2014-113 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140113-40771 Date Issued: Wednesday, September 27, 2017
This is to certify that work requested to be done as shown by Permit Number P20140113-40771
has been completed.
Tax Map Number: 289.18-1-32
Location: 7 BLACKBERRY LN
Owner: Dan Williams
Applicant: Dan Williams
This structure may be occupied as a: in 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
Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140113 Application Number: A20140113
Tax Map No: 523400-289-018-0001-032-000-0000
Permission is hereby granted to: DANIEL& CHERYL WILLIAMS
For property located at: 7 BLACKBERRY Ln
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: DANIEL& CHERYL,WILLIAMS
Inground Pool
509 GLEN St
GLENS FALLS,NY 12801-0000 Total value
Contractor or Builder's Name /Address Electrical Inspection Agency
POOLS PLUS
45 MAIN
NY 12804-0000
Plans&Specifications
2014-113
INGROUND POOL 28 x 40
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 14,2015
(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 Que sbu ; U 14,2014
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:
A permit must be obtained before beginning construction Permit No.:
31
Permit Fee: $ -�
Site PlanNariance No.:
1. Date:
2. Tax Map ID:
3. Pool Location Address: (,— i '�-
4. Zoning Classification: ��-�1 APR 14 2014
5. Site Plan Review,Variance or Subdivision A provals(list) T01N1NQF C2UEENSBURY
6. Property Owner: Phone:
Mailing Address:
City:
7. Contractor's Name: QO Lu S Phone:
Mailing Address: �S- aw, s
City: 1 4
8. Contact Person for Building&Code Compliance: w > Phone
ABOVE-GROUND OR INGROUND? (�
SIZE OF POOL: ` O Z
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: i
Signature: Date
Name/Vle
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
7�� � .-�
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME:
LOCATION:
PERMIT#: `T(nz
INSPECTED ON: am/pm
Arrive; am/pm Depart:
am/pm
1�spp�ecto7r'*s Initials:`
Above Ground: In-GGround:
Y q
Pool enclosure around
_pool or yard
�qa
2 inch maximum
clearance to grade from
underside of fence
4 inch maximum
clearance in fence
_.12ickets
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 9
Timer on pool pump (no
-plug in timer allowed
Final electrical
Vehicle access gate
closed & locked
Ok to issue C/C
COMMENTS.
\ µ �3 A<-QuE�
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No......... —tj3..Cert. N2 28573 Cut-in Cud No.....................................
.... ......
Owner.........:D........
Location... 7.....1.*5.4,44
....................................... . ..............,/...........
Installation Consisting of....P"..4. ..........!
UP
.jen ..V ..................
....................................................................................................................................................................................
................................................................................................................................................................................
InstalledBy........... L.......................................................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 as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege
ri 'I f k' t' t y time, and if its
rules are violated,the Company shall have the right
Date..... .................. INSPECTOR... ..........
Member N.F.P.A.,I.A.E.I.
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