2011-086 4 TOWN OFQ UEENSBURY
7
4 2Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110086 Date Issued: Thursday, September 22, 2011
This is to certify that work requested to be done as shown by Permit Number P20110086
has been completed.
Tax Map Number: 523400-308-010-0002-053-000-0000
Location: 4 NICOLE Dr
Owner: DANIEL & CHRISTINE PALMER
Applicant: DANIEL & CHRISTINE PALMER
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 `uW ��
Director of Building&Cod Enfoie mens
Planning Board or Zoning Board of Appeals.
AO`
TOWN OF QUEENSBURY
` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110086 Application Number: A20110086
Tax Map No: 523400-308-010-0002-053-000-0000
Permission is hereby granted to: DANIEL& CHRISTINE PALMER
For property located at: 4 NICOLE 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: DANIEL& CHRISTINE PALMER
4 NICOLE Dr Inground Pool
QUEENSBURY,NY 12804 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
POOLS PLUS
45 MAIN
NY 12804-0000
Plans&Specifications
2011-086
inground pool
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, April 11, 2012
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow1rof Qu nsbu6 /' rAepril 11, 2011
l / - .
SIGNED BY for the Town of Queensbury.
r}
Director of Building& Code Enforcement
64 J OFFICE USE ONLY
-301 -
TAX MAP NO. PERMIT NO. '/ 0 PERMIT FEE , >
APPROVALS: DEPOSIT
• i' '`S
APPLICATION FOR SWIMMING POOL PERMIT:
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION AND/OR INSTALLATION.APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIB"14
. /
p
INSTALLER/BUILDER: r a'l5 19/1/3 OWNER: a ie( 44-64 en r/ 47,44 611"
ADDRESS: i rif l(( 12[1(',<A•47 /Y7 ADDRESS: //<`Ca( G9Ue&v y,1)(// �J7
PHONE NOS. 79 (21 - 2q,77.--(t) PHONE NOS. 7g.--qo8/ 2 `
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: 1 n-he f 0,, PHONE: V5--
ADDRESS
fADDRESS OF POOL LOCATION: 7 /14 ccf'L Ur, cz_ ( /e e^--cr 4C' (y ,'V- 7 W
ci
ABOVE-GROUND? OR INGROUND? `ZSIZE OF POOL /$ 4//
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY): STEEL/VINYL 7 FIBERGLASS
GUNITE POURED CONCRETE OTHEP
(
MANUFACTURER: ✓"I �/r Gt //Gd// •
• FENCING &/OR LIFT UP LADDER REQUIR. MENTS FUR ABOVE-GROUND &INGROUND POOLS:
o If above-ground, indicate height from ground/grade to tcp of pool HEIGHT INCHES
• 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 exact:l' 48 inches above grade or more, a lift-up ladder with lock must be
installed. No fencing is required.
o If you are installing an inground pool, the pool must be provided with a fence or enclosure meeting the NYS
REGULATIONS, APPENDIX G
• REQUIREMENTS FOR POOL DURING CONSTRUCTION
c Section 1228.4 of the NYS Regulations requires swimming pools be enclosed by a temporary enclosure during
construction of the pool, and requires the temporary enclosure to be replaced by a permanent enclosure, which
complies with all applicable code provisions, within 90 days of issuance of the permit or commencement of
construction (See the actual text of Section 1228.4 for more details).
:• SETBACK REQUIREMENTS FOR POOL PLACEMENT:
o Minimum side setback requirement is 10 FT.; Minimum rear setback is 20 FT.
o Pools may not be situated in the front or side yard. If this difficulty arises, you may apply for an area
variance to the ZONING BOARD OF APPEALS
•:• POOL PUMP REQUIREMENT-TIME CLOCKS (AVAILABLE FROM ANY ELECTRICAL SUPPLY CO.):
o Pool pumps must be equipped with TIME CLC:KS so the pumps can be set to shut off during periods of
peak utility electrical demand and set to cont.>I the length of time during which the filter runs. (See the
ENERGY CONSERVATION CONSTRUCTION ( DDE OF NYS, PART E504 ENTITLED SERVICE WATER
HEATING AND SUBSECTION E504.3.3 REGARE [NG TIME CLOCKS)
• FINAL INSPECTION INFORMATION:
o You are responsible for scheduling the following:
• *ELECTRICAL INSPECTION; FINAL CERTIFICATE OF COMPLIANCE INSPECTION
*NOTE: The Electrical Inspection is required before the Certificate of Compliance is issued. The Inspectors are contracted throught
the Town of Queensbury but you are responsible for payment to them directly. Their fee is not part of this application. A list of
Electrical Inspectors is available in our office and on our website listed below,
A Final Inspection by the Queensbury Building & Codes Office is required before use of the pool is authorized. The
Code Enforcement Officers will look for an approved Electrical Inspection (sticker on the Panel Box) and proper
enclosure around the in-ground or above-ground pool or lift-up ladder for above ground pool.
I have read and a ree to th bo a • QUESTIONS? CALL 761-8256 OR EMAIL
codes@aueensbury.net
Signed
VISIT OUR WEBSITE FOR MORE INFORMATION
www.Queensbury.net
Name/Title (Printed) tfr � G 1`6 1 (fvleic-
Revised
071508
`' Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
:0)
Pool inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date receivPk/i,
d:
NAME:
LOCATION: 1)/
PERMIT#: /I- O;'.
INSPECTED ON: 7-2/-// am/pm
Arri ey am/pm Depart:
� am/pm 114--)
In pe,tor'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 i/2" spacing
in gate openings
Gate opens outward, self
closing
Padlock provided on
gates or 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: 0\tvii4
CJ— "
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........1.. .......L) .....• ert. N2- 1 O 9/ 6 Cut-in Card No.....................................
Owner .P......: f ..................................................................................................
.... ..................
e
Location... ..., .#� ::* . ....... .........................................................�... :� ...�..................
Installation Consisting of.... i .... .la. ..... .
....................................................................................................................................................................................
. ..........................................................
........................................................................................................................
InstalledBy......... y : ..................................................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 romptly made for inspection.
Inspectors of this Company shall have the privilege of making e spe tions at any time, and if its
rules are violated,theCompanyshall have the right to r v e this c aed'te.
Date.................................................. INSPECTOR....... ..c..... .. .............. ..
Member N.F.P.A.,I.A.E.I.
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