2004-313 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: P20040313 Date.Issued: Tuesday, June 21, 2005
This is to certify that work requested to be done as shown by Permit Number P20040313
has been completed.
Tax Map Number: 523400-296-014-0001-026-000-0000
Location: 4 EDGEWOOD Dr
Owner: LAWRENCE & DEBORAH PUTNICK
Applicant: LAWRENCE & DEBORAH PUTNICK
This structure may be 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 En rcement
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: P20040313 Application Number: A20040313
Tax Map No: 523400-296-014-0001-026-000-0000
Permission is hereby granted to: T,AWRF,NC;R&DRBORAT4 PTTTNTC;K
For property located at: 4 EDGEWOOD Dr
ui 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: LAWRENCE &DEBORAH PUTNI Jnground4.EDGEWOOD Dr Total Value
Pool
Total
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
BOB BAKER POOLS
STSSON ROAD
SOUTH GLENS FALLS_ NY
Plans&Specifications
2004-313 J
1NGROUND POOL
$35.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, May 19, 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 u �e*
, ay 19, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
F :application for Swimming Pool Permit Permit No.
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 O O
(518)761-8256 1 Fee Paid
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
, y
�
' " - l7et�v%1� ay.cL Lawcewc� '
' y Eatc,c_wodoL 'bp-. d2fk
Qi�e_e�s bw Al`t y fj, 0L.en)S 1^�I Is N y 125�03
-7 -73 _7 '7 3— 6
2. Person Responsible for Code Requirements: coo I5 /
3. Pool Location Address: L( E 6LF e k'o d Tax Map No.
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. ❑Above ground pool Minground Pool
iaiHY1 2 2004
B. Isigafa1 Length 3D-- ft. / width_Lk, ft. / diameter ft. / de ft.
Oth N r QUEENSSURY
ii �!2 AND CODE
C. ftrfe tx r rf&t F31 Grt l llltG' steel/vinyl; ❑fiberglass; ❑gunite; [:]poured concrete2U
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 electrical inspection(sticker on the panel box)and proper fencing around the pool or lift-up ladder.
Signature of Applicant c1 41-1 ?� �� Date: S / )L - O Y
Signature of Owner: _.__ Date:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. 0
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVALc)�
Permit No.......................... ............Cert. N® 75884 Cut-in Card No.........................V'.
Owner...............: l ...T/UL
Location...'L.......:.A�. ..... ... ....f. ......0.. !. .....................................L..�(�.......;.�.....................
Installation Consisting of. ..�+✓� Z......�..... 0Y.�G �" ���,1�...................................................... ..............................
....................................................................................................................................................................................
..........................
...}..............................................
.......................................................................................................
Installed By....("......��!/1!1 `. .............................................Lie.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 ' pections at any time, and if its
rules are violated,the Company shall have the right t r ke t is e ' icate.
Date...�s na..�.U..,�............... INSPECTOR............ ........ ......... Af
.............................. ........................
Me-her N_RP_A__LA_F..i.
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received: ,^
NAME:
LOCATION:
PERMIT#: C70y 3 L�
INSPECTED ON: �p —a -(S am/pm
Arrive: am/pm m epart:�`1'�am/(D.
Inspector's Initials: o✓
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 opens outward, self
closing
Padlock provided on gates
or 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:
....��wv vuun�M a bdm 1 uw evidem of
aii objects itffAss MUK boas,
shown on this docaumd 1 eiso iepreae MdIhM
.; personably rimed the&do=set 1 oe}be dkvaa;"
Ft iF
✓✓✓ MATURE DATE
PLOT P1-LNL
SEPTIC SYSTEM
Notice: The following statement must be "stamped" on your plot
plan. This sheet of paper may be used for purposes of drawing your
plot plan. After drawing such plot plan, please read the statement
and sign it. If you choose to use other paper for your plot plan,
the office will stamp those plans for your signature.
EIV
TOV IN Or � FU
REVIEWED BY NDC
DATE �..5
RECEIVED
tl
FED
ii la -
�.
°tO,NA o1F ;� CODE R I o; ButtD►c��c�D
i ,
w i
1_ l
to 5 AftentioA Home Ow fiat fi
Please assure you are familiar with tt
Pool Enclosure requirements specie: !
Your pool. We will be happy to .�xl„r�
what Requirements you will h ve 4-
meet per Appendix C %if the
ew York Stat Resi enti c cc�r I
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