2005-649 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLI-ONCE
Permit Number: P20050649 Date Issued: Wednesday, November 23, 2005
This is to certify that work requested to be done as shown by Permit Number P20050649
has been completed.
Tax Map Number: 523400-301-006-0001-065-000-0000
Location: 6 SYCAMORE Dr
Owner: KEITH & ANN LA JOIE
Applicant: KEITH & ANN LA JOIE
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 p
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 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) 76.1-8256
BUILDING PERMIT
Permit Number: P20050649 Application Number: A20050649
Tax Map No: 523400-301-006-0001-065-000-0000
Permission is hereby granted to: KFTTH& ANN LA JOTF,
For property located at: 6 SYCAMORE 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: KEITH& ANN LA JOIE
6 SYCAMORE Dr I l
Tootalral Value
Pool
alue
QUEENSBURY, NY 12804
Contractor or Builder's Name / Address Electrical Inspection Agency
BAKER POOLS
NY 12804-0000
Plans&Specifications
2005-649
INGROUND 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 ! llafor the Town of Queensbury.
e to of But din �onforcemcnt
Application for Swimming Po-1-Permit Permit No. 05
Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 128fl
0
(518) 761-8256 A11C 1 U 2000r Fee Paid j
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information: `
Applicant Owner Contractor.!Installer
Maine // „^
no
0 1
i�dd�es .
Fax
Phone' ,
2. Person Responsible for Code Requirements:
3. Pool Location Address: (� �G^ '`� f __:D 1) V_C Tax Map No.
4. Swimming Pool Information: (checy whichever applies and fill in the blanks) 13 P '3'5. 1
A. Type of Pool: ❑Above ground pool ground Pool
B. Size of Pool: Length '3,& ft. / width � ft. / diameter ft. / depth ft.
C. Materials used In construction: XsteeVvinyl; ❑fiberglass; ❑gunite; ❑poured concrete; ❑other
5. Fencing Requirements for above-ground & inground swimming pools:
A. If an above-ground,indicate height fro ound-grade to top of pool height inches
Note: Zareao
ound pool is less than 48 inches above-grade,a fence must be installed within
ol.
ound pool is exactly 48 inches above-grade or more,a lift-up ladder with lock
.
B. If an inground pool,a fence must be installed meeting NYS Regulations,Appendix G. +�
6. Pool Pump Requirements—Time Clocks: Y
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.
A�
r
Signature of Applicant: Z �� ' Date: g S'
r
Signature of Owner: , 4�-ram Date:
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received: l L 2N U
NAME:
LOCATION:
PERMIT#:
INSPECTED ON: _ am/pm
Arrive: __am/pm Depart:' ' �_amp
Inspector's Initials
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 '/2" 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
plug in timer allowed)
Final electrical
Vehicle access gate closed
&,locked
`Ok to issue C/C',
COMMENTS:
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbury, (N�1lY�12804
Date received: �v
NAME: O
LOCATION: �y
PERMIT#: 1
INSPECTED ON: Il" `— am/p
Arrive: m/pm Depart: in
Inspector's Initials:Pt
Above Ground: In-Ground:
Y j 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 allow d)
Final electrical 3
Vehicle access ga e closed
&locked
Ok to issue C/C Ev
COMMENTS: f2,OvLT_� IC— kOt.,-<—
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
3ermit No........................................Cert. N 2 89942 Cut-in Card No...............................
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nstalledBy........... A.A��...........410....................................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 making'Nections at any time, and if its
ules are violated,the Company shall have the right to rp e�..'s rti cafe.
)ate.... ............. INSPECTOR...../t,,j........ . ............ ....................................................
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