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2004-438 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE ORCOMPLIANCE Permit Number: P20040438 Date Issued: Tuesday, June 07, 2005 This is to certify that work requested to be done as shown by Permit Number P20040438 has been completed. Tax Map Number: 523400-308-010-0002-062-000-0000 Location: 24 ROSE Lr1 Owner: MICHAEL & SARA ROBERTS Applicant: MICHAEL & SARA ROBERTS- 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 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: P20040438 Application Number: A20040438 Tax Map No: 523400-308-010-0002-062-000-0000 Permission is hereby granted to: MTC;HARL& SARA ROBERTS For property located at: 24 ROSE 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. Type of Construction Value Owner Address: MICHAEL& SARA ROBERTS 24 ROSE Ln I Tootalral Value Pool Value QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-43 8 INGROUND POOL $35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, June 16; 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 o Quee ay, June 16, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Wd ication for Swimming Pool Permit Permit No. 0 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: <N _ frp- act no es M ADae..L ra-- JU U� AN l21�04 N 4 2004 r . a o `�q8— ORgg BUILDIIUGgNOCODE Y 2. Person Responsible for Code Requirements: 4 CYLaO 10, �0� 3. Pool Location Address: 2_'Y R0&E__ LdT.e_ I QkU Tax Map No. 305- 1 D z-`t z_ 4. Swimming Pool Information: (check whichever applies and fill in the blanks) A. zi? Above ground pool �ound Pool B Length 3-7 ft. / width L_ft. / diameter ft. / depth ft. C. steel/vinyl; Ofiberglass;[]gunite; []poured concrete;[other S. 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-&Fade,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: / Date: Signature of Owner: 40ditov,1f Date: dlzM COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.,::;;,, Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Sim Permit No.............................`.......Cert. Owner..............AL...... 85877 Cut-in Card No................................ Location.................................. ................... ............................ .......................................................................................... ................. ...... Installation Consisting .0e— .................... .................................................................................................................................................................................... .................................................................................................................................................................................... InstalledBy... �A� xs.��......................................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 making ' spec ions at any time, and if its �; if rules are violated,the Company shall have the righVtt is c iq�a�P'kKC this c TOR..M!'��.....t:�... ................................................................... Date.... ............... INSPEC Member N.RP.A..I.A.E.I. qW Pool Inspection �c Queensbury Building&Code Enforcement �, 1 Office No.(518)761-8256 V 742 Bay Road, Queensbury,NY 12804 Date received: NAME: LOCATION: PERMIT#: .- INSPECTED O '� pm Arrive:- a e al Inspector's Initials- Above ro nd: In-Ground Y N KA 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 Alaim 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 gate closed &locked Ok to issue C/C Pool Inspection Queensbury Building&Code Enforcement Office No.(518)761-8256 742 Bay Road,Queensbury,NY 12804 Date received: C A NAME: its LOCATION: PERMIT#: ) INSPECTED OAT: Arrive: '� art: am/ Inspector's Initials: Above Groun In-Ground: V Y N N/A Pool enclosure around pool or yard X/ 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 ''/s" spacing in ate openings Gate open outward, self closing Padlock provided on gates and 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: r � G \ao��ej� Ot f food 00 t wo� �1� 40 �►� � �� I��' S 00?) ,y °o �o f ° . 3n'ZSGt SZ` .Zo•0�1 In t7""�Q