2003-106 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20030106 Date Issued: Monday, August 25, 2003
This is to certify that work requested to be done as shown by Permit Number P20030106
has been completed.
Tax Map Number: 523400-290-017-0001-025-000-0000
Location: 67 MASTERS COMMON SOUTH
Owner: . JACK &DOREEN PERNA
Applicant: JACK PERNA
This structure may be occupied as a:
By Order of Town Board
Inground POOL TOWN OF QUEENSBURY-
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030106 Application Number: A20030106
Tax Map No: 523400-290-017-0001-025-000-0000
Permission is hereby granted to: JACK PERNA
For property located at: 67 MASTERS COMMON SOUTH
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. Tune of Construction Value
Owner Address: MICHAELS GROUP LLC THE higround
10 BLACKSMITH Dr Value
Total Vaal Pool
MALTA,NY 12020 Total
Contractor or Builder's Name/Address Electrical Inspection Agency
JACK PERNA
67 MASTERS COMMON NORTH
OUEENSBURY.NY 12804-0000
Plans&Specifications
2003-106
INGROUND POOL AS PER PLOT PLAN SPECIFCATIONS
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 03, 2004
(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 atte:Zn
of u�en ury sday,April 03,2003
SIGNED BY for the Town of lueensLury.
Director of Building&Code Enforcement
Building& Codes Office Swimming Pool ;a •'
Town of Queensbury
742 Bay Road Permit Application 57ee;said
Queensbury,NY 12804 944•
(518) 761-8256 s
4,
1. Applicant: T/+C Owner:
Address: 6-7 /A 4-S i't_s . cc)r�►rw Address:
Phone No. ��� IT-6 1-10%-,V— Phone No.
2. Person responsible for code requirements: G P .r� if�� 2
3. Contractor/Installer r rO&VjV®. 43
Address
Phone No.
4. Pool Location Address: 67 I►/45kf,1-;
5. Tax Map Number:
6. Type of Pool:t above-ground pool / in-ground pool
7. Size of Pool: length 3 1---, ft. diameter ft.
width !G ft. depth JL_ft.
8. Approximate Water Capacity /[jr t,71v gallons
9. Materials used in construction(circle below)
SteeUviny Fiberglass Gunite =edConcerte)_ Other
10. Submit a diagram; drawn to show property lines, existing structures,proposed or existing septic
system, location of proposed swimming pool. Show all setback distances from property lines to
both the pool and the structures, as well as separations between them.
An electrical inspection is necessary before the Certificate of Compliance is issued.
See attached sheet for electrical inspectors.
The Building and Codes Office needs to be notified upon completion of construction; including
installation of fencing. A final ins on will be made before use of the pool is authorized.
Applicant Signature: ka Date: 3k7l,03
Owner Signature: Date:
(if different from applicant name) °
20 ft.rear setback
loft.min.
pool '
side setback 10 ft.minimum side setback
no required distance between deckhouse to pool
deck
garage
House
..........Road Name..........
i
Residential Final Inspection f
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: �a e art: =� am/P
742 Bay Rd.,Queensbury,NY 12804_ Inspector's Initials:
NAME: P #: -Z D C�;s gyp
LOCATION: a xk=1Q C L4M D T --L —7 -3
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete 1L
Guard 30 in.or more @ stairs,decks,patios l >
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floorxruss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 2 in.x 30 in. ht. In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s .ft.vents
Building No./Address visible from road
Final Electrical V p
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C/O(Cert.Of Occupancy)
Okay to issue Permanent C/0(Cert.Of Occupancy)
MAP REFERENCE:
MASTER'S COMMON SOUTH _
DATED: AUGUST 26, 1987 NO8'58'50"E
BY: VAN DUSEN do STEVES FILED: MARCH 10, 1988
DRAWER 17 FOLDER 191
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