2005-146 TOWN OF QUEENSBURY
742 Bay Road,Queensburp,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20050146 Date Issued: Tuesday, October 04, 2005
This is to certify that work requested to be done as shown by Permit Number P20050146
has been completed.
Tax Map Number: 523400-301-019-0001-081-000-0000
Location: 12 WALTON Ct
Owner: DOUGLAS & DEBBIE DECESARE
Applicant: DOUGLAS & DEBBIE DECESARE
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 )ayw 4 t
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: P20050146 Application Number: A20050146
Tax Map No: 523400-301-019-0001-081-000-0000
Permission is hereby granted to: DOT TC I.AS DEC ESARF,
For property located at: 12 WALTON Ct
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: DOUGLAS DECESARE
DEBBIE WARREN Above Ground Pool
Total Value
12 WALTON Ct
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-146 VAR. #55-2004
ABOVE GROUND POOL
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, March 30, 2006
(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 6
n o uee�ur�; ne day, March 30, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Swimming Fool Permit
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 Permit No.
(518)761-8256 Fee Paid
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
UQ�'Yl� lV(
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2. Person Responsible for Code Requirements: I
3. Pool Location Address: �� �jl�l!/ fi�'1 (iy' I,�'� 11�G'�G Tax Map No. 5D —
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4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. s bove ground pool ❑�Inground Pool
B. Length ft. / widthJE—ft. / diameter ft. / depth ft.
C- ` Wteel/vinyl; Elfiberglass;EIgunite; Opoured concrete;Elother
5. Fencing Requirements for above-ground & inground swimming pools:
A. If an above-ground,indicate height from ground-grade to top of pool height inches
Note: If your above-ground pool is less than 48 inches above-gode_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.
B. If an inground pool,a fence must be installed meeting NYS Regulations,Appendix G.
6. Pool Pump Requirements—Time Clocks:
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.
7. Final Inspection Information: _
You are responsible for scheduling the following: A) Electrical Inspection; B) Final Certificate of Compliance Inspection
An electrical inspection is required before the Certificate of Compliance is issued. See attached sheet listing electrical inspectors.
The inspectors are contracted through the Town of Queensbury and you are responsible for payment to them directly. Their fee is
not part of this application.
A final inspection by the Queensbury Building&Codes Office is required before use of the pool is authorized. The Code Officers
will look for an approved electrical inspection(sticker on the panel box)and proper fencing around the pool or lift-up ladder.
Signature of Applicant: ���" C!.c '" , Date:
Y�V���1 ��.il �°Signature of Owner: � ___ j � � Date:
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Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256 ��� (lea, 7
742 Bay Road,Queen bury,NY 12804 /�,Q
Date received: 6)� ,
WV
NAME: S _
LOCATION: -
PERMIT#: c2&
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INSPECTED ON: 02� tJS� /p m ''
Arrive:_ anVpm De rt: m
Inspector's Initials: MT) .
Above Ground In-Ground:
Y NIA
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 /V
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 ''/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 allow d
Final electrical 2
Vehicle access gate clo.ed
&locked
Ok to issue CIC
COMMENTS:
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Attention Home Owner
Please assure you are familiar with the
Pool Enclosure requirements specify.: to
Your pool. We will be happy to explain
what Requirements you will have to
meet per Appendix G Of the
New York State Residential Code.
FILE CO
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