1989-687 I
CERTIFICATE OF` OCCUPANCY
TOWN OF QUEENS@URY
WARREN COUNTY, NEW YORK
Date January 3 1990
IS-is is to certify that work requested to be clone as shown by Permit No. 89- 687
has been completed.
This structure may be occupied as a Office Space e�l
JIM
Owtaer Evergreen Professional Paek
By Order Town Board
TOWN OF +QUEENSWRY
Director of Bldg. +Sc Code Enforcement
—I
- 4t BUILDING PERMIT w �.
TOWN OF QUEENSBURY
No. f19- 6f ?
WARREN COUNTY, NEW YORK
j
PERMISSION is hereby granted to S . D . C . ASSOCIATES- EVERGREEN PROFESSIONAL PARK
OWNER of property located at 626 DIXON XX ROAD B1 dg a C Street, Road or Ave,
in the Town of Queembury, To Construct or place a _ ALTERATIONS OFFICE SPACE
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. u^+
1 . OWNER'S Address is CI
XX XXXXX 11 Greenwood Lane �
Queensbury , N . Y . 12804 con
0
2. CONTRACTOR or BUI LDER'S Name
7}
M
SKl�l(I�XXAIIE+at3F1k�LM Ci fone Construction v
3, CONTRACTOR or BUILDER'S Address rr�i
X1X9it1*ii[>KrK*A(XlLXK4E P . O . Box 684 rrT1
Queensbury2 Glens Falls N . Y . 12801
4, ARCHITECT'S Nance �V
T
G
T
rrt
u"
cr:
Hy
5- ARCHITECT'S Address C+
s-
-o
6. TYPE of Construction — (Please indicate by X) x
I I wood Frame ( } Masonry ( ) Steel i 1
7. PLANS and Specifications
No, 2400 sq . ft . Interior Alterations/Office space as per plot plan , x
Specifications , and application . ,
R, Proposed Use �q
Ci
Interior Alterations/Office Space o
$ 120 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Apri 1 1 19 90
lit a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date,)
rn
Dated at the Town of Queensbury this- 6th Day of September 19 89 -�-1
l/
SIGNED BY for the Town of Queensbury tom"
Building and Zo rVng Inspector C
C- j
r+'V1
a
M
rn
7"O% N OF QUEENSBURY APPI. ICATTON T'OR BUILnTHO AND ZONING PERMIT '
Vatc-
r'ee.t cu ect �
Reviewed TOWN OE QQUEENSSURY
RECEIVED
Py
Fee. Paid < 1 a�Q `�--'� A U G 1989
WILDING AND CUDES U13'ARTI' illof1' Fate I.aaued BI.DQ, & CC)DE DEFT.
L4Y and HAVrZAND ROADS RD 1 waoX Vd � ,/�
i7ursivsBURY, NEDJ ropx 22490,t Pe/f mliot
Tel . ( 528) 792-5832 £art -204
. •• .R iY i i i a to • R i a a '* '!► i i a In a a a a a a a Ia IN ■ a i a i a a i a a
A PERMIT MUST U4 OBTAINED BEFORE BEGINNING CONSTRUCTION a NO T. NSPECrIONS
WILL BE MADE UNTIL APPLICANT SIAS RECEIVED A VALID BUILDINC PERMIT .
All applicable spaces on this application must be completed and the
�% iouaturc of the upplicunt must appear on the reverse side of this sheet .
a ** A * w * * * * k * * * * * * * * * * * * * * * * * * * * * * N * * * * _
The owner of this property is :
P . O . Address_ 91) 'z't .-� TEL "
Property location Zee arc f'.fG'h.r D.r4d TAX MAP NO .
Ilan there been any split of this property since October 1 , 19aa ?
If yes , Planning Board Review is necessary . yes no
SUBDIVISION NAMC a IF APPLICABLE
•rhe person responsible for supervision of work as regards Building Codes isr
NAD4E _ _ P . O . ,ADDRESS TEL . NO .
ldwme of builder 5.+ Addreasi r 904- /1' ry To
ra:.me of Plumber ., r_ _ Address le el Tel rt r l
Neame of 94 ►A50 a 1 Addres3s i r Tel ' '
14ATURE or ('Roposco Ironirm : ; ZONING INiO00064,TION ( Uriica use only )
_Conwcruccior, of :a new building + ZONING DESIGNATION OF PROPERTY
AdJicion to :a builalinq # PERMITTED PRINCIPAL PERMITTED ACCESSORY
Altus:ation to a l;uildincl
(na ch"nqu to axcLirior dimensions) * REVIEW REQUIRED - PLANNING BOARDD ZONING BOARD
Ocher work (aa:oriixul # SITE PLAN REVIEW # APP ED DATE
c: KOSS ARL:h Oil 1' ROI' OSCO. s 'ricUt:`1'URE
+ VARIANCE /�?4 APPROVF.i] TE
` Remarks :
1st Floor � �5/ 0 sq ft . �
2 nd Floor sq f t . w COsaPLL:yt _ Ixil'Ol+ttil►'C7 G1N Dcl:(,lU IIctCD uL LCriI .
other Floors sq ft . # Si;.a of prals.: rty tt x rt .
( nor a3lsr or bas .xmasncl " "ix:ti,ng bu4lriairr�Ita:1 Sira._.�. �.csr i. �- rc .
TOTz+ : FLOOR AREA sq f t . . 47
Lxiscinq Dar.i. lilirrj (a: 1 U::+s iC r ---Z
G�
::i:ra or' nCw ::tructuru tt X ft
Ijrsw.d:acian-pier/::lake/cr;awl/lxarci:, 1/cull t'rottia::asd builUing , dis: canc.a iccid property iina:
icirc:las One ) # Frpnt urd x �' D't Rear card `� -e ft
HQ . of stories (ta:alxi t:.k►la space) / ' y Y
Il.:ighc ( grades to ridqu ) 1 t . Side yards /r f ft :and _. 'j ec
1t rauid4sncisla no . of fwailies A, 14 # If ion corner, ::a: tb:.ak gramsiaias racracst r' t
NO* of room a texcluding b:aChal al/ Aw GCCUPANcY INFORivAT104
lies. of lxrsdroosus # PRIMARY bUlLDING
Na. of One fans-ily dwelling
lariW"ry iaa::xriruj a:y :1:v�u /�3 h�r� �
4%Vp" of f ual a, � TES . _ . . Two family dwullin�l
no.
■ of fires xlacua: to tea inzr.ia3 4C1 Y/ ' multipl,4 awulli,ng ! Nurub of units
will �a wuaaall .�il:OVa3 lrk::t:all.:ct? ✓l/ # t]ernn:�npnC oCiLllJrl�►ri �/
Contr"I Air Coaaclitiuning:' ♦ `i`r:an::ia:r�t cxc:auix:arrcy
W , uusinuss
WILDING .STYr_E,�-PR-LMARY—STRRUCTURe ,� indusrriat
la.anclt c anck, 1y .r:aL.Sr--Lc.�- cab]6 r w Ochor
l:.ais+;.d ranch Manzaica,r Dasi.la:x w It .addition , wh"t will user b447
UpLic larval Old ucyla Uulaal.alaw
4:;& w Cad cott"q% Ocla.:r + ACCUSSORY UUILQ1WG—
Calani:al lcaw arQwla tDouse # "-caGch+aa y:arugca/ono cur/ two czar! czar
CIRCL4 C"U PLXArC 1 '� Attwcha:a;l cj"ruiou/Qa6l cuV1 two Czar/ Cu1V
a a ■ i i • s a a a a a i r * a a + i'riViataa sLar"94 tauilcDirlg
W STIMA1` l: p MARKET, VALUE or # T_Ochaltr
COHWrkUC'rTQm S vG' • C7 -� •
INFORMATION ON BUILOTNC speciFrCATTONS , ON nrVERSE Slob' OF TAITS Si1W81', To Be CO PLET&MA
Form DPA 20/88 v2
BUILDING PERMIT APPLICATION CONTINUED -
ilrJ [ LCs xw + 5ftCIPICATIONSe
Type of construction , wood frame , fire safe, etc . ZZI-1 ?C1L7 ;`�,cf'r9 '!w
Will any second-hand or ungraded lumber be used? If so , for what? ^ ,e. 01
Foundation wall material 2ci 4 I.r LJ e2lG ve7,+#'Jr% Thickness S'lr
Depth of foundation below grade ( to bottom of footing ) _
Will there be a cellar? treated or unheated? Floor sq. footage sq ft
Will there be a basement? _VJ S will any ,portion be used as living space? ...
( If so , what part` _sq. ft . - - Type of use?
Type of roof - _sloped/ :lat/shed/other-- �Material of roof
Sizes wood studs " X�`" spacing "o . c . length -' ft .
Joists ( floor beams) 1st . floor"X c� " spacing 14 "o . c . span ft .
Joists ( floor beams ) 2nd . floor '"X "' spacing "O . c . span ft .
Overlays (ceiling beams ) "X spacing "o . c ,i span ft .
Roof rafters "X is spacing o . c . span ft .
Roof trusses (pre-engineered) spacing t �/"o . c . span � -?& ft .
Exterior wall finish Of what material?
Interior wall finish _ �, s{,=�p Acoeec'
If a garage is to be attached , describe materials to be used for FIRE SEPARATION :
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door , enclosure , and self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft .
Depth of chimney foundation below grade €t .
Depth of fireplace hearth ft . in .
Water supply - Municipal or private well G* ! 1 rJ r' /
SEPTIC SYSTEM _ Distance from ANY private well ( including adjoini properties ft .
(A separate application is necessary for any repair or new installation of septic system)
D E C L A R A T I O N
To the best of my knowledge and belief the statements contained in this
application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be done on the described premises and
that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all
other laws pertaining to the proposed work shall be complied with, whether specified
or not , and that such work is authorized by the owner.
Signature loe—pp
Caw r owner's agent, a hitect, contractor
Is or Is or or Is
SPECIAL CONDITIONS OF THE PERMIT :
ce
TOWN of QUEENSBURY
WARREN COUNTY , NEW YORK
Application fors BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
: ANSWER ALL of the £allowing :
1 . Gross floor area 3A7 Q
2 . Type of heat
3 . Is the building mechanically cooled ?
4 . Percentage of area of windows and doors ` y
A . Over 16 . Only
1 . Uo value of gross area of walls , roof/ ceiling and floors
y
exposed to ambient conditions
2 . Floor over heated spaces YES No
a . Are foundation walls insulated ? YES no
1 , If YES , what is the R value ?
3 . Slab on grade YES NO
a . If YES , what is the R value of insulation around
Perimeter of floor ?
4 . Is basement heated ? YES NO
a . R value of insulation
5 . Type of insulation
8 . Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area
S• � -�
4 . R value of doors /
5 . . R value of floors over unheated spaces R
_ -
6 . R value of slab edge insulatio unheated slab
Pk 7 . R value of slab insulation - heated slab
B , R value of heated basement/cellar walls ( above grade )
i 9 . R value of heated basement/cellar walls { below grade }
14 . Type of insulation_
C . Controls
1 . Thermostat maximum heat setting
D . Duct Systems_
k 14 Is duct system installed in unheated .spaces ? YES NO
a . If YES , R value of duct installation
b . R value of duct in other areas
P E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
2� . Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum
G . For Swimming Pool only
1 . Maximum heating
l .
Telephone --
applicant signatuxe }
0 OF WEEIISBURY
BUILDING AND C DES DEPARTMENT
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518 ) 792- 5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
LOCATION ��f •FJ� d 2 -l
DATE L f PERMIT #
TYPE OF STRUCTURE , '
RECHECK APPROVED
N/A YES .1 NO
OO G ! IE
MONOLITHIC POUR RM _
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON BS BL��
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 "MRS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLAC
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/V N N
PLUMBING UNDER SLAB
FRAMING :
JACK STUD /HEADER
BRACING/BRIDGING ____ _ --
JOIST HANGERS _
JACK POSTS /Mf1IN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING R UGH— IN
INSULATION :
FOUNDATION LLS N ER R
FOUNDATION WALLS EKT ERIO R—
FLOORS R—
WA LLS
CEILIN R"
DUCT WORK 0 PI ING I UNHEA ED
SPAC ES
IMEMIARKS :
ARRIVE
DEPART. _�(\
N P T
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVSL.AND ROADS
QUEENSBURY, NEW YORK 1280C
TELEPHONE (SIB) 792-5832
BUILDING INSPECTOR ' S REpORT
REQUEST FOR INSPECTFpN RRCRXVED��+ {/
tVAME
LOCATION
DATE PERMIT - i
PPROVED
FOOTING/PIERS YES NO
MONC]LTTHIC POrl
UR FOh'1yS
FOUNDATION/DAMP-PRTFING
BACKFXLL ,APPROVAL :
ROUGH PLUMBTNG
FRAMXNG
ELECTRICAL ROUGH-IN
TNSULATXON:
FOUNDATION
FLOORS
WALLS
CEXLING
FINAL INSPEC'TXON:
CHIMNEY HEIGHT
ROOFING
SXDING
EXTERNAL PORCHESfSTE S
STATR,S-CLEARANCE & I
PLUMBING FIXTURES/ LIEF VALVE
IIVTERTOR TRXMf PRI V CY D r -
FINTSHED FLOORS
GARAGE FTREPROOFI G
DOOR CLOSERS)
SMOKE DETECTORS '~u -
FTNAL ELECTRICAL SPECTXON
FINAL APPROVAL OF'CON.STRUCTTO
A SIGNED CERTIFT ATE or OCCUPAN Y MUST BE
OBTAINED FROM T E BUTLDXNG DEPA MEN
TFIESE PREMISES ARE OCCUPIED: T BEFORE
REMARKS:
t
INSPECTOR
"!K]WN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURYo NEW YORK 2280ff-
TELEPHONE (51.8 ) 992-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR ,+INSPECTION RECEIVED
NAME L ,
LOCATION aL Q( /.:I I n 1.31.4!
DATE PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHESISTEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS"
GARAGE FIREPROOFING
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
to C LA 4-v& A J"cs A--40.�+c,L—%'s- C' P LLB
j3& c.rs � Svu
I NSP OR
-+OWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
SAY & HAVILAND ROADS
QUEENSBURY,, NEW YORK 2280&
TELEPHONE (5I8) 792-5832
BUILDING INSPEC TOWS REPORT
REQUEST FOR INSPECTION RECEIVED
NAME G _
v+ CAif
LOCATXON
DATE PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOZXTHIC POUR FORMS
FOUNDATIONI DAMP-PROOFING
BACKFrLL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICA ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STE S
STAIRS-CLEARANCE & xrs
PLUMBING FIXTURES/R LIEF VALVE
INTERIOR TRIM/PRIV Y DOORS
FINISHED FLOORS
GARAGE FIREPROOFIN
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL IN 'PECTION � ........`�
FINAL APPROVAL OF 1VSTRUCTION
A SIGNED CERTIFICA E OF OCCUPANCY MUST BE
OBTAINED FROM THE UILDING DEPARTMENT .BEFORE ';,,
THESE PREMISES AR I.��..00CUPIED I `.•
REMARKS:J3(5r- AA(46e$ Aos>401t-s t Ao'Pl
tyr,✓4t1aS StJP' � ,A'5 Oivzzr-`c-�.
�tJb'��Gr.2T' a01�E�G7 l4'd✓P6wzL 970(z� T—s A/Im
�'lF`tS �C+Uv'+Crl�/�rr�—
,orc UT-1 5%bcv l cc.(,v oov l4o,�r
gOWN OF QUEENSBUR.Y
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
ORIC 128t7¢
QVEENSBURYr NEW
TELEPHONE (518) 792- 5832
BUILDING INSPECTOR' S REPORT
REQUEST ,FOR INSPECTION RECEI VED
NAME C uioL AV
LOCATION jC1[a 3 ( D3(3L[7
DATE I���� PERMIT #�^ d
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS -�
FOUNDATIONIDAMP-PROOFXNG
,BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
)'INAL INSPECTION=
CHIMNEY HEIGHT
ROOFING
,SIDING
EXTERNAL PORCHESISTEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURESfRELIEF VALVE
INTERIOR TRIMIPRIVACY DOORS
FSNISHEv .FLOORS
GARAGE FIREPROOFING
DOOR CLOSER (S) �.
SMOKE DETECTORS
FINAL ELECTRICAL .INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A .SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING ,DEPARTMENT BEFORE
THESE PREMISES ARE ocCfU,PIED.1
NII
REMARKS : �Tpr[ S _ f-�l1r +1 Gam- L L H GA•� J
-ro •" 4
f3 oNI +a VA/ �
"ja PicF ' `r Rs Af&
IN PECTOR
TOWN OF QUEENSBURY �
BUILDING AND CODES DEPARTMENT 1 �
BAY s HA VSLAND ROADS (J t K
QUEENSBURY, NEW YORK 1280* Ln'
TELEPHONE (5I8) 792-5832
BUILDING INSPECTOR' S REPORT + `
REQUEST FOR NSPECTION RECEIVED ^
NAME
LOCATION , ¢
DATE / PERMIT #
APPROVED
YES I NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION f DAMI�--PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING `
FRAMING
ELECTRICAL ROUGH N
"INSULATION:
FOUNDATION
FLOORS
WALLS Y
CEILING
px
FINAL .INSPECTION:
CHIMNEY HEIGHT
ROOFING P.
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAI
PLUMBING FIXTURES/RELI VALVE _
INTERIOR TRIM/PRIVACY OO S
FINISHED FLOORS _
GARAGE FIREPROOFING
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL I SPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIF CATE OF OCCUPANCY MUST BE
OBTAINED FROM E BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIER?
REMARKS:
INSPECTOR
TOWN OF QUEENSBURY �
BUILDING AND CODES DEPARTMENT H
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK I280iZ-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST R INSPECTION RECEI
NAME / 1
ZoOCATXON —
DATE PERMIT {}`
A PROVED
ES NO
FOOTINGJPIERS
MONOLITHIC POUR ORMS
FOUNDATION/DAMP— OOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
,kHCTRICAL ROUGH—I
NSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAXRS—CLEARANCE & RAI
PLUMBING FIJ{TURES/REL VALVE
INTERIOR TRIM/PRIVACY D RS
FINISHED FLOORS
GARAGE FIREPROOFING _
DOOR CLOSERS)
SMOKE DETECTORS `
FINAL ELECTRICAL IN PECfiION
FINAL APPROVAL OF C NSTRUCTION
A SIGNED CERTIFIC TE OF OCCUPANC MUST BE
OBTAINED FROM TH BUILDING DEPART NT BEFORE
THESE PREMISES A E OCCUPIED:
REMARKS: ,r' -
,�
INSPECTOR
Moosup
BUILDING DEPT, COPY OF APPLICATION FORMA 48-EL, NEW YORK BOARD OF
FILE THIS COPY WITH BUILD[ FIRE UNDERWRITERS.
NG DEPT, WFIEN REQUIRED.
DATE
CITY OR
VOLLA04E
STREET AND NO. OR TOWNSHIP
ROAD AND POLE ND. '^ COUNTY �J
BETWE
CROSS STREETS
TWO r C-•/ (,.�
IS PO NO.
I'R MISE TE6
MLIPANT"S {.- _ TI N B OCK
( �, r BUILDING
WNER'S LOT
O NAME OCCUPANCY
AND ADDRESS _.,.. ,,�.�•-
BSYPPI.IED +� F /E�- '!".+' u. ,� ,. .� TEL, #
BUfLDINO FROM THEIR
IS NEW " WORK Y OFFICE
OLD ❑ I,S 1� �,.r DEFECTS
NEW �"" ADDITIONAL ❑ REMOVED 0
LIST BELOW ALL EOUIPMENT WHICH Voti INSTALLED
Lrw
NUMBER OF OUTLETS NLentp Fixti in &
tin" cles Lamp HEATERS BRANCH
SkM A CIRCUITS OFFICE USE
Downs Wall Resrpye StWesh Pendant SIZE& t Na_ Type EHIP,,I Na Watb A.W.O. ONLY
aroma. Eso1i No. fl+eN INSPECTION
Sub-
ubwas
ane
Iw. t
Ist Pl.
2nd Fl.
2rd FL
REMARKS; LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE;
DD NOT USE THIS SPACE.
This application is intended to covert the ahoer-listed equipmsnx tq be inaprc qd but if et timr of i
you are wtherzed to make the inspection and adjust the far to corer fhr additional equipment,
napectian than is toured addiTional equipment not +bore listed,
SIZE OF _ 4 Pmans, q praridod by Cho applicant.
MAINS {� C SIGN ELECTRI
CHARACTER FEEDERS LAMPS TOTAL
OF WORK E WATTS
S TUBE SIGN
WORK To BE N TRANSFORMERS OF
STARTED IN UMBER) VA
SERVICE flVERHEAO COMPLETED SIZE OF SIGN (CAPACITY)
ENTERS UNOERGIi01 "
+/i►��'' MAKER
INSPECTION RE OU ES7 ED OF SIGN
PO SI AS NEAR AS
/
POSSIBLE fy� /3 1
AVOID DELAY BY IN ONO FULL q�N�OA^C"C URATE/f'N7FORMfA^^TION.. ALL SPACES N OLD Q MUST BE FILLNAME
IN OR APPLICATION MAY BE RE?URNED,
PRINT NAME AND ADDRESS GATE OF 6 G sa NAME OF _ APPLICATION Cyr APPLICANT �"G�'�'l-, „v.c�.�/ v� Jam, SIGNATURE /"'_/ . •r
STREET ADDRESS - OF APPLICANT J
CITY OR �� , �� TELEPHONE
POST OFFICE 21P .+,�
—�i/ , CODE
46 EL (REV. Ilea} '^C W}EN APPNSE NLICABLE +"�-4
A SEPARATE APPLICATION MUST BE FILED FOR EAC! I SEPARATE BU I LLII NG
(Law
TOWN OF Q UEENS B UR Y
Bay at Naviland Road, Queensbury, NY 12804-9725-518-792-5832
TO - Cifone Construction Co _ , Inc .
P . O . Box 684
Glens Falls , NY 12801
DATE : September 1 , 1989
SUB : Evergreen Prof . Park , Bldg . C
Exit Signs , Emergency Lighting
Emergency lighting and exit /directional sign locations
have been noted in the accompanying plans . It is the
opinion of this office that while not called for in C1 uses ,
an EXIT sign is needed over the main entrance doorway in
this occupancy .
r �'7
C . A . rant
Deputy Fire Marshal
"HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE ' '
SETTLED 1763