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1989-925 y I I r 1 4.1 s CERTIFICATE CIF 01 C+CUPAN+CY A ; TOWN OF 6UEENSBURY WARREN COUNTY, NEW YORK I � I L3ate April 6 19 90 This is to certify that work requested to be done as shown by Permit No. 89- 925 has been completedd k i 'Iuir structure may be occupied i* • Single Family 1)wellingL Location V Timmons a n i pM Joe Williams & Lisa Farnan wri By Order Town Board TOWN OF GUBENSBURY t # Director of Bldg. & Code Enforcement 4 BUILDING PERMIT 5 TOWN OF QUEENSBURY � No. 89- 925 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to JOE WILI IAP'lS LISA FARNAN ^' 1 OWNER of property located at ant 26 Timmirincz I a P Street, Road or Ave. ry v+ in the Town of Queensbury, To Construct or place a ^si ncI l e family 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 474 Glen Street Glens Falls , NY rrl 2. CONTRACTOR or BUILDER'S Name r� r AJS ENTERPRISES , INC . � 3. CONTRACTOR or BUILDER'S Address we r ,-r 6 Highland Avenue TI A 4. ARCHITECT'S Name S. ARCHITECT'S Address B. TYPE of Construction — [Please indicate by X} G 1)o Wood Frame ( } Masonry [ I Steel t } n7 t7� 1 7. PLANS and Specifications � No. 26 ' x 50 ' single family dwelling with septic system and driveway as pera i tion specificatigns and plotan , fL Proposed Use r Single Family Dwelling $ 2;Re 0 -Qpla - ERMIT FEE PAID - THISPERMIT EXPIRES _ Novemhpr 29 19 9D- (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the i!x town of Queensbury before the expiration date.) �--� a NON r Dated at the Town of Queensbury this 'pay of Nnvamhpr 19"a2 ^'' "rt b SIGNED BY for the Town of Queensbury Building and Zoning Inspector G INC rl1 r r TQ V'N U1= Q ,7EEiJS13UI2Y APPLICATTON FOR BUILCITI'IG ANTS ZONING PER1wlI "I` Ira tr~- F.ee d veri Rev.i.ewed TOWN OF QUEENSBURY RECEIVED Pr•/ _ r Fee. Paid fi a :Z11t- 7 � {�{]V � `; 19$9 hL1ILDING AND CODES LiEPAWDIEfIr gate .6.4ued PAY and 11]IV"ILAND ROADS RD 1 Box 9a f1 f BLDG. 8s CODE DEFT. pUEENS.l3URY, AIEtr' Yf IRK 12804 PenM t No . _� - Tc3 ( 518 ) 792-5832 Ext •204 } '* ![ w x x x x i x tt • * * ■ x f 's x "k w: x x ♦ } 7r x x x it w x w w • ark w A PERMT IgUS" Do OBTAINED BEFORE BEGINNING CONSTRUCTION . No INSPECTIONSI' VILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT . All applicable Spaces an this application must be colltpleted and the si (inature of the applicant must appear . on the reverse side of this sheet . * xt � ys ie /Jc yc �k Yr is is � yc �r �r is �c ie 1111tie owner of this property is bill TEL t' . O . Address 2 11ropt: rty location "TAX MAP NO . r ttas there been any split of this property since October 1 , 1c3Ra ' yes f� no if yes , Planning E3oard Review is net ss rym (� s " 5 LOT N0 . uL t'ne� UBDIVISIr7fl I3AML " IF APPLTCABLE %' he person responsible rar supervision of wort: as regards I3" lding Codes is : NAtiL ✓ ' 2' �c�r f' . O . ADDRESS T1~' L . l4Q . JG ►�+ Address Tel /"J� 'i r� �,�-- tdurne of Yauilder �r,, © _ Tel M:."«le of Plumber-7- r" ,I', Gl�r e�',L..F.ddress -rr / ' � "Pe]. twine of Mason �� .�!' e� � a[ Addres5 14ATURF. OF PROPOS600 6ORK,6 � ZONING INFORMATION { office use only ) � ort :: trucciort of a now buil4ing7 ',".BONING D2SIGNATION OF PROPERTY Ad+lition t❑ a building * PERMITTED PRINCIPAL PERMITTED ACCESSORY .Alcur"Lion to a 1:,uildincl � 'REVIEW REQUIRED - PLANNING BOARD ZONING DOARD! � I , ro cir:.Lltq� to uxc � rior (I linen S' ions) OGl�ur Wors: 1 ] u_cri ►a.r } " SITE PLAN REVIEW # APPROVED DATE VARIANCE # APPROVED DATE GKOSS AR1_ A OV 111ROPOSLD', t; TRUCTURE * ' Remarks : Ist Floor !!2 2 2nd Floor �II:R sq fC . ! M. C't,mp [.Lvrc IFIyO1QAATI:ON ldlQUIICLD u1:Lriw . of proporty �ar' ft x ,� ' ft . Other Floor set ft . .� 1 xi::ting 17ui1.1irr�] L ::) tii�u rc X rt . ( not collar or basumenc ) TOTAL FLOOR AREA—IZ2- 6 sCi ft r� L� LJ' i:xi :sing Ouilainy 1:; 3 U:•: �~ Ci::o of new atructuro N -o f 1uur,lotion-Hier/ :;lal,/crawl/taartisxl/ ul " rropo,ed building , dluuaneu trout Yarulaurty litre (eirely Grit. ) IV R Front yard tl ft Rear yard / 37� -- ft rlo . of .torte, (hal.)1t.ablu `1pace ) Side ,ard ; tt and � fr r rade to ride .. ) _ �' ]f - _.. r� ft� ight [ a 1 . ft ' If on cGrnar „ sc: tb;A.:'k trorn side street tc I c re:4iduntial , no . or fermi ies _ OCCUPAN+ Y 1NFOP4xIATION t1a . of room.44 { excluding b;thsl � ' t:oa of budroa,n FR]1•IAItY IrLfII.DINiS No , at YS:rtltroorn : " ona faluily duQlling t`rill" ry huacintl � y�r .' tiunr "1 � # "1"ua i"ur►.ily dwt:lli.ny Tylaca caf f u. 1 E C ' - # Multipledwelling / Number of units_ No . of firuplacu:: to lau in::tallc:d Parann :u ut occuprcy will :.a wou.l :;I' tOVa: b6a inutallud ' ua'rr"ngi"a:rtt occuluurey r L,:ntr"I Air corw.iition:irLg:' y �S buoincss flUIL.DING STYL.C, PRIMARY STRUCTURE , Industrial Ocher 1: urrclr COhG. +ixl:Gx ary LG.a c:.lain ' 1t wddicion , w: �.at will u, u You? roach M"a%iic,ir �1alic luv�l Old sLylu lsu,aE�.alaw + + Cott:.�3� Del« r " ACCL_S::L]IiY BUILDING^ Calani:.l :cow Town ]louse ' L,::CaChad c�srirgc/one curl two car c:a r r 'r Attac he+:l C1 Uruqu/one: cur/ two sat Cii c' CI RCL Lk 0"4 PLEA:= 1 w w x a w ■ III IN w > N w x u r Y R f 1'r.1.V:atl: storage Y�ailclxn� mhFty [rd1' VAt. UC OF 0 OCher ] N['DPJiRTT�3N [7t[ I1UTZ Diril+Ct =Si�FCII' TCAITOIVS . DtI Tt!?VE1LS1 SYR1= OF 'TN2S SlI1:EC '1�D Be C4M3'LC'i'L !] : Form BPA 10/88 Vl BUILDING PEFRMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction ,('woo8 frame), fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material 3r)-n 0 &0>4�Vhi-ckness _ Depth of foundation below grade ( tea bott of footing ) .2 / Will there be a cellar ? _ -'Heated nhEsated? Floor sq . footage _f+ sq ft Will. there be a basemen Will any ion be used as living space ? ( If so , what portion? _sq . ft . - - Type of use? Type of roof - �slope / flat/shed/other Material of roof ^ Size , wood studss�� '" x�" spacing ^o . c . length ft . r Joists ( floor beams ) lst . floor .�o) '"X �ry7� -" spacing "o . c . span ft . Joists ( floor beams ) 2nd . floor " fi---- '" spacing�/�_'"o . c . span "/. L ft . �IEi / Overlays ( ceiling beams ) "x "" spacing "o . c , span ft . Roof rafters "x " spacing O . C . span f t . Roof trusser (pre- engine ed) spacing `"o . c . span—.ft / Exterior wall finis 4:h Of what material ? lZ" 7 ry Interior wall finish If a garage: is to be attach d4 describe mate ials 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? ro5w Will a flue-lined chimney be installed? (.,r , O'} Height abotre roof ft . Depth of chimney foundation below grade ft . �. Depth of f±replacQbLearth ft . in . Water supply unicipa ,D> ar private well SEPTIC SYSTEM _ i ance from ANY private well ( including adjoining properties ft _ (A separate application is necessary for any repair or new installation of septic' system) DFCL A RAT ION 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 peovisions 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 ) ✓' , �` �'� 1` �-•�' f�' fG_t �� C Owneems//y wno is age rchitteect, contractor 7t Yt st Yt k k Yt rt * * * * k 1r ir Yr re it t ak * kf-/•akr',�fr- Yc 9e R �' k k �� Ir k k it Ir t t * * k it fk SPECIAL CONDITION'S' OF THE PERMIT : $y---- ---_-_ -_ _ -„----------------»_ _ TOWN OF QUEENSDURY WARREN COUNTYa NEW YORK Application for : BUILDING PERMIT IN COMPLIANC9 WITH THE NEW YORK STATE ENERGY CONSERVATION CODE. A permit must be obtained before beginning work . ANSWER ALL of the following : 1 . Gross floor area J / 2 . Type of heat PLC } ]q e I / G� r+ �' ' c✓ or 3 . Is the building mechanically cooled ? 4 . percentage of area of windows and door s! A . over 16 % Oniy 1 . lIo va•lu " of gross area of walls , roof/ ceiling and floors exposed to ambient conditions .� Floor over heated spaces YES NO . a . Are foundation walls insulated ? YES NO 1 . If YESa what is the R value ? 3 . Slab on grade YES NO a . If YES , what is the R value of Insulation around perlinecer of floor ? 4 . Is basement heated ? YES NO a , R value of insulation 5 . Type of insulation S . Under 16 % OnIY 1 , It value f r f and �o4 floors exposed to ambient conditions. 2 . R value of exterior walls •3 , R value of glazed area 2 r A . R value of doors 5 . R value of floors over unheated spaces RD 6 . It value of slab edge insulation - unheated slab LIK 7 , R value of slab insulation - heated slab 8 . R value of heated basoment/cellar walls { above grade ) 9 . R value of heated basement /cellar walls (below c radel � / 100 Type of insulation Co Controls " { 1 . T110rmostat maximum heat setting, Do Duct Systems } ry NQ l • I5 duct system installed in unheated ��� Cwesi + a . If YES , R value of duct installatian� �"^C b . R value of duct in other areas r� EO piping insulation 10 Sizo of hot waterkor cooling carrying agent PiPe 2 . R value of pipe insulation F , Service water Heating_ 1 . Parforwanco a. f fie lency- 2 . Temperature control setting maximum_��1„ G „ For Swimminra pool Only 1 . Maximum heating Telephone Na . ( applicant ' s signature } TOWN OF QUE'ENSBURY r. APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FO INSTALLATION Owner's Name: is- _a v A a2a Telephone: Address: Z' Installer's Name:�u� � �5 � .sf'+7 fl e04 L,11 Telephone: Number of bedrooms (residential only) _J Total daily flow (compute fa 150 gal per bedroom) Topography: Circle one: Fla Rolling Steep Slope % of Slope Soil .Nature: Circle one San;dl Loam Clay Other /Depth : Feet Ground Water: At what depth? ,/L�Feet Bedrock or Impervious Material: At what depth? A ` ,�� Feet Percolation test: Circle one: not require required rate min. inch. Domestic water supply: circle one: unicipa Well Other If domestic water supply is a well: Separation: Water supply from septic absorption /c feet PROPOSED SYSTENT : Septic Tank 6 L, gal. ( minimum size: 1 ,000 gal.) TILE FIELD: Each Trench Meet/Total system length - , c .? feet SEEPAGE PIT(S): Number of Size eachd//)5V feet by J eet Size of stone to be used # Depth or Thickness �7� 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: ,3 DATE: OVER Septic System inspections ; A . All applications for septic sysCem 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 : 1 . ) the proposed location of the system 21 ) 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 . Nu system shall be covered before inspection and approval by the Building 111spuctor . 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 . �% n 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 . b . Should unforeseen problems during construction prevent proper installa— tion , alteration or repair of an approved system , a new proposal must bo- submitted to the Queensbury building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 kerziarks : , TOWN OF QUEENSBUR'Y BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280! - TELEPHONE ( 5I8) 792-5832 BUILDING INSPECTOR ' S REPORT t REQUEST FOR INSPECTION RECEIVED NAME � '+ LOCATION DATE [} PERMIT # - APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR AORM5 FOUNDATION/DAMP- OOFING BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- N INSULATION: FOUNDATION FLOORS WALLS EILING XNNAL INSPECTION : CHIMNEY HEIGHT" ROOFING SIDING EXTERNAL PORCHES/S PS STAIRS--CLEARANCE & I PLUMBING FIHTURES/R L F VALVE _ INTERIOR TRIMIPRIVA DOORSu FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INS EC ON FINAL APPROVAL OF C ST CTION A SIGNED CERTIFIC E OF UPANCY MUST BE OBTAINED FROM THE BUILDIN DEPARTMENT BEFORE THESE PREMISES A OCCUPIE REMARKS : / 4 rr 1��f' INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS F ? ' 1 BUREAU OF ELECTRICITY ' 41 STATE STREET, ALBANY, NEW YORK 12207 Date l r I '. :. -: dpplirution .110- on file , _ THIS CERTIFIES THAT VFW; F T Only the electrical eq,.z..�.�,,t as described betraw and introdtscetr the '._ ,t'marred an she above,._.r --�--,�_� err+Ho���� aPPlk�+etian number in she pra+Kssee of e ihe�Tfasaite,elocation: I ,F ISaaetra t let' Fr.! 2nd Fl. ,. .. f 'Section Block Lot . : mradfound to be in compliance with the regasireneanta of this Board. FIXTURE PTACLES SM/ITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANLIESCEHT FLWORESCEW OTHER A/WF. K. W. AMT. K. W_ AMT. K-W- AALT. K. W. AMT. H. P. I i DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS EEU UNIT HEATERS AM ATMOUTLET DILA%AV It5 AMT. K. W CHL H. P. GAS H. P, AMT. Hcr. A. W. G- AMT. AMP. AMT. AM/S. TRANS. AMT. H. P. SYSTEMS AMT. WATTS WO. OP PST SERVICE DISCONNECT NO. Cw S E R V I C E AMT. AMP, TYPE ��� 1 X ?4Y 1 ,e 3w 3 ,w 2W 3 X AIW Hd- CF CC. COND. AC W. G. �-/K� Cf F EUTIAL PER tr co CC. CONp. . OF HI-LEG rao- OP NEUTRAtS OTHER APPARATUS: '. f. L4 1. Tfe jib . " I-F,-'. ;- C-`• I'=� .'_ :�- I 4 ! BRANCH MANAGER Tr Prr � t� �,:,• This certificate must not be altered in any manner;; return to the office of the Board if incorrect. Inspectors may be identified by their credentiols. COPY FOUR BUILLSING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT d3AY & HAVILAND ROADS QUEENSBURYe NEW YORK 228096 rELEPHONE ( 5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST /FOR INSPECTION RECEIVED (� NAME d LOCATION DATE , Q PERMIT # ! APPROVED YES INO FOOTINGIPIERS' MONOLITHIC PO R FORMS FOUNDATION/DA�'—PROOFING BACKFILL APPROAL ROUGH PLUMBING FRAMING ,/_ELECTRICAL ROU —IN Pe,' NSULATION: FOUNDATION 0 FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES,( TEPS STAIRS—CLEARANCE1 RAILS PLUMBING FlXTUREo1j?ELIEF VALVE INTERIOR TRIM/PPYVACY DOORS_ FINISHED FLOORS ' GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS ' FINAL ELECTRICAL INSPEC ON FINAL APPROVAL OF CONSTR TION A SIGNED CERTIFIC'A TE OF OC PANCY MUST BE OBTAINED FROM THFI BUILDING PARTMENT BEFORE T!IESE PREMISES ARSE OCCUPIED! i REMARKS : 4 , 4XNEC TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 3280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPOR/T� REQUEST FOR INS TION REC IVED g /� / `�j 0 NAME %�Z, -I'.`LOCATIM9 (r) DATERMIT # APPROVED YES NO FOOTINGIPIERS MONOLITHIC FOUL FORMS i FOUNDATION/DAMP-PROOFING r" BACKFILL APPRO L . m6uGH PLUMBING FRAMING ELECTRICAL ROUGN.XN INSULATION: F FOUNDATION FLOORS i WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL POR HES TEPS_ STAIRS-CLEA NCE RAILS PLUMBING FI TURES/�ELIEF VALVE INTERIOR T IMIPRXV44 Y DOORS FINISHED RS ! GARAGE FI EPROOFING DOOR CIA R (S) SMOKE DE ECTORS FINAL EL.E TRICAL INSPECT. N FINAL AP OVAL OF CONSTRU T.rN A SIGNE CERTIFICATE OF OCC ANCY MUST BE OBTA-TNE FROM THE BUILDING D ARTMENT BEFORE THESE EMISES ARE OCCUPIED! REMARK : S.J 1 �Lt lJ INSPECTOR -L� TOWN OF QUEENSBURY AV\ BUILDING AND CODES DEPARTMENT � BAY Se HAVILAND ROADS � C7 ,r sy S QUEENSBURY, NEW YORK I280S% 10517 TELEPHONE (528) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPEC ION RECEIVED { _ NAME LocATroN g fx-A--+'- DATE f PERMIT # APPROVED YES I NO FOOTING/PIERS MONOLITHIC POU FORMS _ FOUND 7ZON/DAM -PROOFING — --- BACKFXLL APPRO AL ROUGH PLUMBING ,AAMX NG ELECTRICAL ROU -IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL XN.SPECTXON CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE S PS STAIRS-CLEARANCE & RA1rZS PLUMBING FIXTURE RELXEF VALVE INTERIOR TRIM/PRI ACY DOORS FXNXSHED FLOORS GARAGE FXREPROOF DOOR CLOSERS) SMOKE DETECTOPCON FINAL ELECTRICANSP CTTON_ FINAL APPROVAL RUCTION A SIGNED CERTI ICATE OF CUPANCY MUST BE OBTAINED FROM HE BUXLDX G DEPARTMENT BEFORE THESE PREMISE ARE OCCUP D! REMARKS. INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HA VILAND ROADS QUEENSBURYt NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR XNSPECTXON RECEIVED NAME -- LOCATION �p�r DATE _ /� �[ 1 "PERMIT # a PPROVED rE5 Na FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFIN BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ✓70LNVJ0A, TION: - J TION i' ' 5-e / FLOORS WALLS CEILING FINAL INSPECTION.* CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S EPS STAIRS-CLEARANCE RAILS PLUMBING FIXTURE /RELIEF VALVE INTERIOR TRIM"/P VACY DOORS FINISHED FLOORS GARAGE FIRE PR FING DOOR CLOSER (S) SMOKE DETECTO S FINAL ELECTRIC INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CER FICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPART NT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS Ir r, E f ,INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280& Zik TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION_ RECEIVED NAME FOCATI04CI,40 , ry #�7"r7 DATE ZL y PERMIT j '� - 9 �,�"j 7 APPROVED YES NO TING/PIERS '--� MONOLITHIC POUR ORMS FOUNDATION/DAMP- ODFING - BACKFILL APPROVA "p ROUGH PLUMBING FRAMING ELECTRICAL ROUGH�IN ,r1` INSULATION: FOUNDATION FLOORS WALLS CEILXNG r FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SXDING EXTERNAL PORCH S/ST S STAIRS-CLEARA CE & RAILS PLUMBING FIX RES/RELI F VALVE INTERIOR TR /PRIVACY DWRS FINISHED F ORS j GARAGE FIR PROOFING - DOOR CLOS (SJ SMOKE DST CTORS FINAL ELEC XCAL INSPECTION FINAL"' APPR VAL OF CONSTRUCTION � A SIGNED CERTIFICATE OF OCCUPANCVBEFORE OBTAINED FROM THE BUILDING DEPAR THESE PREMISES ARE OCCUPIED1 REMARKS: { YZ. 1 INS ECTOR - - - THE NEW YORRK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO Ik DO NOT WRITE HERE - FOR OFFICE USE ONLY BUILDING PERMIT NO TEMP. k DATE _ CITY OR VILLAGE T041TPSHIR f pp COUNTY �• - f STREET AND NQ OR hCAD S: { r" POLE BER BETWEEN VI THO CROSS STR ; IS PREMISES LOCJSEW r I 1 SECTION BLOCK LOT OCCUPANT'S NAME 1 xr SUIWANG OCCUPANCY 'S' AME ANO ADDgESS r HOW TE LEPHONE N UM BER CURRENT S4P,PU A FROM THEIR OFFICE NRJRK TELEPHONE NUMBER BUILDING IS pqI NEW, OLD ADDITIONAL � DEFECTS REMOVED ❑ Wl]RK IS MEW LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED LOca_ NUMBER OF OUTLETS No. of Fixtures 8 MOTORS HEATERS BRANCH OFFICE USE lion Lamp Receptaoeptaales CIRCUITS ONLY Mill Side At4ach'[ H-P. Watts A.W,G. OUT- 9 11 Rr, p'Is ^Swath Pendant Bracket No. Type Each No. Each No Gauge INSPEC;TfON SIDE SUB- BASE BASE- MENT 1 st FL- 2nd FL- FIE. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, RUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EOUfPMENT, AS PROVIDED BY THE APPLICANT FCHAAOF FEEDERS EI.ECITUC SIGNSILAMPS TOTAL v�T-I;a AID ,.; EXP09ED GAS TUBE SIGNaRANSFORMERS OF Q CONGEALED E STARTED ! DATE COMPLETED SIZE CIF SIGN{NUMSFR) G4PAGITY f f' BUILD] MANUFA6LURER OF SIGN OL'EgHEAD NDERGROUNOSECTION RELZUESIEp O CO AS NEAR AS POS$IGLE1 MUST ENTER APPLWANTS { i IDENTIFWATIoN NUMBER O►- 0 ilf'�=-% AVOID DELAYS BY 1NQ FULL p ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNE PRINT NAME AND ADDRESS NAME OF APPgICANT DATE PP 1TIpN SICaF/ TE11E OF T i I'� r`, % �,�. ' .1 ,--! ✓' 1, >.TEN EP CITY pR PErST QFFIC Zip PC '} -� - ..- Z �[[ LICENSE NO WHEN•APP BLE f 85 John Street W 4 State Street El 584 Delaware Avenue 0 217 Lake Avenue La 202 Arterial Roatl NEW YORK, NY 1OD38 ALBANY, NY 12207 BUFFALO, r 14202 f ROCHESTER. NY 146081 SYRAI^l I^ THE NEW YORKBOARD OF ,FIRE - UNDER► " '" Aic" � r � � � �• v �� f s K . it 4 , 11, t. Ng.. r i �. it a A r � r Sri /J 1! I7 V P / i in, x aG a .w - iii1111ir���� r )) • 'rt. ' � �. , �5 . RIf3 i # :. } j{ {i b:•• 4 ;r: jy�f{� If rr �R ,� xs If r mat i . . . » 9 fill; 0 i j 1 y ,�. : . . . ! .�S ;a � x S. rl . ?F UHy Arai �M: A d m pi�tratot # , fI y