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1989-757 Yw V CERTIFICATE Cyr C]�C�LTPAI�T��' i TOWN OF QUEENSSURY i WARREN COUNTY, NEW YORK i Date Beeember 6 19 89 l I _ �`� � � ` 89-757 is in to certify that work rregtseated to be done as shown by Permit No. { has been completed. This structure may be occupied as a 9 wily Lac■cion Lot 19 8 Feeder Canal Court Higgs & Cra,yfard Inc . Owner By Order Town Board ,{ TOWN OF QUEENSBURY I i Director of Bldg. & Code Enforcement f ._..1 c+ BUILDING PERMIT R Y 'CS TOWN OF QUEENSBURY No. WARREN COUNTY, NEW YORK w r..� PERMISSION is hereby granted to Higgs & Crayford Inc . r" c—• OWNER of property located at I of 19 8 Feeder Canal Court Street, Road or Ave. in the Town of Queensbury, To Construct or place a Single Fami 1 y Dwelling 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 35 Martindale Terrace Hudson Falls ,N . Y . 12839 ca cn 2. CONTRACTOR or BUI LOE R'S Name !p Self T 3. CONTRACTOR or BUILDER 'S Address � rti77 Same 4. ARCHITECT'S Name S. ARCHITECT'S Address S. TYPE of Construction — (Please indicate by X) )( ) Wood Frame i I Masonry ( ) Steel I l -n m m Q 7. PLANS and Specifications rr Na. 52 ' x 28 ' Single Family Dwelling as per plot plan , specifications , and application , including septic attached one car garage , and driveway . r 8. Proposed Use c Single Family Dwelling PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 19 90 S 152-..�?�? ' (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the V town of Queensbury before the expiration date_) G 89 n Dated at the Town of Queensbury t 26th D y of Se tember 19 � { 3' SIGNED BY for the Town of Queensbury Building a ning Inspector C r r r c `I'OtiVN OF QUEENSBURY APPLICATTON FOR BUILDING AND ZONING PERMIT �- >?ec TOWJV I'y Fee Pa.Ld l LI]INC, AND CODES iH :I'ARTt r INT Pate Tod ued ��' � G. �y C lul ,3A r and IIAVXLA)VD ROADS RD 1 Box 9c� Pe�url i t NO 04 ��pr pUEEjVSBURY, NEtjr yORK 12801 Tel , ( 518) 792-5832 Ext •204 ■ _ * _ � * ' x CO}� STRUC:TION . � NO INSPECTIONS A PERMIT )II14UST B4 OBTAINED BEFORE BEGINNING VILL BE MADE UNTIL APPLICANT HAS application InustLbe eonipletedINC P and rthe All applicable spaces on this aPp � ear on t }Ic reverse silo of this sheet . 5 � t� zXature of the aPYs 1 i c a n t must a 1 * Yc 7k �": � �k k k s' ixc owner of this property is ; NI TrL - ems' 11 . 0 Address_ 3� 1' f 7� 7� F}c• F'� � -4 �,,,.r ✓zi- TAX MAP fi0 . /�3i° V' r o p e r t y l O e a t i O n _ C.vT / � '" �F+�..-�� �". erty since October , 1 , slit Of this prop yes no ttas there been any p If yes , Planning Board Review is necessary . LOT SU5DIVISION NAME . IF APPLICAnLE F� r ands Building Codes is ; '1% he person responsible for supervision of work as regards --d�-P7 p 45 -7 /I Ctr If�f_. Y!` 2 '� M (3a ✓I� fiEL . NO . P . fl . ADDRGus Tel. NAME taarne of ]guilder Address / 5 / ✓J� Tel 2 rJame Of Plumber. C6 ox lddress Aw�r�n + �.ta� jrs 2� Tel © �Address ¢ /4 N;,uno of Ma547n �isar+�rwl _ / o aA^L 14ATURE Or f''C:l7poo"Lfl vII I;K : * ZONItjc4 INI*' OliP1ATION ( Office use On1V ) s ZONING DESIGNATION OF [PROPERTY c'nn::tructior, of a slow building " PERMITTED PRINCIPAL PERMITTED ACCESSORY hd,titiOn to a building , �h1ta r:xCion to A ]wilding ,� REVIEW 1tEQI]IREA PLANNIMG BOAR iONINC. pOARI] ra �c, c1ti.c�tig4 to axt, r.ior ckirnen ; ions! r SITE PLAN REVIEW # APPROVED C}ATE Ocf,+sr mark (a,::crilu+:l ,� VARTANcc 9 APPROVCD DATE _ G" OSS ARL•' A O1 L' R(] L' OSGL3, =;'L' IeUL'L` URI ,vrn * Rarlss : 1st Floor � sq ft .:/ 2 nd f l oo m s q f t ;: " � ,. CC31•tPI.L'1 L I{�i'[3i 1 Llt'i'Y4N UL:QU ]:SiLC1 LSL L Gr41 . /. (- C7 L7 It K 0 <n ft . sq f t . ir..: of prol,c rty -i; x x �r t . Other 'Floors +N "isr.12tej 1�uildlslcj ( S ) 51: `= Inns: cellar or basti:mentl +. TOTAL FLOOR 71TZEA^ _ / L7C'i�- aq f t ' L xi::C islg bui ltlir,cl l:: l U::u i: .: of nCW structuro 5'z ft. x?ff ft L uur ,d stioR-p1.er/ :131+ crawl partial/ full 1'rai�a:;cd i�uilciincj , di:: Caac.: rroUs i,roi#crty li rft (circle one) Front yard � `� ' Pt Rear yard C -+� � S t` C Lau . of ::Caries (IL:al� itaril. space) Side y:►rds� rC anri tj� ight ( tirade to ricicl � l 1 ft . w if on corners =:ucl- ack Irosrt :;idu ;tree c ft I t' rea lduntiaxl , no . tit farniliea t OCCUPANCY INFOf:NWTICN No . of roosn:s texcludiag baths) rter . of Uc:droosns PT#.IMARY fsUIL1]iNG No , of bathroom f One family dwelling L'riwary Isuatiruj ;.:Y::t �.:ur �� k +9 �f_,_„ a � 'i`rrC► Lasnily dw.:].liny ryln. of Fu.:l rsulVtil�i� dwel"n�3 ! Nusnber of ur+its Nov of f9"rcI}l D6C4I tO L AI irr::tulled ft/� n�/f- _ ,LyerICL:lnc:nG oCcuxsauicy oJill as wood n:L' dvu L,: i.n : Lalluci '� � '1'r:►rr: i4rct� 0QQulsancy 13usi nc:ss L'"untrwi Air co1xclitioni.nc} ' t industrial (JUILDING STYLE, PRit4ARY STRUCTURE + Ocher y n G:+17i ri I::utictt Cont.:n�l.ar=a.Y' L+c+ _ ; It uddisicaci , rr1,:.ac Will u:.:.: You Du ,lax � u ranch M:.Lnsic.,,f L „ ::Ipllc Icv.:l Old sty !.: Lsu,sj . lDd ■ ACCESSORY BULL DIL�iG- �:.pA: Cod CotIrw";j� 01 to .or _caar Sta►.r 'iOWp4 Clouse " LetaCh3ci cj:ara,cjC/one coat/ two car/ cur Cc, larxi:il • httia+:YLu+ 1 tjuraar}u/oii� car/ r ( CIRCLE ONE PLEAf3>r 1 ■ ■ ■ r w ie • s ■ r� ■ x y ■r ■' private utar:.►g3 13L11.1diRg L: S 'I' 1MJt'1' I: D MARY: F'r' VRl_ UI. ❑ L•' � 0 r ha: r CC)N �: 'I' ItUC"L' IU11 70Cen y TO LiE COMPL,C'i'L: OF NIINVORMATTON ON nLjTLOING St+ECII' TCATIONSa Ot•I TiEVERSV STDI SEl[?L'"L' , Form BPA 20/88 v1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIF' ICATICNVS : Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? Ne] Foundation wall material C-�m rV c.. jg " c-t. [ Thickness C ` Depth of foundation below grade (to bottom of footing ) _ . Z Soot Will there be a cellar? AAlc'> Heated or unheated? Floor sq. footage dcf _sq ft Will there be a basement? r91.Wi11 any portion be used as living space? ( If so , what portion? sq. ft . _ - Type of use ? — N o - Type of roof - sloped�Elat/shed/other Material . of roof ,Ii-S/'y�}c y Syr rrr� Size , wood studs ( " A C ON spacing "o . c . length -� -ft _ Joists ( floor beams ) 1st . floor X-I ? spacing 'rc, . c . span � _ft . i Josts ( floor beams ) 2nd . floor " spacing "o . c . span ft . Overlays (ceiling beams ) JV .A l.X .N spacing No c . span ft . Roof rafters A / -►4 ,X " spacing 0—ow span ft . Roof trusses (pre-engineered) spacing�"o . c _ span ;:1' 5eft , Exterior wall finish L-IJ IAJ,G- Of what material?Interior wall finish If a garage is to be attached , %t describe m11.a�teria -L 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? y'X57� 5 Will a flue-lined chimney be .installed? (V -/g- Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . in . Water supply - Municipal or private well n{ � ryG r #M-4 ,. SEPTIC SYSTEM _ .Distance from ANY private well (Including adjoining properties /V-/ - ft . (A separate application is necessary for any repair or new installation of septic system) DEC LARATICIN To the hest 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 CCIDE, 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. r Signature Ownc r, owner's agent, arc /,a3con c or SPECIAL CONDITIONS OF THE .PERMIT : By ISSUE DRTE (nii/DD/YYYY) : 11/23/1iB8 E R T I F I C A 7 E O F I N S U R A N C E _________________________ PRODUCER- - - -_-______ I THIS CERTIFICATE IS ISSUED AS A MATTER Of THFO1tflATlos1 DNLY AND CONFERS NO PROD Robinson Asxoc. , Ine. k RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTiFICRtE DOES 1101 AnEHU, ----~-- t PG BOX 4749, 116 Aviation I EXTEND OR ALTER THE COVERAGE AFFORDED^BY THE-F"UtICIES,HELON. - I Oueensbury, H.Y. , 12804 I COMPANIES AFFORDI NG CoVERAGE 1 CODE - SUB-CODE --- 1 _____..____-__ __- [----------------- ...... _ -- I COMPANY LETTER A: FIREMAN' S FUND IN5. CO. INSURED Higgs B Crayyford, inc. I Coi1PANY LETTER B: I I COMPANY LETTER C: 35 Rartindale Terrace Hudson i Hudson Falls NY 12839 I COMPANY LETTER Ds I CU1[PANY LETTER E: 1 COVERAGES 1 THIS IS To CERTIFY THAT POLICIES OF INSURANCE LISTED-BELOu�HflVE-BEEN ISSUED TO THE INSURED NAMED FOR ThE POLICY I PERIOD INDICATED NOTWITHSTANDING RNY REQUIREMEHT TERM OR CONDITION OF ANY GONTkkC3 ON OTHER DuCUr4£Nf WITH EilRESPECT 19 To WHICH JECT TTHIS CTHEITERNSE MAY BE EXCLUSIONS,#EAHDR 'MAY PE CtINDITIOHSIO� SUCHN THE IPOLICIES. LIMITS SHOWN MAY NSURANCE AFFORDED BY T14E LH14VL PEEN ICIES LRLDUGE!?£k1'iFs1ID CLkiPIS � _ ----..... 1 CO- 1-^------TYPE OF�INSURANCE-' POLICY NUMBER IEFFECT1CDRTEIT EXPIk- ALL L1r�IT5 IN THOUsRNu5 ATIUH DRCEl LTRi i # MM/DD/YYYY 1 nY,/DD/YYYY I - --.-1 1 - --- _-_ i -- -------- ------ - -- k----- k 1 iGENERAL A6GkEj; iTE I $ IGENERAL LIABILITY I 1 I iPRODUCTS-CUMPIOPS k I IC ]COMMERCIAL GENERAL LIABILITY 1 ; I I AG&kEGATE a ADVERTISimG } C ]claims made C ]occurrence 1 1 I I 1HJURY # ' 1 ! 1 i I I k 1 k [ ]OWNERS $ CONTRACTORS PROTECTIVEI 1 I 1EACH OCCURRENCE I L 1 # IFINE Dw AUE (ANY ONE I # } j I FIRE) I S I MEDICAL EXPENbE {RNf I I lC 3 } I I ONE PERSON) I f i 1 ---------------------- i - ^---I 1 ---------} ------------ I ------------ } ___} ------------------ 1 ICOKBINED SINGLE L]rilT 1 i IAUTOMOBILE LIABILITY I I IDODILY INJURY ] ANY AUTO # Y # I (PER PERSON) 4 S I I , IC i I } I iC ] ALL OWNED AUTOS } I I IBUDiLY INJURY # iC ] SCHEDULED AUTOS 1 1 1 1 (PER ACCIDEN [ ) 1C ] HIRED AUTOS 1 I k [ i I C I HON-OWNED AUTOS 1 I 1 I i'1.GF"£RTY IliTfTAfiE It ] GARAGE LIABILITY IC ] ------------ I -___-------- 1 -----_- -- I --------""'--' [ k EACH OCCURRENCE AGriREUi1 # E I [EXCESS LIABILITY 1 I k 1 } C I OTHER THAN UMBRELLA FORri 1 ---i ---------- ---------------- 1 5102/1968 1 5/02/1989 ISTATUI[THY i A i WORKERS' COMPENSATION - i 23BMHX80296359 1 1 1 $ 100 itACE kCCIDENI ) I AND 1 1 5vo ; UIS4Aa£-POLICY L1N1t ) I } EMPLOYERS' LIABILITY i 1 I 1 S 100 (DI SEASE-EACH-£Nr'LOf`_) I 1 _ -__----_---- } i------------- --- ------------ - ____ _ ------------------} ------ -------_ ___-_______ 1 ! _- I-OTHER4- -�_____ } I } ! I I f 1 } 1 I I- DESCRIPTIONS OF OPERATIONS/LOCATIONS/VEHICLES/kESTRiCTiGNS/SPECIAL iTEIiS 1 1 _= CANCELLATION = CERTIFICATE HOLDER ___ __________"_=____=__ [ SHOULD ANY OF THE^ABOVE DESCRIBED POLICIES-BE-CRNCELLED BEFORE THE } k EXPIRAJION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 10 HAIL 1 TOWN OF GUEENSDURY 1 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TU JhE LE#-T , 1 TOWN OFFICES } BUT FAILURE TO MAIL SUCH NOTICE SHALL IIiI'OSE k10i UuLIGRTIuN OR LLA814 - 1 BAY RD. I ITY OF ANY KIND UPON THE COfiPflNY, ITS AGEHfS OR REPRE5EHTkT1VE5. GU£EMSBURY NY 12804 -------------------------- ----------- ---__---- k AUTHORIZED REPRESENTATIVE --..---------------------" RCOkD is a reuistered trade�aark of ACUItD Cars�oration iCORD^25-5 (3/86) ^GOWN OF QUEENSBORY CURES DEPARTMENT SVILDljVG AND CODES BAY & HAVILAND NEW yORK OADS I28Oi� �� QLIEENSBURYIF 518 ) 792-5832 ..."' l TELEPHONE C�RT S gFPORT WILDING INSPE t REQUEST FOR INSPECTION RECEIVED lJ NAME , �+ L40CATION Srf7 "y S / G7 PERMIT # DATE APPROVED YES NO FOOTTNGIVYERS MUIJOLITHXC POUR FO�FING FOUNDATION/ S"-PRUO BACKFILL APPROVAL ROEIGH PLUMBING FRAMING ELECTRICAL RDUGH-I,J INSULATION: FOUNDATION FLOORS - WALLS C ,LING Y NAL INSPECTION CHIMNEY P,EXGHT� ROOFING SIDING +pEP5 EXTERNAL PORCHES RANG & RAxLS��-- STAXRS-CLEA ES/REEF VALVE PLUMBING FXXTUPftIVACY DOORS�� XNTERXOR TRIMRS FINISH AC, I FT EPFRZ ING DOOR CLOSER (S ) SMOKE DETECTORS INSPECTION FINAL ELECTRICAL FINAL APPROVAL OF CONSTRUCTION OF OCCUPANCY MUST BE CERTIFICATE'BUILDING DEPARTMENT BEFORE A SIGNED FROM THE BUILD OBTAINEDPREMISES ARE' OCCUPIED ,- THESE REMARKS : ,r^ t INSPECTOR - N AGENCY, tNC. MIDDLE DEPAR Dater December 'u a 1.989 1MSPECTIt� approved as beans in accord (Culp listed has been era s, file that '�? phbc b►e governmental, utility an g e wrath the National Elect P r ixwpacted et,ia &RC uwnpm end iMtetX6"F51ion R to Cray r t X a mach 0 Trt �' � r}jiXCaxe u1 at Xaa lntrodklGed � and aPPtSc• X nut} and vo Owner ,S�-near.]-e Faml. g tl date. Xf S ntam Al�inX yto ttns ^900 ' Ut a� s extstlnQ Y suhmili R 'MUS nt mpP wed QCCUp {'1�: $ ' seder �'''� ,�•` inaR*Gt�n snoutd ant s,atna to eje triest fv +Yy�` +e��sa y+a Xray f}Gota 01ficatldn of eX4Gtr}ca5 aqu;Rn1° Locationd PAP - i ■ V i� ddar a1 inia �e asav4 ce tacles y + apen5 otcom Y] Q5 Outtleta f as aPaGltfad. V Ap,p canoes Equipment: 200 Amp Servi mot" 1'1V C'E '�'�Q''3 0 . 15-U3057 2 ASCII Wiili� Cola � 13udson Va11a , � SBURY C?�V f3 ov QUBEI3 PARTMENT � [ CODES DE BUIL ING AND ND ROADS D HAVILA I28oi- BAX NEW YORK QUEENSBURY ' { 57.S ) 792- 5$ 32 E LEPHON]E 'PORT q. -BU -iLD-1� xNsp,BcTOR' S INSPECTION RV EI D REQUEST roll IN5P � 1 NAMEr� u LOCATION PERMIT # APPROVED DATE YES ND FOOTING/VIERS FORMS1- -- �_-- - MONOLITHIC U��pRO INGJ-- - -�� FOUNDATIONIDAM BACKF XLL APPRO-VAL_�� '�~�~ ROUGH PLUMBXNG FRAMING O GH-IN E BCTRI 'L R NSULATION- dUNDATION FLOORS WALZ*S CEILING NSPECTION : FINAL CHIMNEY ExGH7' H ROOFING SIDING-g H S/ST 'r EXTERNAL CE & LSD--- -- F . VALVE_f_ __----- STAIRS-CLEARA RESIRB RS PLUMBING FIRM/PRIVACX _ INTERIOR OF2Sr� -- .�- FINIS HEDE FT PROOf'xNG�--- GARA DOOR CLOS R (5 � �~ SMOKE D C RICAL ECTORS_INSPECT uON cTI FINAL B PP OVAL OF CONSTR N FINAL OLFp OCCUP'ANC ' MUST BEFORE CERTrFrCATBUT xNG DEPARTMENT A SIGNED FROM THE IED ! OBTAINED OCCUP THESE PREMISES A. �i ~ �~ REMARKS t INSPECTOR s LtEEN SgURY f ' TOWN OF QD CODES DEPARTI3ENT r v� DAx ING it\J BUYLD HAvILA D AA95 1280* UEENSSUAY. 792� 5832 TELEPHONE 7NSpF'MR ca p�P©RT �xIDING ETVEDI INSPECTTdN I2EC RES7UE5'T F �_ NAME r ri CATION J� pEpr.Tx # AppROvED DATE �y YES NO FOOTINGIPIE pS FORMS MONOLITHIC _ FI G FOUNDATIONA1P vAL�- �--- RAMING L ItOUGH.IN ELEC'TRX'� INSULATION= FOUNDATION F LOORs WALLS CEILING N = FINAL INSp FCTSOTIO r CHIMNEY AOoFING SIDING ppRCHESISTEPS _ EXTERN..L CLEAEANCE & IE VALVEr r STAT FIxX'L1RE51 I7 � PLVMB'ING ,FRIM/PRIVACY INTERIOR RS FNISHED FIB I FIND GARAGE FIREPR DOOR CLOSERS ) SMO1fE DETECTORS INSPEC ION FINAL EI,ECTATCAF CONS RUCTION �- --" FINAL APPROVAX' F OCCUPANCY MUST E TNa DEPART14ENT BEFO E A SIGNED CERTT 2H8 BUI FROM LIFTED t OBTAINED ISES ARE OC THESE Z'REM REMARKS r� i ,-.tC vtF:C TOR T p1VN CIF Qi3EEN SSURF ARTMENT BUILDING AND CODES D i' BAY CcHAVILAND ROADS I280 Q(1EENSBURY . NEW YORK 7.ELEPHQNE ( 51.8 ) 792-5832 BUILDING INSPECTOR' S PEPOR'r ION REQUEST FQR INSPECT NAME LOCATION f - __ -----PERMIT .APPROVED DATE — YES NO pqp FQOTINGIPIERS FARMS ✓ MONOLITHIC FOUR _PRG� rING_� LTNDATIO PROVAL BACKF-TL . ROUGHPLUMBING FRAMING QUGx--N ELECTRICAL ON K INSULA FOUNDATION IF X FURS WALK , CEILING TION : FINAL INSPEC CHIMNEY HEIGHT ROOFING _ SIDING P_- GFtE5%STE & ILS EXTERNAL _�� CLEARANCE LIEF VALVEE STAIRS F'MtoZ+E5f PLUMBING C, INTERIOR TRIM/�' ���__---- FINISHED FI FRS GARAGE FIREPROO IVG DOOR C LOSER (S) SMOKE DETECTopj P N pE -- N FINAL EYECTRICA� SNSPECTION_1�- -- FINAL pyPPROVALA OF CQNSTpUC'T'IQN__ --'-" OCCUPANCY MUST RE A SIGNED CERTIFICATE OF BEFORE FROM THE BUILDING DEPA14TMENT OBTAINED RO PREMISES ARE OCCUPIED3 THESE REMARKS : III { Jr l F INSPECTOR T OWN OAF QUEEN SBURY 'C BUILDING AND CODES DEPARTMEN BAY & HAVILAND ROADS 12804 QUVENSBURYr NEW YORK TELEPHONE ( 518 ) 792�5832 BUMMING INSPECTOR' S REPORT REQUEST CEIVED FOR INSPECTION NAME �/, __.-------- LCJC� �I J PERMIT #4# � f/-�-- °� APPROVED D YES O 0OTTNGHIC POUR FORMS MONOLITHIC P-PROG'FING FOUNDATION BAC KFI LL APPROVAL ROUGH PLUMBING FRAMING GH-IN ELECPRICAL R INSULA2ION FOUNDATION FLOORS WALLS CEILING TION FINAL INSPEC CHIMNEY HIE, ROOFING SIDING RCHESIS EPS EXTERNAL ARANCE & ILS STAIRS�C PLUMBIN DFIXTUR E SI R EF VA TVE INT4 TRIMI! RIVACD OORS FX1NISFLOORS �---~- ----- GA .AG FIREPROOFING DOOR LOSERS ) SMOK DETECTORS FINAL ECTRICAL INSPECTION- ----"~ ,FINAL APPROVAL OF CONSTRUCTION 1111 CUPANCY MUST HE CERTIFICATE OF OC CERTI A SIGNED ING DEPARTMENT BEFORE FROM HE BpCCUPIED ! THESE PREMISES ARE MARKS � 0 b r ►?A ;., ©dI { zrrsP�CTOR SEi-ECT BUSINESS FORMS (609) 849-5203 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES _ �. ., MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 Dater APPLICANT Town or Township County /� �Y�+�_� � !State City, N, Locatioll(Address Pole # i, If Located in Rural Area - Please Attach Directions) r Permit Owne Building: Occupied As Occupant Work Area in Buildin Floor #, etc. 1 : Read for Ins ection ._ 94 ' A for: Wiring Service or: Make Payable To: M_D. I.A. Fee Remitted Cash Check M.O. soo Aso ioao ixw x.saa 17m xuoa zzsa ssaa z�so 3000 Number of Rough Wiring Outlets Elect. Heat Switches. 2.1.+ ca Qishwasher Flange Amp, Service Surface Unit � ,. Dryer Pump Lighting A'�"�Water Heater Air Conditioner rY Receptacles .S ""'� Oven Garbage Disposal Wiring and Controls for Sumer Number of 'Fixtur Amp Receptacles _ Fractional H.P. Vent Fans Other Equipment: a/ MOTORS H.P. 1!2 7J12 1/10 1/a 1/fi lf4 113 1/2 3!4 1 14s 2 3 5 7412 iD li 20 25 30 40 50 75 300 Mark Number of Each Size Applicant's License # nnit # dc Signature z- T/A Utility : M IC L Iiii Applicant's Address: � Service quest (Gity1 (State) y; (Zip),e� + ,/qIll Electrician : a DATE RECEIVED: DATE INSPECTED: Correct Location : Some as AboveC] or: Red Notice Label Oven Rough Wiring Outlets Surface Unit Switches Range Garbage Disposal Dishwasher Receptacles Water Heater Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle Vent Fans Amp. Service Conductors Pump MOTORS H.P. 1/20 lfl2 1{10 lfe 1/e 1/4 113 1/2 3/4 1 11lx 2 $ 5 7�1r 10 Y5 20 25 30 40 56 75 100 Mark Number of Each Size . eau 750 1 iz5o 15M 1750 xa0u xxsa zsoo x�so aa•ao 7 It Pat ck J ,aU Hudson a 5Y 12839 519 r?�8-3473 ELM I IHSPM(M Rye Progress: Inc. LIKE) 0 Contractor 0 GFT Violation : Work Comp. O Ina Owner Q LIA Fee III # O L/A Due MOi � Municipal I I+I V IPA * r . ;3 - .. .. .. i4pKilxrant Date Other SialeE3 UtiYiiiii _ _Owner El Date Gut in Card Q Temp # ;µ MID DL.E DEPARTMEALTNISP"EC-'TIONAGENCY, JNC. .. National Headquarters 900 Haddon Ave., wungswood, N.J. 08108 r-^ Date;» '- ' City, To! or Township�_.4g ' f County tf. +pG. +iCJ' State IMr' Location/Address O `Located in Rural Area - Please Attach Directions) : Pole Oft Owner - Permit # _ Occupied..As K �' r �' Building: . New Older Occupant Work Area in Buildin Floor #, etc.): for: WiJil Service or: Read for Ins ion: 4 ' Ir Fee Remitted'= $ Cash EJ Check NI:O. Make P' Yable 7 0: M.D.1.A 600 Ro la00 ts5a rZ 17Sa 2"0 Z250 2500 275o soda � Number of Rough Wiring Outlets Elect. !-teat � Switches 2!J a a ,p, Service Surface Unit DishrresF+er ' Range - Lighting— 44177 �Water Heater Air Conditioner (Wood` 'Dryer Pump Receptacles -�� Oven 06rbage Disposal Wiring and Controls for Burner Number of FixturesAmp. Recepteel§s _ Fractional H.P. Vent Fans t, Other Equipment: M Mark N OTOR$ H.'P_ 1!2 i/12 1/10 1/El 1/6 1/4t 1/3 1/2 3/4 1 Selz 2 3 .5 741z 10 15 24 25 30 umlyer ' of Each Size _ Applicant's - - ,.�„�'�` ntlit 40 Signature !i License # T/A Utility: OE CE L T Applicants Address -4t�' /� ` (City) (State) ��'_ [Zip/!' �l" Service! quest00 # Phone # Electrician :: DATE RECEIVED: DATE INSPECTEE7t � 7Notice ion . Same.as .AboveO or:abel 0ough Wiring Outlets _ Surface Unit- Oven witches Range; Gar Disposal Receptacles Water h4eater i]rshwasFter/ Fixtures Air, Conditioner D1yer Amp, Service Equipment Burner, Wir & Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H_P_ I/26 1/12 1 O 1/a 1/6 1/4 113 1/2 3/4 1 1°Vz 2 $ J 74Iz 16 15 20 25 3rl 40 5G T t1O Mark Number of Each Size - 600 750 10aa' :1YSO 150a 175a 20WJ 2230 2500 '2'7Sp 3000 Elect. Heat 0 RW Progress:. lnc. LKD Contractor 0 CFT Violation : Work Comp, Inc. 0 Cpw^11 [] L/A Owner Fee CHK ar 0 Due L/A INC1 # M =, IPA : unicipal Applicant - Date: Other Slde E3 I Itility Owner ., Cut in Card 0 Temp # Date !NBPECTORS SIGNATURE 0 Final # Date APPLICATION FORM NCI. 254b EL 11/e6 IF IN IN IN Lq IF IF R v LJ r r ILIF I 1 2 IF IF IF I I ` 0 6 1 1 1 IN FF IF IF k6 IF I IF t}Lk }� ~ f YIF Y ' . .+. �1 lr ' 6. _may } a a>, 1R' + - - ar . .. 'y3 ' a L' }Y C 4. t tle..y .' ti .. }, , . , . x61 IF, IF , 1 T r+ !f I .. • `. 1 * '` J • Y yak' • , •. t t T.s f © \ eIF 4 } : IF, I+� wtw .� . R' � ti4 i� . 1 •'r `i ryj IF , _ t +' r. j r . . 'y ;1 .; i?. a3 r i aN i ti . +`�, _ + w. 4v. 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BoxT232 I* �� i _7 em* Hudson l a] 47 7 s!t5w0631 8NY 39 Webster Management Associates MICHAEL CRAYFORD ANN LAREAU President Project Coordinator DAVID L. HIGGS Secretary-Treasurer Queensbury Building Department Town Hall Queeensbury , NY 12804 Gentle )en This is to certify that I have in my ptssession Plans for the house at Edgewater Place Subdivision , which bear an original stamp of George Kurosaka dated. 10/4/88 indicating his review and approval . This Plan is available for public inspection during normal business hours by calling 747-0631 . 5 reiy , � T)a vid L . Higgs Secretary/Treasurer WEBSTER MANAGEMENT ,ASSOCIATES