2003-183 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8.256
CERTIFICATE OF COMPLIANCE
Permit Number. P20030183 Date Issued: Wednesday, June 21, 2006
n
This is to certify that work requested-to be done as shown by,Permit Number P20030183
- -has been completed.
Tax Map Number. 523400-301-013-0002-081-000-0000
Location: 18 CHIPPEWA Cir
Owner. DAVID &PAMELA DE MARCO
Applicant: DAVID & PAMELA DE MARCO
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,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code E raceme
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY 4
742 Bay Road,Queensbury,NY 12804 5902 (518)761=8201
Community Development-Building&Codes (518)161=8256
BUILDING PERMIT
Permit Number: P20030183 Application Number: A20030183
Tax Map No: 523400-301-013-0002-081-000-0000
Permission is hereby granted to: DAVID &PAW- LA DR MARCO
For property located at: 18 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. Tyke of Construction, Value
Owner.Address: DAVID &PAMELA DE MARCO
Ingro18 CHIPPEWA Cir Total al Pool
Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
ADIRONDACK POOLS &.SERVICE,
5 BOULEVARD
61JFF,NSBiJRY.NY
Plans&Specifications
2003-183
INGROUND POOL AS PER PLOT PLAN SPECIFICATIONS
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 17,2004
'(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.)
i
Dated at the Town of Queensbury; Thursday,April 17,2003
SIGNED BY for the Town of Queensbury.
Director of Buildin o nforcement
Building& Codes Office swimming Pool, 0 !1,
Town of Queensbury Od,
742 Bay Road Permit Application ;7ce;Daa
Queensbury,IVY 12804 V44-
(518) 761-8256 t
1. Applicant: VgV,)S, 6A,;,ev Owner:
Address: / r Y� 1 `r I� C� �,� �i✓C fit'
� � �� Address:
7►!.Y
Phone No. :Z y 3 43 Z Z Phone No. 7 —?z 2-
2. Person responsible for code requirements: Dg7t�ro
3. Contractor/Installer
Address (� vr.+��✓
Phone No. 7 M-15r 2
APR 0 7 2003
4. Pool Location Address:
r • TOWN OF QUEENBBURY
5. Tax Map Number: 3D 2 g I BUILDING AND CODE
6. Type of Pool: above-ground pool / =ground poo
7. Size of Pool: length.3-1 ft. diameter ft.
width ft. depth _ ft.
8. Approximate Water Capacity L Z gallons
9. Materials used in construction(circle below)
SteeUvinyl Fiberglass Gunite Poured Concerte Other
10. Submit a diagram; drawn to show property lines, existing structures,proposed or existing septic
system, location of proposed swimming pool. Show all setback distances from property lines to
both the pool and the structures, as well as separations between them.
An electrical inspection is necessary before the Certificate of Compliance is issued.
See attached sheet for electrical inspectors.
The Building and Codes Office needs to be notified upon completion of construction;including
installation of fencing. A final inspection will be made before use of the pool is authorized.
Applicant Signature: Date:
Owner Signature: Date:
(if different from applicant name)
20 ft.rear setback
. 3
10 ft.min.
pool '
side setback 10 ft minimum side setback
no required distance between deckhouse to pool
deck
garage
House
..........Road Name..........
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queen bury, Y 12804
Date received:
NAME:
LOCATION:
PERMIT#: 0,72
-INSPECTED,_ ON.:_. �_ am/pm
Arrive: a pm art: am/
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 ''/z" 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
lug in timer allowed
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C
Comm TS:
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road, Queensbury,NY 12804
tio
Date received: _ �
NAME:"�)C— mm-�_do
LOCATION: & f—(.A_JA,- Llr�
PERMIT#:
INSPECTED ON: am/pm
Arrive: - am/pm Depart: `'7 j� am/pm
Inspector's Initials: •.1�t, ��
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 ''/z" 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
lug in timer allow d
Final electrical >
Vehicle access ga e closed
&locked
Ok to issue C/C
COMM 'NTS:
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256'
742 Bay Road,Queensbury,NY 12804
Date received:
NAME: - ax'`CC
LOCATION:
PERMIT#:
INSPECTED ON: am/pm
Arrive: am/pm Depart: am/pm
Inspector's Initials: L°
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 %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 V,
Timer on pool pump (no
Plug in timer allowed)
Final electrical
_Vehicle access gate closed
&locked
Ok to issue C/C
COMMlENTS:&A- ��
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Q 3- V
Main Office 176 Doe Run Road-Manheim,PA 17545 3
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL g
Permit No........................................Cert. No 80332 Cut-in Card No....................................
Owner............DO, i'J Win?.A/Z.......................... ..............................................................1......
Location..................... .........�21.te.,.........Q.......................... ....�,�......
Installation Consisting of.,8t R L..... pP..l � .
..................................................................................................................................................................................
.................................. .............................................................................................................................................
Installed By..........1..i....&Afo.�� ..........................Lic.No.................................................
The conditions following governed the'issuance of this certificate,and any certificate previously issued i;
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon of
introduction of additional equipment or alterations,application shall be p tly made for inspection.
Inspectors of this Company shall have the privilege of making ' spec ns at any time, and if it
rules are violated,the Company shall have the right to ev a this c tifica
Date.V -'U3................ INSPECTOR
! 4. .................... ........................................,
Member NARA-I.A.E.I.-
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APR 0 7 •2003
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BUILDING AIUD.CODE �
oil o,i
i fornpfiance with ou e
not be
omittents shalt °
construed as mdicattn Pans,an t r e :
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