87-096 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 24, 19 `8
This is to certify that work requested to be done as shown by Permit No. 87-96
has been completed.
5A
This structure may be occupied as a Addition to Warehouse Bid.
266 Bay Rd.
Location
Owner
C. R. Bard
By Order Town Board
TOWN OF QUEENSBURY
•
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 87-96
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to C. R. Bard
OWNER of property located at 266 Bay Road Street, Road or Ave.
td
Addition to warehouse
in the Town of Queensbury,To Construct or place a a.
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.
1. OWNER'S Address is P. 0. Box 789
Glens Falls, New York
2. CONTRACTOR or BUI LDER'S Name Barry, Bette & LedDuke
tb
3. CONTRACTOR or BUILDER'S Address
P. 0.Box 12789
Albany, New York
a.
4. ARCHITECT'S Name
The Clover Group
5. ARCHITECT'S Address
1245 Kings Road
P. 0. Box 13745
Albany, New York 12212
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ()i Steel ( 1 ¢
r•
rt
7. PLANS and Specifications p
50'x80' per plot plan, specifications and application submitted .
No. rt
0
8. Proposed Use
Warehouse for mfg. plant r,
0
to
0
$ 300.00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 1 19 87
(If 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.)
Dated at the Town of Queensbury this 30th Day of March 19 87
SIGNED BY JG Q• N�A� for the Town of Queensbury
Building and Zoning Inspector �L(J�
TOWN OF QUEENS .
TO BE COMPLETED BY BLDG. DEPT. M N M W ['-i;
ENS .
Application No.
quit:uit: v/ Qucettiary Permit Issued 19 MAR c�
BUILDING and ZONING DEPARTMENT Permit Expires 19 2 31987
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No. _
BUILDING & CODE DE
Site Plan Review No.
f- '-- 3 b _I-I W Approved by al p, ,���
2
APPLICATION FOR � •# �'®'�
FUILDING AND ZONING PERMIT _
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: C.-F. fjj gj e
P.O. Address P(� 1 ci,' . 7/ /,1N`7 FALL.5/ IJ•Y '�01 Tel. 7�{?7 L- 51
Property Location: 2 U I/A.1 f.DAD Tax Map No. f /106/ j
Street number or building lot number .
Subdivision name (if applicable) 144,
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS/.REGARDS BUILDING CODES IS:
f'E.T 6Llpt4Eg, Po.13ox 13745 , t-bANY t /J.V )2f12 C(i6)34 -0t-46
Name P.O. Address Tel. No.
Name of builder 15h.rs.4 gE 4EDD /Addressj?p, yx ` C( ALE,AKI V.0.1!/aft Tel.&4S) •7O_aOq'O
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building ' A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give
* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
N.A * of septic disposal area.
* COMPLETE INFORMATION REQUIRED BELOWA 7` AGES
* Size of property i ..,j. ft X �{ ft.
* Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE: * `►ram-- N 13143- �1' / E3, ,l 3 5F .
* Existing buildings) Use INDL157-r?IIL
Size of new structure R7 ft Xeo ft *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) ** Front yard J"�p t ft Rear yard 604' ft
No. of stories (habitable space) I * Side yards 61 ft and .4�b 1 ft
Height (grade to ridge) ?j ft. * If on corner, setback from side street ft
If residential, no. of families N.A.
No. of rooms(excluding baths) >L. . * OCCUPANCY INFORMATION
No. of bedrooms (j *
* PRIMARY BUILDING -
No, of bathrooms 0 * One family dwelling
afar heating system � j (�sj��,g * Two family dwelling •
Type of fuel C?A 5 * Multiple dwelling / Number of units
No. of fireplaces to be installed O * Permanent occupancy
Will a wood stove be installed? n1p * Transient occupancy
Central Air conditioning? �(7 Business
*
BUILDING STYLE, PRIMARY STRUCTURE * )cIndustrial
•
BUILDING PERMIT APPLICATION CONTINUED -
•
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. rg G4Egi(.,A.rFp f7715E_
Will any second-hand or ungraded lumber be used? If so, for what? Ikd
Foundation wall material roapEJ7 cv/4 FTE. Thickness ai
Depth of foundation below grade (to bottom of footing) 4.o'(
Will there be a cellar? No Heated ot unheated? Na Floor sq. footage Ni sq ft
Will there be a basement? Nc' Will any portion be used as living space? NV '
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/CI- m,ed�-other Material of roof SI-j 7
Size, wood studs/411 "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor NA "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor NA "X " spacing, "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o,c. span ft.
Roof rafters "X " spacing %91 o.c. span'`jp' ft.
Roof trusses (pre-engineered) spacing "o.c. span ft.
Exterior wall finish P15 h117)1,10 Of what material? ME-TAI..
Interior wall finish 6,Jp151Jj 5olsg7
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: N,f.
Is there to be an opening between garage and dwelling? la If so will a Fire-rated
door, enclosure, and self-closing device be provided? /CIA
Will a flue-lined chimney be installed? No Height above roof ft.
Depth of chimney foundation below grade NA. ft.
Depth of fireplace hearth N A ft. in.
Water supply Municipal or private well 114ILJPAL
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties N.A., ft.
(A separate application is necessary for any repair, or new installation of septic system)
Town of Queensbury A I F. I D Fi V I T
County of Warren STATE OF NEW YORK
I swear that 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 describe. premises and that all
provisions of the HUILDING CODE, TUE ZONING ORDINANCE, . . al ot -r laws pertaining to
the proposed work shall be complied with, whether spe4, • ni , and at such ork is
authorized by the owner. /'
SW TO BEFORE ME iIS Signature47 Owner, owner's agent, rchit ,contractor
ay of 19
Notary P lic, Wa en County, N.Y.
* * * * * * * * * * * * * * * * * * * '* * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following: .
1 . Gross floor area 400 ' F
2 . Type of heat GAb 1IRL UNIT N EAf Rc1
3 . Is the building mechanically cooled? QFFI G4 DN L'y
4 . Percentage of area of windows and doors 53/41
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
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
B. Under 16% Only
1 . R value of roof and floors exposed to ambient conditions
R-2 9
2 . R value of exterior walls 1 - 9
3 . R value of glazed area f.. 2.o4
4 . R value of doors R 5.2 w
5. R value of floors over unheated spaces N .A,
6. R value of slab.:edge insulation - unheated slab R-10
7 . R value of slab insulation - heated slab N.A.
8. R value of heated basement/cellar walls (above grade) N.A .
9. R value of heated basement/cellar walls (below grade) N.A.
10. Type of insulation FI P, R GLASS
C. Controls
1 . Thermostat maximum heat setting 60
D. Duct Systems
1 . 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
E. Piping Insulation
1 . Size of hot water or cooling carrying agent pipe N.A .
2 . R value of pipe . insulation N.A-
fijgown ofQueeniLur y
\,‘� BUILDING and ZONING DEPARTMENT1 Box 98
Bay and Haviland Road, R.D.
i\i'lb
aueensb ry, New Yo lc 128 1
d - I , /4 /
BUILDING INSPEC OR' S REPORT
NAME C-
LOCATION /A
� Permit No ! Y1
Date i ! J -�/ .
* * * * * * * * * V * APPROVED*-*YES NO,
Footing/Pier Forms _
Foundation
Waterproofing
Backfill
v
+raining /lam ! ►�
R of ing
r '
ding
Masonry Veneer
Rough Plumbing
Relief Valves w
1111111111111111211111111
Ext. Porches �g�
niched Floors MINNIENIIS
Interior Trim VIA
T, n'
LBfairs & Railings
Cellar Drain TilebROri I�f=
Crete Floors �_
Plbg. Fixtures __
Gar. Fireproofing
Door Closers 0111111�.1�(
�.�'� � �Smoke Detectors ��=�tT:�►-- ' .
chimney
.
INSULATATION:
Foundationmo
Floors4. - �
(,tea�,1 s lmuirai
eilingy �
FINAL ELECTRICAL INSPECTION '--
DRIVEWAY APPROV Survey
Will
Final Building
11110
Next scheduled inspection (call when ready)
Remarks-
o° (Aev ,9 . )-n ,
k- 'Obi
{mac 42le ilitt,4
?.aqk-e6;1-kr b'Qa1 '-‘44
Building Inspector
own of
Queen3t ur1
BUILDING and ZONING DEPARTMENT
98ox
Bay and Haviland Road, R.D.
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
i , 6/6-#
NAME - i
LOCATION /J a
Permit No. ��
Date__/
* * * * * * * * * ;/** APPROVED - YES NO
Footing/Pier Forms _
Foundation111111
Waterproofing WW1)kBackfill 11111
_
Framing _
Roofing _
Siding _
Masonry Veneer
Rough Plumbing 1.11011111111
Relief Valves
Ext. Porches_
1111111
Finished Floors ���
Interior Trim
Stairs & RailingsMINN
AMIN
Cellar Drain Tile (-
Concrete Floors01111
Plbg. Fixtures OilGar. Fireproofing
Door Closers 11110
Smoke Detectors
MN
Chimney Sill
INSULATION: 11111
Foundation
Floors NO
Wails 11111
Ceiling ON
ling
SIN
FINAL ELECTRICAL INSPECTION
1111111
DRIVEWAY APPROVALSurvey -
Final Building
Next scheduled inspection (call when ready)
Remarks- ✓/rp �
) //.1%7//
rycX- l� �/4
ce
...„.
---- i
Building Inspector
411
ict11-e.' `f/oi/a`i Y- 36 I gown of QueeniLuj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME__________---"L-------C e
LO CATION (p (LA-0-4 Lc)arA tick)
Date_Lr,
�J1�_/��__ Permit No. � "'" � 4'
_;
* * * * * * * * * ✓*, * * * *
* APPROVED - YES NO
Footing/Pier Forms MINIFoundation
Waterproofing 111111
MIY-Backfill
Framing 11111
Roofing11111
Siding _
Masonry Veneer11111111
Rough Plumbing _
Relief Valves _�
Ext. Porches ��=
Finished Floors
Interior Trim
Stairs & Railings _
Cellar Drain Tile
1110
Concrete Floors
MI
Plbg. Fixtures 11111111111111
111111111111111
Gar. Fireproofing11111
Door Closers _
Smoke Detectors Chimney _
INSULATION: 11111
Foundation
Floors 11111
Walls MNCeiling
FINAL ELECTRICAL INSPECTION 11111
DRIVEWAY APPROVAL -
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
/-7
f .
tea.
y 'cl i /f t
r1//'_1
' 7.1d
I
% ,,
Building Inspector
ca1t44l q/,c/IT y:3i11in
f7own of QueeniLuti
_D
BUILDING and ZONING DEPARTMENT
98
Bay and Haviland Road, R.D.
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME G ' / , l3 dl/i
LOCATION 0/6 6 .. ,
Date +i//L/t12— Permit No. 3-1 '* q*
�/ APPROVED - YES NO
r Footing/Pier Forms , �: ! � _
Foundation11111
Waterproofing _
Backfill _
Framing _
Roofing11111
Siding _
Masonry Veneer _
Rough Plumbing _
Relief Valves _
Ext. Porches11111
Finished Floors IliaInterior Trim
Stairs & Railings
111111.111111111111.1111
Cellar Drain Tile
Concrete Floors \
11111
Plbg. Fixtures
Gar. Fireproofing
11111
Door Closers _
Smoke Detectors Mil
Chimney �
INSULATION:
Foundation -
Floors11111
Walls -
Ceiling 11111
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROV Survey
11111
Final Building
inspection 111111
(call when ready)
Next scheduled Remarks- f`�n
Building Inspector d
ei,00 'Pad
Jocun o� Queen.i/ ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDIN NSPEC OR 'S REPORT
NAME 07/eci,
LOCATION ///c
--
Date/36) / g'7 Permit No. 5-
Footing/Pier Forms✓xciOVED - YE / NO
Foundation Ot►\
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors \
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
C�
Building Inspector
86 and-vl
�` own o ueensLur�
Az/ Aw
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME Ce i "' + iq- IS 1,D 6"
LOCATION g 4,,y
Date 3O /87 Permit No. Y1-9"(6* * * * * * * * * ✓* * * * * *
APPROVED - YESNO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings . 111111111111
��1
Cellar Drain Tile
Concrete Floors 110111111.1111
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
OM'- oT
1UcTt+ ( OW* -9-- 126-(2-1°C
Building Insp for
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
TEMP# I DATE
3/2 E
CITY L OR
*3 , + g.�iy
TOWNSHIP ".0 COUNT Warren
STREROAD ANDT AND NO.OR
266 lay POLE NO.
ROAD POLE�NO.
BETWEEN WHAT TWO"
CROSS STREETS IS alko 'l .s+ �I 105 LOT 3
PR£MISES LOCiATEO? SECTION BLOCK
OCCUPANT'S L i jflOCI IncI BUCUPANILDINGCY Man n
NAME
OWNERS NAM£ y� s� Le
ANI?ADORESS CJr r d ?15' _ l .il a L 2 +B:.4 5 1 r
CURRENT
SUPPLIED, �, s FROM THEIR Gl Italia OFFICE
BUILDING WORK 1„ DEFECTS
IS NEW LD❑ IS NEW ADDITIONAL III REMOVED ❑
BtiLis
ELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS
Lona- ONLY
fiaa Side Attach't H.P. Watts A.W.G.
Wall =Recep'Is Switch Pendant Bracket No. Type Each No. Each No. .. Gauge INSPECTION
Out
side
Sub-
base
Bete
meet - -
1st.Fl. 6 4 3- 11 7 3 I# 1/8 8 612
2nd F1.
3rd FI.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS ExiS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
SN ARTED RK TOBEMarch 31
COMPLETED 1* * SIZE OF SIGN (CAPACITY)
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
Ilia
BUILDING
INSPECTION REQUESTED I—1 s
ON OR AS NEAR AS - ,yr 1 ��
POSSIBLE N6W a►J OLD
9
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE-FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME ma ADDRESS
NAME OF DATE OF 3/27/8
APPLICANT - APPLICATION
STREET ADDRESS 124 in a Road TELEPHONE 518) 37'0-
CITY OR ISNY ZIP 12212LICENSE NO.
POST OFFICE CODE WHEN APPLICABLE
46 MUST
EL (REV.1/65) A SEPARATE APPLICATION,. :BE FILED FOR.:EACH SEPARATE BUILDING ti Vic" *'
,(�.[..AY'.�a-)�i-�.C)b„a,,.i,��,_a.ai-�.i fib,�t,�b-�.r-;.�;�,?..�.�,Ae,�.i,_.i-?tl��.>.,,,.a.;ti-;a,;.-�.i.�.i.?�d�tl��!.T��?ti.,�.Via-��,�.i.��:fit, a. . _,,_;.., , .�. .. ,., ..fit.-• ._:..;.,�
"II
k 4000384 THE NEW YORK BOARD OF FIRE UNDERWRITERS
0 t BUREAU OF ELECTRICITY
41 STATE STREET,ALBANY.NEW Y 1 7
0 Date December 8, 1987 Application No.on file 019015 � A e i Q s
0, THIS CERTIFIES THAT V V
t tric ui nt as ri introduced by the applicant named on the above application number in the premises of •
0 ��.�.`�cr�a�r�r�nc. �ppa��`Os�
, Queensburym, New York
in the followingl t' Basement ( Manufacture/Storage ) '.
❑ 1st Fl. ❑ 2nd Ft. Section Block Lot
0 was examined on and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT Namur( AMT. K.W. AMT. K.W. AMT.OVENS K.W. AMT.DISH K.W. AMT. H.P. �
0 1178 132 48 4 1152 22 3 fr
.
5 DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYT �
AMT. K.W. OIL H.P. GAS M.P. MAT. NO. A.W.G. MAT. AMP. MAT. AMPS. TRANS. AMT. H.P. � �SEMSET MAT. WATTS
0
0
SERVICE DISCONNECT NO.OF S E R V I C E
MAT. MAP. TYPE E°UIP. 1 J 2W 1 i'3W 3 if 3W 3 4W NO.OFfEiCiCOND. of
CC.COND.. NO.OF HI-LEG o.ale NO.OF NEUTRALS OF NEUTRAL
0 1 15 IVEeach 1 x 5/500 5/500
t V /12 1st to 1st, 1/8 500 1st tolAtt, 1/4 500 1st to 1st, 5/4 3/0 let to 1st, 10/4
3/0 1st to 1st
0 Panels- 1/MDP 2000, 1 MDP 1200, 1 MDP 800, 1/40 400, 5/40 200, 10/36 200
3-3 H.P, 2 5 H.P, 4 7.6 H.P .Vilic-
asformer- 1/150, 2/500, 1/300
01gci
0
0, —
0
: .h2" .•-•,-.......s..11—..--•-7
0 William C. Carpenter Assoc. Inc.
0 P.0 Box 2014 1
Glens Falls,
BRANCHi MANAGER
NY 12801
1 €
,_
Per
- This certificate,_must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials,
rnpv FfP 1F1I nIWr, DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANN-ER:.
.
' 4000384 THE NEW YORK BOARD_ OF FIRE UNDERWRITERS
1: to BUREAU OF ELECTRICITY
•
-' r 41 STATE STREET,ALBANY,NEW d If5122O7
t' December b s 9�7
Date Application No.on file A 701538
1538
1.
�, THIS CERTIFIES THAT •
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of 11
U.S.C.I/CR.Baro Inc. Upper Bay St.
, Queensbury, New York
in the following locaLir718 Basement El 1stFl. ❑ 2nd Fl. Section Block Lot
�; was examined on 1l// and found to be in compliance with the requirements of this Board. '#
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS •
OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT VCKUr AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
-- 8 e
1, 17 8 - '•
DRYERS FURNACE MOTORS •
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS.- TRANS. AMT. H.P. N�of FEET AMT. - WATTS :4
4
SERVICE DISCONNECT NO.OF S E R V I C E
1, METER NO.OF CC.COND. A.W.G. A.W.G. A.W.G.
-� 1AMT. +�A�yMPP. ^TYPE monk 1 A'2W 1 A 3W 3 AV 3W 3 ft 4W PER it OF CC.COND.. HI-LEG OF HI•LEG NO. NEUTRALS NEUTRAL
200 CB
--, OTHER APPARATUS:
•
-.:%: .hr.5744,••••-1-••••• •7
William C. Carpenter .g,3 9
P.O Box 2014 BRANCH,,MANAGER
Iv Glens Falls, N.Y. 12801 E
I i
..`, Per `-- '-_.'., •I ,
2"; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
r,rov cno cum nlctr_ r1CPAPTAACkJT TWic rnPV nF CERTIFICATE MIIST NDT BE ALTERED IN ANY MANNER.