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2005-178 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: P20050178 Date Issued: Thursday, August 04, 2005 This is to certify that work requested to be done as shown by Permit Number P20050178 has been completed. Tax Map Number: 523400-301-019-0001-028-001-0000 Location: 17 EVANNA Dr Owner: ROBERT STONE Applicant: ROBERT STONE 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 B ilding&Code EnlWerne 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: P20050178 Application Number: A20050178 Tax Map No: 523400-301-019-0001-028-001-0000 Permission is hereby granted to: ROBERT STONE For property located at: 17 EVANNA Df 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: ROBERT STONE 17 EVANNA Dr I Value Tootalral Vallue V QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency BAKER POOLS NY 12804-0000 Plans&Specifications 2005-178 INGROUND POOL $35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, April 12, 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 To of eensb s y, April 12, 2005 SIGNED BY t for the Town of Queensbury. Director of Building&Code nforcement 7 11 Application for Swimming Pool Permit Permit No. Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)761-8256 1 Fee Paid Od Instructions and requirements are attached. Notes: 1. Applicant/Owner /Contractor or Installer Information: � A r"P\_b 2. Person Responsible for Code Requirements: 1"C v® L' 3. Pool Location Address: Tax Map No. Z005 4. Swimming Pool Information: (check whichever applies and fill in the blanks) TOWN OF QUEENSBURY A. '" bove ground pool ground Pool BUILDING AND CODE�I B. , Length ft. / width�—ft. / diameter ft. / depth_(,,,o_ft. C. ❑steel/vinyl; ❑fiberglass;Ogunite; Elpoured concrete;❑other 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-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. 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:�5v Date: '—`1 � Signature of Owner: _ Date: Pool Inspection P 11 Queensbury Building&Code Enforcement c0 Office No. (518)761-8256 742 Bay Road, Queensbury,NY 1'�804 Date received: NAME: q�C:R—gvv LOCATION: PERMIT#: INSPECTED OM. gm Arrive: a epart: ' am/ in Inspector's Initials: _ Above Ground: In-Ground: 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) Ladder secured in place and latched Deck gate < 56" to latch no more than %" 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: Pool Inspection Queensbury Building&Code Enforcement Office No.(518)761-8256 742 Bay Road,Queensbury,NY 12804 Date received: INSPECTED ON: �2 D �J^ pm Arrive: p De rt. am/pm Inspector's Initials: S. NAME: v 6 v PERMIT#: k LOCATION: Above Ground: In-Ground: Y N N/A Pool enclosure around pool or yard 7 4 feet above grade —4 2 inch maximum clearance to grade from underside of / fence V 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 Gate open outward, self closingD Padlock provided on gates and 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 MCA- Vehicle access gate closed &locked COMMENTS: MIDDLE DEPARTMENT INSPECTION AGENCY, INC. � a that the electrical wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date noted below and is issued subject to the following conditions. Owner: Robert Stone Date: 05/02/2005 Occupant: Unknown Location: T Evana Dr. Queensbury, Warren Co. NY Occupancy: Swimming Pool Applicant: Don Beagle 1747 Hadley Hill R Hadley, NY 128Al L No. 31 8, x 1 - - - - - - - - - - - - - - - - - - - - - - - - Equipment: 2 — Switches ; 1 O eceptacle; 1 — GFCI Receptttle; 1 — Fixture; 1 �— Pump; 1 — me e k This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void. ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. s. 0 4 Z z ............. .. VA A)(\-).A �� VIV 2003 G003 ER 17, STEP: N CO UN 2p03 OBER 10. 238 Attention Home Owner Please assure you are familiar with the Pool Enclosure requirements specific to Your pool. We will be happy to explain what Requirements you will have to LOT 4 meet per Appendix G Of the s New York State Residential Code. S7g � 1 276.02. E .M BD 203 0' f 2 LOT 3 2�,905 sq. ft. W fi �QW N O= 42.0'15 3 _+ �P`` c 0 F11 �np 282'O9r _ N+_ !1 Y N7g <48„w �l f ".�4! P ^♦ R � A 1 ram—��i�.�a *`V / B UIL.DI D PT. �C /�/ LOT 2 ee, REVIEWED Y APR Q 4 DATE T0�OF 20p� TOWN OF QUEENMIRY BUILDING DEPARTMENT Based on our limited examination, coinrice with our comments shall not be construed as indicating the & ` and speafications are in fuH with the Building Codes of Mew Y te. �C. s�� -