2009-388 ............................................................................. % %........................ 1
OFFICE USE ONLY ;
TAX MAP NO. PERMIT NO. PERMIT FEE
, 11
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APPROVALS: DEPOSIT
/ , 1
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APPLICATION FOR SWIMMING POOL PERMIT;
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION AND/OR INSTALLATION.APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT.
INSTALLER/BUILDER: R8d E\JL_f6 OWNER: 'WA-1 C O L T l-7
ADDRESS: n�Ll 5 ►or1��.,fS� �� ADDRESS: tl 'S QOOV 5f 7
PHONE NOS. PHONE NOS. 7yP. 0,t/SrC/
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE:
ADDRESS OF POOL LOCATION: Q9 5 IoNR Kr-s`
ABOVE-GROUND? OR INGROUND? SIZE OF POOL 100L,10
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY): STEEL/VINYL FIBERGLASS
GUNITE POURED CONCRETE OTHER
MANUFACTURER:
❖ 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 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
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 side setback requirement is 10 FT.; Minimum rear 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
❖ POOL PUMP REQUIREMENT—TIME CLOCKS (AVAILABLE FROM ANY ELECTRICAL SUPPLY CO.):
o 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. (See the
ENERGY CONSERVATION CONSTRUCTION CODE OF NYS, PART E504 ENTITLED SERVICE WATER
HEATING AND SUBSECTION E504.3.3 REGARDING TIME CLOCKS)
❖ 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.
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TOWN OF QUEENSBURY BUILDING .ART�icNT
Based on our limited examina h,
compliance with our comments-
not be construed as indicat `Ahe
plans and specifications ate fn full
compliance with the Building Codes of
f New York State.
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COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No..b.I....�.3��.Cen. N2 10 2 3 5 Cut-in Card No.....................................
Owner................. ... L.� ................................... ........................
Location.....-'Z.. ....�... .�'r.�... ..>� .�.....-.... .'.:.... .............................. L� "/........
:............:......................................................
Installation Consisting of...a .t...... I.<.! L e ? , �'.Z. .. .. .......................................................................................
................................................................................................................................................................I...................
....................................................................................................................................................................................
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InstalledBy.....�.., )K... �.J t..............................................Lie.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 m inspections at any time, and if its
rules are violated,the Company shall have the right to rv
d
his rtifi e.
............... INSPECTOR... ......... .. ? .......: .................................
Pool Inspection
Queensbury Building &Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME:
LOCATION: 4 trt�. r - r
PERMIT#:
INSPECTED ON: am/pm
Arrive: am/pm Depart:
am/pm
ctor's Initials: _.����Sp
Above Ground: In-Ground:
YZ N NA
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
closing
Padlock provided on
gates or ladder
Indoor pool all doors self
closing or alarmed per
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: