2004-476 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: P20040476 Date Issued: Friday, July 22, 2005
This is to certify that work requested to be done as shown by Permit Number P20040476
has been completed.
Tax Map Number: 523400-309-007-0001-034-000-0000
Location: 23 FELD Ave
Owner: ROBERT & JAYNE GILMAN
Applicant: ROBERT & JAYNE GILMAN
This structure may be 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: T20040476 Application Number: A20040476
Tax Map No: 523400-309-007-0001-034-000-0000
Permission is hereby granted to: RnRF.RT JAYNF, CTT[,MAN
For property located at: 23 FELD Ave
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: ROBERT & JAYNE GILMAN
23 FELD Ave Above Ground Pool
Total Value
QUEENSBURY,NY 12804
Contractor or Buddei s Name /Address Electrical Inspection Agency
' 1 -
Plans&Specifications
2004-476
ABOVE GROUND POOL
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, June 25, 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 o ue sbury; rid y J ne 25, 2004
SIGNED BY —for-the Town of Queensbury.
Director of Building&Code Enfor ement
.ApVlica$1®n for Swimming P®®1 Permit Permit No. ail- <<'z
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 �,�
(518)761-8256 Fee Paid `J
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
�e nl, G1`)me_nJt' +Pa
1 -01
Feld- a3 r-eU Axt -
a
2. Person Responsible for Code Requirements:
I '�
3. Pool Location Address: `��3 `i
Tax Map No.
4. Swimming Pool Information: (' eck whichever applies and fill in the blanks)
A. ffiffiffl 0 act; ove ground pool ElInground Pool
B. r vol Length ft. / width ft. / diameter p�ft. / depth ✓�
C. f ert s it r teel/vinyl;t � ❑fiberglass; []gunite; []Poured concrete;[]other
5. Fencing Requirements for above-ground & inground sin mgPools:
Q 3 TO
A. If an above-ground,indicate height from ground-grade to top of pool height C7 inches'
Q�E�o�ooE
Note: If your above-ground pool is less than 48 inches above-grade,a fence must be �11`i"'
the area of the pool. V\L
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: Date: Q`
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
INSPECTED O 2 — L1 am/�
Arrive: a Depart: ,,l a��pin
Inspector's Initi Is:
NAME:
PERMIT#: o
LOCATION: 3 r - —
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 f
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:
T-) 6cE P C)c L_ V) ��Q--
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No......................................:.Cert.
N 2 . . 710.0 9 0 Cut-in Card No.....,rf 7.!.4...\. . ..
Owner....................../3.Q.. ............. ;r.i..l..1x1.�9.1'1.-................................................................................
Location.......a'.Za...../.sa,1r 2......./-k.0. . ..........................................0 .�1. .GXR�S.�.f?�? .............
Instillation Consisting of...../ J ......-.1. . Y!.....�S. /:fn�.I.Cies..... ...........
�..y✓a..E2..d.in ...........................................................................................................
....................................................................................................................................................................................
InstalledBy......,GSA.21..�............................................................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 inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date...... ............. INSPECTOR. .... ... .... . .... ..................................
Member N.F.P.A..I.A.E.I.
- ,
'1W
Pool Inspection \ n
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensbury,NY 12804
(MCC. .�'r-lGl�✓
Date received: i� P(,
S�
NAME:
LOCATION:
PERMIT#:
INSPECTED ON: pm
Arrive: an epart:_Z, aing
Inspector's Initials: + ,
Above Groun 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 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
lug in timer allow d
Final electrical n
Vehicle access to c osed
&locked
Ok to issue C/C
COMMENTS:
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RECEIVE[
JUN 2 3 2004
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BUILDING ANUCODE r
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