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2003-855 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERTIFICAT E OF - COMPLIANCE Permit Number: P20030855 Date Issued: Monday,June 27, 2005 This is to certify that work requested to be done as shown by Permit Number P20030855 has been completed. Tax Map Number, 523400-308-018-0001-014-000-0000 Location: 27 HONEY HOLLOW Rd Owner: WILLIAM&.CHERYL HAVERINEN Applicant: WILLIAM&CHERYL HAVERINEN This structure may be occupied as a: Inground 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: P20030855 Application Number: A20030855 Tax Map No: 523400-308-018-0001-014-000-0000 Permission is hereby granted to: VVqTJJAM& CT-TFRY1JTAVFR1NFN For property located at: 27 HONEY HOLLOW 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: WILLIAM& CHERYL HAVER RITE Inground Pool 27 HONEY HOLLOW Rd Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency ADIRONDACK POOL 5 BLVD 01JEENSBURY. NY 12804 Plans&Specifications 2003-855 INGROLIND POOL AS PER PLOT PLAN SPECIFICATIONS $35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, October 10, 2004 (If a longer period is required,an application for an extension must he made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the y T f Quee ury; October 10, 2003 wall� P SIGNED BY ),6­7 for the Town of Queensbury. Cot Director of Buildiny& i Enforcement ''^ ��' Pool Permit A#pfication for Swimming Permit No.L865 Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804, a� (518)761-8256 x Fee Paid_ Instructions and requirements are attached. ' Notes: 1. Applicant/Owner /Contractor or Installer Information: `U> Im-M- .....--atCx 4IPV ins . . 2. Person Responsible for Code Require en- : cal 'T Or ♦ b�1,1 Tax Ma 3. Pool Location Address: p No, 4. Swimming Pool Information: (check whichever applies and fill in the blanks) A. i QAbove ground pool inground Pool Q B. Z" Length'416—ft. / width Qa ft. / diameter ft. / depth ft. C. steel/vinyl; Qfiberglass;Qgunite; Qpoured concrete;Qother 5., Fencing Requirements for above-ground & inground swimming pools: A. If an above-ground,indicate height from ground-grade to top of pool height inches Note: If your above-ground pool is less than 48 inches above-grade,a fence must be installed within the area of the pool. If your above-ground pool is exactly 48 inches above-grade or more,a lift-up ladder with lock must be installed. B. If an inground pool;a fence must be installed within the area of the pool regardless if your yard is fenced. 6. Final Inspection Information: You are responsible for scheduling the following: A) Electrical Inspection; B) Final Certificate of Compliance Inspection An electrical inspection is required before the Certificate of Compliance is issued. See attached sheet listing electrical inspectors. The inspectors are contracted through the Town of Queensbury and you are responsible for payment to them directly. Their fee is not part of this application. A final inspection by the'Queensbury Building&Codes office is required before use of the pool is authorized. The Code Officers will look for an approved electrical inspection(sticker on the panel box)and proper fencing around the pool or lift-up ladder. Signature of Applicant: Date: 11� 4 .. Date: �1 . Signature of Owner: QLiecrisbuxy ]Buildi:ticr Cocl- C)Eflice T-Tc3. (5518) 761-8256 742 13eLy I2 oad, Qiia4a-xis"btiry, 3-4'Y' 12804 NAME. 4:71 IlwTSPECTD ON. ng ARM / ' pm 1:�Opar- K---- ai Inspector's Initials: ZA -A Pool erxclostxre arckiArul PC>clol or y,--t-rcl - 4 Ev--4--t ELb<>-%rc-- -rztcic-- ,=Etc U3 Erc>rm "ri4d(--i7si4dt-- of f I-- 4 iiar--I-i rriori--ii-ri-Lixri clew_raxacc-- i-ri f-c--lac4-- picicc--ts I Wall or 1Dc)c>irs have s(--If closing device or alax-rris (30 Ladder secti-rc-,cl iri place-- arid. latched 1--*,)t--c-k satt-- --::: 56" to I.--it<--h riao more than V�" spacing iri gate-- C>-PerlirlAs Gate opera C30-Lltvva]rcl, S4--Ir on j-,,-xtc--s zXTICI ladder I-ri<R3c3r- p-ocid all cic3,c)--rs sc--If C)Ir oLlax-rXar--a per -A,c7r 105.2 ]Etc--= 9 Timer C3,1-1 pool pixrrl]p lc]nc3 pltiEg in tirrif--r ztllc-,P-vvo-cl)k, lziri.-al- electrical 73 10 Vehicle acr--g--ss g to closed I c>0 Re cl v000r C>R to issue CVCC RE Queenst>xiry 13tAldixig 8z <--c>cle ]Srifbrcerne-xit (DFf-xcc-- (518) 761-8256 742 1?.uy Road, Queensbury, T-T-V' 12804 Dater received: lxispec--tor's Initials: Pool avcvuricl pc>c>l or Y.-:i:-rcl 4 f-4--c--t ubc>-vc-- grade 2 ixioli rria:7-cirriiarri clearance to g-radc-, from underside 4 inch rxia:sr-iia-rLir-n, clearance in fence ickets Wall or Doors have self closing c14---vic--c or alarm s (30 secorsd -AIax-ria tirxi(--) Ladde-r s4z:oviyccl iri place: axid latched E:><--ck aat4-- ---- 56" to latch no rnc:)rt-- than V7-"' spacing in 4aatf-- op4--ris c>titvvard, se-If, r--Ic>si-rlg 1Paal<>oR prc>-,viclf--d on gates or ladder -ha<lc3c>T- pool all CIC>C>T-S sc-If, closing ©r aloLr=o--d . per _AJOrI05-2 lte-rri 9 -rjjjaC--T- on j3C><>j P-LIrYlp (TIC> plLig in ti=c--Y- allc>wvc--cl) ]Final electrical "Vehicle aoof--Ss gat, r--Ic>se--a CM< to isslAc-- CV(-, 4'-4CI TVXTVX-IE T14-IF S 4,1 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. I I Main Office 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE m ELECTRICAL APPROVAL ��'(j �Permit No{iffiifiifffl44{l11f 14fitfitfifffifi4l Rt��i ri No Cut-in Card No.1/RYfrlllRf}}}}}ftf Yfiifirlgifq}! �./ x'n flf44fRRRfli�!}IY fif ffRIRRR totim lffirit Rfiff lYffiftlYYY 4#1404 ri Yifft ff#R#$R r i ifl Y f RfRlff i ff iffif moItfif lMet 000YR}}}t}}}f}ff4if{111194406411}}0414 !Ri Loca6on,,,,, oil ilfofH i Ni11#io toil folio lolllloiifllf i1I1111i1illlttlllffloif1111Iollltiil41t141f4111A,otiliilllifliu}}} }toot trfltfffll fiflfffi 1{ L t �� InstallationConsisting f }41Rf fpffftftiffffr/ffffiffRlftilRffflRifflfYiffRits list ffoft}fffffllff11Ni1fY1fi14{{riilt{fffiff{lffilNlfif/Hff4lffRfffffirifii Iti 14tY411N!!l4RRRMffff}t4Ylitit{14litfflffifil}i}titf l;fiftl•itffl t4{i4ffiffiiftfflifif{{4fiiif{ffit{f{{{rff fffiff 14441sioblo.ttiiifitlit{ffifff{ififitflR}1.,41,1lMlftftl!!4►ti 41!mooli4t11ftltiNlit!!!too P41424.rittlfit flffiflitff RRf 1...,.rr.ir{tittii. iilittifitl.ifiififititff{{{{itfifiii 111Itt/1490444r4rrrir.{flirfl/{i itr11 04640I109004411441WY641M ewA I Installed Lice No. .,uRtllfR►!lilt4rti,tiYl14lf!llltftl4flir.....iiffY 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 he promptly made for inspection. Inspectors of this Company shall have the privilege of makin ' spections at any time, and if its rules are violated, the Company shall have the right t rd lee th' e ' icate. INSPECTOR Date,,ift1{lf"?06 004il1f1f tff4f1tt11foilfllff44 M, �fNf4 IN HR 1 04410lot olRtf4tffttf4ff off lif4tt144/if offiftffrtolivol14Y4#1Moll# Member NfF}P"/AR, I.AtElit Pool Inspection - Queensbury Building c4L Cade Enforcement C>Ffice Na. (518) 761-8256 742 Bay Road, Queerisbury, NY 12804 Date received: of ;k o Arrive: a\��pfria p art: am/p rxz r'Inspectos Initials: K 1'�7AM� LC) ICJN: 040 3 . Above Ground: In-Ground. J Y N lA Pool enclosure around pool or yard 4 feet above grade 2 inch maximum clearance to grade from underside of fence 4 inch maximum clearance in fence icicets NNrall or- Doors have self closing device or alarms (30 second Alarm time} Ladder secured in place and latched Deck gate -<:: 5 6" to latch no mare. than 'fz" spacing in ate o e niri s Gate open outward, self closiri Padlacic provided on gates and ladder Iridoor pool all doors self closing or alarrl-led per A.G 105.2 Iterri 9 Timer on pool pur- p (no Plug in tuner Final electrical Vehicle access gate. closed SL locked Ole. to issue C/C COMMENTS= L ��G . ' �•��dA,t� ��d�ldrd�r� �q,p� � �.., ,..,,,.�•,.-• dl�l1 *rya, � •.�"��k 2003 lie iu P' TOWN DSO •r�'° �, 't� Ap 00 aF� ` �.a 0t 35 � F Y A+A �� f z ' � A+ "t I t I , • ...• ... " IIIbXI�, llygy�f� ,�uw.�ww��{frywl,u MM11,r, I Ala" 1