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2004-667 TOVN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 - CERTIFICATE OF COMPLIANCE Permit Number. P20040667 Date Issued: Thursday, September 06, 2007 This is to certify that work requested to be done as shown by Permit Number P20040667 has been completed. Tax Map Number. 523400-301-013-0002-083-000-0000 Location: 14 CHIPPEWA Cir Owner. JOHN &DIANE D'AMBROSIO Applicant: JOHN & DIANE D'AMBROSIO This structure maybe 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, j 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 i2804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040667 Application Number: A20040667 Tax Map No: 523400-301-013-0002-083-000-0000 Permission is hereby granted to: JOHN&DIANE D'AMBROSIO For property located at: 14 CHIPPEWA Cir 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: JOHN&DIANE D'AMBROSIO Inground Pool 14 CHIPPEWA Cir Total Value QUEENSBURY, N.Y. 12804 J Contractor or Builder's Name/Address Electrical Inspection Agency BOB BAKER POOLS SISSON ROAD SOUTH GLENS FALLS, NY Plans&Specifications 2004-667 INGROUND POOL $35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 02, 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 of e s eptember 02, 2004 SIGNED BY �® for the Town of Queensbury. Director of Building&Code Enforcement application for Swimming NOW Permit Permit No. Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 O (518)761-8256 Fee Paid C� Instructions and requirements are attached. Notes: 1. Applicant/Owner /Contractor or Installer Information: Raw- lop 0� PW- A G 3 0 2004 "TOWN OF QUEENSBURY 2. Person Responsible for Code Requirements: 3. Pool Location Address: ° Q Tax Map No. j J —�� 4. Swimming Pool Information: (check whichever applies and �fi..11 in the blanks) A. ❑Above ground pool Inground Pool B. i a "irl Length ft. / width ft. / diameter ft. / depth fL C. a u�" a t steellvin 1• fiber lass ❑ to ❑poured concrete ❑other m 1 Y ❑ g � ; P 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- 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 of peak utility electrical demand and set to control the length of time during which the filter nms. 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: m ... [—� ■- �----�--n �[-■t`w`_w ■ ■�va--w ■ - w--w -■--- w" -n. n w _w- ■�■� ■ �-'■ ^__>A,_ _ q C THE INSPECTOR 7063 State Rt.374,Chateaugay,NY 12920 1-800-487-0535 tvmv.theelectricalinspector.cum O Date.April 13,2007 Application No.On File:043999 , m r! THIS CERTIFIES THAT John Damdrosia >. Only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of: r 14 Chippewa Court Town of Queensbury Contractor: Don Beagle .In the following location, BasemcntX IST'loor 2"dTloor No,of Apt Garage Attie Outside X Commercial Residence X 7 t4 Was examined on 3/14/07 and found to be in com Hance with the requirements of the National Electric Code. l GFCI Fixture Outlets Receptacles Switches Fixtures Ranges Cookie Decks Ovens Dish Washers I Exhaust Fans I Smoke/Heat CI r. Incandescent Fluorescent Other Amt. K.W. Amt. K.W. Amt. K.W. Amt. K.W. Amt. K.W, Detectors Ct 2 Dry ers Furnace Motors Dimmers Water Heaters Unit I leaters Multi Outlet Sys. Electric Heaters \1 l Amt. K.W. Oil H.P. Gras H.P. Amt. Watt Electric Oil Gas Amt. Rating No.or Feet Amt. K.w. Amt. K.W. Ami. K.W. Amt. K. % I Transformers Alarm Systems Special Receptacle Panels Motors Signs Track 1,ighting Dig osal �I l Amt KVA AN PS Det Panel Amt. K.W. Amt. No.of circuits Rating Amt. H.P. Amt. No.of Lams No,of Heads Amt I H.P. 1 35 200 1 FR t 1 2 20 r(Jl Service Disconnect Equipment Service CD .� i CD Amt. Amp. I Type Meter I Phase 1 Phase 3 Phase 3 Phase No.of CC, AWG. No.of AWO,of No.of AWG of 2W 3W 3W 4W Cond.l base CC,cond. Ncutmis Neutrals HI-Les HI-Les O to lOtherApparalus I Time Clock Manager This certificate must not be altered in arty manner,retuni to the office of THE INSPECTOR if incorrect, Inspector's credentials can be verified ��r - ■_ r-__ _ _r _� i,�_� r_�a__�r_ r r r r r r 4 Pool Inspection Queensbury Building & Code Enforcement Office No. (518) 761-8256 742 Bay Road, Queensbury, NY 12804 Date received: 1 NAME: LOCATION: e PERMIT#: INSPECTED ON. .4141_ am/pm Arrive: /pm Depart: am/pm Inspector's Initials: F,Ip,� Above Ground: �In7-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 open outward, self closing Padlock provided on ates 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: reic of ' cop C11 .6166-tri CCU/ � ��, `ram Pool Inspection �444 ( Queensbury Building & Code Enforcement Office No. (518) 761-8256 742 Bay Road, Queensbury, NY 12804 Date received: O NAME: / LOCATION:PERMITINSPECTED ON; am/pm Arrive: art; am/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 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 open outward, self closin Padlock provided on gates and 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: � -T(:5 W41q&y Pool Inspection 3 //�` �� /Vta; Queensbury Building&Code Enforcement u a/ Joc Office No. (518)761-8256 / 742 Bay Road,Queensbury,NY 12804 Date received: yy�� NAME: !J`A MrB i O LOCATION: C'Y_ PERMIT#: 0 41— INSPECTED ON: Arrive: am/pm Depa t:N'am/pm Inspector's Initials: _�� �yV 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 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 plug in timer allowed Final electrical Vehicle access gate closed &locked Ok to issue C/C �',� COMMENTS:Q �� Pool Inspection Queensbury Building&Code Enforcement Office No. (518)761-8256 742 Bay Road, Queensbury,NY 12804 Date received: NAME: '`'J_ *"'4' 91 40 s Z-,)\ LOCATION: PERMIT#: Q INSPECTED ON: l am/pm Arrive: am/pm Dep rt: - an*m 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 i 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 2lug in timer allowed Final electrical Vehicle access gate closed &locked Ok to issue C/C COMMENTS: � -5 `-`t-cam--��-'��`��-�►-f�, o -� — Ot z. z s