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TOWN OF QUEENSBURY
BUILDING PERMIT
Permit Number: P20070125
Application Number. A20070125
Tax Map No: 523400-289-007-0001-002-002-0000
Permission is hereby granted to:
For property located at:
95 TEE HILL Rd
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: DAVID BENGLE
AMANDA A. HOFFIS-BENGLE
95 TEE HILL Rd
QUEENSBURY, NY 12804-0000
Contractor or Builder s Name /Address
Inground Pool
Total Value
Electrical Inspection Agency
Plans & Specifications
-125
GROUND POOL
$35.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, April 18, 2008
(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 Qu n~bu~ ~ W n day, April 18, 2007
SIGNED BY %_~~'// for the Town of Queensbury.
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development -Building & Codes (518) 761-8256
DAVID BENGLE
Director of Building & Code Enforcement
;___________________________OFFICE USE ONLY___________________________I ;____________________/
~~. Z ~ ; , ,
TAX ~P NO. PERMIT NO.~PERMIT FEE ' ~ R~~'' ~'- ~ ~ ~'
~~
~,
APPROVALS: BUILDING & CODES ZONING ~ ; ;
,~
TOVvs~
___~ `-'
___________________________________________________________________ ~_{~~-p ~ `BODE Y
APPLICATION FOR SWIMMING POOL PERMIT: ~~ f-~~Gb
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION ANDlOR INSTALLATION. APPLfCATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT.
INSTALLER/BUILDER: /"1'fl(~lA ty1~~IQ
ADDRESS: J~ ~'m ~rr• SUn T I~ 7u~
PHONE NOS. ~ r'E'7'" ~ (.vLI r0
OVVNER: ~°~ ~ YVIQ~~~A1 ~~I
ADDRESS: ~~JT.Q~-, TCI ~~ T1Q . v
PHONE NOS. 5L~ "7q2 SS~7g
CONTACT PERSON FOR BUILDING & CODES 1C`OM~P7LI\ANCE: i"IVN[~U'~" ~,~~ PHONE: ~-~~%
ADDRESS OF PO/OL LOCATION: ~yJ I ,U. 4-hlI I~O~ [~ D~,V~SE(.Vt/f, ABOVE-GROUND? OR INGROUND?
SIZE OF POOL ~ l0 ~-Lo li x y3i X ~ II MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY):
STEELNINYL~ FIBERGLASS_GUNITE_POURED CONCRETE/ OTHER_MANUFACTURE
/ FENCING AND/OR LIFT UP LADDER REQUIREMENTS FOR ABOVE-GROUND AND INGROUND POOLS:
Ifabove-ground, indicate height from ground/grade to top of pool HEIGHT INCHES
^ 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. No fencing is required.
o If you are installing an inground pool, the pool must be provided with a fence or encosure meeting the NYS
REGULATIONS, APPENDIX G
/ SETBACK REQUIREMENTS FOR POOL PLACEMENT:
Minimum side setback requirement is 10 FT.
Minimum rear setbacc is 20 FT.
Pools may not be situated in the front or side yard. If this difficulty arises, you may apply for an area variance
to the ZONING BOARD OF APPEALS
/ POOL PUMP REQUIREMENT -TIME CLOCKS (AVAILABLE FROM ANY ELECTRICAL SUPPLY CO.):
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. (See the ENERGY
CONSERVATION CONSTRUCTION CODE OF NYS, PART E504 ENTITLED SERVICE WATER HEATING
AND SUBSECTION E504.3.3 REGARDING TIME CLOCKS)
/ FINAL INSPECTION INFORMATION:
o You are responsible for scheduling the following:
^ ELECTRICAL INSPECTION
^ FINAL CERTIFICATE OF COMPLIANCE INSPECTION
'NOTE: The Electrical Inspection is required before the Certficate of Compliance is issued. The Inspectors are contracted throught the Town of
Queensbury but you are responsible for payment to them directly. Their fee is not part of this application. A list of Electrical Inspectors is
available in our office and on our website listed below.
A Final Inspection by the Queensbury Building 8 Codes Office is required before use of the pool Is authorized. The Code
Enforcement Officers will look for an approved Electrical Inspectlon (atlcker on the Panel Box) and proper enclosure around the In-
ground or above-ground pool or lift-up ladder for
above ground pool.
I have read and agre the above. QUESTIONS Z CALL 761-6256 OR EMAIL
codesfaa4ueensburv.net
Signed ~ ~ ~
VISIT OUR WEB3ITE FOR MORE INFORMATION
/I _ . \_ ~~~~ www.raueensburv.net
Name/Title (Printed) ~A~ Li~J~i
Toznn of Queens~t~ry -Community Development Office • 742 Bay Road, Queeushury, NY 12804
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COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 176 Doe Run Road - Manheim, PA 17545
M~~CIPAJJL CERTIFICATE -ELECTRICAL APPROVAL
Permit No . ..............~.1..Cert. N~ 9 4 8 6 3 Cut-in Card No.....................................
Owner ..................... t'Zlo'2-t~
a .................................................
Location ...............................................~:.' ~ ~~
..........................................................................................................
Installation Consisting of ....~~ G ~ ~ l~l /L.¢(~- ~~~~
............................................
..................................................................................................................................
....................................................................................................................................................................................
InstalledBy......~^.~ ~::'.UGTIiI ~~ .........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 m mg spections at any time, and if its
rules are violated, the Company shall have the right to r ke is c ificat
Date.....J.~.....>L..4s.....:~..~ .............. INSPECTOR .
.,,x ............................................................
..............
Member N.F.P.A., I.A.E.I.
s%^
Pool Inspection
Queensbury Building & Code Enforcement
Office No, (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received;
NAME; 1~~~
LOCATION; G `~ "'
PERMIT # :
INSPECTED O ~ ~ am/pm
Arrive: ~ am/pm Depart:
am/pm
Inspector's Initials:
Above Ground: In-Ground;
Y N N A
Pool enclosure around
ool or and
4 feet above rade
2 inch maximum
clearance to grade from -..
underside of fence
4 inch maximum
clearance in fence
ickets
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 '/s" spacing
in ate o enin s
Gate open outward, self
closin
Padlock provided on
ates and ladder
Indoor pool all doors self
closing or alarmed per
AG105,2 Item 9
Timer on pool pump (no
lu in timer allowed
Final electrical
Vehicle access gate
closed & locked
Ok to issue C/C
COMMENTS: '~
~~
~ /
Fool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY i 2804
Date received:
NAME: ~~`~9~
LOCATION; ~ ~
PERMIT # : _~- ,,., - " "" ' -'
INSPEC D ~ `,~
Arrive, am/pm
am/prti Depart:
------~ am/pm
Inspector's Initials: ~ /
Above Ground; in-Ground:
Pool enclosure around
2 inch maximum
clearance to grade from
underside offence
4 inch maximum
clearance in fence
Wall or Doors have self
closing device or alarms
(30 second Alarm time)
Pool Surface Motion
Ladder secured in place
and latched
Deck gate < 56" to latch
no more than ~'/s" spacing
Gate opens outward, self
Padlock provided on
Indoor pool all doors self
closing or alarmed per
AG 105.2 Item 9
Timer on pool pump (no
plug in timar nu,,,.,..,.~.
Vehicle access gate
Ok to
COMMENTS: ~ ~'~''~~~!'~'"''.,