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1989-877 a CERTIFICATE OF OCCUPANCY TOWN OF QU'EENSBURY WARREN COUNTY, NEW YORK Dater May 9 19 90 . M This is to certify that work requested to be done as shown by Permit No. 89- 877 has been cmi mpleted. This structure may be occupied as a sinala �l dwelling �{ Z..OiciriOrY Lot # 17 - Amliershirem ,Owner JAMES & CAROL BERG By Order flown Hoard TOWN OF +QUEENSBURY Director of Bldg. dt Cod Enforcement BUILDING PERMIT rc TOWN 4F QUEENSBURY No. 69-$ 7 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to JAMES & CAROL BERG tr%)7f l OWNER of property located at Lot #17 Amber shi re Street, Road or Ave. t+ ta-+ in the Town of Queenshury, To Construct or place a single farmlZy 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 Oueensbury Building and Zoning Ordinance. 1, OWNER'S Address is Box 558 Glens Falls , New York 2. CONTRACTOR or BUILDER'S Name e Richard Jones Assoc . e5 MM 0 3. CONTRACTOR or BUILDER'S Address r no 119 Aviation Rd , N 4. ARCHITECT'S Name 5. ARCHITECT'S Address r-' 6. TYPE of Construction — (Please indicate by Xi boos ( XI Wood Frame i Masonry ( k Steel ( 1 1 1 7. PLANS and Specifications No. 32 ' x 50 ' single family dwelling with driveway , septic system Wrn and two car garage as per application , s ecifications & plot lan . 8. Proposed Use y . Single Family Dwelling . $ 393 [lQ PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 19 90 �', (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.l rrt'1 Dated at the Town of Oueensbury t , 8th .___Day of _ November 1c t�._ — w SIGNED BYC for the Town of Clueensbury WdC Building and Zoning I nspector 1'r1 — r r r—c x t� TOWN OF QUEENSBURY TOWN OF QUEENSBURY REVIEWED BY RECEIVED FEE PAID # c1 �`i� N 0 v 8 PERNTr NO. BUILDING PERMIT APPLICATICON BLDG. A CODE DEPT. A pERKrr MUST BE OBTAINED BEFORE BEGINNXNG CONSTRUCTION_ NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. ALI applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. The owner of this property is: P .O. AddresssefrI" r Tel. (r Property Location� uo 11 bomphalso 5Q& Tax Map No. IlJ I Has there been any split of this property since October 1 , 1988 ? If yes Planning Board Review is necessary . yes no SUBDIVISION NAME, IF APPLICABL£� NOWWWWWWWOMPLOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: Looms k2Lc= A" fn AmLs"mA Not NATURE OF PROPOSED WORK: ESI':MATED MARKET VALUE OF _Construction of a new building * CONSTRUCTION : S 1ats " Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: * Size of property 41901 < ft x 2"k ft. Alteration to a building " Existing Buildings( 3 ) Size to x olomoomft. (no change to exterior dimensions) « Proposed building - distance from property line. Other work (Describe) * Front yard 4 ft. Rear yard 0000000 ft. w Side yards' ft. and ft. * GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. Ist Floor sq. ft. * OCCUPANCY INFORMATION * 2nd Floor, sq. ft. C * Primary Building oor Other Floors sq. ft. ��-•- + One Family Dwelling (not collar or ement j c ��` f * Two Family Dwelling TOTAL FLOOR AREA sq. ft. f � * Multiple Dwelling/Number of units * Business Size of new structureft x 'i ft. industrial w F oundat ion-pier/slab/c raw l/partial/Cull (circle one) ' Other Nom of stories (habitrt%"� '�Ntce) it Height (grade to ridge)_ ft. * If addition, what will use be? _-- It residential, no. of families No* of rooms(exclud baths) 1 • Accessory Bundirig No4 of bedrooms * Detached Garage ONE/TWO Car Noo of bathrooms__ 4e i d G ch Atta e Garage 1WO Primary heating systemR•► � ONE'� Car� Type of fuel 7lLr — ` Private storage building No* of fireplaces to be installed-- ` ,« Other Will a wood stave be installed Contras Air conditioning `liar owwwwwwo ow ER BUILDIN C PERMIT APPLIC .-% Tlpv coVTiN- UED - BUILDING ;PFCIFIC ATIO44S: Type of construction, wood frame, fire safe, etc. ;'j Will any second-hand or upgraded lumberbe used? If so, for what ?_ Foundation wall material "Thickness lool h Depth of foundation below grade (to bottom of footing) '* 00 Will there be a cellar ? %�'� Pleated or Cnheate Floor sq, footage-JQ f ft . �q Will there be a basement ? .1 Will any poC`tiofi be used as living space ?J*. i�l� . (If so, what portion ? sq ft . Type of use?� Type of roof - ope /flatJshed/other 4aterial of roof-AS �{„Ir�"' Size, wood studs spacing spacing " o. c. length ;` ft. `�" Joists ( floor beams) 1st floor 10 "x spacingJ& ,o. c. span ko ft, Joist (floor beams) 2nd floor- �&."x_, ._" spacing0"o,c. span ft. Overlays (ceiling beams) _ 'K ' spacing r'* a. c. span ft. . 1t Roof rafters at x � " spacing,ko. c. span ft. Roof trusses (pre-engineered) spacing " o. c, span-24�ft. Exterior wall finish of what material? tJs►�i+S Interior wall finish�,r If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to he an opening between ga age an dwelling? If so wii a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed?Height above roof �, ft._�� Depth of chimney foundation below grade Depth of fireplace hearth ft..1n.WAW10L folo %V/ boviv tvtiNL&V> Water supply - Municipal or ,private well c 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) NAME OF BUILDER LCO C 3► dife ADDRESS TEL. NO, - r �� "� 0010 NAME OF PLUMBER ADDRESS TEL. NO. NAME OF MASON" ADDRESS TEL. NO. NAME OF ELECTRICIAN ADDRESS TEL. NO. DEC L,A RATION To the hest 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 dome on the described premises and that AU provisions of the BUILDING CODE, THE ZONING ORDINANCE, ew"A &" other laws pertaining to the proposed work shall be complied with. whether "cifled or not, and that such work is suthorilted by the owner. . Y. C Owner, owner's agent, architect. con actor SPECLAL CONDITIONS OF THE PERMIT: BY TOWN OF gUE vse � R WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following : �,/� 1 . Gross floor ar�■ ea. a �.. 0'S�,r✓�"r�l�,'�.� 2 . Type of heat f"'ikol k 3 , Is the building mechanically cooled ? � 4 . Percentage of area of windows and doors ++l5.equ A . Over 16 % Only 1 . Uc value of gross area of wails , roof / ceiling and floors exposed to ambient conditions 2 , Floor over heat -1 spaces YES NO a . Are foundat an walls .insulated ? YES NO i , If YES , what is the R value ? 3 . Slab on grade YES NO a . If YES , wh _ t is the R value of insulation around perimeter of floor ? 4 , Is basement heated ? YES NO a . R value of insulation 5 , Type of insulation B , Under 16 % Only 1 . R value of roof and floors ex1posed to ambient conditions . 2 . R value of exterior walls 3 . R value of glazed area fi�rr } �" 4 . R value of doors F/ Roa so R value of floors over unheated spaces 6 , R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab an R value of heated basement / cellar walls ( above grade ) ' 9 . R value of heated basement/ cellar walls ( below ,g►�ra�1de ) 10 * Type of insulation 1'r'rieMA 4 ro �"� "• C , Controls i , Thermostat maximum heat setting D , Duct Systems 10 is duct systems installed in unheated spaces ? YES No a . If YES , R value of duct installation b . R value of duct in other areas E , Piping insulation 1 . size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F , Service outer Heating i . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool only 1 . Maximum heating - Telephone No . !0".^-�� " �r 14 '" 9 ( applicant ' s signatOXYre ) r OWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMrr DATE LOCATION OF -PRO- PERTY FOR INSTALLATIONr owner's Name• Telephone: itV,'r ► ` `" Address: �` .I .�! �►s► — F� Installer's Name. Telephone: Number of bedrooms (residential only) '"'R' Total daily flow (compute Cd 150 gal per bedroom) Topography: Circle one• Fla Rolling Steep Slope gib of Slope Soil Nature: Circle one: and Loarn Clay Other /Depth: Feet Ground 'Water: At whet depth? Feet Bedrock or Impervious Material: At what depth? "' Feet Percolation test: Circle one: not required required rate min. inch. Domestic water supply: circle one: nicer i Well Other If domestic water supply is a well: feet Separation: Water supply from septic absorption PROPOSED SYSTEhI : septic Tank gal. ( minimum size: 1 , 00f1 gal.) TILE FIELD : Each Trench IjMp feet/Total system length feet SEEPAGE PITS?: Number of J Size each feet by feet Size of stone to be used #k /Depth or Thickness_ J^,� _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 Sa_r}itary Sewage Disposal Ordinance, SIGNATURE OF R SPONSIBJ.E PERSON: DATE: OVER 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 , the fields and / or drywells B . Nu system shall be covered before inspection and approval by the Building Inspuctor . 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 installa— tion , alteration or repair of an approved system , a new proposal must hu submitted to the Queensbury Building Department before further construction . Town of Queensbury BUILDTNG and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 k�marks TOWN OF QUEENSBURY f"1 .BUILDING AND CODES DEPARTMENT I ! BAY rw HAVILAND ROADS QUEENSBURY. NEW YORK 3280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQU T IN PEC N RECEI NAM All LOCATI DATE PERMIT ## APPROVED 4� YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP ROOFING�� BACKFILL APPROV ROUGH PLUMBING FRAMING ELECTRICAL ROUGH N INSULATION: FOUNDATION FLOORS WALLS CEILING INAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ STAIRS-CLEARANCE ILS PLUMBING FIJCTC7RL / BF VALVE INTERIOR 272IPf/ VA DOORS FINISHED FLOORS - GARAGE FIREPROO ING DOOR CLOSER (S) SMOKE DETECTOR FINAL ELECTRICAL NSPEC ON _ FINAL APPROVAL O CONSTR _ Ox TO I ssuz C/O R +C/C _, A SIGNED CERTIF TE OF UPANCY MUST HE OBTAINED FROM T E .BUILDING EPARTMENT BEFORE THESE PREMISES RE OCCU REMARKS: r ARFMIM � � DEPART SPECTOR flown 0/ Q"eenj "ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R .O. 1 Box 98 Queensbury, New York 12801 SEPTIC SPOSAL SYSTEM INSPECTION NAME LOCAT I,ON °s �f d-� L7ATE T L3/ ! © PERMI O. ` �` /� SOIL. TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch. TYPE of SYST Absorption fi ld , total Length Length of eac trench Depth of trenc es Size of grave] _ SEEPAGE PITS4N er of) Size ft. X ft. Gravel size PIPING : size Type Bldgm to tank Tank to ¢'list. box Disto box to field Openings sealed? ES NO Partial LOCATION/SEPARATION Foundation to tank ft, Foundation to abso t ' on ft. Absorption to lot in fL- Separation of pi ft LOCATION OF, SYS ON OPERTY (circle one) Front - Rear - eft sirs - Right side - CC t4MENTS : SYSTEM USE APPROVE YE O wilding Inspector 01/86 and vl _7o lv" a/ Qu eers i 6 u r y lel ! BUILDING and ZONING DEPARTMENT Bay and Haviland Read, R-D. 1 Box 98 Gueensbury, New York 12801 SEPTJJ DISPOSAL SYSTEM INSPECTION NAME LOCATION & I - DATE tI� PERMIT NO. � 1�-- SOIL TYPE - Sand - Loam - Cl y - Percolation Test Required? ES - NO Percolation rate - Min/Inch TYPE of SYSTEM : Absorption field , total le h Length of each trench Depth of trenches tj Size of gravel_ _.._..—__. SEEPAGE PITS4NUMber of) Size- ft . f X Gravel size PIPING : Six e Bldg .o to tank Tank to dint. box Dist* box to field/pit Openings sealed? YES art al LOCATION/SEPARATIONS : Foundation to tank f Foundation to absorption Absorption to lot line t . Separation pits ft_ LccC TION AWS STEM Carr PROPS Y (circle one ) Front - bar Left side - ight side - COMNiENTS lPd di� PU SYSTEM USE APPROVED "YES BUildintj Inspector 01/86 and vl N OF Q S[3RY BUILDING /? BUILDSNG ANDD CODES DEPARTMENT SAY S HAVILAND ROADS QUEENSHURYp NEW YORK 12809 TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST 14QN INSPECTION RECEIVED NAME / r LOCAT-rOff / ? DATE 1 PERMIT APPROVED YES I NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP OOFING BACKFILL APPROV ROUGH P IN FRAMING 3 . ELECTRICAL ROUG IN ' ,,INSULATION: FOUNDATION FLOORS WALLS CEILING - ,FINAL INSPECT ON CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE STEPS STArRS-CLEARANC & RAILS _ PLUMSSNG FIXTU RELIEF VALVE INTERIOR TRIM/ R ACY DOORS FINISHED FLOOR _ GARAGE FIREPR Fr DOOR CLOSERS SMOKE DETEC S FINAL ELECTRIC L INS CTION FINAL APPROVAL OF CON TRUCTION _ _ OK To ISSUE C o OIR C/ A SIGNED CER FICATE O OCCUPANCY MUST BE OBTAINED FRO THE SUXLD G DEPARTMENT .BEFORE THESE PREMIS S ARE DCCU ED1 REMARKS: 1 A WE VE � r DEPART - i NSPECTOR T{)ZdN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS QUEENSBURYt NEW YORK 228p,+ TELEPHONE (538) 792-5832 -7'� �� BUILDING INSPE�CTOOR '' S RE ORT REQUEST FOR XNSPECTION RECEIVED NAME d LOCAT4fa DATEdo - e PERMIT s APPROVED YES NO FOOTING/PI S MONOLITHIC UR FORMS FOUNDATION/ P—PROOFING # BACKFXLL APP VAL _ ROUGH PLUMBIN FRAMING r ELECTRICAL ROU —IN XNSULATXONr FOUNDATION FLOORS a WALLS CEILING FINAL INSPECTION: q 3 CHIMNEY HEIGHT ROOFING { SIDING :. EXTERNAL PORCHBSISTEAV STAIRS—CLEARANCE & PLUMBING FXXTURESIRE VALVE INTERIOR TRIM/PRIVACY D' ORS FINISHED FLOORS ; GARAGE FIREPROOFING _ DOOR CLOSER (S) .SMOKE DETECTORS FINAL ELECTRICAL XNS CTION — FXNAL APPROVAL OF CO,P4STRUCTXO A SIGNED CERTXFICATE! OF OCCUPAN7Y MUST BE OBTAINED FROM THE BU LDING DEPA7.MENT BEFORE THESE PREMISES ARE OCUPIED! i REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY A HAVILAND ROADS QUSENSBURYr NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME --+—JIB© LOCATIONS [ 'f. 12 y��p�f DATE PERMIT #� 7 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR ORMS FOUNDATION/DAMP— OOFING BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH— TNSULATIONa FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING ,SIDING EXTERNAL PORCHES/ TE _ STAIRS—CLEARANCE G RA LS PLUMBING FIXTUR IRS F VALVE INTERIOR TRIM/P IVACY RS FSNTSHED FLOOR _ GARAGE FIREPR FTNG DOOR CLOSERS SMO3CE DETECTO S FTNAL ELECTRIC L INSPECTOO FXNAL APPROVA OF CONSTRUCT ON OK 'P[3 ISSUE C C} CSR +C/C A SIGNED CER TFTCATE OF OCCU NCY MUST BE OBTAINED F THE BUILDING DO RTMENT BEFORE THESE PREMI ES ARE OCCUPIED! REMARKS: / /- ARRIVE DEPART 1,� r �� INSPECTOR TOWN OF Q t r/� BUILDING AND CODES DE DEPARTMENT BAY & HAVSLAND ROADS QUEENSBURYy NEW YORK 1280k TELEPHONE (528) 792-5832 BU11DING �NSPECi'OR' S REPORT REQUEST INSPEC2 N RECEIVED NAME I,OCATIO DATE PERMIT APPROVED YES I NO FOOTING/PIERS MONOLSTHSC POUIF FOUNDATION/DAMING BACKFILL APPRO AlRouGH PLUMBING FRAMING ELECTRICAL ROUGH N INSULATION: FOUNDATION FLOORS. WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES TE S STAIRS-CLEARANCE SLS PLUMBING FIXTURES LIEF VALVE INTERIOR TRTMIPRS Y DOORS FINISHED FLOORS GARAGE FIREPROOFS DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL I SPE TION FINAL APPROVAL OF CONS UCTION OX TO ISSUE C/O C/C A SIGNED CERTIF CATE OP CUPANCY MUST BE OBTAINED FROM HE BUILD G DEPARTMENT BEFORE THESE PREMISE ARE OCCUP EDI pqpqpqpqpqpqpqpqpqpqpRPRPRPRPRPPPIPRPRPRPPPRPRPRPRPRPRPRIRPRPRPRPqpqpqlpI REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYy NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION p1 DATE �f FERMI # _ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR F RMS FOUNDATION/DAMP-P FING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S FPS STAIRS-CLEARANCE RAI PLUMBING FIXTURES RELIE VALVE INTERIOR TRIM/PRI ACY D RS FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL O CONSTRUCTI N A SIGNED CERTI ICA TE OF OCCUP NCY MUST BE OBTAINED FROM HE BUILDING DE RTMENT .BEFORE THESE PREMISE ARE OCCUPIED! REMARKS: INSPECTOR i TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVILAND ROADS OVEENSBURYO NEW YORK 1280& TELEPHONE (518) 792-5832 / BUILDING INSPECTOR ' S REPORT REQUEST FOR I ECTION RECEIVED J� NAME �o LOCATXON • C DATE' /� � / PERMIT =s— APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR RMS FOUNDATION/DAMP- OOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEP STAIRS-CLEARANCE & 2 PLUMBING FIXTURES/RE VALVE INTERIOR TRIMIPRIVA Y RS FINISHED FLOORS GARAGE FIREPROOF-IN -� DOOR CLOSER (S) SMOKE' DETECTORS_ FINAL ELECTRICAL I SPECTION FINAL APPROVAL OF ONS'TRUCTI A SIGNED CERTIFI ATE OF OCCUPA CY MUST BE OBTAINED FROM TH BUILDING DEPA TMENT ,BEFORE THESE PREMISES E OCCUPIED! REMARKS. ;ik i I TOR TOWN OF QUEENSBURY " IC13 BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280#- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR NSPECTION RECEIVED NAME y - LOCATION DATE / PERMIT # �F�f APPROVED ,r YES NO ; � oTXNG/PIERS / C MON LITHIC POUR RMS UNDATXOIV/DAMP- O0FXNG BACKFILL APPROVAL ,v ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-I INSULATION: FOUNDATION FLOORS WALLS CEILING FXNAL INSPECTION: CHIMNEY HEIGHT ROOFING STDING TERNAL PORCHES/STE _ STAIRS-CLEARANCE & LS PLUMBING FSXTURESIR L F VALVE INTERXOR TRTMIPRIV Y RS FINISHED FLOORS GARAGE FXREPROOFT G DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL SPECTION FINAL APPROVAL OF CONSTRUCTI A SXGNED CERTIFY ATE OF OCCUPA Y MUST BE OBTAINED FROM T .BUILDING DEPA MENT BEFORE THESE PREMISES RE OCCUPIED! REMARKS: / F INSPECTOR QW 900 >i3gdon r4ve.,'r ilinglswoo_ N.J. 08"1 L L . '..'. _ Date; 7 Cityr own or Township County � � State Location/Address (if Located in Rural Area - Please Attadn Directions) Pole # ::. .. PerRit'Iift. ' Owner Occupi+ 1�3Lill ding . . Nevin. Gild © t Occupant _ 1NoeIE' ran in Building Floor #, etc ).; for: Wirin Service or: Read for in +£�fi Fee Remitted - $ - -= Cash Check 'IV1 Make Payable To: 'M.D. I.A. pe0 7e0 Yg00 OQ }7So 2000 2260 2600 2760 8000 Number of Rouglf iM1lirlP►g"Outlet3 Elect. Heat r ' Switches Amp. Servii�, • Z 4 mace -Unit DisFrwllBhar: Mange . Lighting Water Heater Air Conditioner 'Dryer r• " Pump Receptacles Oven # a9e Dispose( . Wi ring-arid .Controls for. Rtllyter mbar i3f FixCur - "zs • ;pl �g }a�ffi, --"&I TFractional H.P. Vent Fans Other Equipment: r MOTORS H.P. 1!Z LEI 7/ . 1/a 1/fi 114 1!9 1!2 314 1 7�ft le' 15 20 ' . 2S. 34 4d., v Mark Number R- F of Each Size APPlicbrvt's !t # Si"ture do T/A r IVusy. NA Applicant's Address: ,,.r_ �Y. r sx_ .. ... (City) (State) „�r - IZip- - Service. Request # Phone pxlL RECEIVED: # DATE INSPEC`I"Ed: i Correct•Location.: Same as Above or: y Red Notice Label Rough Wiring Outlets 'Surface Unit Oven Ran • - . :s ,: G L3is"{i"sat Switches Receptacles Water Heater [) sli►hTeslier `> Fixtures `din nditi her piyer Amp. Service Equipment Burner, Wfring' Controls for Amp: acle' Amp. Service Conductors Pum Vent Fans MCkTC1FiS H.P. y/20 1/12 1/IO 1/6 1/fi i14 . 1l3 . 1/2 3/ s, 2 5 7L9 14 LS 24 'x5 30 $O 'S 5 • 00_ Mark Numbee - *'` of Each Size 'soa 750 120001227500 1700 "Do 225o sapo 275 itono . Elect. Heat .1k � RW Progress- Inc. L"ICD r contractor: w. t. CFT Violation : Work Comm 0 _ Inca 0. CASH [] LIA Orvner Fee CH KM. # 0 VA _ __._ _,- . Due MO # 0 IPA Mu[uc¢pals r ? INV # Applicant' . . �lw Other Side•© . Utiilty �.,, ,u >' '�•` ., " " � Date -. �.. . tr di k Cut in Card [] Temp # Date — n„= a�;� jyA)j rirxta ' �+s.... RS SIGN WHE v. . .. . .. Date s Final # APPLICAINONY FORK# NO. 2.50 ,Iturws - ..� ` ` - " `. •.• � _ RICHARD E. J©NES ASSOCIATES ARCHITECTS 0 INTERIOR DESIGNERS 119 AVIATION ROAD QUEENSBURY, NY 12804 (518) 793-1015 December 29 , 1989 Mr . Dave Hatin Building Inspector Queensbury Town Hall Bay Road , Queensbury , New 'Bork 12804 Dear Mr . Hatin , Enclosed is a revised set of Construction Documents for the ,James and. Carol Berg residence currently under construction in the Ambershire subdivision _ The revisions are minor in nature as you will note and do not affect the structural qualities of the house that you originally reviewed . Please refer to the revised set of documents for your inspections . I hope you have a Happy New Year . Sincerely , Charles Johnson Richard E . Jones Associates meh 8957let1