2004-536 pomp— i
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community.Development -Building & Codes (518) 761-8256
_[ = CERTIFICATE - OF COMPLIANCE
_ I'emit Number:._ P20040536 Date Issued: Friday, April 28, 2006 --
This.is to certi that work re uested_to:be-done.as shown b _Permit Number -
fy. q _ _ y P20040536 -has been completed.
Tax Map Number: 523400-296-010-0001-038-000-0000
Location: 96 COUNTRY CLUB Rd
Owner: LLOYD &VIRGINIA MOTT, JR. LIFE USE
Applicant: LLOYD & VIRGINIA MOTT JR
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,
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. Ij
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
,
BUILDING PERMIT
Permit Number: P20040536 Application Number: A20040536
Tax Map No: 523400-296-010-0001-038-000-0000
Permission is hereby granted to: IJ,OYD & VTRCTTNTA MOTT JR
For property located at: 96 COUNTRY CLUB Rd
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: LLOYD &VIRGINIA MOTT JR
96 COUNTRY CLUB Rd I Total
o Val
Pool
tal Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2004-536
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, July 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 To ueensb Tuesday, July 20, 2004
SIGNED BY for the Town of Queensbury.
Director of Building A�od nforcement
70
4pplication for Swimming fool Permit PermitNo. og-5LX
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 0(518)761-8256 Fee Paid L
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
�� �
y
_ x
-_
ram,- o
IL M 1.4 10
` C
-
R
L
2. Person Responsible for Code Requirements:
3. Pool Location Address: __ �6 14 S jd Tax Map No. ��GJ• / �!
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. [ []Above ground pool efiground Pool
B. I =a`QI Length __qb A / width ',')n ft. / diameter ft. / depth,?//'() ft
C e n ts' steel/vinyl; ❑fiberglass;[]gunite; E]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- ade 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 n the panel box)and proper fencing around the pool or lift up ladder.
Signature of Applicant: �I Date: U
Signature of Owner: J f (AA,- U� Date: G
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
NAME:
LOCATION: i `yt ?�
PERMIT#:
INSPECTED ON: _ ' �� °S am/pm
Arrive: ani/pm Depart: am/pm
Inspector's Initials:
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
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
lug in timer allowed)
Final electrical
Vehicle access gate closed
& 7
Ok to issue CIC
COMMENTS:
6-10
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received: Q /
NAME:
LOCATION: t3 �1113 2 I
PERMIT#: 1 J
INSPECTED ON: 10 am/pm
Arrive: am/pm Dep rt: —amJpm
Inspector's Initials: _
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
Deck gate < 56" to latch no
more than ''/z" 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
lug in timer allowed
Final electrical -) .
Vehicle access gate closed
&locked _
Ok to issue C/C p
COMMENTS: ��~� �� VgR T `
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No.......................................Cert. 85874 Cut-in Card No.....................................
Owner.... Me,
Location.......K-0...... ........................................................................................................... !;.........
Installation Consisting of &Je P1,1 4Ac/-- "VL-1,-5rA.�DI Ale,- A'*';6?eVbJ
....................................................................................................................................
....................................................................................................................................................................................
................................
InstalledBy...........................................................................................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 makin;-T* spections at any time, and if its
rules are violated,the Company shall have the right/toe ke this ert icat
Date.... .............. INSPECTOR..............................................................
...............................
Member N.F.P.A..I.A.E.I.
UL6
uu0 If
'kL
�. TOWN OF QUEENSBLIRY
742 Bay Road, Queensbury, NY. 12804-5902
y , www.queensbury.net
Permit Applicant Property Owner
LLOYD & VIRGINIA MOTT JR
96 COUNTRY CLUB Rd
QUEENSBURY,NY 12804
It _
1 st Notice
d Notice
The permit listed below expired on : 07/20/2005 _3rd Notice
4th Notice
Application Number Permit Number Permit Typ
A20040536 P20040536 Inground Pool
Our office needs to inspect your pool for compliance to the New York State Pool Enclosure Regulations.
Please call our office at 761-8207 or 761-8256 to set up an inspection.
T e following items/nde verified for compliance:
Pool Enclosure
Self-closing, self-latching,padlock gate and/or ladder
Electrical Inspection d[cA-
e part of enclosure need alarm or self-closing, self-latching devic
of Timer
Sincerely.
Charles Dyer
Code Enforcement Officer
Town of Queensbury Building and Codes Department
10/14/2005
"Home of Natural Beauty ... A Good Place to Live "