1989-556 1
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CERTIFICATE.._:.,b OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 13 1990
This is to certify that work requested to be done as shown by Permit No. 89=556
has been completed.
This structure may be occupied as a Seasonal Vacation Residence
Location Box 1166 Route 91.
Owner . 1031 Exchange Trust
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 89-556_
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to 1031 Exchange Trust
OWNER of property located at Rox 1166 Route 9L Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Interior Alterations
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
G
59 Main Street
Lake Placid, N.Y. 12946
2. CONTRACTOR or BUILDER'S Name
n
D.A.Nardiello
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3. CONTRACTOR or BUILDER'S Address 7
250 Averyville Road
Lake Placid, N.Y. 12946
4. ARCHITECT'S Name
C
5. ARCHITECT'S Address >
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
No.Interior Alterations as per plot plan, specifications, and application.
8. Proposed Use
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_ Interior Alterations
$ 10.00 CSC PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 1990 rr
(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 2 Day of Jul 19 89
SIGNED BY �1`/ for the Town of Queensbury
Building and Zoning Inspe o -
Ai, I . . ....
TCAVN OF Q LIEENSB UR Y Ah7i. r. c.\-77,Th.• F-OR 5tirtr,' rNcl :\Nn :::‘,47,Nc• p0.\iTT• . •
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WILDING AND. CODES ui.PARTF.1,rr . Date Ia4ued. . .. • - • ' CO -
,Y- and 11AVILAND ROADS- RD 1. Dox 9,3 . - - . . , . Cie' ^ • _. .
• . '-'.EP7:.
UEENSBURY,Ntfi 'YORK: 12.d04 • . 130Am-i2 No. . • . . ' .
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Tel . (518) 792-5d32 Exc "204 , - . . . .
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A PEMIT MUST .BIr_OBTAINED. BEFORE BEGINNING CONSTRUCTION . . NOINSPEcTIONS
.- vi LI. BE MADC.-UNTIL APPLICANT 11AS .RECEIVED, A VALID 131:ILDINC PERMIT.
• ' All apPlicable spaces on this" 4Fplication rmist be- cOmploted and ' thc —.
c, inuature.of the applicant must appear on the reverse sidc . of this sheet .
* * N.. * a -* * * * * * A A * * * -it * * * * * * a * -*_ * *" at...* *- a-- -
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['he owner of this property is : 103) - ..)(c..t..C1/4vvy i 44r-v.-44-. ( IC l'e--1
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' . 0. Address 51 tiviA%,•:. Si- LaligA. ':ekt.cle.9 KI-Y, .il...46..., TEL. :SI tr- t5C1
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'roperty ,location 1.2(D. L 13X filOG Lake cao,ite.: NY, 1.2-845.7 TAx MAP NO. . -- - / . .
• 411 qL •
las there been any split _ of t is p-roPert.y since October 1 , 1988? / 3-1-if _
• •..• yes__ no .
If yes , - Planning -Board Review is necessary . .-, - . . •
;UBDIVISION NAME , IF APPLICABLE _ _ .. - LOT NO . • • - • _' -
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'he parson responsible for supurvision of work. as regards Building Codes is : .
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NAME, . . • • P .O . ,AbDREES. - , : ..- • kkLi . TEL. NO. . ._
acne of builder 7),A•Alitazotez'cLc.p. . Addrest 2-Co ii-leviLp eZ c_.,k; ecac..cr, Tel
me of of -Plumber '131( 5V-0.4...- laidress 14-e Se....ed..:..c._ ..1,-,, hIL( Tel .E17.t--r2:77 . .
ameof Masan- . Address - . • Tel
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1ToRE OF PROPOSED WORK: ' . ZONING INFORMATION -(office use oniV) -
:-
_Conz;crucciori- of a now builaing • ZONING DESICNATION OF- PROPERTY
:Addition to a building .., P,ERNITTED PRINCIPAL .• PERMITTED ACCESSORY •
ZAlLeration to ii LI i 1 d irig . • -
(Ito cli.ukqw co ukcrior. ciimunLions) .- REVIEW REQUIRED 7 PLANNING .BOARD . ZONING BOARD
Ocher•work. (descriUe) •
-. SITE PLAN REVIEW It . - APPROVED . -- DATE ' . • •
OSS ALA OF PROVOSCI
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• VARIANCE # -ApPROVED._ DATE - • V . •
t 'R - TaUCTURE
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st Floor • _ • sq ft . - Remarks: . - ,. • - - . ..-
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ad Floor - sq fc • • • COmPLI= INF TION iLLQuIhLO- uLLLIW. :
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. .of.- provurty dpi,,," 2-440 fC X jr0 r .
tiler Floors - ' sq -ft . . • -
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L.Nciutinci. .bui.L.Li.,19(::-) ..:.a, 2,K ,C.t X . 90 ...et.
not cellar or basement) . . •OTA.L FLOOR ARE _- sq Et . -- • -
- bailuinull.) u.ba Seasoned _ ,_iyeac4-ko.,.
) .
iza of now. L;cructura ft X • - ft • - )^ • ' - V V . .
Uul.dacion-picrislaL/cratal/parcialfttill ' • :;ed builaing,' rd1. -canee from -prupurty linu ..
( bit pace) of444- .
. . Front-:inyard S-2-- rt Rear yard ,- ( cp- - -- ft
a., of stories haable s ' • - w ,! , •
. ------- , ul: yards . 's4"-- -.- et and % 12.-o- Cc
cighcAgrade to ridge) -. . ft. • If on. Cerner, .sccback 'from side street ec
f residential, no. of families - •
--------- ,
o. of roomslexclUdinu baths) OCCUPANCY INFORMATiON - - . •. .
o. of bcdrooin V . . -
.-PRIMARY [WILDING: . ,- . .
O. Oi bathrooms - ' . • - .
' . 4 One family dwelling ' • . . .
rimary heating sysLcim . -Two i.amily-.dWeIliny. , .
ypu 'of fuel . • ,- . -_ . . . .
- - multipl e dwelling / Number of unite. . .. -
o. of fireplaces co -lee, installed -* — -- .
Permanent occ4paricy . . . .•
Pill a WW1 61:0V1.1 Ltd 1.11UCG114.4.i? - . . --• ••••!Ci;, . ••• .
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- - mmm,,•• , .4....lrenuient occupancy . • - •
:encsal Air colelitien:i.hg? - ,. business - "
WILDING STYLI!, :PRIMARY STRUCTURE - • Inchiscrial : . - - . -
, ........ .
Ochar-. - - -
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i.AitOli Contemporary. Loa cabin • ........
- .1t addition, •wliat will u6e be?
oicl ranch. Plialdi4it - - Di.1141.10‘ .,
1131.1C level Old Style uu4k9.,low . • •
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Lapu Cod. . " COLtacp:' Ocn.z.r•• - . • ' ACCESS OrtY .UU'LONG.. . -
rOICan it&r) ROW - , TOwii -1101.1510 P :2‘,..Lw Cachad- garage/One -Car/ two Ca-Cl. - car
---.... • i CIRCLL:.ONE PLEASE ) -. • -• ACtached garage/One -car/ two c‘a/ . - Cup: _
• • • • -• Q • .1I a. • • • :a ' I a • • ' PriViacw stor:Igo building
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ESTIMATED_ MARKET VALUE OF . - • Other . . - • ,
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C.ONETkUCTION • -• - . :
- . $ 3Q-Q0ii . . . - . - - • . -- . .-..
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I NrORMATTON ON• OUT Lb i NO SPEGIFICATIONS,..0N -RL'VEEISE sior. OF TUTS .C.tIEET; TO BE COMPLETED!'
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Form DPA io/aa- vi - - - - • . - ..V . . ,
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Bf:IT DING PERMIT AYPLICAT: `! _:,,_:N 2ED -
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BuILD1NG SPECIFICATIONS •
rype of construction, ood fr 3 , fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? hit
Foundation wall material ��� Thickness T 6 y
Depth of. foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage • sq ft
Will there be a basement? Will any portion be used as living space?
(If so, what portion? sq. ft. - - Type of use?
Type of roof - .sloped/flat/shed/other Material of roof
Size, wood studs ; "X 1 " spacing. )(„ "o.c. length $' ft.
Joists ( floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams). 2nd: floor "X " spacing "o.c. span ft.
Cverlays(ceiling beams) "X ' " spacing "o.c. span ft.
Roof rafters ' "X " spacing o.c. span ft.
Roof trusses,(pre-engineered) spacing "o.c. span ft.
Exterior wall finish Of what material?
Interior wall finish %? S •
(.Qa
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 ft.
Depth of fireplace .hearth • ft. in.
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
DECLARATION
. 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 `7(c._41
g Owner, owner's agent, arc, t,.contracto9
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SPECIAL CONDITIONS OF THE PERMIT: .
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By •
I kJ 1,1 1 1:N., U1 i...21-11.1.12,1•113 L)L.'It I
lc , .
'*a
- • APPLICATION FOR •
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.=.; '' -- ---"11
- PORCHES - DECKS
DOCKS & BOATHOUSES
is. V
.C',`
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL V V
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: i 031 Exct4A4-56 E_-_. -172.u.s1— (r-Be_r(c L-riJ)
P.O.
' Address: s---1 wick, 5-k-. LoAck_ eSo.ct 4 ,K1z,....., <6,-t.,c, V t2..9 ,11 .
Property Location: 4Z.. 04.- -IN tttoC.0 LA Ka_ ".,co sry N,y, vz.ce(fc
Street number or building lot /lumber
Subdivision name (if applicable) - ..
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THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING
CODES: _%.4(I(wskyy-
. .
Address: c,N( - 51--1---e Tel
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- , BUILDING SPECJFICATIONS:
Type of work to be done: Porch<neck-)Dock Boathouse (circle one)
Size of,structure to be built (square footage) 36,s-sep 9 .
Foundation Material Width V V . Thickness - V
Depth of footing below grade /0" Did; 411a&--4,,,,, &Rape-
Size of posts or studs 6, x V („V x V60 - Long . .
Size of floor joist V -z x q x g Span
Decking or flooring material 57q x i V V. V V V VV. ,
How will poreh-or deck be fastened to building?
'?oLrE-61 ON 4"--.D6-eRV V V V .
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW:
Size of posts or studs , x Long .
Roof Rafters x Spacing Span
idc
Roof Trusses (15ie7ffrigi eered spacing)
Span
Type of Roof - Sloped - Flat - Shed - Other
Material of•Roof V V • V -
Type of siding (if any)
*******************4:***************4:***************;t************************-****
ZONING INFORMATION:
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TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,V drawn reasonably to scale
-and attached hereto, showing.clearly and distinctly V all' buildings, whether existing or V
proposed and indicate all set back dimensions from property lines. Give street and number
or lot number and indicate Whether interior or corner lot. Show location of water supply
and location and configuration of septic disposal area.
COMPLETE INFO,RMATIONV REQUIRED BELOW:
Size of propertyi4e'D.„,e Zzio ft. x /SO ft.
Existing building(sj Size 215 ft. x gos ft.
Existing building(s) use se,75-,,;4„/ tjacepi,,,,,, ps-ae,.,c.e_ • ,
. - - • .
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,044.5.}cv.,ci .1,21S1' posed-building, distance from property line.
Front yai VSZ ft V Rear yard VVJ30 ft.
Side yards 5t-, . -ft.,and • (7/-) ft.
If on corner setback Vfrom side street . VV V V ft.
..,,
DECLARATION ,
To the best of my knowledge V 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. V VV V V V V , •
•
' - SIGNATURE 7----- -A4
Owner, Owner's Age Architec Contractor
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. TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application. for: BUILDING PERMIT IN COMPLIANCE - WITHTHE NEW YORK
-STATE ENERGY CONSERVATION CODE
-permit must be obtained before beginning work. :
ANSWER ALL of the following:
1. Gross floor. area `—7-40
2 . Type of heat CAI
3 . Is the building mechanically cooled? Ato
4 .- Percentage of area of windows and doors _ te76
A. _Over 16% Only - -
1 . Uo value of - gross area of walls , roof/ceiling arid floors
Pl tke__ ; : exposed to ambient ,conditions
IUV,GIUC52 . Floor over heated spaces YES NO
O
�1 - - a. Are foundation walls. insulated? - YES NO
rho oy 1.. If YES , what is the R value? -
Nobw J4l1-'-eAc2..koNS�
3. Slab on grade YES NO
IkSSL.I4+c,o0 %..�1,t a.- If YES what is the R value of insulation, around
• n perimeter of floor?
c cx2 4,.44,4%re\
. .t.,No Agse._1/4•\_.. • 4 . Is basement. heated? YES NO _
a. R Value of insulation -
ee/(Nosi e`,,.cD floor 5: Type of insulation
fNrjk14�lor� l,et0
,,II 'B.. Under 16% Only
ea.e_e-rQ 1. R value of roof and floors exposed -to ambient conditions.
2 : R value of exterior walls 11 r6°311:; u'^eig"' A-'""s`Qn r' I e6"4%4'1
f v 1h544(52
3: R value of -glazed area A4w bk_CLAci-
4 . R value of doors (Vet-S .hle tz_u/---
5. R value of floors over unheated spaces
•
6. _ R value of slab- edge insulation unheated slab
7. . R value of slab insulation — heated slab% .
t b`/2 " -
8. R value of heated basement/cellar .walls . (above grade)•
9 . R value of heated basement/cellar walls (below grade)
10. , Type of insulation . .
C. Controls
1. Thermostat maximum heat setting 90°
D. - Duct -Systems .
1. - Is -duct system installed in- unheated .spaces? :YES NO
a. If YES ,- R •value 'ok duct installation .._. tr
b. R value of duct in other areas
'E. Piping Insulation
1. ' Size, of. :hOt water or .cooling carrying agent pipe
2 . .R -value_ of pipe, insulation
F. Service Water- Heating
-
- 1-. . Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only .
1. Maximum heating
Telephone No. �� ����`
(applicant ' s i nature) -
TOWN OF QUEENSBURY
' BUILDING AND CODES DEPARTMENT .
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
y TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
•
LOCATION$ DATE 7— ^ PERMIT #•
APPROVED
YES' NO
FOOTING/PIERS 'd••
MONOLITHIC POURFORMS ✓
FOUNDATION/DAMP=PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING \
FRAMING •
' ELECTRICAL ROUGH—fW
��INSULATION: V
FOUNDATION
FLOORS
WALLS °
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT , •
ROOFING A
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE;'& RAILS,
PLUMBING FIXTURE'S/RELIEF?VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS y,
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 OCCUPIED!
REMARKS:
� 1
(At
•
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k 4//7/4'.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /D,77 &(/1�JC(/) 7-4��74--
LOCATION ,/% qL
DATE '7- --f9 PERMIT #E ;1'
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BA KFILL APPROVAL
OUGH PLUMBING �/
„FRAMING f iO
ELECTRICAL ROUGH-IN /
INSULATION: I
FOUNDATION
FLOORS \ I
WALLS /
CEILING \ I.
FINAL INSPECTION: )'
CHIMNEY HEIGHT i ,
ROOFING
SIDING /
EXTERNAL PORCHES/STEPS
STAIRS-CLEARAgCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY���� DOORS
FINISHED FIlOORS
GARAGE FIR PROOFING
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 OCCUPIED!
REMARKS:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED+ED
3 Xdt /
NAME ✓9 � S/�•
LOCATION gjt.DATE 9 PERMIT # 8 -
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC\POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: ;
FOUNDATION
FLOORS
WALLS Is,
CEILING
6INAL INSPECTION:
CHIMNEY HEIGHT
ROOFING ✓
SIDING \
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VANE ✓
INTERIOR TRIM/PRIVACY DOORS \ ✓
FINISHED FLOORS ,r \ ✓
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS !' \
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTI/ICATE OF OCCUPANCY MUST B\
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES' ARE OCCUPIED!
REMARKS: /'
INSPECTOR
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3 :. HCE PHONE , o ' P - ',„"., _ ,... - _ , - , A i PHONE : f l 8523349
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. . JOB ...C...yr:e 5 Ca (L 0 4CA D4 11_ beri;=1 1 L-
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