2015-368 Adfflbhk TOWN OF QUEENSBURY
ME 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150368-42222 Date Issued: Tuesday, August 23, 2016
This is to certify that work requested to be done as shown by Permit Number P20150368-42222
has been completed.
Tax Map Number: 308.7-1-10
Location: 4 EVANNA DR
Owner: Anne Herrington,SHANE HERRINGTON
Applicant: SHANE HERRINGTON
This structure may be occupied as a: Inground 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, /d 1
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 BayRoad,Queensbury,NY 12804-5902
Q ry, (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150368 Application Number: A20150368
Tax Map No: 523400-308-007-0001-010-000-0000
Permission is hereby granted to: SHANE&ANNE HERRINGTON
For property located at: 4 EVANNA 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: SHANE&ANNE HERRINGTON
4 EVANNA Dr In Ground Pool
Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
POOLS PLUS
45 MAIN
NY 12804-0000
Plans&Specifications
2015-368
inground pool
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 17,2016
(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 T n of een ry,/ o r�;a August 17,2015
fAir
SIGNED BY .' for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
Received:
SWIMMING POOL PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction Permit No.: 'Z.Ot� 3b,
� �
Permit Fee: $ 5 14 116`5
Site PlanNariance No.:
1. Date: $ I 1 1 `�v i '� _
2. Tax Map ID: 361%. -") - I - ( (� VECEOWEI5
3. Pool Location Address: M u�k.)Iv v c C),,2 AUG 17 2015 L-9
4. Zoning Classification: TOWN FO QUEENSBURY
BUILDING&CODES
S
5. Site Plan Review, Variance or Subdivision Approvals(list)
6. Property Owner: 4'o- c NN.‘" e' e-tre.)( 'W) Phone: 513-7tol-31 gy'
Mailing Address: ' vt- �rz
City: ( v�.v PS umiak *-''-1 t u
7. Contractor's Name: 01 S -ALAS- b0*./ 1 If> avr --6--) Phone: .1."t- 1 - ' 9
Mailing Address: 4'S (Y -1* Sr,
City: a t) Ny
8. Contact Person for Building&Code Compliance: T.)GtU‘D 0,-,rPhone` 43-gge1
ABOVE-GROUND OR INGROUND? 11.1 4
.IZE OF POOL: Sb X 31
ANUFACTURER: \ rt 0 Roo k
ATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
eel/Vinyl Fiberglass Gunite Poured Concrete Other
laration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application,
s, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in
•rdance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I
owledge that I have read the application &plot plan requirements and I or my agents will obtain a certificate of occupancy before use
Wool. ft-
NAA
am,, / K: ��" Date 5S1 I-1 I
�e I Title
.Codes Swimming Pool Permit 518-761-8256
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: 3
NAME: V5 NA
LOCATION: %s P-N N
PERMIT#: Z�IS-
INSPECTED ON: am/pm
Arrive; '- '-') am m Depart:
m
Inspector's tials:
Above Ground: In-Ground:
Y N NA
Pool enclosure around
col or yard
4 feet above rade ti
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 V/
30 second Alarm time
Pool Surface Motion
Aiarm ✓
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
Ates 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: