2007-489 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. P20070489 Date Issued: Thursday, September 04, 2008
This is to certify that work requested to be done as shown by Permit Number P20070489
has been completed.
Tax Map Number. 523400-295-011-0001-018-000-0000
Location: 59 SARA-JEN Dr
Owner. JOSEPH & JOHANNA BAK
Applicant: JOSEPH & JOHANNA BAK
This structure may be 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: P20070489 Application Number. A20070489
Tax Map No: 523400-295-011-0001-018-000-0000
Permission is hereby granted to: JOSEPH &JOHANNA BAK
For property located at: 59 SARA-JEN Dr
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: JOSEPH &JOHANNA BAK
59 SARA-JEN Dr I Pool
QUEENSBURY,NY 12804 Tootalral Value
ue
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-489
inground pool
$35.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday, August 03, 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. )
Dated at the T wn of ee > ay,August 03,2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
% 0
Z 25. 11-/ 1 OFFICE USE ONLY r -_; �____._ _
TAX MAP NO. PERMIT NO, L 9!LPERMIT FEES an,
11
APPROVALS: DEPOSIT
------------------------------ --------------------_________________ .......
APPLICATION 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 LID PERMIT.
0
INSTALLERIBUILDER: e K�lL Gb C S OWNER: JD Scj6j �
ADDRESS: 5/5 5 b ��. �j.�Gj�5 ADDRESS: A'5W71149-r� lL
PHONE NOS. PHONE NOS. /PJ5 T�
CONTACT PERSON FOR BUILDING&CODES COMPLIANC PHONE:
ADDRESS OF POOL LOCATION: L���,�- ^� /
ABOVE-GROUND? OR INGROUND? SIZE OF POOL
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
STEEL/VINYL FIBERGLASS GUNITE POURED CONCRETE OTHER
MANUFACTURER:
✓ FENCING AND/OR LIFT UP LADDER REQUIREMENTS FOR ABOVE-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.
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.
c 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 and gr to the above. QUESTIONS? CALL 761-8256 OR EMAIL
codes0gueensburv.net
Signed VISIT OUR WEBSITE FOR MORE INFORMATION
C/7 �'/%� www.aueensbury.net
Name/Titie(Printed) ` O e
B 7-LGL 11-05
Town of Queensbury• Community Development Office ■ 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:
PERMIT#
INSPECTED ON: fl0 e-"am/pm
Arrive: amVpmt Depart:
'Tam/pm
Inspe tor's Initials: �.
Above Ground: In-Ground:
Y , N NA
Pool enclosure around
pool or yard V/
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 10,
Deck gate<56" to latch
no more than 1/2" spacing
in qate openings
Gate opens outward, self
closing
Padlock provided on ,
ates 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
COMME � �t
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheint,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelledis:-
ce
rtificate only covers the electrical equipment and installation conditions as of date. Upon the
h
, of additional equipment or alterations,application shall be promptly made for inspection.
introduction
Inspectors of this Company shall have the privilege of makinVinVections at any time, and if its
rules areviolated,the Company shall have the right to evo this rtii, ale... .. ... ...
Mem
.............. INSPECTOR.................�7�.............
Date....... . ........................
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VED BY
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'OWNOFQ0sKU ,3,L'faDEPARTMENT �
1 Based on our limited examination,
compliance with our comments shalt
not ae construed as indicating the
plans and specifications are In full
compliance with the Building Codes of __.
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