2001-715 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010715 Date Issued: Wednesday, July 06, 2005
This is to certify that work requested to be done as shown by Permit Number P20010715
has been completed.
Tax Map Number: 523400-265-000-0001-019-002-0000
Location: 33 ELLSWORTH Ln
Owner: ROBERT MULLER
Applicant: ROBERT & JOANNE MULLER
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, I :'�
Variance, or other issues and conditions as a result of approvals by the '
Director of Building&Code Enfi ceme'
Planning Board or Zoning Board of Appeals.
i , TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20010715 Application Number: A20010715
Tax Map No: . 523400-265-000-0001-019-002-0000
Permission is hereby granted to: ROBERT &JOANNE MiJT,T,F,R
For property located at: 33 ELLSWORTH 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: ROBERT M TLLER
33 ELLSWORTH Ln I l
Tootaltal Value
d Pool
alue
LAKE GEORGE,NY 12845-0000
Contractor or Builder's Name_/, Address Electrical Inspection Agency
POOLS PLUS
104 MAIN St
OTTEENSBTTRY_ NY 12804
Plans&Specifications
2001-715
INGROUND POOL AS PER APPLICATION
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: aturday, April 22, 2006
(If a longer period is required,an application for an extension must be made to the code$nfo ent Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Tuesday, September 25, 2001
SIGNED BY for the Town of Queensbury.
Director of Buildin od nforcement
irakk
vTOWNOF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010715 Application Number: A20010715
Tax Map No: 523400-265-000-0001-019-002-0000
Permission is hereby granted to: ROBERT&JOANNE MULLER
For property located at: 33 ELLSWORTH 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: ROBERT& JOANNE MULLER
33 ELLSWORTH Ln Inground Pool
LAKE GEORGE,NY 12845 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
POOLS PLUS
104 MAIN St
OUEENSBURY.NY 12804
Plans &Specifications
2001-715
INGROUND POOL AS PER APPLICATION
•
$35.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, September 25,2002
(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 of Q ns ury; i sday, September 25,2001
SIGNED BY c_f ,; for the Town of Queensbury.
Director of Building&Code Enforcement
FILE No.850 09/20 '01 PM 12:32 1D:TOWN OF ClEENSBURY FAX:518 745 4437 PACE 1
TOWN OF QUEENSBURY 7/c•
r v Bay at Havtlni Roed, Queensbu NY 2
-. SWIMMING POOL PERb• IStik__ ; _.
2, 0 2001 -
� '7 SEP FEE PAID ./> Q
g . t/
fig �° �/ T , PoJEL
OWNER`S NAME ' 'r . : f:
r
LOCATION E(I,s L. h,
PERSON RESPONSIBLE FOR CODE REQUIREMENTS: 7 4 3 2- S - L
ADDRESS _ __ TEL.
TYPE OF POOL - - in-ground- above- ground
SIZE: Length .h ft. / Width )8 ft. / Di ame ft./ Depth O ft.
APPROXIMATE WATER CAPACITY 2- FOOL> gallons.
MATERIALS USED IN CONSTRUCTION: (circle one)
4131MPORIbl, - Fiberglass -- Gunite -- Poured Concrete -.- Other
CONTRACTOR/INSTALLER Ao/s /°/€,f TEL. 7?3 al 2 9
ADDRESS /V Y - M 44Iiv __ -
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 NOTIFI UP.N COMPLETION OF CONSTRUCTION; INCLUDING
INSTALLATION OF FENCING. . FI 'L INSPECTION WILL BE MADE BEFORE USE OF THE
POOL IS AUTHORIZED.
I
4./
Signature or Appl i c. nt:_ / /
Date:
OVER
/ fra-ilAdae--- _i_iii,
,f .ovAe
/ V\- A (if-') ;
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received: AA �, r('J�
NAME: g b Jot 1-e--1 l _
LOCATION: 3 g-i,Jo pia --�
PERMIT#: ago 1-7i 5
INSPECTED ON: 71 (a(o5 am/pm
Arrive: ,as/ n,, Depart: am/pm
Inspector's Initials: /(�
Above Ground: In-Ground:
6 y N N/A
Pool enclosure aroun poo
or yard
4 feet above grade
2 inch maximum clearance
to grade from underside of
fence
4
4 inch maximum clearance
in fence pickets
Wall or Doors have self
closing device or` (j 3-0
seco time
Ladd r secured in place and
latched
Deck'gate < 56" to latch no
more than '/2" spacing in
gate openings
Gate open outward, self
closing
Padlock provided on gates
and ladder
Indoor pool all doors self
closing or alarmed per
AG105.2 Item 9
Timer on pool purrp (no
plug in timer allo '
Final electrical 5 ( ov C,6-1.
e
Vehicle access g to'closed
&locked
Ok to issue C/Cl/
COMMENTS:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.(j
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No..��.}}�'� Cert. 0 3 4 6 2 Cut-in Card No
Owner /�/3 1-' frute-
Location 7 l%7rLs:(,V D 27W 2pi
e-
Installation Consisting of t/i/2ii6y-/,c&/'V 6
Installed By 13,- ,tit/2 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 making ' tions at any time, and if its
rules are violated,the Company shall have the right t r a this rtif te.
Date 67 /'6 INSPECTOR
Member N.F.P.A.,I.A.E.I.
ikiii'' '0.1\.,/
Pool Inspection
Queensbury Building&Code Enforc'ment
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
NAME: 7\ ^
LOCATION:
PERMIT#: -,p1 — 7 j
INSPECTED ON: — A am/pm
Arrive: arn/,p t: am/pm
Inspector's Initials:
Above Ground: In-Ground:
Y N N/A
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 'A" spacing in
gate openings
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 allowe )
Final electrical �C1 6 /1/
Vehicle access gate closed
tois
sue
locked
Ok to C/C
COMMEND •• Li/�
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DATED: MAY 26, 1999
IY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
EARL SPELLBURG, SCOTT SPELLBURG
& JUDY SPELLBURG
CIV
Mi Sssy\
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2
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a
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED a
FROM AN ACTUAL FIELD SURVEY. N
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: ROBERT J. MULLER
GLENS FALLS NATIONAL BANK do TRUST
COMPANY. ITS SUCCESSOjjS AND/OR ASSIGNS
OLD REPUBLIC. NAt Wn $URANCE COMPANY
• � ��EWC.s�`9¢.`
• �N
CERTIFIED BY• 50135
MATTHEW C. Q
DATED: OCTOBER 18, 2000 .
$713b .
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AREA
505,611 sq ft
11.61 sq ft'
363.54'
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