2004-558 TOVN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20040558 Date Issued: Monday, May 05, 2008
This is to certify that work requested to be done as shown by Permit Number P20040558
has been completed.
Tax Map Number. 523400-302-019-0001-021-000-0000
Location: 119 GRANT Ave EXT
Owner. HENRY &DIANE PAUQUETTE
Applicant: HENRY &DIANE PAUQUETTE JR
This structure maybe occupied as a:
Inground 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&CA&EnYercement
Planning Board or Zoning Board of Appeals.
i
VIS
- `� TOWN OF QUEENSBURY
J ; �
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040558 Application Number: A20040558
Tax Map No: 523400-302-019-0001-021-000-0000
Permission is hereby granted to: HRNRY&DTANF,PATTOTTF,TTR JR
For property located at: 119 GRANT AVE. EXT.
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: IFIENRY&DIANE PAUQUETTE JR
Inground
119 GRANT AVE. Ext Total Vaall Pool
Total ue
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
SPRAGUE POOLS
294 BROADWAY
FORT EDWARD_ NY
Plans&Specifications
2004-558
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 Queensberry before the expiration date.)
Dated at the TovaL4 Queens ury; 1 uesday, July 20, 2004
SIGNED BY for the Town of Queensbury.
Director of Building od nforcement C
A
ppilcati®n for Swimming Pool Peet
Permit No.
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 0
(518)761-8256 1 Fee Paid
Instructions and requirements are attached. Notes: 1
1. Applicant/Owner /Contractor or Installer Information:
L 19 (Ira nk Au i ,
2. Person Responsible for Code Requirements:
VE
�l .rA AV X-� Tax Map No.
3. Pool Location Address; �t` 3 OZ IS1
na .sal
4. Swimming Pool Information: (check whichever applies and fill in the blanks) Jul 1= 9 2004
A. []Above TOWN OF QUEENSBURY
ground pool [Kground Pool BUILDING AND CODE
B. Length (2 y-ft. /...width _.� a ft. ,/ diameter ft. / depth CD A
C. i f �� steel/vinyl; fiberglass;Elgunite; 5BIQred 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.
AA
i� J [L iL
Signature of Applicant: Date: -7
Signature of Owner. �`�LCY/ — ___ Date:
Pool Inspection
Queensbury Building & Code Enforcement .
Office No. (518) 761-8256
742 Bay Road, Quee sbury, NY 12804
Date received: 41-Z 1 012)
NAME: 'PAU C l
LOCATION: j6cr_
PERMIT#;
INSPECTE am/pm
Arrive; 11 An am/pm Depart;
am/pm
Inspector's Initials; gtk-�
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
Pool Surface Motion
Alarm
Ladder secured in place
and latched
Deck gate < 56" to latch
no more than 1/2" spacing
in gate 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
plug in timer allowed
Final electrical
Vehicle access,gate
closed & locked
Ok to issue C/C
COMMENTS:
f 4
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME:
LOCATION: 1 �'ZaA-� ltiti
PERMIT#: -1/_t_.
INSPECTED ON: 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
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 '/z" spacing
in gate openings
Gate open outward, self
closing
Padlock provided on
gates and ladder
Indoor pool all doors self
closing or alarmed per
AG 10_5 2
tmer on tool pump
uq in timer allowed
Fina eleptrE
Vehicle access,gate
closed & locked
Ok to issue C/C
COMMENTS:
t
ILI
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received:
—
NAME:
LOCATION: k k9C�2-u
PERMIT#:
INSPECTED ON: C am/pm
Arrive: am/pm Depart: /I l%k_am/pm
Inspector's Initials: i0kiiN �
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 %2" spacing in
ate openings
Gate open outward, self
closing
Padlock provided on gates
and ladder
Indoor pool all doors self r
closing or alarmed per
I
Timer on pool pump (no
,plug in timer allowed
Final e e
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS:
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)161-8256
742 Bay Road,Queensbury,NY 122804
Date received: 7^/9 "db
NAME: P -;
LOCATION: _ Avc �
PERMIT#: n
INSPECTED ON: am/pm
Arrive: am/pm Departs am/pm
Inspector's Initials:
Above Ground: In-Group .
Y 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 r'
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 �.
AG 105.2 Item 9
Timer on pool pump (no
lug in timer allowed)
Final electrical
Vehicle access gate closed
,&locked
Ok to issue C/C
COMMENTS: lL'�°ev
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbuuy,NY 12804
Date received:
NAME: �-v�-K
LOCATION:
PERMIT#:
INSPECTED ON: am/pm
Arrive: am/pm Depart:—am/pm
Inspector's Initials: �/; [��� `....-
Above Ground: In-Ground:
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 Alarni 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
plug in timer allowed
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS- ��5
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert.
NO- . 8 Card No...............................
Owner................� .............Pa..4 ................................................................................
Location l/ ...........
... ......
Dl*'*"***'*'**...***'****"*'****'*....-.....*'*'***'**'*"" " "*'* *'*'* *'* ***** .... .DO
Installation Consisting of././ ..(, ...:121 -V'-Ak'Lj D1'&)6WMC-V
*****'***1*4t-C'**....**....................***-* .....*....... J
...................................................................................................................................................................................
...................................................................................
Installed By..... t I Aj
...................................................................................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 and if its
rules are violated,the Company shall have the rig Date..'w- ............... INSPECTOR. ..................
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RECEIVE® a
a� JUL ..19 2004
®j TOWN OF QUEENSBURY
J BUILDING AND CODE
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