2002-218 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
I FI-C
ATEDF COMPLIANCE
_ Permit Number:: P20020218 ti :Date Issued: , Monday,hty 189 2005
Tlis.is.to certify that work requested.to:berdone as sliowti by Permit Number P20020218
has been completed.
Tax Map Number: 523400-301-017-0001-033-000-0000
Location: 3 CHEROKEE Ln
ANDRE&WILBERTHE THERMIDOR
Applicant: ALAN&JESSICA HEWITT
This structure may be occupied as a:
Above Ground Pool
Py 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-Budding& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020218 Application Number: A20020218
Tax Map No: 523400-301-011-0.001-033-000-0000
Permission is hereby granted to: ALAN &JESSICAMEWITT
For property located at: 3 CBF—ROKEE Ln
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: ALAN & JESSICA HEWITT Above Ground Pool
3 CHEROKEE Ln Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans &Specifications
2002-218
ABOVE GROUND POOL AS PER PLOT PLAN SPECIFICATIONS
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES. Wednesday,April 09,2003
(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"C*Town Queensbury; Tuesday,April 09,2002
SIGNED Y
4�j z
for the Town of Queensbury.
B
Director 00%.&-Code Enforcement
FILE No.639 04102 '02 PM 01:22 ID:TOWN OF QUEENSBURY FAX:518 745 4437 PAGE 2
���
TOWN OF QZ IEENS�B IZY ati
Bay at Navlland Road, Qwensbury, NY 12804-0725-518- 5832Ica �� �
SWIMMING POOL PERMIT APPLICATION
�� ' GI
PERMIT
FEE- PAIb
3
� TEL. RECEIV ,oWNER'S NAME 1�ceSStc Idi
D
LOCATION 3 D ,f? by .An►F APR 0 2 2002
PERSON RESPONSIBLE FOR CODE REQUIREMENTS: _-y ,oLt TOWN OFQUEE:NS13URV
o nfNc AND CODE
ADDRESS TEL•
TYPE OF POOL - - 1n-ground lJ above- ground'.
SIZE: Lengthft. / Width_ ft. / Diameter j_4_ft. ./ Depth 4 ft.
APPROXIMATE WATER CAPACITY gallons.
MATERIALS USED IN CONSTRUCTION; (circle one)
Steel/vi�iy -- Fiberglass - Gunite -- Poured Concrete -- Other
CONTRACTOR/INSTALLERh ` �''�`n TEL.
ADDRESS
IMPORTANT INSTRUCTIONS:
On a separate piece of paper, submit a diagram; drawn to show:
PROPERTY LINES - EXISTING STRUCTURES - PROPOSED OR EXISTING SEPTIC SYSTEM -
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 DE MADE BEFORE USE OF THE
POOL IS AUTHORIZED.
Date:.
Signature of Applicant.
mac ov��
04/11/2002 13:57 518-654-7806 COTE AGENCY rAmL ol/ml
A-W-RQ. CERTIFICATE OF LIABILITY INSURANCE DATK(MWDWM
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
00t e AgenO-y, :1T1Q ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
94 Main St. , P.0.. Box. 39 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE.WSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE--,POLIOY PERIOD INDICATED,NOTWITHSTANDING
ANY REQUIREMEW,TERM OR CONDITION OF ANY IbONTRACT OR OTHER DOCUMENT WITH RE6PECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF.INSURANCE POLICY NUMBER PDOAIJTCF-Yf EFFECTIVE POLICY EXPIRATION UMITS
A X COMMERCIAL GE�ERAL LIABILITY &-21-01 6-21-0-2 FIRE DAMAGE(Any one fire) $ 100,000
CLAIMS MADE OCCUR MED EXP(Any one pqrrun) $ 51000
al( =PERSQNAL&ADV IWURY s .1,000,000
DOC GENERAL AGGREGATE
AUTOMOBILE LIABILITY
(Ea atoident)
ANYAUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
NIIN,111111,ED AUTOS (Per accident)
PROPERTY OAMA0E
(For accident)
GARAGE LIABILITY AUTO ONLY,-FA ACCIDENT
AUTO ONLY: AGO $
EXCESSLIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE
RETENTION S
OTH-
eMPLOVARWLIAWLITY
E.L.EACH ACCIDENT $
OTHER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
At tri: Buildtig Dept, DATE THEREOF*THE ISSUING INSURER WILL ENDEAVOR TO MAIL lb_DAYS WRITTEN
ibm of Quee�i�abury NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL
Tbwn-liall IMPOSE NO OBLIGATION OR UABILrry OF ANY KIND UPON T14E INSURER,IT$AQgNT0 OR
742 BAY Road—. REPRESENTATIVE&�,
,
Z goo
RESIDENTIAL FINAL INSPECTION REPORT --797, 37Z--75
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive"1��mDepart
Town of Queensbury ors Initia
Im
742 Bay Road
Queensbury,New York,12804
NAME cv-v- PERMIT#
LOCATION 4-�TF:- DATE :7- dS-6Z-
TYPE OF STRUCTURE YL0--0L—
N/A YES NO COMMENTS
Chimney HeightPB"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete �OT
Interior/Exterior Railings 30"to 36" O
Exterior Handrails,balconies,landing 18 in.or more bV
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade-_
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area--
Furnacefflot Water Heater operating_
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight__
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors.
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
'/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)_—
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required�_—
Final Survey Plot Plan
As Built Septic System layout required___
Okay to issue C/C(Certif.of Compliance)_
Okay to issue temp.C/O(Certif,of Occupancy)_ I
Okay to issue permanent C/O(Certif.of Occupancy)
1pc3 al 11-1specti4ola
Office Nc�. (518)� 761-8256
742 IBeLy Road, Qixc--f--xislb-Liry, NY 12804
Late. received:
arrprn
Arrive: a ryl Z-xm
Inspector's initials:
A-A
Pool ericlosure around pool
or ya-rcl
4 feet above gradei-000or
2 iricl-i rria:x-irxitixxi
to a-rztar-- frc>rxi viricit--x-sicle- of
fence -
4 iric,-I-i maximum clearance
in fericc-- picR4--ts
WEL11 or 1D<>c>rs lElok-vt-- sc--IF
closirig device or alarms (30
second Alarm timed
Ladder secured in placc-, and
latched
-]E>ec--k to latch no
i-ric>rc-- than Wiz" spacing in
Ciab-- 4c:)Pt--Yl C),Axtvvaycl, st--Ir
cic>siTl,—
lu>acll<:)Ck provided oTl gates
Indoor pool alI doors sc--IF
C-R>SiTao C31, alarrrzedper
,A,(ZT' 105.2 ]Etc--rii 9
on pool pilymp (TID
plug in timer allowed1.00,
Final electrical
Vehicle _access gate closed
1.100
Olc to issues C!C
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, IN ,
Main Office 176 Doc Run Road « Manhcim, PA 17545
MUNICIPAL CERTIFICATE a ELECTRICAL APPROVAL �
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Ownerjr#{##1{##iNe if !} i /fl#f }ii f11Hii ! ##1}}}1I $1 #7,0 #I1I Sol fill bill#IlofiRiffi}fl#i}110#1411mIloi#f!N}fi}IlfHifM#1 i}#Moilo#11{11#####111
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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 making inspections at any time, and if its
rules are violated, the Company shall have the right to revoke this certificate!
Date at f'0 ofi f INSPECTOR if ii/i}! ii fit !i }lio o!! t if iff foot of"tote o ffi}}fi/ottlt#i#tl#ol
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