2007-392 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIIA►NCE
Permit Number. P20070392 Date Issued: Wednesday, September 12, 2007
This is to certify that work requested to be done as shown by Permit Number P20070392
has been completed.
Tax Map Number. 523400-290-013-0001-011-000-0000
Location: 73 MASTERS COMMON NORTH
Owner. LYNN ZIELINSKI
Applicant: LYNN ZIELINSKI
This structure maybe occupied as a:
Inground 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,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
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: P20070392 Application Number. A20070392
Tax Map No: 523400-290-013-0001-011-000-0000
Permission is hereby granted to: LYNN ZIELINSKI
For property located at: 73 MASTERS COMMON NORTH
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. Tyne of Construction Value
Owner Address: LYNN ZIELINSKI
73 MASTERS COMMON NORTH Total
Pool
Value
Total
QUEENSBURY, NY 12804-0000 T vaal
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2007-392
INGROUND POOL
$35.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 10, 2008
(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 To77 eensb y; Txws ay,July 10,2007
of
SIGNED BY �' �- for the Town of Queensbury.
Director of Building& de Ehforcement
r
OFFICE USE ONLY ► ; ;
o TAM MAP NO. PERMiT N0. P 1, ~ .
► ERMiT FEE 3 C?n ►
► rr r
APPROVALS: " ►
r DEPOSIT ,
r r ,
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: L OWNER: < }
1-2
ADDRESS: C' cz�' ADDRESS: r� �t�.� "�' °` V
PHONE NOS. - PHONE NOS. 'ICR - a
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:_Z v)� _PHONE:_9 9a
ADDRESS OF POOL LOCATION: J > 04"frf 1 iaAer;�n ter .
ABOVE-GROUND? 0 NGROUND? SIZE OF POOL l`V �`X 2,G'y"X"i '
MATERIALS USED iN CONSTRUCTION(CHECK ALL THAT APPLY)-
STEEL/VINYL ✓ FIBERGLASS GUNITE POURED CONCRETE OTHER
MANUFACTURER:
✓ FENCING AND/OR LIFT UP LADDER R IREMENTS FOR A VE-GROUND AND 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.
• 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:
o Minimum side setback requirement is 10 FT.
o 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 NYSR 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.
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—and—agree read-and-agree to the above. QUESTIONS Z CALL 761-8256 OR EMAIL
codes -aueegs_burv.net
Signed L' VISIT OUR WEBSiTE FOR MORE INFORMATION
- www.aueensburv.net
_ / L
NameiTitle(Printed � :Il_---='�—'
B 7-LGL 11-05
Town of Queensbury Community Development Office• 742 Bay Road, Queensbury, NY 12804
J _3 'TA vr
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: 2
LOCATION. ]
PERMIT#:
INSPECTED ON: �f 7`am/pm
Arrive: 1 am/pm Depart:
am/pm
Inspector's Initials:C�=j)
Above Ground: In-Ground:
Y N NIA
Pool enclosure around
pool or and
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 I
in gate openings
Gate open outward, self
closing
Padlock provided on
gates and ladder
Indoor pool all doors self
closing or alarmed per
AG 105.2 Item 9
Timer on pool pump (no
plug in timer all d
Final electrical u>
Vehicle access gate
closed & locked
Ok to issue C/C
COMMENTS:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
` � 3113
Permit No... ............. ......t...... Cert. N Cut-in Card No.....................................
ZC�"G/N-S�/C ...........Owner.............. .................... ....................................
Location...a...... �...... . .,/�.�.. .............................................�.�i �...11..............
w i �� '00' -ricer
InstallationConsisting of............... .................................................................................................................
....................................................................................................................................................................................
....................................................................................................................................................................................
InstalledBy....... ' .. ...............................................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 ofpiaking inspections at any time, and if its
rules are violated,the Company shall have the right to Mvokt thi certif ate:
Date.....1.d..'.k.. .L................ INSPECTOR�/ . ........... .....................................
Member N.F.P.A.,I.A.E.I.
P`Tj
Nov 24 2009L- - -- .i
-Fr EENSB�l
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