2004-321 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: P20040321 Date Issued: Thursday, June 23, 2005
This is to certify that work requested to be done as shown by Permit Number P20040321
has been completed.
Tax Map Number: 523400-315-007-0002-079-000-0000
Location: 196 HUDSON POINTE Blvd
Owner: CHARLES & HOLLY MOORE
Applicant: CHARLES &HOLLY MOORE
This structure may be occupied as a:
Inground Pool
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, r:
Variance, or other issues and conditions as a result of-approvals by the Director of Building&Code Enforcernen
Planning Board or.Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
1
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040321 Application Number: A20040321
Tax Map No: .523400-315-007-0002-079-000-0000
Permission is hereby granted to: CHARLES &HOLLY MOORE
For property located at: 196 HUDSON POINTE Blvd
ui 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: CHARLES &HOLLY MOORE
196 HUDSON POINTE B Toral lvd I o V l Pool
tal Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-321
INGROUND POOL
$35.00 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 T o ueen , sda May 20, 2004
SIGNED BY ��� for the Town of Queensbury.
Director of Building&Code Enforcement
.Application for Swimming Pool Permit permitNo�Gbl�- )
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 O�
(518)761-8256 Fee Paid
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
� y F
e
VMS
CAP Qjej k,.o-4 A& * o
j-s_.3 z
2. Person Responsible for Code Requirements: D A(Z 0
3. Pool Location Address: �9 Q;j O,, 9 L Llb Tax Map No. yank Z. ka
4. Swimming Pool Information: (check whichever applies and fill in the blanks) RECENED
A. M o M ❑Above ground pool ginground Pool
� 'W 14 2004
B. aaf Length �ft. / width—/ ft. / diameter ft. / depth
C. 1lfu e d s�z in c vinyl; Ofiberglass; ❑late; ❑Poured concrete;❑ot1� WN OF QUEENSBURY
C_ �NG CODE
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: MDate: S —/Z'O�z
Signature of Owner: C"AML '_ KZ"__ Date: O
1 Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
NAME: _
'Mp, mv
LOCATION:
PERMIT#:
INSPECTED ON: S am/pm
Arrive: am/pa Depart:` .1 am/pm
Inspector's Initials:/—_ An. Z'
Above Ground: hi-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 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:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.0-
Main Office 176 Doe Run Road-Martheirn,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. NO 75934 Cut-in Card No..
...............................
Owner............. ..................................
Location... ......................................................................................................................4n......". 4... ...............
Z)- (- 1--6WP;AJ-6 APPWOV�
InstallationConsisting of F.M. ..........................................................................................................................
....................................................................................................................................................................................
................................ ..................................................................................................................................................
Installed By...... t..A&.. . ..
..p4�.....................................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 maki r1n—
rules are violated,the Company shall have the right ke this?1e -_�ections at any time, and if its
Date.... ........... INSPECTOR . ............
X,....... r .........................................................................
Member N.RP.A.,I.A.E.I.
Oz
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_ _ _ __
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......... TOWN_pF -
DING A
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MAP REFERENCE:
HUDSON POINTE P.U.D. PHASE H
BY VAN DUSEN do STEVES
DATED MAY 1994
LAST REVISED MARCH 7, 1996
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON APRIL 16, 1996 H.O.A. GREEN SPACE
AS INSTRUMENT NO. 44
PLAT CABINET B SLIDE 64
g8522'19 91.95
,698 sq ft
LOT 80
.o
HOUSE �s.
W N
Attention Home Owner LOT 78 ��'
Please assure you are familiar with t c� 00
Pool Enclosure requirements specific t z
Your pool. We will be happy to explain
what Requirements you will have to .�
meet per ("�� '• ' s•'�F- 0UCE"N Ir,URY
p Appendix G Of the T�,+ �`°�f� ,� � �--
New York
State Residential Code. .
BUIz..N-41G & Q EET.
REVIEWED BY
DATE 2°
2g041rw
586�..�
R�40 gY
Oki�
E
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
H � poINT FROM AN ACTUAL FIELD SURVEY.
T V1.!SON THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR REAND ON- THEIR
CEIVED BEHALF T 0 THE TITLE COMPANYM THE SURVEY WASP.GGOVERNARED�MENTAL.AGENCY
AND LENDING INSTITUTION LISTED HEREON.
13EC 0 7 ZOOS CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
• . • • . • TOWN OF QUEENSSURY CERTIFIED TO:Dodd W. & Ellen P. Eberle
BUILDING AND CODE
*Of NEq►�, Fleet Mortgage Corp..
I'ts Successors and/or Assigns
C.8 �q�•,• Chicago Title Insurance Company
CERTIFIED BY:
. SM35 �� MATTHEW C. STEVES. LLS NYS 50135
J CANT)
. DATED: November 29 2000
•- � �
a November 29,
2000
•UMwMOMBD AUVRA N OR ADOMON tD A SUM Scale 1"=30'
•� OW EMNO A UCOMMM LAUD SURIMOwa SEAL 17 A Map of a Survey made for
4 A VQAr N W SWrM 7^Y-MAGO 3.OF WE
\/.�![V NEW"M STARIDYb�11011 UAL•
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NAMED wL NI OPAL os B WO OUIIE�OMi
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M""�"M°""VAT
David W. & Ellen P. Eberle
000" a,FRAC ED M LA WIICE WIN 1NE
eweiwD ooae a PNACtIC[ra tAND aAherDPs ADDryp1
Land Surveyors , LLC ".E N�,�..I CER'W Ims aw"am acy
tAltl WRYEIDIIC AUD fD1'f111GAONE�i MAY awlr
m tNc PE119pN fOR w10N AE WMEY K PEPAMa AND
DN Af ENW r0 1E WU OWAM.000I060NUL
169 Haviland Road Queensb ""wv AND u °"D'°i D"um"ro""m AND Town of Queensbury, Warren County, New York
ury, New York 12804 US*� A or I E��viw
Eberle
(518) 792-8474 New York Lfe. No. 50135 NO. DATE DESCRIPTION DWG. NO. Hp-79