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.
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MAP REFERENCE:
BURNT HILLS SUBDIVISION
DKC HOLDINGS, INC.
DATED: JULY 23, 2001
LAST REVISED: JANUARY 17, 2002
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
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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
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(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. No. gt241-25