2014-268 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
CL Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140268 Date Issued: Monday, September 15, 2014
This is to certify that work requested to be done as shown by Permit Number P20140268
has been completed.
Tax Map Number: 523400-315-010-0001-059-000-0000
Location: 20 APRES Cir
Owner: GIANNI SIMONE
Applicant: GIANNI SIMONE
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, Q)j
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 Bay Road,Queensburr,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140268 Application Number: A20140268
Tax Map No: 523400-315-010-0001-059-000-0000
Permission is hereby granted to: GIANNI SIMONE
For property located at: 20 APRES Cir
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: GIANNI SIMONE Inground Pool
20 APRES Cir Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
SPRAGUE POOLS
294 BROADWAY
FORT EDWARD.NY
Plans& Specifications
2014-268
POOL Inground 18' x 40'
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 02, 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 pf u sbury We S ay,July 02,2014
SIGNED B1. l /1 ' for the Town of Queensbury.
Director of Building& Code En cement
c� =" -yam— ,, ,,
Town of Queensbury Building & Codes
orae Use Only U
� 3i12014
�Rece�Ye,'d. _
SWIMMING POOL PERMIT APPLICATION " Tax Map ID:•-- 3 res , (o
A permit must be obtained before beginning constructionP; ^ND ANG&Cr�J`[r_a�g
nJ /
-Periiiit Fee: $ 7 5 V g
Site PlanNariance No.:
1. Date: C- •: > . 1 5'
2. Tax Map ID:
3. Pool Location Address: 20 .'4pr-e.s C:Ft k
4. Zoning Classification:
5. Site Plan Review,Variance or Subdivision Approvals(list)
6. Property Owner Ca r'4.,e r S;n444C Phone: St ?• 727 2;'77
Mailing Address: 2.Q '4prc' Ci'.24
City: S t�Y
7. Contractor's Name: rj prcn u- pots Phone: ci •7Y/- V 7(1
Mailing Address: o 3 rt,cwp.na sr,'
City r+- c e,,J(A . L '$2:6
8. Contact Person for Building&Code Compliance: ��,•rn/101 S1'Mo n.( Phone Si D 7 Z% 741V
ABOVE-GROUND OR INGROUND? T rwA a
SIZE OF POOL: 1 1)ck`0
MANUFACTURER: .,,y)p en�I j�GU IS
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl )C 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: • nn 144144
Signature: Date 2O - / c`
N /Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
Pool InspectionWA /- 3
Queensbury Building &Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: (Z1 CA.P�
LOCATION: Ro Ptpre.s C i r
PERMIT#: /'/-..) 14 $
INSPECTED ON: 9--/o-ti/ am/pm
rive: •m/pm Depart:
4P ..
Inspector's Initials:
Above Ground: , In-Ground: K
Y� N N/A_
Pool enclosure around Y/
pool or yard
4 feet above grade J
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)
` L Pool Surface Motion
WeAlarm
Ladder secured in place
fie
and latched
Deck gate<56" to latch /
no more than y " spacing v
in gate openings
Gate opens outward, self
closing
ck provided on
gate r ladder
oar pool all doors self
closing or alarmed per
AG 105.2 Item 9
Timer on pool pump (no y/
plug in timer allowed)
Final electrical
Vehicle access gate
closed &locked
Ok to issue C/C
COMMENTS: A6 Pelt AW. b
nr ar411 -`Y'C;
1-0 0.4111467 saw `R-
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WOOD 9P 0. g
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Please asst a you are familiar with the r ii F
f' "
Pool En ure requirements specific to k
Youuc�peel. a will be happy to explain � � �� PLOT PLAN
Of volptt Requirements you will have to
�,��`,� meet per Appendix G Of the I HAVE PERSONALLYRO MEASURED ES DISTANCETHE
�V1 I tow York State Residential Code. FRO • E PROPERTY LINES TO THE
PR• • ED ST;vp TURE(S)OR SIGN(S)
TOWN OF QUEENSBURYC` y`/
BUILDING & C C' 6 - sC�' E DATE
Reviewed By: - -
Date: 7er
i
MAP REFERENCE:
MAGNETIC 1999
PHASE 2
CERRONE WEST MT. ROAD SUBDIVISION
DATED: SEPTEMBER 2009
q LOT 20
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BY: VAN DUSEN & STEVES
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LOT
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LEGEND:
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169 Haviland Road Queensbury,
New York
12804
CN WS BEH19 TO ME nnE CWPANY. WKNNMENTAI
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Town of Queensbury, Warren County, New York
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(51$) 792-8474 New York
Lie. No.
50135
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DWG_ NO. 05026_2_23
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