1991-398 •
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
5 Date Orr!XJ4 , 319 9!
This is to certify that work requested to be done as shown by Permit No. 91 398
has been completed.
This structure may be occupied as a In-Ground Pool
Location 126 Grant Avenue-
Owner Brae Lundgren
By Order Town Board
TOWN OF QUEENSBURY
c j
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-398 �.
• WARREN COUNTY, NEW YORK
cri
PERMISSION is hereby granted to Bruce V. Lundgren
OWNER of property located at 126 Grant Avenue 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.
1. OWNER'S Address is r"
Same
. ro
2. CONTRACTOR or BUILDER'S Name
Bob Baker Pools
aS
3. CONTRACTOR or BUILDER'S Address
Quaker Rd `*
Queensbury, NY <
4. ARCHITECT'S Name
fD
5. ARCHITECT'S Address
0
a
6. TYPE of Construction—(Please indicate by X) p
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No.44' x 20' In-Ground Pool as per plot plan specifications and
application
8. Proposed Use
In-Ground Pool
$ 25.00 PERMIT FEE PAID—THIS PERMIT EXPIRES June 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 June 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
-1111111r-
TOWN OF QUEENSBURY M ,.,
tiiiew Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5 :rJ' :z-
SWIMMING POOL PERMIT APPLICATION J U UN
5 1991 : '
eURDING & Cuv:- �c-" :.
FEE PAID 3.5"°v
79- , 203 D
OWNER'S NAME :,��/2ve- 17 L,4.i,„.ev, TEL. 76 L 30 3 P f�
LOCATION /26 6 RP-Air 6 p'01-17- l u� i C,'✓e et-3 64. 1 IYy �/
PERSON RESPONSIBLE FOR CODE REQUIREMENTS: �o T TY�i2ec2 f�• L u-14 Re% \,337:
ADDRESS TEL. 7i. 3,10
TYPE OF POOL - - X.
in-ground above- ground
SIZE: Length ff ft. / Width 2-o ft. / Diameter ft. / Depth b" ft.
APPROXIMATE WATER CAPACITY gallons.
MATERIALS USED IN CONSTRUCTION: (circle one)
-- Fiberglass -- Gunite --, Poured Concrete -- Other
CONTRACTOR/INSTALLER 13 I-2e rz ((?0J- 5 TEL.
ADDRESS Ocj�i�e rig �� Gu-e -S 6um7 f fr / /,/p)V
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 Appl i cant: A/,/66(/' „-e/- •-� Date: _ °
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
$35• Fee for In-Ground Swimming Pool
NOTE: ALL POOL PERMIT APPLICATIONS MUST STATE MATERIAL TO BE USED.
�- x MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
. „ m. National Headquarters
_ 1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION Date:
City, Town or Township • " 1,-- ', County .,/ ' State '
Location/Address
- (If Located in Rural Area - Please Attach Directions) Pole #
Owner I,'. 1. < <`� a, r Permit # i H 1
Occupied As , -f-'-v �_ , ' Building: Newl I Old❑
Occupant
Work-Area in Building (Floor #, etc.):
App. for: Wiring❑ Service n or: Ready for Inspection:
Fee Remitted -$ Cash! I Check I I 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
Water Heater Air Conditioner Dryer Pump
Receptacles
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 l'h 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's ' i •
Signature - `-' - - 7. License # Permit #
T/A - -/ Utility':
(NAME) (OFFICE LOCATION)
Applicant's Address:
(City) (State) - • (Zip) Service Request #
Phone # Electrician:
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above! I or:
Red Notice Label Pf -_
Rough Wiring Outlets 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. 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
of Each Size
500 750 1000'1250 1500 1750 2000 2250 2500'2750 3000
Elect. Heat
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID
❑ RW Progress: Inc.❑ LKD❑ Contractor
CFT Violation: Work Comp.❑ Inc. ❑ CASH
n L/A Owner Fee
CHK #
❑ L/A Due MO #
n IPA Municipal INV #
Date: Other Side I I Utility Applicant
Owner
Cut in Card Temp # Date
INSPECTORS SIGNATURE
n Final # Date .
APPLICATION FORM NO.250 EL 11/89
TOWN OF QUEENSBURY
2 ., 531 BAY ROAD
. 1J-$14. QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME Nc. (`.E_ Cr tm
LOCATION 1 d-(,p c— .yn.�
DATE PERMIT. ! 2-J 1[�
6:1 g
TYPE OF STRUC RE )4\ -C,Y'L51, &(CZ-C
RECHECKO-�% (l09 (4 cj„c) C7 \ec� f
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUN ATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION W ODSTOVE/FIREPLACE
SITE PLAN/VARIANC REQUIREMENTS YES _ NO
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATIOil
B VENT/LOCATION /
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAIL ING
RELIEF VALVES
FURNACE/HOT WATER OPERATI G
BASEMENT INSULATIOPj/DUCTWO K
INTERIOR TRIM/PRIVACY DOOR
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS I \
BATHROOM FANS/WHOLEHOUSE FANS 11,
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C ,'r'
COMMENTS: •
`�- lif
ARRIVE
! y
DEPART / S INSPECTOR
ELECTRICAL INSPECTIONS •
DUPLICATE MUNICIPAL RECORD
Permit No. Q ^� � ,/
Owner 3i!C L 1/tirJ £
Occupant
Location , 6 �,44-/11 •
62 `Lyo. 5 /2 r� Street
Town or City f" State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.. .l�p �+
Installed by ,t. J /��� /-J(.
�r IeJ7/ P6o
Date
itaW
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
MOTORS H.P. 1/20 1/12 I/10 y ' % Ih V2 % 1 11/ 2 3 5 71/2 10 15 20 25 30 40. 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS 1C36D L (,)/ Nc/-- a'+- -/�.07/1/�j
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II ; I I 11. BUILDIN, G & CODE DEPT.
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