2015-170 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
CL Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150170 Date Issued: Monday, August 15, 2016
This is to certify that work requested to be done as shown by Permit Number P20150170
has been completed.
Tax Map Number: 523400-301-013-0002-050-000-0000
Location: 17 ALGONQUIN Dr
Owner: LORI STILES
Applicant: LORI STILES
This structure may be occupigW& LORI PITCHERALLE
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,
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
IVO
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150170 Application Number: A20150170
Tax Map No: 523400-301-013-0002-050-000-0000
Permission is hereby granted to: LORI STILES
For property located at: 17 ALGONQUIN 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: LORI STILES Above Ground Pool
17 ALGONQUIN Dr Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-170
above-ground pool
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 20,2016
(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 Town of Queensbury; Wednesday, May 20, 2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID: 4.13-o2-5-6
A permit must be obtained before beginning construction Permit No.: 2,0450- 130
00 1
Permit Fee: $ (SIX-
Site PlanNariance No.:
1. Date: /S, 3015
2. Tax Map ID: 341 I3-a"S
3. Pool Location Address: 7 A-bon d` ^ ^d oil4tai
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: "o�� (�• �l iAc k (SA nit) Phone: 05-3 cam!(
Mailing Address: /7 14r—p r,y c ,.. b f,2 . 5-(41 51-,) .i ; 3 a(
City: a,..-et",s 6�u, (� ()40`f'
i
7. Contractor's Name: 7�' F Phone: 4'1-
Mailing
'Mailing Address:
City:
8. Contact Person for Building&Code Compliance: )C'L-F Phone
ABOVE-GROUND OR INGROUND? / z'vE-L/�w
SIZE OF POOL: 7 t �,,r�,,.��4z3`F 4-04"-
MANUFACTURER:
-A"MANUFACTURER: 5 44.e (44CADe
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel/Vinyl / 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: 04—c \`�
Signature: �• z _ _ _-� j Date S /5
Name/Title '
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
'M0h. 8)IS
8 -10
Pool lnspecflon
Queensbury Building &Code Enforcement
Office No. (5 18) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: g)I 0 Zfll b
NAME: P1 �'12XL�CJ
LOCATION:�_"�� Al�er�;l�jr�
PERMIT#: �Lt?_1''1'0
INSPECTED ON: 8 lt5l 110 am/pm
ive: _am/pm Depart:
pm
Inspector's Initials:
Above Ground: _ In-Ground:
Y N N/A
Pool enclosure around
pool or yard
4 feet above rade
2 inch maximum
clearance to grade from
underside of fence
4 inch maximum
clearance in fence
ickets
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
plugin timer allowed
Final electrical
Vehicle access gate
closed &locked
Ok to Issue C/C
COMMENTS:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. 15- -i-1 i
1 O Cert. N.9. 28724 Cut-in Card No.
Owner
Location....� 011...1..? A/0.444Ai
Installation Consisting of 4-45077 .t) 'Pep(—
I a..)//L?Jt16 111f ri121)1.J
Installed By /`114- -444' Lic.No.
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
introduction of additional equipment or alterations,application shall be prom qtly made for inspection.
Inspectors of this Company shall have the privilege of aking in4 l ns at any time, an if its
rules are violated,the Company shall have the right to r o i :'tate.
6-(f-is-Date INSPECTOR
Member N.F.P.A.,1.A.E.I.