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2005-183 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. P20050183 Date Issued: Friday, May 26, 2006 This is to certify that work requested to be done as shown by Permit Number P20050183 has been completed. Tax Map Number. 523400-290-000-0001-061-000-0000 Location: 20 BROOKFIELD Run Owner. CINDY CERRO-CONLON Applicant: CINDY CERRO-CONLON 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 E orceme 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: P20050183 Application Number: A20050183 Tax Map No: 523400-290-000-0001-061-000-0000 Permission is hereby granted to: CTNDY CERRO-CONLON For property located at: 20 BROOKFIELD Rule 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: CINDY CERRO-CONLON Inground Pool 20 BROOKFIELD Run Total Value QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency POOLS PLUS 104 MAIN St OITEENSBITRY_ NY 12804 Plans&Specifications 2005-183 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 Town ensbu Tuesday,April 12, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Cbde Enforcement .Application for Swimming Pool Permit Permit No. Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)761-8256 Fee Paida�� Instructions and requirements are attached. Notes: 1. Applicant/Owner /Contractor or Installer Information: �Poots Pt�S, CINDY CERRO-CONLON 20 BROOKFIELD RUN QUEENSBURY, NY 12804 2. Person Responsible for Code Requirements: ( 1N - 3. Pool Location Address: Zt> FL-l7 bu-1l`-LZ '2�►'j Tax Map No. Oa !C , �� 4. Swimming Pool Information: (check whichever applies and fill in the blanks) A. '' ' []Above ground pool E31Qround Pool B. , Length 2-D ft. / width Ll 2— ft. / diameter 3_ft. / depth � ft. C. P'steel/vinyl; ❑fiberglass;Ogunite; 171poured concrete;Elother 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- ladder with lock must be installed. RED E I V E D B. If an inground pool,a fence must be installed meeting NYS Regulations,Appendix G. APR 17 4 2005 6. Pool Pump Requirements—Time Clocks: TOWN OF QUEENSBURY Pool pumps must be equipped with time clocks so the pumps can be set to shut off during peri:a .. t demand and set to control the length of time during which the filter nuns. 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: Date: 4I.36S Signature of Owner: Date: Pool Inspection Queensbury Building&Code Enforcement Office No.(518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: }} NAME: L57V LOCATION: PERMIT#: INSPECTED ON: am/pm Arrive: a epart: ain pm Inspector's Initials_ � � Above Ground: In-Ground: Y OeN N/A Pool enclosure around pool or yard V/ 4 feet above grade 2 inch maximum clearance i to grade from underside of fence voeoo- 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 ''/1" 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 plug in timer allowe ) Final electrical Vehicle access gate closed &locked Ok to issue C/C COMMENTS: VU TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY. 12804-5902 www.queensbury.net Permit Applicant Property Owner CINDY CERRO-CONLON 20 BROOKFIELD Run QUEENSBURY, NY 12804-0000 _ 1 st Notice _2nd Notice The permit listed below expired on : 04/12/2006 _3rd Notice 4th Notice Application Number Permit Number Permit Tyne A20050183 P20050183 Inground Pool Our office needs to inspect your pool for compliance to the New York State Pool Enclosure Regulations. Please call our office at 761-8207 or 761-8256 to set up an inspection. T e following items need to be verified for compliance: Pool Enclosure Self-closing, self-latching, padlock gate and/or ladder Electrical Inspection oors which are part of enclosure need alarm or self-closing, self-latching device. Pool Timer Sincerely Charles Dyer Code Enforcement Officer Py Town of Queensbury Building and Codes Department 04/18/2006 " Horne of Natural Beauty ... A Good Place to Live " Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ art: I am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: �� PERMIT NO.: O LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil T e: d/Lo Clay.Type of Water: Municipal kWell Water Waterline separation distance ft, Well separation distance ft. Other wells: f}. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches 2 fit. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size T Building to tank Tank to Distribution Box p �i Distribution Bo ld/Pit Opening Seal : YJAI Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use�Statt : Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:4SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 i '+i 1 1 3000 QNV JNldling ANMN33no 30 NM01 r vooz o T and 1 a3AI303N t 31VO 9 � r t 1 + }o sqpct 6uipifn8 atq un u we suo9 sP sueid eq ou e ��eo�tPw�e +r� teawoo utwexa 1+.wti ��"""` C 1N3W1� dad`JNi41U18��(19SN33f t�?�Q NMOl. r ICAQQ Soo a ld LbpZ-963-8Ig _ 3 ew3 taey�rw dZT :60 ba...60 2nb PRO f :. LOT 16 LACES: S84-49'54"E PMA5E 1 IKOOKFRLD ESTATES 200.00' DATrD DEcEMBER 7. 1987 LAST REVISED JUKE 7, 1988 Ss&o BOUNL BY VAN DU5EN + 5TEVE5 26� LINE ADJU LAND 5URVEYOR5 �A 244 .Sg F MAP OF A SURVEY MADE Of LOTS 20 AND 22 IN >30 BROOKFIELD ESTATES WING A PROPOSED BOUNDARY LIME ADJUSTMENT WELL DATED MARCH 9. 2004 LOT 20 BY VAN DU5EN + 5TEVE5 REVISED N 64,626 sq.ft. 1.48 acres N LOT 18 I ------ %>Zo ft r 1 � C W G6.42. o ry } CV i� C Li N HOUSEZ:l Z 0 J Q ASPHALT DRIVE 94.4 RECEIVED APR n 4 2005 TOWN OF QUEENSBURY BUILDING AND CODE 16 V�a1 00 I HEREBY CERTIFY THAT THIS MAP WAS PREPARED UTILITIES N� FROM AN ACTUAL FE:LD SURVEY. 159.66' L=26. THIS CERTIFICATION SMALL RUN ONLY TO THE PERSONS N86049'24"W FOR WMOM THE SURVEY WAS PREPARED. AND ON THER BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY •. ,=*kirojr• we-mi mrw i ic,TFn HFRFCNL