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2004-257 T TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20040257 Date Issued: Monday, August 20, 2007 This is to certify that work requested to be done as shown by Pennit Number P20040257 has been completed. Tax Map Number. 523400-308-008-0001-049-000-0000 Location: 33 BURNT HILLS Dr Owner. JAMIE & SUSAN HALL Applicant: JAMIE & SUSAN HALL 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, �1 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&.Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040257 Application Number: A20040257 Tax Map No: 523400-308-008-0001-049-000-0000 Permission is hereby granted to: JAMTF,& SUSAN HAIJ, For property located at: 33 BURNT HILLS 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: JA1VQE& SUSAN HALL Above Ground Pool 33 BURNT H[ LS Dr Total Value QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency AOiJA POOLS 4 SARATOCrA RD CTANSEVOORT_ NY Plans&Specifications A2004-257 ABOVE GROUND POOL $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 05, 2005 (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 Townof�Queensbury; Wednesday,May 05, 2004 SIGNED BY L4,712 4 for the Town of Queensbury. Director of Building Cod- nforcement in � 1 Permit WAppl-lication for Swimming Poo PemutNo� Building&Codes Office—Town of Queensbury 742 Bay ueensbury,NY 12804 (518)761-8256 W9 C jp!�I Fee Paid e' �t Instructions and requirements are attached. 4 pq Notes: ® 2004 1. Applicant/Owner /Contractor or Installer Inform% ,,�OF QUEENSE3 r!U_!Q/NG xi��_�r RY FAWN,M00101001 0 MW ALb N01U4LI J0 60A 41� Y. AJ Dt' 2. Person Responsible for Code Requirements: J GGSim (, 3. Pool Location Address: 33 1'um b A 115 Tax Map No. I 4. Swimming Pool Information: (check whichever applies and fill in the blanks) IV` albo__� A. - 4 -FA [Above ground pool ❑Inground Pool B. iSe� aT Length ft. / width ft. / diameter ft. / depth ft. C 1i�ftiinsisecoxreon: ❑steel/vinyl; []fiberglass; ❑gunite; ❑poured concrete;[other QI 5. 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 roust 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. 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 the panel box)and proper fencing around the pool or lift-up ladder. Signature of Applicant: /J., L' Aa, Date: ( � Sianature of Owner: _ Date: Pool Inspection Queensbury Building&Code Enforcement Office No.(518)761-8256 742 Bay Road,Queensbury,NY 12804 Date received: �-[L �6—t NAME: LOCATION: ` �,F� PERMIT#: INSPECTED ON: am/pm Arrive: am/pm Depart: am/pm Inspector's Initials: Above Ground: In-Ground: Y N N/A Pool enclosure around pool or yard —i/ 4 feet above grade 2 inch maximum clearance to grade from underside of fence 10, 4 inch maximum clearance in fence pickets Wall or Doors have self closing device or alarms (30 second Alarm time) V Ladder secured in place and latched Deck gate < 56" to latch no more than %" spacing in ate openings Gate open outward, self adlock provided on gates and 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: Pool Inspection Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road,Queensbury,NY 12804 M Date received: u � v NAME: � b� LOCATION: PERMIT#: INSPECTED ON: AUG `� ��ja n//pm Arrive: am/pm Depart: 1�j n am/pm Inspector's Initials: G C 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 ickcets 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 %2" spacing in ate openings Gate open outward, self closing 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-zz�pe lf ``�� of l� y ks Pool Inspection 1rna Feel 01,1-{!posh C� Queensbury Building&Code Enforcement /� Office No. (518)761-8256 j( 7 742 Bay Road,Queensbury,NY 12804 Date received: j 1 NAME: (h�G LOCATION: r' S PERMIT#: INSPECTED ON: lt-� [) am/pm Arrive: am/p�m Depart: '�, �1_am/pm Inspector'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) Ladder secured in place and latched Deck gate < 56" to latch no more than %2" spacing in ate openings Gate open outward, self closing Padlock provided on gates and ladder Indoor pool all doors self closing or alarmed 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: - - r. �� � qcul Pool Inspection Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: NAME: —; `� cuy., LOCATI0N:3_ 1 ` PERMIT#: -- INSPECTED ON: 7 5am/pm Arrive: m/p epart: ` iJ m/ Inspector's Initials: Above Gro 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 tw Deck gate < 56" to latch no more than %2" spacing in ate openings Gate opens outward, self / closin ✓ 0 Padlock provided on gates or ladder Indoor pool all doors self closing or alarmed 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 Zs 66 To-3ki COMMENTS: t-Le it rOG �rV. CIA— "x—N 5� 11 1AtLIk wl \--Prvc," c pdcL- !J- t ®E-- ?9,'�tOE D,r\v%-r ,, u i I , t MAP REFERENCE: BURNT HILLS SUBDIVISION DKC HOLDINGS, INC. DATED: JULY 23, 2001 LAST REVISED: JANUARY 17, 2002 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC { +' I I ? I I BURNT HILLS DRIVE sio2.'2 Q oo n = 'opoe le!}uapls a e A 325 �! � a c a44 to J x! u i }S °� AAa�} a� I 01 9Ae4 II!m not swe In}aaw ,2 !eldxa o��Sddra w► !nbe� �e4nn u � 01°�!3ads sIuawa� ibla 'loocl�nv,� 4 4141'A�e'I!wei aje n0A a�ns �u3 I°Oci 9 \ amsse sear Jeumo GWON uoi�ua b VAC 00�yt vG�ON I yk.�e GONy� d_ 26 .: 'id o0 T ON101� � �4< <-�• �- Nam° -� -+�'" NBC �y\ ,,I\�1f1'������� .'"rfo �1ii��N✓� 25 i 6 3 2 _ ,. �- 30 ft - ( O O ° N ' Z 1 i � E X t I 1 1 t I HEREBY CERTIFY THAT THS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED. AND ON TFtE1R 1 V B &I" TO THE TRLE COMPANY. GOVERNMENTAL AGENCY 178.701 AND LENDING NSTRUTION LISTED HEREON. S87°27110°W CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL NSTMMONS OR SUBSEQUENT OWNERS. CERTIFIED TOv JAMS R. HALL SUSAN E. HALL COUNTR N rjNG.. ITS SUCCESSORS --— - - -- AND/OR A EW C. CHICAGO' ANY � C � MATTHEW LL S013S DATED MAY 23. 2003 GQNp . Motel I i I scale 1MU'*WM ALIMTION OR 1 ADMIU TO A WRM s a Ie I R s w,an us e. MAP KAMO A LICBM LAID SJRYEV WAL 6A Map of a Survey made for & MpAT10N OF IECII' 72A�-aM"i OF THE { eMr coPles FRoIA n1e aR.alwaneswa• Steves °Wh µ° °MT LOO - 7I !AL>l4A11 K 040"m W A S URIC CQEf.' , S� 1.�'>M ,m IN A011 SIO.,I,NAT JAMII� R. & S U SAN E. HALL D14 BURKY YMt PIIQARCO M ALAW S IQ M 11E aasnN1 wx aF PRAORLS FOR LAW aAlc+as AOW1lD and Surveyors LUTW ft n,00VECOIISMC 1 1iNML LY �,�, TO TIE Pmm FOR ow TIE uw&y If Pwwtm M@ . { ON M DOW TO TK VU OMV M7 OOM MUTAL - - 169 TM MOSI Haviland Road queenebury, New York 12804 TO A"°`n10N6"°"""'"""R M0�0M AMTown of Queenebury, Warren County, New York GLUTS E AGf.M aFT heIt+one.mrtUlou' (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. No. gt241-25