91-358 TOWN OF QUEENSBURY TOWN OF QUEENNU
RECEIVED
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
SWIMMING POOL PERMIT APPLICATION MAY 28 1991
BLDG. & CODE DEPT,
FEE PAID S-, 2.
OWNER'S NAME -)- nn sQ-r cxx-v TEL 5-1 '— 7 -13S
LOCATION if-g dq k'I'r e C: ram) -e_ ( 4,n e e g t -r ni-y . Pg--80 LF
PERSON RESPONSIBLE FOR CODE REQUIREMENTS: 0 w n-e ir
ADDRESS `f$ -ems C`L rc-� ' 0 ,4e. c r s b„x-r•i,N,yTEL. 5 (3 -1) `fs/3Sd
TYPE OF POOL - - in-ground above- ground
SIZE: Length ft. / Width ft. / Diameter o? 'f ft. / Depth ' ft.
APPROXIMATE WATER CAPACITY /2, O40 d gallons.
MATERIALS USED IN CONSTRUCTION: (circle one)
Steel/vinyl - Fiberglass -- Gunite -- Poured Concrete -- Other
CONTRACTOR/INSTALLER 4et. t,,a POD I c TEL.
ADDRESS g-+ S o , G ?e s I S
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: ��,, . a go Date: S-
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
$35 Fee for In-Ground Swimming Pool
NOTE: ALL POOL PERMIT APPLICATIONS MUST STATE MATERIAL TO BE USED.
MAIN OFFICE ATLANTIC-INLAND, INC.
997 McLean Rd.
NEW YORK
Cortland,New York 13045 MEMBER OF N.F.P.A.AND I.A.E.I.
Phone: (607)753-7118 FIRE UNDERWRITERS
(607)753-7809 C 1 0 7 0 8 5
(607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service)
(Incorporated in the State of New York)
Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises described below. On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION— PLEASE PRINT OR TYPE
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION -a9 — �!
CITY,TOWN,VILLAGE LEl om COUNTY p„r�y�„ STATE ✓v .
STREET
ADDRESS 114? (C)+9 41_/27\4,fe._ --tP BUILDG.NO.
RURAL
DIRECTIONS POLE NO.
OWNER'S �p
NAME aI -n y ., "p� v A.,r-G rO OCCUPIED AS 6.4,5-ram
OCCUPANT _
n r:, V 1 `�'c' a 'Y'1} BUILDING—New El Old 0 WORK—New El Additional❑
OWNER'S P.O. r ��
ADDRESS 'j i (94_._ I-'.—- G✓�f'
APP.FOR—ROUGH WIRING 0 FIXTURES❑OR READY FOR INSPECTION 19
FEE REMITTED—$ BY CHECK❑CASH❑MONEY ORDER❑ MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK
Number of Rough Wiring Outlets Fixtures Add Installation
Swtch Li'tng Recep. KW Med. Mogul Fluor. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Heat Base Base
Elect.Heat
Amp.Service Water Htr. Burner Air Cond.
Surface Unit Oven_ Range Gr.Disp. Dish W.
Dryer _ H.P.Pump Ex.Fan Hood
OTHER EQUIPMENT(Specify Type&Capacities)
TYPE OF SIZE OF SUB- BRANCHES NO.OF
WIRING OPEN 0 CONCEALED 0 OTHER MAIN • MAIN CIRCUITS
APPLICANTSour
SIGNATURE LICENSE# PERMIT#
APPLICANTS j, NAME OF
ADDRESS UTILITY
OFFICE TO
CITY STATE ZIP CODE BE NOTIFIED
SPACE BELOW FOR USE OF INSPECTORS ONLY
ROUGH WIRING AMP SERVICE K.W.SURFACE
OUTLETS EQUIPMENT UNIT
SWITCHES AMP SERVICE K.W.OVEN
CONDUCTORS
H.P.GAR BAGE
RECEPTACLES H.P.PUMP DISPOSAL UNIT
MEDIUM BASE K.W.
FIXTURES K.W.DRYER DISHWASHER
MOGUL BASE K.W.WATER
FIXTURES HEATER K.W.RANGE
FLUORESCENT H.P.AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS 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 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
APPARATUS Elect.Heat
MISC.INFO. Received FEE PAID
Inspected
❑PROGRESS TOTAL$
/�., ❑DEFECTIVE
❑Rough Wiring Certificate
�'�`2it ler%� Mai#Z, G Check No.
# 2r �c 60 0 Temporary Service Money Order
^ ❑FINAL CERTIFICATE
0.e.ege,ach, /`�2, 72834 Cash
0 Dup.Cert.Req.
Mon.-Fri. 6-7:30A.M. ❑MUNICIPAL Charge
518-692-9295
518-638-6339 MUN.ADDRESS
ATTN:
Temp.Cut-in Card No. Final Cut-in Card No.
Al-01 Inspector
ATLANTIC-INLAND,INC.
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mY ✓o Dusc0 4 s.reres - oenks z‘, me RECEIVED
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