Owner: Tammie Landers,James Landers
Applicant: Tammie Landers
This structure may be occupied as a: Inground Swimming Pool
By Order of Town Board
TOWN OF QUEENSBURY
i
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, .Dj 4
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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Qk Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: POOL-000261-2017
Tax Map No: 308.8-1-22
Permission is hereby granted to: Tammie Landers
For property located at: 51 SMOKE 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
Tvce of Construction
Owner Name: Tammie Landers Swimming Pool $0.00
Owner Address: 51 SMOKE RIDGE RD Total Value S0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Pools Plus
45 MAIN ST
Queensbury,NY 12804
Plans&Specifications
Inground Swimming Pool
$75.00 PERMIT FEE PAID-TIES PERMIT EXPIRES: Wednesday,May 23,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ueensb j �ues a , ,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
SWIMMING POOL PERMIT APPLICATION officeu�seonl
rmiof QuecrisburY t Fee:$ ;Invoice N: o
742 Bay Road,Queensbury, NY 12804 �. it ,,
P:518-761-8256 www.queensbuy.net K!,y I joes:t
TOWN OF QUEENSBURY
Project Location:
COMMUNITY DEVELOPMENT
Tax Map ID #: Subdivision Name: �Crd cA nom_
CONTACT INFORMATION:
• Applicant: T 1
Name(s): Jor_� ocQ0 l{,MM e. l Ar\t�er&
Mailing Address, C/S/Z: 51 -Z d.o Q tcec.t 1' Q�L ,2SLv,'h1 1M, Y)u 1 akL�I
Cell Phone: (S�% )_lb-t Sgay Land Line: �_) -A0 :!- Jut exe,
• Primary Owner(s):
Name(s):=far.,,, 5 C, , o `lixtoml-e_
Mailing Address, C/S/Z: 51 SIgo Q : tci K e� Ilk 42 ors" to nu 1'6410 -1
Cell Phone: _ ) p \•SgcL4 Land Line: _(Six ) `►4a-L•Ylq
1 t& c4 ,e okrslx,r-. r�
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• Installer Builder:
Business Name: 1S 71 L\-�
Contact Name(s): 7i F>.te- ow
Mailing Address, C/S/Z:
Cell Phone:_( ) Land Line: _( 1 ) 163- agatl
Email: Ct�r,n
Contact Person for Building & Code Compliance:
Cell Phone: _( ) Land Line: _( )
Email:
Town of Queensbury Building&Code Enforcement Revised February 2017
SWIMMING POOL INFORMATION:
CIRCLE ONE: ABOVE- GROUND IN-GROUND
SIZE OF POOL: Wo)C 3Q
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 NYS Building Codes, local building
laws and ordinances and in conformance with local zoning regulations. I acknowledge that I have read the
application and plot plan requirements and I, or my agents, will obtain a certificate of compliance before use
of the pool.
PRINT NAME: \Clrn vi e /�,-+fin Oe G&
SIGNATURE: DATE: 11 I
Town of Queensbury Building&Code Enforcement Revised February 2017
N 308.8-1-22 POOL 261-2017
Tammie Landers
51 Smoke Ridge Road ➢-
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Inground Swimming Pool
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�- I BUILDING DEPARTMENT
Based on our limited examination
with our common
is shall not compliance
y indicating the plans and s construed n
full compllance with ; pec atioris are in
New York Stale the Building Codes of
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ro Attention Home Owner
o p a M Please assure a you are familiar with the
oPool Enclosure requirements speck to
m o o/r a Your pool.: We will be happy to explain
� 0 W . � � � •% what Requirements you will have to
Jt , meet per Appendix G Of the .
N W New York State Residential Code.
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Certificate of Electrical Compliance
New York Atlantic-Inland, Inc.
997 McLean Road Ext.
Cortland, NY 13045
Certificate No.:618534 Building Permit No:P-261-2017
Issue Date: 8/4/2017 Building Permit Date:
Inspected By: Devin Pratt Occupancy: R-3
OWNER SITE ELECTRICIAN
James&Tammie Landers 51 Smoke Ridge Dan Lambert
51 Smoke Ridge Queensbury , NY 12804 Double LL Electric
Queensbury , NY 12804 Town of Queensbury 46 Twin Channels Rd
Queensbury, NY 12804
SCOPE
New Inground Pool
INSPECTION INFORMATION
Outlets: 2 Switches, 1 Receptacles
Pool: Conductive Pool Shells Bonded: Y, Perimeter Surfaces Bonded: Y, Metallic Components Bonded: Y,
Underwater Lighting Bonded: Y, Pool Water Bonded: Y, Electrical Equipment Bonded: Y, 240V 10A 1.65HP Pool
Pump, Double Ins., 1 - 120V 1A Luminaire WetNiche, Pri. 120V Sec. 12V 1VA Transformer, 240V 20A 2HP Timer
C '
9
AUG 2 8 2017 " P
TOWN CSF QUEENSSURY
BUILDING COD-_mS
This certifies that the process noted above was complete as specified at the time of inspection and any conditions not within the
scope of the inspection are excluded. Because there exists a multitude of proprietary specifications,the adherence to the relevant
Building Code of New York State is applicable to the electrical requirements on the above noted date and valid for one year
forward. In connection with areas at the time of inspection and does not constitute areas that are enclosed,concealed or
inaccessible. Should the electrical system be altered in any way,including,but not limited to,the introduction of new electrical
equipment,this certificate shall be null and void. This certificate only applies to the occupancy use as stated. Changes in use,or
occupancy as indicated above,negates this certificate in its entirety.