2002-424 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5902 (518)761.8201
Community Development-Building&Codes (518)761.8256
nrDT
ktwIFICATE V'.r E
Permit Number, P20020414 Date Issued: Thursday, May 04,2006
This is to certify that work requested to be done as shown by Permit Number P20020424
has been completed.
Tax Map Number, 523400-295-007-0001-006-000.0000
Location: 1176 WEST MT, Rd
Owner, CARL&MICHELLE BORGH III
Applicant CARL&MICHELLE BORGH III
This structure maybe occupied as a:
Inground Pool
By Order of Town Board
TOWN OF QUEENSBURX
Issuance of this Certificate of Compliance DOES NOT relieve the
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,
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020424 Application Number: A20020424
Tax Map No: 523400-295-007-0001-006-000-0000
Permission is hereby granted to: CART,& MICHELLE BORGH IiI
For property located at: 1176 WEST MOUNTAIN 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 arid the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: CARL,&MICHELLE BORGH III
Inground
1176 WEST MT. Rd Total Vaall Pool
Total ue
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electridal Inspection Agency
ADIRONDACK POOLS
5 11011I,RVARD
OI JF,F,NSBI TRY_NY
Plans&Specifications
2002-424
INGROUND+POOL AS PER PLOT PLAN SPECIFICATIONS
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,May 28,2003
(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 thkTvwqof Quuesday,May 28,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
- sa
7T
TOWN OF Q EE SBURY
POOL.PERM APFLXrmTjj
11DR
FEE PAID,
OWNER'S-NAME _Rt 111 , ,y� � �. TEL.��o�.
LOCATION �tlt Y1
PERSON RESPONSIBLE FOR ME REVIREMBNTSs
ADDRESS L.
TYPE OF P60L - - in-» rour.�i - ,
S AMIft- ground
SIZE: Length=,J, ft. Width�ft. / Diameter_.ft. 1 Depth gift.
s
APPROXIMATE WATER CAPACITY � ,.:.......9a1 Tons.
MATERIALS :USED IN CONSTRUCTION: (circle one) .
Steeltvi�1 - Fiberglass:-- Gunite -- Pau-red Concrete -- Other
CONTRACTOR/INSTALLER ] NI 41" � �a
ADDRESS 'zL -ky yi "A
IC
IMPORTANT I?iSTRttCTrONS:
On a separate piece of paper, submit a diagram; drawn to, show:
PROPERTY LINES - EXISTING STRUMMES•- PftQ MED OR EKSTING SEPTIC SVS`d'EK -
LOCATION OF PROPOSED SiiIMING POOL.- Sbw all distances from lot lines to botb
the pool and the strvctures, as well as separations betwees.
APPLICATION FOR ELECTRICAL INSPECTION IS NECESSARY. A COPY OF THE APPLICATION
IS TO BE FILED WITH THIS OFFICE.
TMYS OFFICE IS TO BE NOTIFIED UPON COMPLETION OF CONSTRUCTION; INCLUDING
INS TALLATION OF FENCING. A FINAL INSPECTION WILL BE MADE BEFORE Us OF THE
POOL IS AUTHORIZED.
Signature of A ASSlicant: gaze: � � U
1" OVER
Pool �nspectic�n
Quccusbury Building � Code Enft3rcement
Of'ffce �To_ (518) 761-8256
742 I3ay Road, Queensbiiry, NY 12804
Date received:
LOCATIOI�T: �',��
PERMIT #:
�TSPECTED ON: __ am/priZ
Arrive: ariilpnZ Depart: a.irx/pnn
Inspector's Initials: t�
` Above Grourid: In-Ground:
Y N N/A
Pool enclosure around pc3o1
or and
4 feet above grade
2 inch rnaxirriunrn clearance
to grads from uriderside of
fence
4 inch rnaximzim cicarannce
irl fence iclkets -
'Wuli or Doors have self
closing device or alarms (30
second Alarm time)o
Ladder secured in place and
l atcl-ze d
Deck gate < 5 6" to latch no
iriorc than V/" spacing in
ate o erlin s
Gate open. outward, selfoo-
C o sir2
Padlock provided on gates
acid ladder
Indoor pool all doors self
closing or per
AG 105.2 Item 9
a-irrier on pool pump Cno
plLig in timer allc3wed
Final electrical
�eliicle access gate closed
04
� 1oc
k to issue ClC
IC7 k
c�
f'
Pool Inspection
Queensbury Building &-- Code Enforcement
Office NoW (518) 761-8256
742 13ay Road, Queensbury, NY 12.804
Date received:
rI�TSPECTED ON: � — �—f.3� am/�
Arrive: :: �p a �Depart:
Inspector's Initials:
NAME:
PERMIT #:
LOCATION: 2[t>e->
Abc>�cr� t�r-ounci : Isi-t,�rround�
Y N N/A
Pool enclosure around pool
or yarcl
4 feet above grade
2 inc-h maxirriurn cleararce
to grade from underside of
fence
4 inch maximum clearance
in fence j3icicots
Wall c r Doc>rs have self
closing device or alarr-ns (30 /r
second Alarm time) •
Ladder secured iri place and
1 atche d
Deck gate -cz::: 5 6" to latch no
more than /" spacing in
ato o eriin s Af
C ate opens outward, self
closing
Padlock provided on gates
or ladder
Indoor poc,l all doors self
closing or alarmed per
AG 105.2 Item. 9
Timer on pool pump (no
1�1.Lig in tirrier allowed
Final electrical
Vehicle access gate closed
8,-- Locked
Olc to issue C/CC
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC@
Main Office 176 Doc Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate, and any certificate previously issued is
cancelled,This certificate only avers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations, application shall be promptly Made for inspection.
inspectors of this Companyshall have the rivilege of making i ections at any time, and ,if its
p p
rules are violated, the Company shall have the right to rev a this ifM tea
DateMM. loMMM MOM, INSPECTOR Iliif fiMffflBill{I{{f#f.iMllll,#iNM{t11#/41M{.4!lM1OlivettiMae fiflfliil4l#MM#Mifl
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DEED REFERENCE:
MICHAEL & KATHLEEN WYKES
TO
MICHAEL W. WYKES
DATED FEBRUARY 23, 1978
IN BOOK 612 PACE 22
R.F.
013
S 8357'00,, E.
Op O 974.07'
4.79 AREA ACRES
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100.00' A/
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N 83*46 Do.
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LANDS OF
ANN C. & JOSEPH E. HOCKER, SR.
MAP OF A SURVEY MADE FOR
CARL 113ORGH
REVISED DECEMBER 2, 1999 TOWN OF QUEENSSURY WARREN N.Y.
TO SHOW NEW HOUSE LOCATION SCALE- 1"=100' OBER 4, 1991
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC VanDusen & Steves
LAND SURVEYORS,GLENS FALLS,NEW YORK
::P F. �R RPE FOUND
DO FOUND
SURVEY WAS PERFORMED WITHOUT THE BENEFIT STATE LIC. NO. 35617 I.R.S. ]RON ROD S:ET
OF AN ABSTRACT OF TITLE AND IS THEREFORE N.Y. R:F. IRON P
SUBJECT TO ANY CONDITIONS ONE MAY REVEAL, 74-1-36 REIASED OCTOBER 9.1991 MAP # 91286