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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: �Pll corer ®� RECEIVE[ JUN 2 3 2004 t__�i n Gr�3tiS . 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