2001-264 A
TOWN OF QUEENSBURY
ET
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE
OF COMPLIANCE
Permit Number: P20010264 Date Issued: Friday, June 24, 2005
This is to certify that work requested to be done as shown by Permit Number P20010264
has been completed.
Tax Map Number: 523400-253-003-0001-031-000-0000
Location: 25 STEVENSON Rd
Owner: KELLY & GINGER CLEVELAND
Applicant: KELLY & GINGER CLEVELAND
This structure may be occupied as a:
Above Ground Pool
By Order of Town Board •
OF Q E BU:-Y
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.
ri2IBU -p
la`lldy
TOWN OF QUEENSBURY
4TV742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010264 Application Number: A20010264
Tax Map No: 523400-026-000-0004-001-002-0000
Permission is hereby granted to: KELLY& GINGER CLEVELAND
For property located at: 25 STEVENSON EVENSON 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: KELLY& GINGER CLEVELAND Above Ground Pool
25 STEVENSON Rd Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
KEVIN BENJAMIN
NY
Plans &Specifications
2001-263
ABOVE GROUND POOL AS PER APPLICATION
$25.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,May 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 at the To I • eensb ; We es ay,May 09,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
, �FN
)-tc4
TOWN OF QUEENSBURYmAy 0 7 2001 I
Bay of Haviland Road, Queensbury, NY 12804-9725-518-792-5832i e
TOWN
Adak
•. SWIMMING POOL PERMIT APPLICATION BUILDING '� Q?P _• .
FEE .PAI
OWNER'S NAME Cji`Cl eCJ a E I C,.` �`
��a c� TEL. "1 � 710y7
LOCATION _ e �(e�So� CN •
PERSON RESPONSIBLE FOR CODE REQUIREMENTS: (Dr\c,\ lC� ) LVe.6 �
ADDRESS 'S- .I .�� l� �I" e C� ache TEL. l-/' O6 - c7, R
TYPE OF POOL - - in-ground X above- ground
SIZE: Length a ft. / Width „ILI ft. / Diameter (' y ft. / Depth Eft.
APPROXIMATE WATER CAPACITY /zitboo gallons.
MATERIALS USED IN CONSTRUCTION: (circle one)
Steel/vinyl -- Fiberglass -- Gunite -- Poured Concrete -- Other (Aoo Cfn •
CONTRACTOR/INSTALLER Kcv,IJ Re n3e ', TEL. &c/-{ - S a
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 BE MADE BEFORE USE OF THE
POOL IS AUTHORIZED.
Signature of Applicant: (
9 P P ` ,tM� �� LesjM,(\\ Date:
OVER
•
Section 7.074 Accessory Structures and Uses.
4. Private Swimming Pools. Private swimming pools, permanent and portable,
which shall be accessory to a principal , non-commercial dwelling use
shall be regulated as follows: except that these regulations shall
not apply to portable swimming pools which shall be not more than
three (3) feet in height nor more than fifteen (15) feet in length.
a) May be erected only on the same lot as the principal structure.
b) May be erected only in the rear yard of such structure and shall
be of a distance not less than twenty '(20) feet from the rear
lot lines or buffer zone where appropriate nor less than ten (10)
feet from the side lot line, or buffer zone where appropriate
principal structure or attached or detached accessory structure.
c) Such use shall not adversely affect the character of the
neighborhood.
d) All private swimming pools shall be enclosed by a permanent fence
of durable material at least four (4) feet in height.
e) In the case where a lot fronts on two (2) or more public
rights-of-way, a private swimming pool shall be erected only on
that portion of the said lot that is directly adjacent to that
side of the principal building which is directly opposite the
architectural main entrance of said building and the neighboring
side lot line. In no case shall the pool be any nearer to the
lot lines abutting any public right-of-way than the required front
setback for the principal building of the zoning district in which
it is located.
Furthermore, the pool shall be screened from the view of the public
right-of-way and the neighboring property by means of landscaping.
(See "Landscaping")
FEES:
$25 Fee for Above Ground Swimming Pool
$35 Fee for In-Ground Swimming Pool
NOTE: ALL POOL PERMIT APPLICATIONS MUST STATE MATERIAL TO BE USED.
Inspector's No.
Date
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
(Consulting and Fire Inspection Services)
(Incorporated in the states of Maryland,New York,Pennsylvania,Delaware and West Virginia)
Desiring Certification of Approval, application is made for inspection of electrical installation in the premises
described below.On demand,applicant agrees to pay for inspection service in accord with schedule of charges.
PLEASE PRINT
Owner fi' r • Type Bldg. ❑ DWG ❑Other. .r
Occupant Building Permit No
Job Location .. City State
County <'` Twp. M/C# Swimming Pool -New d Old❑
Directions to Job Site
Application For Rough Wiring Fixtures❑ Service❑ or
Work-New ❑ Additional❑ Bldg. -New❑ Old❑ Ready for Inspection
APPLICANTS LICENSE N PERMIT#
SIGNATURE -±... - - - -PLEASE
PRINT NAME PHONE#
APPLICANT'S NAME OF
ADDRESS - UTILITY
OFFICE TO
CITY STATE ZIP CODE BE NOTIFIED
ROUGH WIRING SPACE BELOW FOR USE OF INSPECTORS ONLY
OUTLETS AMP SERVICEM PUMP
EQUIPMENT
SWITCHES HEAT OVEN
PUMP
RECEPTACLES SURFACE GARBAGE
UNIT DISPOSAL UNIT
MEDIUM BASE RANGE
FIXTURES
MOGUL BASE WATER DRYER
FIXTURES HEATER
FLUORESCENT AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR FRAC.H.P.
QUARTZ FIXTURES WIRING&CONTROLS FOR BURNER VENT FANS
MOTORS:H,P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1-1/2 2 3 5 7-1/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
Inspector`s Comments:
OFFICE USE ONLY WORK INSPECTED REPOR cc CI-
NOTIFIED TED a 0 FEE PAID
CJ
SERVICE DATE CON- TOTAL $
Date Received: TRACTOR
R.W.DATE OWNER CHECK NO.
FINAL,DATE OCCUPANT CHARGE
Certificate No.:
CERTIFICATE NEEDED AGENT CASH
Date Sent: ❑ YES ❑DUP ELEC.
LT.CO.
INSPECTOR
Progress ❑
THIS APPLICATION EXPIRES ONE YEAR FROM DATE MAKE ALL FEES PAYABLE TO C.E.I.S.INC.
WHITE/OFFICE PINK/INSPECTOR CANERY/OFFICER GOLD/CUSTOMER
PIP" ,; 'i. ( do\o‘L
/( ti - Pool Inspectio
Queensbury Building&Code Enforcement ;z9ty
Office No. (518)761-8256 0\—
742 Bay Road, Queensbury,NY 12804 I
Date received:NAME: t<QA , 'q,U ea
LOCATION:
PERMIT#: L]
2k
INSPECTED ON: (p — !4::; -(- m/pm
Arrive: -am/pm D art: ;1( am/pm
Inspector's Initials:
Above Ground: In-Ground:
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 pickets
Wall or Doors have self
closing device or alarms (30
second Alarm time) _
Ladder secured in place and
latched
Deck gate < 56" to latch no /
more than %" spacing in
gate openings
4
Gate opens outward, self
closing
Padlock provided on gates
or ladder
Indoor pool all doors self
closing or alarmed per
AG105.2 Item 9 /
Timer on pool pump (no /
plug in timer allowed ���///
Final electrical ‘1 i 0
Vehicle access g to closed
&locked
Ok to issue C/C
COIV MEioTS: 4eae` �'ila7
e.„112.1tp
T . \Ave1`-.7 n ecru c-c eat_AWE"
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
INSPECTED O am/p
Arrive: Depart: a pm
Inspector's Ini i Is. I
NAME:
PERMIT#: �- j } 2M
LOCATION: �
Above Ground: In-Ground:
Y N N/A
Pool enclosure around pool
or yard J/
4 feet above grade
2 inch maximum clearance
to grade from underside of
fence
4 inch maximum clearance
in fence pickets
Wall or Doors have self
closing device or alarms (30
second Alarm time)
Ladder secured in place and
latched
Deck gate < 56" to latch no
more than '/" spacing in t(/
gate openings
Gate open outward, self
closing
Padlock provided on gates
and ladder
Indoor pool all doors self
closing or alarmed per
AG 105.2 Item 9
Timer on pool pump (no
plug in timer allowed) /
Final electrical
Vehicle access gate closed
& locked
Ok to issue C/C
COMMENTS:
CL—
F C._ \ �l c
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.. 7
Main Office 176 Doe Run Road-Manheim,PA 17545 ��JJ
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL q
Permit No. n��/ Cert. ® 7 3 3 9�8�Cut-in Card No
Owner err V eL l�
Location p2 1/ -) 5 cr,J Y • Q'u-
Installation Consisting of..Ale/L ‘ 'v6?`*'i, J4OMJG 4-PlP2avet
Installed By Ss7 cr'rt1 Lic.No.
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 makin i ctions at any time, and if its
rules are
e,violated,the
Company shall have the right to revo this of te.
Date 're ~lyd [ INSPECTOR.... .'
Member N.F.P.A.,I.A.E.1.
... Btand 45-106 Eye-Ease
__ --- _
Initials Bow
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Made In USA Pieparud By
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Appionud By
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