2014-206 TOWN OF QUEENSBURY
*ION742 Bay Road,Q ueensbu NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140206 Date Issued: Monday, June 08, 2015
This is to certify that work requested to be done as shown by Permit Number P20140206
has been completed.
Tax Map Number: 523400-301-019-0001-074-000-0000
Location: 9 FINCH Rd
Owner: JAMES & DIANE KOUDELKA
Applicant: JAMES & DIANE KOUDELKA
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 ( a49 4
A2
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.
j`( TOWN OF QUEENSBURY
`i1 A
km 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140206 Application Number. A20140206
•
Tax Map No: 523400-301-019-0001-074-000-0000
Permission is hereby granted to: JAMES & DIANE KOUDELKA
For property located at: 9 FINCH 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: JAMES & DIANE KOUDELKA Ingroun,l Pool
9 FINCH Rd
QUEENSBURY NY 12804-0000 Total Value
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2014-206
POOL Inground 24' round
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 03,2015
(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 uee bury; Iue • •y„ un1-03,2014
SIGNED BY sta. for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received: �3
SWIMMING POOL PERMIT APPLICATION Tax Map ID: 30
( �7 --1- ()/�
A permit must be obtained before beginning construction Permit No.: j �?D L
Permit Fee: $-7Ci
Site PlanNariance No.:
1. Date:
�'
2. Tax Map ID: , o . 1(1-1 - 4q*� I w 1 - 4 q
3. Pool Location Address: F1 hl C H �C b
4. Zoning Classification: MD f\
5. Site Plan Review,Variance or Subdivision Approvals (list)
6. Property Owner: -frs S 1 D Dims 'B c-KA Phone: 467-435t
Mailing Address: 1 r I tJC fl ROA?
City: Qc.)c_C1dS ()/SL,)
JJ Y
7. Contractor's Name: P1/4d ) rt 4.( 1—W l s Phone: 718
Mailing Address: J 13o&l f Auci
City: l X11.'4 br\Sbc. 0-6 f N Y
8. Contact Person for Building&Code Compliance: -TAMES K(SOtI£_ A Phone e)9- ig5<5
ABOVE-GROUND OR INGROUND? V 61 Ro
SIZE OF POOL: Ro 0 N1
MANUFACTURER: K,4� 3 I Lim 14 Am
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
Steel/Vinyl v Fiberglass Gunite Poured Concrete Other
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application,
plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I
acknowledge that I have read the application & plot plan requirements and I or my agents will obtain a certificate of occupancy before use
of the pool.
Print N qodfiti_6(
Name:
Signature: kft_ Date S7-414
Name/Title
Town of Queensbury Building&Codes Swimming Pool Permit 518-761-8256
2 \ itil )
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: l (, c
NAME: ` cam,
LOCATION: �ii�1
PERMIT#: MOW_
INSPECTED ON: (C, 1 c am/pm
Arrive: v\m- am/pm Depart:
am/pm
Inspector's Initials: 1
Above Ground: In-Ground: V
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 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 v
COMMENTS: ku vti 44,-
-Rt.1
at- t\
Pool Inspection
(Closer to`i)
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: 512 .61 15
NAME: VOLAc c;+ ‘
LOCATION: `It f►--h
PERMIT#: NA- Z-alo
INSPECTED ON: `,71z`1\15 am/pm
•rrive: am/pm Depart:
► am/pm
I .pe. .r's Initials:
Above Ground: In-Ground: /
Y � N N/A
Pool enclosure around r�/
pool or yard
7
4 feet above grade
2 inch maximum
clearance to grade from V
underside of fence ///
4 inch maximum
clearance in fence ✓
pickets
Doors v
closingallor devicehaor ea larmselfs
(7):e ,
(30 second Alarm time)
Pool Surface Motion
Alarm V /
Ladder secured in place
and latched
Deck gate < 56" to latch 7
no more than 1/2" spacing
in gate openings /
Gate opens outward, self �//
closing
Padlock provided on
N7
gates or ladder
Indoor pool all doors self
closing or alarmed per
AG105,2 Item 9
Timer on pool pump (no J
plug in timer allowed)
Final electrical
Vehicle access gate
closed & locked
Ok to issue C/C
COMMENTS:
• 0) 0V* U r_�E111 7E
�Y302014 .
_________
1 [ h�
TOWN oF—dlYEENSBURY
BUILDING & CODES
'A Es b ZJ1\NIE KOU ELKA
.1 IN�1-1 Ra-APERMIT PLOT PLAN
Q uivim okY NY I HAVE PERSONALLY MEASURED THE DISTANCE
�)'� �� � FRO r THE PROP RTY INES TO THE
U / % OR_ IGN S)
Psl'iO ''1 e -A ��T ; ,)/_____3SPI
�GN•T:i
URE DATE
fi_
4` c9N1` ROW\I-D 1-0
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1______
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•
TOWN OF QUEEN;BURY
TOWN 01=QUEENSBURY
BUIDING & C --., S r...-_._ BUIt_O1NG DEPARTMENT
7 „ 8ased on our limited examination,compliance
Reviewed with our comments shah
indicating the plans ana s'ppoechifications are an
full compliance with the B
1�- ` �- New York Slate..
uilding Codes of
\� Cittc: tion ffctrz 0 'r_i e;-
\,\ Please assure you are familiar with the
Pool Enclosure requirements specific to
Your pool. We will be happy to explain
what Requirements you will have to
meet per Appendix G Of tha
f h w 'rbr;; State 1.::siderltiai Code.