2012-209 tl-POI kl I I I II TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120209 Date Issued: Tuesday, January 08, 2013
This is to certify that work requested to be done as shown by Permit Number P20120209
has been completed.
Location: 93 ROUND POND Rd
Tax Map Number: 523400-296-005-0001-012-000-0000
Owner: GUIDO PASSARELLI
Applicant: GUIDO PASSARELLI
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Single Family Dwelling
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.
-O./4 TOWN OF QUEENSBURY
742 Bay Road,Quccnsbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120209 Application Number: A20120209
Tax Map No: 523400-296-005-0001-012-000-0000
Permission is hereby granted to: GUIDO PASSARELLI
For property located at: ROUND POND 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: GUIDO PASSARELLI Fireplace
2955 VETERANS Rd W Suite 2B Garage Attached
STATEN ISLAND,NY 10309-0000 Single Family Dwelling
Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-209
SFD 2,816 sq ft
2 car attached garage
$635.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, May 21,2013
(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 Town o ue bury; on• , � a 21, 2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
i I '! Revised 4/14/2010
Town of Queensbury
Highway Lf RAI` G 8 2012 Michael F. Travis
Department Highway Superintendent
742 Bay Road, Queensbury, NY 12804 L. �.i,' `_ Home (518) 798-0413
LUIi.iJ ^1: ^F L
Office Phone: (518) 761-8211 Thomas R. Vanness
Fax: (518) 745-4466 o1.O l 3-")-te")- Deputy Superintendent
Home (518) 745-0929
www. Queensbury.net
DRIVEWAY PERMIT �
Date: /eJ d,'/
Applicant Name: ��
Address to be inspected: 4-6 S d / R0 u h eo
Return Address: a91f v� (413
c
Applicant must show exact location and width of driveway(s) to be connected to the highway by placing
stakes at the specified location_
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following
action has been taken:
Step 1: ( ) Preliminary Approval
Need: ( ) Slight swale
( ) Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( )15" ( ) 18" ( )24" ( )36"
Preliminary inspections completed by: Date:
Approved by Higway Supt: Deputy Supt.:
Upon completion, please resubmit this approved permit for a final approval.
Step 2: ( ) Final Approval
( ) Rejected
Date:
Michael F. Travis, Highway Superintendent
Thomas R. Van Ness, Deputy Highway Superintendent
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
5
w
r
�y[ OFFICE USE ONLY q
TAX MAP NO. 9 5-1.-_I_� ,__..__-_.----.-PERMIT NO. / a_._..,( .•vaQ 9 •
FEES: PERMIT ` 3 d-' RECREATION ,0 --ENGINEERING_ _ __
f Si) fr- (If applicable)
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.
APPLICANT/BUILDER: - c,ic-1 c..) R. 5 C• `P '! , OWNER: /` /2 A/yr/ ,,_,'. Op ft; ou A.
ADDRESSC: CT S z) (--42.1` 8n, R(i 4.,k,, - s
ADDRESS:
-1-$51'3z.1^ /5i?Y1 a )14o wD .I� / O'.
PHONE NOS. q, ') 6 c) 2a Cr 3f
PHONE NOS.
j
CONTACT PERSON FOR BUILDING&CODES COMPLIANC ; ,\ r/ L ,t1or\---PHONE:_ j 7 — 7_
LOCATION OF PROPERTY: fS/� 3 �� PDviec 1
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? J YES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: ‘ ' d - ---?
PLEASE INDICATE MEASUREMENTS AS REWIRED-BELOW:
CHECK ALL THAT z
APPLY TO YOUR z O0 ct d d o F-
PROJECT P 00 � p • CC J Dew
O W J11 � L~L W Q a = U
�- o • = O O Z
Z Q < :- � N U) 0 U_ O F- W W -
F- u_ a = otS
SINGLE FAMILY \' /67 �3 O 4(
TWO-FAMILY
MULTI-FAMILY /N/ 1 5P--
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
•
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIALA--
ATTACHED • a ' ,A, S
GARAGE('r)3) 0 / ��
OTHER (:)T
IF COMMERCIAL OR INDUSTRIAL-!rCL
AME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: `"f_>(),Om)) FUEL TYPE: �9S
?-67A
l
HEAT TYPu2. `HOW MANY FIREPLACE(S): / AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? /,/z
IS THIS A HISTORIC SITE? _1(h,
PROPOSED USE OF BUILDING OR ADDITION: 6)k,v 4:71-- (40 n,
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /J4(
ARE THERE EASEMENTS ON PROPERTY? //t)
"Please complete a separate AppI cat cn for"Fuel Burning Appliances&Chimneys' available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true' and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read . -- • •- . •0 fe.
ilif / 44-1 J
Signed �� • ..,,
Jr 1-r -- 0-).-,s 0_
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
•
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein i accordance with said zoning Laws of the Town of Queensbury.
Application:
Al h/
Ali
:UILF 'G : CODES AP!.R'1VAL ZONING APPROVAL
( 12 7/
D, 'E
DATE
QUESTIONS 7 CALL 761-8256 OR EMAIL
codesna queensbury.net
Office Use Only. VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
dOeiki.)017e5;:›
Community Development Office Mb 0 2012
Town of Queensbury • 742 Bay Road • Queensbury, New York •12804
Office Use Only
TAX MAP NO. PERMIT NO. \-1,_--ziR PERMIT FEE
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED
BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT.
OWNER: T<,i!e- M��C�f li c. INSTALLER: /vi,1(e PI,, YYl S 5-c?Li
.r-7 N.
ADDRESS: .rlC'c3 r--6 y./al-}t ADDRESS: 71,4 A r/H
PHONE NOS. y/,.- . 3 7 9, PHONE NOS. ,36/ - '/07'rC.
LOCATION OF INSTALLATION: ze J j R ad Ad '�oxd !t `' .'` /3
RESIDENCE INFORMATION:
YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW
BEDROOMS _ (Gallons per bedroom) GARBAGE GRINDER
1980 or older X 150 = INSTALLED? /Y.0
1981 -1991 X 130 = SPA OR HOT TUB
1992-present Lf X 110 = INSTALLED? 1�0
PARCEL INFORMATION:
I TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE
I SOIL NATURE: SAND r"--- LOAM CLAY OTHER
I GROUNDWATER: AT WHAT DEPTH?
I BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mpi] (Test to be completed by a licensed professional
engineer or architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or
architect(unless installed in a Planning Board approved subdivision).
TANK SIZE: GALLON(MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder,
spa or whirlpool tub.
SYSTEM TYPE: y 9dt
❑ABSORPTION FIELD(WITH NO. 2 STONE) Total length ft. Each trench `1a X c7'
❑SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size?
❑ALTERNATIVE SYSTEM Bed or other type? _________
❑ HOLDING TANK SYSTEM Total required capacity? -- Tank size? Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL
INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval
granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to
abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanitary Sew,�a�e Disposal • �..ance. codes(olqueensbury.net
i 43 t, *// VISIT OUR WEBSITE FOR MORE INFORMATION
Signature of Person Responsible Date www.queensbury.net
• Revised 4/14/2010
OFFICE USE ONLY
TAX MAP NO. PERMIT NO. PERMIT FEE
• . APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT.
_
OWNER: /,•• e- /�3 � i, •++-C- INSTALLER: /i ffB /11o•v✓l sur L'-4f
ADDRESS: --,Z"74Jrz Z /)s �i'ti'�K/ A ADDRESS: /---r A nx
PHONE NOS. '8`/ 77..a PHONE NOS. ,.lv / -
LOCATION OF INSTALLATION: ,L. r tit Po wc1
RESIDENCE INFORMATION:
YEAR BUILT NO.OF X COMPUTATION - OTAL ILY F
BEDROOMS (Gallons per bedroom) GARBAGE GRINDER
1980 or older X 150 - INSTALLED? 0)
1981-1991 X 130 SPA OR HOT TUB
1992-present X 110 /7/1/1) - INSTALLED? /yb
r•
PARCEL INFORMATION:
✓ TOPOGRAPHY: FIAT ROLLING ' STEEP • 0' %SLOPE
✓ SOIL NATURE: SAND r/ L• CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? -----
✓ BEDROCK/IMPERVIOUS MATERIAL: AT W DEPTH? -
✓ DOMESTIC WATER SUPLY: MUNICIP• WELL (If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS - PER MINUTE PER INCH[mph
(Test to be-. pleted by a licensed professional engineer or architect)
PROPOSED SYSTEM FOR NEW CONS r- d CTION: All individual sewage disposal systems must be designed by a licensed professional engineer
or architect(unless installed in a Planni :oard approved subdivision).
TANK SIZE: /2 re G• •N(MIN.SIZE IS 1,000 GAL)Add 250 gallons to the size of the septic tank for
e. garbage grinder,spa or whirlpool tub.
SYSTEM TYPE:
❑ABSORPTI' FIELD(WITH NO.2 STONE) Total length ,20,C)ft. Each trench X l"`
❑SEEPAe PIT(S)(WITH NO.3 STONE) How many? Size?
❑AL ATIVE SYSTEM Bed or other type?
❑HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? .
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval
granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall be void.
I have read the regulations with respect to this application and agree
to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanitary Sewage Disposal Ordinance_ codes(a?queensburv.net
f / Ott to 5 1 /7 VISIT OUR WEBSITE FOR MORE INFORMATION
Signature of a on Responsible D [/ www.queensburv.net
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/p epart: (. \�—"�am/pm
Date Inspection request received: Inspector's Initials:p
NAME: I C-0rt, 0 L PERMIT#: I .)--- E°
LOCATION: 9 3 Re,r c ,Nisi P 4 DATE: / ! -/
TYPE OF STRUCTURE: S F
Comments:
YesNo N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location f
Fresh Air Intake ✓
3 inch Plumbing Vent through roof minimum 18 inches 7/f
Roof Complete/Exterior Finish Complete
Platform at all exterior doors i..7,
Handrail 4 or more risers j,
Guards at stairs,decks, patios more than 30 inches above grade t/
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more /
Handrail Termination at Newell Post or Wall f
Interior/Exterior Railings 34 inches to 38 inches ,,�
Deck Bracing/Handicapped Ramp Compliant / r/
Grade away from foundation 6 inches with 10 feet �
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade , /%
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Wi�ow in stairwells safety glazing
Interior Smoke DelSctors/Carbon MonoxidO Detectors
Every level: -' Every Bedrogr 1: ,/
Outside every bedroom rea: - j
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area t/
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents `
Bathroom Fans,if no window ti//
Plumbing fixtures //�
Foundation insulation to floor I Sticker on Panel r/
Duct work sealed properly/Blower Door Test Certification ,.//
Floor truss,draft stopping finished basement 1,000 sq.ft. ./
Emergency egress below grade /
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
FurnacelHot Water Heater operating
Low water shut-off boiler / ,/
Relief Valve(s)installed/Heat Trap/Water Temp 110 S/
Enclosed Stairs Sheetrock Underside minimum Y2 Gypsum
Basement stairs closed rise>4 inches /
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer 4 f
Gas Logs in Sealed or Glass Enclosure (/
Final Electrical; Energy Saving Light Bulbs 50% _
Final Survey Plot Plan i// _
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles //
Flex Gas Pipe Bonding k//
As Built Septic System/Sewer Dept. Inspection Sticker t/
Site Plan /Variance required /
Flood Plain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent] ;�
L:IBuilding&Codes Forms1Building&CodeslInspection Fomis\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
I1Finallp
Queensbury3 Buildin & Code Enforcement - esi� ntal n- ectlon
Office No. (518) 761-8256 Arrive: am/pm Depart2� �t) am/pm
P
Date Inspection request received: Inspector's Initials:
NAME: PO ,?(ISI)Ci. PERMIT#: 0--°(‘) c2
LOCATION: ` .3 fcl-t LA,A.;- (,--,r4 R ri DATE: ).
TYPE OF STRUCTURE: F
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete I Exterior Finish Complete V
Platform at all exterior doors vvv/'/
Handrail 4 or more risers VZ
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ,�
Deck Bracing/Handicapped Ramp Compliant //
Grade away from foundation 6 inches with 10 feet f f ZrA3-/ aft,
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade i/,,
Interior privacy/trim/doors I main entrance 36 inches Vz
V
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety lazing
Interior Smoke D, tors/Carbon Mpoxii Detectors
.
Every level: ✓✓ Every Bedrop6i ,,,✓✓✓/// ✓ ---1___411t) 1--
Outside
Outside every bedroonyerea: d
Inter Connected: V Battery backup: / \i�-("ut-. d.--t CD
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area t/ �
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents ������_�
.-
Bathroom Fans,if no window /
Plumbing fixiufes---1 4-.1../V
oun tion insulation ' floor/Sticker on Panel .0)
properly/Blower Door Test Certification .��
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade J <t--�- 1-6- -'5314,-r-4)
Gas Furnace shut-off within 30 feet or within line of site r t !
Oil Furnace shut-off at entrance to furnace area /
Furnace/Hot Water Heater operating t/
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 �, I/ � ��
Enclosed Stairs Sheetrock Underside minimum1/2"Gypsum
Basement stairs closed rise>4 inches ✓j ��l
Garage Floor Pitched kr✓ ��;
Garage fireproofing/'/4 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan Y`V� /
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding V/
As Built Septic System/Sewer Dept. Inspection Sticker
i
Site Plan /Variance required0
Flood Plain Certification, if required J
Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codestinspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: —i'c
NAME: sgaro I f
LOCATION: 73 60/14/►c (0,1c1
PERMIT#:
•
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
Cr rgBiown, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc •
G.
y
V
,iv
I I-Wll�o
g
.7.0-
r. Xy�
'o, C
0,
o", 5*
V,
SITE LOCATION MAP
iJ
> r
Q,4
g,
V -V
GRAPHIC SCALE
50 0
24
2 00
Ya'!
v
IN "FEET
Vo,
I inch 50 ft.
---- CERTIFICATION
I HEREBY CERTIFY TO
"T
IBRAHIMIGOUDA
:0
BELKIS GOUDA
FIDELITY NAT16N'AL TITLE
INSURANCE COMPANY.
nAT w[C LAAD WAC
DDC�DADCn MnkJ
Ahl Arnlhl Mrl n
LOT It
LANDS N/F
MICHAEL T. LEROUX
L. 2964 P. 075
LOT 9
serzsvat
LANDS N/F
KENNETH J LINGLE
L. 3669 P. 174
105.1'
LOT 5
AREA
LOT 4
0.701 ACRES
—LANDS N/F
PAI 11 : F)[('.APR 10
G.
y
V
,iv
I I-Wll�o
g
.7.0-
r. Xy�
'o, C
0,
o", 5*
V,
SITE LOCATION MAP
HE � CERTIn CATION S 'HEREON 'SHALL BE
PARTY,:OR PARTIES, HEREON NAMED AND
NE3LE:-TO-ADDITIONAL�,'INSTITU-hONS OR
Q OTWrO TUAM Aq LiAY PF7'nP
IT,Z.,<ROUND POND SUBDIVISION
VADE,WR
41,
M
iJ
> r
Q,4
g,
V -V
Ya'!
v
Al
Vo,
---- CERTIFICATION
I HEREBY CERTIFY TO
"T
IBRAHIMIGOUDA
:0
BELKIS GOUDA
FIDELITY NAT16N'AL TITLE
INSURANCE COMPANY.
nAT w[C LAAD WAC
DDC�DADCn MnkJ
Ahl Arnlhl Mrl n
HE � CERTIn CATION S 'HEREON 'SHALL BE
PARTY,:OR PARTIES, HEREON NAMED AND
NE3LE:-TO-ADDITIONAL�,'INSTITU-hONS OR
Q OTWrO TUAM Aq LiAY PF7'nP
IT,Z.,<ROUND POND SUBDIVISION
VADE,WR
41,
M
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: -3) am/pm
Date Inspection request received: Inspector's Initials:
,�
NAME: c457Crt \ PERMIT#: Z-_Zc-c
LOCATION: > DATE: l! ti c>
TYPE OF STRUCTURE: t-2
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exteri• doors
Handrail 4 or more 's-rs
Guards at stairs,d=- - patios more than 30 inches a•*ice grade
SriXk" di'� r�-^'C___
Guard at stairwell •t 34 ches or more
Guard at deck, po es • inches or more --,
Handrail Terminat'•n at N:well Post or Wall f _ co .)- ..--.5517_43-X....
Interior/Exterior R.ilings 34' ches to 38 inches
...------
Deck
_!Deck Bracing/Ha dicapped -amp Compliant
Grade away from •undation 6' dies with 10 fee
6 inch clearance t• sill plate
Gas Valve shut-o' exposed/reg .tor 18 inch: above grade
Interior privacy/tri /doors/main :ntrance ., inches
Bathroom/Kitchen watertight
Safety glazing/Wi •ow in stairwells -• ety • azing
Interior Smoke Det- ors/Carbon Mon.,'d. Detectors
Every level: Every Bedroom:
Outside every bedr•om area:
Inter Connected: Battery backu•:
Attic access 30 inche. x 22 inches x 30 i ch-. (height)in accessible area
Crawl Spaces 18 inch x 24 inch access 1 sq. -150 sq.ft.vents
Bathroom Fans,if no 'ndow
Plumbing fixtures
Foundation insulation tb floor/Stick- on Panel
Duct work sealed properly/Blower V oor Test Ce :fication
Floor truss,draft stopping finished •asement 1,006 sq.ft.
Emergency egress beloyv grade
Gas Furnace shut-off within 30 feet or within line of-le
Oil Furnace shut-off at etitrance furnace area
Furnace/Hot Water Heater oper.ting
Low water shut-off boiler
Relief Valve(s)installed/ ea rap/Water Temp 110
Enclosed Stairs Sheetr U•derside minimum%"Gy•-um
Basement stairs closed rise 4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System I Sewer Dept. Inspection Sticker
Site Plan /Variance required
ti,),
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
rme\1/4a. 3 `, 3cD
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/ m rt:! am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ..��••__��
NAME: ��J� PXX� PERMIT NO.: l c)NO�I
LOCATION: I) Lt evi .0 .'1 d • - INSPECT ON: 11,
RECHECK:
Comments and/or diagram
Soil Type: San / Loam/ Clay
Type of Water: Municipal/ Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + / - Y N N/A
[150'to well required if NO]
Absorption Field: Total length f ckft.
Length of each trench ft.
Depth of trenches `Z ft.
Size of Stone i2
Seepage Pits: Number
Size: _ x
Stone Size:
Piping ize Type
Building to tank 4" tLk 4
Tank to Distribution Box £'i
Distribution Box to Field/ Pit
Opening Sealed: /I__N
End Cap ✓1' N
Inlet/Outlet Pipes&Baffles 'A' N
Manholes 12"or less below grade _Y_N
[provide extension collar if Yes] _Y N
Location / Separations
Foundation to tank L U ft.
Foundation to absorption '-A ft.
Separation of Pits —MT ft.
Conforms as per Plot Plan
Engineer Report and As-Built —Y N
ETU Maintenance Contract _Y_ N
provided
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
S stem Use S s:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report 03 29 10.doc
C(cto —3 1-
r I " •
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: AO
Queensbury Building &Code Enforcement Arrive: am/pm art: I am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ' l 1
NAME: r4.5 5"9re//, _ PERMIT #: 1 --z__- 2-07
LOCATION: (73 (7z-z-(-1 On pi INSPECT ON: 1 qh,V,
TYPE OF STRUCTURE:
L Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent 1 Vents in Place
1 Yz inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
Drain/Vent
Air/ Head
5 P.S.I. or 10 ft. above hi hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firesto po-
g pping Inspect�On Deport /6 -1 7--ft,
Office No. (518) 761-8256 Date Inspection request received: `z----
Queensbury Building &Code Enforcement Arrive: _amlpm Depart: /L y-, am/ m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: n 1 /.1 PERMIT#: ) 2 - �v 7
LOCATION: - INSPECT ON: 9//71) - -
TYPE
J/Z1) - -TYPE OF STRUCTURE:
,.,� Y� N NIA COMMENTS:
?cframing V/
Attic Access 22" x 30" minimum \//
Jack Studs/ Headers •�/
Bracing I Bridging :/
Joist hangers V/
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 '/2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 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 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W) '
5.7 sf above/ below grade
5.0 sf grade
L:1Building&Codes Fomes-OLD\BuiIding&Codes\Inspection Forms'Framing Firestopping Inspection Report.doc Revised January 7,2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: / C)( (( 1/2"-
Queensbury Building & Code Enforcement Arrive: am/pm Depart: J 0 *�.Tam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .t 1 U
NAME: nn S5 e��it ,m„,,;,_
PERMIT #:
LOCATION: - INSPECT ON: /0/1-z-#
TYPE OF STRUCTURE: . 'f
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent I Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction f,
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air I Head
50 P.S.I for 15 minutes
Insulation I Residential Check I Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct I Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/Rip Depart: H ' ) am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's lnitials:�`
NAME: (, I PERMIT #: / ,)0?
LOCATION: 3 Amyx'Mirt INSPECT ON: 4) -? - /
TYPE OF STRUCTURE: LS -i
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent I Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet 1 change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes _
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check ,
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window SealedjNo Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
C/& ;`--- ( - / -3
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /0/_C//v
l
Queensbury Building &Code Enforcement Arrive: am/p De art: L am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 0./ - �J
NAME: PERMIT * _2—°c
LOCATION: 7 j (2-cv/9 n r t,2_0;+% INSPECT ON: )1' v
TYPE OF STRUCTURE: -_`1`
_IL_ N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 Yz inch minimum Drain Size
Washin. Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
,--- -
50
50 P.S.I for 15 minutes
/Insulation I Residential Check I Com, : ial Check
Tyvek or Similar Exterior Sealant r ,
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
___I j ,
OMME iTS7.--------1 ( '
• Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection requ Are ed:
Queensbury Building &Code Enforcement Arrive:Lei'-?6 am part: ��,"3') arr mom,
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ` --
NAME: V� PE' #: 1 Z- Z09
LOCATION: - (� ov t ev to R\) INS- CT ON: J - 7
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 '/ inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain I Vent
Air/ Head
5 P.S.I. or 10 ft. above hi hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation /Residential Check/Commercial Check Q0E6.-1 (2$3.5
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent otJ V C I+ >f
Door/Window Sealed (No Insulation) pts cDc-
Duct/Hot Water Piping Insulation 13 s P 00-x-
If required unheated spaces \ AoV& F
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report 1-1 1 d« I Ci m)
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/p part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ��A
NAME: Pa S 5 a r ,\\ i PERMIT#: / o�
LOCATION: �3 ?� s? t I n cl �'�.�, c•] INSPECT ON:
TYPE OF STRUCTURE: W j
N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing / Bridging
Joist hangers
Jack Posts/Main Beams1�-
Exterior sheeting nailed properly
12" O.C. -, - L.. �� —
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 nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
vIEe and water shield 24 inches from wall
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:\Building&Codes Fomes-OLD\auikiin9&Code3Unspection Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report ,\f\ o n6ta (3 ( - 3
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/ rt: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
l c
NAME: , )mac PERMIT#: /
LOCATION: (r 3 aINSPECT ON: <3_/ S
TYPE OF STRUCTURE: ' r—
Y N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing I Bridging
Joist hangers
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 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 wail 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall _ ^
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Building&Codes Forma-OLD Building&CodeSUnspection Forms1Framing Firestopping Inspection Repott.doc Revived January 7,2008
Framing / Firestopping Inspection Report - text_
Office No. (518) 761-8256 Date Inspection request received: CZ—
Queensbury Building &Code Enforcement Arrive: am/pm Depart. ' am •m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 4 n
\' t-e t` PERMIT#: I L " RX
LOCATION: C , r) IA 6 -.I INSPECT ON: c/2 (!%1Z
TYPE OF STRUCTURE:
Y 1417/N/A COMMENTS:
Framing
Attic Access 22" x 30° minimum > `' t>` ''1`'� �'• `�'T U
Jack Studs/Headers i;.)
Bracing 1 Bridging
Joist hangers S c'c ' t c S l-��V-��-e C t ve'1 `
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in. <,!b
Stairwells 36 in. or more
Exterior Deck Bracing Pa-`- (
Headroom 6 ft. 8 in. •
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate ---(1171")<_3 4-k �
1 '/(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 ;! , . t 3t3f-)C
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. (VV)
5.7 sf above/below grade
5.0 sf grade
L:1Buiiding&Codes Fors-OLD\Buiiding&CodesUnspection Forms‘Framinp Firestopping Inspection Repoct.doc Revised January 7,2008
[1\POCiatA g
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Dep . am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:6 -)
NAME: 0-&- . PERMIT#: LQ 09
LOCATION: `7 3 �n-t-,L..n . r '1,-Ri INSPECT ON: g
TYPE OF STRUCTURE: ...s
Comments
Y N NSA
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for r&'\ --?
providing protection from freezingc)- A
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 `
c--74
Under Slab
PVC/Cast/Co
PPer
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Bullding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/-3 (D,?)
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection :• rem:tv; ,:
Queensbury Building&Code Enforcement Arrive: : i( p /G Depart: ®I I. .m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial* ;or
NAME: P 6i P: #: / � - o 9
LOCATION: CJ' `3 Haund T ON:
(�
TYPE OF STRUCTURE: g r—
Comments
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
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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
LL) ed A _.,_SCA(a<A ,)*--ki (3 e ri)
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection req :•:
Queensbury Building&Code Enforcement Arrive: 7_°6- : +ifri d epart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: —4.1 e
NAME: I (.L sem., 2Q6, 'ERMIT#: I o� C% Jn
LOCATION: I[.2 n etc INSPECT ON: 7 –
TYPE OF STRUCTURE: r
Comments
DO
Y / N �-
Footings
Piers
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/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:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
LOT 9 t lCA
LOT 8
S8475"09 E
150.00' LOT 8
I,Y; n u 2012
; 1 E
LOT 4 i
COPY
L 0 T 6
LOT 5 121.0' / J�
TOWN OF QU J
• .
to
0 OSE'/� $ 4'
BUILDING &
B
LOT 4 i ReviewedY
LOT 5 Mme=: AM"
��. Date: /
0.70± acres
40.4 '
��
k•l I LOT 6
PROPOSEDco
/ •
HOUSE a//0,
i1 { ,
_��.~ 43.7' 1 r . 1 l �0
•�: `) .4' r "I have seen or observed, or believe I saw evidenc ' of,
. ° t
all ohjects such as houses, wells, trees, fences, etc ,
1- 44.7 44.7' l shown on this document. I also represent tf?Z; I ha ,e
z persopally measured the distances set Isrth on th. d!egram "
,"�� i ) I.
N890320"W 70.85' ly3l //f k� D4; ia
N843900"W . Si NATURE ATE
ROUND POND ROAD
6004 93 4,,, 4,4, .
Li's
CL
i
j._
I
N
I
F
C V
N �
N
.GSZ�L
M,SL,gReoS
o v co
o �
3
O �
M
N a Z
ko y
o O Fo yp h
0 4x
r
� N
o
2
M
a "�1
.�b'soz
\\ Q
� 3„SZ,gQeOly
o Q
�a
a
7
N a
N
F
O
�4z0XL-
\ �•.
02
0-1
J
Fw
- I I
'$safe r I
U� 1
gym"
(o
C3
C3
� `\ l 1 � ( II � '1 � I � � I�� I i I � � �+ moi ► i '- - --� i � \\
0
'194
1 I � I j 1 I I III 1 1 1 I I I I 11
N
o
NOFNVH I
r L
'o ♦ H
r
'co -C6. /
W o \ o_
' r t �n r m u / 'o ew
_� Y d M
to
cr) CO
of � �6SJ6
'00,0Z
.r _..
� H
H 9Z 80.90 N
w
PA u
/ON -•ot,� �� w Jnr ' as ti
UNp P o i q o w
N
CO
,,cs•zoz � o ��
.T ..9z.80.80 N
4.
M.O
OH UM �1
OJ d
Lo O N ¢,U
O o d
w' J O
H4 M
l6'609 A o
a „9z,80.80
r5�Al. co
231 A 50
u-
t
o a o
" tnu
n2 ~O d
N
O
cn
o .
.ss•ozz o
a o .7 .,9z,8.0.80 N `4
� me .o
'r� Lq
co
.. p C) Q'L
O o M d