2004-306 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CE'XDV'*"- 'IF I CA.'I'E OF COMPLIANCE
Permit Number: P20040306 Date Issued: - Tuesday, October 18, 2005
This-is to certify that work requested to be done as shown.by.Permit Number P20040306-
has been completed.
Tax Map Number: 523400-297-010-0001-029-000-0000
Location: 48 SHERATON Ln
Owner: JOHN & TAMARA BELANGER
Applicant: JOHN & TAMARA BELANGER
This structure may be occupied as a:
Inground Pool
By Order of Town Board
! TOWN OF QUEENSBURY
\ r
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: P20040306 Application Number: A20040306
Tax Map No: 523400-297-010;0001-029-000-0000
Permission is hereby granted to: JOHN& TAMARA BRI,ANCTF.R
For property located at: 48 SHERATON 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. Tyne of Construction Value
Owner Address: JOHN& TAMARA BELANGER
48 SHERATON Ln I Tootalral Val
Pool
Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
BOB BAKER POOLS
SISSON ROAD
SOUTH GLENS FALLS_ NY
Plans&Specifications
2004-306
1NGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 20, 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 own ue �; y,May 20, 2004
SIGNED BY 4tfor the Town of Queensbury.
t
Director of Building&Code Enforcement
04/09/2004 FRI 11:37 FAX
Application for Swimming Pool Permit PernvtNO. Otl-3bl
Building&Codes Office—Town of Queetrsbuty 742 Bay Road Queensbury,NY 12804
(518)761-8256 Fee Paid S, 00
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or l astaller Infurmaxtiun.
n yqb]�a� pwAxr �, h ,{��� 'fi' k. rti }. i 4
mv�
q f: IF 1,; IVI�nr�.41 .1 K w N P '� '`�5a h�.
W tiY•i!•DI� , .
N ga k ft Pod L-5
via (4g 5/16tZA1ow LN g 5Yf,-AA1L4V LN
GtV
x E Yi4 Ai -_2 1:T C3
2. Person Responsible for Code Requirements: N y '17A41aA pt!b t.5
3. Pool Location Address; �� 5��i/�'�►11✓ L/N Tax Map No,
4. Swimming Pool Information: (check whichever applies and fill in the blanks) �� }
A_ 7jr e„O„ri �n�ja DAbovc ground pool '�(Inground pool
&VOL Length o ft. / width�_fi. / diameter ft. I dcptb�,f�?
C. tFar "�1E'd�FkniYlrlrot� ❑stee Y, �kiberglass;
❑ ❑ concrete a fUYin 1• f�Tllnite; poured ;❑ tb r,
S. Fencing Requirements for aboveground & 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-Uradc,a fence must be installed within
the area of the pool.
If your above-groun4l pool is exactly 48 inches above-grade or more,a lift-up ladder with lock
must bo 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 ba 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.
'Me inspectors are contracted through the Town of Quecnsbusy and you are responsible for payment to them directly. Their fee is
not part of this application.
A final inspection by the Queensbury Building&Codcs Ulliee is required before use of the pool is authorized. The Code Officers
will look for an approved electrical ins ction(sticker on the panel box)and proper fencing around the pool or lift-up ladder.
Signature of Applicant. Date:
Ri,mafiire of(honer: Date:
Zr��
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received:
NAME: "�C7k_o
LOCATION: 0
PERMIT#:
INSPECTED ON: Jcdjq�> y�—am/pm
pm 'Arrive: an�1 Dep'art: ` 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 %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
lug in timer allowed
Final electrical ZQ l
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL*
Permit No.............................. 84877..........Cert. Cut-in Card No............................. ..
Owner.......:.tr ...... .................. ......'�1.5 .................................................................................
Location.....��.�.......... �� �
......... ...,.. ....... .......
Installation Consisting of .... _C ¢.4` ! ?.....................................
....................................................................................................................................................................................
...............................................................................
y............ ..................................................................................................
Installed B �...... i...............................
Cl�(f
....
S'( ...............................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 makin inspections at any time, and if its
rules are violated,the C?any shall have the right to rqyoke thi&Aficate.
.............................................
Date.....!i�.—U..................... INSPECTOR. ........ .......................
BUTIXINO AITI) ZOMTllf', W,`A %V
BAY MIn 11AIrMtkill) OADS , R.D.-'f-1
r4LENS -FALLS , lrll�-T YOT's-' 12,901.
APPUCATION FOR A PEPUTITT TO CONSTRUCT, ALTER mt EMLARPT� A. SE.!'Tlm-lF
T)TSPOSAL 1,7TTIITN THE TOTM OTTKEPISMiRY
OCI-MMANT' S NAJ-TJ-1 AT)rj T'�`q v
MMER'S TWIIE,
ADDRESS IRRIMER OF BEDROOM
f.'A'RBAr,E rRlMrmR? ZOLLTHn, STEEP,
.gs OR lin.) TOPOnRAPTIV:
SLOPE, MITLE SLOPE,: OTHER
NATURE OF SOTL: CLAY, SANDY LoATT, rRAVEL, ROCKS, ETC.
PERCOLATION TEST WATER SUPPLY: WE'LL OTHER--
?4
DIAMAIII OF PRnPOSED SEPTTC SYSTEM
aA
NMER Pr,-'RTINENT VTFrTVMnN
ovEl)
TT TS HEREBY ArMEED THAT Tr TINS Al"PLMATION ANM PLAIIs, ATU� APPR
!NqTALLATTON OF SET.7ArE DTSPOSAL FACILITTES T-TILL BE MDR IN ACCORDANCE
71TH PETATL9 S1107,71q.
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