1991-559 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date !4 0inf- I-Pi$'i 619 2/
This is to certify that work requested to be done as shown by Permit No. 91-559
has been completed.
This structure may be occupied as a Ire" Ground Pool
Location (D#3 Box 210 Lu er nP IRr PI
Owner Todd Potter
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. dr Code Enforcement
X
3
BUILDING PERMIT
O
TOWN OF QUEENSBURY
No. 91-559 1-1
WARREN COUNTY, NEW YORK t
crt
PERMISSION is hereby granted to Todd Potter
OWNER of property located at Luzerne Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
In-Ground Pool
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.
—I
1. OWNER'S Address is 0a
RD#3 Box 210
Luzerne Rd
I—
c
2. CONTRACTOR or BUILDER'S Name tD
Sprague Pools 9
a
3. CONTRACTOR or BUILDER'S Address
294 Broadway
Fort Edward, NY
4. ARCHITECT'S Name
C,
0
5. ARCHITECT'S Address ty
0
O
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( ) ,e
7. PLANS and Specifications 4
No.36' x 16' In Ground Pool as per specifications and application
8. Proposed Use
In Ground Pool
$ 35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 5, 19 92
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 5th Day of August 19 91
SIGNED BY �, .{\/ for the Town of Queensbury
Building and Zoning Inspecto
TOWN OF QUEENSBURY
Bayat Haviland Road Queensbu , NY 12804-9� - 51 -7J27='�rY �3. 832
W-
e-
SWIMMING POOL PERMIT APPLICATION:., CODE, O=�-
-UAW rkP QUEEN``t8 E .:
"QEIVED
FEE PAID S
_ AUG 51991
OWNER'S NAME \v66 c 'o\ � R 0001F DEPTTEL.
fir\
LOCATION QL(\ X a\c .C)\ \ �C \-0a)A
PERSON RESPONSIBLE FOR CODE REQUIREMENTS: \AS
ADDRESS akav11u C . (y Nf TEL. ` C.9,01-\ _.)
TYPE OF POOL - in-ground above- ground
SIZE: Length .7 ft. / Width /W ft. / Diameter ft. / Depth R'' ft.
APPROXIMATE WATER CAPACITY O. COO ,gallons.
I
MATERIALS USED IN CONSTRUCTION: (circle one)
Steel/vinyl - Fiberglass -- Gunite -- Poured Concrete -- Other
CONTRACTOR/INSTALLER .S'APis4'v �S� / 20 fs' TEL. 29°7?2 70
ADDRESS,Ir Reoa 4.7t &,c 44Q e : vy
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: , QW, 97 Date: O-D,-( \
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
$35 Fee for In-Ground Swimming Pool
NOTE: ALL POOL PERMIT APPLICATIONS MUST STATE MATERIAL TO BE USED.
' MIDDLE DEPARTMENT INSPECTION AGENCY, INC. .
` National Headquarters
1337 West Chester Pike,West Chester, PA 10380
APPLICANT COMPLETES THIS SECTION ' Date:
City, Town orTownship ( `>��� �� �,�` �'�\` County \� {� �` -\ State
� o
Location/Address rl^�X
' (|fLocuted in Rural Area Please Attach Directions) po|o **
Owner \��{\�\ �{ \\^ - Permit #
Occupied As l[`�` -ri�.} Building: Now[:] O|d���
Occupant
� ' Work Area in Building (Floor #, «t« ):
^
A� �: �hng� �n�� or: `��`�-�` * N�` n �� ���r |n����
�
Fee Remitted'$ Cash�1 Check F7 m.o. F-1 Make Payable To: M.D1A.
ym ra 1000 zem 1500 1750 e000225 '250 27503000
Number of Rough Wiring Outlets Bovt Het
` Switches Amp. Service -Surface Unit Dishwasher - Range
Lighting ���o, Heater � Air Conditioner' D'Y»/ PumpReceptaclesr '
Oven Garba gm Disposal Wiring and Controls for Bumor
Number Fixtures' Amp. R000ptao|oo Fractional H.P. Vent Fans
' Other Equipment:
MOTORS H.P. 1/201/121/10 z/u' z/o 1/4 z/s zp 3/4 z 1112 z a 5 7112 zv zs uo co yo +n so rn um '
Mark Number
m Each Size '
Signature ^
�Applicant's«e'Applicant's \_- \�� `o*n # Permit #
`` `~`' . ` ' `^ ^ e
— T/A / Utility: (mmme) (OFFICE LOCATION)
- \ / ��� ���� .
ApplicantAddms --- �� _
(city) �i ``�r �� (State) »v^` (Zip) i ���+\ Service R #
Phnno # J Electrician: \�^� ' �\
`
K8C44 USE ONLY DATE Reoewso. ' DATE INSPECTED: '
Correct Location: Same a, Above F__j o,:
Red Notice Label F-1
Rough Wiring Outlets ` Surface Unit Oven
Switches Range Garbage Dionnou|
R000ptao|ox ' VVute,.Hoam, Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment' Burner, Wiring &Controls for Amp. Rvooptan|o
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. z�n z�e zuo 1/81/6 1/4 z/a z/o 3/4 � z* c a ' x rm zv zn co uo ao ^v xo ro um
morx Number
of Each Size
om ,m `mm 1250 1500 1750200" e250 2500 275 3000
Elect. Heat
- ^ .-
^
connEnr
Csnr/pmC�r/omo uSEpmn /mnIxLmmn
ONLY NOTIFIED DATE FEE FEE PAID
- _
�-1 RVV Progress: Inc. LKD Contractor ^
�� CFT Violation: ��,k Comp.� |nu � �
^-~ � ��� -- CASH ' '
F-1 L/A ~ . Owner Rm CHK #
El L/A Due M0 #
IPA Municipal �
' \NV #
|i A� ca»t El
Data: Other Side Utility Owner
Cut inCard F_� Tpmp # Date
�] Final # Date |mnpsoTonoSIGNATURE
'
APPLICATION FORM NO.cnosL 11m9
nyx a; QUEEMSBURY
,w, 531' BAY ROAD
� i • QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S WONT
FINAL IHSPECTIO@I
REQUEST FOR INSPECTION RECEIVED ) iJ (�T)
NAME 9()VV-Acc)
LOCATION 20_ 1
('9� ,> 1
! r
DATE `� q t PERHIT# C) I -- a.
TYPE OF STRUCTURE
RECHECK Yl Gv-atAA,S trp
•
_FIRE MARSHAL. APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDAT ON BACKFILL : FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION W 0 STOVE/FIREPLACE
SITE PLAN/VARIANCE. REQUIREMENTS YES NO
REMARKS
I
APPROVAL
CHIMNEY HEIGHT/LOCATION% N/A YES NO
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK "
INTERIOR TRIM/PRIVACY DOORS ''I.
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE%RAILINGS
HANDICAPPED ACCESS _
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL T
OK TO ISSUE C/O OR C/C A.
COMMENTS:
,1 c'/"Lo C
ARRIVE f 4-/
DEPART /a; 2,i
`fOR
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No. —5 6 /
Owner _.__._�� _ I 1 %vim
Occupant Location 4 1-k Z4 7—Al `/9
t` !S___att(2V Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
�127C Installed by �� � LV`�� �°`' � .
N l/J (0
�%,/ Q/
Date VIZ'Z' / I . LLnspector
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380
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
PO 0 41,0 Ar& Ni---6-iro AL( Ait;
MOTORS H.P. 1/20 1/12 1/10 % ''4 % '/a % '% 1 1' 2 3 5 71 10 15 20 25 30 40 50 7 5 100
MARK NUMBER
OF EACH SIZE
APPARATUS
SPRAGUES MERMAID POOLS
COMPLETE SALES & SERVICE
BROADWAY
FORT EDWARD, N.Y. 12828
(518) 747-9270
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TOWN OF OUENNSE3 .%'E\ ..
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