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2004-074 TOWN OF QUEENSBTURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community.Development Building & Codes (518) 761-8256 CER-TIFICA'I'E OF COMPLIANCE Permit Number: P20040074 Date Issued: Friday, December 03, 2004,. This is to certify that work requested to be done as shown by Permit Number P20040074 has been completed. - Tak Map Number: 523400-279-015-0001-011-000-0000 Location: 65 MUD POND Rd Owner: RODNEY & STEPHANIE WOODARD Applicant: RODNEY & STEPHANIE.WOODARD This structure may be occupied as a: By Order of Town Board Above Ground POOL TOWN OF QUEENSBURY Director of Building& od r - ent TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040074 Application Number: A20040074 Tax Map No: 523400-279-015-0001-011-0.00-0000 Permission is hereby granted to: RODN RY& STF.PHANM,,WOODARD For property located at: 65 MUD POND 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: RODNEY& STEPHANIE WOODAP C/O G.F. AREA HABITAT FOR HUr Above Ground Pool Total Value P.O. BOX 4206 QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-074 ABOVE GROUND POOL $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, March 11, 2005 (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 T wn o ueen T u sday, March 11, 2004 SIGNED BY for the Town of Queensbury. Director of Building Code nforcement Application for Swimming Pool Permit Permit NoO -07 Building&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: Cab RECEivEn MAR - _ V �4 TO BUILDING AND CODE ----- 2: Person-Responsible for Code Requirements: 3. Pool Location Address: &S M4C((T?n /V (!Z14 Tax Map No. (,200005S 4. Swimming Pool Information: (check whichever applies,Andfill in the blanks) =_ A. << Above ound pool J ground-Pool -�-- ..:. B MM.- Length C. steelhinA. fiberglass;Qgunite;" []poured concrete; other (7jYlIN 1111n 5. Fencing Requirements:foir above=gi ound .i 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-made or more,a lift-up ladder with lock must be installed. B. If an inground pool,a fence must be installed within the area of the pool regardless if your yard is fenced. 6. 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: - Date: � PP Signature of Owner: Date: e Code Interpretations-Department of State Page 6 of 16 DATE O ISSN R (Signed 4111 }9) .f an=:enfire residentiakparcekitavig:aii6.utd6.or svuiFru ing"Ii©oI grace does seetiort 720:I require an add titatiat fenced enclosure forlAe taut ring iiiof : : ; _ RE i ifgsg arx:720.1 g ).. .: ; . :. .... vv n� aserve apat�re.otlel©sure= t does nab. . :per il€t' e ridtn ter :Irt a gd; i i t. a €ie s e Ho�ue�eF,.sMitan:72Q��©es�o� ifje. homer far ad fra poa re+ ..K.: tie er�clo u e ta:e ie Qsirig i. ` " f °'� i r A,11' a ` a t ee i . .- .. ..-:y.::..� .... er�foiE :�f t e a. or ; i =. ` ;Pxe i idi :ai ' tit dti ocfe's r�r aiir CH. x itr:: i--. ie ::_:...: Fex€�r er 77-e ri eta, . TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEERSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: 11,-Af INSP: � FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RRECEIVED: NAME LOCATION DATE 04 PERMIT TYPE OF S RUCT RE FOOTINGS_ FOUNDATION _ BACKFILL _ FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT ' OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS - FINAL ELECTRICAL SITE PLAN/VARIANCE REO. FINAL SURVEY PLOT PLAN _ OK TO ISSUE C 0 OR C C R C-,-6wc CL 41 Pool Inspection Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: INSPECTED ON: �' m Arrive: p Depart: 'J pm Inspector's Initials: NAME: 0 PERMIT#: c LOCATION: 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 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 pu p (no plug in timer all e1i) Final electrical Vehicle access gat c ose. &locked Ok to issue C/C COMMENTS: piee u c 0C- Y0 r t ri\G P, A2ov/0'D COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC�goo_ Main Office 176 Doe Run Road-Manheim,PA 17545 071 MUNICIPAL.CERTIFICATE - ELECTRICAL APPROVAL Permit No.......................................Cert. No 76343 Cut-in Card No..................................... Owner.................12......I... Location... 7 ................... ................ ......A ... ......... ....6-VJ-4...............0 ... Installation Consisting of.1p "W"a0zlim ........................................................................ .................................................................................................................................................................................... .............................. ;4�...........................................................................S ................................................. InstalledBy...........................................................................................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 sAhnalllgbDetly made for'inspection. romp'y in "0 for Inspectors of this Company shall have the privilege of making i spe tions at any time, and if its rules are violated,the Company shall have the right e this c ifi te. 0- .0 Date...... —0/........... t 40r.e tr................ ..... . INSPECTOR... ........ ................................................................................ Member N.F.P.A..I.A.E.I. RECEIVE® MAR 10 2004 TOWN OF QUEENSBURY p BUILDING AND CODE to Al QY