2015-242 TOWN OF QUEENSBURY
'^� 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
� � Q ry,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150242 Date Issued: Monday, June 29, 2015
This is to certify that work requested to be done as shown by Permit Number P20150242
has been completed.
Tax Map Number: 523400-303-020-0001-044-000-0000
Location: 7 PHILLIPS Ave
Owner: CARL MATTISON
Applicant: CARL MATTISON
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 /�
Ot
property owner of the responsibility for compliance with Site Plan,
/�
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
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: P20150242 Application Number: A20150242
Tax Map No: 523400-303-020-0001-044-000-0000
Permission is hereby granted to: CARL MATTISON
For property located at: 7 PHILLIPS Ave
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: CARL MATTISON Above Ground Pool
7 PHILLIPS Ave Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-242
Above-ground pool 18'
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,June 12,2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before expiration d. e.)`r
Dated at the T wn of een t/�( ��ii\,June 12, 2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes �•
I Ir�S _-•-- ��--^ -.:._ -i
Received:
SWIMMING POOL PERMIT APPLICATION ' Tax Map ID: JI)"J• ZQ -111
1
A permit must be obtained bbennPermit No.: 20,`�"?�v'
���VeforeNgiO QingtJEENsSURYconstruction Permit Fee: $ 7 S. O v
it
J►LD NG& CODES
Site PlanNariance No.:
1. Date: au-le, C\ 2015
2. Tax Map ID: 301). 2-0-1-41/
3. Pool Location Address: 7 Ph) U 1 CJS AN/Mlle)
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: Car t Mom.r l son Phone: '7414 -6o I ci
Mailing Address: 7 Ph•► UpS A' cnue,
City: ChienSbulLj ►aly t1
7. Contractor's Name: li"9' Phone:
Mailing Address:
City:
8. Contact Person for Building&Code Compliance: ((Ar L MO,'V+d SOCA Phone 1144-ICI q
ABOVE-GROUND OR INGROUND? ikk.ov c Gtrotin4
SIZE OF POOL: 18 Foot
MANUFACTURER: \MpLraa4 PoO1S
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel/Vinyl .y 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.
Print Name: ' •c d o v LQ k$e scs
t
Signature: �_ C Date �i q ,/S4
'ame/Title s '
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
q-‘1
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: MQ,t Spr-)
LOCATION: `I- P v-m11 -3% .1v
PERMIT#: 15-1L
INSPECTED ON: (a 1/2-(0 I I S am/pm
iy • am/pm Depart:
am/pm
Inspector's Initials��
Above Ground: In-Ground:
N
• Pool enclosure around /
pool or yard
4 feet above grade V
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
Ladder secured 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
AG 105.2 Item 9
Timer on pool pump (no
plug in timer allowed)
Final electrical
Vehicle access gate
closed &locked
Ok to Issue C/C
COMMENTS:
NEIN YORK ATLANTIC-INLAND, INC.
MAIN OFFICE: (607)753-7118
Atlantic-Inland, Inc. is in the process of issuing a Certificate of
Compliance for the electrical installation project as covered in an
application filed with our main office.
Application#: `7
Site Address: 'I / I'tt 1 1►p—s • .. s S
ate Electrical Inspector
INC— --- ---— V_ Y
TOWN OF QUEENSBURY
J BUILDING & CO
-_.- Reviewe B .
Date:
L�
BQ/tLpt OF QUEENSBURy
Based on our Ii NG DEPART
with our mited MENT
f lidicatlog to ancPians shaanot ben com
NewYokSiate. withatheSgeciWidicationng sa oConstrued ns
Attention Home Ownei
Please assure you are familiar with the
Pool Enclosure requirements to
Your pool, We will be happy to explain
n
Requirements what R plain
You will have to
rneet N Per Appendix G Of the
State Residential Code,
c� QO Q
ry
NI
m
4
w
,
o �-
`i k
Q11. �t
BQ/tLpt OF QUEENSBURy
Based on our Ii NG DEPART
with our mited MENT
f lidicatlog to ancPians shaanot ben com
NewYokSiate. withatheSgeciWidicationng sa oConstrued ns
Attention Home Ownei
Please assure you are familiar with the
Pool Enclosure requirements to
Your pool, We will be happy to explain
n
Requirements what R plain
You will have to
rneet N Per Appendix G Of the
State Residential Code,
c� QO Q
ry
NI
m