2004-408 - TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20040408 Date Issued: Friday, July 21, 2006
This is to certify that work requested to be done as shown by Permit Number P20040408
has been completed.
Tax Map Number. 523400-253-003-0001-014-000-0000
Location: 25 KNOLLS RD. NORTH
Owner. BRUCE MANDOLARE
Applicant: BRUCE MANDOLARE
This structure may be occupied as a:
Inground Pool
By Oder 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, J' W
/ t
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.
TOWN OF QUEENSBURY
t.
742 Bay Road,Qtieensbury,NY 12804-5902 (518)761-8201
Community Development Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040408 Application Number: A20040408
Tax Map No: 523400-253-003-0001-014-000-0000
Permission is hereby granted to: BRI TC E MANT)OLARF,
For property located at: 25 KNOLLS RD. NORTH
in the Town of Queensbury,to construct'or'p'lace
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. R
. ! ' � .''l� `' �1 Tvoe of Construction Value
Owner Address: BRUCE MANDOLARE Inground Pool
25 KNOLLS Dr Total Value
QUEENSBURY,1NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
. t ;
Plans&Specifications -
2004-408
REPLACE POOL WITH INGROUND'POOL
i
b
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: : =�entO
�15�,�2006
(If a longer period is required,an application for an extension.myst be made to the c e Enfor
of the Town of Queensbury before the expiration date.)
Dated at the own o Quee sda , June 45, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement E
Application for Swimming Pool Permit [Notes:
. Z4 '4oS
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 06
�Z
Instructions and requirements are attached.
1. Applicant/Owner /Contractor or Installer Information:
RMIN-VA��.s
Vann
tr v C 0! o14f.Q
ab
a EN`
2. Person Responsible for Code Requirements: ���i � +� 7004
3. Pool Location Address:,2.5 K o D(1 C d Tax Mag Q, ® ENSBURY j
1 VBUIL�D�AND.
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A ��% afIoa> ElAbove ground pool .aground Pool
B. e�`faial Length ft. / width-//ft.`` / diameter ft. / depth ft.
C Qrrclls�irsecxc,�t/xt¢ n: [ steel/vinyl; ❑fiberglass;[]gunite; Elpoured concrete;[]other
her
Fencing Requirements for above-ground & 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 meeting NYS Regulations,Appendix G.
6. Pool Pump Requirements—Time Clocks:
Pool pumps must be equipped with time clocks so the pumps can be set to shut off during periods ofpeak utility electrical
demand and set to control the length of time during which the filter runs.
7. 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 el box)and proper fencing around the pool or lift-up ladder.
Signature of Applicant. Date: L
Signature of Owner: __ Date: 0
RECEIVED
JUN 0 7 2004
TOWN OF QUEENSBURY
BUII_DIt�G Alti1D CQDE
C
Attention Home Owner
Please assure you are familiar with the bw.� ' "w C U `a `< •'•r i•.e f""
Pool Enclosure requirements specific to fi..
Your pool. We will be happy to explain BUILDING & POD ::a �4l
what Requirements you will have to REVIEWED BY
meet per Appendix G Of the DATE
New York State Residential Code.
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. 10
Main Office 176 Doe Run Road-Manheirn,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL.Cert.Penmit No.............. ....................... No...............................1(7
1-7 1P Owner............. . ........
Location........ f.. ......�'.0
Installation Consisting of. ....AY.)........&
.... .................................................................................................................
.......................................................................................................................................;............................................
.......................................................
Installed By 5,
........................................................................................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 b ro-ptly made for inspection.
"o r .
Inspectors of this Company shall have the privilege of mak g in �;tions at any time, and if its
g i
c
rules are violated,the Company shall have the right 4toe ke thij,celrtcatei
t
Date...f .............. INSPECTOR.......... .................................................................................
M-h-NPPA TA171
W CbNES,blly .?� /(7- C_�
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
NAME: Ci.v�cXck
hre—
LOCATION: Z,,�—•
PERMIT#:
INSPECTED ON: ' 6 am/pm
Arrive: am/pm Depart am/pm
Inspector's Initials: C- a� k-�) T- lu
Above Ground: In-Ground:
Y IN 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)
Ladder secured in place and
latched
Deck gate < 56" to latch no
more than 'h" spacing in
ate
to —outward, seI
c 1,Q. n
Padlock provided on gates
and ladder
Indoor pool all doors self
closing or alarmed per
AG105.2 Item 9
Timer on pool pump (no
lug in timer allowed
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS: ����L q
Pool Inspection
Queensbury Building&Code Enforcemgnt
Office No.(518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received: 1/ G
NAME: b O I {Ac�—
LOCATION: :5 ,-� ti G.
PERMIT#: 0 �l
INSPECTED O Z / lJ� a in
Arrive: am/p part: ai p
Inspector's Init'als:
Above Gr d: 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)
Ladder secured in place and
latched
Deck gate < 56" to latch no
more than %" spacing in
ate openings
Ga _ ens outwar , self
c osin
a ock provided on ga es
or ladder
Indoor pool all doors self
closing or alanned per
AG105.2 Item 9
Timer on pool pump (no
plug in timer allowed)
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS: