2014-058 , " TOWN OF QUEENSBURY
via742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building Sc Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140058 Date Issued: Friday, July 11, 2014
This is to certify that work requested to be done as shown by Permit Number P20140058
has been completed.
Tax Map Number: 523400-300-016-0001-009-001-0000
Location: 232 FULLER Rd
Owner: THOMAS & HEATHER LAPHAM
Applicant: THOMAS & HEATHER LAPHAM
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,
Variance, or other issues and conditions as a result of approvals by the Directo of nt ging e2 Coe ement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140058 Application Number: A20140058
Tax Map No: 523400-300-016-0001-009-001-0000
Permission is hereby granted to: THOMAS & HEATHER LAPHAM
For property located at: 232 FULLER 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: THOMAS & HEATHER LAPHAM Inground Pool
232 FULLER Rd Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
POOLS PLUS
104 MAIN St
OUEENSBURY.NY 12804
Plans&Specifications
2014-058
Inground Pool 20' x 40'
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,March 31,2015
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbu before the e iration date.)
Dated at the To of Q b ; :�/ , arch 31,2014
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only 4
Received: '
SWIMMING POOL PERMIT APPLICATION Tax Map ID: Vit 11 21114
A permit must be obtained before beginning construction permit No.: I y— 05 8 t
Permit Fee: $ /75 -
Site PlanNariance No.:
1. Date: 3/////y
2. Tax Map ID: Q,/6 - / 9- /
3. Pool Location Address: R32 / ct$i2 AP
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: --4M f' 14-4%/'?fl Milli Phone: 792-1a08
Mailing Address: a 32. Rt'L.LE"R At>t 93,7-33b5 ea/
City: t�r2,ELA/S/3t.[(Zt// ,44/ •
7. Contractor's Name: PM& j3AgL W (ats PAuSl Phone:
Mailing Address: .41/1/At -SLS /
City: 9UCtAJS,31,0U , /yd
8. Contact Person for Building&Code Compliance: 11/4 LAthen'l Phone 131-3365"
ABOVE-GROUND OR INGROUND? .. 1/4RQL1Mp
SIZE OF POOL: oZe Ir '-/Q
MANUFACTURER:
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
Steel/Vinyl it Fiberglass_ Gun to 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: /ow Lf7®!/f7M
Signature: </v7 44, Date ,/,/,/%17,
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
Pool Inspection
Queensbury Building & Code Enforcement
bo Office No. (518) 761-8256
,0 742 Bay Road, Queensbury, NY 12804
9
Date eceived:
I er
NAMEQ/O 0.M
LOCATION: a a 3 a railer Roi
rPERMIT#: ! "l-0521
INSPECTED ON: 7 -/f-pi am/pm
%tdFk)am/pm Depart:
__
Above Ground: In-Ground: X
Y „ N N/A
Pool enclosure around V/
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 v V` /
(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 pate openings
Gate opens outward, self
closing
Padlock provided on
gates or ladder
Indoor pool all doors self
closing or alarmed per
AG105.2Item 9
Timer on pool pump (no
plug in timer allowed)
Final electrical
Vehicle
e access gate
closed & locked4,7
Ok to issue C/C ,1Y/
COMMENTS
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