2007-043 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF
OCCUPANCy
Peanut Number. P20070043 Date Issued: Friday, May 18, 2007
This is to certify that work requested to be done as shown by Permit Number P200
has been completed. 70043
Tax Map Number. 523400-296-016-0001-002-00 1-0000
Location: CRONIN Rd
Owner. PETER SHABAT
Applicant:
THE MEADOWS AT CRONIN RD LLC
This structure may be occupied as a:
Commercial Alteration
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy 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 2
Planning Board or Zoning Board of Appeals. veto Ing& o ent
TOWN OF QUEENSBURY
742 BayRoad, Queensbury, NY 12804-5902 (518) 761-8201
Permit Number:
Community Development -Building & Codes (518) 761-8256
BUILDING PERMI'T'
P20070043 Application Number. A20070043
Tom` Map NO~ 523400-296-016-0001-003-001-0000
Permission is hereby granted to: BAY MEADOW GOLF CLUB INC
For property located at:
CRONIN 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.
Tempe of Construction Value
Owner Address: BAY MEADOW GOLF CLUB INC
C/O GARTH M ALLEN Commercial Alteration $3,000.00
P.O. BOX 117 Total Value $3,000.00
MAYFIELD, NY 12117-0117
Contractor or Builders Name /Address
-043
ALTERATION -BAR
Y MEADOWS
$50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES:
Friday, February 08, 2008
(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 To o eensb r a February 08, 2007
SIGNED BY for the Town of Queensbury.
Director of Building & Code Enforcement
Plans & Specifications
Electrical Inspection Agency
i-•-•-• ..................... -
OFFICE USE ONLY + - ~ - - - - - - - " - - -
--r- -
TAX MAP NO. ~j B ~- - - ... . - ~ - - - - ..
• ERMIT NO, ~ ; ;
FEES: PERMIT
RECREATION ; ~ ~ ~~ ~~
----.____, .-ENGINEERING ~ ' ~~`-~ ~ ~ s, ~~~ '
- - - -- - -.... T~S~~,RIJYGANL~UR1"
PRINCIPAL STRLICT'U,RE. ~°~~ =
APPLICATION FOR ZONING APPROVAL ~
A PER~AAIT MUST BE OBTAINED BEFORE BEGINNFNG CONST BUILDING PERNIjT
REVIEW BEFORE ISSUANCE OF A VALID PE MIT FOR CONSTRUCTION.
RUCTION. APPLICATION IS SUBJECT TO
APPLICANT/BUILDER: w3 ~~ PLC D
Q D ~/~t//~ OWJUER: T E'~ I~ ~ bG~
ADDRESS: ,) ~ i,._._ R ~A/ i N~ 1~ ~I ~ .~~~~
yADDRESS: pZ.3 ~~~ Y~s`~~/~~
PHONE NOS.. '~~~ Jy~~~7
-------___ PHONE NOS ~~io~9
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:
LQCATION OF PROPERTY:
7~-Y--2~3~-
tJcc~ PHONE:
SUBDIVISi4N NAME: ~"
C PLEASE INDICATE MEASUREMEN TS AS REQUIRED BELOW
HECK ALL THAT
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SINGLE FAMILY ~
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS. 1
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL ~ t
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ATTACHED .~
47
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ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? / 1~
ARE THERE EASEMENTS ON PROPERTY?
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work vvill be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior,to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed-land surveyor of alt newly
constructed- facilities prior to issuance of a certificate of occupancy.
I have read n gre a ve. •
Signed
Director of B,u,'Idinq & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above
Applicant to erect or alter the building
described herein in accordance with said ;
Application:
BUILDIN & CO APPROVAL
~` ,
DAT '
~' ,
This application /proposed action described
herein is found to be in accordance with the ;
zoning Laws of the Town of Queensbury.
-,
ZONING APPROVAL
DATE
~ ~ "l Z Fri ~ ~r~
Rough Plumbing / Insulation~lnspecrtion Report
Office No. (518) 761-8256 Date Inspection re receiv
Queensbury Building & Code Enforcement Arrive: a - ~~~
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
F
NAME: oc.~ u PER IT #:
LOCATION: rte. ~. INSPECT ON: ~
TYPE OF STRUCTURE:
Rou h Plumbin it Plates Y N/A
Plumbin Ve Vents in Place
minimum Drain Size
Washin Machine Drain 2 inch minimum
Cleanout eve 100 feet than a of direction
Pressure Test
Drain /Vent
Air /Head
5 P.S.I. or 10 ft. above hi hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air /Head
50 P.S.I for 15 minutes
Insulation Residential Check Commercial Chec
Pro er Vent Attic Vent a
Duct /Hot Water Piping Insulation
If re wired unheated s aces
Combustion Air Su I for Furnace
Duct work sealed ro erl No duct to e
COMMENTS:
L:~Pam Whiting~Building 8c CodesUnspection Forn~s~Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15, 2005
o~ a-r~
.v~ STATE OF NEW YORK
DEPARTMENT OF HEALTH
Glens Falls District Office, 77 Mohican Street, Glens Falls, New York 12801 (518) 793-3893 FAX (518) 793-0427
Mr. Michael Melucci
161 Sherman Avenue
Queensbury, New York 12804
Dear Mr. Melucci,
TOa/VN O~ 61UEENSBURY
COMMUNITY DEVELOPMENT
~~a ~~
March 14, 2007 M ~ 2~0~
ACO w+vuvv
B & C~ PLANNING
FM EXEC. DIR.
Re: Plan Review
Putter's Restaurant & Lounge
Facility Code 56-BE06
(T) Queensbury, Warren County
Thank you for meeting with Mr. Edward Bartos and me March 14 to review your food service
plan for the proposed Putter's Restaurant & Lounge, to be located at the Meadows at Cronin Rd.,
31 Cronin Road, Queensbury.
Please note the following:
• All food equipment, such as the food preparation sink, ice machine, and drink ice bin must
have indirect drains.
• Please note that all equipment should be commercial and NSF approved.
• All finish materials of the walls, ceilings and floors should be smooth, durable and easily
cleanable.
• All equipment, unless easily movable, should be equipped with lock-down castors and quick
disconnect utility connections, sealed to the floor or elevated to provide a minimum of six
inches between it and the floor, to facilitate cleaning.
• You indicated on your permit application that your seating capacity will be 97,
Please be aware that submission and review of plans does not relieve the operator of a food
service establishment or his successor from meeting all requirements of Subpart 14-1 of Chapter
1 of the State Sanitary Code.
Before a "Permit to Operate" will be issued by this office, you must:
• Provide this office with a copy of the Certificate of Occupancy when issued by the local code
enforcement office.
• Have a satisfactory pre-operational inspection completed by a representative of this office.
Inspection for Permit to Occupy ~~tt~~,,
Fire Marshal's Office Request Recd Permit No. ~ ~~ _''` -' Vy3
Town of Queensbury
742 Bay Road `
Queensbury, NY 12804 Scheduled Inspection Date: v ~ ~ ~ Time:
Phone: (518) 761-8206 Business Name: ~ ~'~ ~ku-S
Fax: (518) 745-4437 Location: ~~~~
T e of Ins action N/A Yes No
EXITS:
Exit Access
Exit Enclosure
Exit Dischar e
EVAC Pian
AISLES:
Main Aisle Width
Secondar Aisle Width
EXIT SIGNAGE
Si n -normal
SI n -batter
EVAC si ns in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Ins action of extin uisher
H dro extin uisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire S rlnkler S tam
Fire Su ression -kitchen
Fire Su ression -Gas Island
Hood Installation
Interior Finishes
Stora e
Com ressed Gas
Clearance to S rinklers
Clearance to Electrical
Electric Wirin Enclosed
Combustible Waste
Vehicle Im act Protection
Flre Lane
F.D. Si na e - Ut11it Rooms
No Smokln Si ns
Maximum Occu anc Si n
Emer enc Evacuation Plan
COMMENTS
~l`~L~4+N ~ ~~
~ ~--~~~ ~ i~-~ ~vw ~
~~.nr CNSQSG~~
~ ~ b~
~Cc~p« (~
Approved (If no other approvals apply, the B s, C Office will issue the ertifi ate of Occupancy)
^ Denied
^ Call for Recheck
Inspected By:
L:\FireMarshal\insptopermitto occupyform.doc
~ -~ ~~- s-~ s/
~~~~. ~
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection r
Queensbury Building & Code Enforcement Arrive:
742 Bay Road, Queensbury, NY 12804 Inspector's Inth
NAME: ~~ PERMIT
.LOCATION: DATE:
Depart:
Y N NA
Chimne / "B" Vent /Direct Vent Location
Plumbin Vent Throu h Roof 6" /Roof Com fete
Exterior Finish /Grade Com lete 6" in 10' or E uivalent
Interior /Exterior Guardrails 42 in. Platform /Decks
Interior /Exterior Banisters 4 in. S acin Platform /Decks
Stair Handrail 34 in. - 38 in. / Ste Risers 7" /Treads 11"
Vestibules For Exit doors > 3000 s . ft.
All Doors 36 in. w/Lever Handles /Panic Hardware if re uired
Exits At Grade Or Platform 36 w) x 44" 1 /Cano or E uiv.
Gas Valve Shut-off Ex osed & Re lator 18" Above Grade
Floor Bathroom Waterti t /Other Floors Oka
Relief Valve, Heat Trap /Water Temp. 1l0 Degrees Mazimum
Boiler /Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy /Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 'h doors
> 10% > 1000 s . ft.
'/a Hour Corridor Doors & Closers
Firewalls /Fire Separation, 2 Hour, 3 Hour Complete /Fire
Dam ers /Fire Doors
Ceilin Fire Sto in , 3,000 s . ft. Wood Frame
Attic Access 30" x 20" x 30" (h), Crawl Space Access 18" x 24"
Smoke Vents Or Fan, if re uired
Elevator O eration and Si a e /Shaft Sealed
Handica ed Bathroom Grab Bars /Sinks /Toilets
Handica ed Bath / Farkin Lot Si na e
Public Toilet Room Handica ed Accessible
Handica ed Service Counters, 34 in., Checkout 36"
Handicapped Ramp /Handrails Continuousll2 in. Beyond [Both sides]
Active Listenin S stem and Si a e Assembl S ace
Final Electrical
Site Plan /Variance re uired
Final Surve ,New Structure /Flood Plain certification, if re .
As-built Se tic S stem La out Re uired or On File
Buildin Number or Tenant Address on Buildin or Drivewa
Water Fountain or Cooler
Buildin Access All Sides b 20' / Driveable Surface 20' wide
Oka To Issue Tem . or Permanent C/O
Oka To Issue C/C
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L:viuilaing ~c c;oaes rorms~tsutlatng c~k Loaesunspection Forms~c;ommercial Final Inspection Report.doc
COMMENTS:
Inspection for Permit to Occupy
t~ c.1
Fire Marshal's Office Request Recd Permit No. ~ /' ~ -73
Town of Queensbury _ ~
742 Bay Road ~ ~ V I ~ 1 f
Queensbury, NY 12804 Scheduled Inspection Date: Time:
Phone: (518j 761-8206 Business Name: ~ ''m4~0~.-S (~~,,, G I V
Fax: (518) 745-4437 Location: ~~ry ~
T e of Ins action N A Yes No
EXITS:
Exit Access
Fait Enclosure
Exit Dischar e
EVAC Pfan
AISLES:
Main Aisle Width
Secondar Aisle Width
EXIT SIGNAGE
Si n -normal
Sl n -batter
EVAC si ns in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Ins action of extin uisher
H dro extin uisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire S rinkler S stem
Fire Su ression -kitchen
Fire Su ression -Gas Island
Hood Installation
Interior Finishes
Stora e
Com ressed Gas
Clearance to S rinkiers
Clearance to Electrical '
Electric Wirin Enclosed
Combustible Waste
Vehicle Im act Protection
Fire Lane
F.D. Si na e - Utifit Rooms
No Smokin Si ns
Maximum Occu anc Si n
Emer enc Evacuation Plan
COMMENTS
~ -#-n Fj z ~r~~ ~ ID
'- "~.,J b '~ ~I~g~, ~ 417
~ ~,,~tt c~~ w~~ ~~~ y
C
o Approved (If no other approvals apply, the B & C Office ill issue th er cafe of Occupancy)
~ Denied
o Call for Recheck _
Inspected By:
L:\FireMarshal\insptopermitto occupyform.doc
Inspection for Permit to Occupy
Fire Marshal's OfflCe Request Recd Permit No. ~ / ~ O
Town of Queensbury
742 Bay Road ~/ ~/~
Queensbury, NY 12804 Scheduled Inspection Date: ~ Time: __.~'L~ ~~j
Phone: (518) 761-8206 Business Name:.^, _ ~ - ~ ~~
Fax: (518) 745-4437 Location: ~~by, l ~ 12,~_
T e of Ins ecfion N A Yes No
EXITS:
Exit Access
Exit Enclosure
Exit Dischar e
EVAC Plan
AISLES:
Main Aisle Width
Secondar Aisle Width
EXIT SIGNAGE
Si n -normal
Si n -batter
EVAC si ns in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Ins action of extin uisher
H dro extin uisher ~('
FIRE ALARM SYSTEM
Fan Shutdown
Fire S rinkler S stem
Fire Su ression -kitchen
Fire Su ression -Gas Island
Hood Installation
Interior Finishes
Stora e
Com ressed Gas
Clearance to S rinklers
Clearance to Electrical
Electric Wirin Enclosed
Combustible Waste
Vehicle im act Protection
F1re Lane
F.D. Si na e - Utilit Rooms
No Smokin Si ns
Maximum Occu anc Si n
Emer enc Evacuation Plan
COMMENTS
~- ~ Gy ' "`t ~V`~`t-
uJ~~ ~,
b r(av-~P
it ~~
proved (If no other approvals apply, the B & C Office will issue t Certificate of Occupancy)
^ Denied
o Call for Recheck ,._._ ~~
Inspected ~y:
L:\FireMarshai\insptopermitto occupyform.doc
Inspection for Permit to Occupy
dire Marshal's OffiC@ Request Recd Permit No. " ~ `U
Town of Queensbury
742 Bay Road /~ ~~JJ
Queensbury, NY 12804 Scheduled Inspection Date: ve•-' i~~~ ~ Time: ~~ /7~
Phone: (518) 761-8206 Business Name: d~'GL~~b
Fax: (518) 745-4437 Location: ~
T e of Ins action N/A Yes No
EXITS:
Exit Access
Exit Enclosure
Exit Dischar e
EVAC Plan
AISLES:
Main Aisle Width
Secondar Aisle Width
EXIT SIGNAGE
Si n -normal
Si n -batter
EVAC si ns in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Ins action of extin uisher
H dro extin uisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire S rinkler S tam
Fire Su ression -kitchen
Fire Su ression -Gas Island
Hood Installation
Interior Finishes
Stora e
Com ressed Gas
Clearance to S rinklers
Clearance to Electrical
Electric Wirin Enclosed
Combustible Waste
Vehicle Im act Protection
Fire Lane
F.D. Si na e - Utliit Rooms
No Smokin Si ns
Maximum Occu anc Si n
Emer enc Evacuation Plan
COMMENTS
W7rLL G/~ rt I,v~ ~~~y.
~~ C~X;c S'e~-,
J'vPp f, r..~
^ A proved (If no other approvals apply, the B 8, C Office will issue the Certificate of Occupancy)
~'6enied
^ Cgll for Recheck
L:\FireMarshal\insptopermitto occupyform.doc
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection re t r ived• ~~!~~~,,~
Queensbury Building & Code Enforcement Arrive: ~ Depart: -~~~~'"`"
742 Bay Road, Queensb , NY 12804 Ins ector's Ini ' ~
NAME: ~ PERMIT #: "~/ I ~~
LOCATION: ~. DATE:
COMMENTS:
Y N NA
Chimne / "B" Vent /Direct Vent Location
Plumbin Vent Throu Roof 6" /Roof Com fete
Exterior Finish /Grade Com lete 6" in 10' or E uivalent
Interior /Exterior Guardrails 42 in. Platform /Decks
Interior /Exterior Ballisters 4 in. S acin Platform /Decks
Stair Handrai134 in. - 38 in. / Ste Risers 7" /Treads 11"
Vestibules For Exit doors > 3000 s . ft.
All Doors 36 in. w/Lever Handles /Panic Hardware, if re uired
Exits At Grade Or Platform 36 (w) x 44" 1 /Cano or E uiv.
Gas Valve Shut-off Ex osed & Re lator 18" Above Grade
Floor Bathroom Waterti t /Other Floors Oka
Relief Valve, Heat Trap /Water Temp. 110 Degrees Maximum
Boiler /Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy /Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 'h doors
> 10% > 1000 s . ft.
3/o Hour Corridor Doors & Closers
Firewalls /Fire Separation, 2 Hour, 3 Hour Complete /Fire
Dam ers /Fire Doors
Ceilin Fire Sto in , 3,000 s . ft. Wood Frame
Attic Access 30" x 20" x 30" (h), Crawl Space Access 18" x 24"
Smoke Vents Or Fan, if re uired
Elevator O eration and Si a e /Shaft Sealed
Handica ed Bathroom Grab Bars /Sinks /Toilets
Handica ed Bath / Parkin Lot Si na e
Public Toilet Room Handica ed Accessible
Handica ed Service Counters, 34 in., Checkout 36"
Handicapped Ramp /Handrails Continuous/12 in. Beyond [Both sides]
Active Listenin S stem and Si a e Assembl S ace
Final Electrical
Site Plan /Variance re uired
Final Surve ,New Structure /Flood Plain certification, if re .
As-built Se tic S stem La out Re uired or On File
Buildin Number or Tenant Address on Buildin or Drivewa
Water Fountain or Cooler
Buildin Access All Sides 20' / Driveab urface 20' wide
Oka To Issue Tem . o ermanent C/
Oka To Issue C/C
yam' '~~'
~,L~ Se C~/
R,~2w yO J~
ao. yo v~ r~
L:\Building & Codes Forms\Building & Codes\Inspection Forms\Commercial Final Inspection Report.doc
Inspection for Permit to Occupy
dire Marshal's OtflCe Request Recd Permit No. V~ ~~
Town of Queensbury
742 Bay Road ~--
Queensbury, NY 12804 Scheduled Inspection Date: ~~ ~ Time:
Phone: (518) 761-8206 Business Name: ~_~~oo.y S Ck'~ ch~,.~
Fax: (518) 745-4437 I.OCptlOn:
T e of Ins eclion N A Yes No
EXITS:
Exit Access
Exlt Enclosure
Exit Dischar e
EVAC Plan
alsLES:
Main Aisle Width
Secondar Aisle Width
EXIT SIGNAGE
Si n -normal
Sl n -batter
EVAC si ns in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Ins ection of extin uisher
H dro extin uisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire S rlnkler S stem
Fire Su ression -kitchen
Fire Su ression -Gas Island
Hood Installation
Interior Finishes
Stora e
Com ressed Gas
Clearance to S rinklers
Clearance to Electrical
Electric Wirin Enclosed
Combustible Waste
Vehicle Im act Protection
Fire Lane
F.D. Si na e - Utilit Rooms
No Smokin Si ns
Maximum Occu anc Si n
Emer enc Evacuation Plan
COMMENTS
,.
J
Y~I tJ S~~ r~
~N~~ ~ ~ ~~
~~`~~ ~`Ci+rnpO~~"
1~'1(Y~~ l i l C c~ ~~~`~'~
~NS~~..
~-- CND
~- ~i,Cl ~fi~ ~
^ Approved (If no other approvals apply, the B & C Of
^ Denied
^ Call for Recheck
Inspected By:
L:\FireMarshal\insptopermitto occupyform.doc
BY THIS CERTIFICATE OF COMPLIANCE THE ~~r~J~'J
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
EFG ELEC. SERVICE
44 MEADOWBROOK RD
QUEENSBURY, NY 12804-1502,
Located at 31 CRONIN RD QUEENSBURY, NY 12804
Application Number: 3031924
Section: Block:
Lot:
PETER SHABAT
65 SOUTH ST
GLENS FALLS, NY 12801
Certificate Number:
Building Permit:
3031924
BDC: A239
Described as a Commercial occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compl iance therewith on the 21st Day of May, 2007.
Name ~ Rate Ratine Circuit Tvoe
Alarm and Emergency Equipment
Exit Light 3 0 Visual
Wiring and Devices
Fixture 8 0 Incandescent
Receptacle 14 0 General Purpose
Switch 1 0 General Purpose
Dimmers 5 0 General Purpose
Lighting track 8 0 Commercial
Lighting track (head) 4 0 Incandescent
Receptacle 2 0 GFCI
An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to
be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system.
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
01/30/2007 13:43 5188634976
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