2013-182 TOWN OF QUEENSBURY
4111 742 Bay Road,Qucensbury,NY 12804-5902 (518) 761-8201
411110.
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20130182 Date Issued: Friday, May 16, 2014
This is to certify that work requested to be done as shown by Permit Number P20130182
has been completed.
Tax Map Number: 523400-302-017-0001-018-000-0000
Location: 15 LUPINE Ln
Owner: MICHAEL TERRY
Applicant: MICHAEL TERRY
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, ( a,„Pi/(./
Variance, or other issues and conditions as a result of approvals by the lAni
Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FON
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130182 Application Number: A20130182
Tax Map No: 523400-302-017-0001-018-000-0000
Permission is hereby granted to: MICHAEL TERRY
For property located at: 15 LUPINE Ln
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: MICHAEL TERRY Above Ground Pool
TRACEY KIRKENDALL Total Value
15 LUPINE Ln
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2013-182
POOL above ground 27' round
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,May 13,2014
(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 Tow of Qu sbuyay 13,2013
SIGNED BY � for the Town of Queensbury.
Director of Building&Code Enforcement
«-=- Community Development Office
Town of Queensbury • 742 Bay Road • Queensbury, New York •12804
+ OFFICE USE Op ONLY C ' :
TAX MAP O. l3 0A, 1 ` _, PERMIT NO. ) 3-) 0 ck PERMIT E j `'
8
APPROVALS: DEPOSIT • Mg O 201
3
J J
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 PERMIT.
INSTALLER/BUILDER: .5 Q-)I4 OWNER: W\;i \(tW.I 4174ty T-d t1
ADDRESS: ADDRESS: ) S� stip`n L Lc ne
PHONE NOS. PHONE NOS. -1-1 31) -C 66
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: M:Et\& PHONE: 321- Li 1 SC 1
ADDRESS OF POOL LOCATION: / S LN� ''1 e l cc•P-t r-N
ABOVE-GROUND? OR INGROUND? SIZE OF POOL oL/
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY): STEELNINYX FIBERGLASS
GUNITE POURED CONCRETE OTHER
MANUFACTURER: /1/7.4.,14-6t/17c'
• FENCING BJOR LIFT UP LADDER REQUIREMENTS FOR ABOVE-GROUND&INGROUND POOLS:
o If above-ground,indicate height from ground/grade to top of pool HEIGHT 5-d. 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 exactly 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
o 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 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.(See the ENERGY CONSERVATION CONSTRUCTION CODE OF NYS,PART E504
ENTITLED SERVICE WATER HEATING AND SUBSECTION E504.3.3 REGARDING 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 agree th ve. QUESTIONS? CALL 761-8256 OR EMAIL
Signed
codes(a)queensburv.net
y� VISIT OUR WEBSITE FOR MORE INFORMATION
Name/Title(Printed) I'1-C1'1`�L 1�p,/[ — www.queensburv.net
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: C--'ST
LOCATION: L'S-. 1...).)901'
PERMIT#: '2.,7 - i 5-.)--.
INSPECTED ON: Ce (to([4 am/pm
Arrive: ampm Depart:
R____Q______am/pmpector's Initials: CCi
( t
Above Ground; In-Ground:
Y 0 INI/Ar
Pool enclosure around
pool or yard
4 feet above grade
2 inch maximum 11%
clearance to grade from ,
underside of fence '14
4 inch maximum 111
clearance in fence
pickets \kbh,
Wall or Doors have self
closing device or alarms
(30 second Alarm time) 4
It Pool Surface Motion
-Alarm
Ladder secured in place r 1
and latched
Deck gate < 56" to latch
no more than 1/2" spacing
in gate openings 4-0
Gate opens outward, self '
closing
Padlock provided on
gates or ladder l 2
Indoor pool all doors self
closing or alarmed per `�
1
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 (I'll
COMMENTS: A,,=
--KQ --?)'2._(-5-1
TSL 1 .1x -- '2 Cdr •-
I
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: \ ►� �� '�eiltt-(1�
vx LOCATION: /S ftj n e, La,1 e.
PERMIT#: /3 -1 501
INSPECTS ON: /__ am/pm
ct Arrive: '61' a / Depart:
am/pm
Inspector's Initials:
Above Ground: X In-Ground:
Y N N/A`
Pool enclosure around V/
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 V
Alarm
Ladder secured in place
and latched
Deck gate < 56" to latch
no more than 1/2" 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:
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
Inspections per Permit
Permit# P20130182
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
05/08/2013 Miscellaneous Above Ground Pool STAFF
Misc 2013-182
permit app rec'd&entered
J
05/13/2013 Miscellaneous Above Ground Pool CRAIG BROWN Staff
Approved 2013-182
zoning approved
05/13/2013 Miscellaneous Above Ground Pool STAFF
Misc 2013-182
permit issued
PERMIT PLOT PI_gNf'f
I HAVE PERSONALLY MEASURED THE DISTANCE
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