2013-371 TOWN OF QUEENSBURY
a
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
i
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20130371 Date Issued: Wednesday, August 06, 2014
This is to certify that work requested to be done as shown by Permit Number P20130371
has been completed.
Tax Map Number: 523400-308-006-0002-012-000-0000
Location: 22 CHARLTON Ln
Owner: RONALD G NOLAN
Applicant: RONALD G NOLAN
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, "A)�
Variance, or other issues and conditions as a result of approvals by the Director of Building&Coe ement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
3a742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130371 Application Number: A20130371
Tax Map No: 523400-308-006-0002-012-000-0000
Permission is hereby granted to: RONALD G NOLAN
For property located at: 22 CHARLTON Ln
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: RONALD G NOLAN Inground Pool
22 CHARLTON Ln Total Value
QUEENSBURY NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-371
POOL inground 33'x 20'
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,August 12,2014
(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 of Qu u y, 4 ' t1'. gust 12,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
Rewed:puu 0 a 2013
�
SWIMMING POOL PERMIT APPLICATION Tax Map ID: 308 .10-&'1a
A permit must be obtained before beginning construction Permit No.: 1��J-3 17
Pent Fee: $ 'J gb'6`y
j� l �7 Site PlanNariance No.:
1. Date: TI09 ficS g' a013
2. Tax Map ID: 338.. (-a- )
3. Pool Location Address: ail Char tiro Lane
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list) 11.'I
6. Property Owner V(')(10...0V(')(10...0 'l. NQl1l1 Phone: IRe-7`1i-044a
Mailing Address: as Gnkrieh n `Gtitt
City: &lu2S2.7.flb r KJ la&74
7. Contractor's Name: Kiat 1P/0 ?OO',CO/i f-60 Phone: Ng'aaa-7la$'
Mailing Address: )(f) L.I)i II Olt) Sh-ed
City: Snk1l-irr (j frnt Fails) Ail/ It a.^,803 �/
8. Contact Person for Building&Code Compliance: ?1onCL)d 4 )lUJ1r i it SI g—7 1-D7 qoZ
ABOVE-GROUND OR INGROUND? \ YA�'(2}U
SIZE OF POOL: 33 x a o r
MANUFACTURER: �P
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: nm )cl
Signature: �i---- Date . o C)0k3
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
VACRia-
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: OD) _n
LOCATION: (►�
PERMIT#: I ,3 /
INSPECTED ON: isp cf—i y am/pm
Arri am/pm Depart:
am/pm
e t i
/
- s lnitlals:
Above Ground: In-Ground:
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) v,
Pool Surface Motion
Alarm
Ladder secured in place
and latched
Deck gate <56" to latch
no more than 1" spacing
in gate openings
Gate opens outward, self
closing
Padlock provided on
gates or ladder !!Y//
•
Indoor pool all doors self
closing or alarmed per
AG1 .2Item p
Timer
on pool pool pump (no `v/J
plug in timer allowed)
Final electrical
Vehicle
e access gate
closed & locked
Ok to issue C/C
COMMENTS:
4
a ttcntion Homs Owner' TOWN OF QUEENSBURY
Please assure you are familiar with the limited
BUILDING DEPARTMENT
compliance
Based on our limited exaamimination,compliance
11 Pool Enclosure requirements sped _ a with our comments shall not be construed as
indicating the plans and specifications are in
Your pool. We will be happy to : plain u -t • with the Building Codes of
what Requirements you will -ave to New York State. 1
meet per Appendix G !,f the
flaw 'for!: State i. airr ,tial Code., T, ( N OF QUEE 6.
WILDING & COIE D t T.
t DSc Reviewe
Date:
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