2004-439 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: P20040439 Date Issued: Thursday, June 23, 2005
This is to certify that work requested to be done as shown by Permit Number P20040439
has been completed.
Tax Map Number: 523400-301-018-0002-024-000-0000
Location: 5 TIMMONS Ln
Owner: JOHN & LYNN SCHULZ
Applicant: JOHN & LYNN SCHULZ
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.
T TOWN OF QUEENSBURY
i
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040439 Application Number: A20040439
Tax Map No: 523400-301-018-0002-024-000-0000
Permission is hereby granted to: JOHN&LYNN SCM)T,Z
For property located at: 5 TIMMONS 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: JOHN&LYNN SCHULZ Inground5 TIMMONS Ln Total Value
Pool
Total
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
BAKER'S POOL&FENCING. INC.
75 SISSON Rd
SOIJTH GLENS FALLS_ NY 12803-0000
Plans&Specifications
2004-43 9
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 Tow eensb , W n day, June 16, 2004
SIGNED BY r /' for the Town of Queensbury.
Director of Building& ode En orcement
V
Application for Swimming POOL Permit permit No. J331,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:
y 01- s h e- •� � "fC`d,'"Tsg .�g.. �.'Ns,;t y y-.k. 3. ?5 `' x`: ..r"";
67ag �E��
n c� z -Z::!ck-\ Schu I
SGLMe,
?VJ Soyme
CU
2. Person Responsible for Code Requirements: BUILDING AND CODE
3. Pool Location Address: ,� llnamoh5 ��. , Ovee-5k),-y )vY Tax Map No. _�o
4. Swimming Pool Information: (check whichever applies and�111 in the blanks) t
1
A. t
pao�` Above ground pool ground Pool
B. ' `a_ aal Length ft. / width _ft. / diameter o2 y ft. / depth ft.
C e sz sed ca ru� a : %eel/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
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 ofpeak utility electrical
demand and set to control the length of time during which the filter nms.
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: —bL/
Signature of Owner: n e Date:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 (
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL g
Permit No........................................Cert. 85878 Cut-in Card No.............................
,1...
Owner................. ...`.....��...�'.�..�...��............................................................................................................
Location...................... .................................................!..r................... ryy�. ...............
Installation Consisting of.-P"L P(� NOr 6 /gi'')`%�Z-ae
.......................... ...................................................................................................
....................................................................................................................................................................................
..............................��............................................................................. ...............................................................
InstalledBy....... 1. . ..... .....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 n ections at any time, and if its
rules are violated,the Co(mppany shall have the rightatoeva this e ' teDate..... . .. ,/
. ................ INSPECTOR.... ... ......................... ..............................
Member N.F.P.A.,I.A.E.I.
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received:
NAME:
LOCATION:
PERMIT#: r Ll _ r
INSPECTED ON: 3 D
pm
Arrive: arn/pm Depart:
Inspector's Initials: _`I J
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
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:
-7:7
19,
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IRON PIPE
IRON PIPE N 06015,00°E 10Q00, FOUND
FOUND _
2 3 24
AREA = 20,800 SQ FT.
1
c aq,� - 30,1 (ID
N j CY
I HEREBY CERTIFY THIS SURVEY TO:
3 W 1)JOSEPH A. a LYNN M. PALMA
00 2) STATEWIDE FUNDING CORP., its
p successors and/or assigns.
24.3'
3)CHICAGO TITLE INSURANCE COMPANY
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N DAV I D F. PALMA P L.S. NO 48 64 \
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'D 32.3'
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totZ BU�DING REFERENCE MAP:
LINE "OAKWOODS PHASE II" DATED JULY 25,1987 AND
® _ FILED JULY 26, J987 AT THE WARREN COUNTY
CLERK'S OFFICE IN PLAT CABINETA,SLIDE 38.
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REBAR TEL ry 4V
SET ELEC. O ,�yM"ANY 19E93
S 06 015,00 11 W 100.00, O cue (REBA OPIUND T7�yrO.,j FROW ER)
lily�
Town of
EP.RD. %Ielu"g
��
T I M M O N S LANE �xttiti�°��$
LOT NO. '23 STREET TIMMONS LANE
OAKWOODS PHASE 311
P41Af 1\10`� J OSEPH A. a ;.L:YN N M. PALMA
o TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK
Ix �, j
DATE: 5/7/93 . DAVID,F. PALMA, P.E.& L.S.._._ Telephone Number
'• ":' SCALE' 1 =30 Llcensed Land Surveyor =- 877-5861
In
¢ ae, - DR.BY: T.A.E. Balrt Ihston Lake,New York 2019� 587. r3535
_.
: Fie. No. 48,364 -'