2005-182 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20050182 Date Issued: Friday, July 21, 2006
This is to certify that work requested to be done as shown by Permit Number P20050182
has been completed.
Tax Map Number. 523400-315-010-0001-014-000-0000
Location: 16 QUINCY Ln
Owner. RICHARD & ERIN SMITH JR
Applicant: RICHARD & ERIN SMITH JR
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
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 ERAq7tt
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: P20050182 Application Number: A20050182
Tax Map No: 523400-315-010-0001-014-000-0000
Permission is hereby granted to: RTC14ARD &F,R1N SMITH JR
For property located at: 16 QUINCY Ln
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: RICHARD&ERIN SMITH JR
16 QUINCY Ln I Tootalral Value
Pool
Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
CYPRESS POOL LTD
99 OI JAKER ROAD
OUEENSBURY. NY
Plans&Specifications
2005-182
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 12, 2006
(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 To Queens es ay,April 12, 2005
L
SIGNED BYV for the Town of Queensbury.
Director of Building&Code linforcement
9r
Application for Swimming Pool Permit permit No. S'
Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 12804 3S �
(518)761-8256 1 Fee Paid
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
2-1 tea R D C I rJ S Vag c TO �C>An E_ �• p,�us
ibJ G L-M\k'
51 h' � Gov
2. Person Responsible for Code Requirements: Ld
3. Pool Location Address: fit l N tAd t Tax Map No.
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. !No"
:��._„>, " ElAbove ground pool Iuground Pool
B. 101 'R W Length ?� ft. / width ft. / diameter ft. / depth—LRec
C, `�steel/vinyl; ❑fiberglass;❑gumte; ioured concrete;❑other
5. Fencing Requirements for above-ground & inground swimming pools: 7'0 5
WN OF
A. If an above-ground,indicate height from ground-grade to top of pool height inc 15 1IL6' AND C CQ URY
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 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 Ui
he panel box)and proper fencing around the pool or lift-up ladder.
Signature of Applicant: Date: 4141
� PP
� Date: U`7
Signature of Owner: -z-r,-�
t
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received: 1
NAME:
LOCATION: r
PERMIT#: L L-
INSPECTED ON: am/pm
Arrive: am/pmDepart: ir—,JE�__anvpm
Inspector's Initials: 1%11" "C
Above Ground: In-Ground:
Y N NIA
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 ''/z" spacing in
ate openings
Gate open outward, self
closing
Padlock provided on gates
and ladder
Indoor pool all doors self
closing or alarmed per
AG 105.2 Item 9
Timer on pool pump (no
lu in timer allow d)
final electrical
ehicle access ga e close
&locked
Ok to issue C/C
COMMENTS:
r
t
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received: 412
NAME: ' _
LOCATION:
PERMIT#:
INSPECTED ON: am/pm
Arrive: am/pm Depart: l ' anv
Inspector's Initials:
Above Ground: In-Ground:
Y N NIA
Pool enclosure around pool
or yard V/
4 feet above grade
2 inch maximum clearance
to grade from underside of
fence —i�-
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 ''/z" 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:okpa-
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/ part. � pm
Date Inspection request received: Inspector's Initials• /
NAME: ` '� PERMIT#:
LOCATION: (� t: L DATE: -
TYPE OF STRUCTURE: �J
Comments
-- Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Tern 110 _
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector _
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched _
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed ro er1
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area i
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 s . ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Oka to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Inst). form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/p epart:
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: 6
LOCATION: v 2 vt ce DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location — O
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more(a)stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/,hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required .Final Surve Plot Plan /,t/4 ,J LC G 1�/� Nt
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Buildina&Codes\Inspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04
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TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examinatipn,
comppliance with our comments shall
not be construed as indicating the
plans and specifications are in full
compliance with the Building Codes
-- `{ of New York State.
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MAP REFERENCE:
j QUINCY LANE SUBDIVISION
THE MICHALES GROUP i �i'l�
BY: VAN DUSEN do SIEVES
DATED: APRIL 15. 2003
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LAST REVISED: JUNE 10, 2003
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69 Havibmd Road Queensbury, New York 12804 A �"`°`"° I t tt-ts-o4 CHANGE BANK IN CERTS. SMITH '
Town of Queensbury. Warren County, New York
18 792-8474 New York Lic. No. 50135 NO. DATE DESCRIPTION DwG. N0. 02333-t4
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