2004-233 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. P20040233 Date Issued: ' Monday, November 19, 2007
This is to certify that work requested to be done as shown by Permit Number P20040233
has been completed.
Tax Map Number. 523400-301-014-0002-007-000-0000
Location: 42 MC ECHRON Ln
Owner. PETER & JACQUELINE BOLTON
Applicant: PETER & JACQUELINE BOLTON
This structure maybe occupied as a:
Inground Pool
By Order 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 Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
a 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040233 Application Number: A20040233
Tax Map No: 523400-301-014-0002-007-000-0000
Permission is hereby granted to: PETER &JAC',OI TELINF,BOLTON
For property located at: 42 MC ECHRON Ln LOT 7
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: PETER& JACQUELINE BOLTON
42 MC ECHRON Ln I Tootalral Value
Pool
Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
SPRAGUE POOLS
294 BROADWAY
FORT EDWARD_ NY
Plans&Specifications
2004-233
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 Tog*ri o (�iueens {
r d ,Apri130,2004
j
SIGNED BY � - for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Swimming Pool Permit permit No. ��-
Building&Codes Office-Town of Queensbury 742 Bay Road ueensbury,NY 12804
(518)761-8256 Fee Paid
CEI
VE
Instructions and requirements are attached. APR 2 4 Notes:
2004
1. Applicant/Owner /Contractor or Installer InformAT@) :;�OF QUFEN-%URY
Bull niP;cn ,,,zr
��k���s€"'€ '; = � :. n+ z ,.� g a». a� r w ,�'«,.,. -• ,sit r- ,,;, z -
�. .. �.a�..��.�� �;� ..�};.�. .Itca.
ro- U '-'R Pei 0 C.!S
,3cldr� ifs MLEchrbn Lane_
liNOW e
s_ -7 - ak7 7�17-�'Z7
NUNN-"e x
DE- 73-13o
2. Person Responsible for Code Requirements: TaAe T &I LX0A
3. Pool Location Address: QYIeck
C CCh W 14 J1 2Tax Map No.
4. Swimming Pool Informat whichever applies and fill in the blanks) 36 -7
A. i ElAbove ground pool Unground Pool
B. Smom Length 0 ft. / width PC) ft. / diameter ft. / depth ( ft.
C. Mater�ds„usixd zn canstrutrn: teel/vinyl; ❑fiberglass; ❑gunite; poured concrete;bother
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- rgrade,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 electric inspection(sticker on the panel box)and proper fencing around the pool or lift-up ladder.
Signature of Applicant: Date: 4 6 6 7
Signature of Owner: _ Date: Ll Z6 6 91
Pool Inspection 3 R" /J6ijG
rnaF W C)�-,
Queensbury Building&Code Enforcement /
Office No.(518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received:
NAME:
LOCATION: Z
PERMIT#: — 1
INSP TED ON: `� am/pm
Arrive: am/pm Depart: r f �� am/pm
Inspector's Initials: 7 )`�
Above Ground: In-Ground:
Y N N/A
Pool enclosure around pool
or yakd
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
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
a
COMMENTS:
1 Z-1 �)C-WI�c67,
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: l
NAME:'
LOCATION:
PERMIT#:
INSPECTED ON; am/pm
Arrive: K am/pm Depart;
Inspector's Initials: _
Above Ground: In-Ground: X-1
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
Pool Surface Motion
Alarm
Ladder secured in place
and latched
Deck gate <56" to latch
no more than '/2" spacing
in gate 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
I j me wed
Final electrical
ss gate
closed & locked
Ok to issue C/C
COMMENTS: C� c• y N-,J �� .f��
7
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queen bury,NY 12804
Date received:
NAME: 1 :?�' t✓ ZZZ
LOCATION:
PERMIT#:
INSPECTED ON: am/pm
Arrive: am/pm Depart: M-I f 11 am/pm
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 %" 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:
?)52M,G;C-,
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
.MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
>01
Permit No........................................Cert.
N 76346 Cut-in Card No..............................
Owner....... .............................................................................;:::.................
VW IV12,�rx_/- /_AJ,
..... . ..........
Location................................... ............................................................................................
Installation Consisting of .........................
....................................................................................................................................................................................
....................................................................................................................................................................................
ul
InstalledBy...... .......................................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 iy_PF ions at any time, and if its
rules are violated,the Company shall have the right tolevokAthis c4ARcee.
Date..... ........ INSPECTOR. ........................................................
Member N.F.P.A.,
MAP REFERENCE:
THE GROVE SUBDIVISION
DATED NOVEMBER 6, 2000
LAST REVISED MARCH 3, 2001
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC irncN�rlc
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71,618 sq. ft.
1.64 acres
4
McECHRON LANE
204.0
Deck
1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
� THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
'?94 O , FOR WHOM THE SURVEY WAS PREPARED AND ON THEIR,$ h a BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
S?>•3� NO AND LENDING INSTITUTION LISTED HEREON.
4 R/ CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
40�W �� INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: PETER J. do JACQUELINE M. BOLTON
CHASE MANHATTAN BANK,
I rS..,S000ESSORS AND/OR ASSIGNS
• .ate�� F,PUBLIC NATIONAL TITLE INSURANCE COMPANY
°CER FI
8 W C. STEVES, LLS NYS 50135
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TO THE A
169 Haviland Road Queensbury, New York 12804 "�"`"ss `KNE'a"°EEs a ME R INE raKnc°"1J57ED HOWL AM Town of Queensbury, Warren County, New York
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(518) 792-8474 New York Lie. No. 50135 BOLTON
NO. DATE DESCRIPTION DWG. NO. 85418-7