2010-359 ��'` TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
t � Q
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100359 Date Issued: Wednesday, February 29, 2012
This is to certify that work requested to be done as shown by Permit Number P20100359
has been completed.
Tax Map Number: 523400-301-013-0001-033-000-0000
Location: 6 PEGGY ANN Rd
Owner: DOUGLAS & KRISTEN VAN WINKLE
Applicant: DOUGLAS & KRISTEN VAN WINKLE
This structure may be occupied as a:
Above Ground Pool
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the 4 g'
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.
1
TOWN OF QUEENSBURY
forr0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100359 Application Number. A20100359
Tax Map No: 523400-301-013-0001-033-000-0000
Permission is hereby granted to: DOUGLAS &KRISTEN VAN WINKLE
For property located at: 6 PEGGY ANN Rd
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: DOUGLAS &KRISTEN VAN WIN
6 PEGGY ANN Rd Above Ground Pool
QUEENSBURY, NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
ADIRONDACK POOLS
5 BOULEVARD
QUEENSBURY,NY 12804-0000
Plans &Specifications
2010-359
above ground pool
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 28, 2011
(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 Towensb tjy; o 'ctitedrg,July 28,2010
SIGNED BY `'Y" for the Town of Queensbury.
Director of Building&Code Enforcement
13 -1-33
- ,33 OFFICE USE ONLY /);,,f y
TAX MAP NO. PERMIT NO./01357 PERMIT FEF— f
/f
APPROVALS: DEPOSIT Ir
APPLICATION FOR SWIMMING POOL PERMIT:
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION AND/OR INSTALLATION.APPLIeATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT.
INSTALLER/BUILDER: Acik. PobIS OWNER: y`-unW
ADDRESS: 5 B I v d • ADDRESS: to Pe3sy Ann 12d .
PHONE NOS. PHONE NOS. (64)74 S-3 (.444 lj 0
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: owner' PHONE:74 3-55CP4 g., GJ'rC
ADDRESS OF POOL LOCATION: ( t"� G^ l;" r' ll(�73
ABOVE-GROUND? , OR INGRO11 D? SIZE OF POO W I GU f
hei9 hi•
MATERIALS USED IN CONSTRUCTION (CHECK ALL THAT APPLY): STEEL/VINYL?Doi
FIBERGLASS
GUNITE POURED CONCRETE OTHER ✓*wc1s Gne-
MANUFACTURER: OCA, °LC 1001s
FENCING &/OR LIFT UP LADDER REQUIREMENTS FOR ABOVE-GROUND &INGROUND POOLS:
o If above-ground, indicate height from ground/grade to top of pool HEIGHT 54 INCHES
• 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. No fencing is required.
o If you are installing an inground pool, the pool must be provided with a fence or enclosure meeting the NYS
REGULATIONS, APPENDIX G
• REQUIREMENTS FOR POOL DURING CONSTRUCTION
o Section 1228.4 of the NYS Regulations requires swimming pools be enclosed by a temporary enclosure during
construction of the pool, and requires the temporary enclosure to be replaced by a permanent enclosure, which
complies with all applicable code provisions, within 90 days of issuance of the permit or commencement of
construction (See the actual text of Section 1228.4 for more details).
❖ SETBACK REQUIREMENTS FOR POOL PLACEMENT:
o Minimum side setback requirement is 10 FT.; Minimum rear setback is 20 FT.
o Pools may not be situated in the front or side yard. If this difficulty arises, you may apply for an area
variance to the ZONING BOARD OF APPEALS
❖ POOL PUMP REQUIREMENT-TIME CLOCKS (AVAILABLE FROM ANY ELECTRICAL SUPPLY CO.):
o 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 runs. (See the
ENERGY CONSERVATION CONSTRUCTION CODE OF NYS, PART E504 ENTITLED SERVICE WATER
HEATING AND SUBSECTION E504.3.3 REGARDING TIME CLOCKS)
• FINAL INSPECTION INFORMATION:
o You are responsible for scheduling the following:
• *ELECTRICAL INSPECTION; FINAL CERTIFICATE OF COMPLIANCE INSPECTION
*NOTE: The Electrical Inspection is required before the Certificate of Compliance is issued. The Inspectors are contracted throught
the Town of Queensbury but you are responsible for payment to them directly. Their fee is not part of this application. A list of
Electrical Inspectors is available in our office and on our website listed below.
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No....!C ) / Cert. N2 1014 7 Cut-in Card No.
Owner -D. k', lU//I7
Location...6... 2..6-Y /42v Ai Er) age !./
Installation Consisting of rc f G)11 AJ GY £'-1
Installed By ' ' '3 KCi.) Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making i 'ons at any time, and if its
rules are violated,the Company shall have the right to r this ce ifl
Date... 5^A6 INSPECTOR.... . . ,e if- r
�
Member N.F.P.A..1.A.E.I.
q'4 7A. C Y:a4-7
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date received:
AA
NAME: G� i A
LOCATION: alirld •WW.al 4,
PERMIT#: fir
INSPECTED ON: la am/pm
1:ro
a /pm Depart:
L9 a : _7
spector's In' '
Above Ground: 4n-Ground:
Y N NW
Pool enclosure around
pool or yard i
1(
4 feet above grade
2 inch maximum
"i47/
clearance to grade from
underside of fence -
4 inch maximum
clearance in fence
pickets
17V
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
closin•
Padlock provided on
•ates or ladder
me
Indoor pool all doors self
closing or alarmed per
AG 105,2 Item 9
Timer on pool pump (no
•Iu• in timer allowed
Final electrical
Vehicle access gate � �-
closed & locked
irm..._
.
Ok to issue C/C IM_
COMMENTS: `=-0Y -b€ lik-
57- 7 / %/t> c is e6,00/%i
7h.Rii
Pool Inspection
Queensbury Building & Code Enforcement
Office No. (518) 761-8256
742 Bay Road, Queensbury, NY 12804
Date rece'v=.:
NAME: a A AU
LOCATION: '�!
- 5�� ,
PERMIT#: f//
INSPECTED 0 : -2 ' ?cm/pm
rriv�e am pm "Part:am/pm
In pector's Initials: '
Above Ground: In- round:
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 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 n.
plug in timer allowed)
Final electrical
Vehicle access gate
closed & locked
Ok to Issue C/C
COMMENTS: CAA—A.....)-'5:5
Community Development Office
. Town of Queensbury ■ 742 Bay Rd.
Queensbury, New York •12804 PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all
property lines.
7( N4.G S
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SIDE PROPERTY LINE 1 SQUARE = Co FT.