2004-399 4 TOWN oF QUEENSBURY
742 Bay Road;Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
.-CERTIFICATE -Of. COMPLI CE
Permit Number: P20040399" Date Issued:. Tuesday, June 07, 2005
This is.to certify that-work requested-to-be done as shown by Permit.Number P20040399
has been completed.
Tax Map Number: 523400-301-012-0001-017-000-0000
Location: _ 14 HELEN Dr
Owner: DANIEL CHEE-HO YOUNG
Applicant: DANIEL CHEE-HO YOUNG
-.This structure may be occupied as a:
In- ound 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,
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. _
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040399 Application Number: A20040399
Tax Map No: 523400-301-012-0001-017-000-0000
Permission is hereby granted to: DANTF,1, CHF,F,-HO YOTTNCT
For property located at: 14 HELEN 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: DANIEL CHEE-HO YOUNG IngroundJULIE YOUNG Total Value
Pool
Total
14 HELEN Dr
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
ADTRONDACK POOL
5 BLVD
OTTEENSBTTRY_ NY 12804
Plans&Specifications
2004-399
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 Town ueensb 2!57
, June 08, 2004
7�
SIGNED BY for the Town of Queensbury.
Director of Building& ode Enforcement
"Application for Swimming Pool Permit PemutNo.
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:
��z � � xr � (3� x � Confra ntalle �
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2. Person Responsible for Code Requirements: Jv(�V(-, �Oqco\e7
3. Pool Location Address: `V1 I�C 1J l�(Z—UJ� Tax Map No. 301 � 1 Z —1 —/
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. ❑Above ground pool Inground Pool
B cQe a; T Length ' 1.Eft. / width ft. / diameter ft. / depth ft.
C MaterittT used n con ruclzort: gsteellvinyl; ❑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 electrica inspection(s cker on the panel box)and proper fencing around the pool or lift-up ladder.
Date:
Signature of Applicant: � 6 ��
Signature of Owner: Date: / Z'b
Q-4e5o
r311
Attention, Home Owner
Please assure you are familiar with t l
Pool Enclosure requirements specific Mi
Your pool We will he happy to explain
'what Requirements you will have tolE
meet per Appendix G Of the \,Y 4tzr-
New York State Residential Code. �
P
I 6OZ26
N
P.qylllyi(,sn c
REVIEWED oy J`
DATE �: .,..�.
/ �' MOSHER
V
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COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL \ \
Permit No.......................................Cert. ® 75946 Cut-in Card No..............................
Owner......................................................ui/�;
. ............... ........ ...................
......Z.Y.-Alcany—V......De-.1...................................................... ...�;..
Installation Consisting of P0'd L Gv L�aLPG `� +11r'J�:t.�-i� r
...................................................................................................................
....................................................................................................................................................................................
................................r.��.................................................................................................................................................
InstalledBy.........( .`I... ' ......' ....................................Lie.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 makin in pections at any time, and if its
rules are violated,the Company shall have the rigW.t...t.. oke this erti icate.Date.:..f..`.U..rx.. ................... INSPECTOR. ......... .....................................................................
Member N.F.P.A.,I.A.E.I.
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbu y,NY 12804
Date received:
NAME: l
LOCATION:
PERMIT#:
INSPECTED ON: c2 - 2 am/pq�_,
Arrive: am/pm Depart:1L<<_1 F- _ n
Inspector's Initials:
Above Ground: In-Ground:
N N/A
Pool enclosure around pool
or yard L
4 feet above grade v
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 %z" spacing in
ate 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) V /
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS:
a
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbu y,NY 12804
Date received:
NAME:
LOCATION:
PERMIT
INSPECTED ON: am/pm
Arrive: arp/pm Depart: LO.'?Q &pm
Inspector's Initials: JJe al)
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 V
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 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:
r