1990-516 1 ? •
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date spntprah,, 2F 19 _90
-This is to certify that work requested to be done as shown by Permit No. 011-51 6
- has been completed.
in ground pool
This structure may be occupied as a
Location 90.7_ - ' A 13ggy
DALE R. WHITE
Owner
By Order Town Board
TOWN OF QUEENSBURY
• v
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 90-516
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DALE R. WHITE
O
•
OWNER of property located at Box 176A Peggy Ann Road Street, Road or Ave. t m
in the Town of Queensbury,To Construct or place a In-ground Pool to
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.
1. OWNER'S Address is
RR6 Box 176A Peggy Ann Rd
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
171
Adirondack Pools
3. CONTRACTOR or BUILDER'S Addresstli
3 Boulevard
Glens Falls NY
4. ARCHITECT'S Name
td
DS
5. ARCHITECT'S Address
1'G
CD
6. TYPE of Construction—(Please indicate by X) Qrl
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 32'x16' In-ground Pool as per plot plan, specifications and application.
8. Proposed Use
In-ground Pool
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35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 13 19 91
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O
O
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 13th Da ,.of /LugUst 19 90
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
„, , - .V/-`MI'DDLE'DEPARTMENT INSPECTION AGEN CY;INC.
i /i' National Headquarters
//' 1337 West Chester Pike;West Chester., PA 19380
APPLICANT COMPLETES THIS SECTION Date: F-� /r-: 77,„
City, Town or Township <,_C(__✓) , LL., .- Jf County (._)..-JC+ v�F-'<-, State A /
(.-=r4
-Location/Address / ) VI)-(.: j /,•II ✓n j k c-- j
(If Locateu in Rural Area -Please Attach Directions) Pole #.96-751
Owner ,-. 4 Y �n .�e Permit #
Occupied As sOr ` - Building: -New❑ Old
Occupant - -
Work Area in.Building (Floor #,etc.):
App. for: Wiring 0---Service n or: Ready for Inspection: •
Fee Remitted -$ Cash n Check n M.O. n Make Payable To: M.D.I.A.
500 750 1000 1250 1500,1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat .
Switches
Lighting Amp. Service _ Surface Unit Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer Pump
Number of Fixtures • Oven - Garbage Disposal Wiring and Controls for Burner
. Amp. Receptacles • Fractional H.P. Vent Fans
Other Equipment: . •
MOTORS H.P. . 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number - •
of Each Size
Applicant's
Signature License # Permit#
T/A 1\1 GI ' V } ( ��~.. 7 ` Utility: (NAME) (OFFICE LOCATION)
Applicant's Address:
(City) (State) (Zip) Service Request #
Phone # Electrician:
MDIA USE ONLY .DATE RECEIVED: :) -1 c_,-- C r n
/�, DATE INSPECTED: 6- J - /J
Correct Location: Same as Above n or: - -
Red Notice Label n . • .
Rough Wiring Outlets Surface Unit Oven
I 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 1 Vent Fans •
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1- -11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number 1:.
of Each Size •
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat _ .
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID
FEE
❑ RW Progress: Inc.❑ LKD❑ Contractor -
111•2`FT Violation: Work Comp.ElInc. ❑ `/ G
n L/A V 'Owner CASH I
n L/A '. Fee CHK #
Due MO #
IPA Municipal
. - INV #
j'/J y Applicant ❑❑
Date: Other Side❑ Utilit Owner
Cut in Card n Temp # Date _ / J j -
Final # Date ” / INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 11/89
TOWN OF QUEENSBURY
C:2,411, Bay at Haviland Road, Queensbury, NY 12804-97257t§gfiWN3EENSBURY
RECEIVED
AUG 0 8 1990
BLDG. & CODE DEPT.
SWIMMING POOL PERMIT APPLICATION
FEE PAI , .9U
OWNER'S NAME pt-cff TEL.`7C/�-S�/`Z�/� -ge'--/9°°
LOCATION EiAc,YM-Aa Ra Co 136x )76A t--€6`/ Abodu 60. l k-tCf Socycf-/ -=-= a cy/
TYPE OF POOL - - in-ground above- ground 9
SIZE: Length 3a ft. / Width f (, ft. / Diameter ft. / Depth ' ft.
APPROXIMATE WATER CAPACITY 5'1 OTY0 gallons. •
MATERIALS USED IN CONSTRUCTION: (circle one)
Steel/vinyl - Fibreglass --Gunite -- Poured Concrete -- Other
CONTRACTOR/INSTALLER Arof 2twate Pocn[J' TEL.
ADDRESS YWpt,LL 4O LG S Lc
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 A licant: lJV Date: O
9 PP � �C
l
ss -� '1
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.
ELECTRICAL INSPECTIONS
Dy ��L
]P I ^TE MUNICIPAL RECORD
q _
Permit No. J 0—
�
Owner '"..`l�/4
Occupant s?at"
Location - N _��_ � ✓�✓+ �"
o et
Town or City ` - S eState
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
No.
Date -- s-_ Q Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM No.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
OUTLETS WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT '
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W.RANGE AMP. RECEPTACLE
K.W.WATER HEATER.. FRAC. H.P.VENT FANS
MOTORS H.P. I/20 I/12 I/10 %g IA I/a 1/3 1/2 3% 1 11/2 2 3 5 71/4 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
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