2004-630 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: P20040.630 Date Issued: Tuesday, June 14, 2011
This is to certify that work requested to be done as shown by Permit Number P20040630
has been completed.
Tax Map Number: 523400-301-017-0002-038-000-0000
Location: 66 JOHN St
Owner: MARK &NANCY HAMLIN -
Applicant: GREGORY &AMY BREAULT
This structure may be occupied as a:
Above Ground Pool
By Order of Town Board
TOWN OF QUEENSBURY
i s
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.
,r
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040630 Application Number: A20040630
Tax Map No: 523400-301-017-0002-038-000-0000
Permission is hereby granted to: C'TRFGORY& AMY BREAT 11,T
For property located at: 66 JOHN St
i
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: GREGORY& AMY BREAULT Above Ground Pool
66 JOHN St Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-630
ABOVE GROUND POOL
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, August 19, 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 T Queen h sday,August 19, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code nforcement
A plication for Swimming Pool Permit Permit No. 0 �
--(
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Fee Paid � �>
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
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IVE-®
2. Person Responsible for Code Requirements: �'7ce 1? AUG 1 0 2004
3, Pool Location Address:a Jo �_` SI , 0VfaAV U'V � X map NOO;n.Fl_
VQUEENSBURY
AND CODE
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. %Above ground pool ❑Inground Pool
B. � Length _:�_ft. / width_3 ft. / diameter ft. / depth_ &
< �C. s a rat �z: ❑steel/vinyl; ❑fiberglass;Eagunite; E]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 51 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 ofpeak 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: !J�
Signature of Owner: Date:
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received: 4O
NAME:
LOCATION: � �1
PERMIT#
INSPECTED ON: , o l amcr'
Arrive: am/pm Depart:
am/pm
nspector's Initials: .���u�
bove Ground: in-Ground:
Y N NA
Pool enclosure roAd
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 '/z" spacing
in gate openings
Gate opens outward, self
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 7 / ) V/
Ok to issue C/C
COMMENTS:
N
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: :3 am/pm Depart: am/pm
742 Bay Rd., Queensbuiy,NY 1280,4 Inspector's Initials:
/-
NAME: /�i.� PERMIT#: 30
LOCATION: DATE: 2 '
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(i)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety Wazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping fmished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
%hour fire door/door closer
Gara e fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(lit.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical .
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker / / /
Flood Plain Certification,if required / l"'
Okay to issue C/C(Cert.Of Compliance)
Okay to issue Temporary C/O(Cert. Of Occu anc
Okay to issue Permanent C/O(Cert. Of Occu anc
L:\SueHenungway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003
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