2004-525 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Pernut Number. P20040525 Date Issued: Monday, May 23, 2005
This is to certify that work requested to be done as shown by Permit Number P20040525
has been completed.
Tax Map Number. 523400-295-020-0001-047-000-0000
Location: 169 FARR Ln
Owner. DOUGLAS & TAMMY SILVERNELL
Applicant: DOUGLAS & TAMMY SILVERNELL
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: P20040525 Application Number: A20040525
Tax Map No: 523400-295-020-0001-047-000-0000
Permission is hereby granted to: T)OTTCTT,AS & TAMMY STT,VF,RNF,T,T,
For property located at: 169 FARR 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: DOUGLAS &.TAMMY SILVERNE
169 FARR Ln Above Ground Pool
Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
POOLS PLTTS
104 MAIN St
OTTEENSBTTRY_ NY 12804
Plans&Specifications
2004-525
ABOVE GROUND POOL
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, July 14,.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 o eensI y; d sday, July 14, 2004
SIGNED BY / for the Town of Queensbury.
IV IVN
Director of Building&Code Enforcement
Application for Swimming fool Permit Perinit No.() 0 5�
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Fee Paid .Cab
Instructions and requirements are attached. Notes:
1. Applicant I Owner I Contractor or Installer Information:
t ;
169 rcu-r Ln Aar• 5+.
QU " W-LI _ i 28; G)ergs f7o U5
2. Person Responsible for Code Requirements: ''_f RECEIVED
3. Pool Location Address: _HP q I, Tax Map No. J U L 7 2.004
4. Swimming Pool Information: (check whichever applies and fill in the blanks) TOWN OF QUEENSBURY
BUILDING AND CODE
A• 4 bove ground 1 *0und Pool
B. M Length- ft. / th ft. / diameter ft. / depth &(c}(,,e.p-e,)ci
C. e r %rtsirra x [AsteeVvinyl; ❑fiberglass;EIgunite; 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 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:'0 Date: G Ao
Signature of Owner: Date:
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
NAME:
LOCATION:
PERMIT#: D _
INSPECTED ON: - am/p
Arrive: am/ Depart: _ n/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 %" 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 pum (i o
plug in timer allo
Final electrical
Vehicle access ga e tosed
&locked
Ok to issue C/C
COMMENTS:
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road,Queensbury,NY 12804
/ —
Date received: C
NAME: V N 'L�
LOCATION
PERMIT#:
INSPECTED ON: 5� 65 am4pm
Arrive: akVmu r 6epah: ! ain/pm
Inspector's Initials:l '
Above Ground: X_ 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
COMMENTS:
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