2005-417 TOVN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20050417 Date Issued: Thursday, January 18, 2007
This is to certify that work requested to be done as shown by Permit Number P20050417
has been completed.
Tax Map Number. 523400-295-016-000 1-0 10-000-0000
Location: 137 FARR Ln
Owner. JEFFREY & MARYLEA RAYMOND
Applicant: JEFFREY & MARYLEA RAYMOND
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, w
Variance, or other issues and conditions as a result of approvals by the Director of Building&Cod o ent
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: P20050417 Application Number: A20050417
Tax T%fap No: 523400-295-016-0001-010-000-0000
Permission is hereby granted to: JF,FFRF,Y& MARYI,FA RAYMOND
For property located at: 137 FARR Ln
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. Tyne of Construction Value
Owner Address: JEFFREY& MARYLEA RAYMON
137 FARR Ln Inground Pool
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
CONCORD POOLS
2035 ROIJTE 9
ROI TND LAKE. NY 12151-0000
Plans&Specifications
2005-417
Inground pool
$35.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, June 22, 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 Queensbu W ne day, June 22, 2005
SIGNED BY e for the Town of Queensbury.
Dire for of Building& de En rcement
Application for Swimming Pool Permit Permit No.
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Fee Paid �S .
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
l 37 /�7a Z_ / -7 Gi 4e GAA 2-D 3 5 Fite GI
'7��-091oZ 6 �- _7()Lj
/ � tw�� , coa card U/s c ry-r
2. Person Responsible for Code Requirements: 4qV MQA1 b
3. Pool Location Address: /3"/ f me /,-A/'�__ Tax Map No. 0
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. y ElAbove ground pool Inground Pool
B. 4HIMM Length ft. / width/I ft. / diameter — ft. / depth ft.
C. ElsteeUvinyl; fiberglass;EIgunite; oured concrete; ther
5. Fencing Requirements for above-ground & inground swimming pools:
A. If an above-ground,indicate height from ground-grade to top of pool height �j inches
Note: If your above-ground pool is less than 48 inches above-gtr d_e,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,Appe>� ��
6. Pool Pump Requirements—Time Clocks: D
Pool pumps must be equipped with time clocks so the pumps can beset to shut off during perio'dssof peak utility electrical
demand and set to control the length of time during which the filter runs. TOWN OF OUEENSBURY
7. Final Inspection Information: BUILDING AND CODE
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: Z J� Date: Iq D.5-
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
cC,W0%that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Jeff Raymond Date: 08/1 8/2005
j�
Occupant: Unknown Location: 137 Fa1'�St. x
Queensbury, Warren Co Y
Occupancy: Swimming Pool
!�
Applicant: Ambrose Electric
790 Watervliet Sha %,
Latham, NY 121O
No. 1 �(TO 5
Equipment: - - -
u
2 — Switches "%,. 1 — GFCI Receptacle; 1 — Pump, H ater; 1 — Timer
a
�7
U a �fi
°�
a
02,
I." r r
I1 " F 0
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void.
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.
IS
SIP
Az
�y� G
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received: J-( — a
NAME: _TT e
LOCATION: L3 t-r / h
PERMIT#: �- —
INSPECTED? O - am/pm
Arrive: a am/ Depar r .� am/
Inspector' Initi
Above Gr d: 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 V/
second Alarm time)
Ladder secured in place and
latched
Deck gate < 56" to latch no
more than Yz" 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
Lplug in timer allowed)
Final electrical
Vehicle access gate closed
&locked
Ok to issue CIC
COMMENTS:
3000 aN �N0 NM41
/
6T
amoz avarm ON ,' �� 1 .0
02 � ` ,
IN
1
Ry
M00 TH
_. T Z
o5v �i� s�a�3n�ns auv�
is
s3n3j.s + N3sna Nvn ),e
TOOZ 'LZ 1snony a3iva