2003-207 T TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: . P20030207 Application Number: A20030207
Tax Map No: 523400-302-014-0001-074-000-0000
Permission is hereby granted to: JAMF,S &PATRiCiA ROIJND
For property located at: 34 PERSHING 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. Type of Construction Value
Owner Address: JAMES & PATRICIA ROUND
34 PERSHING Rd Above Ground Pool
Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
ROSSI. JIM
BIG BOOM ROAD
I
Oi JF,F,NSBI TRY.NY
Plans &Specifications
2003-207
ABOVE GROUND POOL AS PER PLOT PLAN SPECIFICATIONS
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 30,2004
(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 at the To n of ens d sday,April 30,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
f -
Building& Codes Office Swimming Pool
Town of Queensbury
742 Bay Road Permit Application �7ee P4icd2�a
Queensbury,AT 12804
(518) 761-8256
1. Applicant:'JamzS gv"6o Owner: Vcvrrd.S 4VIUICIC„ oun.o
Address: /3 q l?e r S In t nG• Address: '3 Pe,,SA., N�,, )Eel/
`CiJP.C1'�S13L�i-!w ./VV /2-1c0L/ QUPPy1 S/3 1- AIV
Phone No. -0 5-c,o ��,, 7413-3gY-7 Phone No. 72 3
2. Person responsible for code requirements:
3. Contractor/Installer J/W-N RCU5 J
Address i3 e rn Cu I UeR iZ4 v
Phone No. y ci q -ZOO )3
4. Pool Location Address: .3q 1'2�er,56�29 Rel /N
ar 5. Tax Map Number: c o� % I q 7
6. Type of Pool: above-ground pool / in-ground pool
7. Size of Pool: length ft. diameter P_V ft.
width ft. depth < <a ft.
8. Approximate Water Capacity —6 ®®gallons
9. Materials used in construction(circle below)
Steel/vinyl Fiberglass Gunite Poured Concerte Other Lyooc� �/�mih vvv�
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 inspection will be made before use of the pool is authorized.
Applicant Signature: Date: V
Owner Signature: Date:
(if different from applicant name)
20 ft.rear setback
1
10 ft.min. pool
side setback 10 ft.minimum side setback
no required distance between deckhouse to pool
deck
garage
House
..........Road Name..........
t
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4008'008E Ra S77°28'00'E 9t5
55.20' 35.22'
I S 01;
I !! ED
APR 2003
to
10.02' 1 5Tofty WOOD =, TOWN OF QUEENSBURY
i Y HOUSE WILDING AND CODE
10.18" DECK
1
i
• o
uU
a
r
SBURY BUILDING DEPARTMENT
odr limited examination,
' with our comments shall
not strued as indicating the
Mans specifications are in full
with the Building Codes
of New Y State.
090.33`0 0 - o
0 0
BUI DING & COD EPT.
I REVIE ED BY ---
t DATE
E
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No................... Cert. 52942 Cut-in Card No...../4f. A4..
Owner............... .......... ............................................................
Occupant............................................................................................................................
Location .j'j.... ..... ....................... ......
Installation Consisting of..............................................................I...............
........../...........
....�J.a.0.G-......... ...........
.. ........................................................................................................
InstalledBy...Y,4 -?c�..................................................... Lic.#.....................................
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 of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
��
Date......P..L g....................................... INSPECTOR,
ember N.F.P.A..I.A.E.I.