2004-387 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: P20040387 Date Issued: Friday, July 01, 2005
This is to certify that work requested to be done as shown by Permit Number P20040387
has been completed.
Tax Map Number: 523400-295-015-0001-007-000-0000
Location: 16 SHERWOOD Dr
Owner: GLENN & LYNN WADLEIGH
Applicant: GLENN & LYNN WADLEIGH
This structure may be occupied as a:
Inground Pool
By Order of Town Board
-- __ TOWN OF QUEENSBURY
s�
s
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
T TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040387 Application Number: A20040387
Tax Map No: 523400-295-015-0001-007-000-0000
Permission is hereby granted to: C"TT,F.NN&T,YNN WADT,RTCTH
For property located at: 16 SHERWOOD 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. Tyne of Construction Value
Owner Address: GLENN&LYNN WADLEIGH
16 SHERWOOD Dr I Tootalral Value
Pool
Value
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
SPRACTITE POOLS
294 BROADWAY
FORT EDWARD_ NY
Plans&Specifications
2004-3 87
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 08, 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 eensb7� T sd y, June 08, 2004
SIGNED BY C� ( ,c: for the Town of Queensbury.
Director of Building&tode nforcement
'Application for Swimming Pool Permit permit No. 0
Building&Codes Office—Town of Queensbury 742 Bay o�dsQueensbury,NY 12804 '_
(518)761-8256 F L I JYE Fee Paid
Instructions and requirements are attached. j(Siq 20.04 Notes:
rolI�n►o�1. Applicant/Owner /Contractor or Installer Infornip10 Vi r UEENSgURY
A'�.T)rAPer
c _a �
a�. A i x xaz
.... a A .Itcau h (� er, ,, ..: :A ,. on ractor nsta ler W
amgA r W + 2 c'. cS
17 CP �'- --G� f�O'er `Z ct i
P
sl'biae� , .Z 0
,
t
2. Person Responsible for Code Requirements: Lr—:"Jo tom±
3. Pool Location Address: Tax Map No.
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. „ypofPool= ❑Above ground pool ®Inground Pool
B Length &L ft. / width-L-(p_ft. / diameter ft. / depth ft.
C. [Lsteel/vinyl; ❑fiberglass;❑gunite; ❑poured concrete;Elother
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: Date:
Signature of Owner: (.� - Date: 2 1/e(Z
�t
IML
3 '1
Pool Inspection
Queensbury-Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received: }
NAME: Q
LOCATION:
PERMIT#: _ah Do L-1 "� 7
INSPECTED ON: 7am/pm
Arrive: am/pm Depart: atn/ m
Inspector's Initials:
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 x/
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
ate openings
Gate opens outward, self
closing
Padlock provided on gates
or ladder
Indoor-pool all doors self
closing or alarmed per
AG 105.2 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. C�
Main Office 176 Doe Run Road-Manheim,PA 17545 \
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No.........................................Cert. N® 9 010 9 Cut-in Card No...........................
Owner..............5.c..
Location...../ ..... ..Z.........U..�.6................
............................................................................................................................ r......
......
Installation Consisting of... ....�l �........................................................................................................
....................................................................................................................................................................................
....................................................................................................................................................................................
InstalledBy.......... .wL. ...................................................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 mak' inspections at any time, and if its
rules are violated,the Company shall have the right t vo tl s tific
z�-�s
Date.................................................. INSPECTOR................ .............................................................................
M.-h. N FP A TAIPT
I
F _
f '
- 200'
PROPERTY LINE AND
EXISTING 4'CHAIN LINK FENCE
1
28'-N' 24'-0" 23'-6„
BACK PROPERTY LINE SIDE PROPERTY LINE RESIDENCE TO WATER'S EDGE
TO WATER'S EDGE TO WATER'S EDGE
E .
CONCRETE EDGE
AND 48"ALUM.FENCE 14'
27 PARIMETER = 164!47'
27-4„ SELF CLOSING EXISTING GATE
GATE
1 24'-6"
2.100
12'-N' 3�_6��
W
7'-U'
f 0
FUTURE
l O
1OX12 SHED 6'-0"
32'-0"
16'-q' 30'-0„ W
26 —T
5'-0„ _
23'-8" 1 t/)
1 ,
I '
3'-0" QJ� �3 4��, ?, 1#-Up r
3'-0"
PUMP AND HEATER 100'
GAS AND ELECTRIC
C I _
y
i t
f ' O
_D
SEPTIC TANK
AND LE H FEIELD JUN 0
2004
TOWN
0 ,E
PUMP AND HEATER ON
A PRE-FORM PAD AND i
ENCLOSED ON ALL SIDE BY FENCING
B ?
T7, A .n
BUI .tj i" & r�'�.jrr
Efr; HY
T
DA rE
Please Attention Home
assure you are net
Pool Enclosure r hm, r
Your pool. equirements with the
We will b peC�c to
What Requtrementse happy explain
N meet per APPend Xu will ave to
ate Residential he
WADLEIGH RE ode.
A RESIDENCE
16 SHEREWOOD DRIVE
APPROVALS DATE QUEENSBURY N.Y.
POOL ADDITION
i
OL•SCRIPRON - -
SQ� DWOJFlLE NO. RI
I
SCALE OX-Y-" I SMEU i OF
8 7 r 6 5 4 3 2 I