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2003-133 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: P20030133 Date Issued: Friday, June 22, 2007 This is to certify that work requested to be done as shown by Permit Number P20030133 has been completed. Tax Map Number: 523400-301-008-0001-091-000-0000 Location: 53 BELEN Dr Owner: DANIELLE BALLARD Applicant: DANIELLE BALLARD 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 "J Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. -rr TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030133 Application Number: A20.030133 Tax Map No: 523400-301-008-0001-09 1-000-0000 Permission is hereby granted to: DANMT,T,F,BAT,T,ARD For property located at: 53 HELEN 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: DANIELLE BALLARD 53 HELEN Dr. I l Tootalral Value Pool alue QUEENSBURY, NY 12804-0000 Contractor or Builder's,Name /Address Electrical Inspection Agency CYPRESS POOL LTD 99 MAKER ROAD OT TEENSBT TRY_ NY Plans&Specifications 2003-133 INGROUND POOL AS PER PLOT PLAN SPECIFICATIONS $35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sat a[�,Ap 1r 109, 200 (If a longer period is required,an application for an extension must be made to the code Enforc fee of the Town of Queensbury before the expiration date.) Dated at the own o uee s uryy� n ay,April 09, 2003 SIGNED BY � for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030133 Application Number: A20030133 Tax Map No: 523400-301-008-0001-091-000-0000 Permission is hereby granted to: DANIELLE BALLARD For property located at: 53 HELEN 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. hype of Construction Value Owner Address: DANIELLE BALLARD Inground Pool 53 HELEN Dr Total value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency CYPRESS POOL LTD 99 OIJAKER ROAD OiJEENSBURY.NY Plans&Specifications 2003-133 INGROUND POOL AS PER PLOT PLAN SPECIFICATIONS $35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 09,2004 (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 o ue u,}+�; 4t ay,April 09,2003 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement :� d s p o a o a a a Building& Codes Office swimming Pool 710. Town of Queensbury 742 Bay Road Permit Application paid Queensbury,NY 12804 � �D (518) 761-8256 1. Applicant:��(� 11 �I tP_ ni 6al Je d Owner: �5 A m f_ ,q� �d� T®� OR Address: Address: S �® 4?003 Phone No. '� - 1 G 0.4 Phone No. k 2. Person responsible for code requirements:Mn rj-�- aj�or C aeon 3. Contractor/Installer c Address Phone No. Wo I - 0 2 4. Pool Location Address: j4d to Q=n!5h)q 5. Tax Map Number: D — D 1 --c 6. Type of Pool: above-ground pool / in-ground pool 7. Size of Pool: length 31 ft. diameter 6 ft. width ft. -depth - ft. 8. - Approximate Water Capacity gallons 9. Materials used in construction(circle below) :St:ee:]V:vinyl Fiberglass Gunite Poured Concerte Other 10. Submit a diagram; drawn to show property lines, existing structures,proposed or existing septic system, location of proposed swimming pool. Show all setback distances from property lines to both the pool and the structures, as well as separations between them. An electrical inspection is necessary before the Certificate of Compliance is issued. See attached sheet for electrical inspectors. The Building and Codes Office needs to be notified upon completion of construction; including installation of fencing. A final inspection will be made before use of the pool is authorized. Applicant Signatur Date: Owner Signature: Date: (if different from applicant name) }y 20 ft.rear setback 10 ft.min. pool ' side setback 10 ft.minimum side setback no required distance between deckhouse to pool deck garage House ..........Road Name.......... t � � . _t L ) Pool Inspection Queensbury Building&Code Enforcement Office No.(518)761-8256 742 Bay Road,Queensbury,NY 12804 Date received: C� NAME: LOCATION: PERMIT#: t —' INSPECTED ON: 2 C5 ..in Arrive: am/pm Depa J � am/pm Inspector's Initials: �/p% �f 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 I►/ fence J 4 inch maximum clearance in fence pickets Wall or Doors have self closing device or alarms(30 second Alarm time) j Ladder secured in place and r f latched Deck gate < 56" to latch no more than V" 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: i Pool Inspection Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: NAME: pls� 2 LOCATION: PERMIT#: _ � INSPECTED ON: o& am/pm Arrive: a pm epart: am/pm Inspector's Initials: Above Ground: In-Ground: Y N N/A Pool enclosure around pool r yard _ 4 feet above grade 2 inch maximum clearance to grade from underside of fence 4 inch ma earance in Wall or Doors have sel closing device or alarms (30 second Alarm time) Lad er secure 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 alanned per AG105.2 Item 9 Timer on pool pump (no plug in timer allowed) Final electrical Vehicle access gate Jlosk &locked Ok to issue C/C ,� COMMENTS: /k ��' I-o L�� ow Pool Inspection Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: 11 NAME: LOCATION: PERMIT#: ()C) INSPECTED ON: l'1`� .E%� am/pm Arrive: am/pm Depart: 3 tZO amp Inspector's Initials: r 1" Above Ground: In-Ground: Y N N/A Pool enclosure around pool or yard V_ 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 alanned 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: COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No........ .............................Cert. 0 Q Cut-in Card No......................... Owner............?�L.......2'....l0t✓ 8�2 4 v ......................................................................... .................................. Location..Zg� ... t........................................................... x............ Installation Consisting of. .�! ,c�� .c�ir�G �° � ..... ...... ................. ................................................ ..................... ................................................................................................................................................................................... .........................................,. ........................................................................................................................................ Installed By......sJ.' .. ..!!*7t!1xj....................................................Lic.No.......................................................... ...... The conditions following governed the issuance of this certificate,and any certificate previously issued k 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 spections at any time, and if its rules are violated,the Company shall have the right to r�L/yoke ccDate.. ..:1�.. ................... INSPECTOR 1.L./ . ........................................... MnTh—N F P A TAFT r Xq _ Vlb 10, �2,