POOL-0295-2018 oink 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: POOL-0295-2018 Date Issued: Monday, August 20, 2018
This is to certify that work requested to be done as shown by Permit Number POOL-0295-2018
has been completed.
Tax Map Number: 301.12-3-52
Location: 25 ZENAS DR
Owner: Pamela Gordon
Applicant: Pamela Gordon
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 12804-5904 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: POOL-0295-2018
Tax Map No: 301.12-3-52
Permission is hereby granted to: Pools Plus
For property located at: 25 ZENAS DR
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
Owner Name: Pamela Gordon Swimming Pool $0.00
Owner Address: 25 Zenas DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Pools Plus
45 MAIN ST
Queensbury,NY 12804
Plans&Specifications
In ground pool
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,June 5, 2019
(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 t expiratio 7 P
to
Dated at the Townf.Que ury; T June 5, 2018
4, 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:
A permit must be obtained before beginning construction Permit No.: f��L—^ ID 2ffD- Zatt
Permit Fee: $ t ZSl' �`'�W,,
Site Plan/Variance No.:
1. Date:
2. Tax Map ID: 12 2--
3. Pool Location Address: 5 Z S TiA' P
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: P -,+"` ' 'c rf 0 l� Phone: 3 f
Mailing Address: ) S- Z-e i\/'?
City: Ems$k Ij 41,f
n 7. Contractor's Name: pis,� �j Phone: -7 9
Mailing Address: c-.l 4�- `t`_\C+
City: �v\k f 225�19 1 r
8. Contact Person for Building&Code Compliance: S `l rg 1 Phone 3 S��1� 39
ABOVE-GROUND OR INGROUND? K ,r �
IE � �
SIZE OF POOL: I � � 3� [MAY
°-C E
MANUFACTURER: 2 5 201$
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY): 10'%/VN OF 01 EEN- y
_ BUILDING CODES
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 state ment/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: Sal (-t rAn e"
Signature: r�►'1 �1 1 v✓V4 N Date
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
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Insp. Date: 7/27/2018
j - Appl#: K18062 a�,<
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'} ELECTRICAL CERTIFICATE �...
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I�tit b9`�j ul;� ;lEl'ova.fijy
COMMONWEALTH ELECTRICAL
INSPECTION SERVICE, INC. ,ti
tEtS a�E'_it .,
4�.-.� 176 DOE RUN ROAD MANHEIM PA 17545 a;`
TELEPHONE: (717) 664-2347
+ p New York Office: (585) 624-2380 z � '
b �' — y ��I•>'Fl
tS "F9<Eta Premises of: JOEL R PAM GORDON as JNGROUND POOL,
�+ Address: 25 ZENAS DRIVE,QUEENSBURY NY +<
County of: WARREN Permit#:POOL 0295-2015 .'3 1 -
Installed by: POOLS PLUS-DAVE BARLOW }'� 9�•%'
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4 ¢° Apparatus: NEMAL6-l5R RECEPTACLE, I GFCI RECEPTACLE,GROUNDING R:BONDING, <�
rl o, 220V 1.65HP PUMP,2 POLE 15 AMP GFCi BREAKER,PUMP TIMERVIM
rI y I
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�w Inspected by: MICHAEL KRATKY
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4ry The conditions following governed issuance of this certificate,and any certificate previously tia
issued is cancelled.raiture to have the property reinspected when additional equipment or wiring is to 6R'
added;or within one year from the date of the certificate shall void the certificate in its entirely and the
company shall not be liable for any damages whatsoever, d;
This certificate does not guarantee efficiency, e42aring qualities,maintenance or repair and the ..w.•..r,�,-
�b - company shall not be liable for any damages resulting from any defector fault in the plans or specifica-
'r o® lions including repair,reconstruction personal injury or or the eat o an person;and
, i g .Pe J r5' for death Y Pe -
+ This certificate only covers visual inspection of wiring and does not cover manufacture or use
of wiring, k¢}
l�t od Inspectors of this Company shall have the privilege of making inspections at any time,and if tsb�fy
its rules are violated,the Company shall have the right to revoke the certificate.
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