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2002-284 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804 5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERT IFICATE OF COMPLIANCE Permit Number: P20020284 Date Issued: Friday, May 14,2004 This is to certify that work requested to be done as shown by Permit Number P20020284 has been completed. Tax Map Number: 523400.315-007-0002-093-000.0000 Location: 141 KUDSON POINTE Blvd Owner: EDWIN&LISA ADESON Applicant: EDWIN&LISA ADESON This structure may be occupied as a: By Order of Town Board Inground Pool OVEN QUEENS"RTJRY 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: P20020284 Application Number: A20020284 Tax Map No: ; 523400-315-007-0002-093-000-0000 Permission is hereby granted to: EDWIN &LISA ADESON For property located at: 141 HUDSON POINTE Blvd 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: EDWIN&LISA ADESON Inground Pool 141 HUDSON POINTE Blvd Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency CONCORD;POOLS 156 SPARROW BUSH Rd LATHAM.NY 12110 P Plans &,Specifications 2002-284 INGROUND POOL AS PER PLOT PLAN SPECIFICATIONS $35.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,April 23,2003 (Ifa 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 Twee s y,April 23,2002 SIGNED BY ` for the Town of Queensbury. Director of Building&Code Enforcement C Building& Codes Office A� P Buildet) Swimming Pool � �, �a�d� Town of Queensbuny OR 742 Bay Road Permit Applica/ion 9 200Z ' Queensbury,NY 12804 �:eee�aed Dat: (518) 761-8256 3 tQ//V 6VDC09'RY 1. Applicant: Z�/Ly/,7 / /i� c��c..-,, _ Owner: �✓ �:, Op, A✓, Address: /�// /�ti 1r,, Ao'.n rtL-- /�/vc( Address: / //���� el Phone No. / - SrM2— Phone No. <Sf� D i�/ L&6c­YA,_,1_r 2. Person responsible for code requirements: �712'On D/TrnXZu r ZIV 3. Contractor/Installer Gord /"alo t , ZXV Address', 1,2" 9 14/ce- /I/,Y 124 / Phone No. 4. Pool Location Address: 5. Tax.Map Number: -?�,r, -6. Type of Pool: above-ground pool / in-ground pool 7. Size of Pool: length ft. diameter ft. 16,X `!x V width ft. depth ft. 8. Approximate Water Capacity gallons 9. Materials used in construction(circle below) Steel/vinyl Fiberglass Gunite Poured Concerte Other 1chr 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. /x ^ 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: Owner Signature: Date: (if different from applicant name) MIDDLE DEPARTMENT INSPECTION AGENCY, INC. fe that the electrical wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date noted below and is issued subject to the following conditions. Owner:, ADDISON Date: 08/07/2002 Occupant: SAME Location: 141 HUDSON PT ELVD - Occupancy: Swimming Pool 0UF.ENSBl.1RY , NY Applicant:r John 7 . wheeler 2594 State Hwy 29 �Toh=Yax r,. Johnstown , NY 12,Q95f'W u, ,• iy SI f\� •� •w ,•.. � err No. Equipment. {tl! i S x7 ! v f r ~ iv 4«sILJ.I'JT I'�'. 2 _ Switches; tad. _ 'GFCI RecePtacle, 2 w F l ttare .; 1 ;;t Pump; HP Motor ; 1 T�,i.mer: W! This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership inspection. No warranty`s;expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void. ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,-Inc. An application for inspection must be submitted to Middle ed.to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the inspection and revalidation any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. Pc)OI liaspoctic)la Quo-lisboury 13"ilclizig &-- C<36C IF-n-r6rcenierl't (Df'f Ice T-4c>- (S 18) 76 1-825 6 742 Bay Road, Queonsbuxy, NY 12804 ]Date received: INSPECTED C) a 2 rrIL zirin/prxInspectoInspector's Iriitia : C:�- - -tz- V— Paol enclosure around pool or yard. 4 feet iiibc3-ve grade 2 inch ryiu->cirriurri clearance to g-r-.acl4-- frc)ryi "riaer-sicle of fence- 4 iric-l-i rxia:2-cirnurri clearance in fence poic-1-cets L/ Wall or IE)oc>c:>rs have self closing device or alarms (30 second Alarrn time) Y-acicler secured in place and latched ]Deck gate -:::::: 56" to latch rico rn(:)r, than "Xm" spacing in ,gate cperiings C3,ate c)oporis c3utNxzurcl, self, Padlock{ prc)--viclecl on gates or ladder In(Jc3c3r pc>c:>l all dc)ic>rs self cic>sirig or alarmed per -A.C3rl05 -2 llte!rri 9 -rirrie!r on pc)c3l pump (ric> plu in timer Final electrical Vehicle access gate closed �. locked (Dk to issue CfC C7C>A4A4]EIN'1FS : f FtJt�l IY`iS�JE'.C'�IOY`l. _ Queensbury Building Ocade Enforcement Office Nca_ (518) 761-8256 742 Say Read, C�ueensbury, NY 12804 Date received: ��-- INSPECTED OAT: arrn/ Arrive: an x! art: [�i- m Inspector's Initials: -�}— LOCATION: Above t�rx-ouxzd.: Zrt-G oux-id Y N N/A Pool enclosure around poc+I car yard 4 feet above grade 2 inch maximum clearance to grade from uneierside of fence 4 inch maximum clearance in fence icZcets Wall or Doors have self closing device or alarrns (30 secc3ricl Alarm tirrie) Ladder secured in place and latched E>ccic gate: _- 56" to latch rio rncore than m" spacing iri ate o eriiri s f Gate opens outward, sr;lf `� closing Padlock provided on gates or Iadder Indoor pool all doors self closing or alarmed per 2N-G105.2 Item 9 Tinier on pool pump (rio lu in timer allowed Final electrical Vehicle access gate cicased locked QIc to issue S88'08'33"E Q 25p.00 0 5)0,• . . £xis ' 00) Exi Stm Leccyy � o w Sahr n HOUSE O 'r OT 93 47. 30 sq: ft. o h � r Propo� rE�t/'ProPo6sd _— �-- Pot, Fersc� tq. ASPHALT DRIVE IV I roa, O N6g. 00 LOT 94