2004-653 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: P20040653 Date Issued: Tuesday, June 17, 2014
This is to certify that work requested to be done as shown.by Permit Number P20040653
has been completed.
Tax Map Number: 523400-315=010-0001-013-000-0000
Location: 20 Q.UINCY Ln
Owner: GREGORY& KELLY MEADER
Applicant: GREG MEADER
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&Co Enfo ement
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: P20040653 Application Number: A20040653
Tax Map No: 523400-3.15-010-0001-013-000-0000
Permission is hereby granted to: UKFU MF,ADF,R
For property located at: 20 QUINCY Ln
in the Town of Queensbury,to constructor 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: MICHAELS GROUP,LLC.THE
10 BLACKSMITH Dr I Total
o Value
Pool
l Value
MALTA, NY 12020-0000
Contractor or Builder's Name/Address ' �. i Electrical Inspection Agency
CYPRESS POOL LTD
99 OTJAKER ROAD
OT JEENSBT TRY_ NY
Plans&Specifications
2004-653
INGROUND POOL
$35.00 PERMIT FEE PAID-THIS'PERMTI'EXPIRES: Tuesday,August 30, 2005
(If a longer period is required,an application for an extension m ust be made,to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
f i
Dated at the To n o eens nay,August 30, 2004
9
SIGNED BY for the Town of Queensbury.
Director of Building&Code LInforcement
rivloication for Swimming Pool Permit Permit No. -( _3
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:
_. _.. �
` 4.... ,
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wig - ��- -
2. Person Responsible for Code Requirements: C y,p'fZA,_S 76e\1
3. Pool Location Address: C90 Gw✓tC!, L•A Q x Map No.
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
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A. ; p� DAbove ground pool �und Pool A U G '2 b Z0 0 4
B. SEEM Length 37 ft. / width ft. / diameter ft. / depth TeWN OF QUEENSBURY
BUILDING AND CODE
C. erra s s� et?t"" ix�aflAtt [96eel/vinyl; []fiberglass;[]gunite; G loured 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- rg ade 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' spection(sticker on the panel box)and proper fencing around the pool or lift-up ladder.
:!7f
Signature of Applicant: /" Date: 5��6
Signature of Owner: _ Date: ���
/,3 D"6 Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
NAME: --�e ` \ r
LOCATION:
4'< PERMIT#: D
z
INSPECTED ON: V1 am/pm
Arrive: am/pm Depart:
am/pm
%Iisbp*etor�'s Initials;
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
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 _4�
COMMENTS:
QUIN C-Y LANE
S74028'30"E
176.02' o
Attention Home Owner
Ple a assVre you area im liar with thew ?
Pool Enclosure requirements specific to a n
You pool. We will be happy to explain cn
wt at Requirements you will have to D i
meet per Appendix G Of the .
lV w Yor1 State Residential Code. o
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AUG 2 20014
BUILD � TOWN A NDCODEY . 1
,�, COD EPT: BUILDING
REVIEWED 13Y ' _
DATE
176,00'
N73°33'30"W