2007-406 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20070406 Date Issued: Monday, August 11, 2008
This is to certify that work requested to be done as shown by Permit Number P20070406
has been completed.
Tax Map Number: 523400-309-017-0001-009-000-0000
Location: 42 EAGAN Rd
Owner: MATTHEW & DIANA SUDERS
Applicant: MATTHEW &DIANA SUDERS
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
C `
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: P20070406 Application Number. A20070406
Tax Map No: 523400-309-017-0001-009-000-0000
Permission is hereby granted to: MATTHEW&DIANA SUDERS
For property located at: 42 EAGAN 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: MATTHEW&DIANA SUDERS Above Ground Pool
42 EAGAN Rd Total value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
ISLANDER POOLS
228 WASHINGTON St
SARATOGA,NY 12866-0000
Plans &Specifications
2007-406
ABOVE GROUND POOL
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday,July 06,2008
(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 Totem eens� rAdafy,July 06,2007
3� �r" , 'a' .• { for the Town of Queensbury.
SIGNED BY r � Qu �'
Director of Building&Code nforcement
/_-----� ` . /��/ _'�--_OFFICE USE ONLY___ __-___.__.__-____.___..' i- -____ -__
TAX MAP NO. PERMIT NO, 07" ERMIT FEEt5�__ s
, ;
APPROVALS: DEPOSIT
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. ���� 1
INSTALLER/BUILDEiiR��:ii�1�5t�11 4aLfWs4 JYRj Ik, OWNER: A� k Ima &lieu
ADDRESS: 219 W NNII�S+ N.x. ADDRESS: 4,F-agA✓1 Ird QAt ty My
PHONE NOS. SIB S93- 21M PHONE NOS.
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
ADDRESS OF POOL LOCATION: -11 6~ M AN 12m
ABOVE-GROUND? OR INGROUND? SIZE OF POOLXT�N
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
STEELNINYL-,X— FIBERGLASS GUNITE POURED CONCRETE OTHER
MANUFACTURER: iUmija '_� Is
✓ FENCING AND/OR LIFT UP LADDER REQUIREMENTS FOR ABOVE-GROUND AND INGROUND
POOLS:
r
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.
■ 1f 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
✓ 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 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.
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 an agree to a above. QUESTIONS? CALL 761-8256 OR EMAIL codes queensburv.net
SignedPlAt l' VISIT OUR WEBSITE FOR MORE INFORMATION
cl��(�� www.gueensburv.net
Name/Title(Printed.) 11'A . 111J� v� ""'v
B 7-LGL 11-05
Town of Queensbury ■ C )mmunity Development Office ■ 742 Bay Road, Queensbury, NY 72804
o a® ` I .�t>rcS
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: —am/pm Depart: am/prn
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: �/� _ ` o tO
LOCATION: 12 INSPECT ON:
TYPE OF STRUCTURE:
Comments
t Y N N/A
Footings
Monolithic Slab
Reinforcement in Place i
The contractor is responsible fk
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproof"mg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil pody for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Fonns\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
1 - // TC"7(ZfS1)X7'
Foundation Inspection Report
Office No.(518)761-8256 Date Insp&ctionp4uest received:
Queensbury Building&Code Enforcement Arrive.) �k(`/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's hntials.
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUC .
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete. 1/ /
Materials for this purpose on site.
Foundation/Wall pour
Reinforcement in Place 1
Footing Dowels or Keyway in place
Foundation Dampproofmg 1
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
ches above footing
im ly for wet as under slab
Backfill A roval �
g Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Fortes\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Pool Inspection IJ
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: 0
NAME:
LOCATION:
PERMIT#: d�
INSPECTED ON: Il 1,qAm/pm
Arrive: am pm Depart:
am/pm
Inspector's Initials:
Above Ground: �In-Grou
Y 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 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 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: e)j�S
LOCATION: A15 ✓tf - o
PERMIT#: � 6
INSPECTED ON: 7-9 0 am/pm
Arrive: a p 2/ D:1n
am/pm
Inspector's Initials:
Above Ground: -G ound:
N NIA
Pool enclosure around pool
or yard I/
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)
Ladder secured in place and
latched
Deck gate < 56" to latch no
more than ''/z" spacing in
ate 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 allowed)
Final electrical _
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
Permit No....0.7- .-.�/C"t).Cert. N2 2318Cut-in Card No...................
Owner............/91 .Pa--s
Location......CIL......rA; ..P.W. ........................................................
Installation Consisting zq.-f ..................................
....................................................................................................................................................................................
....................................................................................................................................................................................
InstalledBy..... 4.vI kchler 4.......................................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)r�g inspections at any time, and if its
r
rules are violated,the/)Company shall have the rig k t i rtifi
Date... ............ INSPECTOR .............................................
right
.....?'��.....................
Member N.F.P.A.,I.A.E.I.
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME:
LOCATION:
PERMIT#:
INSPECTED ON: ® am/pm
Arrive: /pm Depart:
am/pm
Inspector's Initials:
Above Ground: In-Ground:
Y N N
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 lace
Ladder secured in p
and latched
Deck gate<56" to latch
no more than '/z" spacing
in ate e
Gate open outward, self
closin
padlock provided on
ates anooaallder
doors self
Indoor p
closing or alarmed per
AG 105.2 Item 9 ump (no
Timer on pool p
lu in timer allow d
Final electrical e
Vehicle access g
&locked
closed _
Ok to Issue C/C "rl—
COMMENTS'
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TOWN OF QUEEKBURY BUILDING DEPART MENT
Based on our limited examination,
compliance with our comments shall
not be construed as indicating the OW
plans and specifications are in full
compliance with the Building Codes Of
New York State. I ge
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