2004-237 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: P20040237 Date Issued: Tuesday, May 10, 2005
This is to certify that work-re requested to be done-as shown b Permit Number
_ � . q y 'P20040237
has been completed.
Tax Map Number: 523400-301-013-0002-087-000-0000
Location: 6 CHIPPEWA Cir
Owner: ROBERT SPRINGER JR
Applicant: ROBERT SPRINGER JR
This structure maybe occupied as a:
By Order of Town Board
Ing ound POOL TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY -
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20040237 Application Number: A20040237
Tax Map No: 523400-301-013-0002-087-000-0000
Permission is hereby granted to: ROBF.RT SPRTNC'TF,R JR
For property located at: 6 CHIPPEWA Cir
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: ROBERT SPRINGER JR
MICHELE BARTON-SPRINGER I Total o Value
Pool
Total Value
6 CHIPPEWA Cir .
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
SPRAGUE POOLS
294 BROADWAY
FORT EDWARD_ NY
Plans&Specifications
2004-237
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 29, 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 Tow��of-1ue�nsbury ���Jf(///(� T rs pril 29, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
��_ Plication for Swimming Pool Permit Permit No.
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,
Q ury y Q ury,NY 12804 �
(518)761-8256 Fee Paid �j-
i
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
� °`sr.:i..;�'�� .�y,z!.��s5... A �IE",'�,„I1lY �;,.N *�....�',�..�.::/ � ..e��,���:.,,.w��Ir�."` , `�.•s= n �`�z `,..,�..41�Xy,,a,{,`�����..,��n./�a�_ �.i :- x.;r`.-..
N
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2. Person Responsible for Code Requirements: 7JbeX l <�X,&&�
3. Pool Location Address: L! f i '1 ' Tax Map No. �! S
4
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
rovuv OF c;UEENsauRY
A T�p boa ❑Above ground pool pInground Pool 6uILl�INr ��®CODE
• r
B. Length �,7 ft. / width ft. / diameter ft. / depth_ ft.
Clateitalx ustIn corsiiatto£rr: 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 electric spec ion(sticker on the panel box)and proper fencing around the pool or lift-up ladder.
` ��✓��l
Signature of Applicant: Date:
y
Signature of Owner: Date:
ey
P4,
\.
r -N -
BUILDIN Bul�_�i c�ta.,a�coax
REVIEWEE) BY tt
®ATE �
t -
Atten�i�rt rye 0 net
Please assure yo re famii with the
Pool EncibS6 re re ments eci " to
Your pool, wi a happy plain
what Requ• n s yo� a e to
mee ppe di , O th
New Yo tate a nti I de.
Ail
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
NAME:
LOCATION:
PERMIT#:
INSPECTED ON: S5--ID- awpm
Arrive: _l i•3�2 (n)pm Depart: am/pm
Inspector's Initials: (�
Above Ground: l 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 opens outward, self
closing
Padlock provided on gates
or ladder
Indoor pool all doors self
closing or alanned per
AG105.2 Item 9
Timer on pool Pump (no
plug in timer allowed)
Final electrical
Vehicle access gate closed
&locked
Olc to issue C/C
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