2005-307 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: P20050307 Date Issued: Friday, June 17, 2005
This is to certify that work requested to be done as shown by Permit Number P20050307
has been completed.
Tax Map Number: 523400-308-012-0002-025-000-0000
Location: 51 WISCONSIN Ave
Owner: MICHAEL & VERONICA POUTRE
Applicant: MICHAEL & VERONICA POUTRE
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 /J
property owner of the responsibility for compliance with Site Plan, �f
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: P20050307 Application Number: A20050307
Tax Map No: 523400-308-012-0002-025-000-0000
Permission is hereby granted to: MIC'HAEL& VF,RONIC'A POT JTRR
For property located at: 51 WISCONSIN Ave
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: MICHAEL & VERONICA POUTRE Above Ground Pool
TRUSTEE FOR K. MATTISON Total Value
51 WISCONSIN Ave
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-307
ABOVE GROUND POOL
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, May 24, 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 of Queensbury; Tuesday, May 24, 2005
SIGNED BY for the Town of Queensbury.
f ildi e Enforcement
T
Application for Swimming Pool Permit PermitNo.Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Fee Paid
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
�\L'�L�C '''( Y��YL�CJ�' 1 V i--- �I Ts Kam. '�•"
2. Person Responsible for Code Requirements:
3. Pool Location Address: :5 1 Tax Map No. .308 , 1 Z — Z 2 S
4. Swimming Pool Information: (check whichever applies and fill in the blanks) RECEIVED
A. Alba& 0bove ground pool. ❑Inground Pool
B. „% ' ` Length ft. / width ft. / diameter ft. / depth ft. MAY () 2005
C. &
JIM JUMM11gM 5teel/vinyl; ❑fiberglass;❑gunite; ❑poured concrete;❑other TOWN OF QUEENSBU
RY
—B M)ING AND CODE
5. Fencing Requirements for above-ground & inground swimming pools:
A. If an above-ground,ind�cate height from ground-grade to top of pool height inches
Note: If your above-ground pool is less than 48 inches above- rg ade,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 electrical inspection(sticker on the panel box)and proper fencing around the pool or lift-up ladder.
Signature of Applicant: Date: c)5
Simiature of Owner: U�G � Date:
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
dun
742 Bay Road, Queensbury,NY 12804 �L. �
Date received: ��O 5 A—e-
NAME: BOL IL 04
LOCATION: -glnhw
PERMIT#: a007- 3 v 7
INSPECTED ON: 17 0-5 am/prn
Arrive: _ am/pm Depart: arnipm
Inspector's Initials: _`- o
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 'l2" 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
lu in timer allowed)
Final electrical
Vehicle access gale closed
&locked
Ok to issue C/C
COMMENTS:
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N -'u CENTPAL AVENI.--.f.F--
REG EIVED
MJ�Y 1; i
T; TOWN OF QUEEN5BURY
BUILDING AND CODE
;HCW CONCRi Map
of lands surveyed for
Michael A. Poutre
Veronica A,, Poutre
Town of Qu enshury * Warren County " New
SCale 1 „ 20' September 9. l 91-4