2008-110 TOWN OF QUEENSBURY
742 Bay Road Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIAANCE
Permit Number: P20080110 Date Issued: Tuesday, April 13, 2010
This is to certify that work requested to be done as shown by Permit Number P20080110
has been completed.
Tax Map Number: 523400-302-014-0001-048-000-0000
Location: 5 PERSHING Rd
Owner. GEORGE & JENNIFER GOHN
Applicant: GEORGE &JENNIFER GOHN
This structure may be occupied as a:
Inground Pool
By Order of Town Boani
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.
TOWN OF QUEENSBURY
`0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
0,4„
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080110 Application Number: A20080110
Tax Map No: 523400-302-014-0001-048-000-0000
Permission is hereby granted to: GEORGE &JENNIFER GOHN \l
For property located at: 5 PERSHING Rd f
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and They informati¢n hereto filed
and approved and in compliance with the NYS Uniform Building Codes and th (u nsbury 7�Sning
Ordinance. T e o nstruction; Value
Owner Address: GEORGE &JENNIFER GOHN
Inground Po
5 PERSHING Rd ¢1
Total Valuer '
QUEENSBURY,NY 12804-0000
r
r
) ..4lectnca1
Contractor or Builde Address Inspect't Agency
ADIRONDA POOLS i I\' l\`
5 BOULEV RD `,
QUEENS RY,NY 12 4-0000 \
Plans &Specifications \ /
2008-110
inground pool
$35.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, April 09,2010
(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 To f ry; I I esday,April 09, 2008
SIGNED BY C-4 for the Town of Queensbury.
Director of Building&Code Enforcement
��` TOWN OF QUEENSBURY
A ,0 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
`
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080110 Application Number: A20080110
Tax Map No: 523400-302-014-0001-048-000-0000
Permission is hereby granted to: GEORGE& JENNIFER GOHN
For property located at: 5 PERSHING 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: GEORGE & JENNIFER GOHN
5 PERSHING Rd Inground Pool
QUEENSBURY, NY 12804-0000 Total Value
Contractor or Builder's Name / Address Electrical Inspection Agency
ADIRONDACK POOLS
5 BOULEVARD
QUEENSBURY, NY 12804-0000
Plans&Specifications
2008-110
inground pool
$35.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, April 09, 2009
(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 T f Quee my- nesday, April 09, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code nforcement
1, OFFICE USE ONLY
•TAX MAP NO. PERMIT NO, ',_. - (,,`PERMIT FEE ; APR o 2 2008 ILa,
APPROVALS: DEPOSIT .
TON OF QUEE NSi 'URY
lILDING & CODES
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: FCkI iOi`Y1C4( 1.7dS OWNER: LJ)�C' {"� Y1111 t l�1 oh
ADDRESS: 7 i (,. _� 1Q I ('LT Y �Y� i)U DRESS: 1' f 111(1 RQk •
PHONE NOS. 1-cV -5 5 ` 1��, ONE NOS. 1 2.- q 2_ -7 4'4-� Q
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:Je-Allit W_&ohm PHONE: lqF-ug213(44-14E
ADDRESS OF POOL LOCATION: 9 Pe+-5()\ i n
ABOVE-GROUND? OR INGROUND? , SIZE OF POOL 6 x 3 (o
MATERIALS USED IN CONSTRUCTION(CHECK ALL THAT APPLY):
STEEL/VINYL FIBERGLASS GUNITE POURED CONCRETE OTHER
MANUFACTURER: r, T �� .\-( N‘
✓ FENCING AND/OR LIFT UP LADDER REQUIREMENTS FOR ABOVE-GROUND AND INGROUND
POOLS:
o If above-ground, indicate height from ground/grade to top 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 exactly 48 inches above grade or more,a lift-up ladder with
lock must be installed. No fencing is required.
\ If you are installing an inground pool,the pool must be provided with a fence or enclosure meeting the NYS
REGULATIONS,APPENDIX G
✓ SETBACK REQUIREMENTS FOR POOL PLACEMENT:
o Minimum side setback requirement is 10 FT.
No 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 HEIATING 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 requiiAjudaselk pool is
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. Cert. N2 10 2 0 1 1 Cut-in Card No
Owner dG // �t
Location.5 t / S - -
/-//6 i,e 6)t ' ,,
Installation Consisting, .. /JSP`
of...jL1. :. 0 G LI `f 2
Installed ByG3 ' Lie.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 promptly made for inspection.
Inspectors of this Company shall have the privilege of ma ' spections at any time, and if its
rules are violated,the Company shall have the right t r ke t s ce ficate f
Date INSPECTOR
x, A i A VI
(417_
•
Pool Inspection
Queensbury Building &Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME:
LOCATION: + '44
PERMIT#:
INSPECTED ON: 0 am/pm
Arrive: •m/pm Depart:
a '-
Inspector's In' i•s:
Above Ground: In-Ground:
IV
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 y/
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 /" 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 all e )
Final electrical �p�p
Vehicle access g t�111
closed &locked
Ok to issue C/C
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,_.-_- . certit sate of Compliance is issued. The Inspectors are
,t t)ugnt me Town of Queensbury but you are responsible for payment to them directly. Their fee is not
,r: :application. A list of Electrical inspectors is available in our office and on our website listed below.
TM
{, Final Inspection by the Queensbury Building&Codes Office is required bzfore use of the pool is
-s.Ithorized. Ths Code Enforcement Officers will look for an approved Electrical Inspection(sticker on the
onel Box) and proper enclosure around the in-ground or above-ground pool or lift-ten 1*."'"-`-
--bcve ground pool.