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2004-483 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. P20040483 Date Issued: Monday, September 24, 2007 This is to certify that work requested to be done as shown by Permit Number P20040483 has been completed;- Tax Map Number. 523400-289-006-0001-009-000-0000 Location: 254 STATE ROUTE 149 Owner. CANDACE B. BARBER Applicant: CANDACE B. BARBER This structure may be occupied as a: Above Ground Pool By Oder 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: P20040483 Application Number: A20040483 Tax Map No: 523400-289-006-0001-009-000-0000 Permission is hereby granted to: C;ANDAC'F,T3. BARBF,R For property located at: 254 STATE ROUTE 9 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: CANDACE B. BARBER Above Ground Pool 254 STATE ROUTE 9 Total Value LAKE GEORGE, NY 12845 Contractor or Builder's Name /Address Electrical Inspection Agency AO17A POOLS 4 SARATOGA RD GANSEVOORT. NY Plans&Specifications 2004-483 ABOVE GROUND POOL $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, June 24, 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 of Queensbury; Thursday, June 24,2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement r-,flication for Swimming Pool Pennit [Fee No. Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)761-8256 dInstructions and requirements are attached. 1. Applicant/Owner /Contractor or Installer Information: WWWWrAMo a_ Ata v Lvood Poo15 0C ,� v e-� w` d s-1 vur X H`\ V`� 3 c-1 I Y(L a IKe Ga vY 9 e 11I G-ovt �o�oa'rf N � Z�3I 04-7-16 2 9 Fr-/Saa 2. Person Responsible for Code Requirements: C1<N \d occ T-3 3. Pool Location Address: I,- 9 c,1Ce (;eo"e Tax Map No. 4. Swimming Pool Information: (check whichever applies and fill in the blanks) A. NrP'O;u Sul; [✓Above ground pool DInground Pool PeV O� B. `v s Length a I ft. / width I ft. / diameter ft. / depth - S VIA SgVRN Cerl c [r]'steeUvinyl; ❑fiberglass;[]gunite; Ejpoured concrete;❑o� •,w�OF Q PN�GO�� 5. Fencing Requirements for above-ground & inground swimming pools: A. If an above-ground,indicate height.from ground-grade to top of pool height 5_0 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- de 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 roust 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: z �/ e2 pire r Pool Inspection Queensbury Building&Code Enforcementr f � Office No.(518)761-8256 J 742 Bay Road,Queensbury,NY 12804 Date received: NAME: &CAf-c- LOCATION: &ems PERMIT#: /^)W/_— INSPECTED ON: `��� am/pm Arrive: am/pm 'Depart: am/pm Inspector's Initials: Above Groun 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 or 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 open outward, self closing Padlock provided on gates and 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: l.� Pool Inspection Queensbury Building & Code Enforcement Office No. (518) 761-8256 742 Bay Road, Queensbury, NY 12804 Date received: NAME: I-- LOCATION: `T. PERMIT#: INSPECTED am/pm Arrive: am/pm Depart: am/pm Inspector's Initials: Above Ground: In-Ground: Y N N A Pool enclosure around pool or yard ——/q 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 Pool Surface Motion Alarm Ladder secured in place and latched Deck gate <56" to latch no more than '/2" spacing in gate openings Gate open outward, self closing Padlock provided on ates and 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 i sue C/C COMMENTS: f,t JA-L � ,. �_ ,;� 1 y,���� t .� �� �. � aa� . .��1 j���? � �� � ,. -.�zs— ` i ���� � d ��£ S _ p ���� �:_ S��'f'� � �� ���� � �� � �iLAAa_I �a -xv 1 *✓ :4 715(S) TO 1.05 Ai ' h ,5,97 A(C) i .. '£ r54 z r � 4r f - z # X SN f e x ns ^J 4 03n i 4 5.00 A 4,00. A t 12.95.A(C) 1 I ix?A 1 t