2003-895 TOWN OF QUEENSBURY
742 Bay Road,Queensbury NY 12804.5902 (518)761.8201
Community Development-Building&Codes (518) 761.8256
F rAT 'COMPLIANCE
I E u"T"
Pemlit Number; P20030895 Date Issued: , Friday, June 03,2005
This'is to certify that work requested to be done as'shown by Permit Number p10030895
has'been completed.
Tax Map Number; 523400.288-016-000H25-000-0000 .
Location: 153EQUINOX Dr
Owner. JOKN&MARCIA MC CORMACK
Applicant; JOHN&MARCIA MC CORMACK
This structure maybe 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 Enforcement
Planning Board or Zoning Board of Appeals,
Application for Swimming Pool Permit Peru)itNo(:.D W
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804, 06
(518)761-8256 Fee Pai l
e
Instructions and requirements are attached. Notes:
L Applicant/Owner I Contractor or Installer Information:
3&d 644 fed
2 Person-Responsible for Code Requirements:. .T01191 C
3. Pool.Loeation Address: 111 r3 cOv� vf� l if Tax Map No.
4. Swimming Paol Information:�( e, nd m 1he bl
-
A ❑Abase ground pool - _
Ingrc►eiiid�Pc►�l
7;ength ft `dfh ft::1_.chairieter 1U.
/ depths
'0(stee1hriny1; 0fiberglats;Qgunite; Opoured concrete;[]other
-— 5. Fencing Requirements for aliove-gi aund .& 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 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.
of A lican D ?�c Date: /V
Signature pp
Signature of Owner: Date:
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Code Interpretations-Department of State 'Wage 6 of t 6-
DATE OF TSM;E: (Signed:F i
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Date received:
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Inspec--u>r's Initials:
IrePool enclosure around pool
4 fl--pt abc>-ve- grade
2 lriPti
to &--ra4dv-- :Frc>rxx vxric1e-rsic14-- of
00,
fence
4 - iiaoti xym-.7-ciri-nxryi -c-14--arariccE!-
iri fence y>ic-1cpts
'WEL11 C>T Doors have self
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Clcosirig device-,or alara-ris (30
sc-cc:md
Ladder secured iri place aril
latel-lecl
]Deck Fate --- 56" to tatch mz)
rxzore than V7-" sp.-icin- in
CIEL-te C>peris outs -ard, self
closiri
gates
or ladder
lxlcloor PCINol all 'CIC).Cxrs self,
e-lc)-sirig; or ahxriiae-cl per
-A.C7r105-2 ]Ete-rn- 9
Tinier on pc><:>l piArrip (riO
PILIg--ixl tinier -xllpvveC1:)
access gate c-bosecl
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INSPECTOR'S. REPORT
Dept. of Community Development
Building & Code Enforcement
Town of Queensbury (518) 761-8256
742 Bay Road
Queensbury, New York 12804 e1w
Date:
I ci5
Property Location: 1525 UINZ:55k R.
Owner/Tenant: NA,:' ir-CA
CDC'7 -
BUILDING SEWAGE SIGN
OTHER
REMARKS: Tax Map No.
CONTACT THIS OFFICE WITHIN
Building Inspector
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC,�
Office 6 Doe Run Road - Manheim PA 17545 �
Main off � �
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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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 shR
tly made for inspection.
Inspectors of this Company shall have the privilege of mans at any time, and if its
p py p �
rules are violated, the Company shall have the right to ev a thi
INSPECTOR
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Member NARAf,I.Alidfli
FILE 03270912
24'-1"
Attention Home Owner
Please assure yOu are familiar with the 20R
Pool Enclosure requirements specifii 6 3 20R
Your pool We a happy to explW 613" R
What Requireme s will hav
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New York State Re ' ' C
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REVIEWED BY IOU UEEN UY v'"I"
111NIG PARTMEN
° DATE B. ea w' 'h.r ,;�r,ed e4' mination,
N cor,plianr'. . r xrnmants shall
'"�03 not consht as indicating the
plans and spifir6ons are in full ' IMPERIAL POOLS '
compliance with the Building Codes 3
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