1993-139 r
ai p" wy t it
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date `fit!au 5 19 21
•
This is to certify that work requested ta,be done as shown by Permit No. e 1 39
has been completed.
This structure may be occupied as a Aingte .atru2ci caw '�"'Lruii wi.th two ec t attached gati gge
LocationLot 1 Fcr sway Cowu;, Itit cnd Parziz ";abdtiv--Lon
Owner Kenn e I. CoUe e •
46-5-1
By Order Town Board
TOWN OF QUEENSBURY
• ,
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY 93-139
No.
WARREN COUNTY, NEW YORK
KENNETH COLLETTE c
PERMISSION is hereby granted to
Lot 1 EcL way Ct-H-uictnd Patch.
OWNER of property located at Street, Road or Ave. txt
Single 4ami,ey dwe.L Zing
in the Town of Queensbury,To Construct or place a
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 Addretsatette La r-
`Hu.d6 o n EAM NY 12839 c
rri
2. CONTRACTOR or BUILDER'S Name
zone
rn
—1 -
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
c'b
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
� I
7. PLANS and Specifications
58' c37' Two-4tony SingZe 4arnL2y dwaling with two can. attached Cartage
No.ctispets ptot plan, 4peatiyieatton4 and appticatLon including zeptLc zyzten. 4
8. Proposed Use (rD
zingte 4amte y dwe L2,�ng
333.00 Apnit. 29 94
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 P
(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 29h Day of Apt 19 93
;'JJ psi
SIGNED BY .5 for the Town of Queensbury
Building Zoning Inspector
TOWN OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING & CODE ENFORCEMENT FEE PAID: f `.�
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 PERMIT NO. 9.5` 1 q
(518) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
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 application form.
OWNER OF PROPERTY: KEN Co/le /
Mailing Address : 7 /'�fff-/ L.,,,,, /� uds4'v �R fi& /U•)/' r a h
Telephone Number(s ) : 1Nork g~I 3 3 Home 7 y?,. q y,-/ Other
PROPERTY LOCATION: r'i9)e ,,141 y �Uy� 7" 1/�a Pi:filc
Tax Map /Number: Section Block Lot
Subdivision Name: 67/e wAy GUrf Lot No. I
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ / CR7,, o o u
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATIO
ADDITION TO BUILDING: PRIMARY BUILDING
RESIDENCE/COMMERCIAL Single Family 4elling
ALTERATION TO BUILDING: Two Family Dweslling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR /t//Q SQ. FT. 11
,„ : IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR 13 (N O SQ. FT. , Vi (fin r
OTHER FLOORS SQ. FT.
(not unfinished cellar or basementJ� � ACCESSORY BUILDINGS :Detached Garage -
One/Tio Car
TOTAL FLOOR AREA: `X) / U SQ. FT.,;. t/r Attached Garage - One'Two Car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
sT FEET X 3 ? FEET
Foundation Type: CoivGYL&1 -- pooeecD Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : 30 feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: ( Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
lie CfiA
•
NAME OF BUILDER/ADDRESS/PHONE: C4// ' C-e s tic:11 04) , 7 y7 -Pi
NAME OF PLUMBER/ADDRESS/PHONE: .s'oear A//e,,,f °7y7,r-Gg3
NAME OF MASON/ADDRESS/PHONE: re, //•a
NAME OF ELECTRICAN/ADDRESS/PHONE: P
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 noted, and that such work is authorized by the owner.
Further it is understood that I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of roj t on remises .
Si na ure .�,.
0 ner owner' s agent, architect, ntractor
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
.r b m4 OF QUEENS ,
` ." TOWN OF QUEENSBURY RECEIVED
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permitf##D 1993
Fee .Part
- -41. 8kaNDE Derr
Date: 444_03 Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: / Fi /t v `Ad-
Owner' s Name: ee , (:544; 77
Owner' s Mailing Address: g (//ems /I OcdN A//s ; A/�Y` f 93,9
Installer' s Name: loft, 60//. Phone #: 7q7- S/33
Number of bedrooms (if residential ) :
Total daily flow (residential-compute @ 150 gal . per bedroom): g OD
Topography-Circle One: Flat Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sand 11.W Clay Other /Depth:
Ground Water-At What Depth? Feet
Bedrock or Impervious Material-At What Depth? iD Feet
Percolation Test-Circle One: 4t Requirecb Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: 44millptp Well Other
If domestic water supply is a we -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank / a ro gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench SCD feet//Total System Length 3enn feet
Seepage Pit(s) : Number of / Size each: ft. x ft.
Size of Stone to be used: # / Depth or Thickness feet
**************
HOLDING TANK SYSTEM IF REQUIRED
No. of Tanks Size\of Each Gal .
Alarm system and associated electrical work to be inspected by a certified
agency.
****************
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: K.,„ DATE: W',Z‘`g.
IL
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:
1) 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
Inspector. 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. An 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 installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
Town of Queensbury
Building & Code Enforcement
Department
531 Bay Road
Queensbury NY 12804
Remarks:
TOWN OF Q UEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date ,19 Permit No.
APPLICATION IS HEREBY MADE to the Building Dept for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant 16,SEPA C4, YAR2E APPLIANCE (check appropriate boxes)
Address I rA igtim e STOVE:ci Wood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
aV EA UrI ij Zip ; ❑ FIREPLACE, FACTORY-BUILT:
❑ Wood ❑ Gas
'K Phone 5ig" % 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRAPPLIANCE:
Manufacturer: A'-eeleywr
Zip Model: " /
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction / .6z0.g
MASONRY: 0 Block 0 Brick ❑ Stone
X FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST ❑ FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated ❑ Direct Venting
❑ Chimney Liner
I Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to:
Address: �' , .• ,w ,
Dated: /1/ /4`�) Town Clerk or Deputy: 5 4L..r
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept,/° Pink & Goldenrod: Cashier's Dept.
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. TOWN OF QUEENSBURY
531 BAY ROAD
RK 12804
r ; TT.ELEPIONEY (518), NEW 0745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME � �Al
LOCATION , / J / /Jay &
DATE a 7/5f99' PERMIT# c3—A09
TYPE OF STRUCTURE
RECHECK � ,act oo-x4htf-(�rZ1) .
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING .
- ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
- INSULATION WOODSTOVE/FIREPLACE
REMARKS -i„''//
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION ,. q
PLUMBING VENT Y:
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS,
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY D@.ORS
FINISH FLOORS:
BATH/KITCHEN WATERT ° Ht\
OTHER FLOORS SWEEPP LE \
OTHER FLOORS CARPETED \
STAIR CLEARANCE/RAI ZINGS
SMOKE DETECTORS I
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING'
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR `C/C
CO ENTS:
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DEPART
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME Cc, L(_�Z-_`"T-
LOCATION CU
C IC' ,' L,'t(-_ 1 0 AO
DATE tc ) Li ig9ti- PERMIT # 030-/3 C(
TYPE OF STRUCTURE
RECHECK APPROVED
- ' N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE I
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: i'
JACK STUDS/HEADERS
BRACING/BRIDGING �`
JOIST HANGERS ,r
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN = ..
INSULATION:
FOUNDATION WALLS INTQRIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS I R-
CEILING i R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
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SUEENSBURY, NEW YORK 12804
1 r TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 97
NAME `'kat,' A% . ..
LOCATION oil / ,-.&A,60
DATE 49VA/ PERMIT# Off-/ 9
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM /
ALARM SYSTEM
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INTERIOR FINISHES
STORAGE:
• CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING' UNITS
REQUIRED SIGNAGE ;'� .
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OODSTOVE ,/
FIREPLACE-MASONRY
FIREPLACE-FFA'CTORY BUILT
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6-TOWN OF QUEENSBURY
f_� 531 BAY ROAD I
' QUEENSBURY, NEW YORK 12804 •
TELEPHONE (518) 745-4447
BUILDING'INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FO INSPECTION RECE VED 36 5
NAME ,._ C I
LOCATION . r' 4(Q I
DATE 2- 7/ PERM 95--/„ V
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_ _TYPE OF STRUCTURE I
RECHECK,�' fp Diu lad �. . .12 ItJ
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
▪ FOOTING '-FOUNDATION :.8 CKFILL t FRAMING
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j e'NSULATION __WOODSTOVE/FIREPLACE
REMARKS 14 4/-r-t,,L-4 .ed-p-64 ja(a-7v"
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FINISH FLOORS: ,,
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OTHER FLOORS CARPETED !/
4. STAIR CLEARANCE/RAILINGS: 0t-67 :<,: '`a.
HANDICAPPED ACCESS \/
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FINAL -ELECTRICAL . -A % el:
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BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /L//�/•?-
NAME (1J/7
LOCATION 4- 7 :7644/70a (fe
DATE j„,/6- f93 PERMIT # 93--/9
TYPE OF STRUCTURE , 5C Of t,,c Lt"Z.
RECHECK APPROVED
- N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
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JACK STUDS/HEADERS
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JOIST HANGERS
JACK POSTS/MAIN BEAM/44,-6-o LAt:5 tC
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TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804 20/17/
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVEDl/O-
NAME *4 Clt
LOCATIO�i) / �?do e,t ii l f -
DATE �,1 PERMIT# 93 /
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
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BUILDING AND CODES DEPARTMENT
531 BAY ROAD /1
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED r),/, k
NAME YP./) /244117
LOCATION / ` 0.
DATE 3 �fir/ PERMIT # 9,3-/3 9
TYPE OF STRUCTURE JI2 Grp . c!ezholoo YALin
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
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FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 20( .
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
REQUEST
BUILDING INSPECTOR'S REPORT
FOR INSPECTION RECEIVED
NAME
LOCATION )7 y_Saf..%-day
DATE dPb PERMIT # 3-f
TYPE OF STRUCTURE
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NJA YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
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TON N OF OUEEESBURY BUILDING E CODE ENFORCEMENT /92/7 \
531. Bay Road \
Queensbury NY 12804
518-745-4447
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SEPTIC DISPOSAL SYSTEM INSPECTION
Name ligArff?,,47 05Loetp,_)
Locati ,g-alt,...,0y/z/ ei-
Date /441e613 Permit # 19,5--/.39
SOIL TYPE: Sand-Loam-Clay-
Results
of Percolation Test- -,,
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length _ifl,
Length of each trench 6v ./
Depth of trenches 2)
Size of stone
SEEPAGE PITS: Number- `
Size - / ft. x /i ft.
Stone size X 1
PIPING: ' ::7 Size Type
Bldg. to Tank , i 9 1,J( LIO
Tank to Dist. Box 1 4 .1/
Dist. Box to Field/Pt H ,,k1)
Openings Sealed? /Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank i feet
Foundation to AbSOrptfon ,?.„ feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle o_...,
Front AT"- Left Side - Right Side
Middle Front - Middle
COMMENTS: i( .L,---------
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SYSTEM USE APPROVED:
Arrived:
Departed:
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TOWN OF QUEENSBURY G
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED a0.3
NAME W. 0a./ &h �U
LOCATION jL / \--#6 l f) / die...eh.,
DATE ia/ F /p PERMIT # 93 439 /�
TYPE OF STRUCTURE 5I (Al a C a .{, d- ha
RECHECK APPROVED
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/FOOTINGS/PIERS atita!%e '
7-MONOLITHIC POUR FOKM
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD /;41(17
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 6,4241
NAME , 6/ . dt,,
LOCATION l (laih .r (
DATE 4/ ' M PERMIT I 9, P�^
TYPE OF STRUCTURE AD tik -+l"�rt;l1.
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING ;'
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FLOORS R-
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DEPART i`: c
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT Al 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ,5, #7/9. 4y2i
NAME >4 izi ,4
LOCATION - y / ja a_to -
DATE ,5.405 PERMIT I
TYPE OF STRUCTURE 441_ t// z, 4 IP
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RECHECK APPROVED
N/A YES /NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
/!eh2l- Er Iell°7•(.-
\T, 74, Rd9
's S1 pe,
ARRIVE 516
DEPART )WA/
INSP TO
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. tom
Main Office 357 Elwyn Terrace — Manheim PA,- i r545 _-_
___ __ MUNICIPAL CERTIFICATE__- ELECTRICAL APPIROVAL_ DA —
Panel Board No. Cert. N° 3 0 9 5 3 Cut-in Card No.
Owners ea Lei
Occupant
e
Location / /��/ '�yl 7 er �/�yp/ _
Installation Consisting of.� P /%eIi) 7! ,eee / �5 -'I tG�S
Installed By Lie. #
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
inspectors of this Company shall have the privilege of making inspec ' gs at any time,and if its
rules are violated,di•Company shall have the right to revoke Lthis rti c!
,_ �. �^` /"
Date.....-.-y . ... .. /
f /
INSPECTOR
Member N.F.P.A.,I.A.E.I. _— -
MAP REFERENCE.
FAIRWAY COURT
BY VANDUSEN & STEVES
DATED AUGUST 26, 1987 �
FILED .MARCH 10, 1988 � '���jjp9lA(oll'9oo
MAGNETIC
.DRAWER 17 FOLDER 1
A
LOT 3 -
.e�vv
�
e� LOT 2
/ 0
CIO
r.
< LOT 1 �I 'i
LOT 8 36,454, sq. ft. 0), c
I
0.88 acres .N � _
1111 co ! HOUSE-
/ k
I Y
BLACKTOP gRIVE
__..
a
N too
of L� -----�___
/ z 4G'
rei-f. � WIDE DRAINAGE EASEMENT
175.00 '
Ro �_
CKWELL
ROAD
MAP OF A SURVEY MADE FOR
`�LL E TTE COIVSTRTC'. YON'
TOWN OF QUEENSBURY COUNTY OF WARREN N , Y ,
i
SCALE , 1"=50' DATE ; APRIL 13, 1994
Vadusen & Steves
LAND SURVEYORS, GLENS'. FALLS, NEW YORK
N,Y. STATE LIC, NO, 35617
93080-1