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2004-610 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4z Community Development - Building & Codes (518) 7611-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20040610 Date Issued: Monday, June 09, 2014 This is to certify that work requested to be done as shown by Permit Number P20040610 has been completed. Tax Map Number: 523400-290-000-0001-082-004-0000 Location: 25 STONEHURST Dr Owner: DANIEL & CATHY PERRY Applicant: DANIEL& CATHY PERRY 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. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040610 Application Number: A20040610 Tax Map No: 523400-290-000-0001-082-004-0000 Permission is hereby granted to: DANML& C;ATHY PF,RRY For property located at: STONEHURST 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: DANIEL& CATHY PERRY 105 ROBERT GARDENS SO APT 7 I o V Pool Total l tal Value QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency ANDY WTLLIG 58 ELM St HUDSON FALLS. NY 12839-0000 Plans&Specifications 2004-610 INGROUND POOL $35.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,August 09, 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 of Queensbury; Monday,August 09, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement i "' Application for Swimming Pool Permit PermitNo.c)L/-��(� Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 �s S 00 (518)761-8256 Fee Paid Instructions and requirements are attached. Notes: 1. Applicant/Owner /Contractor or Installer Information: ame Da n 6A (a4v PemI - F-LanJ it(a�L Pe_.cni__ 4 Aw. OJ i s _ Z �C� o 2. Person Responsible for Code Requirements: +_ 3. Pool Location Address:_ 5 S+bY1'LY�UA_S4 Dr. Tax Map No. AUG 3 Z004 4. Swimming Pool Information: (check whichever applies and fill in the blanks) b -}_x_ TOWN OF QUEENSBURY A. yruoflaa1= Above ground pool Anground Pool BUILDING AND CODE B. Si`elM Length ft. / width ft. / diameter ft. / depth ft. /3�t C. -� [:]fiberglass;a�erral's�rse��Z�a�ts � ar: Y�„'teellvinyl; glass;0gunite; SfFoured 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 Queensb, Building&Codes Office is required before use of the pool is authorized. The Code Officers will look for an approved elec Za inspection(sticker on anel box)and proper fencing around the pool or lift-up ladder. Signature of Applicant; Date: Signature of Owner: _ Date: Yooi Inspection Queensbury Building & Code Enforcement 1 Office No. (518) 761-8256 742 Bay Road, Queensbury, NY 12804 n Date received: + NAME: bQU1% QAN,i. Er`;`C� LOCATION: h PERMIT#: C?'�- {.rzl do j INSPECTED ON: �`\ am/pm Arrive: T am/pm Depart: am/pm pecto s Initialsi. �`____`�, Above Ground: In-Ground: Y N NA 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 Pool Surface Motion Alarm Ladder secured in place and latched Deck gate <56" to latch no more than 1/2" spacing In gate openings Gate opens outward, self 01 closing Padlock provided on gates or 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: Pool Inspection Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road,Queensbury,NY 12804 Date received: NAME: LOCATION: - � PERMIT#: INSPECTED ON: _ am/pm Arrive: ani/pam `art: l' am/pm Inspector's Initials: Above Ground: In-Ground: Y N/A Pool enclosure around pool or yard 4 feet above grade in - maximum c ear 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 AG 105.2 Item 9 Timer on pool pump (no plug in timer allow d Final electrical IZ Vehicle access ga'tb clo ed &locked Ok to issue C/C COMMENTS COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No........................................Cert. 85359 Cut-in Card No......................... . Owner................. ..........&12A./................................................................................................. Location.............R.6.............S.. .......O..=................................................................. Installation Consistip&of.J.n. .....C-Aq5J.17.67......... W..2.M. . ........ ................... ,t ....................................... .................................................................. .................................................................................................................................................................................... Installed -1-1/....................................................... By....'q......Ali,./ . Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- I 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....... I............ INSPECTOR­163?_"I� .............................. Member N.RP.A.,I.A.E.I.