2005-391 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: P20050391 Date Issued: Wednesday, September 21, 2005
This is to certify that work requested to be done as shown by Permit Number P20050391
has been completed.
Tax Map Number: 523400-295-006-0001-025-000-0000
Location: 8 JACQUELINE Dr
Owner: WILLIAM & MEREBETH VANDERMINDEN
Applicant: WILLIAM & MEREBETH VANDERMINDEN
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, alp
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: P20050391 Application Number: A20050391
Tax Map No: 523400-295-006-0001-025-000-0000
Permission is hereby granted to: WTT,LTAM& MF,RF,BF,TH VANT)FRMTNDF,N
For property located at: 8 JACQUELINE 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: WILLIAM& MEREBETH VANDER
I
8 JACQUELINE Dr l
Total
Value
Pool
alue
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
CONCORD POOLS
156 SPARROW BIJSH Rd
LATHAM_ NY 12110
Plans&Specifications
2005-391
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, June 06, 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 tb,Town f Qu spry; y, June 06, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Alication for Swimming Pool Permit permit No. —�
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:
Cc1 l/.a m u.✓iA✓fits w'&' wj#,,v4 f d eorali V"k0k1WW eovicoew 'Pedls L/dp
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2. Person Responsible for Code Requirements: Wdlyd-A Varl AP�r/Ni✓cI P✓1
3. Pool Location Address: 8 7acQa�l��t N uC. Qtt.e204ayii Tax Map No.
If
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. %. ElAbove ground pool tKInground Pool
B. Length 3ft. / width ft. / diameter �1 ft. / depth S ft.
_: ,.:max=...; .__._........_ __..._.......
C. ❑steel/vinyl; fiberglass;Ogunite; (poured concrete;®other a .0c /VA,*P
ere><p
5. Fencing Requirements for above-ground & inground swimming pools: C&Mr&Jslcdn
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 mor rift-up ladder with lock
must be installed. ( `E I\ /C
B. If an inground pool,a fence must be installed meeting NYS Regulations,Appendix G. �/ C
JUN ?CIO;
6. Pool Pump Requirements—Time Clocks: TOWN 0F QUEEN5BURY
Pool pumps must be equipped with time clocks so the pumps can be set to shut off during pe ' �e�Q6cal
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: IXe c Date: S/JV/0 S
Sintature of Owner:k�, VvoV' V .f i�,(, ate: 5��/4S
f
/
f
Pool Inspection Queensbury Building&Code Enforceme . '
Office No. (518)761-8256 _
742 Bay Road,Queensbury,NY 12804
Date received:
NAME:
T�AeAl-\-
LOCATION-.
PERMIT#:
INSPECTED ON: am/pm
Arrive: am/pm Depart: \tom am/pm
Inspector's Initials: �� � `
Above Ground: In-Gr d:
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 '/" spacing in
ate openings
Gate opens outward, self
closing
Padlock provided on gates
or ladder
Indoor pool all doors self
closing or alarmed per
AG105.2 Item 9
Timer on pool pump (no
plug in timer all d)
Final electrical 7 zt �
Vehicle access g to diosed
&locked
Ok to issue C/C
COMMENTS:
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Iron pin,VanDusen&Steves Iron pin,VanDusen&Steves
•
• CJ� �/ 56'
• 40' •
• •
• O O •
• O O •
• O •
•
• O -
• 174' fence of 54"black ��o e e O O •
e
• aluminum fence with 2 ,Sd��cc BOLDING& COD B DEI�'.
• locking childproof gates ; aXee� O 61' '
from Adirondak Fence p,4Qte� O 1g REXIIEWED B
O C) DATE
• 0 � •
• O •
• a •
• O •
• O •
• O •
• �----- — •
• O •
O
1s�' �� 1 •
� 17'x 33'kidney in-ground � � •
• pool from Concord Pools O •
• O 15'x22'-Elgin? •
• System from •
•
24' I Queensbury ) •
• O I Septic,takes place •
of original 220 O •
• 11.5' feet of leach line •
• x4,
• O Ate ( 1
• 19' Concrete Stone — ( O •
•
• I Existing L — n' —— 30' �.
I. 1250 gallon
• ew to s septic tank __——_—— •
• O Lam. — .—...._------ •
• Stone �� O -
• Existing Deck •
• O •
• O •
O RECEIVED
House O JUN
• O Pump, 40'
•
• etc. •• TOWN OF QUEENSBURY
• 46 ■ ■ BUILDING AND CODE
. Gate Vanderminden O
O 8 Jacqueline Drive, Queensbury Garage
• O O �