2005-186 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
(zt Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20050186 Date Issued: Wednesday, August 01, 2007
This is to certify that work requested to be done as shown by Permit Number P20050186
has been completed.
Tax Map Number. 523400-301-019-0001-050-000-0000
Location: 43 FERRISS Dr
Owner. TIMOTHY & HEIDI BROWN
Applicant: TIMOTHY & HEIDI BROWN
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 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: P20050186 Application Number: A20050186
Tax flap No: 523400-301-019-0001-050-000-0000
Permission is hereby granted to: TIMOTHY& HF,IDI BROWN
For property located at: 43 FEMSS 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: TIMOTHY&HEIDI BROWN
43 FERRISS Dr I l
Tootalral Value
Pool
alue
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
SPRACTIJE POOLS
294 BROADWAY
FORT EDWARD_ NY
Plans&Specifications
2005-186
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 T u day, April 12, 2005
Queen ury,
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Swimming Pool Permit PemritNo.aw
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 �O
(518)761-8256 Fee Paid 3 5 .
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
1 01 ss
- 0
2. Person Responsible for Code Requirements: r M
3. Pool Location Address: SS Or jh UCcn1&r uf'-/ Tax Map No.
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. � .., c`,� ❑Above ground pool ground Pool TOW LUNG AND CODE
Y
x
U
B. f'" ,.a. Length 3 ft. / width 14 ft. / diameter ft. / depth
C. dre
steel/vinyl; ❑fiberglass;❑gunite; �d concrete;❑other
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 r ade,a fence must be installed within
the area of the pool.
If your above-ground pool is exactly 48 inches above-gmde 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 el4inspectioncker on the panel box)and proper fencing around the pool or lift-up ladder.
Si atureofApplicant: - Date: ,Y—SSignature of Owner: C-�/t�_ Date: �� rc�
�►r��c ���roc
Pool Inspection /voice
Queensbury Building&Code Enforcement" - -1 k4 or,
Office No.(518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received:
NAME:
LOCATION: Lr_-s_
PERMIT#: 0$-=
INSPECTED ON: am/pm
Arrive: am/pA t Dep is 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 Fors 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 oe
AG 105.2 Item 9
Timer on pool pump (no
plug in timer allow d
Final electrical
Vehicle access gak closed
&locked
Ok to issue C/C
COMMENTS:
V
e �
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received:
NAME: r'aE -pu,o�
LOCATION:
PERMIT#:
INSPECTED ON: 7j9 am/pm
Arrive: am/pm Dep rt:-_-_7 ).AC�— anvpm
Inspector's Initials:
Above Ground: In Ground:
Y N N/A
tooard
l enclosure around pool
4 feet a ove 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" in
ate s
'I G to open ou se
cl
P dlock pr vided on gates
a d ladder
Indoor o a doors self
closing or alarmed er
AG105 9
mer on pool ptump (no
imer e
ina ica
ccess gate closed
&locked _
j Ok to issue C/C
N� � t Q
COMMENTS: 1:4� �
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LOT 32 ~
5838'0o"E
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1 HEREBY CERTIFY TO
MICHAEL CHARLES do EMMA 401JISE LASHWAY
Y TRUSTCO BANK OF NEW YORK. ITS SUCCESSORS AND OR ASSIGNS
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD
.,a ( p2oP�Fn Duty£ SURVEY ACCORDING TO RECORD DESCRIPTIONS AND SHOWS
- - ► _ I - LOCATIONS OF BOUNDARIES AND IMPROVEMENTS ON THE
N i "-•� I I — _ — -� "� PREMISES AND THERE ARE NO ENCROACHMENTS OTHER
THAN SHOWN
CT1 l THIS SURVEY AND THE CERTIFCATIONS HEREON SHALL BE
O � '^ �� VAUD ONLY TO THE PARTY OR PARTIES HEREON NAMED AND
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( ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
t zrSod o1a \ SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR
EXPRESSLY STATED HEREON
Lu q
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LOT 36 vi
_ O DAVID J. BOLSTER
' DATE MAY 31, 1994
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205•
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JMT38-900 or ct
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MAP OF A SURVEY MADE FOR
ex �'.• LOT 34
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EMUL MWS KIM LOOK LASff FAY
TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK
MAP REFERENCE
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'UNAUTHORIZED—ALTERATION OR ADDITION TO A SURVEY DA VID J. BOLSTER
ZAP OF A PROPOSED SUBDIVISION KNOWN AS � �� � 4 MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
QUEENSBURY FOREST PEASE III �.: ' : '`: :r" - VIOLATION OF SECION 7209, SUB-DIVISION 2. OF THE LICENSED LARD SURVEYOR. QUEENSBURY. NIV YORE
r`-' - `t'- '� .;:k-.�.�'w NEW YORF: STATE EDUCATION LAW."
BY VANDUSEN & STEYES �+ F .t. .,K ti' 'ONLY 03PIES FROM THE ORIGINAL OF THIS SURVEY
LIAMD SEPrRJUM 19, 1991 f't t; �;i� �� MARKED VUH AN OWE- OF THE LAND SUSS DATE : MAY 31. 1994 SCALE 1' 30• N.Y.S. UC. N0. 49534
LAST REVISED 4-22-92 SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.'
FILED IN WARREN-CO. CLERKS OFFICE
PLAT CABINET A. mAp f-f 8S DWG. N0. 94029 B