2013-204 TOWN OF QUEENSBURY
icT
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20130204 Date Issued: Monday, June 30, 2014
This is to certify that work requested to be done as shown by Permit Number P20130204
has been completed.
Tax Map Number: 523400-302-017-0001-032-000-0000
Location: 21 WINTERGREEN Rd
Owner: DANNIELLE G THERRIEN
Applicant: DANNIELLE G THERRIEN
This structure may be occupied as a:
Above Ground Pool
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, 4 r/
Variance, or other issues and conditions as a result of approvals by the Director of Building& Co:c Enf4cement
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: P20130204 Application Number: A20130204
Tax Map No: 523400-302-017-0001-032-000-0000
Pernussion is hereby granted to: DANNIELLE G THERRIEN
For property located at: 21 WINTERGREEN 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: DANNIELLE G THERRIEN Above Ground Pool
21 WINTERGREEN Rd Total Value
QUEENSBURYNY 12804-0000
Contractor or Builder's Name J Address Electrical Inspection Agency
Plans&Specifications
2013-204
POOL above ground 24'
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 22,2014
(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 Town of Q e buW e ay 22,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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OFFICE USE ONLY
TAX MAP NO. PERMIT NO_ b IPERmrr FEE__'�u__ ;
APPROVALS: DEPOSIT
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APPLICATION F€f)R sw rmmurN,►Pom PERmi y
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION AND/OR INSTALLATION.APPLIIATION Is SUB3ECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT. -/
INSTALLER/BUILDER:. -e 1 sc: OWNER: _D At n etre- 4 /� i err ign
ADDRESS: a I (t1 +5221 r62-- ADDRESS: 1—k)' r
PHONE NOS. 1'S 213 - 1(19(1-9 PHONE NOS.
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
ADDRESS OF POOL LOCATION: 4n�_
ABOVE-GROUND? OR INGROUND? SIZE OF POOL
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY): STEEL/VINYL FIBERGLASS
GUNITE POURED
DD3CONCRETE OTHER }} .
MANUFACTURER: 1}l �„�"�I GZ Yip p6n(/,,moi
•:• FENCING&/OR LIFT UP LADDER REQUIREMENTS FOR ABOVE-GROUND&INGROUND POOLS:
o If above-ground,indicate height from ground/grade to top of pool HEIGHT_5_9_L_INCHES
• 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. No fencing Is required.
o If you are Installing an inground pool, the pool must be provided with a fence or enclosure meeting the NYS
REGULATIONS,APPENDIX G
43 REQUIREMENTS FOR POOL DURING CONSTRUCTION
o Section 1228.4 of the NYS Regulations requires swimming pools be enclosed by a temporary enclosure during
construction of the pool, and requires the temporary enclosure to be replaced by a permanent enclosure, which
complies with all applicable code provisions, within 90 days of issuance of the permit or commencement of
construction(See the actual text of Section 1228.4 for more details).,
SETBACK REQUIREMENTS FOR POOL PLACEMENT:
o Minimum�Wg setback requirement is 10 FT.;Minimum=setback is 20 FT.
o Pools may not be situated In the front or side yard. If this difficulty arises,you may apply for an area
variance to the ZONING BOARD OF APPEALS
m POOL PUMP REQUIREMENT-TIME CLOCKS(AVAILABLE FROM ANY ELECTRICAL SUPPLY CO.):
o Poon,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 controlthe length of time during,which the filter runs. (See the
ENERGY CONSERVATION CONSTRUCTION CODE OF NYS, PART E504 ENTITLED SERVICE WATER
HELUNl G AND SUBSECTION E504.3.3 REGARDING TIME CLOCKS)
B• FINAL INSPECTION INFORMATION:
o You are responsible for scheduling the following:
• *ELECTRICAL INSPECTION; FINAL CERTIFICATE OF COMPLIANCE INSPECTION
*NOTE: The Electrical Inspection is required before the Certificate of Compliance is.Issued. The Inspectors are contracted throught
the Town of Queensbury but you are responsible for payment to them directly. Their fee Is not part of this application. A list of
Electrical Inspectors is available In our office and on our website listed below.
A Final Inspection.by the Queensbury Building &Codes Office is required before use of the pool is authorized. The
Code Enforcement Officers will look for an approved Electrical Inspection (sticker on the Panel Box) and proper
enclosure around thein-ground or above-ground pool or lift-up ladder for above ground pool.
I have read and agree to the above.' QUESTIONS? CALL 761-x3256 OR EMAIL
/ ��0gSeennabu ne
Signed_ �irL rGePi Q��/t� :/ vISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensburv,net
Name/Title(Printed)
Revised 071508
Toxon of Queensbury• Community Development Office w 742 Bay Road, Queensbury,NY 12804
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME:
LOCATION: 2 W �-cZ,C2 '-
PERMIT#:INSPECTED ON: cp 21 (iam/pm
Arrive: a /pm Depart:
`)cam
spe t is Initia s. '
Above Ground: In-Ground:
Y 1 N 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 in fence
pickets
Wall or Doors have self
closing device or alarms
(30 second Alarm time)
Pool Surface Motion
Alarm
Ladder secured in place
and latched
Deck gate <56" to latch
no more than 1/2" spacing
in gate openings
Gate opens outward, self +✓j
closing
Padlock provided on
gates or ladder
Indoor pool all doors self
closing or alarmed per rV/
AG 105.2 Item 9
Timer on pool pump (no
plug in timer allowed)
Final electrical
Vehicle access gate
closed & locked
Ok to issue C/C
COMMENTS:
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received:
NAME:
LOCATION:
PERMIT#: -2-OV-1 ,-2
INSPECTED ON: ("I�+]� am/pm
Arrive: rrf/pm Depart;
a
���1&
4 1 -eA mp;
Ap t r's Initla S.
Above Ground: In-Ground:
YA N _&A
Pool enclosure around
pool or and
4 feet above grade
2 inch maximum
clearance to grade from
underside of fence S.
4 inch maximum
clearance in fence
pickets
41
Wall or Doors have self
closing device or alarms
(30 second Alarm time
Pool Surface Motion
Alarm
Ladder secured in place
and latched
Deck gate<56"to latch
no more than 1/2'spacing
In gate openings,
Gate opens outward,self
closing
Padlock provided on
gates or ladder
Indoor pool all doors self
closing or alarmed per
AG 105.2 Item 9 0
Timer on pool pump(no
plug in timer allowed)
Final electrical
Vehicle access gate
closed&locked (aD
Ok to issue C/C
ai
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