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2005-642 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: P20050642 Date Issued: Tuesday, March 21, 2006 This is to certify that work requested to be done as shown by Permit Number P20050642 has been completed. Tax Map Number: 523400-295-007-0001-004-000-0000 Location: 16 JACQUELINE Dr Owner: STEPHEN & DEBRA MEIER Applicant: STEPHEN & DEBRA MEIER 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 Bui ing&Code Enf men Planning Board or Zoning Board of Appeals. TOWN F QUEENSBURY (2t 742 Bay Road,Quee sbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050642 Application Number: A20050642 Tax Map No: 523400-295-007-0001-004-000-0000 Permission is hereby granted to: STF,PHFN& DFBRA MFTFR For property located at: 16 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: STEPHEN& DEBRA MEIER 16 JACQUELINE Dr I Tootalral Value Pool Value QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency POOLS PLUS 104 MATH St OT TEENSBT TRY_ NY 12804 Plans&Specifications 2005-642 INGROUNID POOL $35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, August 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- Wednesday, August 24, 2005 SIGNED BY for the Town of Queensbury. Director of Building& rcement Application for Swimming Pool Permit Permit No._Q� Building&Codes Office-Town of Queensbury 742 Bay Road ,sbury NY k2,ftk (518)761-8256 _ � Fee Paid 3 ,G0 Instructions and requirements are attached. Ur) 1 1 2005 Notes: 1. Applicant/Owner /Contractor or Installer Information- Applicant Owner - CoptraetQt I Inst ller, Natne AclTres's i(o je, c I � U Fax phone 2. Person Responsible for Code Requirements: J"le,'e 3. Pool Location Address: 4�1 t"�"Lte L1. Tax Map No. ";�`q St 7'l 4. Swimming Pool Information: (check whichever applies and fill in the blanks) j� A. Type of Pool ❑Above ground pool XInground Pool B. Size of Pool. Length -/Kft. / width 3V ft. / diameter ft. / depth-- ---d-ft. C. Materials used in construction: M'zteel/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 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 electric nspection(sticker on the panel box)and proper fencing around the pool or lift-up ladder. Signature of Applicant: 6) Date: / Q Signature of Owner: Date: / ,r i" Pool Inspection V Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road, Queensbury,NY 12804 c Date received A NAME: LOCATION: - PERMIT#: INSPECTED ON: Arrive: a pm rt• _ am/pm Inspector's Initials: l ( n 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 1 closing or alarmed per AG 105.2 Item 9 Timer on pool pump (no plug in timer allowed) Final electrical Vehicle access gate closed to issue CIC COMMENTS: IT' l Pool Inspection Queensbury Building&Code Enforcement Office No.(518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: NAME: .Q_,\ — �--- LOCATION: PERMIT#: L 'Z INSPECTED ON: __ ,S - fQ am/pm Arrive: am/pm Depart' am/pm Inspector's Initials: Above Ground: r'{In -Ground: Y N NIA 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 ''/z" 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 allowed) Final electrical Vehicle access gate closed &locked Ok to issue C/C _ COMMENTS: l/ Pool Inspection I Queensbury Building&Code Enforcement Office No.(518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: \\ NAME: \ �JY-CiN LOCATION: r PERMIT#: INSPECTED ON: — — � am/pm Arrive: am/pm _Depa am/pm Inspector's Initials:/I_ Above Ground: In-Ground: Y NIA 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 t- 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 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 allowe Final electrical Vehicle access gate clo ed &locked Ok to issue C/C COMMENTS: COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL f 'ermit No.......................................Cert. N 2 89984 Cut-in Card No............................... )wner....................S"' _ . !...................................................................... .............1 ........:... .ovation.......,16........s✓ . N ...................... .... y� /� n............................................�......... nstallation Consisting of...Y,....� ,rw,!.!K-.�Gt. �`�PAOZI............... ................................ ................................- .................................................................................................................................................................................. .............................. ............................../.................................................................................................................... nstalIedBy......./..4..!.. t t...:,✓.L ..................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is :ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the ntroduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of makin ections at any time, and if its ules are violated,the Company shall have the rightVtovethis e � icate.)ate..... �..�.Zs.��. ........ INSPECTOR.... ..... ..................................................................... �vvv s^ n - F! '.. � , Q� N OF:.QUEEN BURY { ur yy 3 U-1 DING �� DfvEll �"- �_- RE DAT3- 4 �I 71 Z�A,d" - i t� . t t } �? { i t r , a , a t -20 `t r t