2004-305 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040305 Date Issued: Thursday, June 17, 2004
This is to certify that work requested to be done as shown by Permit Number P20040305
has been completed. - -
Tax Map Number: 523400-308-010-0002-051-000-0000
-Location: 14 NICOLE Dr
Owner: JODY KASSO
Applicant: JODY KASSO
This structure may be occupied as a:
By Order of Town Board
Above Ground Pool TOWN OF QUEENSBURY
r:
Director of Building&Code E rceme
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040305 Application Number: A20040305
Tax Map No: 523400-308-010-0002-051-000-0000
Permission is hereby granted to: JODY KASSn
For property located at: 14 NICOLE 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: JODY KASSO
14 NICOLE Dr Above Ground Pool
Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-305
ABOVE GROUND POOL
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 20, 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�ownunf Quee b ; T rsday,May 20, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Co e Enforcement
Application for Swimming Pool Permit EPermit No. 5
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 L
(518)761-8256 �Q, aidRECE �✓
Instructions and requirements are attached. �f Notes:
`y�a�r 1 , 211�
1. Applicant/Owner 1 Contractor or Installer Information:
TOWN OF QUEENSBUR
0-a �� �,SS® f �a(,a
- -
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A
2. Person Responsible for Code Requirements:
3. Pool Location Address: C.oV e QvC et1SO;tii� Tax Map No.
4. Swimming Pool Information: (check whichever applies and fill in the blanks) V
A. Above ground pool ❑Inground Pool
B.
tv 1
�z�e�t,���lr Length y� ft. / width �� ft. / diameter ft. / depth ft.
C. tuts r is zn cvtrslrua r lt: -'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 7 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 shutoff 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:
s//-0 C
Simature of Owner: Date:
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Please assure are familiar,with th
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a� BUILDING & DEPT, Pool Enclosure .equirements specific t
REVIEWED BY - .-� w Your pool. will be happy to explain
L .-- �G what Req rements you will have to
DATE 6 ' �- mee per Appendix G Of the
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Pool Inspection
Queensbury Building&Code Enforcement I
Office No. (518)761-8256 v..
742 Bay Road, Queensbury,NY 12804
Date received: U
INSPECT,ED 01
am/pm
Arrive: 1'�InitiaAls
part: ° an�/pm
Inspector'sNAME:
PERMIT#: 0
LOCATION:
j� -1 SP�
v`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
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:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC
Main Office 176 Doe Run Road-Manheirn,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No.........................................Cem N2 78077 Cut-in Card No............................
Owner.......................z F.'Q.,P.Y/......... .............................................................................................
Location................LY............V..4.4,.QA.�......A?../. ........................................................................................
Installation Consisting 'W........ .........
..................................... ......................................................................
....................................................................................................................................................................................
InstalledBy.......S.,ft-ence..............................................................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 making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date............. .......... INSPECTOR-�.�..)...61'
.................................
M—hpiaNIFPA IA-R-1-
BKV
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received: (P — cl— DLA
INSPECTED Oq. �e-k_
— — a m
Arrive: epart:. ___b_ r�r G1Sm
Inspectors Initia
NAME: bb )
PERMIT#: —ZQLT_
LOCATION: _ l y W.)%C 0\�
Above Ground: 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 ''/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:
S�Q