2015-176 ila TOWN OF QUEENSBURY
` _
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
��� Queensbn'
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150176 Date Issued: Monday, June 22, 2015
This is to certify that work requested to be done as shown by Permit Number P20150176
has been completed.
Tax Map Number: 523400-290-005-0001-066-000-0000
Location: 10 BROOKWOOD Dr
Owner: DAVID LUNDY
Applicant: DAVID LUNDY
This structure may be occupied as a:
Above Ground Pool
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, !, i
Variance, or other issues and conditions as a result of approvals by the ^' ''
Direct: •�:r. �ing& od- nforc‘24 ent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
.."
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FON
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150176 Application Number: A20150176
Tax Map No: 523400-290-005-0001-066-000-0000
Permission is hereby granted to: DAVID LUNDY
For property located at: 10 BROOKWOOD Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: DAVID LUNDY Above Ground Pool
10 BROOKWOOD Dr Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-176
above-ground pool
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, May 22, 2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Quee fore the I it 'on d• • /
Dated at the Town f ryA •4 '
May 22,2015
if
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes w�E
Received:
SWIMMING POOL PERMIT APPLICATIONiS Tax Map ID: 2110. S-(-t�(p
A permit must be obtained befprr be inning conntr'ction Permit No.: 2.o\ -\�`
TOWN
`-0 ri QUEENSBURY Permit Fee: $ ".1-0•00
BUILDING &COD_� E^5.,� Site Plan/Variance No.:
1. Date: DS ICI /,ZüiS
2. Tax Map ID: 206.5 'I —U.
3. Pool Location Address: kAalli 1 I br , DUE...g0.9iiel
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: b0(6'11 Lury t Y, Phone: S i$361 giO1
Mailing Address: (0 -E . 1 r^
City: �E ,3 ='.i ray 12..go -
7. Contractor's Name: N LA Phone:
Mailing Address:
City: '�
8. Contact Person for Building&Code Compliance: !� i0 + ZiA Phone 5i$ g576235
ABOVE-GROUND OR INGROUND? A -76e0)(a
SIZE OF POOL: 20
MANUFACTURER: SHt I74(( €,I
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel/Vinyl X Fiberglass Gunite Poured Concrete Other
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application,
plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I
acknowledge that I have read the application & plot plan requirements and I or my agents will obtain a certificate of occupancy before use
of the pool. I
Print Name: bI )i J y
Signature: 41. P G�s
Date li Cl / 5.--
ti
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
1 I
Pool Inspection
Queensbury Building & Code Enforce.
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: fp/ f S
NAME: l,kA,4 '
LOCATION: O d wOo► Q1
PERMIT#:
INSPECTED ON: .' it ((,(A
� ��m/pm
ive: am/pm 'Depart:
' am/pm tS-
Inspecto
's Initials:
Above Ground: In-Ground:
Y/ N N/A
Pool enclosure around /
pool or yard ���///�
4 feet above grade
2 inch maximum
/ ,
clearance to grade from
underside of fence
4 inch maximum
clearance in fence It
pickets
Wall or Doors have self
closing device os
, 7
X39-second Alarm time)
oo urface Motion
AlarmN/1 .
ured in place
and latched
Deck gate <56" to latch
no more than 1/2" spacing
in gate openings
Gate opens outward, self
closing
Padlock provided on
gates or ladder
Indoor pool all doors self .
closing or alarmed per cV
AG 105.2 Item 9
Timer on pool pump (no
plug in timer allowed)
l
Final electrical
Vehicle access gate
ig)
closed & locked
Ok to issue C/C
COMMENTS: frW3-4 NZ-14
p
ROI—
l/jeck
Y
Cp(310‹
Pool Inspection
1gi0`,. 1.
Queensbury Building & Code Enforcement O�i
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
P"
Date received: (o'&)j.a t_<
NAME: 1)000( l,�/
LOCATION: /0 [3ru„!c J 8A?„_
PERMIT#: 010/6"--/n2
l► - TED ON: ikke .•JUk 4m/pm
•rr' ,,--: am/pm Depart:
nl t't►te"/pm
Inspector's Initials:
Above Ground: In-Ground:
4AY N N/A
Pool enclosure around
pool or yard
`4 feet above grade
2 inch maximum
clearance to grade from
underside of fence
4 inch maximum
clearance in fence
pickets
Wall or Doors have self
closing device or alarms
(30 second Alarm time)
*pool Surface Motion
Alarm
1 Ladder secured in place
and latched
Deck gate <56" to latch
no more than 1/2" spacing
in gate openings
Gate open outward, self
closing
* Padlock provided on
gates and ladder
"- Indoor pool all doors self
closing or alarmed per
AG 105.2 Item 9
Timer on pool pump (no
plug in timer allowed)
inal electrical
Vehicle access gate
closed & locked
Ok to issue C/C
C2, /►`j.�5
COMMENTS: v
Z � � J
MAP REFERENCE:
MAP OF
—BROOKWOOD MANOR—
DATED: FEBRUARY 28, 1972
FILED: MAY 30, 1972
BY: COULTER & McCORMACK
1 have „ .n or
r u observed, or believe I
al '� saw evade. ce of,
yes, wells, rrBes, tenses.
sh s do�i;>,al,a 1�arese'It that i h ve
°rs�raily rt,as red r;,e urstcnces set forth on th
diaX; ,n '
I OS
TE LANDS N/F OF `_" _
DENNIS & JEANNE o M
PICANO 1 to Cq
I
ADJOINER'S /
HOU5E °
29.90
I
BR00KWOOD DRIVE
Attention Homy: Owner
Please assure you are familiar with the
Pool Enclosure requirements specific to
Your pool. We will be happy to explain
what Requirements you will have to
meet per Appendix G Of the
LANDS N/F 8V York State Residential Code.
SUSAN DOUGHER
I_ W r
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tI�Y 19 2015
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r - Co HOU5E
20,036 sq ft ( C)
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PROP05ED HOU517
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SIGNATURE DATE.
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169 Aaviland Road Queensbury, New
York 12804
ON M$ �11U RI TI( TTI COIPUIY. QTWYQITK
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Town of Queensbury, Warren County, New York
m nT Asaams rr TII input ,NsntunoN•
'518) 792-8474 New York Lie
No. 50135
54-3-18.11/290.5—, —66
NO. I DATE
LEGEND:
OIPF = IRON PIPE FOLND
O IRF = IRON ROD FOUVD
° = WOOD FENCE LINE
® = WELL
ca O = CATCH BASIN
TOWN OF QUEEINSBUR`
BUILDING & COC) D I
Reviewed:
TOWIJ OF QUEENSBURY
BUILDING DEPARTMENT
Based on our lir t o examination, compliance
with our comm s ha, lo, be construed as
O indicating the i,ws aniaebfications are in
�n
6 full compliance ,,n the t'Ading Codes of
New York Statt.
LANDS N/F OF /
1VILLIAM &MELISSA
HICKOK
Lundy, David
10 Brookwood Drive
Above -ground pool
290.5-1-66
DESCRIPTION
BP 2015-176
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SHEET 1OF1
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