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2005-211 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4z Community Development- Building &Codes (518) 761-8256 CERTIFICATE (371rc COMPLIANCE Permit Number. P20050211 Date Issued: Tuesday, June 13, 2006 This is to certify that work requested to be done as shown by Permit Number P2005021.1 has been completed. Tax Map Number 523400-295-011-0001-028-000-0000 Location: 54 SARA-JEN Dr Owner. EDWARD & DENISE MATTHEWS Applicant: EDWARD & DENISE MATTHEWS This structure maybe occupied as a: Inground Pool By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the A property owner of the responsibility for compliance with Site Plan, /V1 Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enfdremebb 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: P20050211 Application Number: A20050211 Tax Map No: 523400-295-011-0001-028-000-0000 Permission is hereby granted to: FDWARD & DENISE MATTHF,WS For property located at: 54 SARA-JEN 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: EDWARD & DENISE MATTHEWS I 54 SARA-TEN Dr l Total Value Pool alue QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-211 INGROUND POOL $35.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, April 20, 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 Qu b day,April 20, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Application for Swimming Pool Permit Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)761-8256 1 Fee Paid Instructions and requirements are attached. Notes: 1. Applicant/Owner /Contractor or Installer Information: Room , . t 2` �-� - � A , 1�5- 7RS- '72E 2. Person Responsible for Code Requirements: �/ � 5 , a 3. Pool Location Address: , AP-& j�� Z)P_ V J Tax Map No. 4. Swimming Pool Information: (check whichever applies and fill in the blanks) LIVED A. m ❑Above ground pool Nluground Pool APR 15 2005 -.__. :x TOWN OF QUEENSBURY B. �� Length ft. / width 2 C� ft. / diameter ft. / depth_& UILDING AND CODE C. .< � - `' steel/vinyl; [:]fiberglass;❑gunite; ❑poured 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-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 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: ' 7J Signature of Owner: C2 �� L =-r G2 � Date: /S C Pool Inspection Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: �/� NAME: LOCATION: PERMIT#: � ZA� INSPECTED ON: am/pm Arrive: am/pm epa : amip Inspector's Initials: /'� 1&AQ Above Ground: In-Ground: Y N N/A Pool enclosure around pool or yard 4 feet above grade 1 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 e wed Final electrical Ve_Tiil ss e closed &locked Ok to issue CIC COMMENTS: CoMMoN Al ain I o°nmt'vo UNIcrPAj CtRTI 6D e RRnCA� INS caner .ti..... FI Ro 1'E r9T ad.M$ c1'Io �Ocati°n ...�`ZL� , / C° p E ' Lei CTj*,P�17,545 IN jnstaliaO...."•••••t '... � � � ' 9Q AC . _ 25 PPRwAL °COnsistin +v— C go ...c?..[J '....... ut i i4 .......... � '............ C n Card No. '............... ....... ......... lr .. ., Install,d gy...... , .. The f•..... •.. ... 'L.. • cancCllCd.°pnditi° '•^.••................ This ns f°ll°yyt ...... .................. tntr°duct' CCrton ificat nggoyeme' lj7 rules a are s Of d�iOnal e9u CIS the eld tie rssuance°fthis•... tic °jatcd, is C° AnlCnt °trteal cCrtifc N°. Dat°••.. b � e COntp ny hall �a11 haalter he nsequl a ilt plic and'nstationalel. and an cenificatioat have the r'glt o'lve Of shall bePrCOnditi�s e preys°uslyis C' ••... wspEcTop C ke t s c 'nspCc o tly made of date U su d is c. _ ifca ns at any ori. 'Cetion.the me, and if its ember N FP•'•''••••... A,rA-kr•.............. Pool Inspection Queensbury Building&Code Enforcement Office No.(518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: NAME: _ LOCATION: MWI- PERMIT #: INSPECTED ON: )C,/ 0 m'pm Arrive: am/pm Depart: L„ ' arnipm Inspector's Initials: i Above Ground: In-Ground: T Pool enclosure around or yard 4 feet above grade 2 inch maximum cle to grade from underside fence 4 inch maximum cle 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 'l2" spacing in ate openings Gate open outward, self i 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 CIC COMMENTS: W.MR) ����