2004-359 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: P20040359 Date Issued: Tuesday, August 10, 2004
This is to certify that work requested to be done as shown by Permit Number P20040359
has been completed.
Tax Map Number: 523400-296-012-0001-006-000-0000
Location: 2 BAYBERRY Ct
Owner: DAVID HATIN
Applicant: DAVID HATIN
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: P20040359 Application Number: A20040359
Tax Map No: 5234001-296-012-0001-006-000-0000
Permission is hereby granted to: DAVTD HAT1N
For property located at: 2 BAYBERRY Ct
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.
Tyne of Construction Value
Owner Address: DAVID HATIN
Above Ground Pool
KERRIS LEWIS-HATIN
Total Value
2 BAYBERRY Ct
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-359
ABOVE GROUND POOL
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,May 28, 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 u sbury Fri , a 8, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
P-N lication for Swimming Pool Permit
TP Permit No. r
L_=Iing&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Fee Paid
Instructions and requirements are attached. Notes:
1. Applicant 1 Owner /Contractor or Installer Information:
a
/2 Y-3
2. Person Responsible for Code Requirements:
3. Pool Location Address: ��bzr�� Tax Map No.
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. VfAbove ground pool ElInground Pool
B. M— Length ft. / width ft. / diameter b2 7 ft. / depth ft.
2004
C aterr riseex cuateel/vinyl; Ofiberglass;❑gunite; Opoured concrete;❑other
TOWN OF QUEENSSURY
5. Fencing Requirements for above-ground & inground swimming pools: 13UILDIiNG AND CODE
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: 5. J v
Signature of Owner: Date:
07
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
INSPECTED ON: �-'— p
Arrive: an epart: a pm
Inspector's Initials: 1
NAME:
PERMIT#:
LOCATION: / —
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
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° 1 HEREBY CERTIFY THAT TIiIS MAP WAS PREPARED
FROM AN AGTUAL FIELD SURVEY.
145 CERTIFICATION SHALL RUN ONLY TO THE PERSONS
1 FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNhI:NTAL AGENCY
AND LENDING NSTIMION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO* DAVID HATN
GLENS FALLS NATIONAL BANK AND TRUCT COMPANY.
IT'S SUCGE6SORS'ANQ/OR A551GNS
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CERTIFIED
Ml� 5 5 NYS 50135
DATED- JULY 23. 20 �g,,