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1989-917 j CERTIFICATE OF OCCUPANCY I TOWN OF QUEENSSURY f WARREN COUNTY, NEW YOhRK paw Aprit 25 1990 This is to certify that work requested to be done as shown by Permit IVo. -89-917 ., i has been completed. This structure may be occupied as a 3s of Single Family Dwel I i ng Location 72 QMen Mary Drive Owner Guyer Builders Inc . I 8y Order Town Board TKO-W-N., OF QUEENSDVAY /r Director of Bldg. & Code Enforcement i i BUILDING PERMIT S9 TOWN OF QUEENSBURY No. 84- 917 � WARREN COUNTY-, NEW PORK . . 4 PERMISSION is hereby granted to GUYFR BU i I f?FRS o MC N r OWNER of property located at 72 Queen Mary Drive Street, Road or Ave. rV in the Town of Queensbury, To Construct or place a k Of Single Family ilwel l i ng 460 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 . 0WNER•s Address is 1 Hemphill Place Suite 201 Ballston Spa . NY 12020c 2. CONTRACTOR or BUI LDEWS Name rC rrl SELF C= � 3. CONTRACTOR or BUILDER WS Address r71 P .r r--i 4. ARCHITECT'S Name S. ARCHITECT'S Address V Pti? S. TYPE of Construction — (Please indioate by XI ,O rM kk Wood Frame I } Masonry I ) Steel I } M 7. PLANS and Specifications -C No. 31 ' x 42 ' JA�i of single family dwelling with septic system and driveway as per application , specifications and plot plan . 8. Proposed Use m z of Single Family Dwelling - - - MIDEL S $ 151 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Novpmhpr 2S 19-go - (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the L/f town of Queensbury before the expiration date.) CF7 r Dated at the Town of Oueensbury this 281h Day of November 7g_$_g......_ rM SIGNED BY { '. �, �� , for the Town of Oueensbury Building and Zoning I nspectar MOC T c 2C rn 1— r ? o+% N OF QUEENSBURY n)� ni. rcnT rnN FORIilllx, , . . + n ZONING PERMIT Ip r Fee Faid . _ ��� 1 �G eyC`gz , l g WILDING AND CLIDES UI '.PjX111'1TMr Da.c4 144"ed r , :�B 6 -� . BAY And ftAV 1,A WD ROADS RD 1 D0x 9a f'WEFNSBLIRYoJVZW YOR+� 12BO,I T"C'.ru+►�.t No * Ll ��- �� Tee . (518) 992-583: Vxc �204 'r • 40 * r w w r r w a a w w ■ a • ■ r w a�'\,. w ■ w • r w . + A PERtlIT 161USOV Dq 013016AINEU DEPOR.E BEGINNING CONSTRUCTION . NO INSPECTIONS WILL. BEMADE UNTIL APPLICANT [ [AS RECEIVED A VALID BUILDING PERMIT * All applicable spaces On this al►Plication must be completed and the y%, 'apya.' Cauerw 'pf * txe * `a �7 * iu 'ln� t * n1* S % *I7te r * � * * )ls * 0* �* } * * l * * x this vg aeyrL * The owner of this property is : Guyer Builders , Inc. is . O . Address I Hemper ll Place Suite 201 , Ballston Spa , NY 12020 T k r. . ( 518'f�, 899-9161r0,o,.e property location ,"►j 'e.-N t�'4A 2 d M*3 4 VRIJE Tnx HAP Na . 121 /.•fir / 999 Has there been any :split of this property since October 1 , 1966 ? 6no yes 1►o 1f yes , Planning Board Review is nmcessary . SUS,DIVISIO" NAME , Ir APPLTC*% aLE ,- QLTEJ�N VICTORIANS GRANT LOT NO . 'rho person responsible: for supurvision of work ;as regards Building Codes is : Richard H. Guyer III 1 Hemphill Place Suite 201 , Ballston Spa NY ( 518) 899- 9161 IVAM1: P . O * ADDRESS TEE o NO . 14ame of tauilderGuyer Builders , mAddreSs I Hemphill Place . Ballston Spa Ta:l( 518) 899-9161 94"Whe Of Plulpbor -same- l"ddress -same- TCL -same- Name jai 64"son -same- Addross -same- Taal —Sallle— 14ATURE Or PROPOSED 6011 . ` Model S w ZONING 114I' URMATION ( 0- ticar use antJ ) X CrAn::tructiora of a nuw builairag w ZONING DESTGNATION OF PROPERTY A44icion to a Building PERMITTED PRINCIPAL PERMITTED ACCESSORY AlLwr;.►Lion to a }.wilding (110 ciea!►ga: to vxc .: riar eiiura:nsion ;I or REVIEW REQUIRED - PLANNING BOARL3 ZONING WARD Oei►ac work Wor:cribo ) ` SITE PLAN REVIEW ii APPROVED DATE w CROSS ARLA Or' PHOYOSL: D, :` TRUCTUkE VARIANCE N APPROVED DATE lst Floor. 900 sq it . ` Rc ►aarks : 2nd Floor --- sq it . # COA4Pr.LT 1,FIYOI4iMAT1QN IOAC" lL►1: uc:i.Culo se& pio a Other Floors --� sq it . Sitiaa of propurty 1000± plan cc x 120 ft . Inoe collar or hosunluntl Exia:timrj LiuLl.li!►g ( s } imm n a cc x r' e . r TOTAL FLOOR AREA 900 sq ft • Lxiilrg tswilJlr►a1 ( :: I U: r n a '�iis tar now uLruCturo 31 it k 42 it ` 1 rurgxld:etion-laier/slat,/ar:awl/pa►rei.al/ cull ` t'solaa�uGl builJing , cli.C"ncQ iraw L.rol.►urty lino (Ciecl.r onQ ) w Front yard 30+ ft Rear yard 30+ ft N.10 of stories Claal�it:.bl+3 ::Dace ) I r Silo .errs l� t sane} 5+ Cc iiesil]RL Ce.Iraciu to ri ek t 19 ' 6" tic • If anyc"A%or , uu rb:ack bola sick: scrue: e r c 1 r r3uicluntial , na . ar` Eralnilias 1 - 2 of rooa►u t4xcludin+l t"tha ) 5 ' OCCUPANCY 1NFOI'.MATWN of budrooauc 24 • .1 + PRI>'1A�FiY LIlILDIi4L: - Has of b:athrooma Ono faluily dwalling i•rilwry haa:aciu/J r:ys:4 �w &sQboard Electric x Slop rawily dwesllina] `l'Yp" of fwal Eletric1t � Kultiplo aiwQlling / Number of unics�,,,� ^ No . of fir►splacus LQ !IkZL411La d n a I�eria:uulllt aCa:up:ax►Cy Will :a wQQJ S60V►a . inUU. 11"d? no 'b : :a ` •I`r;ansie:l� c a� cu=uarrcy C«Intrwl Air col►4li.ti.QA!1►a]? no e 1 "Zinasa WILDING STYLC, PRIMARY STRUCTURE IndaLuria►L &"ocl► Concaou►j:Gr"ry L"on cabin . Othur Iisis:aaLl ranch M:.t»asic+r► 'Dwlal ►:x „ Ii ,ad4iLiu,t . tiri �uc will u::es txs? UpLi.c lQv#jl Old style Lrua►y.alow &:O;&pu Cod CDLC"ca.: Or I►.:rr ' ACCESSORY IiUII.DINc- Ccsiclnial I:aw1 "town Hawse ` Ll,scachau y:►c"gio/ono earl two ac► r/ car CIRCL9 QNL: PLeA c I w x Asz"chw4 gcar:aga"e/oaiaj ciar/ two czar/ Gins a r ■ w ■ w w a . • • r r w r w i Iirivatu sLor:ago building L' .^, "1' IMA1' i» D i4ARf: E'1' VAt. UI: OL' '� �'�OChe: r Imparo"OrTON ON RUTLDINC srr IPTCATIONS , ON nEVERSE: .c.IaDr. OF Tills dwalmT, `ro Be C014P"Ll~'rcaa Form SPA 30169 v1 BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . wood frame Will any second-hand or ungraded lumber be used? If so , for what? no Foundation wall material concrete block Thickness Depth of foundation below grade ( to bottom of footing ) 48 TVmiminmm Will there be a cellar? no Heated or unheated.? Floor sq. footage sq ft Will there be a basement? no 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 fjberp�lass shingles size , wood studs 2 " X 6 " spacing 24 "o . c . length g ft . Joists ( floor beams ) 1st , floor n1a "x Is spacing "o . c . span ft , Joists ( floor beams ) 2nd , floor n a " X spacing "o . c . span to Overlays ( ceiling beams ) n1a "X " spacing " a . c . span ft . Roof rafters n/a "x No spacing o . c . span ft , Roof trusses (pre-engineered) spacing 24 "o . c . span ft . Exterior wall finish stained Of what material ? 5 /80'x 41x 8 ' texture 1-11 Interior wall finish painted 1 /2" sheetrock If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 1 /2" type "x" sh+eetrock Is there to be an opening between garage and dwelling? yes If so will a Fire-rated door , enclosure , and sal €- closing device be provided? yes Will a flue-lined chimney be installed? no Height above roof ft , Depth of chimney foundation below grade n a ft . Depth of fireplace hearth njig ft . in . Water supply - Municipal or private well Mun; cipal 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) OECLARArrlON 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 caner. a Signature Owner, owner's agent , ar i ect , contractor * * * * * * * It * * * It * * * * * * * !' M * * * v Or n * * * * * * * * * * * * * * # SPECIAL CONDITIONS OF THE PERMIT : APPLICATION FOR SEPTIC DLSPOSAL PERMIT Ref . S. P.E . D. S . permit # DATE it 7/ ` _ New York - 0202525• MODEL aas�. of LOCATION OF PROPERTY FOR INSTALLATION _ 72 Queen Mary Drly Guyer Builders , Inc . %.• Telephone: ( 518) 899-9161 Owners Dame: 5� Address: 119 Dunning Street Ballston Spa , New York 12020 Islas Gu er Builders , Inc Telephone: ( 518) 899-9161 Installer's Name. y 2 A, Co. E, I , J , K, L, M Number of bedrooms (residential only) 2 3 F , G, H w Total daily flow (compute 150 gal per bedroom) 300 Topogwj pbg: circle cue: lat Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay Other j Depth: . 8 ' feet + Cmaund Water: At what depth? "mown 8 feet Bedrock or impervious Material: At what depth? unknown. feet Pexr�lation test: circle ones not req required I rate mine inch. Domestic water supply: circle one: Muraicip�We11 Other IF domestic water supply is a 'Well: NIA feet Separation: Watersupply from Septic absorption * PROPOSED SYSTEM: Septic Tank gal. (misliruusn size: 1,OOa gal.) TILE FIELD: Each Trench NIA feet / Total system length NIA feet * SEEPAGE PIT(S): Number of / Size each feet by feett' * Size of stone to be used #F / Depth or Thickness feet IMPORTANT * See S . P «E.D. S . ...Please.«.LIST NEW EQUIPMENT TO HE INSTALLED permit & attached maps o (over) y Section U Septic §ystem Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinances shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing. 1.) the proposed location of the gystem 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any ,*titer supply 5.) size and dimensions of all tanks, distribution boxes. tile fields and/or drywells Be No system shall be covered before inspection and approval by the building, Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $Z50.00. Co An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection way result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must•be submitted to the Queensbury Building Department before further construction. i have read the regulations above and agree to abide by these aaad all requirements of the Town. of Queensbury Sanitary Sewage Disposal Ordinance. Signature of.responsible person: ze� /'7 Date: ff Town of Queensbury Building and Code Department Say at Haviland Road Queensbury, New York 12801 (518) 792-5832 i ''TLED 1763 . . . HOJAE OF NATURAI EAUTY . . . A 0000. PLACE TO �J'own v� '�ueens +burt� BUILDING and 7,0"ING DEPARTME" 98 Bay and Haviland 'Road. R.D . A BOX Queensbury. New York 12801 BUI1 _DI G INSPECTOR ' S R PORT NAME vy LOCATION �/ '� G� Cam'/ r0�`r L / / Permit N - Date * * * * * NC7 y * * * * * * * * * APPR ED YES Footing/Pier Fo Foundation Waterproofing Back.f ill Framing Roofing siding Masonry Veneer Ewugh Plumbing eli.ef Valves Bxt . Porches Finished Floors Interior Trim_ Stairs & Railings Cellar Drain Tile�� Concrete Floors g1Dg - Fixtures Gar . Fireproofing Door Closers^.__"_ - Smoke Detectors 4 -'i✓13imneY -XN SU LA'T I ON Foundation Floors Walls Ceiling r FIL3AI ELECTRICAL SPECIIC)H DRIVEWAY APPROVAL eY Final Building Su Next ached ed in ection (call when ready ) Retnar ks-- Building Inspector 6/86 and-vl MIppLE DIEPARTMETLT TION AGENCY, INC-gamroed, el :t:oaloa April 23 , 1.990 r I .i. .m .d t'w • _ �_ u (ry �tllQ � #hat tlectliaai equipment listed has been examined and is approved as being in accord t VY ,applicable governmental, utility and Agency rules. with the National Electri Goi3e, ,apP '� Dwelling r:i `:(7ccuancy- Owner. Guyer Builder p r this Single Fail W a equipment and rnstauaucn insPactel �. ., a .. (]CTiUpar7 t., nB AF i'� 3 ti Car i cal eq ipt Bint S caC 4qu P introduceG or alterations mane to l 7 ,�, Queen Hari Five a'. laee- tr aadisionat apur pfnent anaoi0 auu and cord, and a?Plycanon For Location: ., -� ereissing system snit eortilirate sts+u Ise r :My •n aPGCtian snourd ne subimIted Prantpily to tors Agency. • 0 t eaeptacles s ,�� . P$•Xt�r�$ ' t-toider os titre cer""Clite snouui peKent same to aIa trnpertyeg lProti ' approved carver 7 0l Qutleta i ? a ;* Equipment: tJ er�Ii p►�p3 i7in6eS 4 7 'Went "Pans } agent or GO r pavY! as evidMEB o/Gerti}iGatran o161ecSr Gal eq urPmenY 1J' 0 Amp a' as aPecrtied. nr {� GUYer guilds c No . 16-a33178 119 Dunn Str l• { Applicant: Ballston Spa , ICY 1 ' tFwes N4. 71CYa EL 7-83 TOWN OF QUEENSBURY om BUILDING AND CODES DEPARTMENT BAY & 4firAVILAND ROADS O Y' NEW Y TELEPHONE (5 8) 792-5832ORK 0ek BUILDING INSPECTOR' S REPORT REQUEST INSPECTION RECEIVED NAME LOCATIO Cr PER 4X!r' # DATE } APPROVED YES NO s FOOTING/PIERS MONOLITHIC POD FORMS ! FOUNDATION/D { BACKFILL APPROV L ROUGH PLUMBING FRAMING ELECTRICAL ROUGH N WXNSULATXON* FOUNDATION FLOORS. WALLS CEILING FINAL INSPECTION: rr CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS�—�— STAIRS—CLEARANCE 6 kAIE VALVE PLUMBING FIXTURES/k INTERIOR TRIM/PRIVACY ,DOORS — FTNISHED FLOORS GARAGE FIREPROOFING --�—�— DOOR CLOSERS)SMOKE DETECTORS �— FINAL ELECTRICAL 7. SPEC ION FINAL APPROVAL OF CONS CTIDN OK To xssnE c/o A SIGNED CERTIF CATE OF OCCUPANCY MUST BE OBTAINED FROM E ,BUILDINq DEPARTMENT BEFORE THESE PREMISES ARE OCCUPI —�-- REMARKS : i 3, i r ARRIVE It DEPART.ALL0 ILL INS ECTOR OW op OF QUEEfSSURY F TML�NT BAYUl &xCODES HAVINLAND ROADSQUEENSBURY, NEW' YORK 3280IIE TELEPHONE ( 538 ) 792- 5832 ILDING INSPECTOR' S REQUEST FOR ECTXON ECEI NAME LOCATION PER.Mzx, # DATE j APPROVED i YES NO FOOTXNG/PIERS S -�- MONOLITHIC PC7UR F FINt' F(7f iNDA T20wl.IpR APPROVAL BACKFXLL ROUGH PLUMBING FRAMING BLECTRICAL ROUGH-I INSULATION: FOUNDATION ,'FLOORS. WALLS CEILING FINAL XNSPECTXON' CHIMNEY HEIGHT ROOFING ' k SIDING EXTERNAL .PORCH SISTE S�-�- STAIRS-CLEARAN ES&R AV� VALVE PLUMBING FIX DOORS INTERIOR TRIM PRIVACY ._ FINISHED FLOC S GARAGE FIRED FXNG DOOR CLOSER ( ) SMOKE DETECT IRS FINAL ELECTRI L INSPECTXO -,---- FINAL APPROVA OF CONSTRUCTION _ (]K TO ISSUE O OR c/c A SIG CER IFICATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDXNG DEPARTMENT BEFORE RE OCCUPIED !' THESE PREMI S A REMARKS cf `•,✓ . f ud� INSPECTOR TOWN OF QUEENSBURY BUILDING AND CORES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYo NEW YORK I280c& Nq TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST INSPECTION E EIVED NAME LOCATI y DATE PERMIT # APPROVED YES NO FOOTING/PIE MONOLITHIC PCW.R FORMS FOUNDATIONIDAMP—PROOFING BACKFILL APPROVAL XDUGH PLUMBING FRAMSNG ELECTRICAL ROVG4H--XN INSULATION: FOUNDATION FLOORS. WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ BPS _ STAIRS—CLEARANCE , RAILS PLUMBING FIXTURES "LIEF VALVE INTERIOR TRIM/P VACY DOORS FINISHED FLOORS _ - GARAGE FIREPROO ING_ DOOR CLOSERS) SMOKE DETECTOR FINAL ELECTRICAL INSPECTION FINAL APPROVAL O CONSTRt1CTION OK TO ISSUE c/o OR C/C A SIGNED CERTIF CATE OF O,�CUPANCY MUST BE OBTAINED FROM HE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ARRIVE DEPART x _ INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT �P ++rr RAY & HAVILAND ROADS CUE,ENS,BURY" NEW YORK I280g TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPOR REpUEST F INSPECTION R CEr D / �� �� NAME LOCATIO DATE . PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS "06UNDATXO4N/DAMP-PROOFTNG WffCKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH�SN INSULATION: 2 � � NArOUNDATXON +�1= FLOORS WALLS CESLING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE (STEPS STAIRS-CLEARA E & RAILS PLUMBING FIX ESIRELIEF VALVE INTERIOR TRIM RIVACY DOORS FINISHED F GARAGE FIRED' ING DOOR CLOSER S) SMOKE DETEC RS '. FINAL ELECTR CAL I SPECTrON FINAL APPROV L OF CONSTRUCTION A SIGNED C TIFICATE F OCCUPANCY MUST BE OBTAINED F OM THE BUS ING DEPARTMENT BEFORE THESE PREM SES ARE OCC I DI REMARKS : I I SPECTOR TOWN OF QUEENSBURY C -Iwi - BUILDING AND CODES DEPARTMENT P£ _f BAY & HAVILAND ROADS r QUEENSBURY, NEW YORK 12809- TELEPHONE (5I8) 792-5832 I BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME [ 17cf4 'GdYl . ( ( �x,'s ,LOCATION 'fi _ I J_ 6^ �f } �} �/ Lr kz DATE / J� Y�! -- PERMIT # APPROVED ��/[ YES NO 400TXNG/PIERS MONOLITHIC POUR FORMS FOUNDA'T'SON/DAMP-PROOFING - BACKFILL APPROVAL ROUGH PLUMBING FRAMING .ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION& CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESISTEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS - FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS} .SMOKE DETECTORS FINAL ELECTRICAL 'INSPECTION FINAL APPROVAL Oj' CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS.: ,•^- 3rc> INSPECTOR _ Y I MIDDLE DEPARTMENT-.IMSPE,CTIP*AGENCY, INC. Wational Hoadquarters" 900 Haddon Ave., Collingswood, N.J. 08108 Date Town or MAI County la if 11 E State MY Location/Address 72 ( f Located in Rural Area - Please Attach Directions) Pole # Owner— C31+1C1faR 2=0111131199 Permit * -. EfL f' Occupied As Building: New® - Old El Occupant Work Area in Building Floor #, etc. ) : App. for: Wiring 0 Service [=1 or: Ready for Inspection: ' Fee Remitted - $ Cash © Check 0 M.C?. Make Payable To: M.D. I.A. 1230 xso0 x�sa z000 z25o zsaa 3a aa00 Number of Rough Wiring Outlets Elect, Heat 500 750 1000 Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp, Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1l2 1f12 1/10 1f$ 1/fi 1/4 1/3 1/2 3/4 1 1.Y2 2 3 5 7% 10 15120 25 30140 50 75 l0o Mark Number of Each Size Applicant's d - Signature License # Permit # T/A d2srx aess � "'� •Turw Utility : Applicant's Address: 115k Dmndim SUM" INAM (OFFICE LOCATION) !City) (State) [Zip)— 129M Service Request # Phone # Electrician. DATE RECEIVED; DATE INSPECTED: Correct Location : Same as Above El or: Red Notice Label Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer, Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors Pump 1 Vent Fans MOTORS H.P. 1/20 2/12 1/10 1/e 11/611/41 1/3 1/2 3/4 1. 1 .1 YJ 1 71/z 1. 10 1 15 20 25 30 44 • 54 75 100 Mark Number of Each Size Elect. Heat 500 Aso 76 azsa 1500 x7's0 2oaa 225a 2500 2x5n 3000 4 F. :f • © RW Progress: Inc. © LKD Q Contractor Q CFT Violation : Work Camp. 0 Inc. 0 [] L/A Owner CASH O L/A Fee - ' CHK # Due [� IPA municipal MO # INV # Date : ' Other Side [] Utility Applicant E:1Owner Cut in Card Q Temp # Date [� Final # Date 1NSP RSSIGNATURE _APO L.I CAT It71�i1=57 RM fVO. 250 EL 11/$6 '9_Tw=hT