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TOWN OF QUEENSBURY
F 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
rS
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150155 Application Number: A20150155
Tax Map No: 523400-279-019-0001-010-000-0000
Permission is hereby granted to: ROLAND MICHELL II
For property located at: 65 JENKINSVILLE Rd
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: ROLAND MICHELL II
SHIRLEY BESWICK MITCHELL In Ground Pool
65 JENKINSVILLE Rd Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2015-155
In-ground swimming pool to be constructed where pole barn previously existed(per permit BP 96-461 -pole
barn removed from parcel)
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 13, 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 the expiration date.)
Dated at the Tow eensb , •ay, May 13, 2015
SIGNED BY ' for the Town of Queensbury.
Director of Building&Code Enforcement
Town of QueensburyBu7di &C e Office Use Only
SWIMMING POOL PERMI KtatION tIap ID: -.29- &- /O
A permit must be obtained before b'g' mg construction j. 2U 5 erm� No.: ZoI D"' rJ5
TOWNOF
QUEENSBU' PermFee: $ d.
BUILDING &000EG Site PtanNariance No.:
1. Date: C
2. Tax Map ID: 2_79, 9 - I- 10
3. Pool Location Address: ,5 JEJ1 k'r\s\,l: 1IP Cd ,,os-
4.
,o
4. Zoning Classification: ��`
5. Site Plan Review,Variance or Subdivision Approvals (list) Nf ';
Q 1 � �� �e�\ �$. Phone: �3 ' 25 8 -�i'�,"'Y.
6. Property Owner: o p,(C (,.J rik� c, i 36 1_blc(6
Mailing Address: 6.5 S-t'NWrAS,,r:1.. CA
City: fi, t%) O\`.. t2-
7. Contractor's Name: SplzpiG-"L) c k F:45 Phone: rig/'1110
Mailing Address: 303 Q c,),,,k...4 Al
City: fcirT � w,Fo d
8. Contact Person for Building&Code Compliance: Akay Phone / t1'7`9 Z 70
ABOVE-GROUND OR INGROUND? ,LN Gt'(w n it
SIZE OF POOL: - 96/A 3.2/
MANUFACTURER: LI/prr-,.r.,� Poo 1
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. '7
Print Name: ROLA tA L.) M;tit-c•l\ —II
Signature: 'JCJ"CC^t ( �/t1vC^� Date 5#1
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
j 1-3
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: 61 10 �o b
NAME: M%rLvcj I
LOCATION: (o tr1SYt 1
PERMIT#: 2015 1
INSPECTED ON: Io I t e am/pm
tr€ve: /pm Depart:
am m
Insp c or's Initi
Above Ground: In-Ground:
Y N NA
Pool enclosure around
ool 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
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:
SAES
l3
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: 81, 12001_5
NAME: MItUrrA\ 1
LOCATION: 5 ki„lu,-Sv11,..,
PERMIT#: 1 5 -1515
INSPECTED ON: 8 41 2x15 am/pm
A rive: am/pm Depart:
:c" ? am r
Inspector's Initials:
‘,...,,,g)
Above Ground: In-Ground: i
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
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 ‘7
Gate opens outward, self
closing
_4. Padlock provided on
gates or ladder
Indoor pool all doors self
closing or alarmed per , /
AG 105.2 Item 9 V
Timer on pool pump (no
plug in timer allowed)
4 Final electrical
Vehicle access gate
closed &locked - /
Ok to issue C/C
COMMENTS: kix5 c4ok cAicsivtk
ej jz1:). RR-,
(COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-rrtrnbeirf►,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL.APPROVAL
15— `j`� Cert. N2 4 219 2 Cut-in Card No • •
• j Petmit No ,c
Owner ,l L.4 n/J �c l i tc.- �z 4 L ..
I1
.Location....?9 s./e;rt/Lc n S i..l.f-L......&.!� Q••5t G4rf.A3..Gt_G?.!.'.
•
Installation Consisting of.....02.........(.L�=-`+'a�?.....s.-Ci..t.tie.rt»t.,('?G egtat..�..r
i....14—? Leg.I.A..C— V 400.:0,.d.,1 q-- ..
Le ,rzi Lic.No.
Installed By... .QGa. g....
i The conditions following governed the issuance of this certificate,and any certificate previously issued is
•; • •
cancelled:-
This certificate only•covers the electrical equipment and installation conditions as of date. Upon the
1 • introduction of additional equipment or alterations,application shall be promptly made for inspection.
inspectors of this Company shalt have the privilege of making inspections at any time. and if its
•
...
,,
rules are violated,the Company shad have the right to re a this ct rtificate.
Date 7-27VA> INSPECTOR,.....eteg .,j1,�27' ,�sr���-�
•
.i c� Member N.F.P.A.,t.A.E.i.
Z0 39tid O�gWf1W NOi'I V8SI86L 0G:ZL SI0Z/LE/80
TOWN\ \
OF QUEENSBURT
..",.s, _s,,..7:,,i, ::::, -
146‘11:;fr "I°1 5.- ICC
BUILDING DEPARTME Bance --
Based on our limited examination,comp
i:______
with our comm plans s ebfica°Cod of
indicating the p pBuilding
full compliance with the �, r ,,
New York State. '
. A Ji �,�T T r �::
TOWN OF QUEENS BRZeminf;� in= rz
BUILDING & CODES !i".y. - _ ,3� ... . ..� i
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MAY 1 1 2015 1 inch = 200 feet
TOWN OF QUEENSBURY
BUILDING & CODES
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TOWN OF QUEENSBURY
BUILDING & CODES
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