2011-609 TOWN OF QUEENSBURY
Foro742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110609 Date Issued: Wednesday, July 11, 2012
This is to certify that work requested to be done as shown by Permit Number P20110609
has been completed.
Location: 315 CORINTH Rd
Tax Map Number: 523400-308-016-0002-004-001-0000
Owner: ROBERT L PERKINS
Applicant: PERKINS RECYCLING
This structure may be occupied as a:
Commercial Addition By Order of Town Board
TO /IUE .BJRY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
two742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110609 Application Number: A20110609
Tax Map No: 523400-308-016-0002-004-001-0000
Permission is hereby granted to: PERKINS RECYCLING
For property located at: 315 CORINTH Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: ROBERT L PERKINS
315 CORINTH Rd Commercial Addition $70,000.00
QUEENSBURY NY 12804-0000 Total Value $70,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
BP 2011-609 Perkins Recycling
Commercial Addition
$150.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,December 20, 2012
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tcwna1QQuee,ury ; ,Taiday;December 20,2011
SIGNED BY ` `..: Y '. � for the Town of Queensbury.
Director of Building&Code Enforcement
Ltf6(4 ( _keo Jew hc' Lr
L .
oc
• OFFICE USE ONLY ""_ __
PERMIT NO. - _ ___ ''' ',' i
TAX MAP NO. `�•1/4-
....�.,,�
FEES: PERMIT/a �._ _ RE R TIONENGINEERING
(If applicable) TOWN OF Q�.IEENS�BU_
44 ��, .=�` 110 '-BtJItDiIVt; CODE
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.i
APPLICANT/BUILDER: ^^C01414011^461 OWNER: aS-------
ADDRESS: 4 4X. 'V ADDRESS: 3th eoeim( Qw_oy
PHONE NOS.- _61_40 _____---____ PHONE NOS. _______—____________----
�t�.� � �
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:--�IJGS, 1,�rt15..p�l'--PHONE:_r7e0- _
LOCATION OF PROPERTY:___fa@_ __6:214 N1 vpAc 1 Ou5 , / uPY L -
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? M YES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z Et O di w 1 cn
APPLY TO YOUR Z F. cc O cn cn W U w
PROJECT 0 < O F- OJ • w ¢ a = I
z < < IL di a- (I) N � Ou so 1-: 0- 205
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR N/ 01°t- t-
INDUSTRIAL iilJ Jud
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
Commercial Final Inspection Re• •
Office No.: (518) 761-8256 Date Inspection - •-ived:
Queensbury Building &Code Enforcement Arrive: \ y��- 712) Depart: 1•--5 a
742 Bay Road, Queensbury, NY 12804 inspector's In" '- ►/i
•
NAME: �E.ilk ' C ,\� PERMI #: \\--I..oi
ct
LOCATION: t. .\ �.1 O DATE:
COMMENTS:
Y N NA
Chimney I'B'Vent/Direct Vent Location
Plumbing Vent Through Roof 6'/Roof Complete
Exterior Finish/Grade Complete 6'in 10'or Equivalent
Interior I Exterior Guardrails 42 in. Platform!Decks
Interior!Exterior Banisters 4 in. Spacing Platform I Decks k R
Stair Handrail 34 in.—38 in./Step Risers 7"I Treads 11"
Vestibules For Exit doors>3000 sq.ft L)
All Doors 36 in.wILever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44'(i)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18')Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum
Boiler!Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 1/2 doors
> 10%> 1000 sq.ft.
' Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete l Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq.ft Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18'x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond[Both
sides]
Active Listening System and Signage Assembly Space
Final Electrical l Flex Gas Piping Bonded — �j SE. j R 6C
Site Plan!Variance required
Final Survey, New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4'
Water Fountain or Cooler
Building Access All Sides by 20'/Driveable Surface 20'wide
Okay To Issue Temp. or Permanent CIO
Okay To Issue CIC
Oa- C-0 L-
L:\Building&Codes Forms\Buiiding&CodesUnspection FormslCommerciai Final Inspection Report.doc Revised January 7,2008
Inspection Form 3 v
Town of Queensbury Fire Marshal O Periodic Inspection Date:410 Time: -
742 Bay Road,Queensbury NY 12804 o Re-Inspection h.- 0g
51 761 8206/518 761 8205 4f CO Inspection Permit tt:
F Marshals Representative
MJ Palmer Business Name: ?i,-..46,as s5 9t -Ji KG
/ Location: r bA i f4t-1. 120.4,0
%/GK Stillman Contact: S Lv"Vi
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014 a FC1029 NOTES
Exit Enclosure FC 1020 3 FC1029
Exit Discharge FC 1024 a FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3 a FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025 a FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 ff
ay 0
EVAC Plan FC 404.6 1 r \ 111
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING: �
Interior FC 1006.3 a FC1029.80 of r—
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510 `
No Smoking Signs FC 310.3 � 4-61.\ °C.-2
Storage FC 315.2 _
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907 �.,. -- %_ _
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1 �'
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311 21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC Fire Marshal los ecti : Coal ste
Kitchen Suppression Semi Annual CQ Mal,be issued
ed B Wit
P
Fuel Island Suppression Semi Annual ii,�P�q&C.dre . *Ai
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506
JUN ..`-'45(I
Operating Permit, if required will be issued after
Completion of Inspection Ptre Mars ai
I
Commercial Final Inspection Ft= Al,
Office No.: (518) 761-8256 Date Inspection =, irr ed:
Queensbury Building &Code Enforcement Arrive: i6 a , � Depart: I ',3t). a pr _
742 Bay Road, Queensbury, NY 12804 Inspector's Initials. ..��
NAME: PEP,IsA 1 tJ',?-) R EC__ C\ t O_G PER T#: kis
LOCATION: 1.9" C-O R I)L\ M 4Z D DA ' : M.1IM•--
R e-E V\ 05e- U\)lY N NA COMMENTS:
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6°in 10'or Equivalent r /3 E tC) C 0 IJC E1
Interior I Exterior Guardrails 42 in. Platform/Decks , ��--�- �, L_
Interior!Exterior Banisters 4 in. Spacing Platform/Decks J
Stair Handrail 34 in.-38 in./Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 sq. ft. / .5 C-fl`-
cbv 1.TD
All Doors 36 in.w/Lever Handles/Panic Hardware,if required 0.r c_k o o N PIER,_
Exits At Grade Or Platform 36(w)x 44'(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum �rr
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System —CcM��E F\.-k
Fresh Air Supply for Occupancy/Ventilation Combustion M �c .6��C b ��
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 `1c doors
/I
> 10%> 1000 sq.ft.
' Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame
Attic Access 30"x 20'x 30'(h), Crawl Space Access 18'x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
/
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in., Checkout 36"
Handicapped Ramp I Handrails Continuous/12 in. Beyond[Both
sides] `\
Active Listening System and Signage Assembly Space ---\----- t-'1%g{1 R-'( cc
Final Electrical/Flex Gas Piping Bonded � �`�Eh � ^ �i
Site Plan/Variance required �O
Final Survey, New Structure/Flood Plain certification,if req.
As-built.Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4'
Water Fountain or Cooler
Building Access An Sides by 2Q'/Driveable Surface 20'wide
Okay To Issue Temp. or(Permanent C%
Okay To Issue C/C
L:1Building&Codes FormssBuilding&Codes\Inspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008
Framing i Firestopping Inspection Report
Office No. (518)761-8256 Date I mon
Queensbury Building&Code Enforcement Arrived=-3!� = • ''':�', =3 amel
742 Bay Road, Queensbury, NY 12804 I �'�='
Inspector's Initis�=-
NAME: P_c4) , ) _PE_cActAt G PERMIT#: -(O0
LOCATION: 2, 15- Co?I A\Tl-� INSPECT ON: - -
TYPE OF STRUCTURE:
COMMFNTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joisthangers
Jack Posts I Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge(8) 16D Haus each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less of center
Ice and water shield 24 inches from wail
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1Buildin0&Codes Forms-OLD1Building&Codes1I spection FormsiFraming Firestopping Inspection Repoitdoc Revised January 7,2008
i
RUCINSKI HALL ARCHITECTURE �����'
Ronald Richard Rucinski ,
Ethan Peter Hall IG
627 Maple Avenue r
Saratoga Springs NY 12866
.Voice 518 580 1905
Fax 518 584 5012
Email ephall@nycap.rr.com
Special Inspection Report
To: John O'Brien - Town of Queensbury— Building Department
From: Ethan Hall
Date: 6 April, 2012
Re: Perkins Recycling — Building renovations
At the above referenced project location this office performed periodic site observations during the
course of construction and all aspects of the project including the installation of the fire separation
partition between the warehouse and the office area, new office partitions, new loading dock, new
equipment foundations, truck scale shed roof and office finishes appear to be in accordance with
the construction documents and design alterations made during the construction period.
If there are any,,qmestiqwplease contact our office.
.'f.;: s _
Regards,
, txiy42:2 a
.;141 , ,
Ethan P. HaItf Archtect
Rucinski HaliArrhitecture
Y:\Perkins Recycling\Paperwork\.Special Inspection Letter 6 Apr 2012.doc 1
s
Foundation Inspection Report
Office No.(518)761-8256 Date inspection
Queensbury Building dt Code Enforcement Arrive: OD 41<"471I Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: YE." 1 � t CI - 144IT#: k
LOCATION: '� ' Its i INSPECT ON: Z--
TYPE OF STRUCTURE:
Comments
CRET E- 1 .6
/Footings cokro r~F_ f - cb C_et
Monolithic SlabL( f 0&
Reinforcement in Place tAV
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
n
of the con .
Y\--c \bi
Materials f this purpose on site. _
t/ /Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place V -
Fwmdation Dampproofimg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:1BuSding&Codes FormsWilding&Codes\InspeGtn FormsVo mdatdon inspection Report-dm
Last printed 12/20/2005 9:24:00 AM
ft/ /
Inspection Form
/
1 .)4-5-i-'
Town of Queensbury Fire Marshal CD Pe dic Inspection Date: r1 & e:
742 Bay Road,Queensbury NY 12804 o Inspecfion /'
518 761 8206/518 761 8205 O Inspect( n Permit#: /j KJ
Fire Marshals Representative
_MJ Palmer Business Name: fir- 1/f kpr/
Location: .2A—cry>f- /
XGK Stillman Contact:
Type of Inspection N/A Yes No „... -5715f) PeAfGi e.1'r1GJ '
EXITS: Exit Access FC 1014&FC1029 NOTES _/
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029 «--.'
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES: ` Workee-_M
el„r1rS/f il G 4�Main Aisle Width FC 1024/1025&FC1029.11 ,`,' )�Secondary Aisle Width FC 1025&FC1029.11 t� i"� -� u//� ,etZ•, <7r
FIRE EXTINGUISHER: Hung FC 906 -_; )q �G�� >.L1.�,�1/ ,
Inspection of extinguisher FC 906 y
EVAC Plan FC 404.6 f
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3 . __
ElectricClearance
lectrical FC
Wiring Enclosed/Labeled FC 605.3.1.3 /� ”' tAIAt3 r)e) S71-70 61,7 41-S'
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510 /'
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 ../
Interior Finishes FC 803-804 /
Smoke Detectors FC 907 ..----`
CO detectors FC 610 ,/
Clearance to Sprinkler/Ceiling FC 315.2.1 f
18" / 24" J eL , --!:p j9II 7v)e4'4
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) z/°.
Fuel Pump Warning Signs FC2205.6 .-- Ve.--hof S' -'L.i h iCk. 64
Fuel Station Emer Procedures FC2204.3.5 ,./� P
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELI
Vacant Buildings FC 311
21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
11':1
Sprinkler FDC ! y.-
Kitchen Suppression Semi Annual
PP 4 1'd'i= 7 66 e
Fuel Island Suppression Semi Annual _ ,
Hood Cleaning 3-6-Annual i,
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after 1 n
'ilf7 (.7
Completion of Inspection
Commercial Final Inspection Repo
fflt @ No.: (518) 761-8256 Date Inspection •4- : ed:
Queensbury Building&Code Enforcement Arrive: -4 moa a l , _ Depart: -1-17.30 ar41
742 Bay Road,( Queensbury, NY 12804 inspector's Initia Preir
NAME: GLV 1 5 R , l PERMITilt
C — e 09
LOCATION: [cam C i R l L DATE: -- i --
COMMENTS: 1 R R� C�,l ��
Y N NA `t
Chimney/'B"Vent/Direct Vent Location SCM P 0
Plumbing Vent Through Roof 6"/Roof Complete L o
Exterior Finish/Grade Complete 6"in 10'or Equivalent C-CAO n 1T t CLIo
Interior!Exterior Guardrails 42 in. Platform/Decks
Interior!Exterior Banisters 4 in. Spacing Platform/Decks , / 1. ��(� 6 I V)
Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11" Y -
Vestibules For Exit doors>3000 sq.ft. ?;?c
F R6 C�--
P1RCk-\1�
All Doors 36 in.w/Levvr Handles/Panic Hardware,if required
Exits At Grade Or Platform 36(w)x 44"(1)/Canopy or Equly. O Y R `a EC-VC,
Gas Valve Shut-off Exposed&Regulator(181 Above Grade
I
Floor Bathroom Watertight!Outer Floors Okay ji"1 IT a�
Relief Valve,Heat Trap I Water Temp.110 Degrees Maximum ``—�
Boiler I Furnace Enclosure 1 hr.or Fire Extinguishing System C0 113C—R --
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers R E a)F\-6 O
Gas Furnace Shut Off Within 30 ft or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area C co M ReTc NA
Stockroom/StoragelReceiving/Shlpping Room(2 hr.), 1 '4 doors
> 10%> 1000 sq.ft. 1 R� M' �h\--\'l\2
%Hour Corridor Doors&Closers \TE 5
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors ` ObTFt-a_ 'l`l_t__ C
Ceiling Fire Stopping,3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" 1 c� SJ c@,.,,,b
Smoke Vents Or Fan, if required \ CAk 0
Elevator Operation and Signage I Shaft Sealed � �, �� ,� � �1
Handicapped Bathroom Grab Bars!Sinks/Toilets
Handicapped Bath/Parking Lot Signage D � ��
Public Toilet Room Handicapped Accessiblekoi
Handicapped Service Counters,34 in.,Checkout 36" h PtO i)L' \AR R D iW
Handicapped Ramp/Handrails Continuous/12 in.Beyond(Both iC-L-U6E_R Active Listening System and Signage Assembly Space
Final Electrical i Flex Gas Piping Bonded �j����--'� tl��
Site Plan/Variance required
Final Survey, New Structure I Flood Plain certification,if req. C 1�t ti� �1J'
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4" / L6) \--E\ CR, \PtQl
Water Fountain or Cooler
Building Access An Sides by 20'I Driveable Surface 20'wide t \PvRo o
Okay To Issu em '
r Permanent CIO 1"'`"'
Okay To Issue
L:\Building&Codes FormslBuilding&Codes Inspection FonnseCommerclal Final Inspection Reportdoc Revised January 7,2008
Commercial Final nspection - • •
, Off`ae o.: (518) 761-8256 Date Inspection •A ,ived:
Queensbury Building &Code Enforcement Arrive: 3 OC a(ZOO Depart: h.) ar f�i
742 Bay Road, Queensbury, NYr 804 Inspector's Initials b'J
NAME: - A _ - , PERM : ' .I
LOCATI• : /— acs.c •' ..• DATE: . 4ini/r.___
COMMENTS:
Y N NA E Fi i
Chimney/'B'Vent/Direct Vent Location — \�hTt .
Plumbing Vent Through Roof 6"/Roof Complete )c o F--; Qi~
Exterior Finish/Grade Complete 6"in 10'or Equivalent
P e k_t__ p nk
Interior/Exterior Guardrails 42 in. Platform/Decks _
Interior I Exterior Banisters 4 in. Spacing Platform/Decks _ /
Stair Handrail 34 in.-38 in./Step Risers 7"I Treads 11" ,/
Vestibules For Exit doors>3000 sq.ft. � P
All Doors 36 in.wiLever Handles/Panic Hardware,if required \-
% i\\_.
Exits At Grade Or Platform 36(w)x 44'(I)/Canopy or Equiv. W L F 6 \ �
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
/Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap I Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 Y doors
> 10%> 1000 sq.ft.
' Hour Corridor Doors&Closers
Firewalls I Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors .-T"-� 7 ��
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame C
Attic Access 30"x 201x 30'(h),Crawl Space Access 18"x 24'
Smoke Vents Or Fan, if required ��
Elevator Operation and Signage/Shaft Sealed i E_-
Handic
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in.,Checkout 36" — \C --E-- Q\ 4
Handicapped Ramp/Handrails Continuous/12 in.Beyond[Both J
sides] \=' )E-b
Active Listening System and Signage Assembly Space -- \ 0SThLk_ F 1 -E_ D
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required 1
L .-\' -•P- \--\ 1
Final Survey, New Structure/Flood Plain certification,If req.
As-built Septic System Layout Required or On File \-1/444--Du.3 �E. 0 NJ
Building Number or Tenant Address on Building or Driveway!**
Water Fountain • f• -r //,_
Building •
,. •'/Drbvable Surface 20'wide \t '�'t \ F\V--E- MS
Okay To I-,
op-emument C/O QV c
Okay To I f!_ E-9--\ \L w t �
\ -' CO — C-0t•kV' \E \1`1)-
L:U3uilding&Codes Fo ms BuiIdi g&CodesUnspection FonnsiCommercial Final Inspection Report.doc Revised January 7.2008
\- \\\-7 \ 0 a___ Le , --P,-. \-\0N-1,>S)
\D-e-.)- - Or Lt\ i meg,�V-i2fc m L tC.E
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection r= re. •:
Queensbury Building &Code Enforcement Arrive: . a • Depart: 1Ll j y5 cm
742 Bay Road, Queensbury, NY 12804 Inspector's In'' , :
NAME: C w . _ C PER T#� —(oC
LOCATION: �ti il'1 -,1�1'=* .DA �j— 221 --12
COMMENTS:
Y N NA
Chimney/'B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete 7 ( 7 3 Li
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks �T T
Interior/Exterior Banisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.–38 in./Step Risers 7"1 Treads 11" t\-•)
Vestibules For Exit doors>3000 sq.ft
All Doors 36 in.wlLLver Handles I Panic Hardware, if required
Exits At Grade Or Platform 36(w)x44'(I)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18')Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap I Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Wdhki 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 Y doors
> 10%> 1000 sq.ft.
' Hour Corridor Doors&Closers
Firewafs/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers I Fire Doors
Ceiling Fire Stoppinj,3,000 sq.fL Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18'x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage I Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in., Checkout 36" '~ R QS R U
Handicapped Ramp/Handrails Continuous/12 in. Beyond[Both t TE
sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded S i_L ) P\ v Ski
Site Plan/Variance required
Final Survey, New Structure/Flood Plain certification,if req. Ft) L
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4'
Water Fountain or Cooler
Building Access All Sides by 20'/Driveable Surface 20'wile
Okay To Issue Temp. or Permanent CIO
Okay To Issue C/C
L:1Building&Codes Forms%Building&Codes1Inspection Fonns\Commerciai Final Inspection Report.doc Revised January 7,2008
Commercial Final Inspection Report
Office No.: (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: /d am/pm Depart: am/pm
742 Bay Road, Queensbury,
�NY 12804 Inspector's Initials: ;)ii
NAME: <-'c'r z/�� iRcy c4i PERMIT#:
LOCATION: l inti/•!r DATE: 3/2 7 /2.
31,5 COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish I Grade Complete 6'in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior I Exterior Banisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11" '- 1 <r
Vestibules For Exit doors>3000 sq.ft - j/ie.
All Doom 36 in.wllever Handles/Panic Hardware,if required l/� cl ' rte'
Exits At Grade Or Platform 36(w)x 44'(I)/Canopy or Equiv. /J� /
Gas Valve Shut-off Exposed&Regulator(18')Above Grade Li,,Y- i`t�, /F,,
Floor Bat room Watertight/Other Floors Okay
Relief Valve,Heat Trap I Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System .. / / rkf-fico,I
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 Y doors
> 10%> 1000 sq.ft.
'/Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath I Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond(Both
sides]
Active Listening System and Signage Assembly Space /
Final Electrical/Flex Gas Piping Bonded t/
Site Plan I Variance required
Final Survey, New Structure/Flood Plain certification,If req.
As-built Septic System Layout Required or On File / � /,
Building Number or Tenant Address on Building or Driveway 4' t,! ,,� / (-t"-
Water Fountain or Cooler
Building Access All Sides by 20'I Driveable Surface 20'wide
Okay To Issue Temp.or Permanent CIO
Okay To Issue C/C
L:1Building&Codes FormslBuilding&Codesllnspec tion Forms1Commerc ial Final Inspection Reportdoc Revised January 7,2008
f rrado u1 1/
Framing / Firestopping Inspection Repo
Office No. (518)761-8256 Date 1 , '* .= 3 /!v_
Queensbury Building&Code Enforcement Arrive: .ffirA, = - : ^f'� a , •
742 Bay Road, Queensbury, NY 12804 Inspector's In' =
47
NAME: , a PERMIT#: 1/ -6169
LOCATION: j — a-r2^,,g INSPECT ON: 3 -I to;(01,
TYPE OF STRUCTURE:
t ircriiTriOt*.>
'1=°.
COMMENTS:
Attic Access 22' x 30' minimum
Jack Studs/Headers
JoistBracingBridging `�'G` , ea_etkik
ngers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12'O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
•
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'A(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
from wall
#cceMillOw'f}.1.3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed �,-
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
1Nindows Habitable Space 1 Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:lBuilding&Codes Forms-OUDBuilding&CodesUtapectlon FomislFratnlnp Firestopping Inspection Repaitdoc Revised Jemmy 7,2008
Framing / Firestopping Inspection - =portt
Office No. (518)761-8256 Date! F .
Queensbury Building&Code Enforcement Arrive: % r •� � - : t 2• a
742 Bay Road, Queensbury, NY 12804 ! ,
nspectoi's nitial�'u
NAME: = • 113L, P MIT#: (a /Q
LOCATION: ( r) c i ' INSPECT ON:
TYPE OF STRUCTURE:
Y t COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'A(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft. or less on center *
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hourqi.c-) _
k _— eDv— -�-�
Firestopping
Penetration
in cavity min. L- Ac '� �T
Garage Fire Separation
House side'A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1Bufdkig&Codes Forms-OLD1Building&CodesUrapection Fom*cFnrning Firestopping bion Rsportdoc Revised January 7,2000
Foundation Inspection Report
Office No.(518)761-8256 Date !„- 'on -' : iv:
Queensbury Building&Code Enforcement Arrive: • - /0f' Depart: ''Tam/,
742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini
NAME: _► _ fbflT#LOCATION: — ECT ON: Z —'T —17
TYPE OF STRUCTURE:
Comment4
Y N N/A
Footings
Piers cL Pi M Q
Monolithic Slab
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/Wailpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
00 Ne5c,to
Commercial Final Inspection Report •
Office No.: (518) 761-8256 Date Ins• _«ion • '�,t r =•
Queensbury Building&Code Enforcement Arrive: °o Peal, Depart: = aur
742 Bay R• = • • nsbury, N 804 Inspector's In'
NAME: ' 0 PERMI •
LOCATION: 3/5"-- Cori DATE: ' —
COMMENTS:
Y N NA
Chimney/'B'Vent!Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior I Exterior Guardrails 42 in. Platform/Decks
Interior I Exterior Batlisters 4 in. Spacing Platform I Decks
Stair Handrail 34 in.—38 in.I Step Risers 7"l Treads 11"
Vestibules For Exit doors>3000 sq.ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36(w)x 44"(0/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18')Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap I Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors
> 10%> 1000 sq.ft
%Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping,3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars!Sinks I Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in.,Checkout 36"
Handicapped Ramp 1 Handrails Continuous/12 in.Beyond(Both
sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required _
Final Survey, New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4' /
Water Fountain or Cooler �\eAri-
Builder Access All Sides by 20'/Orb/ • = dace 20'wide \ _
Okay To I AC291. Permane C/O r--- 7 j i ,6
Okay To Issue of
��- C M ? kA
L:Building&Codes FormsU3uilding&CodesUnspection FormssCommercial Final Inspection Report.doc Revised January 7,2008
. A
Foundation Inspection Report ,1 S
Office No.(518)761-8256 Date Ins. tion -•_6-est r v .
Queensbury Building&Code Enforcement Arrive: '4 :
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectio ' t r� =
Queensbury Building&Code Enforcement Arrive: : s i 4. Depart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Im+ = s: --
NAME: � \�,1�C-,� xEc 0.1 ' REIT#: --
LOCATION: CSR 0T INSPECT ON: Z.-
7
TYPE OF STRUCTURE:
Comment'
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
*Ogle concrete.
Materials for this purpose on site.
Fundation4/Wallpour - _ - _
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slabC- sF-C--444Vt' ‘
Backfill Approval Pr- t4
Plumbing Under Slab
PVC/Cast/Copper At-1- ,pp FSA \ tACL
Foundation Insulation Interior I Exterior b 6V\ 6„t•\\)( s7_-_
R-
Rough Grade 6 inch drop within 10 ft. F 64.
L:\Buliding&Codes Forms\Building&Codes\Inspecdon Forms\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
a-16eth,.
Foundation Inspection Report ✓
Office No.(518)761-8256 Date Ins tion s < t 3 a151 a
Queensbury Building&Code Enforcement Arrive: - 0 I- .art: am/
742 Bay Rd.,Queensbury,NY 12804 Inspector's 'tials:
/ •
NAME: l Lam, �.,5 e //l -.
PERMIT#:
LOCATION: s 1-‘' ri )r INSPECT ON: 777 5 _ 0 1
TYPE OF STRUCTURE: ,E► ?
IZZet Comments
3144
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is respon ib e for
providing protection fr ezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Fomes\Foundation Inspection ReporLdoc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report .,/' r i -
Office No.(518)761-8256 Date Ins. do I`+ '-ed: / / er
Queensbury Building&Code Enforcement Arrive: .1: r .art: or : .pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini N
NAME: -en 4,�S c�c c�,�► � �ff P: ' IT#: Il- (00q
LOCATION: 3 i Co t SP TON: f/ i e'/ c i s
TYPE OF STR .
–r ci 61. (3,A2 6,( S-5-2),) Comments
(gebVL,
Y N N/A
Footings
Piers
Monolithic Slab
Remj meat in Place
4e contractor is respo le for
vidinprotectiojireezing
for 48 hours wing the placement
crate.
Materials for this purpose on site. _
Foundation/Wallpour //
Reinforcement in Place /f
Footing Dowels or Keyway in place /.�'`
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
1,
12 inch width
6 inches above footing '
6 mil poly for wet areas under slab
Backfill Approval ,
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
r f :
Office No.(818)761-8256 Date •Inspection requers't r teed:
Queensbury Building&Code Enforcement Arrive: t' �''- '';` Depart: -77 -I 1-andd(im
742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini t
NAME: S .� PERMIT#: 1 —(O®Ck
LOCATION: 3 fj C r t ork IN4P`ECT ON: \ -- kcA
TYPE OF STRUCTURE:
Comment
Y N N/A
Footings
piers
//Monolithic Slab 0 00-pi)0\ienikv' 'f
I ,;�
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/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab /
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LABuilding&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
3 7t--)
��
Foundation Inspection Report
Office No.(518)761-8256 Date Ins tion requ-: r-
Queensbury Building&Code Enforcement Arrive: '-'1iI7 ; Pip ' + • \; am/i�'
742 BayRd., ueensb
Q ury,NY 12804 Inspector s Initials: ♦ �
MY, /
NAME: ,ifir #: b07,
LOCATION: %� _o r t K /, .%% IN' T ON: 12 -2 C
TYPE OF STRUCTURE: �I
Comments
014011111 N/A
,17;47,, 7 1� fit-\, .\1
�� V
Monolithic Slab L7 LAN
Reinforcement in Place
The contractor is responsible for D
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. _
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing -
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buliding&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
N° 19937
Permit No ....................Cert. Cutin Card No.....................................
Owner ....�....
Location...... .. .. .f"..�� ,U"i�. ,P' G �..�. ,�...............
....... ....................... ... ....................................
Installation Consisting of.....t. d.. Vit. L ,, ' '� S e 7G '`
_ ..............................................................
..................................... �.......C..... �..'" ..
.......................................
InstalledBy....> .......................................................Lic.No...................................................
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 privilegeof making p�Ctions at any time, and if its
rules are violated,the Company shall have the right to revbk this c ate.
Date... .. ... .�... ....... INSPECTOR.........
Member N.RP.A.,I.A.E.I.