1989-058 R
Y
ATE , OF C(J1VI�'LIA.�TCE !
+CERTIFIC �
TOWN OF QUEENSBURY 1
WARREN +COUNTY , NEW YORK
i
Date aZ 19 s
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a
fi
ti ii D '- �'-
Lo"tion
11•. .
-Z LTLe, Dc3u:� l =
i
ey Order Town Board
TOWN OF QUEENSBURY
I
Director of Bldg* & Code Enforcement
i
� ., BUIL [] ING PERMIT
TOWN OF QUEENSBURY No. 9 _ r; $
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Edgar D.nub 1 P n r
I
OWNER of property located at F3 H l �n T]r _ Tom_ Street, Road or Ave. I
.ate
w
in the Town of Queensbury, To Construct or place a T n C4rnti n r1 73ne-11 at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t. OWNER'S Address is
SAME
t�
r�
C
2, CONTRACTOR or BUI LDE WS Name
Sprague Mermaid Pools t�
a
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3. CONTRACTOR or BUILDEfVS Address
t=]
Broadway ,C
Fort Edward , N . Y . 12828 �
4. ARCHITECT'S Name
m
5. ARCHITECT'S Address
(U
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iro
B. TYPE of Construction — (Please indicate by X) tzi
tK
i ) Wood Frame f ) Masonry ( l Steel ( 1 ~
i. PLANS and Specifications
No. 32 ' x 16 ' steel/vinyl in ground NXX pool as per plot plan
and applical- ion .
B. Proposed Use :::$
In -Ground Pool
O
!J
5c inc �ERMIT FEE PAID — THIS PERMIT EXPIRES 19— --
(lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C
town of Queensbury before the expiration date_) r
Elated at the Town of Queensbury this 7 7 n d Day of / F'ah19-�9--•—
SIGNED BY L 1 v. J�dG� �' - for the Town of Queensbury
Bu�ing and Zoning inspector _
TOWN OF QUEENSBtIRY
RECEJVED
..JaurE� u� �tteBiJ3Esatr� G� CJ ' � `" �.�
BUILDING and ZONING DEPARTMENT FEB 2 (
Bay and Haviiand Road, R.O. 'I Box 98
Queensbury, New York 12801 BLDG. & CODE DEpvT.
SWIMMING POOL PERMIT APPLICATION FED PAID �5 � rJ4
Ownev " s Same�EP G Q
�1� ,.may �y � .r / yJ p � L
Location D H EL EI`�► DAZ I Ve � G- U EEA)2 is U � 7 � A� • ? r lF .Z [3 0 i
Type of Pool - X zn - ground above -around
en el
Size : Length = ft . - jvidth !f ft . -- Diametav'. -t . -Depth ft .
Approximate water capacity / �' ,r qal "ions .
Materials used in construction : ( circle one )
Stee l /viny Z - Fi. brecgZasa - - Gunii �yte - -rouved Concrete - - Othev
Contractor/lnstaZZer 3PRIO [�- " E MEkM�} fD �LSSTe7 7 't" - 2ZO
Addreas - PROO iDW11 I
IMPORTANT INSTRUCTIONS :
On a separate piece of paper , submit a diagram ; drawn to Show ;
PROPERTY LINES - EXISTING STRUCTURES - LOCATION OF PROPOSED
SWIMMING POOL - Show all distances from lot linen to Moth 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 .
r >>
S14unature of Applicant Date !
02/ 86 and-vl .
TOWN OF QUEENSBURY
SWIMMING POOL REGULATIONS *• ARTICLE Y , SECTION 7 . 074
ACCESSORY STRUCTURES 4 )
$ 15 . 00 Fee for Pool Permit
4 ) Private Swimming pools . Private swimming pools ,
pernranrnt 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 su3.mming
pools which shall be noc-fifteen
more than three (.3 ) feet
in height nor more than f if teen ( 15 ) fret in length ,
a ) May be erected only on the same lot as the
principal structura.
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
nor less than ten ( 10 ) feet from any . side lot
13.ne . principal structure or attached or detached
accessory structure .
c ) Shall be landscaped .
d ) Such use shall not adversely affect the
character of the neighborhood ,
a ) All private swimming pools shall be enclosed
by a permanent fence of durable material at
least four ( 4 ) kect in height .
f ) 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 , directlyy
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_w'ay than the
required front setback for the principal building
of the . zoning district in which it is located .
- r
Furthermore , the : pool shall be screened fron the
view of the public right-of-way and the neighbor-
ing property by means of landscaping . ( See def ini-
tion of " Landscaping " )
NOTE : ALL POOL PERMIT APPLICATIONS MUST STATE MATERIAL TO
BE USFD . SUCH AS . -
ST£EL VINYL
F IBLAGLASS
POURZD CONCRrTE
GUN I'TE
AF O%t , CT..' . f7
ISSUES DATE (MMIDDIYYI
aw: i►ixi�. CERTIFICATE OF INSURANCE 2/16/89
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
O RIGHTS UPN THE CERTIFICA HOLDER, THIS CERTIFICATE NOT
C'� yRmli tr Insurance AgeS1Cl`es Inc EXXTEND OR ALTER THE COVERAGE AFFORDED BY HE POLICIES BELOW AMEND.
Box 1369
So Glens Falls NY 12803 COMPANIES AFFORDING COVERAGE
COMPANY
LETTER NY The Cc1�{"_7 �1' entk .l Insurance �Y
CODE 31-291Q32 sue-coDE w
COMPANY B
LETTER
INSURED
Jzums D. & Daniel T . Sprague COMPANY c
Spray,As Mermaid Pools LETTER
247 Broadway COMPANY D
Fort Edward NY 12828 LETTER
COMPA
LETTERNY
.. ...
COVERAGES_._ _ __.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE. LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Co POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
,TR TYPE OF INSURANCE DATE (MMIDD/YY) DATE (MWDD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIADILITY PRODUCTS•COMMOPS AGGREGATE $
CLAIMS MADE OCCUR. PERSONAL. & ADVERTISING INJURY S
OWNER'S 3 CONTRACTOR'S PROT. EACH OCCURRENCE $
PIRE DAMAGE (Any one fire) $
MEDICAL EXPENSE (Any one person) $
AUTOMOBILE LIABILITY COMBINED
SINGLE $
ANY AUTO LIMIT
ALL OWNED AUTOS BODILY
INJURY $
SCHEDULED AUTOS (Per person)
BODILY
HIRED AUTOS INJURY i
NON-OWNED AUTOS (Per accident)
GARAGE LIABILITY PROPERTY _
DAMAGE
EACH AGGREGATE
EXCESS LIABILITY OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
STATUTORY
WORKER'S COMPENSATION
g (EACH ACCIDENT)
AND 11W8127201 88D 4/29/88 4/29//$9 g (DISEASE-POLICY LIMIT)
EMPLOYERS' LIABILITY ; (DISEASE-EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHiCLESJAESTRICTIONWSPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Tbwri of QQueeasbury EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
33 ilding Dept, MAIL I Q___ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
BaY & Ha'V1],and RD LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Quee 1sbury NY 12804 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES_
AuTHORIZw6 REPAESENTA IY
A 75 3188L 0ACORD CORPORATION 1988
�CLC41 nua�nmsa ru my+a {ou vi ccv-+ + + a
APPLICATION FOR ELECTRICAL INSPECTION
PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
900 Haddon Ave., Collingswood, N.J. 00108
e e
City, Town or Township 5 I'4 Ts---- -� County
Location/Address -
(it Located in Rural Area - Please Attach Directions) Pole # :
Owner,i= +) G A%Pf rf^' /C"ArTh 4ek/A) A�:4 6 ,1 Permit t* _
Occupied As FkAE
Building; New= Old 0
OccupantS.AIE A$' S lf? BC+ E: 1l�1JGvROU VJT�' 400 f1
Work Area in BuIIdin Floor #, etc.) :
Arm. for: Wiring Service ED or: / Ready for Ins action :
Fee Remitted - $ cash F Check 0 M.O. 0 Make Payable To; M.D. I.A.
500 75o i000 12so lsoa 175e 2000 925o 2500 275o auoo
Number of Rough Wiring Outlets Elect. Heat
Switches Amp. 'Service Surface Unit Dishwasher Range
Lighting Water Heater Air Conditioner Dryer Pump
Receptacles Oven Garbage Disposal Wiring and Controls for Burner
Number of Fixtures ✓
Amp, Re a tacles Fractio al H.P. Vent Fans
Other Equipment: / �! dC) Gr -- /70 E G! /li✓ � 1�'�I'� •�
P:RA
MOTORS H.P. 1/2 I/1 1/10 1/s 1 1/6 1/4 j 1/3 n 3/4 1 1111 2 3 5 1 7112 10 1 15 1 20 28 31D 1 40 511 75 lee
Mark Number M*'
of Each Si
Applicants
Signature License Permit #
T/A Utility : (NAME) (OF ICE L CATION
Applicant's Address:
(City) (State) • Y (zip) Service Rpquest #
Electrician rc>-?� E-^L
/
e r * DATE RECEIVED. DATE INSPECTED'
Correct Location : Same as Above [] or:
Red Notice Label 0
Rough WiringrOutlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles / Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle
Amp, Service Conductors Pump Vent Fans
MOTORS H.P. /2O 1/12 1/10 1/E 1/6 1/a 1/3 1/2 3/4 1 1 11W 1 z 1 3 j 5 1 7v2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Y .. 500 750 Elect. Heat 1000 1250 1500 1750 2000 2250 2500 2750 3000
Patrick 3 hnalr
Fklrlso l8ifti 312839
E14UTRICAL INSPECTOR
ORRECT
ilv1TIAL V(slT �N�Y NoTIFI€D DATE CFEE. : FEE PAID .:
0 RW Progress: Inc. 1:3 LKD Contractor
ED CFT Violation: Work Comp. 0 Inc. CASH
L/A Owner Fee CH K �**
Due
Q IPA Municipal NV #
Other Sid Utility Applicant
Date : Owner
Cut in Card [ Temp # Date
INSPECTORS SIGNATURE
1771 Final # rlarw
TOtiVI3 OF CODES
CODES DEPARTMENT
BUILDING AND
BAY & HA'VILAND ROADS I280&-
QUEENSBURY, NEW FORK
TELEPHONE (518 ) 792- 5832
WILDING INSPECTtSR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME -p
LOCATION r----
I' PERMIT #�
DATE ~ APPROVED
YES NO
FOOTING.IPXEPS
MONOLITHIC POUR PROOFING
FOUNDATIO APPROVAL
ROUBACGH PLUMBING
ROUGH
FRAMING
ELECj+,RICAL ROUGH'IN
INSULATION:
FOUNDATION
FLOORS
WALLS l
CEILING
FINAL IN at
CHIMNEY HEIGHT
ROOFING
SIDING` �-�-- STE
EX TERNAL PORCHE I A c
STA R
IRS-CLEARAN ES/ft A VALVE „��
PLUMBING FIX T
INTERIOR TRI (PRIVACY DOORS
RS
FINISHED F ROOFING
GARAGE FIR
DOf7.R CLOSE (S)
SMOKE DST CTORS
AL INSPECTION
FINAL ELEC2, OF CONSTRUCTION
FINAL APPRLYVAL
OF OCCUPANCY MUST BE
A
A SIGNED CER FROM THE BUILDING
DEPARTMENT BEFORE
+OBTAINED PREMISES ARE OCCUPIEDI'
THESE
REMARKS :
I SPECTOR
N AGENCY, INC. 4 c
MiDOLE DgPARTM _e - 1989
1 SPIE /C) ``- ost` a in accord
;
• ' , - - -� approved as being
1s. �uiPMent fisted has been e s
i c�vernme
ntaf , utility an
(� QxttLQ$ that ptfcabfe g Q
with the National Elect P
& Kather W4 f
gar rr f t uiprnon$ and installation inspected this
rylYcate 1 rrc be intrsxSuced or att+arah on CMad*ro�
owner: Sarre ,r u�nt be nuts and void, end apP
uc n date. It addtem 1nl C a Sly to this k4encY-
C]CGL1�3 lee�� existing system mxtS P r erlY inauranas carrier
13f7I: 8 Helen Dri"�* ,.,;. ina9action shos+td fYaltfY ah nt aama 14 his P aP ut mart epProved
Location: ii �+-�+ C4� aid of 5nis Ce asaW4 G ertHtGalkPn41e}aplr4Gareq P
l to lea �' P�kR�.,-X��S -�. i.m i fWJr ` aVent ar Camp/ Yl
ep
me0f:
L switch;
EgU+P as sPeC45led /
ubleaa 4 • 15-022469
FBagar Do - -
g Helen Driv� NY 1280
Appilcant: queensbur t y
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