2014-116 SO. TOWN OF QUEENSBURY
WO742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140116 Date Issued: Wednesday, August 06, 2014
This is to certify that work requested to be done as shown by Permit Number P20140116
has been completed.
Tax Map Number: 523400-295-010-0001-029-000-0000
Location: 1069 WEST MT. Rd
Owner: MICHAEL & DARLENE HAYES
Applicant: MICHAEL & DARLENE HAYES
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 C /
property owner of the responsibility for compliance with Site Plan, 4
Variance, or other issues and conditions as a result of approvals by the Director of Building&Co a Enforcement
Planning Board or Zoning Board of Appeals.
j� TOWN OF QUEENSBURY
` a 742 Bay Road,Queensbury,NY 12804-5902 (518)767-8207
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140116 Application Number: A20140116
Tax Map No: 523400-295-010-0001-029-000-0000
Permission is hereby granted to: MICHAEL& DARLENE HAYES
For property located at 1069 WEST MT. 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: MICHAEL& DARLENE HAYES Inground Pool
1069 WEST MT. Rd Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
CONCORD POOLS
587-4949
156 SPARROWBUSH Rd
LATHAM NY 12110-0000
Plans&Specifications
2014-116 Area Variance for placement of a pool in a yard other than the required rear yard.
Inground Pool - 29' x 36'
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 03,2015
(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 uee bury eue • y,=une 03,2014
SIGNED BY for the Town of Queensbury.
Si i
Director of Building&Code Enforcement
w
rc:iq 111
Town of Queensbury Building & Codes
III
ece.xM 1 ived: 5 1
SWIMMING POOL PERMIT APPLICATION
A permit must be obtained before beginning construction , . QUE BURY , - 1 (,p
ReeiNG :;CO'
I e PlanNariance No.:
1. Date: LOIN
2. Tax Map ID: 523yW -Pt.S O(O-000/ 'Q 5 -Coo -o000
3. Pool Location Address: 10(/9 War I4 L7/IfG/4 rdI
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner: di -. ' lea .'s 6 L ti Phone:
119.5"61/ S(0-((!7( i
Mailing Address: /0(6/ W€S r A0,/,m k')
I City: nveo43hQy EV /aefay
7. Contractor's Name: (oncbrc Pa)/s- Phone: 78-3-317( coo-/e
Mailing Address: /770 Sforrai6vshi eco pGth neat
City: 4Uh4'n /l// x � A6)/21/0 ,/ l //
8. Contact Person for Building&Code Compliance: /ttl 65 �GrS Phone 1 5.61 P(-q/*
ABOVE-GROUND OR INGROUND? .z��)J41
SIZE OF POOL: a 7 K 36
MANUFACTURER: Rc-r RC.
MATERIALSUSED IN CONSTRUCTION (CHECK ALL THAT APPLY): ��!!
Steel/Vinyl Fiberglass DE Gunite_ Poured Concrete DC 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: "r delete( faa`/'c3
Signature: 7,4//7----- 'r WM/� Date 3ØV
e/Ti
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
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al
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
s
Date received:
C. gni�j�Kt
NAME: T7`x eS
• LOCATION: ✓1tXo 9 W n Rd
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PERMIT#: /9—IIto
INSPECTED ON: P4,�\�r am/pm
• A rive' am/pm Depart:
am/pm
In e o 's Initials
kr
dAbove Ground: In-Ground: f/�
Y/ N - N/A
U Pool enclosure around V/
pool or yard
4 feet above grade
2 inch maximum
clearance to grade from
underside of fence
4 inch maximum
in fencepi
ts
Wall orWall or Doors have self
closing device or alarms
(30 second Alarm time)
Pool Surface MotionAlarm_clearance
adder secured in place
and latched
Deck gate < 56" to latch
o more than 'h" spacing
n gate openingsGate opens outward, self Blocadlock provided onates or ladder
door pool all doors self
losing or alarmed per
mer on pool pump (no
lug in timer allowed) /
Final electrical �/
Vehicle access gate
closed & locked
Ok to issue C/C
COMMENTS: