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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 9 19 90
3w-, 90-216
This is to certify that work requested to be done as shown by Permit No.
has been completed.
in—ground Pool
This structure may be occupied as a
_: Location 24 Maple Drive
John F, Bo .es
Owner
By Order Town Board
TOWN OF QUEENSBURY
‘Q/ /47 7::
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Director of. Bldg. do Code Enforcement
BUILDING PERMIT 1-3
TOWN OF QUEENSBURY
No. 90-216
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to JOHN F. BOLLES
cn
OWNER of property located at 24 Maple Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a In-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.
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1. OWNER'S Address is L~
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same Cd'
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2. CONTRACTOR or BUILDER'S Name �y
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Adirondack Pools & Service
3. CONTRACTOR or BUILDER'S Address
ND
5 Boulevard
Glens Falls NY 12801
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4. ARCHITECT'S Name 'D
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5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications
No. 32'x16' In ground Pool as per plot plan and specifications and application. . o
8. Proposed Use
In ground Pool
35.00 90
PERMIT FEE PAID —THIS PERMIT EXPIRES October 27 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this .. 7th Day of April 19 90
SIGNED BY / �j(�' for the Town of Queensbury
Buittting and Zoning spector
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TOWN OF QUEENSBURY
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Bay at Haviland Road, Queensbury; NY 12804-9725-518-792-5832. ,
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APR
SWIMMING POOL PERMIT APPLICATION �. % GODS DEpTo
gLD
FEE PAID
OWNER'S NAME Toti,j P Bolles - TEL. '7.48 -I R 5
LOCATION 24 /"li PLC Diewe
TYPE OF POOL - - ✓ in-ground above- ground
SIZE: Length 32 ft. / Width !(, ft. / Diameter ft. / Depth s-c9 ft.
APPROXIMATE WATER CAPACITY Z Z, Soo gallons.
MATERIALS USED IN CONSTRUCTION (circle one) .
6i-eel/vinjil)-- Fibreglass --Gunite -- Poured Concrete -- Other
CONTRACTOR/INSTALLER Ad 120.Jo4cc. 1;?oo ..s 0ce TEL.
ADDRESS 6- 50(3Lei/e42D 61,edos , Ny I Z8o I
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: Date: 26-16
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,
Section 7.074 Accessory Structures and Uses.
4. Private Swimming Pools. Private swimming pools, permanent and portable,
which shall be accessory to a principal , non-commercial dwelling use
shall be regulated as follows: except that these regulations shall
not apply to portable swimming pools which shall be not more than
three (3) feet in height nor more than fifteen (15) feet in length.
a) May be erected only on the same lot as the principal structure.
b) May be erected only in the rear yard of such structure and shall
be of a distance not less than twenty (20) feet from the rear
lot lines or buffer zone where appropriate nor less than ten (10)
;feet from the side lot line, or buffer zone where appropriate
principal structure or attached or detached accessory structure.
c) Such use shall not adversely affect the character of the
neighborhood.
d) All private swimming pools shall be enclosed by a permanent fence
of durable material at least four (4) feet in height.
e) In the case where a lot fronts on two (2) or more public
rights-of-way, a private swimming pool shall be erected only on
that portion of the said lot that is directly adjacent to that
side of the principal building which is directly opposite the
architectural main entrance of said building and the neighboring
side lot line. In no case 'shaTT the •pool be any nearer to the
lot lines abutting any public right-of-way than the required front
setback for the. principal•' building of the .zoning district 'in which
it is located.
Furthermore, the pool shall be screened from the view of the public
right-of-way and the neighboring property by means of landscaping.
(See "Landscaping")
FEES:
$25 Fee for Above Ground Swimming Pool
$35 Fee for In-Ground Swimming Pool
NOTE: ALL POOL PERMIT APPLICATIONS MUST STATE MATERIAL TO BE USED.
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
�' 6 .
National Headquarters
900 Haddon Ave., Collingswood, NJ. 08108
APPLICANT COMPLETES y
TH((II'SS�SECTION 11 Date: ,ter' `-
City, Town or Township `, ; Li '. ,.. yt i r" County U J C' 4. r`� to Ar k
Location/Address (� Li 7 j i C% 0�,
�_� r (If Located In Rural Area - Please Attach Directions) Pole # (L�
Owner <} t, .n /t)t, � 1C-
Permit #
Occupied As ` ` t Building: Newl I Old
Occupant
.' Work Area in Building (Floor #, etc.):
App. for: Wiring Service n or: Ready for Inspection:
Fee Remitted-$ Cash n Check n M.O. n Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches
Lighting Amp. Service Surface Unit Dishwasher Range
Water Heater Air Conditioner Dryer Pump
Receptacles__ -- _
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size i
Applicant's
Signature ! License # - - Permit #
T/A /C; + ✓.4 /9_-:i Utility:
Applicant's Address: f ei " I (NAME) (OFFICE LOCATION)
(City) 'u.s S , , .r 7 (State) i\/ T /,
(Zip) .}ley Service Request #
Phone # Electrician:
MDIA USE ONLY DATE RECEIVED: g - C i. DATE INSPECTED: c— R--- 7' CJ
Correct Location: Same as Above n or:
Red Notice Label n
Rough Wiring Outlets Surface Unit Oven
/ Switches Range Garbage Disposal
/ Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle
Amp. Service Conductors / Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size '
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
1
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID
•
DR Progress: Inc.n LKD❑ Contractor 1/6
FT Violation: Work Comp.❑ Inc. ❑
I I L/A Owner CASH n
L/A Fee CHK #
Due MO #
1 IPA Municipal
INV #
Applicant ❑
Date: Other Side❑ Utility ❑
Owner
Cut in Card n Temp # Date ') p1 r
1 J1f
!f 1 .i7��'� ,,�� �
Final # Date INSP`LCTORS SIGNATURE
;`.
APPLICATION FORM NO.250 EL4/89
•
• YOU ARE HEREBY•REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
•
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP.# ' DATE �./U C:1,, -
—r
CITY OR VILLAGE TOWNSHIP COUNTY
STREET AND NO.OR ROAD POLE NUMBER
2 -J PI.n p fr biz 1 1 V C � � v o,. s ray a r./ l��i I-- V/u f,
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
•
OCCUPANTS NAME BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS - _ HOME TELEPHONE NUMBER
ob,) F 1 ..1(rs 2 H/1e LC' D . G).J;' rJ�PjuA/ !\.('/
CURRENT SUPPLIED BY FROM THEIR OFFICE r WORK TELEPHONE NUMBER
BUILDING IS
NEW❑ OLD❑ WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MUIORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB-
, BASE
•
BASE-
MENT
1st
FL.
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
•
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST DENT ENTER APPLICANTS
N
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLICANT - DATE O APPLICATION SIGNATURE OF APPLICANT
J OL,,ft F '601 s 4l /26/(jo X
STREET ADDRESS - TELEPHONE NO.
Z-! f`JAlle 1)T tut . _ (%;?- 1 r/
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
❑ 85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEWS PORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
THE NEW YQRK UQAR,Q QF FIRE UNDERWRITERS
VJM ��- .,,.. Wcmet� VJ�V J laT V 1*ve.rMVJgPvre./ lii1 G
MIDDLE DEPARTMENT,INSPECTION AGENCY, INC.
900 Haddon Avenue ColfingswoodJ'N. 0808 `1
Vt;w' A a e a.,"> r �';a Dat May8 1990
that the electrical.ecqu
Cer t it IP• 5equipment listed has been examined and is approved as being in accord Ili
? with the National Electrical Code,applicable governmental, utility and Agency rules. C
7 '�
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1, w j -'zs. t S t:
Owner: John Dolles ;; ' - 1 ,, ' tOceupancy , Pool �. i
Occupant: Same j n.t'3r tsS f ,,,,c11 4 .,v 7 Location: 24 Maple Drive, Queensbury (Warren Go)"'NY' 'This'certficate covers the=electrical equipment and installation inspected this date. If additional equipment should be introduced or alterations made to'tf3 t `%? : existing system this certificate shall be null and void. and application forI 'x,•'-1 Y.,+ '=. inspection should be submitted prori�ptly to this Agency.Equipment: 1 Switch; 1' Receptae.le; 1 Pump=i=r"yr,�`?`f'r,'!;}^7 cy older of this certificate should Qresent same to his property insurance carrier;;, ,.>a�:;� ro :3e:; 'agentorcompany)asevidence.ofeertificationofelectricalequipmentapproved
-`'�, .•.. as specified,/ ;t C
E. Norm Ashe 'w? .; C
Stevens. Road 4 `�'u# `'` J -. •{`'I�lo. 16-034741 C
Applicant: -`v-siz _.r w,. C
ueensbur NY 12804 •
•
Form No.703 tEL 1413
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR IN PE'TION RECEIVED
NAME 1, Xo/7
LOCATION 411 eq_ P_e
DATE 7 /96 PERMIT
APPROVED
_ i-7,-y-z/�/Ld; YES NO
FOOTING/PIERS
MONOLITHIC POUR F S
FOUNDATION/DAMP-P FING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-I
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING 1
FINAL INSPECTION:
CHIMNEY HEIGHT 1
ROOFING
SIDING
EXTERNAL PORCHES/S1. 41'S
STAIRS-CLEARANCE & .7.ILS
PLUMBING FIXTURES/'".LIEF VALVE
INTERIOR TRIM/PRIV 1Y DOORS
FINISHED FLOORS
GARAGE FIREPROOFIN
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL IN P*TION f
FINAL APPROVAL OF NS.RUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFIC E O OCCUPANCY MUST BE \-
OBTAINED FROM THE BUITA TNG DEPARTMENT BEFORE
THESE PREMISES AR OCC IED!
REMARKS:
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DEPART
INSPECTOR
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