2003-399 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development'-Building&Codes (518)761-8256
CERTLIFICIATLE OF COMPLIANCE
Permit Number. P20030399 Date Issued: Monday, October 03,2005
This is to certify that work requested to be done as shown by Permit Number P20030399
has been completed,
Tax Map Number: 523400-295.018-0001-006-000-0000
Locations 23 SYCAMORE Dr
Owner: DONALD&JACQUELINE BROWN
Applicant: DONALD&JACQUELINE BROWN
This structure may be occupied as a:
Above Ground Pool
By Ordet 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: P200303-99 Application Number: A20030390
Tax Map No: 523400-295-018-0001-006-000-0000
Permission is hereby granted to: DONALD &JACOUELINE BROWN
For property located at: 23 SYCAMORE Dar
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plat 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: DONALD &JACQUELINE BROW Above Ground Pool
23 SYCAMORE Dr Total value
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans,&Specifications
2003-399
ABOVE GROUND POOL AS PER.PLOT PLAN SPECIFICATIONS
$25.00 PERMIT FEE PAID-.THIS PERMIT EXPIRES: Thursday,June 17,2004
(If a Banger period is required,an application for ari extension must be made to the code Enforcement Officer .
of the Town of Queensbury before the expiration date.)
Dated at the T of Quee ury; T sday,June 17,2003.
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
App lication.for Swimming Pool Permit Permit
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 c�a
(518)761-8256 Fee PaidQ
Instructions and requirements are attached. Notes:
1. Applicant/Owner 1 Contractor or Installer_Information:
<� a. e tsn, 004 n3 e
§_... 94, C' ' . ClC-�
M
r �1)r�� A Y 29L9 ems oo,, 10 05 Y 12M
' `
2. Person Responsible for Code Requirements:
3. Pool Location Address: Tag Map NO.' 5 waft
�4. Swimming Pool Information:- (check whichever applies and fill in the blanks) WEE
A * pt5o Above ground pool ElInground Pool /l
JUN 0 9 2003
B. of Length ft. / width ft. 1 diameter c;k7 ft. / depth i WN OF QUEENSBURY
t11LDlNG AND GODS
C � t t% v : steel/vinyl; []fiberglass;❑gunite; []poured concrete;[]other
5. Fencing Requirements for above-ground & inground swimming pools: ,s #
A. If an above-ground,indicate height from ground-grade to top of pool height J 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 within the area of the pool regardless if your yard is fenced.
6. 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:��41nmdDate:
Date:
Signature of Owner:
Code Interpretations-Department of State Page 6 of lb
DATE OF ISSUE (-Signed 1'/11/9')
Code Section 72�.1-
If an=:entire residential parcel having an ou[door'swimmii g ioQt s fenced;does se nor!720.1 require . .
an:additional fenced!encicisure for tide swutimmg pool:
II` RRRETATION_
Xe t hrl`e section 724:I(g erro�ts a�uall_:of a dwelling to serve as.part of the enclosure,.it does:not-
perntt tie enftrebuildig to lie loeed wrttCin the,�nelosre However, section 7201 does.not sptrcFfy-
ho�u faz back from a pool a fence egutred to b located,nor:doos rt.lam1 the 0906ure-to etici'osirig
ttie.pooi and asstcrated`etlntlrnerxt oily
i cide I'r t rpfetat ozi is issued co d nce v itlk xeccxtive.I1,4wv section 376 Sub equent.
oiifaa eei r t o e or C'State rcr of reaFrevc is ton an, Btti drug ode sl ali c onsr teat
AFexande Frea�f�tell; S`e�;retaruo��tatc:
Date Tani ary 11> 1999'
V r
-pool Inspection. _
Qu.ccnsbaary l3tiilding 8r- Code ]Enforce rx ciat
Office No. (5 18) 761-8256
742 I3ay Road, Quccrisbxxry, NY 1.2804
l >atca rcceivocl:
I N SPEC . ]BID GI*,T:
Arri�Tc: , CS0 a rn L7epart
lrispt,cto3r's I itials: ~—
Above Ground: Iri-Ground.
Y ITT �T/A
Pool enclosure around pool
or and
4 feet above grade
2 inch maximum clearance
to grade from underside of
fence
4 inch rrraxirnzum clearance
in fence ickets
Wall or ID ours have self
closing device or alarrris (30
second Alai time
Ladder secured iri place and
latched
L)ecl4 ,gate -::::z 56" tc> latcl-x na
mare; than %" spacing in
ate o erxin s
Gate oporis c it t- rard, self
closin
Padlock. Pro videci orl gays
or ladder
Iridoor Pool all doors self
closixzg or alar-rried per
.AG 10 5.2 Itc.ro. �►
Tixxzcr cm Pool pump (ric>
lu In tzrrier all ed
Final electrical
Vehicle access ga e c osed
8i locked
Olc to issue CfC
0"E
0 `k9 E
EC
4
JUN 9 9 2003
TOWN OF QUEENSBURY
BUILDING AND CODE
_ 3
Attent on Nome Owner
Fq"Se assure you are familiar with the
*Enclosu a requirements-specific to
.'pool. V is will be happy to explain
vat Requi ements you will have to
meet pE r Appendix G.Of-the
New fork tate Residential Code.
�tt d
BUILDING & CODE
REVIEWED BY
DATE
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