2004-160 � TOWN OF QUEENSBURY
J
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF. COMPLIANCE
Permit Number: P20040160 Date Issued: Friday, April 08, 2005
This is to certify that work requested to be done as shown by Permit Number P20040160
has been completed.
Tax Map Number: 523400-290-000-0001-058-000-0000
Location: 14 BROOKFIELD Run
Owner: BRIAN &DAWN ROSS
Applicant: BRIAN &DAWN ROSS
This structure may be occupied as a:
By Order of Town Board
Inground Pool TOWN OF QUEENSBURY
w
Director of Building&Code Enforcement
TOWN_ OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040160 Application Number: A20040160
Tax Map No: 523400-290-000-0001-058-000-0000
Permission is hereby granted to: RRTAN&DAWN ROSS
For property located at: 14 BROOKFIELD Run
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: BRIAN&DAWN ROSS
14 BROOKFIELD Run I Tootalral Value
Pool
Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-160
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 14, 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 Tnsbu W e day,April 14, 2004
own ee
SIGNED BY for the Town of Queensbury.
Director of Building& ode En rcement
Application for Swimming Pool Permit permit No.
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Fee Paid p�G
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
.A , Kant ,,y �sy x� er 3�rub . % t,a.Ctl iractor n taller,
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Address"_
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�plione E 516 -745-169(p � `-I yam^ p �®
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2. Person Responsible for Code Requirements: DYt �t�as T9 WN`F r:RUILD " CRY
n `� (� NO A,►VD CO
3. Pool Location Address: 114 h�6c�t! a_jC Lw) Tax Map No.
4. Swimming Pool Information: (check whichebr applies and fill in the blanks)
A BMD Pao; ❑Above ground pool Inground Pool
B. Sty a PnM Length ft. / width ft. / diameter 2q ft. / depth 4 ft. J
C. llfatertzr7s usedin canstrui?t ort Estee/vinyl; ❑fiberglass;❑gunite; ❑poured concrete;GerA uminL 14'/V1 n
. .a<. ..
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: Date:
QianafiirP of(1cunPr ',b�.-+ [ 21 (_�A T,4 Date: 4 I-T 2001P
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.®�
Main Office 176 Doe Run Road-Manheim,PA 17545 v
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No.......... ....f.. ................Cert. NO- . 75867 Cut-in Card No.....................................
Owner.............:...!. "'. ..9................................................ ................................................. .
Location...j �l ...... .............................&4 / ..........
..........................
Installation Consisting
....................................................................................................................................................................................
.......................................................................................................................................................................................
InstalledBy............ 5?i. .�.r ...................................................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 shall be romp tly made for inspection.
Inspectors of this Company shall have the privilege of makin ins ctions at any time, and if its
rules are
//violated,the Company shall have the right t• r oke this rt' icate.
Date....Llf�Zl Q 1................ INSPECTOR......... ............................ ........ .....................................................................
Member N.F.P.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: nn
LOCATION: o� — L c, l 41-
PERMIT#: U Cs?
INSPECTED ON: /P5 am/pm
Arrive: am/ epa am/ m
Inspector's Initials:
Above Ground: In-Gro nd:
Y 1V/A
Pool enclosure aroun poo
or and
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 allo)Sed)
Final electrical �J
Vehicle access gate closed /
&locked
Ok to issue C/C
COMMENTS:
SCALE: 1 " = 10'
ig
TI LI TI ES
r A a 7 ?00�
iu PROPOSED TOWN 0
FENCE PER NYS o� LOCATION OF
REGULATIONS APPENDIX G. PUMP &
ELECTRICAL PER C�
NEC 680.
24' DIAX48" I
DEEP POOL PER
ANSI/NSPI-5 �\
708' 27.3'
-- 0
•
CONVENIENCE
® OUTLET PER Q
o NEC680 a
w
Q °
PROPOSED
v OPTIONAL 450 N ►�
a SQFT CONCRETE
0
N PATIO
C)
00
SWIMMING POOL PLOT PLAN
BASED ON MAP OF SURVEY FOR
BRIAN AND DAWN ROSS
DATED JUL 26, 2001 AUTHORED BY
VANDUSEN AND STEVES LAND SURVEYORS, LLC
BRIAN & DAWN ROSS
&Gab L% I ja%A'D &-®r 14 BROOKFIELD RUN
TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK