2004-187 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Pemut Number. P20040187 Date Issued: Tuesday, May 03, 2005
This is to certify that work requested to be done as shown by Permit Number P20040187
has been completed.
Tax Map Number. 523400-309-009-0003-029-000-0000
Location: 61 RHODE ISLAND Ave
Owner JOHN & KELLY CENTER
Applicant: JOHN & KELLY CENTER
This structure maybe occupied as a:
By Order of Town Board
Above Ground Pool TOWN OF QUEENSBURY
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: P20040187 Application Number: A20040187
Tax Map No: 523400-309-009-0003-029-000-0000
Permission is hereby granted to: JOHN &KELLY CENTER
For property located at: 61 RHODE ISLAND 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: JOHN &KELLY CENTER
61 RHODE ISLAND Ave Above Ground Pool
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications '
2004-187
ABOVE GROUND POOL
$25.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, April 22, 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 Town nsb Th d y, April 22, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code En orcement
Application for Swimming Pool Permit Permit No�oea118
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:
hcant _. ' � �': ,,Orier �_ ;'__ h,, .; Conractor/Installer�, . _..� .•., ,.. a ..�
Na`iine E,� X� �v�� �� Cie►—�
s
f-e, a e 5)16 -79�6� 154 1% —?
1 ass
it
a `
VIione�
Person.Responsible for Code Requirements: c�� `d �' •C�
�I R�a d'C �..5/Ga d�ftt�e� p
3. Pool Location Address: Tax Ma No.
4, Samnung Pool Information: (check whichever applies and fill in the blanks)
A 7ppe of Pot ove ground pool ❑Inground Pool .A PR a 2004
• TO
B Srze ofPaol' Length-J I ft. / width ft. / diameter ft. fl �Q EFA16t3VaY
coD�
C Mateals used i constr �ipteeUvinyl; ❑fiberglass; ❑gunite; ❑poured concrete;❑othe�!r���
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
9 '
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
,~A 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 pootor lift-up ladder.
t r
Signature of Applicant: \� „ Date: d ^�
Si mature of Owner: Date:
g-IDA-11n.
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensbu y,NY 12804
Date received:
- NAME-:._w+tA,G E;NMYZ -
LOCATION: Col R*WDF IS t w-,
PERMIT#:
INSPECTED O am/pm
Arrive: am/ D rt: a
Inspector's Initial
Above Gr d: �X 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 114
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:
�!0
wf
Pool Inspection
Queensbury Building&Code Enforcement
Office No.( -82
742 Bay Road, ueens ury,�4-1"18�4
Date received: / OS
NAME:
LOCATION: 1-C__
PERMIT#: a0 - icl
?e�art:
INSPECTED O ,5 �'`I"pm
Arrive: ° am/pm
Inspector's Initials:Above Gr und: 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 r/
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 alarmed 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:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC*
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No.......................................Cert. NO 76053 Cut-in Card No.....................................
Owner.............................A.-........ ............ .......................................................... .......... ... ............
Location.... ........... 5...........................................................`'..'-"'••. ...........
Installation Consisting of....�0"d
....................................................................................................................................................................................
.......................................................................................................................................................................................
Installed By......��....f .................................................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 promptly made for inspection.
Inspectors of this Company shall have the privilege of ma ng in pections at any time, and if it:
rules are violated,the Company shall have the
. right ke th s cerificatell
e
Date.... ..( ............... INSPECTOR.. ... ......................................................................
Member N.RP.A..I.A.E.1.
I hereby certify that this slap was prepared from an
actual field survey. This certification shall run only
to the persons for whoa the survey was prepared, and on
his behalf to the Title Company, Governmental Agency and
Lending Institution listed hereon. Certifications are
�E�N AG.o gEa Son not transferable to additional institutions or
subsequent owners.
�oSE W AOSw
Certified To: Richard Smith & Jessica Pond
Statewide Funding Corp., its successors
and/or assigns
Chicago Title Insurance Company
34�7
J Certified By:
�{ 1,77'I > Leon M. Stoves, LLS NYS Lic 1 35617
?"Ac,4pA,4
I S.83'- Zo• E Je'YEW&Y Date:February 2, 1995
oo-
Cfl
UNAUTHORIZED ALTERATION OR ADDITION
N' M Q TO A SURVEY BEARING A LICENSED LAND
SURVEYORS SEAL, IS A VIOLATION OF *V-
W a d
SECTION 7209, SUE-DIVISION 2, OF THE
(n 36? � 0- 3CS J MEN YORK STATE EDUCATION LAW."
_^ "ONLY COPIES FROM THE ORIGINAL OF 1-'
_ a +L '23SZ tad 3 J V' THIS SURVEY MARRED WITH AN ORIGINAL OFrL
g°' 'W Yr o _Q THE LANDS SURVEYORS SEAL SHALL BE irk
Ct E. � o CONSIDERED TO BE VALID TRUE COPIES. _ V
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o.sp 1.t?F ••��•lAli •'••
IVED
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RECE
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1, �,+ s'A pi2£4EN�' tip _ AP?
=r TOWN OF OJT C�`,SBURY
D GORE
(VK cn+ w►vm MAP OF. A SURVEY HADE FOR
Vv1 VS '�' � i�tilct+n TLt�r�.� tC � �Cn 1Z1� � ��t.SS lC� �o Tt O -
q[ztf y VEEP �CrtQ€�E
TOWN OF Q u EENS$v M W A2 fZ a tit COUNTY, N.Y.
,� r'1," , �,�,,�, r ArLT:tti e S M IT rf SCALE w 1 ": 3 6- DATE w . M wV. 22, 1594
TQrf'v� d r Q+J��.3�"r_��tR -t-_
Attention Home Owner � -
Please assure you are familiar with the BUILDING & D DEE11. 1Z�cHAa.o w Sri+rrN ` 3E ssic-L Q.D,_ p..,p Vadusern & - steves
Pool Enclosure requirements specific to M;h-i 2, I s9¢ ►3-z LAND SURVEYORS,GLENS FALLS,NEV YORK
Your pool. We will be happy to explain REVIEWED BY
Zoo 9%P-C
whatfu-
Requirements you will have to DATE z�U MY, STATE LM NO. 35617 1.a-5.- - e•• 5v-r
meet per Appendix G Of the QEv,scv, ►-z4.95-
New York State Residential Code.
/28- f- S