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TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080166 Application Number. A20080166
Tax Map No: 523400-315-007-0002-063-000-0000
Permission is hereby granted to: JEROME & DENISE GAJEWSKI
For property located at: 115 HUDSON POINTE Blvd
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: JEROME &DENISE GAJEWSKI
115 HUDSON POINTE Blvd Inground Pool
QUEENSBURY, NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-166
inground pool
$35.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, May 01, 2009
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbwy before the expiration date.)
Dated at the To eensb T r ay, May 01, 2008
SIGNED BY / 4 for the Town of Queensbury.
Director of Building& de E otcement
36 ^ 7_ OFFICE USE ONLY �� � _ -. :.kti
,
TAX MAP NO. PERMIT NO. /tt PERMIT FEE I' 1 ' ,
titi#11: '
APPROVALS: DEPOSIT
To 'rta .
APPLICATION FOR SWIMMING POOL PERMIT: t do ,�')
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION AND/OR INSTALLATION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT. II A�
INSTALLER/BUILDER: 51>246tie I S 2OO C.S OWNERJt J 4 iisc: &L EL., gy
ADDRESS: OO &2O Od / Sul i� l/S //vOSt&- P7'• .3L v6
mil/ ( ADDRESS: (s2�r�2-y-.�!y /2�b�}
Er. �wA y r 24---za
PHONE NOS. Sr b - -74)7 -1 Z 70 PH NE NOS. Sri - it -of i
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: &-A//SL NE: 7$6 Od.S h
p
ADDRESS OF POOL LOCATION: /7 S MV( ,1,,,j PT: rjL,V_p.r QJ �✓i ,,ki y i? ,9--
ABOVE-GROUND? OR INGROUND? / SIZE OF POOL 'r X
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
STEEUVINYL 1./ FIBERGLASS GUNITE POURED CONCRETE OTHER
MANUFACTURER:
✓ FENCING AND/OR LIFT UP LADDER REQUIREMENTS FOR ABOVE-GROUND AND INGROUND
POOLS:
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.
c If you are installing an inground pool,the pool must be provided with a fence or enclosure meeting the NYS
REGULATIONS,APPENDIX G
✓ SETBACK REQUIREMENTS FOR POOL PLACEMENT:
c Minimum side setback requirement is 10 FT.
e Minimum rear setback is 20 FT.
c 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.):
c 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:
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 the in-ground or above-ground pool or lift-up ladder for
above ground pool.
I have read a agree to th above. QUESTIONS? CALL 761-8256 OR EMAIL
Signed
(Av/ 7 codes(aqueensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
,r��� �i� j� www.queensbury.net
Name/Title(Printed) E-7VI-n- �/Ti C.w-S/y ��"flJ/ -
J B 7-LGL 11-05
tlia Town of Queensbury • Community Development Office• 742 Bay Road, Queensbury, NY 12804
) 01,/,17
Pool Inspection
Queensbury Building &Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: (�� 4-- a
LOCATION: ('� i.3��c�KI 1 k.�
PERMIT#: 1 `-C
INSPECTED ON: SI t am/pm
Arrive: am/pm Depart:
(3' Dam/pm
insp otor's Initials: T
Above Ground: In-Ground:
I
Y! N N/A
Pool enclosure around J
pool or yard
4 feet above grade N./
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 allow d) /�
Final electrical a J
Vehicle access g to
closed & locked
Ok to issue C/C (i)
COMMENTS:
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