2004-548 TOWN OF QUEENSBURY
1
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040548 Date Issued: _Friday, July 01, 2005
This is to certify that work requested to be done as shown by Permit Number P20040548
has been completed.
Tax Map Number: 523400-301-015-0001-029-000-0000
Location: 1 WINGS FALLS Ct
Owner: TERRY & JENNIFER PRAY
Applicant: TERRY & JENNIFER PRAY
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 Enforcemen
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: P20040548 Application Number: A20040548
Tax Map No: 523400-301-015-0001-029-000-0000
Permission is hereby granted to: TF,RRY& TF,NNTMF,R PRAY
For property located at: 1 WINGS FALLS 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. Type of Construction Value
Owner Address: TERRY& JENNIFER PRAY Inground Pool
1 WINGS FALLS Ct Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
POOLS PLUS
104 MAIN St
OIJEENSBITRY_ NY 12804
Plans&Specifications
2004-548
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, July_ 20, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To of Queen ury; u day, July.20, 2004
/1 SIGNED BY 1 for the Town of Queensbury.
Director of Building Cod nforcement
Application for Swimming Pool Permit ENotes:
6�-5-1
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804Q
(518)761-8256
Instructions and requirements are attached.
1. Applicant/Owner /Contractor or Installer Information:
1 0—C It C f 0.
. 1 �.-�,n9 QUs ��' Icy w,c�►r, Sk-s-e�
(�veQJnS��. U� �2$oti C���.e�,s�v.�l ►�ti 12So�1 �?��r,s��`1� �►y, . 12�0�1
4
�'-M owll
2. Person Responsible for Code Requirements: 11r A2'r C Ar
/ ED
3. Pool Location Address: L- , ! 'nd,. s cAI)S Cti " TaxMaRECEIV Q
I
4. Swimming Pool Information: (check whichever applies and fill in the blanks) J U L i I4 04 I
A. ri Oft ❑Above ground pool Anground Pool 'TOWN OF QUEENSBURY
��] / BUILDING AND CODE
Length ft. /
B. Sizl width dj ft. /—meter 2 b ep
C. ] het rvtsteel/vinyl; _]fiberglass; ❑gunite; ❑poured concrete;❑other
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.
r.
B. If an inground pool,a fence must be installed meeting NYS Regulations,Appendix G. 6P Al
Tkn�Q.
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.
�y
Signature of Applicant: Date: L
Signature of Owner:, —TQQ , ,�/I- ,/ Date:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL (�
Permit No.................. ...Cert. NO S 113 4 Cut-in Card No..................... .
Owner. (f _ ...............�.�..
Location... -1w 'l.f 6s r'!�lwC'� a7, co-
�.............................7 . ............................................................................................./.� ,...................
Installation Consisting of..Y....V ��� �� �.� ���� li!..PA)!Ia........................ .. .....................................................
...................................................................................................................................................................................,
......tall................... . ...........................................................................................................................
. .. ................
Installed By.............' W...�C .
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 pr tly made for inspection.
Inspectors of this Company shall have the privilege of making i pecti ns at any time, and if its
rules are violated,the Company shall have the righ/to ev a this ce ificat .Date.....0:.�� 6. INSPECTOR... .:
U.-h-N F P A TART
41�
Pool Inspection �r
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
NAME: 9 Q"
LOCATION:
PERMIT#: __ �C.LA —
INSPECTED ON: r) — / —Z am/pm
Arrive: am/pm Depart: q ain/p
Inspector's Initials: p/�
Above Ground: In-Ground:
Y N N/A
Pool enclosure around pool
or and
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 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 electricalbizAo
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS:
�,4
Pi
\
o 7?
Pool Inspection
1
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbu y,NY 12804
Date received:
NAME: -Qx
LOCATION: o ctiAKI
PERMIT#: - 5
INSPECTED ON -�)�am/pm
Arrive: a /'Depart: am/pm
Inspector's Initials: L�
Above Ground: In-Ground:
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 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 ` ' �� 01
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS:
F'�'G�t�Vw•+ ��Vv� ✓,V�� 1^� � I HEREBY CERTIFY TO
TERRY. D. & JENNIFER L. PRAY
�� GU N1 NATIONAL SAVINGS BANK OF AL6Nr,Y,
\\,.)I StA 6 0 s;n M IT'S SUCCESSORS AND ASSIGNS
FIRST AMERICAN TITLE INSURANCE COMPANY"
h0 THAT THIS MAP WAS MADE FROM AN ACTUAL )lJRVFY ON
ry THE GROUND ACCORDING TO RECORD DESCRIPrIUNS AND
N
\ S3 e SHOWS LOCATIONS OF BOUNDARIES AND IMf'R(')VFMf_NTS
/4PP� o O t� DPQF o AND THERE ARE NO FNCRUA(:f IMEMTS
3g Z27yr •T�Ti4
LOT 40
:b 32 091. SQ, F ` Gp 1�pPry , tt nv( VI<< 1 bo r•', �a ; i1{�� - 35� .L��i�B
OF
` . .••lk
"UNAUTHORIZED ALTERATION OR ADDITION rO A SURVEY
P
I /� O I 1 P ro e er�Y HAP BEARING A LICENSED LAND SLRVPYOR'S SEAL IS A EOI ds t �I ADDS L-^e- �I r / VIOLATION OF SECTION 7209, SLID-01VISION 2, OF THE
Qpp l HEW YOM STATE EDUCATION LAW.,
i
r
-ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY L0
�3 HARKED WITH AN ORIGINAL OF THE LAM YJRVEYOR'S OD
SEAL -§V"BE CO►SIMIED'YO BE VALID TRUE COPIES.-
C. f ' 'CERTIFICATIONS Itziarw HEREON SIGNIFY THAT W
THIS SIAVEY WAS'PRFPARED IN ACCORDANCE WITH THE m
EXISTING
THE NEW STATE
ASSOCIATION ADOPTEDICE FOR LAND WRVEyS
TION OF PROFEESSIONA
BV L W
_O S U LAD SURVEYORS. SAID CERTIFICATIONS 9NLL RUN ONLY W
RECEIVED TO THE BEHALF FORS THE SURVEY IS PREPARED, AND C�
ON HIS BEHALF TO TITLE COW ANY, I>JVEWlENTAL 1
AGENCY AND LENDING;pSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF Tlf LEHDItC INSTITUTION." V
red.� '�` '� p� ��. ,` JU1._ " q 2004 w
OWN OF QUEENSBURY Z
MAP OF LOT Uo QUEENSBURY FOREST MADE FOR
s MASULL 0 BROTHERS BUILDERS , INC.
TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK
SCALE : I" = 30' DATE : MARCH 25 , 1988
'COO 12= Z� ' VanDusen. Steves
MAP REFERENCE iQT I LAND SURVEYORS ,GLENS FALLS ,NEW YORK
QUEENSBURY FOREST - PHASE ONE I
MADE FOR THOMAS J. FARONE & SON , INC. N.Y. STATE LIC. N0. 35617
BY VanDusen & Steves IN 1987
FILED IN PLAT CABINET A SLIDE 61