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2005-516 TOWN OF QUEENSBURY 742 Bay Road,Queensburp,NY 12804-5902 (518) 761-8201 (zt Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20050516 Date Issued: Friday, October 14, 2005 This is to certify that work requested to be done as shown by Permit Number P20050516 has been completed. Tax Map Number: 523400-295-010-0001-037-000-0000 Location: 77 SARA-JEN Dr Owner: DAVID & JUDITH THOMAS Applicant: DAVID & JUDITH THOMAS This structure may be occupied as a: Inground Pool By Order of Town Board 77,QENtm BIssuance of this Certificate of Compliance DOES NOT relieve the v 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: P20050516 Application Number: A20050516 Tax Map No: 523400-295-010-0001-037-000-0000 Permission is hereby granted to: DAVTD & JT TDTTH THOMAS For property located at: 77 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. Tie of Construction Value Owner Address: DAVID & JUDITH THOMAS 77 SARA-JEN Dr I l Tootalral Value Pool alue QUEENSBURY, NY 12804 Contractor or Builder's Name J Address Electrical Inspection Agency BAKER POOLS NY 12804-0000 Plans&Specifications 2005-516 INGROUND POOL i $35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, July 13, 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 Town of Queensb ry; WVdnesday, July 13, 2005 SIGNED BY for the Town of Queensbury. Director of Building ode forcement pplication for Swimming Pool Permit Pe rmit No. 5" r7Bui g& Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)761-8256 Fee Paid Instructions and requirements are attached. �� Notes: ,� 1. Applicant/Owner /Contractor or Installer Information: ,. A licant Owner Contractor 1"Irisfaller. Name UDC i1I IDAViD THOMIf i-�,tfi �viO 7EI 6tqKE� POOLS+FENnIF.� in Cik Address , —7 J 6ZA L-Ni D O f V E 7 S -S PTiane 7 92. __74-a3 — -79 3 G UZ Taw, 792- 7�-3 Phone ' — 2. Person Responsible for Code Requirements:.��J��-�c.a.+—� E X_AS= tD--1 -3 LIVED 3. Pool Location Address: 77 J6ft1A;,.J1_ lei QV (j�S ej`� Tax Map No. 4. Swimming Pool Information: (check whichever applies and fill in the blanks) TOWN OF QUEENSBURY BUILDING AND CODE A. Type ofPool:; []Above ground pool Vnground Pool B. ,Size of Pool. Length 1Y ft. / width ft. / diameter ft. / depth ft. CAT DE00✓`ti 1 Q) C. Materials used in construction: steel/vinyl; ❑fiberglass; ❑gunite; ❑✓poured concrete;bother 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- rg ade,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: i Date: Signature of Owner: 1'� 1 �l c Iry Date: -7 1� T Pool Inspection Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: NAME: I0 LOCATION: —I SAA-(Z - _),' 1 PERMIT#: n � INSPECTED ON: I �`T am/pm Arrive: a pmmDDepar: atnpm 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 ``/2" spacing in ate openings Gate open outward, self closing Padlock provided on gates and ladder Indoor pool all doors self closing or alarmed per G 105.2 Item 9 Timer on pool pump (no plug in timer allowed Final electrical Vehicle access gate closed &locked Ok to issue CIC COMMENTS: P'r, 4.0A Kr am b,,_�Re,- 6uk4a���_ 9 // -+(� Pool Inspection Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road,Queensbury,NY 12804 Date received: r NAME: LOCATION: PERMIT#: C 5 -- ­5 (D _INSPECTED ON: m/ m Arrive: a, Depart: N am/pm Inspector's Initials: /� Above Ground: In-Ground: Y r N NIA Pool enclosure around pool V/ 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) —V Ladder secured in place and latched Deck gate < 56" to latch no more than '/2" spacing in 7 ate openings Gate opens outward, self closing Padlock provided on gates orladder _ Indoor pool all doors self closing or alarmed per AG105.2 Item 9 Timer on pool pump (no plug in timer allow d) t V V- Final electrical Z O Vehicle access g e 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 s%SQ Permit No.....................................Cert. N 0 89902 IC,t-in Card No..................................... s. Owner........................ '....Y**-p, 7A: .............. ... .... Location.....7.7...... �.`... .. ......... .. . ................................... ............ .1 ............pp... Installation Consisting of...C..... ©.. %.l � �A....� �� ........................... .. ........................... ..... ..... .................................................................................................................................................................................... ................................ ................... ........ ....................... ................................. ................. Installed B ��'" �Gv>�� �L� 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 mptly made for inspection. Inspectors of this Company shall have the privilege of makin inspegtions at any time, and if its rules area violated,the Comp y shall have the right to re this rtific3te. Date....(..:..�.2..-0..................... INSPECTOR... ,c...... ..................................................................... Member N.F.P.A..I.A.E.I. ir PAGE FlI c�vo1 T'� r•�wws � .� �7 5wwA ., RECE!V E D b�vtAN% -Y WY t 2qUi�, JUL 0 6 2005 2- 7, TOWN OF QUEENSBURY BUILDING AND CODE �n RE CNIOPY1 I f Q � rJ T w� QU�� VON OF NSBURYEpT � OD S 13,vILDING & F,EVIEWE� Y C)pNTE