2004-361 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:_'--P20040361 `_ - Date,:Issned:""'Tuesday, December 06, 2005
= T-his is to.-certify thatworkkre nested to be done as showti b -.,Permit Number
_ .-_ rq - y .. . P20040361
has-been completed.
- - Tax Map""Number::. - 523400-302-018-0002-047-000-0000
Location: 10 SEWARD St
Owner: ANN LEROUX
Applicant: ANN LEROUX
- - - . -This structure maybe occupied as a:
Above Ground 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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040361 Application Number: A20040361
Tax Map No: 523400-302-018-0002-047-000-0000
Permission is hereby granted to: ANN T,F,ROT TX
For property located at: 10 SEWARD St
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: ANN LEROUX
10 SEWARD St Above Ground Pool
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency.
Plans&Specifications
2004-361
ABOVE GROUND POOL
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, June 03, 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 Queensbury; Thursday, June 03,2004
SIGNED BY for the Town of Queensbury.
Direc r o Building ck C n ement
pplication for Swimming Pool Permit Permit No. Q -
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Fee Paid
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
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pa
3 2 2-5 3 �s
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2. Person Responsible for Code Requirements: „
3. Pool Location Address: 10 Se"� �. Tax Map No. 3o a• i F—DL—4 7
4. Swimming Pool Information: (check whichever applies and fill in the blanks) �. A/
A. Z,WMo '' bove ground pool ❑In oundPool WAY L'
p 2 v 2004
B. iSr" ad Length ft. / width ft. / diameter ft. / epffi071JF; ,'&l1RY
CODE
C. a;fffiffi;u ffiM� jAsteel/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 —L
Note: If your above-ground pool is less than 48 inches above- ragr de,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.punrps 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:,�� Date: �7�
Sianature of Owner: ��,� � c�� Date: 6^/o?�`Uc_l
Leckv
vnr_-D �
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received:
NAME:
LOCATION: 0k A DQA C(�') '
PERMIT#: _ 3(11
INSPECTED O /4—G ) ni/pm
Arrive: am/pm Depart: am/pm
Inspector' 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 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:
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbury,NY 12804
i
Date received: t `J
''V
NAME: 6 -
LOCATION: D
PERMIT#: —
INSPECTED ON: b4t>j am/pm
Arrive: atn/pm e art:�Ee::eD amo
Inspector's Initials:
Above Ground: In-Ground:
y 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 %z" 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 g e klos6d
&locked
Ok to issue C/C
COMMENTS.
'� A A 1 1 'l/i� V 1 9_
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New York State R sidential Code.
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W14Y 5 2004
TOWN!OF GUEENSSURY,19,AND CODE
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BUILDING C
REVIEWED B
DATE
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