2004-214 TOWN OF QUEENSBURY .
742 Bay Road,Queensbury,NY12804-5902 (518) 761-8201
Community.Development- Building &Codes._(518) 7614256
CERTIFICATE OF COMPLIANCE .:
Permit Number.. P20040214 Date Issued: 'Friday, May 27, 2005
This is to certify,that work requested to be done as shown by Permit Number _ P20040214 has been,-completed.
Tax Map Number. 523400-302-011-0001-072-000-0000
Location:..- 10 FORT AMHERST Rd
Owner SHIRLEY REGAN L.E.
Applicant: SHIRLEY A REGAN
This',structure maybe occupied as ac
Inground Pool'.. By Order ofTown 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 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: P20040214 Application Number: A20040214
Tax Map No: 523400-302-011-0001-072-000-0000
Permission is hereby granted to: STiTRT,F,Y A RECTAN
For property located at: 10 FORT AMHERST 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. Tyne of Construction Value
Owner Address: SHIRLEY A REGAN
10 FT. AMHERST Rd I o V Pool
Total l Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
POOLS PLUS
104 MAIN St
OTTEENSBURY. NY 12804
Plans&Specifications
2004-214
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT.EXPIRES: Saturday,April 30, 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 wn o ZP'
r' a ,April 30, 2004
SIGNED BY , for the Town of Queensbury.
Director of Building&Code Enforcement
t pplication for Swimming Pool Permit Permit No.
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Fee Paid ti
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
Tr & r,rR
Owner,. �f �.,. Contractor/ nstaller,
D.- o o e)`��),,� .0 .
Addres�s� " !' brr'l��17F-`5-F
Phone rJ/}�a � J 9
e
* IO =
�Pfione
2. Person Responsible for Co/d//e,,Requirements:
3. Pool Location Address: / v / UP fi — -"f= 5 U J Tax Map No.
4. Swimming Pool Information: (check whichever applies and fill in the blanks) cczv
A Typexof Pooh [:]Above ground pool *ground Pool
Do '? 2004
:n
B t4tze o Pool Length ft. / width ft. / diameter ft. /T ftth„ ft.
., -r,,
^SE
if ni- , Uny
C. Mdtercn7s used m construction ❑steel/vinyl; ❑fiberglass; ❑gunite; ❑poured concrete; —'a4ier��•0l �=
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 timed ocks 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.
b'n PP
Signature of A licant`: / • L/ Date: " l —
Signature of Owner: Date:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 /
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL L �
?ermit No.......................................Cert. No 75893 Cut-in Card No.....................................
Dwner.................. ............................................................................... ............................
Location.. .................................. ......... ..
InstallationConsisting of ® -................................. L.............................................
................................................................/..�................................................................................................................
......................... i✓� ..................................................................................................
InstalledBy..............' ........... .......0.................................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 making irleOctions at any time, and if its
rules are violated,the Company shall have the right eree this ce ate.Date.....4Y. G•.:.ay- .......... INSPECTOR..... ...... ................................. ..........
Member N.F.P.A.,I.A.E.I.
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensbu y,NY 12804
Date received:
NAME:
LOCATION:
PERMIT#:
INSPECTED ON: am/pm
Arrive: am/pm Depart: am/pm
Inspector's Initials:
Above Ground: In-Ground:
Y N N/A
Pool enclosure around pool /
or yard J
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) v
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 pump (no
plug in timer allowed)
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS: � � �i C) �
I l
21 ft:from the northers propert n ' I ,� � (�U�. NSE% IRY
BUILDING D EPT.
EVIEWED BY
I ATE � � z� 'Er
�
17 ft from the 2 r
I Western:property.:.. 9
Line:
F 68 ft from the-e ste n r �1er
Please assure you are fammar W10 I L,Ic �I
Pool Enciosure requirements;,specific to
15 ff., Vql
I. We will be happy to.expWn-
16 5`ft from therback=of the h equiremends you will have jo
meet per App4ndix G Of the
esidential Code.
r C-;44G
i HOUSE AT 10 FORT AMHERST ROAD IV
QUEENSBURY
AIR 2 -1 2 04
T0VVI,1 OF s,,''EEN BURY
c ODE
100' Frontage
SITE PLAN FOR INGROUND POOL (15' X 29' GRECIAN SHAPE)