2004-702 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CE RT I F I CAT E OF COMPLIANCE
Permit Number. P20040702 Date Issued: Friday, July 14, 2006
This is to-certify that work-requested to be done as shown by Permit Number P20040702
has been completed.
Tax Map Number. 523400-302-014-0002-041-000-0000
Location: 13 NORTHUP Dr
Owner. GREGORY & KATHLEEN GREENE
Applicant: GREGORY & KATHLEEN GREENE
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 E r&rcerneM
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Qiieensbury,NY 12804-5902 (518)761-8201
Community Development-Building&'Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20040702 Application Number: A20040702
Tax Map No: 523400-302-014-0002-041-000-0000
Permission is hereby granted to: GREGORY&KATHiYMN GREENE
For property located at: 13 NORTHUP 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: GREGORY&KATHLEEN GREEN Inground13-NORTHUP'Dr Total Value
Pool
Total
QUEENSBURY, NY. 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
BOB BAKER POOLS
SISSON ROAD
SOUTH GLENS FALLS_ NY
Plans&Specifications
2004-702
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 14, 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 say, September 14, 1004
SIGNED BY d for the Town of Queensbury.
Director of Building&Code nforcement.
i`
lipplication for Swimming -Pool Permit Permit No. 0 7d
Building&Codes Office—Town of Queensbury 742 Bay ad Qtjee sbury 12804
(518)761-8256 � Fee Paid
Instructions and requirements are attached. S E P 0 9 2004 Notes:
1. Applicant/Owner /Contractor or Installer Informal OWN OF QUEENSBURY
BUI D ND OQ
�..� o o v C,�C� ►'c, o N van L /Jcc�e✓ o £'
l)0-4-44 &4.1c ) Wov A—i" c. Sow Ill
Co 98d,
2. Person Responsible for Code Requirements: G 6'r 5 a,,ZX
3. Pool Location Address: j Jdjov ,.n ip" x+ _ Tax Map No. Al
l
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. ❑Above ground pool OInground Pool
B. Length 11_f3. / width _f}. / diameter ft. / depth_Z ft.
C. r i xxt l steel/vinyl; E]fiberglass;Ogunite; 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.
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.
Signature of Applicant: Date: 7/7/o
Signature of Owner: 6L� �`-��•c_. Date: Y
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
2
NAME:
LOCATION:_ • D`D 2
PERMIT#:
INSPECTED ON: a am/pm
Arrive: am/pm epart: am/pm
Inspector's Initials: UL;-- P,T
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 1/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
plug in timer allow
Final electrical
Vehicle access ga e &osel
&locked
Ok to issue C/C
COMMENTS: o
f
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. N2 93351 Cut-in Card No....................................
Owner............. ........ ...e. .................................................................................................
Location..............).3......A. 4?/2........................................................................................
Installation Consisting of .......O.Y.-.6.Qua.4...... ...................................
..................................f..,4._/ �'.Z I 2-..9�n.......................................................................
.. ...ZA ..1.17..C1...M...
....................................................................................................................................................................................
InstalledBy......a^ ............................................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 making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date......... ................. INSPECTOR—.6�.... ................................
M.—h—WRPA IAT?.T
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received:
NAME: "'11
LOCATION: :` 0V
PERMIT#: _
INSPECTED ON: 0 am/pm
Arrive: am/pm epart:I am/pm
Initials:Inspector's , 1
Above Ground: In-Ground:
le-
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
closing or "alarmed per
AG105.2 Item 9
Timer on pool pump (no
lug in timer allowed)
Final electrical q /
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS:
,.R
k r•3•<
rV
�Y♦' al f:lx
�
@ S• 'C%` sa
i .h
La+
BUILDING PERMIT#
r;5
tC�
::xa•
:,;::. ,,:•.a.:t,•;>•e; "`�:t --:g;•F''F,fi;''� �.�:�„(�" >\ks$•�,\�, rx,>,c3♦kx:2;,::...,r.� �a',3.:.e.+,.�\>`<.".-'.:�,t':..
:5•
.::>, : ....;...:... a:56ii`;i:3�..�'�.. ;3;z,; >;zc^'i>r• �:3;�>;•� �:1'�:v�v,♦'<_ _;Y..,.,:
... ...•,i.>,;\t'a.•.,::�:;�; �%,>�S•.:�,. `'Sc`' r+1iz'' >':i• '•'e ,ri3:<• j.' `yaEZ
q;t
.^r
;` t• t' S`FSv
t .arzx �„eJ:`:t�:v �?:�v:�`:).Y�i�.':i,...Z,:i :.\,A,CY,SiQ:.i.{vL.a,>?NHiYLS�:s...ras�i\feC•'..•r. rI
W.F.
Polo number
STREET#AND OR ROAD
Kim
CURRENT
.SUPPLIED
.r.• i.• r {11:i4.t:' :'.
�qb;,•,�;,,, _ `Y`?S`:.F�y;R:>"::`::t.'':n�:n�::.;:;'.:t..s�.;":. >::,.jti3.>;t<
• •• ���� �E..a. • �.,�i,'aR�'i�y'"xaw,fY.�1'i£;:'S v:zxzt:.9+•. i..`,';:'>';:i`?;:�:4d. .-,.`.
+\:\,•;. :}y?:!,,31 ..�,.\ u'J '],,yy,.k"+., '.a,. ?;-x.}♦ �:,>:',JYL Y•}:::xxv:.'.\::: vi(::'`S t'i�!• "x:\!?%.♦ "2,R:}' U} ;?:r?,�. - a y,jw �J>}♦:}":
JET>.' ;•.... z'
a>� �ai.x„a•. .R,t,- •{ar;r.:::;t..x;,,,. '':va,::t•:i,;: >u;::i ';`ti:a'Y
"Ga,
♦Qr
z;.S'a: :Si:•:N:.!iY..ti'{ `;t'+ `v\C, si\v^,{.,....::.:.. .+..� ::::.�. , vv5,.•s.:,'•..1,•:.v.,. \.,\.l.h.^:1. '.v,. S,;ftk95iS::b
t :>;triv 3; x2 ♦ :•?n ,L'�� Ki. \ ! ,;rart�.,sy\it C'zcrtr;: \ �.a`:v:j,,;;:9:,i%:;:j�x:ar;a�,r7k v i
'��.': ...fir,• ,va•, .:k>.,.+.sr.:A,v`vkar�l;�a>�,h.,,'R,.$`.C-,;rziSsraf,�;?'��`:::.t.,:a\;� :i k,•?.cxa :y3.:3::".:v,>r:L�xJ�.?a?::�'a:a.,x::x
Skd r>XF ^rta' >:as: x�.�,rr�ra:;f.:•'t<`)eaa+..•:.�� sro
KEG`
'a;.,..2 {-A.,\,4:'-:;.-.. "-:{Y4'+l�".!.,t:.>,rr�..\�h. :�.Y ICY ,rti5:1♦:��,� ,A[C,::iS:;-4.,:•
( h ;t>.}..,k Y•>`ifiY.:,4t5X`:'b�(.:� v?i:f:}k� ?:�i; S�� ',:�5'ir.,;>`;`�'s`x\2} ; 1r �):i\s, rtt<y q'L?i
N'2•v:
Yr»
"n'fA'i:i.,:w< RTC(• {. .t
W4PWLxP_PkW-wV=APPLICANT ATTESTS THAT THERE IS NO OTHER APPLICATION PENDING
WITH A QUALIFIED ELECTRICAL INSPECTIOKAUTHORITY. FOR
INSTALLATION •PERIOD NOT EXCEEDING ONE •• DATE RECEIVED,
MUST ENTER APPLICANTS IDEN71FICATION NUMBER
i`. :2.3.i R:: :<>°-; :1'i "v' ';`(q:a...ti➢.:y:v'e••,:Y"r.. ..:,:::' •Y:.it: ...ti�\\+}�'.k:: ,:vy .,,;fi.a s:.:,i,v.1v.<n;,'a Ai :.:'i•v.:.F.nc:y: +.,iCC.a3,.Q:.x..:..r,:.'v a�.+2.-�,...e�:�...1.,i•�..3�:A..,,r.,.t,�.2.;�at.t-:-,'Lx�.�..::k�.i",,ti;i^::,cT:>.:£,.:'�^.:>`�t��^'2aa;`',c;,Y:r'Y:>y"i l „v..•
;C�`:.E:�:'rv:.i,..�::i:.!c.�c.'`S.x.,-;:,r'•^_::.'TY:.�,,,-;.,,Y.,;.;:.:`\::w�--.:.,hh::R<..;.:t 1•a�rTi.r:'�-o<x:Sti-x-%.x:`:"•;:<.°,.�3,`,:�ti.,i:.V\,:.t...�.'e::irstrw.�2,:r..e,.
'��.tY•'N�k
.i-
PRINT NAME A-N—DADDRESS
lNAME
k:?OF �. • • SIGNATURE OF
•
paw
i i
i
�* 3.:.i'.a::::>:.„5.. ;:'�;, .>. z'c b '>'•s:fis:' hi: ,�,. ;:v3ri a.\.
€:... r... .t a::.+.v:Y,. >,..z;Z 3'sz..r > L ..:a>....j ..1f g1., t t o S G %:L*.,4? a.3: ">s'Es:s ,���,a� x:,._r s:z -:�t.•.
♦ ..?..:o zzzrss:>.cc-::
.,. .:,r..♦...&,r, ...).�:a o::: ., 4. ,.>. r ..r::r :.':` ,. .��..;•r.�,..,.�+:.a. ,..f: S.
,s.: ad '� `^a.. r .fax.
.1 14�cr. ),�:[ "s: .i.L' :,-l..
': s5.♦: >. .... :.;.F...:, o. F, '?,• ,^:n> a, * .. ::u'�;rr',5 .a�`.!. „-h,a..
S :..[,... fe�,. :,a7•F.,. ,`:t": ,#. >\. "kkr... 2..
n
3n<
`cr. �� FF R•nr :F:o> ,.<3 � R:, :z:z;;, .:Ji°`."�.. ,�'>-' .3S}:,::.
r �N.�..r T#5� y� k.� st•:3 s r�.Sa", Si•.�.;r `3°'.•� '3a zE::! 'r„'. LF"`:::f .� E:>.:♦yo.,h. :�?g �e [;:r f�� •'♦!'Fs:,z>y`i�::si'�,F-�` s�.>s:. r dv ��x
a�.,., .1 .�?1,.. :.z,,. .",>� +ai'•F: 'ti?, ::5�� '.ii�.?.: $� 'L :F>. �.. \,v 3 ..2.
.1 ♦
o.�. ..�,� .r. :�C ^`.:i+ '"'s) �'g%+ih f., ,.♦c;.4,iY;i"�rrr::., ..a<:<->:
`:f., A ;+.{ of :.i.. .+�€: 3 .is�:.:♦+,fir .', -�:z% .:x^rr.` :xxr z�`.z>a} :L ."2.. .:."sika .�`. r\.. .,�i.,
=:::.fit ..�^.�`z>: "'• `i�;#;., .�... >:;:�,.. ��. ..>. t ,:e�....::�:,..: .,- .Cy. � ,� ,.'rt,..IX. o a 7,-`.♦.r•k n 'u� .::.N f#:' :L,.., t�°a::>rk r'!,:',.1.3, - - .\„'
;� f3,s<,`'> ;.air :. ?P 8 is�,^ '�r.� r�3 em F� � '�� ;#;n^ � � :�. �q�•r C�,S` u'�:z�\�'i:>��At;�Z� y+ �� t�x e 4i34a.: �'s`:j�y 3'#�;a.' @. i"s ^f E� '.s
:1�.V„t\,i,,s.�2'g:`F x,. „a•,. ,r\,,k)„rsl,_i11.. ,r. k �,>r, ,k � x��ia ��1 ,x ,f� �` �$i•,. �j�`2 �i �'��o�,k�:: �§5 t � x� r:i t>F�d£. a� �`.c -��.�<�.
? T A., � 5:2.:`>�C iS�• .�..t ..F> ..ZS.• f b
4.,,..,.,>a:.,,xrx�.'\•s3::r 'k;•. ,.�>: .%. a�&..>:. ,.;�.... .S�?w��.. ,;i?•\,.L4.:.. 'Ga. x:;�`'�<,.. ,Cr•.O`wf
<.:>n:a-.,^.M>., 7• i?%a' 'i', �Div` `�V �r 4 T...
:;U�:,. ff��.. :��:. 's€� rasa. ..�'�. .`�.:.:... .',�:.: .>: ...�a. �.'r,rsw.r :5,�•.
•F�i<:�t:�.:w'.++�iv:;�t�:»<ztF.;'u"s:hE.:,.,^�Nz:.�iiyi�xi2'z> �;. >:.£� Sr�?�• .`�w ^;..b..a:: ��n, �•#.3,` ,"f \�r
�r U e cj 6v CCr!e-
0
t Poo
CyEl=�,
c
robs Lei
I
RECEIVED
s SEP 0 9 2004
TOWN OF QUEENSBURY
BUILDING AND CODE