2003-499 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
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Permit Number: P20030499 Date Issued: Tuesday,August 25,2009
This is to certify that work requested to be done as shown by Permit Number P20030499
has been completed,
Tax Map Number. 523400-302-017-0604-004-000-0000
Location: IS OLD FORGE Rd
Omer, DENNIS PENNOCK
Applicant; DENNIS PENNOCK
This structure may be occupied as a:
Above Ground 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& de E tcement
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: P20030499 Application Number: A20030499
Tax Map No: 523400-302-017-0004-004-000-0000
Permission is hereby granted to: DENNIS PENNOCK
For property located at: 18 OLD FORGE 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: DENNIS PENNOCK Above Ground Pool
18 OLD FORGE Rd Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-499
ABOVE GROUND POOL AS PER PLOT PLAN SPECIFICATIONS
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 08,2004
(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 To n o ueens ry; e a July 08,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Swimming Pool Permit Penn i,j..3 �
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12VED804
(518)761-8256 Fee Paid
f
and requirements are attached. R Notes:
Instructions a RE CM q ,
a �
1. Applicant J Owner 1 Contractor or Installer Information:JUL 2003
T01/0
w �r � g s.
Yoant �: a LoacfoJIiisiler, v
1
r-At
Irk
---M70��imo
2. Person Responsible for Code Requirements: Oehll 5 VDIP6 K,
3. Pool Location Address:_ A I A� af--- Tax Map No. . 17-
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A.
pfop AAbove ground pool Oinground Pool C 7 lJ
B. . tze t� 'Q l_. Length 'Z i ft. / width 11, ft. / diameter') ft. / depth -ft.-I
C. 11 to erx usec#tn co 1p ra: &steel/vinyl; ❑fiberglass; Qgunite; Opoured concrete;Qother
5. Fencing Requirements for above-ground & inground-swimming pools:
A. If an above-ground,indicate height from ground-grade to top of pool height SS 2 inches
Note: If your above-ground pool is less Ahan 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 within the area of the pool regardless if your yard is fenced.
6. 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: 0. ftyctl ��Qlytilz.{� Date: -7~) ^ /) .
Date: 7` 1`a3
Signature of Owner: - ��/1�� o
Code Interpretations-Department of State Page 6 of 16
DATE OF ISSUE: (Signed
Coder Sectico 72"01-
If 3II entire iesidentrakparcel llaving an oritdoor svuirining pool is fenced; d,:oes secttort"720.I"requite .
an additional fenct:df efIekisure fctr the swi ing'pool•7_ .
. ". ". . , .. ` . '�:. I�ITER•PRETATif}N" ...�". _ � _ .
Xe :Vtthrl`o:secticin 72Q 1 tg g rlii�ts a wall of a dwellI serve as.part of.the et ctosure,,it does`not
pent tf�e enure-1 tlltd rg to be Iocat�d a rtt in the; tiekos4e However:section 7�011 does not speei y.
fio fat'b ok frot Y a po41 a fence-rsre erred°to be"(ocatecT,nor.:d°oe r .:]Ir It the end6 iire.t,erictosiri .
the..po4,aid associated;:eglttpta€Ienf Lily
�'ht :Coe Ititorretaticirs issue trr accordance wiftlz 1✓eecuGtve I.at�srectlon;364 Subsequent
etrlarcenlerkt r►f the New 'or tot l rre,Prevet�i iozx acid Inzldlg bode:sa�t` r6 'orrsstest. .
wttl his iriterpretattcirr
lez ndet` t ead t elf, Se e roag of State.
Date: Januar}
Pc>cA lnsj::>,L--c--ticon
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CDffj<--c-- t-Jc>. C518DP 7.61 -8256
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4 ftac.--t citz>cA.,ems Cz;rcicA*—.-
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uncJ-6--rsicJ*--- of fence
4 inc--t-) rT-iczxlry-iury-)
clocrctnce in fence
i C--k o ts
Wc::slf or C)c>c>rs hcyve self
closit�c� device or clicirrT-Is
<30 second Adcsrry-i tlr-nE-->
Pc>c>l SurfcDtr--Ei) Motion
Al<D r ry-)
Lcxcicicar s�curc---cl in p)k:vc--o
cincl lc:tc h(acj
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no rncaro then / spccing
in
Gcxtc opens outtinrc�rd. self
closin
N000�
C4c�tt<Ds or [i--icJcJ,---r
JncJ<Dc>r 1z)c>cA cell cic::,c)rs sc--If
closing or c�lc::trr3n4---cJ rDe--r
ACC 105.2 It<--F-n 9
Tiry-i,---r on p>c)cA lz>ur-nFD Cnc>
FDJU
FincAl
cic>s<Dci 8,, lc>(--ke)cJ
<Z>k to issue
C�flic+ N+cs_ 5 1 8a 7 6 1 -8 2 5 6
742 Bay 3`-IY 12:904
mate received.
LOCA"I'IC3N: - � -
PERMiT #�
A�rive_ ari�lpriz D e art= oinarrilp m
Ir�spectc»-'s Iriitiais_ .�
Abo�� +Grc�urxcl : YID.-G�-c�ur�d�
Fool �x�,closx.ar� a.rc,urid pc►c►1
COX- YaX7a
4 feet above grade
2 inch rnaximurn clearance
to grade from underside of _ _
f�rzce
4 i�cl-� rnaxirr�um clearance
iri feri_ce icicets _
win or Boors lave self
closirig .c E:vlce or ala*aXIG t30
seco�zd Alarn-t time
L.ad.dE:.r secured. irx place anal
latched
L ec]�c gate 5 6" to la#.cfi no
more tliarY %" spa+cing in
atc� o e:niri s
Gate open outward, seI f
- closiri _
Padlocic provided ora gates
arad ladder
Zridoor pool all doors self
closirig or, alai-* ��d per
AC3-10 5_2 Item 9
-`i:rraer orl pool pump 4crio
Iu iri timer allowed
Firial electrical
Vehicle access gate closed
� lo+cl�ed
C>lc tc> issue CI+
3-06.3-499
Recc-1
JUL _ ..
TOWN
BUILDING C� G DE
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REVIEWED B
DATE
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Attention Hoene' owner
Please assure you aM fart)iliat with the
Pool Enclosure requirements specific to
Your p661. We will be happy to explain
what RequireMents you will have t6
meet per Appendix G•4f the
New York State Residential Code,
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