2004-110 f
\\ TON Q
OF UEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040110 - Date Issued: Monday, May 01, 2006
- This is to certify that work requested to be done as shown by Permit Number P20040110
has been completed.
Tax Map Number: 523400-302-014-0002-065-000-0000
Location: 18 LINDEN Ave
Owner: THOMAS HARVEY
Applicant: THOMAS HARVEY
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 r: 0;w
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
r
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040110 Application Number: A20040110
Tax Map No: 523400-302-014-0002-065-000-0000
Permission is hereby granted to: THOMAS HARVEY
Pbr property located at: 18 LINDEN Ave
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: THOMAS HARVEY
TAMMY KOEPPEN I o V Pool
l
Total tal Value
18 LINDEN Ave
QUEENSBURY, NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
SPRAGUE POOLS
294 BROADWAY
FORT EDWARD_ NY
Plans&Specifications
2004-110
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, March 31, 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 Wednesday,March 31, 2004
i
i
SIGNED BY ``eorf �� �`tr for the Town of Queensbury.
Director of Building`&Cod nforcement
0
Application for Swimming Pool Permit _Permit No. 0
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 v
(518)761-8256 Fee Paid
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
a hcan
Name r ►lOccsCI�Lic�►, s
T
kAddress� f,� c�r� 19U2. J �+ V'CLe ve . a 9q rOC'La Si-. / OCIS
s 6cA r V, 6 Q l l e b la ry , /CJ� 6,t Ed-W-o
�phone ,�
2. Person Responsible for Code Requirements: , \ 1 l
3. Pool Location Address: i n j o r j vP� ��n Tag Map No. R 00 :-az ""�
:� VEU
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
MAR 2004
A Tyte afPoo []Above ground poolInground Pool
�/ / ! OF (,i J LNSEURY
B Si a of fool Length n ft. / width ft. / diameter ft. / depth DING AND CODE
C 1Vlateraals:used to coststrt ctian ' steel/vinyl; []fiberglass; ❑gunite; ❑poured 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- rade,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 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. 310210
Signature of Owner: �i/v 1�_v�� C?/1 ate: 0
y
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. N 2 7 5 8 5 7, Cut-in Card No..........................
Owner.................'...././.��!.. , .....�...,.......... ...:..................................../...�..�...�...,.,....` ...............
Location..., .f�.....`...!. u �i�t. ...... u................................................ ..... .. . ....
�(�.�................
Installation Consisting of !I.. �2...` � .oz.�.�a....(!:!.L..45:
....................................................................................................................................................................................
..................................................................,....................................................................................................................
Installed By......f `... C!SJ '(.LJ. ......................................Lie.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 shall be romptly made for inspection.
Inspectors of this Company shall have the privilege of making ' sp tions at any time, and if its
rules are
//viola/t1;;7
any shall have the right to r ivo this ific te.
Date....(D .-� .......... INSPECTOR......:...............�.......................................................................
Member NAP.A..I.A.E.I.
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
NAME:
LOCATION: - c
PERMIT#: I
INSPECTED ON: L ani/pm
Arrive: aniAl DepartC' �ni/pm
Inspector's Initials: /�&yi� �
Above Ground: CJ`/In-Ground:
y 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
AG105.2 Item 9
Timer on pool pump (no
lug in timer allowed)
Final electrical
Vehicle access gate closed
&loc /r/
(IiK ssue C/
COMMENTS: o `'
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,.NY 12804
Date received: � ��`
NAME:
LOCATION: �—
PERMIT#: — =� �
INSPECTED ON: am/prn
Arrive: am/pm Depart: arn/pm
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
AG 105.2 Item 9
Timer on pool pump (no
lug in timer allowed)
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS:
TOWN OF OUEENSB URY
742 Bay Road, Queensbury, NY. 12804-5902
www.queensbury.net
Permit Applicant Property Owner
THOMAS HARVEY
TAMMY KOEPPEN
18 LINDEN Ave
QUEENSBURY,NY 12804 3rd Notice Fit_
1st Notice
a:3'� x t �nd Notice
_
The permit listed below expired on : 03/31/2005 4th Notice
Application Number Permit Number Permit Type
A20040110 P20040110 Inground Pool
Our office needs to inspect your pool for compliance to the New York State Pool Enclosure Regulations.
Please call our office at 761-8207 or 761-8256 to set up an inspection.
he following items need to be verified for compliance:
Pool Enclosure
Self-closing, self-latching, padlock gate and/or ladder
Electrical Inspection
Doors which are part of enclosure need alarm or self-closing, self-latching device.
Pool Timer
Sincerely.
Charles Dyer
Code Enforcement Officer
Town of Queensbury Building and Codes Department
t
;v
10/13/2005
"Houte of Natural Beauty ... A Good Place to Live "
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18 Linden Avenue
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742 DAY ROAD
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