2014-180 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140180 Date Issued: Friday, September 05, 2014
This is to certify that work requested to be done as shown by Permit Number P20140180
has been completed.
Tax Map Number: 523400-302-017-0001-006-000-0000
Location: 29 ARBUTUS Dr
Owner: CHARLES & TAMMY ALBRECHT
Applicant: CHARLES & TAMMY ALBRECHT
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 4/
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.
aTOWN OF QUEENSBURY
` e 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140180 Application Number. A20140180
Tax Map No: 523400-302-017-0001-006-000-0000
Permission is hereby granted to: CHARLES & TAMMY ALBRECHT
For property located at: 29 ARBUTUS 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: CHARLES & TAMMY ALBRECHT Inground Pool
29 ARBUTUS Dr Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans& Specifications
2014-180
POOL Inground 16'x 32'
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 21,2015
(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 of Que `
j dil Wu. 1 • , ay 21,2014
SIGNED BY \ for the Town of Queensbury.
Director of Building& Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received:
13 2014
SWIMMING POOL PERMIT APPLICATION Tax Map ID: 30 a /-(p
A permit must be obtained before beginning construction Permit No.: b<1.- f SO
Permit Fee: $ 7o 01,//
Site PlanNariance No.:
1. Date: 5 - �� _ ( q
2. Tax Map ID:
rr l
3. Pool Location Address: Z�l r� «,`1 wt)„ ,„).L., (2GY
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
\`_
6. Property Owner: C+V �k � k`i""'o"�` .A\J C(Li Phone:
Mailing Address: '0/0\ %A-:)
City: CAke U,s 7 , �( E -Leo-
7.
8o-7. Contractor's Name: 1 0A\-et i)OZAS.
<<4 p L.LC Phone: ZZZ�� Ci 7
Mailing Address: ; 5
City: S• GA-t--,s r \S 8
8. Contact Person for Building&Code Compliance: Lft Phone 22?-6 D7
ABOVE-GROUND OR INGROUND? -L�i�;i 0LA..44
SIZE OF POOL: /6 C
MANUFACTURER: 1—S�r�� ice"' - -•���'" =�+��1
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl X 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: \mss �✓ "c�`"'
Signature: ` Date
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
e--q ,
� -y
Pool Inspection �--
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
I� 742 Bay Road, Queensbury, NY 12804
10 Date received:
NAME: Pr 1 J p (Jh 't"
LOCATION: .2 74r j c,e:1-U S
PERMIT#: %4/ .-/ ')
vl
AJ INSPECTED ON: 9--5:14 am/pm
• rive:ci A4 0= /pm Depart:
.t \• a ..�'11
In pector's Init a s: ° tl
Above Ground; In-Ground: V
Y , N N/A
Pool enclosure around
pool or yard N
4 feet above grade ✓
2 inch maximum
clearance to grade from
underside of fence
Q 4 inch maximum
I.
clearance in fence
i, pickets
Wall or Doors have self
c1 closing device or alarms 7
(30 second Alarm time)
Pool Surface Motion
Alarm
Ladder secured in place Vj
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 V
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 V
Ok to issue C/C 1
COMMENTS: 7
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PROPOSED 1 cfbWN OF QUEENSBURY
BUILDING DEPARTMENT •
HOUSE - Based ,n our limited examination,compliance
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PR. " '. STRUCTURE(S)OR SIGN(S)
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