2005-697 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Pern-fit Number. P20050697 Date Issued: Friday, October 03, 2008
This is to certify that work requested to be done as shown by Permit Number P20050697
has been completed.
Tax Map Number. 523400-295-006-0001-040-000-0000
Location: 25 LEHLAND Dr
Owner. WALTER & THERESA ARNOLD
Applicant: WALTER & THERESA ARNOLD
This structure may be occupied as a:
Inground Pool
By Order of Town Board
TOWN OF QUEENSBURY
t °
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 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: P20050697 Application Number: A20050697
Tax Map No: 523400-295-006-0001-040-000-0000
Permission is hereby granted to: WALTER& THERESA ARNOLD
For property located at: 25 LEHLAND 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: WALTER& THERESA ARNOLD
25 LEHLAND Dr Pool
Total Value
QUEENSBURY, NY 12804 Total Value
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
BP 2005-697
Inground pool
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, August 30, 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 11AIda , e e er 02, 2005
SIGNED BY for the Town of Queensbury.
Y .S'
Director of Building&Code Enforcement
Application 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 Informatio !r- 2f105 &F-3
k, �r�i' !�(�v� f�elrlClY11L°
S J tens (Is. n la
2. Person Responsible for Code Requirements''
3. Pool Location Address: S o h! A.A c*11 l�'')y-C— Tax Map No.
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. Type of Pool: ❑Above ground pool *nground Pool
B. Size of Pooh Length ft. / width 3�_ft. / diameter ft. / depth-e/ ft,
C. Materials used in construction. %steel/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 electrical inspection(sticker on the panel box)and proper fencing around the pool or lift-up ladder.
Signature of Applicant: Date:
Signature of Owner: ALL Q C Date:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 f?
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. N 0 8 9 9 5 8 Cut-in Card No............................ : � 1
Owner.............. ........... 1 L1 G s`
...... ...............................................................................................................
o� ZtG l
Location........................................�:Z...-�.J.........��y...................�...,.n...�...............�L��.................
Installation Consisting of..l..`'"'.� C .u-'� I7�-Ce/
y ................................
....................................................................................................................................................................................
....................................................................................................................................................................................
InstalledBy....le.. .......................................Lie.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of ma ' spections at any time, and if its
rules are violated,the Company shall have the right t r'�/j�/oke t s cert icate.
Date....16.`(?.'Q. ........... INSPECTOR.... -:........ .............................. .....................................
Pool Inspection
Queensbury Building &Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME:
LOCATION: "►�
PERMIT#:
Isd am/pm
Arrive: am/pm Depart:
` am/pm
Inspector's Initials:
Above Ground: In-Ground:
Y N NA
Pool enclosure around
pool or yard
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
Pool Surface Motion
Alarm
Ladder secured in place
and latched
Deck gate<56" to latch
no more than 1/2" spacing
in qate openings
Gate opens outward, self
closing
Padlock provided on
gates or 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, NY 12804
1-1
Date qe)
NAME: P � rib
14
LOCATION: Z L g
PERMIT#: 7zcxq�:f'- --CI M __
INSPECTED ON: am/pm
Arrive: am/pm Depart:
am/pm
inspector's Initials:
Above Ground: In-Ground:
Y N NA
Pool enclosure around
pool or yard
44 feet above grade
2 inch maximum
clearance to grade from
underside of fence
4 inch maximum
clearance in fence
pickets i
Wail or Doors have self
closing device or alarms
(30 second Alarm time
Pool Surface Motion
Alarm
Ladder secured in place
and latched
Deck gate <56" to latch
no more than 1/2" 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,NY 12804
Date received:
NAME: Arwok)�)
LOCATION:
PERMIT#: �`,__
INSPECTED ON: 7am/pm
Arrive:j13_2! am Depart: am/pm
Inspector's Initials:
Above Ground: 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 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 i9 1" 0
Vehicle access ga a losed
& locked
Ok to issue CIC
COMMENTS:
6/tck
Pool Inspection f STA)c, C_e,
r
Queensbury Building&Code Enforcement rlLaf `ed oI-,
Office No.(518)761-8256 l/
742 Bay Road,Queensbury,NY 12804 (�
Date received:
NAME: _,Arlir)0 -
LOCATION:
PERMIT M
INSP��N: �AO' I a _pm
Arrive: am/p Depart: am/p
Inspector's Initials: A.
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 V" 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
plug in timer allowed
-Final electrical
Vehicle access gate closed
&locked
/C
ve- z--T�
of �
.a
Pool Inspection
Queensbury Building &Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury, NY 12804
Date received;
NAME: kg)��
LOCATION: 'Z
PERMIT#:
INSPECTED ON: m/pm
Arrive: n p rt:
a p
Inspector's Initia
Above Groun ; In-Ground;
Y N NA
Pool enclosure around f
pool or yard Z/
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
Pool Surface Motion
Alarm
Ladder secured in place
and latched
Deck gate<56" to latch
no more than '/z" spacing
in gate openings
Gate opens outward, self
closing
Padlock provided on
ates or ladder
Indoor pool all doors self
07
closing or alarmed per
AG 105.2 Item 9
Timer on pool pump(no
pluq in timer allowed
Final electrical
Vehicle access gate
closed &locked
Ok to issue C/C
COMMENTS:
Tax Map Parcel No. log Number
NOTICE OF VIOLATION —ORDER TO REMEDY
I
Town of Queensbury Dater i
742 Bay Road
Queensbury,NY 12804 7 6 1-8 2 5 6
Name:
Address: 2 I)J72_
Dear Ny2
You are hereby notified that you have been f nd to be in violation of the Town
of Queensbury Code , Section 2Subsec#ion
The specific violation is:
as observed by the Code Enforcement Officer on t c
The following corrective measures should betaken no later than
or court action may be commenced:
r
If you have questions,please contact me.
Sincerely,
Code Enforcement Officer
Please note. A violation of this code may be punishable by a fine not to Exceed$
Each(time period) of continued violation shall constitute an additional,separate
otfense,after court determination- 312512001.form
L-tSueHemirigrraYiz&*v0fteU ow--of VbWw Log Nw"r:doc
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY. 12804-5902
www.queensbury.net
Permit Applicant Property Owner
WALTER&THERESA ARNOLD
25 LEHLAND Dr
QUEENSBURY,NY 12804
lst Notice
2nd Notice'
The permit listed below expires on : 08/30/2006 3rd Notice
4th Notice
Application Number Permit Number Permit Type
A20050697 P20050697 Inground Pool
Our office needs to inspect your pool for compliance to the New York State Pool Enclosure Regulations.
Please call our office at 761-8207 or 761-8256 to set up an inspection.
The following items need to be verified for compliance:
Pool Enclosure
Self-closing, self-latching,padlock gate and/or ladder
Electrical Inspection
Doors which are part of enclosure need alarm or self-closing, self-latching device.
Pool Timer
Sincerely
Charles Dyer
Code Enforcement Officer
Town of Queensbury Building and Codes Department
07/13/2006
"Horne of Natural Beauty ... A Good Place to Line "
�f7
TOW OF QUEENSBURY
BUILDING b_CODE ENFORCEMENT ,� ,,, n nr ved,or belieVe`G saw evldettce sif,
742 Bay Road -- 1„� see r fences.etu.,
It that I �ave
QueensbLiry NY 12804 all objects stlth as hisses, rveJs,.trees> � ®
---- shnwn on th;s ��c rt. i aise represetQrth on the diagram."
(5IS)761-8256
person mews , F. he distance se I AT ' MAY 1 0 2000
SEPTIC DISPOSAL SYSTEM INSPECTION
DATE TOWN OF QUEENSBURY
i SIG ATURE !BUILDING AND CODE �J{)}
Name j
Location A5 �� �dA► �d ��
Permit # o�boo- 30 ; .
Date ;. f , f ,�. :Y j�^^ JJ''�� .,/ •� t .
j k, s. i iC i ii %f ;.• X\ . k P. / iiii��JJ1r^♦ f i r: ,{ :X •;:
SOIL TYPE: San l - ♦.,f ./. ,,: I= ;. . ,•. =ri .. r r
- ay `..•s �♦:. / �i�:±�i ♦yr ,•terry ♦♦ - t.f_..._1_!_»... -•.. ..___.�:�r. . --._. f• � :�.
Results of P rcol ata on Test- _ --•
Rate inutelInc f
(if appl i cabl i / 85• '? " 'i ! ---- -
TYPE OF SYSTEM �r r -�
ABSORPTION FIEL To 1 Length j d� ' � 6• 0 ° +g�
< < -
Length of each t•enc
Depth of trenches
Size of stone � F1 i i i
SEEPAGE PITS: Aulm er-
Size -
Stone size
Size YPe
PIPING: L,ra(� + Ll.! i
Bldg. to Tank ��` .-------� j ,l ; •i : ,' S^ i ,
Tank to Dist. Box
Dist. Box to Field/
Openings Sealed? e No Partial / ri� ,
LOCATION/SEPARATIONS. ' `00
N
feet
/
Foundation to Tani:
Foundation to Absorption feetfeet
Separation of Pits
Z , {
Conforms as per P1 of Pl an Yes No , -
SYSTEEIwN ON PROPER
LOCATI F /
(circl - Right Side e e n
Left Side - g = �t
- a
Front
Middle Fr - Middle Rear
� �•-!- 1 �, is
COMMENTS:
• f• . .MKS �,� r � ,:
�---- r� .5 128
t
- D: YES N0 � S85'41 '20E
SYSTEM USE APPROVE
Arrived: --
Departed: - --=—.
Building Inspector
O
IO
N
MAP REFERENCE:
LEHLAND ESTATES SUBDIVISION ` 1
MODIFICATION PLAN - PHASE 2
DATED: DECEMBER 22. 1998 ' j
REVISED: DECEMBER 29 1998 ���I�
�.P
BY: VAN DUSEN & STEVES C
LAND SURVEYORS. LLC
LANDS N/F OF
JOHN & MELANIE MG
S85'41'20'E
�28.50
I l
48 i
2.3.387 sq ft
0.54 =as
W W 49
4'7
T T WN 011- ^'JEEN URY
Z ,a - --= HOUSE N
er B I L ED I N G C S T.
N9�4-
RE IEVVED 5 ,
-. DA FE
PORCH
27. `' Attention Home owner
Please assure you are familiar With the
I , Pool Enclosure requirements specific to
i4 You pool. VVe wilt be happy to explain
I ¢ I what Requirements you will have to ,
meet per Appendix G Of the '
128.50' ' w York State Residential Code.
N85.41'20"W
LEHLAND DRIVE I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: Waiter A. do Theresa R. Arnold
Chicago Title Insurance Company
Trustco Bonk, National Association, its
• successors and/or assigns
C.
•.�p,��OF NE{�i�� �•
• N CERTIFIED Sr.
4 ; MATTHEW C. STEVES. LLS NYS =35
DATED: August 14r 2000
. (AND$U •
Date: . ZWO
n. D u S """'A'°"°""°°M 70 A'""" bfap of a survey made for
Scale 1'-30"
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169 HavUmd Road Queensbury, N York 12801 Ate" `°'"°'*K"UjF "`""°Me1W1"° Town o! Que:enebury, Marren County. New York
,o,K AMOOi ar x p.rcur.oK• ARNOLD
(518) 792-8474 New York lie. No. 50135 NO DATE DESCRIPTION DWG. NO. 89423-48