2005-757 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERT I F I CAT E OF COMPLIANCE
Permit Number. P20050757 Date Issued: Tuesday, December 05, 2006
This is to certify that work requested to be done as shown by Permit Number P20050757
has been completed.
Tax Map Number. 523400-308-018-0002-009-000-0000
Location: 10 REVERE Rd
Owner. KIMBERLY FILION
Applicant: KIMBERLY FILION
This structure maybe occupied as a:
Inground Pool
By Omer 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 Building&Code afore eat
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: P20050757 Application Number: A20050757
Tax Map No: 523400-308-018-0002-009-000-0000
Permission is hereby granted to: KIMRFRI,Y FH.10N
For property located at: 10 REVERE Rd
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: KIMBERLY FILION Inground Pool
10 REVERE Rd Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-757
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 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 Queen bury; h rsday, September 22, 2005
0 SIGNED BY for the Town of Queensbury.
.irector of Buildin &Co Enforcement
7
pplication for Swimming Pool Permit Permit No.B 57
Building& Codes Office Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518) 761-8256 Fee Paid
Instructions and requirements are attached. Sep` 0 _ Notes:
1. Applicant/Owner /Contractor or Installer Information:--
Name
1 M re i'it
Wsldiss
Pevcre Road
44
4
P,,o?
k6ffl
2. Person Responsible for Code Requirements; [-( brjt l
3. Pool Location Address: 10 �P V f'( G1 Tax Map No. .
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. Type of Pool: ❑Above ground pool XInground Pool
U,# rL^it
B. Size of Fool: Length ft. / width__L A. / diameter ft. / depth ft.
C. Materials used in construction: 0steel/vinyl; ❑fiberglass; ❑gunite; Opoured 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&bodes Office is required before use of the pool is authorized. The Code Officers
will look for an approved electrical inspection(s cker on tjae panel box)and proper fencing around the pool or lift-up ladder.
r
Signature of Ap^is Date: �J
Signature of Owner: Date: G d5
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. N 2 93756 Cut-in Card No.............................,1..
lGLC4
Owner.......................
........................................... .................................................................../...
Location.... ...�� G ....1�Y....................................................................f.�...�.� .....
Installation Consisting of..1.".l.�....�....... ........ ....................................................................
....................................................................................................................................................................................
..................................................t................................. .......................................................................................
InstalledBy..... DJ .... .............. .............................Lic.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 maki inspections at any time, and if its
rules are violatedQ,the Comp ny shall have the rightdtoeke tK c ific e.
Date..�/.�! ` '�1-�........ INSPECTOR.... ... ........................................................................
fZ — C
'2 OIL\cf��
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received: l C
) n (o�--
NAME: 1) 1 'i -1 L 1e*�
LOCATION: 1 a / ~
PERMIT#: —�
INSPECTED ON: am/pm
Arrive: pm Depart:'7�> la-'-am/pm
Inspector's Initials: y
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
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:,
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY. 12804-5902
www.queensbury.net
Permit Applicant Property Owner
KIMBERLY FILION
10 REVERE Rd
QUEENSBURY, NY 12804-0000
_1st Notice
FWE w
2nd Notice
_3rd Notice
The permit listed below expires on : 09/22/2006 4th Notice
Application Number Permit Number Permit Type
A20050757 P20050757 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
S
inc
e
rely. (/[�
Charles Dyer
Code Enforcement Officer
Town of Queensbury Building and Codes Department
07/14/2006
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