2004-128 TOWN OF QUEENSBURY
742 Bay Road,.Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFI CATE OF COMPLIANCE
Permit Number: P20040128 Date Issued: Wednesday, April 13, 2005
This is to certify that work requested to be done as shown by Permit Number P20040128
has been completed.
Tax Map Number: 523400-302-018-0003-005-000-0000
Location: 4 SPRUCE Ct
Owner: ARTHUR& BARBARA DE AVILA
Applicant: ARTHUR& BARBARA DE AVILA
This structure may be occupied as a:
By Order of Town Board
Inground POOL TOWN OF QUEENSBURY
or
cement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040128 Application Number: A20040128
Tax Map No: 523400-302-018-0003-005-000-0000
Permission is hereby granted to: ARTTiiTR &BARBARA DE AVILA
For property located at: 4 SPRUCE 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. Type of Construction Value
Owner Address: ARTHUR&BARBARA DE AVILA Inground4 SPRUCE Ct Total Value
Pool
Total
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-128
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 06, 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 own o uee� ur, ,April 06, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
application for Swimming Pool Permit PermitNoo:�) ` —o y
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Fee Paid .3 7
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
P t� z �, �, 3, :�`_'� s �,t x ,� ,�sn- s _e �,, Soy _ ,.�' ,�,.,fiv.r ,&,",s �� x?« 5
E' C�£ .,, .k.,,.,.'; A hcant ,x .>::.� �,,.:;,,"._ .y QWne .t�M�_r. E, .. ,. s a. iCOntlac or/Tllsfall�r �.
,_ �••�,�tiE..
,Name, ,
Iry
.,Phone .
a
�P..•lione��`,
2. Person Responsible for Code Requirements:Ar/�a g C�' L'�J s I
3. Pool Location Address: 7 rt/ce t/ M i Tax Map No.
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. flp ,o;1?00l ❑Above ground pool LfInground Pool
B. iSiMQfM Length lk ft. / width /� ft. / diameter ft. / depth ft.
C. Materaa7s.,useMnstruction• Tsteel/vinyl; []fiberglass;❑gunite; Opoured 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,(st cker on the panel box)and proper fencing around the pool or lift-up ladder.
Signature 0,%plicant- /� Date:
Signature of Owner: Date:
9/-/o Aj-7,
Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbu y,NY 12804
Date received:
NAME: 1, �G
LOCATION:
PERMIT#:
INSPECTED-ON;/ -O m/pm
Arrive: i ml epart:
Inspector's Initials.
f�
Above Grb fnd: In-Ground:
Y N N/A
Pool enclosure around pool f
or yard d/
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 alanned 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:
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