2003-190 QUE TOWN OF E NSBURY
cow742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20030190 Date Issued: Monday, July 27, 2009
This is to certify that work requested to be done as shown by Permit Number P20030190
has been completed.
Location: 1689 RIDGE Rd
Tax Map Number. 523400-266-001-0002-015-000-0000
Owner. JOHN & ALICE BRUHNS
Applicant: JOHN & ALICE BRUHNS
This structure may be occupied as a:
Garage - 2 Cars Detached By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the4
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
iT*AT 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030190 Application Number: A20030190
Tax Map No: 523400-266-001-0002-015-000-0000
Permission is hereby granted to: JOHN & AT,TCE BRI JHNS
For property located at: 1689 RIDGE 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
Owner Address: JOHN & ALICE BRUHNS
1689 RIDGE Rd
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
MI INNS. JOHN
1689 RIDGE ROAD
OIJEENSBTJRY_NY
Plans&Specifications
2003-190
483 SQ FT 2-CAR DETACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
$48.30 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 29, 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.)
Dated at the T wn of uee ty,� u 1 April 29,2003
�d
SIGNED BY t for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256 •
(7 ^1 Q./6
A permit must be obtained before beginning construction. Permit File No. ;DPAS
�
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec.Fee Paid
application must be completed and must appear on the Reviewed B /.PPrr1
application form.
Applicant: '`)0/4,` S Owner: '
Address: f�G. ,e "d, Address: I gi ,
9.550 z 5.�v�- Y - `��
Phone#(_) - � � Phone#(_) OP C u:~
Property Location: Lot Number: / House Number / t I7 mod,
Subdivision Name: Tax Map Number:
❑ New Building: residence /commercial Estimated Market Value of Construction:$ G/6 �
o Addition: residence/ commercial If an Addition,what will use of new addition be?
Alteration: si•ence►commercial �AQ,4 l
o No change to exterior size: residence/com'l
o Other work(describe )
Check Occupancylnformation 1"Floor 2°d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
o Single family dwelling
o Two family dwelling
o Townhouse
o Multifamily dwelling
#of units
❑ Office
o Mercantile
o Manufacturing
❑ 1 car detached garage
AK car detached garage 1 '3 , (fi
O 3 car detached garage
u 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
o Storage building-
commercial
❑ Storage building-
residential •
❑ Other /
What is the proposed height of the structure ? feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed C Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder & Z,ec.., it.v S -- .A/44.-P 77 ? 7
Plumber
Mason ,j/h,`e A lc/ C /31G 54 7 keo.
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge 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 noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Dir •r of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all ' • cons' tion.
Signature: i owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential 'na pection
Office No. (518) 761-8256 Arrive:• t . ��+• ter`;;rt:
Date Inspection request received: Inspector's Initi-
NAME: de,NZ B RM #: f —
LOCATION: PNO r 'T-. —7 7--U9
TYPE OF STRUCTURE:
Comments:
NA
4" Building Number Address visible from road
Chimney Height/"IT'Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
—
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy I trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft:150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing I%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C I O[Tempor ry/Permanent] 2)
L:\Building&Codes Forms\Building&Codes\Inspectioon Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: - rt: am/pm
Date Inspection request received: Inspector's Initials: �,
NAME: k1 P IT#: / 3 /7r)
LOCATION: (�` ,� /P D E: ( ..— tom—09
TYPE OF STRUCTURE:
Comments:
Yes No ' N/A /z ci/c
4" Building Number Address visible from roadevcp 4 ��1�Y1(
Chimney Height/ fr Vent/Direct Vent Location _
Fresh Air Intake7/1- 7 -
_
3 inch Plumbing Vent through roof minimum 6 inchesmp Complete �� ,
Roof Complete/Exterior Finish _c-'
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more A i-V V
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet F V \-\ ► i wlh;pl,
6 inch clearance to sill plate C)Q- iaHF ANAiN ,, Cz,
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation I Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler _
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/:"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/.hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure _
Final Electrical
Final Survey Plot Plan -
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System I Sewer Dept. Inspection Sticker
Site Plan I Variance required
Flood Plain Certification,if required
Okay to issue C/C or C I 0(Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08
Queensbury Building & Code Enforcement - Resi s - tial final Inspection
Office No. 518
( )761-8256 Arrive: -.art: am/pm
Date Inspection request received: Inspector's Initia s:
ar NAME:
LOCATION: A S P .'� IT#: 03'-170
TYPE OF STRUCTURE �� D 'Ita�C$
(9arex).€ Comments
Yes No N/A
Building Number/Address visible from road f
Chimney Height/"B"Vent/Direct Vent Location c//j
Fresh Air Intake / �Y
3 inch Plumbing Vent ouch roof minimum 6 inches �� �! "Q/Ced
Roof Complete/ 'xterior Finish Complete �/
G Platform ail exterior doors /-7 (
�� 3/I4Guards at stairs,decks,patios more than 30 inches above grade
7
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more ie / cz _
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches 2- Or
Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors: Pf\ov3 _.
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup: " F% .1-V
Carbon Monoxide Detector -1-1A 6 p�r t� SAD
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents t-1/41•-\EZ
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft. M R� ` C���9�Q
Emergency egress below grade `1 f9\
Gas Furnace shut-off within 30 feet or within line of site Q t• u v 0E Z�-M 1 t V
Oil Furnace shut-off at entrance to furnace area
•
Furnace/Hot Water Heater operating t 1 N ��-, 4
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Farm revised_100405.doc
511. Queensbury Building & Code Enforcement - Resi ial Fi Inspection
Office No. (518)761-8256 Arrive: - m am/pm I ,/t
Date Inspection request received: Inspector's Initia s: v
NAME: a r r- v�it4 ( E:
#: rTh
S-
TYPE OF STRUCTU : ��o - v`Cc'
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent t miniuuam6 inches
Roof Complete/ terior Finish Complete ✓ f� ��
Platform at all exterio
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft. vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq. ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain.Certification,if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised 100405.doc
Queensbury Building & Code Enforcement - Re '. - 'al F. al Inspection
Office No. (518)761-8256 Arrive: j: '�. �. • 1-1r)
� � D•�art: • .� i��'
Date Inspection request received: LL Inspector's Initi
NAME: C \--�'J PE• IT#: `0t 3 —190
LOCATION: Lp P' D C-,E O 1R V) D TE:
TYPE OF STRUCTURE: J ETf C- F Q C-,A,P�1PC
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete') �1L—T E 9 \Uc IJ -EQb \ t
Platform at all exterior doors BE_ PF't \E.0 0 9\ .6 IN )
Guards at stairs,decks,patios more than 30 inches above grade c] �C�E \1 jf�' 'z ct
Guard at stairwell at 34 inches or more 4�
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%x"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
_Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
` ,Queensbury Building & Code Enforcement - Re '•e tia al Inspection
Office No. (518)761-8256 Arrive: am/p - �-.art: i�( am/ m
Date Inspection request received: Inspector's Init..ls• „ rl
NAME: —,NilfkV“\"4 -'? cz
: RMIT#: ... � 9�JLOCATION: a ATE: 1TYPE OF STRUCTURE: vi�ic�
6 1:7- C am
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete �
Guard 30 in.or more @ stairs,decks,patios 0 iJ
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum 'h"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors I main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing I' hour fire door/door closer
I Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Framing / Firestopping Inspection Report er v i
Office No. (518) 761-8256 Date Inspection reque receiv :
Queensbury Building&Code Enforcement Arrive: a p art: \ \ � •
742 Bay Road,Queensbury,NY 12804 Inspector's Initial •
NAME: =r-e,-()\, __. :›S-\A`,:\C\_,Q PERMIT#: O 5T / 9,0
LOCATION: r INSPECT ON: / _03
TYPE OF STRUCTURE: cN
8_,
Y N N/A COMMENTS
•� raming
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly VJ
12"O.C. N�
Headroom 6 ft. 8 in.
Stairwells 36 in. or more U� +�\'
Headroom 6 ft. 8 in. -\UU \_
•
Notches/Holes/Bearing Walls t \ ��
Metal Strapping for Notches Top Plate
AN)
1 V2(w) 16 gauge (8) 16D nails each side c.., -� �� dd
Draft stopping 1,000 sq. ft. floor trusses d`' �" \h'
Anchor Bolts 6 ft. or less on center ✓ cL ` ��
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping Ha;�
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
•
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
- / 0
Foundation Inspection Report 1
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building&Code Enforcement Arrive: am/ �j,-�//'' Depart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: (P, 1��
NAME: A '(\` ` `; ' PERMIT#: C) — / n i
LOCATION: c:r r \ _ . !(� y__ (�! INSPECT ON:
TYPE OF STRUCTURE: -
Comments
Y N N/A
Footings
Pier
• onolithic Slab
Reinforcement in Place a /
The contractor is responsible fo rv/
providing protection from freezi g
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. 1
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
(f `/COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. /—�,
Main Office 176 Doe Run Road-Manheim,PA 17545 L/
`CI MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL IJN
1N kin nr,
'ermit No .ii.r- Cert. N 9 U I U 7 Cut-in Card No.
)wner �.l ' eel( 1.
.ocation ! g !
nstallation Consisting of..6 4 c r.P Q' ic.'.e../ fif2xr
nstalled By .k/144. Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
ancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
ntroduction of additional equipment or alterations,application shall promptly made for inspection.
Inspectors of this Company shall have the privilege of mak g i spections at any time, and if its
ules are violated,the
Company shall have the right to r v ke th' certific i.
)ate —�—t3 7 INSPECTOR
Member N.F.P.A.,I.A.E.I.
22 '----4:2 "
1 i
I
4--------- 1 i1
1 i
; 1
1
1
I ,
1
I 1 i!
.., ; 1 1 i
I tiii , 3 J
1 i
LI ,,
,
j:HI I) iNli , :
I '
1 , -
' P i
ii
C:i i 1
,:.....:i--'
<I' i
I1 '
I I 11 .
di 1
71
1 ,
1
i i
,- t i t
,
I
1 1i „,..
I -
1 '1 Ni
' ,
, ,..../
,
i
CI .
i
ii ,......'
!,
I
c,.-Ze.--5" 'X- -1 .-e,..-7-," -... .)-V.7-11 )-2... . C;2.4-,: -D‘.V..---7 .--2-..D 4 :).1.-k . .- 7.cZ,,•
1
MIII
. t
/ \
4 J
4
,.._--'
,,..
+fir yy , .
f,
�,,...., ...�,.�u�.,.:r�«w:«:,,o.,,.r..�n•�.,+,n,..._..e,�,.-�:.,.,..,..,�.....�,:.� ..,....,.....µ....,»,.._..--a+-. �S
...
ABM.- ,'',`' ...
....,-
1,
,...., 4 1
,,,,,,,,,,,
-;,_
.,,,,"� �' ,), , ife, . R
� ___._._._.___
r`F dEC)„ __
pg '11,b
1
If �pp
yk({k
9
1
... , k9n4AYnewtLNS.~91 "�!� /✓ / / J' i"...��
„, lI
/ .)s/,f/Z z j., —, ±V.9 p/ S - ..21/d x X '-"F. , 'y-fr _--)
/
4
'L /