2003-178 OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CE RTIFICATE OF PLI COM ANCE
Permit Number. P20030178 Date Issued: Tuesday, October 05, 2004
This is to certify that work requested to be done as shown by Permit Number P20030178
has been completed.
Tax Map Number. 523400-296-014-0001-051-000-0000
Location: . 62 COUNTRY CLUB Rd
Owner. ANTONIO & JANINE FUSCO JR
Applicant: ANTONIO & JANINE FUSCO JR
This structure maybe occupied as a:
By Order of Town Board.
Inground Pool TOWN OF QuEENSBVRY
C
s -
Director of Building&Code Enforcement
TOWN"OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902. (518)761-8201
ComrnunityDevelopment-;Building&.Codes (518) 161-8256 -
BUILDING PERMIT
Permit Number: P20030178 Application Number: A2003017.8
Tax Map No: 523400-296-014-0001-05 1-000-0000
Permission is hereby granted to: .ANTONIO & JANINF FIJSCn JR
For property located at: 62 COUNTRY CLUB 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: ANTONIO & JANINE.FUSCO JR
62 COUNTRY CLUB Rd I Total
o Val
Pool
tal Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-178 .
INGROUND POOL AS PER PLOT PLAN SPECIFICATIONS
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 17,2004
(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 Queensbury; Thursday,April 17,2003
SIGNED BY for the Town of Queensbury.
Director of Buildin ^odnforcement
WWI 1
Building& Codes Office swimming P001 �ozcsu�72a.
Town of Queensbury
742 Bay Road Permit Application �Iee Pau d
Queensbury,NY 12804
(518) 761-8256
1. Applicant: ®/�y ! �-S Owner: �i9-yh
Address: 2 (' ,�y�zy C� Address:
Phone No. 2(4/6 Phone No. !!5'
2. Person responsible for code requirements: / oe.�-,
3. Contractor/Installer os c
Address
j4j)!2bN Poo Z- P
Phone No. 'rIV
ED
4. Pool Location Address: 02� w.., t ,.� r� r A PR 1 2003
5. Tax Map Number: o2g(o , /j-/ - 5"/ TOWN OF QUEEN..
B UAY
UILDING
AN®CJDB
6. Type of Pool: above-ground pool / in-ground pool
7. Size of Pool: length 45t ft. diameter ft.
width ,XQ ft. depth - .2
8. Approximate Water Capacity 3570c>D gallons
9. Materials used in construction(circle below)
� 'Po vinyl Fiberglas Gunite (Poured Other .
10. Submit a diagram; drawn to show property lines, existing structures,proposed or existing septic
system, location of proposed swimming pool. Show all setback distances from property lines to
both the pool and the structures, as well as separations between them.
An electrical inspection is necessary before the Certificate of Compliance is issued.
See attached sheet for electrical inspectors.
The Building and Codes Office needs to be notified upon completion of construction; including
installation of fencing. A final inspection will be made before use of the pool is authorized.
Applicant Signatur Date: o
Owner Signature: Date:
(if different from applicant name)
20 ft.rear setback
loft.min.
pool '
side setback 10 ft.minimum side setback
no required distance between declAouse to pool
deck
garage
House
..........Road Name..........
t
Pool inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received: 0 G
NAME: eO �C!$GO
LOCATION:
PERMIT#: a(5b 3 m % 77
INSPECTED ON: 114eD 1 o 5 GV am/pm
Arrive: <L am/� De art: ain/pm
Inspector's Initials: ` Y
Above Ground: In-Ground:
tw—
Y let 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
r
in fence pickets
Wall or Doors have self
closing device or alarms (30
second Alarm time)
Ladder secured in place and
latched
Deck gate < 56" to latch no
more than ''/z" spacing in
ate openings
Gate open outward, self
closing
Padlock provided on gates
and ladder
Indoor pool all doors self
closing or alarmed per
AG105.2 Item 9
Timer on pool pump (no
lug in timer allowed)
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL ?
Permit No........................................Cert. N 2 8 O 3 9 2 Cut-in Card No...................................,
Owner..........r ' ........��..�/...........G��.................................................................................................................
Location.......T 2. geu-v� 07"It �•
........................ ... ........................................................................... ................ ..,.,.,,./.�...
Installation Consisting of.p......{: `� �
...........................................................................................................................................................................-.:...
..................................................................................................................................................................................
Installed B ...................................................Lic.No...................................
y................. ..................
The conditions following governed the issuance of this certificate,and any certificate previously issued i
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon th
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making i ections at any time, and if it
rules are violated,the Company shall have the right to ke thi c ti cate.
Q
Date.U..�1:....�..�?................... INSPECTOR..................... ...................................................................
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RECEIVE®
APR 11 z003
TOWN OF QUEENSBURY
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