1990-049 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 1 1 1��
This is to certify that work requested to be done as shown by Permit No. G621 A P
has been completed.
This structure may be occupied as an In-GrOUnd Pool
Location 16 Revere Road
Owner Terry Gordon
By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. do Code Edforcemeat
`4. BUILDING PERMIT
TOWN OF QUEENSBURY _
No. 90-49
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to TERRY GORDON
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OWNER of property located at 16 Revere Road Street, Road or Ave.-
i
in the Town of Queensbury,To Construct or place a In-Ground Pool
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
Same m
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2. CONTRACTOR or BUI LDER'S Name
G7
Spr.agues Pools o
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3. CONTRACTOR or BUILDER'S Address
Broadway
. Fort Edward
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) v
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No.' 36' x 18' In-Ground PooT - 25,500 gallons
8. Proposed Use
In-Ground Pool '.`"
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$ 35.00 PERMIT FEE PAID =THIS PERMIT EXPIRES capt.ember 19 19 go ' v
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O
town of Queensbury before the expiration date.) C
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Dated at the Town of Queensbury th h , ,?Day of M_ ch 19.
SIGNED BY for the Town of Queensbury
Building aA Zoning Inspector
TOWN OF QUEENSSURY
flowh 0/ Queen36ury RECEIVED
BUILDING and ZONING DEPARTMENT -?2
Bay and Haviland Road, R.D. 1 Box 98 VAR 0 7 1990
Queensbury, New York 12801
SLOG- & CODE DEPT.
SWIMMING POOL PERMIT APPLICATION FEE PAID
Owner 's Name s s c Tel.- -1-9S-66&_)
Location A/
Type of Pool- �n-ground above-ground
Size: Length Lit. -Width
_2 dine cer f t.
Approximate water capacity 057 �O qalZons .
Materials used in construction: (circ'Ze one)
CSTeellvin�-FibrejZass.--Gunite--Poured Concrete--Other
ContractorlInstalZer �P' RA-Zj,LJOS al-5 Te I , 7V?-52_7e
Address- _&_0,e*4V,7 1, /Ive 12�52_R/
IMPORTANT INSTRUCTIONS :
On a separate piece of paper, submit a diagram; drawn to show;
PROPERTY LINES EXISTING STRUCTURES - LOCATION OF PROPOSED
SWIMMING POOL Show all distances from lot lines to both -the
pool and the structures, as well as separations between .
-Application for Electrical Inspection is necessary. A copy of the
application is to be filed with this office.
-This office is to be notified upon completion' of construction;
including installation of fencing . A FINAL INSPECTION WILL BE
MADE BEFORE USE OF THE POOL * AUTHORIZED.
Si nature of Applicant Date
02/86 and-vl
°,„..w...,0,bn MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION Date:.` 6196.
gr r ~/f !/.
City, Town or Township � ; ;" /: /13 (/j County j r�74)9.f.;rtf State e l e
Location/Address f r�/r' 'L
� E ev - ,;
(If Locatedf in Rural Area- Please Attach Directions) Pole # . _{
Owner r�/-c/.7 y '4'VCiA6..f )) Permit #.r +f` 11
Occupied As •- Building: New❑ Old❑
Occupant
' Work Area in Building (Floor #,etc.):
App. for: Wiring n Service n or: Ready for Inspection:
Fee Remitted-$ Cash n Check n -M.O. n Make Payable To: M.D.I.A.
500. 750 1000 1250 1500 1750 2000 2250 2500 2750.3000
Number of Rough Wiring Outlets Elect. Heat -
I
Switches ..
Lighting Amp. Service _ Surface Unit Dishwasher. Range
Receptacles Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven ,. Garbage Disposal Wiring and Controls for Burner
Amp.'Receptacles Fractional.H.P. Ven Fans
• Other Equipment: /n/-- Ct-;r„,,,ve ,:jc/=�7,v7iAr,�� ea L
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/z 2 3 5 71/2 10 15 20 25. 30 40 50 75 100
Mark Number
of Each Size "
Applicant's f�' -
Signature - r/ 4-'k .76 AC!r'�~-- License # Permit #
T/A f' Utility:
s'� (NAME) (OFFICE LOCATION)
Applicant's Address: ri. +`r_=�r.:-I<. ��AJ
(City) ''f,1/"=a/ {,:Ja�!f r
(State) 4�,�� - (Zip) 12� Service Request #
Phone # r 'i , / l( �. " �' .Electrician:
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above n or: ,-
-Red Notice Label n - _ -
Rough Wiring Outlets Surface Unit Oven
Switches _ Range Garbage Disposal
Receptacles Water Heater Dishwasher •
Fixtures Air Conditioner Dryer- -
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump - Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2- 3 5' 71/2 10 15 20 25 30 40 50' 75 100
Mark Number -
of Each Size
• 500 750 1000 1250 1500 1750'2000 2250 2500 2750 3000
Elect. Heat
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID
❑ RW _ Progress: Inc.In LKD❑ _ Contractor
-. ❑ CFT Violation: Work Comp.❑ Inc. ❑ .
I I L/A ' • Owner - CASH
n L/A Fee CHK #
Due MO # -
n IPA Municipal
INV #
Date: 'Other Side❑ , Utility Applicant El
Owner ❑
Cut in Card n Temp # - Date - •
n Final # Date INSPECTORS SIGNATURE.
APPLICATION FORM NO.250 EL 4/89 -
ky N.2JM•km, 'km. 'vv. vJ*OVJ Ai tldigA., J J4414.: vJ VJ4•vLe 13JM`k,L, tfolisk, J�WU
MIDDLE DEPARTMENT.INSPECTION AGENCY, INC. fo---4 q • C
900 iaddoli Avenue Collingswootl,N J 08108 `
Cr f !,) �a. p :� 1t� , _ ° . oat= April 25, 1990 Cj
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ertlf Ie5 that th'e electrlcal,equ equipment listed has been examined andis approved as being in accord 3'
with the National Electrical Cod&' applicable governmental, utility and Agency rules. C
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Terry Gordonl ,
4 Owner f , , � Occupancy , C
Pool
Occupant: Same 1 x 1 i is
C, 16 Revere Road„ Queensbury •(Warren Co),NY r 4
2 Location: i n This'cert(ftcate covers the:electncafequipment and installation inspected this C
.a S date. If additional equipment should be introduced or alterations made to �g
' existing system this certificate shall be null and void, and application for
1 Switch; 1 Receptacle; 1 Pump inspection should be submitted promptly to this Agency. C
Equipment: t ,.-, - .i: a y -:Holder of this certificate should,present same to his property insurance carrier C
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_ �t � ' ��` �"� � '(agentorcompany)asevidenceotdertificationotelec2ricalequipmentapproved :II
\ �� as specified. ,-J C
(—Steve Kelly `' ' ,-� ____ --� r C
Applicant: Willow Road ;., •
Queensbury, NY 12804� �' '�" NO 16-034316
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Form No.703 EL 1.83 -
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280-
TELEPHONE 18) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR ,NSPECTION RECEIVED
NAME ✓Mil \.&t(1,/JY/_ '
LOCATION /4 :i.!/[,{—
DATE 74 Q PERMIT # 9D l719
2 // APPROVED
lY) — �c D]G2 OG7 t YES NO
FOOTING/PIERS •
MONOLITHIC POUR ORMS
FOUNDATION/DAMP— ROOFING
BACKFILL APPROVAn
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH— a_ •
INSULATION:
FOUNDATION
FLOORS .
WALLS .
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHE-/ST "S
STAIRS—CLEARAN9 & '`.ILS
PLUMBING FIXTUES/REi. EF VALVE
INTERIOR TRIM 'RIVAC DOORS
FINISHED FLOORS
GARAGE FIREP'i.FING
DOOR CLOSER(';) •
SMOKE DETECT)RS .:/
FINAL ELECTRIS•L INSPECTI?N t-v-t I
FINAL APPROVAJ OF CONSTRU4 ION .
OK TO ISSUE 0 OR C/C
A SIGNED CER IFICATE OF OC • PANCY MUST BE
OBTAINED FR, THE BUILDING `''EPARTMENT BEFORE
THESE PREMI`ES ARE OCCUPIED:'
REMARKS:
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DEPART // ✓ *"
INSPECTOR
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