2004-213 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: P20040213 Date Issued: Monday, June'28, 2004
This is to certify that work requested to be done as shown by Permit Number P20040213
- has been completed.
Tax Map Number: 523400-308-005-0001-073-000-0000
Location: 24 MARIGOLD Dr .
Owner: PAUL &KATHLEEN DUSEK
Applicant: PAUL & KATHLEEN D:USEK
This structure may be 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: P20040213 Application Number: A20040213
Tax Map No: 523400-308-005-0001-073-000-0000
Permission is hereby granted to: PATTI,&KATHT,F,F,N DTJSF,K
For property located at: 24 MARIGOLD Dr
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: PAUL&KATBLEEN DUSEK
24 MARIGOLD Dr Above Ground Pool
Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
I
Plans&Specifications
2004-213
ABOVE GROUND POOL
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 30, 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 To ueens A ri130, 2004
SIGNED BY C �' for the Town of Queensbury.
Director of Building&Code Enforcement
R
Application for Swimming Pool Permit PemutNo. c'44-a
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:
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- 2..- -Person Responsible for-Code Requirements: f zl�
3. Pool Location Address: Tax Map No.
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
.17 Rep
A 2pPA Above ground pool ❑Inground Pool
B. r l o Baal: Length ft. / width ft. / diameter all ft. / depth�ft, a i l
C. uteitx usedin czlrructz: ❑steel/vinyl; ❑fiberglass; gunite; ❑poured concrete; other
Ur/� lac
5. Fencing Requirements for above-ground & inground swimming pools: 4 A
4AIL owe P.ec
A. If an above-ground,indicate height from ground-grade to top of pool height S 0 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 C �_�
6. Pool Pump Requirements—Time Clocks: A oc? 90 2004
Pool pumps must be equipped with time clocks so the pumps can be set to shut off during peddN£aak utilityJeelEc,tal
demand and set to control the length of time during which the filter runs. IBUILDINd AND CODE
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.
::LSignature of Applicant. Date:
Signature of Owner: Date: a o
f
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
i
INSPECT DON: �o am/pm
Arrive: �i am/ Depart: am/pm
Inspector's Init'alss. n
NAME:
PERMIT#:
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 ''/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
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:
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY��12804 Inspector's Initials: �- Z
NAME: r. ` �,�6r L �frl,�._� PERMIT#: / 2 /3
LOCATION: DATE: Vv `'
COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish Grade Complete 6"in 10' or Equivalent
Interior/Exterior Guardrails 42 in.Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 sq. ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36 (w)x 44"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18" Above Grade
Floor Bathroom Watertight/Other Floors Oka
Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %z doors
> 10%> 1000 s . ft.
Y4 Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers I Fire Doors
Ceilin Fire Stopping, 3,000 s . ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Si a e/ Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if reg.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20' wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
Last printed 6/3/2003 9.27 AML.\PamW\Building&Codes\Commercial Final Inspection Report.doc
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensb ry,NY 12804
Date received: Z� U
INSPECTED ON: am/pm
Arrive:an m Depart: arnipm
Inspector's Initials:
NAME: _�4- -X . -
PERMIT#: `
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
gate 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: -J
GOf'7 ��
` see