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6164 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date b 3 Yo 19 This is to certify that work requested to be done as shown by Permit No. Cg (i has been completed. This structure may be occupied as a 0 4, Location Owner -61-rk - )01'64-tr- By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE ••124STA• PRINTING. GLENS FALLS N Y 12801 1918)793-3688 e BUILDING PERMIT TOWN OF QUEENSBURY No. 6164 WARREN COUNTY, NEW YORK Martin C. Mosher PERMISSION is hereby granted to OWNER of property located at Lot 83 Helen Drive (St. #41) Street, Road or Ave. Nr in the Town of Queensbury,To Construct or place a One—Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and n approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0 1. OWNER'S Address'is Tn 4 Helen Drive Glens Falls, New York• 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address Same o rt 4. ARCHITECT'S Name oo rt w x ,A F- iD 5. ARCHITECT'S Address C7. r„ (D 6. TYPE of Construction—(Please indicate by X) • (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 26 'x54 ' per plot plan, specifications and application submitted including No. sewage system and two-car -attached garage. 8. Proposed Use 0 • One-Family Dwelling $5. 00 C/O Paid - - sv $ 80. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 80 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 1-C town of Queensbury before the expiration date.) C7 (D Dated at the Town of Queensbury this 29th Day of . October 19 79 y.0 SIGNED BY �/.�L ��f� ��� for the Town of Queensbury ts:1 Building and Zoning InspectoY THE NEW YORK BOARD. OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY. ' yy cc�� qq d�41 STATE STREET,ALBANY,NEW YORK 12207 : T.f:'L.D7120 �""° �C.6 t i :g o I h'~ , 1 Date '� }�? Application No.on file : A ,, '9 k j i THIS CERTIFIES THAT only the electrical equipment as describedgq below and introduced by the applicanty named on the above application number in the premises of r (,, $'1`-_.IL t w[*'� i"ul'c.�f.?heif, L�C.:_I�.:L.''.L �,.3w Q.IIL'.:.j ¶'. uceLl.i'�k.._y-n y ��;Z 4 '<I , «��i>r• Y "�� `ii`dui o_+ t 4: in the following location,; ,0 Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot ,� • was examined on and found to be in compliance with the requirements of this Board. ;›i . ,r {1 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;: OUTLETS RECEPTACLES SWITCHES MERCURY �( INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W.. MAT. K.W. • AMT. H.P: ' -{� .':i Li 4, , 'jam.t!. 1 11 .9 f''"' s`t=' 'i • T ,( DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME.CLOCKS' •. BELL. UNIT HEATERS MULTI-OUTLET DIMMERS .r SYSTEMS _, 'AMT. K.W. OIL ' H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT.- :AMPS. TRANS. 'AMT. H.P. NO.OF FEET 'MAT.- WATTS — : �' . ., - m SERVICE DISCONNECT NO.OF S E • R . •V I C E to AMT. AMP. TYPE EQVT 1,B'2W 1 if 3W 30 3W 3,0'4W NO.OF C COND. OF C COND. NO.OF HI-LEG Of.HI LEG NO.OF NEUTRALS OF NEUTRAL 4 emu. I0'0 Cb e. 1 I 4/0 11+f�V Y 'i OTHER APPARATUS: i ., k yy i�iLk cL ¢.'a- i.:.:,e<:�4v',-, ( L 1 4C''2.,S 1.w, 3`y2O0 ,i r., n tJ— O S L{..',i 3 5' 1O .: l; is) 2-v y 5 kw. A t C — eT ntJ - 1I .'Y I..�,� Yie.M Co ct:"-allT ncc v 77 ,v 4':iA,G ..t r ..�.5 air L;,TV 1� trt I 1 - •, , ?t BRANCH MANAGER Y T Per '. CY`YYYYYYY`fYYYYY`YYYYYYI'PY`C'r,fYaYY YY`YYY`C1'YYiY 7YYY7Y17YYYYYYYYY1'l'YYfYYYYY YY YYiY'i'('(YYYY'fY YY Y1'YY YYYYYYY YY YYYY\YY-r YY YY r. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE'MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY Building Department Inspectors Report Date Z//i- 80 n Name A-104P 3r / Location i 7 7' �3 l f--, i p Permit No. to ((t Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill `) Final Survey Framing 5A; Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor `•, Interior Trim Stairs & Railings f� I Ns.„, Cellar Dr. Tile /r Concrete Floors j Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling J b� Building Inspector REMARKS TOWN OF QUEENSBIP.Y Building Department Inspectors Report Date /12-- >°9. Name Location , ,U L 1e-A-- Permit No. Weather Remarks Excavation . Footing Forms Footing & Piers Foundation Cement Coat _ Waterproofing Backfill Final Survey Framing . y � Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs &Railings Cellar Dr. Tile � . Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building inspector REMARKS TOWN OF QUEENSBURY • Building Department lnspectora Report Date /2-3 Name c //7,2 ' 1wr Location Permit No. to J(Q Weather Remarks Excavation Footing Forms - Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves • Wall Board Ext. Porches J Finished Floor Interior Trim Stairs &Railings Cellar Dr. Tile Concrete Floors • Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. / Septic Approval Floors Insulation Foundation Walls Ceiling " • Building Inspector • • REMARKS i e �i�� 770,• TOWN OF QUEENSBURY- Building- Department Inspectors Report Date 1/ / Z�/2 f T1aa►me .�� 6121���fQ. / Lxca6on ! �� it . Permit No. 61 1 `/ Weather • Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey • Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough 'Plbg. • Relief Valves Wall Board Ext.. Porches Finished Floor Interior' Trim Stairs& Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door'Closers Chimney Water Meter Inst. Septic Approval Floors • Insulation Foundation Wails • ' -Ceiling • Building Inspector REMARKS 7 I ti.s/q&0/ ow 7/ TOWN OF QUEENSBURY Building Department Inspectors Report Date •- Name e'"sf,e,.- Location ,,4u c_V1�tJ Permit No. G,/ io i-f Weather Per Cent Complete Remark. Excavation Footing Forms Footing & Piers 1J �✓/� Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding n Masonry Veneer \\ Rough Plbg. Rough Htg. /V\N„\\ Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector REMARKS