1999-433 BUILDING PERMIT
VALUE : .$ ;0...: _TOWN OF QUEENSB,URY No, 99433
TAX MAP NO. 74 . —2-2 WARREN COUNTY, NEW YORK
;7CI CO' 3 7
PERMISSION is hereby granted to BURNHAM, DONALD & KELLY
OWNER of property located at 14 LOREN DR. Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a. ABOVE GROUND POOL
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNERS Address is
14 LOREN DR.
QUEENSBURY, NY: 12804
2. CONTRACTOR or BUILDERS Name
WELLS., MORRIS
3. CONTRACTOR or BUILDERS Address
,HARTFORD/FT..ANN
4. ARCHITECTS Name
NEW YORK BOARD
5. 'ARCHITECTS Address '
NEW.., YORK..,BOARD OF. FIRE.. UNDERWRITERS'
6. TYPE of Construction—(Please indicate by X)
POOL
( 1 Wood Frame ( )Masonry ( .)Steel ( )
7. PLANS and Specifications
ABOVEloGROUND- POOL. AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use -
ABOVE GROUND. POOL
25 July. 16:: . 19 2001
$ PERMIT FEE PAID—THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
16 -. . _ July.. ' - 19 '- 1999.
Dated at the Town of Queensbury this Day of
SIGNED BY for the Town of Queensbury
uilding and Zoning Inspector
9(i-9TOWN
OF QUEENSBURY ��
d R at Haviland Bay a , Queensbury, NY 12804-9725-518-79 -2 5832
SWIMMING POOL PERMIT APPLICATION
1 3 ���� FEE PAID(:)?
JUL
OWNER'S NAME 20 LtG,/q/ A Bi/Pki *OF QUEENSBURY TEL. 6-17) 7Y3 • /FF�
LOCATION 8 4444,l BUtLuuvo P���� COCE
PERSON RESPONSIBLE FOR CODE REQUIREMENTS: 3'c 14
ADDRESS TEL.
TYPE OF POOL - - in-ground K above- ground
SIZE: Length ft. / Width ft. / Diameter d7 ft. / Depth li9 ft.
APPROXIMATE WATER CAPACITY /7,e o o gallons.
MATERIALS USED IN CONSTRUCTION: (circle one)
teel/vinyl -- Fiberglass -- Gunite -- Poured Concrete -- Other
CONTRACTOR/INSTALLER Md4Riss WGIfr TEL. &S1. (AO
ADDRESS ff Ainy , �(,1 f ( AQU6t Wooc/j 7q1 if-tea 1 cC
IMPORTANT INSTRUCTIONS:
On a separate piece of paper, submit a diagram; drawn to show:
PROPERTY LINES - EXISTING STRUCTURES - PROPOSED OR EXISTING SEPTIC SYSTEM -
LOCATION OF PROPOSED SWIMMING POOL - Show all distances from lot lines to both
the pool 'and the structures, as well as separations between.
APPLICATION FOR ELECTRICAL INSPECTION IS NECESSARY. A COPY OF THE APPLICATION
IS TO BE FILED WITH THIS OFFICE.
THIS OFFICE IS TO BE NOTIFIED UPON COMPLETION OF CONSTRUCTION; INCLUDING
INSTALLATION OF FENCING. A FINAL INSPECTION WILL BE MADE BEFORE USE OF THE
POOL IS AUTHORIZED.
Signature of Applicant: AlfeeZe Date: . 7/3 h g.
I
OVER
/ TOWN OF QUEENSBURY
+' A tika_1111.,' BUILDING & CODE ENFORCEMENT
r��°. ` 742 BAY ROAD
;Y QUEENSBURY NY 12804
( (518) 761-8256
ARRIVE: DEPART: ` INSP: "1
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION EQUEST RECEIVED:
NAME 0 - (1Ret) --
LOCATION /
DATE el/ 3 I 4 -1 PERMIT # �/�`� 131
TYPE OF STRUCTURE Pf (JZ.)-(_.-
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION
FINAL ELECTRICAL WOOUSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPr TING
INTERIOR TRIM-/s•RIV• Y DOORS
FINISH FLOORS:
BATH/KITCHEN :ATERTIGHT
OTHER FLOO•. SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR 0
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