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1989-806 s � CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK ,!�''J� _rw, Date F'ebruary 5 , _lq yY Thu is to certify that work requested to be done as shown by Permit No. 89-806 has been cotnpleted. This structure tray be occupied as a One Family Dwelling Locaricmm .k2t:*3 Pleasant Lane Hidden Hills Owner Forest Woad Homes Bey Order Town 'Board OrOWN OF QUEENSBURY 4P L f� Director of Bldg, roc Co Enforcement BUILDING PERMIT X TOWN OF QUEENSBURY No. 89-806 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Forest Wood Homes u7 OWNER of property located at 93 Pleasant Lane Hidden Hills street, Road or ,Ave. c in the Town of Queensbury, To Construct or place a OHe Family Dwelling `¢ c,y 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. OWNERS Address is HC 02 Box 286P -*+ a Warrensburg , N . Y . V+ fY' 2. CONTRACTOR or BUI LDER'S Name a 0 Same s O 3. CQNTRACTOR or BUILDER'S Address t1, U, 4. ARCHITECT'S Name r- 0 rt 5. ARCHITECT'S Address w f0 6. TYPE of Construction — (Please indicate by XI ou (al) Wood Frame ( ) Masonry ( I steel 7. PLANS and Specifications tb No- 46 x 32 single family dwelling as per plot plan , specifications c7 and application includin septic system and attached two car garage ( incl . u B. Oroposed Use Driveway Permit ) m One Family Dwelling ca m s MAO PERMIT FEE PAID — THIS PERMIT EXPIRES May 1 19 90 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the es town of Queensbury before the expiration date_I - Dated at the Town of Queensbury this 18th _Day of October 19 89 SIGNED BY Sa:Lo �--y for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY REVIEWED BY FEE PAIL] S " PERMlr NO. BUILDING PERMIT APPLICATION A PERMlr MUST BE OBTAIXED BEFORE BEGINNING CONSTRUCTION_ NO [NSpECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. * * * * * * * * * * * * * * * * * * * OF 0 * * * * * ■ * * : * * * * * * * « The owner of this property is. _ r5l� a � _ s r � P.O. Address (i - t7 Lay- .)ilk J9 Alt TeI Property� y Location b Tax Map No. r / Has there been any split of this property since October 1 , 1988 ? / If yes Planning Beard Review is necessary , yes no SUBDIVISION NAME, IF APPLICABLE _ LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NATURE OF PROPOSED WORK : r Esrv,MATED MARKET VALUE OF Construction of a new building * CONSTRUCTION: $ r Addition to a building COMPLETE INFORMATION REQUIRED IFLOW: Size of ,property ft x ft. Alteration to a building * Existing Buildings( 3 ) Site fn x ft. (no change to exterior dimensions) * Proposed building - distance from property line: Other work (Describe} " Front yard 3$7 ft. Rear yard / J L ft. _- Side yards 0 fto and f#. r GROSS AREA OF PROPOSED STRUCTURE a If on corner, setback from side street ft. Ist Floor V sq. ft. / p r • ,. OCCUPANCY INFORMATION 2nd Floor sq. ft. 7 U * Primary Building On Other Floors sq. ft, * One Fancily Dwelling (not cellar or' element Two Family Dwelling TOTAL FLOOR AREA sq* ft, * Multiple Dwelling/Number of units Size of new structure ,f : ft x _ft. " Business Foundationapier/slab/crawl/*rt#i?/fuU * Industrial (circle one) * Other Noe of stories (habitable space) • Height (grade to ridge)__ 21 � ft* If addition, what will use be? If residential, no. of familiesannown No. of rooms(excluding betha)_ ,. No. of bedroorn,s 3 Accessory Building No. of bathrooms # Detached Garage ONE/TWO Car Primary heating system - + _- ✓ AitacMst! Garage ON WO Car Type of fuel, OWNED " "Private storage building No, of fireplace& to be installed • Will a wood stave be installed * Other Central Air conditioning OV* ER BUILDING PERMIT APPLICATI04N CO :4T [ NUED - BUILDING �%PEC'IFIC ?. TIONS: T% pe of construction, wood frame. fire safe. etc. I /i_ � �fr " � � - . no . ; f . =-: :: Will any second-hand or upgraded himherbe used ? If so. for what ? Foundation wall material , , r e&fjr Thickness J i Depth of foundation below grade (to bottom of footing ) ' Will there be a cellar ? Ile �' Heated or unheated? Floor sq, footageIf sq ft . Will there be a basement ? Will any portion be used as living space ? (If so, what portion9 sq t . Type of use ? r Type of roof - sloped/ flat /shed/other Material of roof Size, wood studs "x spacingi,6�" o. c. length ft. Joists ( floor beams) 1st floor A "x ..La." spacing 16 "o.c. span !, f ft. Joist ( floor beams) 2nd floor "x 1D " spacing�l "o. c, span�_ft . Overlays (ceiling beams ) '"x '" spacing " o.c, span ft, Roof rafters "'x " spacing o. c. span ft, Roof trusses (pre-engineered) spacing " I it O. C. span ' 6 ft . Exterior wall finish v t-*,, JeL of what material? Interior wail finish A.. ,- ,- } _ If a garage is to be attached, describe materials to be used for FIRE SEPARATION : e { rdC ! ` .s r.. f' C u. a 4• r- . c-.-.- .� '�. .",v r .-, : Is there to he an opening between garage and dwelling? Vx % If so will a Fire-rated door, enclosure, self-closing device be provided? �fr' �"" Will a flue-lined chimney be installed? h v Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft4 in, ff 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) NAME OF BUILDER_f, , , , J i-vnn� Y 'nrr . ' ADDRESS PU(' (d b ,s.-? Ce 1 ° TEL. NO. NAME OF PLUMBER (r , G ADDRESS (� Lr r l 51�. /I?� IJ, rv= y TEL. NO. NAME OF MASON �' �1 ADDRESS , TEL. NO. 22J " o o 1. NAME OF ELECTRICIAN f ff ADDRESS r-c_..,. J Iar . : .:rr=� C TEL. N©. DEC LA RATION To the best of my knowledge and belle( the state :. .ontained 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 ,promises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and +all other laws pertaining to the proposed work shall be corn lied with, hether s pec �i '�G or not, and that such work is authorized by the owner, Signature Ct rawer, owner's agent, architect, Contractor SPECIAL CONDITIONS OF THE PERMIT: BY TOWN OF 4UE . NSaUk : 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 * 16 Gross floor area 2 . Type of heat 3 , is the building mechanically cooled ? 4 , Percentage of area of windows and doors A . over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 20 Floor over heat - d spaces YES NO a . Are founda ` on walls insulated ? YES No 1 . If YES . what is the R value ? 3 . Slab on grade YES No a . If YES , wh . t is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a , R value of insulation 51 Type of insulation 8 , Under 16 % Only 1 , R value of roof and floors exposed to ambient conditions _ 2 . R value of exterior walls 3 , R value of glazed area pj 4 . R value of doors O 5 . R value of floors over unheated spaces !� 61 R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab r 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement / cellar walls ( below grade ) ld . Type of insulation f C . Controls 1 . Thermostat maximum heat setting D , Duct Systems wommomm 1 . Is duct system installed in unheated spaces ? tiYvs No a . If YESP R value of duct installation b . R value of duct in other areas E . Pixsing 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 lso . ( applicant ' s signature ) TOWN OF QU.ELNSBURY , APPLICATION FOR "`•x SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION CO q 1 =' -' ` ' *' jat! Owner's Name: f fi , ,, Telephone: Address: - Installer's Name: Telephone: Number of bedrooms (residential only) Total daily flow (compute Ca 150 gal per bedroom) Topography: Circle ones ,Flat Rolling Steep Slope % of Slope Soil Nature: Circle ones. Sand ' Loam Clay Other /Depth: Feet Ground Water: At what depth? Feet Bedrock or Impervious Material: At what depth? Feet Percolation test: Circle one: one t requir required rate min, inch. Domestic water supply: circle one•• untctpak� Well Other If domestic water supply is a weir Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank 10C, 0 gal. ( minimum size: 1 , 00D gale ) TILE FIELD : Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # /Depth or Thickness feet I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: r' DATE* OVER Septic System Inspections : A . All applications for septic system installation , alteration or repair , as required by the Town of Queensbury Sanitary Sewage Ordinance , shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing : I . ) the proposed location of the system 2 . ) location and distance to lot lines 3 . ) location and distance to structures 4 . ) location and distance to any water supply 5 . ) size and dimensions of all tanks , distribution boxes , tile fields and /or drywells B . No system shall be covered before inspection and approval by the building Inspuctor . Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $ 250 . 00 . C . Aa approved copy of the plot plan shall be available on the construction site . Failure to produce said plot plan at time of inspection may result in an immediate work stoppage . D , Should unforeseen problems during construction prevent proper installa— tton , alteration or repair of an approved system , a new proposal must be submitted to the Queunsbury Building Department before further cons r ruc t ion . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and llaviland Roads Queensbury , New York 12804 ltun�a rks : , MIDDLE DEPARTM ON AGENCY, ]Ne, 900 H"d4►ff' , n nqa ..w=iY_J, 9aIas G 1 _ . Daie February 242 1990 Vj.e 1"r!f I £o that t h ele 1 1 a ui meet fisted has been examir#sd erid:is a with the National Eiectr# tcde, applicable governmental, utility and Agency rii#es roved as being in accord 5- ell r Owner: foresC Wood lttataea ' i7cc'u anc . �we � ILra Qacupanl ilz e l e k smy; " � P Y g Location Lot t 53 P1eas.xxi t 3Ile #2uisen qbPry � sus 'rhra cartjlicela d0- ra IlW81ecir1cbf 4iluipmant and Instairalion inspGtad Mra _ date rl add+hgnai equipmant ,andrild be rnlydduced or allerahoo5 made to Equipment exiat1n9 syalem lhi.9 Cw0ficate i&hall be nukl and vpad. and ap piit<ahon fat 110 Outlets ;; , `j0 Receptacles ; 310, Fixtures ; spectlanah urdt�esunmilledprpmptlyto1hisAgency. 200 :LI)i}7 vi L'x V 1 GG j: Lf Appliances ; ' Veci c Faris j - Hnlder of IftiS carllricale ahoufd praaenl same to hra properly insurance carrier (agent or cgmpa ny) as erldance Q}dar I hca trgn o f electrical aq u i p menta roved ,n as sac'Ified pp 11ndl;es , 71 , Applicant: 31 Tenth Avenue L Hudson lulls , NY 12839. ; .,.,. . .tr. No . 15 - 031002 10-WN OF QUEENSBURY 244 l BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12SOLL TELEPHONE (.518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR SNSPJEnyCgTq-T ON R EIVED � 1 NAME — � - LOCATION DATE r PERMIT # Oco APPROVED _ YES NO FOOTING/PIERS i MONOLITHIC POU FORMS FOUNDATION/DAM PROOFING a .BACKFSLL APPRO L ROUGH PLUMBING r FRAMING ELECTRICAL ROUGH IN r .INSULATION: j FOUNDATION FLOORS WALLS CEILING k/FINAAL INSPEC"TTON: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS STAIRS—CLEARANCE & ILS PLUMBING FIXTURES/R IEF VALVE INTERIOR TRIM/PRIVA DOORS FINISHED FLOORS GARAGE FIREPROOFIN ./'� DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL. TNSP CTIO FINAL APPROVAL OF Co TRUC ON K A SIGNED CERTIFICATE F OCCUPA CY MUST BE OBTAINED FROM THE BUI$:DING DEPARTMENT .BEFORE THESE PREMISES ARE OCioP*UPIEDI REMARKS: = 06 J TNSP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY a HAVILAND ROADS QUEENSBURY, NEW YORK I280i%' TELEPHONE ( 518 ) 792-5832 BUILDING NSPECTOR " S REPORT REQUEST R INSPEC ON 1V RECEIVED NAME LOCATION DATE PERMIT # - -- APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-p-ROOFIN BAC'KF-TLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION - FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS - STAIRS-CLEARANCE & RAI S PLUMBING FIXTURES/RELI F VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSP CTION__,��_� FINAL APPROVAL OF CON TRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BU LDING DEPARTMENT BE-FOR THESE PREMISES ARE CUPIED ! REMARKS : INSPECTOR TOWN OF QUEENSBURY t4vtf BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12800 TELEPHONE (518) 792-5832 BU I LDI INSPECTOR ' S S REPORT REQUEST FO INSPE TION RECEIVED NAME - LOCATION ,. - DATE PERMIT ## APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOF NG BACKFILL APPROVAL ROUGH PLUMBING FRAMING ERCTRICAL ROUGH-IN NSULA TION: FOUNDATION FLOORS 4Aj WALLS - CEILING 2 Z5 Imo' FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PO /STEPS STAIRS-CLEARAN E & RAIL _ PLUMBING FIXT RES/RELIEF VALVE INTERIOR TRIM PRIVACY DOORS FINISHED F RS GARAGE FIRE OOFING DOOR CLOSER S) SMOKE DETEC ORS FINAL ELECTR CAL INSPECTION FINAL APPRO L OF CONSTRUCTION A SIGNED C TIFICATE OF OCCUPANCY �T BE OBTAINED F M THE BUILDING DEPARTME BEFORE THESE PREM SEE ARE OCCUPIED!' REMARKS: 4-TNECTOR TOWN OF QUEEN3SBURY 7 BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY. NEW YORK 12804 r TELEPHONE ( 518 ) 792-5832 BUILDING INSPECTOR ' S REPORT � REQUEST F11R, IN.."`'Z'ECTION- RECEIVED NAME LOCATION DATE 12,�—i `4 i-�-�,— PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFI. LL APPROVAL po,<OUGH PLUMBING j1RAMI NG ELECTRICAL ROUGH-LN INSf.ILATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHEfa/STE S - STAIRS-CLEARANCE & TLS T EF VA 'VE` PLUMBING FIXTURES/ INTERIOR TRIM/PRIV Cy DOORS FINISHED FLOORS GARAGE FIREPROOFI G DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL NSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIF CATE OF OCCUPAN Y MUST BE OBTAINED FROM HE BUILDING DEPA TMENT BEFORE THESE PREMISES ARE OCCUPIED ! .REMARKS : 00 y / fi! --~ INSPECTOR BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 1 �g Oueensbury, New York 12801 I } SEPTIC DISPOSAL SYSTEM INSPECTION KWE k, G C LOCATI t r DATE I `� I PERMIT NO.-...Zff�- �— SOIL TYPE - S d - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM : Absorption fiel"otallengthLength of each Depth of trenchSize of gravel SEEPAGE PITS#NuSize- t. X Gravel size it PIPING : Size Type Bldg . to tank. L11 XL V. Tank to disc , box Dist* box to field/ W'L Openings sealed? YES NO artial LOCATION/SEPARATICNS : Foundation to tank ft. o Foundation to absorp ionft . Absorption to lot 1 ' a ft . Separation of pitsft . LOCATION ON PROP T"circle one) Front Rear Le t side - Right side CCMMENCS SYSTEM USE APPROVED ES Buil IrZ16Inspector 01/86 and vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98� Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME x/-7c le LOCAT I ON.ir %' J !- _�'.ent' e' •�%'�'/ DATE ' l PERMIT NO . ` SOIL TYPE - Sand - Loam - Clay - Percolation 'Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM : Absorption field , total length Length of each trench Depth of trenches Size of 11ravel SEEPAGE ; s4Number of) Size- ft. X _ ft . Gravel size PIPING : Size Type Bldgv to tank Tank to list_ box Dist. bo): to field/Pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS : Foundation to tank ft. Foundation to abscrption ft- Absorption to lot line ft. Separation of pits ft. LOCATIO14 OF SYSTEM ON PROPERTY (circle one ) Front - Rear - Left side - Right side - CC7MMENTS r l SYSTEM USE APPROVED YES NO Bu "- /4ctor 01,/86 and u1 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAN'D ROADS" �/� QUEENSBURY, NEW YORK 128U4 TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME __ 46 // LOCATION { DATE �� PERMIT #" -AZIOr APPROVED YES NO Lejpo DOTING/PIER MONOLITHIC POU FORMS FOUNDATIONIDAMP PROOFING BACKFILL APPROV L ROUGH PLUMBING FRAMING ELECTRICAL ROUGH IN INSULATION: FOUNDATION F I.00RS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ TRAMS SfiAIRS-CLEARANCE RAMS PLUMBING FIXTURES/ ELTEP VALVE INTERIOR TRIM/PRIV Y :DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL XNSPEIATION FINAL APPROVAL OF CONST UCTION Ell A SIGNED CERTIFICATE OF (*CUPANCY MUST BE OBTAINED FROM THE BUXLDIN0% DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEA! REMARKS: (2c) n C 4A412P 4 o 1 rvh1 s INSPECTOR TOWN OF QUEENSBURY ` BUILDING AND CODES DEPARTMENT ,[(�'�� .BAY & HAVILAND ROADS QUTsENSBURY, NEW YORK 1280� TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME r OCATION - ! -- L E' f[ DATE _ it f t � PERMIT # APPROVED .YES NO FOOTING/FIERS MONOLITHIC POUR ORMS FOUNDATZONI DAMP— DOF ING CKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH— N INSULATION: FOUNDATION FLOORS s ;, WALLS CEILING FINAL INSPECTION. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE /STEPS STAIRS—CLEARANCX" & RAI ' PLUMBING FIXTUIRS/RELIE VALVE INTERIOR TRXN1iRIVACY FINISHED FLOOR', GARAGE FIREPR FING x. — DOOR CLOSER (S SMOKE DETECTOS —�1 FINAL ELECTRICA INSPECTION FINAL APPROVAL 7F CONSTRUCTION A SIGNED CERTIF�LATE Grp OCCUPANCY MUST BE OBTAINED FROM 'WE BUILDING DEPARTMENT BEFORE THESE PREMISES )IRS OCCUPIEDI REMARKS: t IN ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAAFD ROADS QUEENSBURY, NEW YORK 128016 TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED _ NAME &" LOCATION y // - DATE 10151 PERMIT ## APPROVED YES NO Ll TINGfPIERS MONOLITHIC POUR FORMS r FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL OUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE (STEPS STAIRS-CLEARAN & RAI PLUMBING FIXTU ES/RELIEF AL.VE INTERIOR TRIM RIVACY DOOR FINISHED FLOG S GARAGE FIREP PING DOOR CLOSER (( ) r SMOKE DETEC RS FINAL ELECTRI AL INSPECTION FINAL APPROVAL OF CONSTRUCTION A .SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR rrr TOWN OF QUEBNSBUH v +drninis#rator / 6. 00 ONO Alp r n �. National Haadquartars I t, l l .Haddon Av+Ef; CaQin¢svvooil, lU J: + i'OS C1#yr; Town nf- ownst►ip a� IiS�tM1 ; .__._.._ Countyit-we - Location/Addr*ss If Located it Rural Area Please Attach Directions) Poi #7Fytler SL, R C]ccuRied - '¢ i�3ulidan -pie v� , Z Y� a in Buildin Fldor rLL � .,f far Wiri 9rvi or Read foe 'I Fee Remitted°` s' 2i� a r- Cash Check hiumber l u Elect. Hr31it .:: .� T1750 -- 4 S,O00 SY60 .2 O4 475e 9f100 , f ■:. .: rr _. Ay _ - .. ..lT: [• a 3?'�Y�1.,�- p' SWitsives Ll,ghtikr ng ' - - Arne, 'Ser4rS'�" ;- - 5u2fat�e Unit - Drx,hlbiC ; R Water Heater. ` Air .Gbnditjoner - - :G3c5rer '= ' F „ Oven � �gaa spy rl lea;rols'far' i , s SArr�a.JRar�t1 � t-f•� may. . i'17 f1'it• '- it kd _ r MpT47Ft$ H P F iilf4. 1 ',1. $ IO 15' 28- 2£>` $ Fat s� s>. ` . . +.f' d.1 .. - r SiLLLL lie s " ' i;K � . iaense. # `�5 $s JCk ' on O . ; rr s . 141 (City} tSte? ^ ( tP� ` We iwice Request aYk Phu 4 ri . RE EIV ail: I �jATE 1[ w > �< dL -a Cornxrt :I,.00atiiNl'. :t • . rile in 'A bow Q. ar: - r'. ' "i .f.: ,,u Red hlati2! l +: 4�tciugh Wif(ri Qutle#s s^�rrl�encx ;t�nit' Oven Switches Ran " Cfia LL i Rsoa s Water H ter a �;rs fiittures nr!} #, ¢ !.i ,+, .:' `rat ' C_ . Service Eciui ent r4or,Me, ig i'al! far Amer: ae Service Conductnirg Pura en . S MOTORS-H.P. -1717 1/ID , 481/6 1/ ,1{ ld 18 xa Marie Number ,. of Each Size zs::. & 3 • ,r,n ' 3 ._ , i=fact. Heat 6ea ssp 1000 1250 2 S" ra0 a ° rr j /-: P qL RW :. t . Progress' Inc LI�D � �E§ r. . �oMtraotnr �� ��:� a .: CPT , ViplatiCm Work-CpDmp-,. Inc. L , :? z �V 44 1 ' ' k fjL.' tY 4 - S .. Cl1wl 0 LfA A . _s a �nhier 1 ee q f date. i i " il_ 1. 3„r . wig` er<? 3i it IM e •]i:.G+li 1 �� �; Tys ye �a�Et� !3 Cut in Card Fa F re - S•f t+ 'k?�` s Date ,F C APPLI CAT 40M **}HN' 0=i2L'• c .. - z. _ _ ._. _ ..� rr-•+