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2004-186 I TOWN OF QiJEENSBURY 742 Bay Road,Queensbury,NY 1�2804-5902 (518)761-8201 f� Community Development- Building& Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20040186 Date Issued: Friday, June 18, 2004 This is to certify that work requested to be done as shown by Permit Number P20040186 has been completed. Tax Map Number: 523400-308-018-0002-030-000-0000 Location: 17 KIMBERLY Ln Owner: MICHAEL &KEL I Y DEL SIGNORE Applicant: MICHAEL &KELLY DEL SIGNORE This structure may be occupied as a: By Order of Town Board Inground pool TOWN OF QUEENSBURY li Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20040186 Application Number: A20040186 Tax Map No: 523400-308-018-0002-030-000-0000 Permission is hereby granted to: . 1 WITAF,T,K KET,T,Y DEL STCTNORR For property located at: 17 KIM BERLY Ln 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: MICHAEL&KELLY DEL SIGNO 17 KEMBERLY Ln I Pool Tootaltal Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency BOB BAKER POOLS STSSON ROAD SOUTH GLENS FALLS_ NY Plans&Specifications 2004-186 INGROUND POOL $35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 22, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Que ry before a expiration ate.) i Dated at the T �oe uW rs ay,April 22, 2004 SIGNED BY for the Town of Queensbury. Director of Building 8z Code Enforcement Application for Swimming Pool Permit Permit No. 0_y__/960 Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 0", (518)761-8256 Fee Paid Instructions and requirements are attached. Notes: 1. Applicant/Owner /Contractor or Installer Information: �.,,,,, F ,F�,.,���� ,.�.' ., � ,A Itcant,�,�„ ,.� , ...;,�,��Ow�►er�-.� ..� ,.. „�.�Gontractorl�,Iustaller�> . 71 Z_ Do.is, n ,c Qdlress Phone, 7 9 7 _ / 2. Person Responsible for Code Requirements: C o et—fg ),.ter I? ,C fc� 3. Pool Location Address: /7 /C �� c h z G��nt-� Tax Map No. 4. Swimming Pool Information: (check whichever applies and fill in the blanks) APR 1 5 2004 A type of Pool:; ❑Above ground pool aground Pool TOWN OF QUEENSSURY BUILDING AND CODE B. Stzexaf Pa X3 Length 'R Z ft. / width 12 ft. / diameter ft. / depth_ ft. C MaZeria7s used zn canstru tliorr: beel/vinyl; ❑fiberglass; ❑gunite; poured concrete;El--- -other tK 5. Fencing Requirements for above-ground & inground swimming pools: A. If an above-ground,indicate height from ground-grade to top of pool height S� i—t inches Note: If your above-ground pool is less than 48 inches above-grade,a fence must be installed within the area of the pool. If your above-ground pool is exactly 48 inches above-grade or more,a lift-up ladder with lock must be installed. B. If an inground pool,a fence must be installed meeting NYS Regulations,Appendix G. 6. Pool Pump Requirements—Time Clocks: Pool pumps must be.equipped with time clocks so the pumps can be set to shut off during periods of peak utility electrical demand and set to control the length of time during which the filter runs. 7. Final Inspection Information: You are responsible for scheduling the following: A) Electrical Inspection; B) Final Certificate of Compliance Inspection An electrical inspection is required before the Certificate of Compliance is issued. See attached sheet listing electrical inspectors. The inspectors are contracted through the Town of Queensbury and you are responsible for payment to them directly. Their fee is not part of this application. A final inspection by the Queensbury Building&Codes Office is required before use of the pool is authorized. The Code Officers will look for an approved electrical inspection(sticker on the panel box)and proper fencing around the pool or lift-up ladder. Signature of Applicant: Ci V Date: YZ/ Signature of Owner: // .�Llcti, `Z'- ��' '` Date: COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Pertnit No........................................Cert. N R 76060 Cut-in Card No..................................... Owner............./x,......... ............................. ............................ Location......................... /. ....... Installation '4- Consisting of ....&f #.. 6 ...............o............................. ................................................................................................................................................................................... ............................ .............................. . ................................................................................................ Installed By. P.tMA ..............................Lic.No. . ..... ............. .................................................The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers 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 Company shall have the privilege of mak* .' spections at any time, and if it,, t t r v e th rules are violated,the Company shall have the right * certificate DateJ��................. INSPECTOR.............................................................................................. Member N.EP.A..I.A.E.I. Pool Inspection Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: -1 —Oq INSPECTED ON: in Arrive: ` i epart:_ am/pm Inspector's Initials: NAME: p �� PERMIT#: K ` LOCATION: Above Ground: In-Ground: Y N N/A Pool enclosu e around pool or and 4 feet above Nade 2 inch maxim ance 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) Ladder secured in place and latched Deck gate < 56" to latch no more than ''/z" spacing in gate openings Gate opens outward, self closing Padlock provided on gates or ladder Indoor pool all doors self closing or alarmed per AG105.2 Item 9 Timer on pool pump (no plug in timer allow Final electrical �� 6 Vehicle access to closed & locked Ok to issue C/C COMMENTS: }N PPE FOUND FILED IN THE OFFICE OF THE WARREN COUNTY CLERK )N ROD SE" i'uTY VOLE LANDS N/F OF ONE WAC � R RDBERT E. McDONALD REED WIRE FENCE ; f BOOK 524 PAGE 188 j )OD FENCE ROST 1ERH.EAC WIRES i )W OR FORMERLY } ® >- a C k LOT 33 MC) \ ; I + SR. tZ C)' F C3 -1 +fit, A, \ Ind 3: 6 �� \ F- \\ + i LOT 32 / ARV j 0.49 ACRES � 1. ` 0 FOUNOA PON . ONL Y 0 O ~ L'TlU nE5 y s V. n�v BUILDING & C BUILD PT. f � •�, REVIEWED BY 6 V se DATE ��� i HEREBY CERTIFY TO: ?) MICHAEL A. & KEL;_Y L. DELSIGNORE hog �1 2) GLENS FALLS NATIONAL BANK, AND TRUST C �© ITS SUCCESSORS AND/OR ASSIGNS Attention Home Owner �p � 3) CHICAGO TITLE INSURANCE COMPANY assure you are familiar with the THAT THIS MAP WAS PREPARED FROM AN ACT Please eC'rfIC t0 SURVEY ON OCTOBER 4, 2002. Pool Enclosure requirements sp LANDS N/F OF THIS SURVEY , 4), THE CERTIFICATIONS HEREOI` 1. We will be happy toMlain VALI QIIVT ''RARTY OR PARTIES HEREC YOur paa D W. dt DOROTNY S. MOSNER ARE E,,TO ADQITiONA.L INSTII what Requirements you will hBOOK 375 PAGE 131 SUB 6 `A 71ER THAN AS MAY E Appendix G O meet per f the EX S D New York State Residential Code. / 1 j' LP � ifs DATE �� �� �. 2 / T