1991-642 , .
CERTIFICATE OF COMPLIANCE
-TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ` 70-,-2(/f.e'A, 719 Q/
301 ` 91-642
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 in-around Peel
Location 9 Willow Road
Kris E. Jackson and Susan L. Jackson
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 91-642
WARREN COUNTY, NEW YORK •
PERMISSION is hereby granted to Kris E. and Susan L. Jackson
OWNER of property located at 9 Willow Road Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a In-ground ponl
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 v
same
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2. CONTRACTOR or BUILDER'S Name
Cypress Pools
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3. CONTRACTOR or BUILDER'S Address
00
N
Quaker Road
Queensbury NY 12804
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
J
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6. TYPE of Construction—(Please indicate by X) O
. g
( )Wood Frame ( I Masonry ( ) Steel ( )
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A)
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7. PLANS and Specifications
No. 32'x161 In—ground pool as per plot plan, specifications and appplication
8. Proposed Use
in ground pool
$ 35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 10 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.) O
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Dated at the Town of Queensbury this 1.11th Da -of 19 91
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SIGNED BY /,///7 for the Town of Queensbury
Building and Zoning In ctor
L OWN OF QUEEVVBIir,TOWN OF QUEENSBURY RECEIVED
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
SWIMMING POOL PERMIT APPLICATION SEP 9 1991
' LDC. & CODE DEPT.
FEE PAID ,)
OWNER'S NAME itAY`► S • �Llc TEL
11 c, � .
LOCATION . �` \`h ` `p� 1�d C� AQ.P\(1S�Cis ��I (L4 '4i ii-e 91
PERSON RESPONSIBLE FOR CODE REQUIREMENTS:
ADDRESS TEL.
TYPE OF POOL - - V in-ground above- ground
SIZE: Length '�j ft. / Width )6D ft. / Diameter ft. / Depth 8 ft.
APPROXIMATE WATER CAPACITY gallons.
MATERIALS USED IN CONSTRUCTION: (circle one)
Steel/vinyl -- Fiberglass -- Gunite -- Poured Concrete -- Other
CONTRACTOR/INSTALLER _, reSS POh 5 TEL.
ADDRESS 1.�+�,a kp,c b .2-eN-4 v IN
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: , _ Date: 9- 9-9 /
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.
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/'�'p 'w* MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
�\ -� National Headquarters
- 1337'West Chester Pike,West Chester, PA 19380
/ APPLICANT COMPLETES THIS SECTION Date: V_ (:). (1 /
t `_.(_\\<"-tom.,_1;" County .Lk -\d;F.11 State t
'\' j
City, Town or Township _ -�
1-i I� I
Location/Address -? L � \\c.,1,) ` >r1
_ • „.(If Located in Rura(,Lrea- Please Attach Directions) Pole # �, : •j.-
Owner V-, r' a if�. . . L.\`-ac i, \ 1_. <NC\(:.C;!r`1 Permit # "/' 40/1✓
Occupied As ' t 't<x,,`'C' ,. '„,1 - - Building: New t l • Old El
Occupant `_ ; •i i t-!_r
Work Area-in Building (Floor #,etc.):
App. for: Wiring n Service n or: Ready for Inspection:
Fee Remitted -$ Cash i 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 1'/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100
Mark Number -
of Each Size
Applicant's i\ - ' ,\ .\: -
Signature • - --- -,- - •••'-y•-_"- "x:'`-�-=Y'-.!•r-7^ 1 License # Permit #
T/A 0 - Utility:
7 (NAME) (OFFICE LOCATION)
Applicant's Address: ) �' ' '{ >`a l.�nl i' •
'(City) (-=*-%�;t_=�- -•,---- '•-` (State) �� NI (Zip) -f '' r-•'�% "r' Service Request #
1«. - '7(: f .. ::+`�C'\IC �-.r\1-.`
Phone # tlF'` a Fr` f� Electrician: j
MDIA USE ONLY DATE RECEIVED: • DATE INSPECTED:
Correct Location: Same as Above n or: -
Red Notice Label n • . -
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 7'/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
I 1 CFT Violation: Work Comp.CI Inc. n CASH n
n L/A Owner . -
Fee CH K #
I-.L/A Due MO #
n IPA - - = Municipal I N V #
Date: -Other Side y'.` - Applicant H
❑ Unlit. Owner
-
•
Cut in Card n Temp # Date .. -
INSPECTORS SIGNATURE
n Final # • - Date • -
APPLICATION FORM NO.250 EL 11/89
Appu IrAN‘jT'c ropy
TOWN OF.Q( FENSBURY
4z4y 5'31 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDI4G INSPECTOR°S REPORT
FINAL INSPECTION
REQUEST,/FOR INSPECTI/OlN RECEIVED •
•
NAME ii ,44,
LOCATION 9 76(6
DATE fQ /c /9/ PERMIT' 9/-b9Z
TYPE OF STRUCTURE J/ - vt137/w,dp.z'—?
RECHECK /
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUND ION BACKFILL FRAMING
- ROUGH PLUMBING !—•FINAL ELECTRICAL SEPTIC
- INSULATION W ODSTOVE/FIREPLACE ) Q/Q4q/
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION N
PLUMBING VENT 'b
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES \ /
FURNACE/HOT WATER OPERATIQG_
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: /
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEFABLE '
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS 1
HANDICAPPED ACCESS,
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING%
GARAGE FIRE PROOFING_ ,i
DOOR CLOSERS
OTHER FIRE SEPARATION 11
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL _
OK TO ISSUE C/O OR C/C
COMMENTS: 'J
ARRIVE
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DEPART `3 3—' l'
IN R
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No.
Owner
�. � s
- Occupant
af/L LO L�
Location
Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by k'672-C G7
'''7azedde:
No. __Date 9—Z/4/ --_iyviCaskampector
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM No.18 EL. 1337 West Chester Pike,West Chester,PA 19380
ROUGH WIRING OUTLETS i' 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
P0-6 L tut/2(A76 -6e` `Z4 Avg/t 4
MOTORS H.P. I/20 I/I2 I/I0 % '/s I/. I/, %z ''A 1 11/ 2 3 5 7S4 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
MAP REFERENCE
PINES OF QUEENSBURY SUBDIVISION IN
I NERr v CE:?i;4 v r0
BY VanDusen & Steves IN 1984
FILED AS FLAT A - 116 KRIS E.
d ALB ANY SAV? ?1a=5 BANK,
AND A:,_P]N',
SEP 9 1991 {AT ri ai> YA r
DE �ir lj1 1UN:1 AND
&CODE r EPT
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m Y MAP OF A SURVEY MADE FOR
KRIS E.& SUSAN L. JACKSON
- �� TOWN OF QUEE:NSBURY WARREN COUNTY , NEW YORK
SCALE I" = 30' DATE JUNE 24 1988
` m, VanDusen & Steves
/� ! LAND SURVEYORS,GLENS FALLS,NEW YORK
N.Y, STATE LIC. NO. 35617 I1C�til C o Hnun o