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2004-168 Al 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: P20040168 Date Issued: Wednesday, July 21, 2004 This is to certify that work requested to be done as shown by Permit Number P20040168 has been completed. Tax Map Number: 523400-295-020-0001-004-017-0000 Location: 191 FARR Ln Owner: THOMAS &LISA HENDERSON Applicant: THOMAS & LISA HENDERSON This structure may be occupied as a: By Order of Town Board Above Ground Pool TOWN OF QUEENSBURY Director of B ding&Code E ceme TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20640168 Application Number: A20040168 Tax Map No: 523400-295-020-0001-004-017-0000 Permission is hereby granted to: THOMAS &T,TSA HF,NT)F,RSON For property located at: 191 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. Type of Construction Value Owner Address: THOMAS &LISA HENDERSON 191 FARR Ln Above Ground Pool Total Value QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-168 ABOVE GROUND POOL $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 15, 2005 (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 Quee bury; rrsday,April 15, 2004 SIGNED BY Xr for the Town of Queensbury. Director of Building&Code Enforcement y Application for Swimming Pool Permit Permit �- Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 d� (518)761-8256 Fee Paid Instructions and requirements are attached. Notes: 1. Applicant/Owner /Contractor or Installer Information: 4 0 d- l (. �I�m er o n ». �� ter•� ec +- o0 I co , Address�� Fary Lune oeefnsb�r� �ar►�e Rootwas Ln 5a, Phone 2. Person Responsible'for Code Requirements. 0V1*X4_ (_lS OTC`lA le r's- 3. Pool Location Address: 191 E rL Lane ©ueai5 y 11 Tax Map No. Ci 4. Swimming Pool Information: (check whichever applies and fill in the blanks) A MR%oPai MAbove ground pool ❑Inground Pool i u B 5 zelo Po4al Length 31 ft. / width--Lg—ft. / diameter ft. / depth y ft. C. Materials rased zn construaCz�?zr: [ Steellvinyl; ❑fiberglass;❑gunite; ❑poured concre eW r tHe� n ,,�D 5. Fencing Requirements for above-ground & inground swimming pools: A PR 0 9 ?004 A. If an above-ground,indicate height from ground-grade to top of pool height inches VVI Of-LUEl=IUSg p Note: If your above-ground pool is less than 48 inches above-grade,a fencAmus�b'e�ansfauednhf 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' pection(sticker on the panel box)and proper fencing around the pool or lift-up ladder. Signature of Applicant: 1 Date: 7 Signature of Owner: ")C,twti.e- — Date: 0A t 1, I VY A� ,� V 44 WJ CMG �00 ;—b co 10 n cc C� c� c) co 0 rn--4 c:-q 0 1 rUri 713 21 > _-K M PORCH f 43-45, > =1 12. 2' R=625.0() CSO/ COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.o(O Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL j(O1 Permit No........................... ...........Cert.M 76047 Cut-in Card No..................................... L / � Oo Owner................................................... ............................................................................................................... Location....../'T)....... �� ......L.Aj'...............................................�'4 le :.......................... Installation Consisting of tom(, �!IOIA1G-0-�*A.)ZVA G P� .............................................. ....................... ...................................vt.......- ..............................................................:..................................................................................................................... .................................................................................................................. ........................................................... Installed By......4 .`.....:S4e ?Q 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 shal promptly made for inspection. Inspectors of this Company shall have the privilege of ma ng ' spections at any time, and if it: rules are violated,the Company shall have the right t r ertifica Date.... L ................ INSPECTOR..............:.............. Member NARA.,I.A.E.1. `s Pool Inspection 2 Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road, Queensbury,NY i12804 Date received: 15 am INSPECTED ON: ,pm Arrive: an epart: am/pm Inspector's Initials: NAME: � , PERMIT#: " 0p - 16- LOCATION: dox Above Ground: k/ In-Ground: Y 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 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 ump (no plugin timer all e Final electrica Vehicle access ate closed & locked Ok to issue C/C COMMENTS: Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: m/pm ZH m Date Inspection request received: Inspector's Initials:NAME: ^Q�'M P RMIT#: 0 LOCATION: � 4 �,� (�C�( ,2 ATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Com lete \� 1 Guard 30 in.or more @ stairs,decks, atios � 1 Guard at stairwell at 34 in. or more 1 Guard at deck,porches 36 in. or more , Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %2" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above rade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp, 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safe glazing/Window in stairwells safetyglazing � Interior Smoke Detec rs: Every level: / Every BeSlroom: ✓ / '�V� Outside every bedroo a: / ✓ : \�vN)�y Inter Connected: ✓ / Batter backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Ix Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes\Inspection Fortns\Res.Final Inso. form 2.docLast printed 2/12/04 RIDGE PUD %SE TWO iGUST 27, 2001 JSEN & STEVES RVEYORS, LLC f r y r r 7 71 _ �y •�.i' ��-..� � ter•I � y I r r j .�- - .. 2s1.4 41 _ � r to tv -- ^` ..��- f r/' i•I"'•"" �•• i--^ .ice O- 48.(Dg2 sq,.ft. I N ui 1.10 acres STORY 0 i WOOD FRAME a ASPHALT =-_Jr�.:..-- _ -- ' _..-- ..-- - _.,-- �. - �-- = .� .'"_.-- - ---- _-.•.� DRIVE w `� r^ �'..-'.r- '-•i f C' t•"..,� ."'- �I•_r"". ''� +.' I_ '�' I �^„ �' yam"'".�`'i .."�~'l"..`^,�..•✓�1 '--.- r••l � ''• '' .-•� .�- .�•" l,. -'''-Jam"- r-^ .�-, r ."',�- '•"'• = �-{ �-. �— '� UTILITIE5