2004-473 TOWN .OF QUIEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20040473 Date Issued: Wednesday, June 28, 2006
This is to certify that work requested to be done as shown by Permit Number P20040473
has been completed.
Tax Map Number. 523400-296-014-0001-054-000-0000
Location: 25 ORCHARD Dr
Owner. KENT & CHERYL SMITH
Applicant KENT & CHERYL SMITH
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.
142 bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
)hermit Number: P20040473 Application Number: A20040473
Tax Map No: 523400-296-014-0001-054-000-0000
Permission is hereby granted to: KF,NT & C TTFRYT, SMTTT4
For property located at: 25 ORCHARD Dr
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: KENT & CHERYL SMITH Inground25 ORCHARD Dr Total Value
Pool
Total
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
CONCORD POOLS
156 SPARROW 13I7SH Rd
LATHAM_ NY 12110
Plans&Specifications
2004-473
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 29, 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 To` n of eens "Ir ;,Aij �' e a , June 29, 2004
J �W/
SIGNED BY t ��! for the Town of Queensbury.
Director of Building&Code Enforcement
i
Application for SW'Mming Pool Permit [Notes:
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Buildin &Codes Office—Town of Queensbury 742 Bay Road Queensbury,
g Q m'Y Y Q ury,NY 12804
(518)761-8256 b
Instructions and requirements are attached. U�U" D
1. Applicant/Owner /Contractor or Installer Information:
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T 2 rc�mi�� � d�c vd
Or C-6(CL
2. Person Responsible for Code Requirements: J U N 2 3 20 04
3. Pool Location Address: Tax Map No. TOWN OF QUEENSBURV
4. Swimming Pool Information: (check whichever applies and fill in .e blanks)
A. ^eo ElAbove ground pool inground Pool
33 B. Sam Length ft. / width J�ft. / diameter ft. / depth 7 , ft.
C ,Ietdsd� co�: ❑ste vinyl Ofiberglass,� te; poured concrete;bother S i
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 ool or lift-up ladder.
1 �
Signature of Applican . Date: U
Signature of Owner: Date: Z� G
- _(2y
63 7
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensbury,NY 1 804
Date received: 11 at,�I y"6,
NAME: KV41--k -n)
LOCATION: R5 tU &Ld
PERMIT#: _ADOµ- q 73 _
INSPECTED ON: Z am/pm
Arrive: ZIV
epart:�T am/pm
Inspector's 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 ''/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
Tinier on pool pump (no
plug in timer allowed)
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C y
COMMENTS:
Pool Inspection
Queensbury Building&Code Enforcement �—
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received: Z
NAME:
LOCATION:
PERMIT#:
INSPECTED ON: 2,; am/pm
Arrive: am/pm Eye A: �'[73 am/pm
Inspector's 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 'h" spacing in
ate openings
Gate open outward, self
closing
Padlock provided on gates
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 gkk cl se
&locked
Ok to issue C/C
COMMENTS:
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbu y,NY 12804
Date received:
7
NAME: ,
LOCATION:
PERMIT#:
INSPECTED ON: Cg'lQ "-lam am/pm
Arrive: am/pm Depart:
Inspector's 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 %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 � y
COIVIIIVIIFNTS: Dl -P'� 16 l
(� - C—NA- _k�-�c�V__
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
NAME: 4.AAAAUi
LOCATION: 7
PERMIT#: _
INSPECTED ON: am/pm
Arrive: am/pm Depart:!ON,r_ ain/p
Inspector's Initials:
Above Ground: In-Ground:
Y N N/A
Pool enclosure around pool
or yard
4 f6et 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 'h" 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:
� `
a TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY. 12804-5902
www.queensbury.net
Permit Applicant Property Owner
KENT&CHERYL SMITH
25 ORCHARD Dr
QUEENSBURY,NY 12804-0000
1 st Notice
2nd Notice
The permit listed below expired on : 06/29/2005 rd Notice
4th Notice
Application Number Permit Number Permit Type
A20040473 P20040473 Inground Pool
Our office needs to inspect your pool for compliance to the New York State Pool Enclosure Regulations.
Please call our office at 761-8207 or 761-8256 to set up an inspection.
The following items need to be verified for compliance:
Pool Enclosure
Self-closing, self-latching, padlock gate and/or ladder
Electrical Inspection
Doors which are part of enclosure need alarm or self-closing, self-latching device.
Pool Timer
Sincerely
Charles Dyer
Code Enforcement Officer
Town of Queensbury Building and Codes Department
04/20/2006
"Home of Natural Beauty ... A Good Place to Live "
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