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BOTH-000559-2016 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000559-2016 Date Issued: Monday,November 14, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000559-2016 has been completed. Tax Map Number: 301.13-1-3 Location: 14 MOUNTAINSIDE DR Owner: Joseph Leuci,Maria Leuci Applicant: Joseph Leuci This structure may be occupied as a: Demolition of SFD Asbestos report received and attached By Order of Town Board TOWN �OF QUEENSBURY Issuance of this Certificate of Compliance 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 Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY QL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: BOTH-000559-2016 Tax Map No: 301.13-1-3 Permission is hereby granted to: Joseph Leuci For property located at: 14 MOUNTAINSIDE DR 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 Tvce of Construction Owner Name: Joseph Leuci Demolition $0.00 Owner Address: 9 MOUNTAINSIDE DR Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Demolition of SFD Asbestos report received and attached $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,September 1,2017 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the axx2imtion date.) Dated at the Town Queens ` / Thu y er 1,2016 SIGNED BY: LL,,,�••6�...ttt���JJJ�ttt111"""/// ��� �for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only Received _____________ DEMOLITION PERMIT APPLICATION Permit#: O�_��_�01 NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit Fee 'tT�yy�_���______ Provide 2 plot plans drawn to scale, showing lot boundaries with dimensions and adjacent roads/streets. Show all existing structures on property and indicate which are to be demolished. Indicate the location of all utilities Date --it2.3110---- Demolition Location Irt rno A1N5� 6R__ Tax Map ID _ 12.311- 10 --_ APPLICANT Sbs"'A d MAII1A LELAL4 OWNER ------------------ ----------------------- Address 3- D0.. Address ---------- --------------------------- Q6Y Ny (zrso�r ---------------------------- --------------------------- Phone _�S_1$�l9fo_3SZo------------ Phone --------------------------- CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: Lae uLi ---Phone: lr5(8�7q(v_ LO I. Person Responsible for Work Jos EPA Le-ttL.1 2. Where will demolition material be disposed I Nput r o BN Kb W AkD'S 6-x(-. 7o APPRoPp Vir 3. All buildings to be demolished require an Asbestos Survey LAND FILLS . 4. Any building substantially damaged by fire must obtain an Asbestos Removal Permit from the Department of Labor S. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begin a) Is there any asbestos In the building to be demolished __ Yes _ No b) if Yes,our office needs the following information ____Yes ____ No Name of firm removing the asbestos License number of firm Indicate where the asbestos material will be disposed 6. Structure Information a) Indicate the structure(s) to be demolished Residence ___ Garage ___Business __Storage Bldg. --- Other b) Size of Structure 112.00 S.f. c) Number of Stories 201S 2, QLAXSe0 P-ANC44 d) Foundation Type AUG 4 Ed (,bNcR ETE $LO"L e) Foundation I) Structure(s) 7. Utilities Information a) Indicate utilities for this structure f Gas ✓ Electric ___ Propane f Public Water ___ Public Sewer _On-site well water pump a) Have you notified the Town Water Department for public water and sewer disconnect? ----Yes ____No b) Have all utilities been disconnected? ____Yes ____No 8. Slgnature Print Name: �osg P61 (.guc _______ Date $ 14 -------- --------- --- -------- Signature: --=-- ---------------------------- Date ------ Town of Queensbury Building &Codes • Demolition Permit -December 2014 TOWN OF QUEENSBURY BUILDING DEPARTMENT 301.13-1-3 BOTH-000559-2016 Pased on our limitcd exarn,inaiion,compliance LEUCL 10E SE Maria our comments sheii not be construed as indicating the plans and specifications are in 14 Mountainside Drive hill compliance with the wilding Codes of New York State. Demo of SFD 1200 s.f. asbestos report) HANSON GEOLOGIC & ENVIRONMENTAL CONSULTANTS VAN VLEET, LLC FIL =COPY August 23, 2016 ;i1 AU:i 1 1 !10iS Mr. Joe Leuci Foothills Builders 9 Mountainside Drive Queensbury,New York 12804 TOWN OF QA­74' t BUILDING &RE: Pre-Demolition Asbestos Survey Reviewed By 14 Mountainside Drive Town of Queensbury, New York Date: Dear Mr. Leuci: Hanson Van Vleet, LLC conducted a pre-demolition asbestos containing material (ACM) survey of the residential structure at 14 Mountainside Drive in the Town of Queensbury, Warren County, New York. The property is on the north side of Mountainside Drive, approximately 350-feet west of West Mountain Road. The property is identified as tax parcel 301.13-1-3. HVV is authorized by the New York State Department of Labor under license # 05-0220 to perform asbestos inspections, sample collection and surveys. Samples of each type of suspected asbestos containing material (SACM) were collected. All samples were collected by a NYSDOL licensed Class D Inspector, in accordance with 12 NYCRR Part 56, (referred to as Industrial Code Rule 56)and 29 CFR Part 1910. The sampling was conducted on August 11, 2016. A copy of the NYSDOL Asbestos license is attached to this letter. Methods Prior to initiating sampling, an on-site walk through inspection of the structure was performed in accordance with Subpart 56-5(e) of 12 NYCRR Part 56. Building plans were not available for review. Based on the site inspection, sampling of materials was performed to evaluate for suspect asbestos containing materials (SACM). Bulk samples were collected following standard sampling procedures. The samples were placed in double sealed sample bags and delivered by Federal Express to EMSL Analytical for analysis under formal chain of custody procedures. Friable type materials were analyzed by Polarized Light Microscopy (PLM) via the NY State ELAP 198.1 method. Non-organically bound (NOB) materials were not observed during the inspection. Inspection Results The inspection revealed wood framed split level residence on a concrete block foundation, constructed in 1983. The exterior of the structure had vinyl siding, vinyl type windows, vinyl 902 Route 146 (518)371-7940 Clifton Park, New York 12065 Fax(518)371-5885 Pre-Demolition ACM Survey Proposal 9 Mountainside Drive,Queensbury,NY August 10,2016 Page 2 soffits and wood trim. The structure had a recent architectural shingled roof. The interior construction consisted of hardwood and ceramic tile floors, wood paneled and drywall walls and drywall ceilings. Suspect ACM materials identified included: drywall and mudded joint material. Asbestos Containing Material Sampling Results Five samples of each type of suspected ACM were collected for analysis for possible asbestos content. The samples and results are summarized in Table 1 below. The analytical laboratory results and chain of custody are attached to this letter. Table 1 Asbestos Sampling Locations and Analytical Results 14 Mountainside Drive, Queensbury,NY -Sample No. Type of Material Location Result SAA Dry Wall Garage Wall None Detected S-IB Dry Wall Laundry Room eiling None Detected S-IC Dry Wall Living Room Ceiling None Detected S-11) Dry Wall Bathroom Wall None Detected S-IE Dry Wall Bathroom Ceiling None Detected S-2A Joint Compound Bathroom Wall None Detected S-213 Joint Compound Hallway Wall None Detected S-2C Joint Compound Bathroom CeilinR None Detected S-2D Joint Compound Laundry Room Wall None Detected _S-2E Joint Compound Laund Room Ceiling None Detected Conclusions No asbestos containing materials were identified in the structure. No remedial activities are required prior to demolition of the structure. The Analytical results and chain of custody are attached to this letter. If you have any questions regarding this survey, please contact us at(518) 371-7940. Very truly yours, Hanson Van Vleet, LLC Very truly yours, Hanson Van Vleet, LLC &t James Gironda NYSDOL Class D Inspector Certificate# 07-05263 CC:NYSDOL OF. y'yTr4 L3',L /iL�+j y -.• '® ��`,+. a w1�..aq��el•�-�"`}� ��C,d A� •„ AY A � f� a 3�'�. —`,• -�^'a` s h lit. .- -vim a . ' 0 o `rte. N Td , fq4 M / - 5 f �• 1 C yy •R d<t x. y f R wP^ ♦ ..� y� •4 Y- i f Y�� y.. Vffiu J•� �l�Kip-moi- .�M' Y .!:. v� �I \.,�� 1/�}j •rte "... �! .!�'`{y�11� .+I" 1, � �'? ' A ,�4� n '` �.-r •'+F�F�/' ��r 3i�' 4if r 9 ly V. iMjr .yiy(� Lh Ire - � r' „{" ply '" '°•' s`"` � - . '*� - :•��r "��'-~,. 1� - �"" "`e k ", ." ,v,� . �. /.:� x .;;�'_ .1 a-;�1►� `' ;•'.1 MPF••.. ,.e "•t "'� 1.M..' .+ ^ h �w,�r }�,�� �.., `p4�"'My� -�♦ �..>e<.- �,(' � ra #_Y�.(�wi.., �g7y 1.'yh r,•, '!f," � "^-71y 1'�if Mlf� +`/+7 p.��.4ti � 1 f i t � j�.- K1 'g�f y1 �i �•�fr'� ''ATS R wT�• r 'sw i--- • t a sl.+ �u ..af�. k...•+L- q' ,�� -v& • �' -. Jli�`"f: �' T��t,. ,:�i•.r� •, y`j. "'•-^��1 �1 MtYY..,aM'�, a• •aA ,�. arl�• ` `f1 r�41y' 1�y� ♦� Y 1•' l f R1 "3 FIGURE 1:SITE LOCATION MAP FIG-1 H ANSON WATER SUPPLY a 14 MOUNTAINSIDE DRIVE ENVIRONMENTAL CONSULTANTS QUEEN5BURY,NY VANVLEET, LLC 902 ROUTE 10 CLIFTON PARK,NEWYORK 12085 (518)371-MO FM(518)371-5805 EMSL Analytical, Inc. EMSL Order: 031624333 Customer ID: HANS22 307 West 38th Street New York,NY 10018 Tel/Fax:(212)290-00511(212)290-0058 Customer : ID: http:/Mv .EMSL.com/manhatenlab@emsl.com Project D Attention: James Gironde Phone: (518)371-7940 Hanson Van Meet, LLC Fax: (518)371-5885 902 Route 146 Received Date: 08/15/2016 9:58 AM Clifton Park, NY 12065 Analysis Date: 08/15/2016-08/162016 Collected Date: 08/11/2016 Project: 14 MTN VIEW DR, NY Test Report:Asbestos Analysis of Bulk Material Non-Asbestos Analyzed Test Date Color Fibrous Non-Fibrous Asbestos Sample to SIA Description GARAGE WALL-SHEET ROCK 031624333-0001 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/15/2016 Gray 10.00%Cellulose 60.00%Gypsum None Detected 30.00%Non-fibrous(other) PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed SamplelD SIB Description LAUNDRY ROOM CEILING-SHEET ROCK 031624333-0002 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/15/2016 Gray 5.00%Cellulose 35.00%Gypsum None Detected 60.00%Non-fibrous(other) PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198A NOB Not Analyzed SamplelD SIC Description LIVING ROOM CEILING-SHEET ROCK 031624333-0W3 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/15/2016 Gray 8.00%Cellulose 52.00%Gypsum None Detected 40.00%Non-fibrous(other) PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198A NOB Not Analyzed SamplelD SID Description BATHROOM WALL-SHEET ROCK 031624333-0004 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/15/2016 Gray 5.00%Cellulose 40.00%Gypsum None Detected 55.00% Non-fibrous(other) PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198A NOB Not Analyzed SamplelD S1E Description BATHROOM CEILING-SHEET ROCK 031624333-0005 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/16/2016 Brown/Gray 10.00%Cellulose 60.00%Gypsum None Detected 30.00%Non-fibrous(other) PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198A NOB Not Analyzed Initial Report From:08/16/2016 10:19:06 ASB 196x 0009-1.71 Pdnled 8/16/201610:19:07AM Page 1 of 3 EMSL Analytical, Inc. EMSL Order: 031624333 Customer ID: HANS22 307 West 38th Street New York,NY 10018 Tel/Fax:(212)290-0051/(212)290-0058 Customer PO: http:1ty EMSL.com/manhattanlab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Material Non-Asbestos Analyzed Test Date Color Fibrous Non-Fibrous Asbestos Sample ID S2A Description BATHROOM WALL-JOINT COMPOUND 031624333-0006 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/15/2016 White 65.00%Ca Carbonate None Detected 35.00% Non-fibrous(other) PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S2B Description HALWAY WALL-JOINT COMPOUND 031624333-0007 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/152016 White 60.00%Ca Carbonate None Detected 40.00% Non-fibrous(other) PLM NYS 198.6 VCM Not Analyzed PLM NYS 196.6 NOB Not Anatyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S2C Description BATHROOM CEILING-JOINT COMPOUND 031624333-0006 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/152016 White 60.00%Ca Carbonate None Detected 40.00% Non-fibrous(other) PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S20 Description LAUNDRY ROOM WALL-JOINT COMPOUND 0316243330009 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/15/2016 White 70.00%Ca Carbonate None Detected 30.00% Nan-fibrous(other) PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed SamplelD S2E Description LAUNDRY ROOM CEILING-JOINT COMPOUND 031624333-0010 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/162016 White 60.00%Ca Carbonate None Detected 40.00% Non-fibrous(other) PLM NYS 198.6 VCM NotAnalyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Initial Report From:081161201610:19:06 ASB 198x0009-1.71 Printed 8/162016 10:19:07AM Page 2 of 3 EMSLAnalytical, Inc. EMSL Order: 031624333 Customer ID: HANS22 307 West 38th Street New York,NY 10018 Customer PO: TeVFax:(212)290-0051/(212)2900058 http://www.EMSL.mm/manhattanlab@emsLoom Project ID: Test Report:Asbestos Analysis of Bulk Material The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via NYS ELAP Approved Methods.The reference number for these samples is the EMSL Order ID above. Please use this reference number when calling about these samples. Report Comments: Sample Receipt Date: 8/15/2016 Sample Receipt Time: 9:58 AM Analysis Completed Date: 8/15/2016 Analysis Completed Time: 10:15 PM Analvst(s): Emily Myint PLM NYS 198.1 Friable(2) Tiquasha Thompson PLM NYS 198.1 Friable(8) Samples reviewed and approved by: James Hall,Laboratory Manager or Other Approved Signatory NOB=Non Friable Organically Bound N/A=NotApplicable VCM=Vermiculite Containing Material -In New York State,TEM is currently the only method that can be used to determine if NOB materials can be considered or treated as non-asbestos containing. All samples examined for the presence of vermiculite when analyzed via NYS 198.1. -NYS Guidelines for Vermiculite containing samples are available at http:/t n .wadsworth.org/IabcerUelapmrUrorms/VemiwlitelntedmGuidanm Rev070913.pdf EMSL maintains liability limited to cost of analysis.This report relates only to the samples reported above and may not be reproduced,except in full,without written approval by EMSL.EMSL bears no responsibility for sample collection activities or analytical method limitations.Interpretation and use of test results are the responsibility of the client. Samples were received in good condition unless otherwise noted. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the federal government.This report may contain data that is not covered by the NVLAP accreditation. samples analyzed b/EMSLMaMIUI,Inc.New York.NY NYS EU 115M Initial Report From:08/16/201610:19:06 ASB 198x 0009-1.71 Printed 8/162016 10:19:07AM Page 3 of 3 OrderlD:.031624333 EMSL Analytical, Inc. *- AsbestosANALYTICAL.INC. Bulk Building Material 307 West 38th Street Chain of Custody New York, NY 10018 9M1L EMSL Order Number(Lab212 _use Only). PHONE ( ) 290-0051 ,..r.,....,...,m.........A FAX (212)290-0058 Hanson Van Vleet LL -C EMSL43111 to: Same Different _COmpany__ H Bill to is Different note instructions In Comments" Street:902 Route 146 Third Pert Man re uims written aulhorization tram third rl C :Clifton Park Stateiprovince:NY .....ZIP/Postal Code 2065 Country:US Report To Name :James Gironda Telephone#:5183717940 Email Address: J9ironda@hansonvanvleet.com _Fax M 5183717940 I Purchase Order: Project NamelNumber:14 Mtn View or _ Please Provide Results: ax ✓ :mall ail U.S.State Samples Taken:NY CT Samples:U Commercial/Taxable Lj Residential/Tax Exempt Turnaround Time AT O tions*-Please Check El 3 Hour 6 Hour 24 Hour 48 Hour 72 Hour ILJ 96 our 101Week ❑ 2 Week 'For TEM Air 3 hr through 6 hr.please call ahead to schedule.'Them Is a premium charge for 3 Hour TEM AHERA or EPA Level II TA T. You will be asked to sign an authonzatlon form for this service. Analisis completed In accordance with EMSL's Terms and Conditions bcated in the Anal bai Price Guide. PLM-Bulk(reporting limit l TEM-Bulk ❑PLM EPA 600/R-93/116(<1%) ❑TEM EPA NOB-EPA 600/R-931116 Section 2.5.5.1 ❑PLM EPA NOB(<1%) ®NY ELAP Method 198.4(TEM) Point Count ❑400(<0.25%)❑ 1000(<O.1%) ❑Chatfield Protocol(semi-quantitative) Point Count w/Gravimetric❑400(<0.25%)❑ 1000(<0.1%) ❑TEM%by Mass-EPA 600/R-93/116 Section 2.5.5.2 ❑ NIOSH 9002(<1%) ❑TEM Qualitative via Filtration Prep Technique ® NY ELAP Method 198.1 (friable in NY) ❑TEM Qualitative via Drop Mount Prep Technique ® NY ELAP Method 198.6 NOB(non-friable-NY) ❑ OSHA ID-191 Modified ❑ ❑ Standard Addition Method M Check For Positive Stop-Clearly Identify Homogenous Group Date Sampled: 8/ 1116 Samplers Name:James Gironda Samplers Signature: Sample# HA# Sample Location Material Description SIA 1 Garage Wall Sheet Rock S1B 1 Laundry Room Ceiling Sheet Rock S1C 1 Living Room Ceiling Sheet Rock S1 D 1 Bathroom Wall Sheet Rock S1 E 1 Bathroom Ceiling Sheet Rock S2A 2 Bathroom Wall Joint Compound S213 2 Hallway Wall Joint Compound S2C 2 Bathroom Ceiling Joint Compound S2D 2 Laundry Room Wall Joint Compound S2E 2 Laundry Room Ceiling Joint Compound Client Sample#(s): I - S 2�- Total#of Samples: 10 __ G� Relinquished(Client): Date: Time: I Received(Lab): �y Date: (� Time: "l:S y M Comw„mw tsLSMNloaallnstructi�na. Page 1 of pages Page 1 Of 1 New York State—Department of Labor Division of Safety and Health License and Certificate Unit State Campus,Building 12 Albany,NY 12240 ASBESTOS HANDLING LICENSE Hanson Van Vleet, LLC FILE NUMBER: 05-0220 LICENSE NUMBER: 28463 902 Route 146 LICENSE CLASS: RESTRICTED DATE OF ISSUE: 03/24/2016 Clifton Park, NY 12065 EXPIRATION DATE: 03/31/2017 Duly Authorized Representative—D Kirby Vanvleet: This license has been issued in accordance with applicable provisions of Article 30 of the Labor Law of New York State and of the New York State Codes,Rules and Regulations(12 NYCRR Part 56). It is subject to suspension or revocation for a(1) serious violation of state,federal or local laws with regard to the conduct of an asbestos project,or(2)demonstrated lack of responsibility in the conduct of any job involving asbestos or asbestos material. This license is valid only for the contractor named above and this license or a photocopy must be prominently displayed at the asbestos project worksite. This license verifies that all persons employed by the licensee on an asbestos project in New York State have been issued an Asbestos Certificate,appropriate for the type of work they perform,by the New York State Department of Labor. Eileen M.Franko, Director SH 432(8/12) For the Commissioner of Labor - X: x ! LANDS N/F OF BRAESIDE LTD. S •I'�Q" •E - QJ �pFV 3.! f9 83-213 � 46.00, " r Ttp OP r e.Y �- OQ,r„ MTC1 FDRIVEWAY TO BE COMPLETELY DEMOLISHED HES pyo��, ��' �' �� � � ,"� .❑ ,�, • i�, � �..--�'"""�� �`�' SEPTIC A4 -1_�p SYSTEM Q n ,r 0.78 ARES �Eo m LOT I 00 1.01 ACRES o�� �,�� Off, fir,g , 41 �' LANDS N F OF CO � �" "` �. ,� 5 y�� �a.aa' `� 4D LANDS : / RAYMOND BAILEY � � � '°�....3�"a�C`.."�' t�` «�^'�'" :�►f�•.'J�:"....�';,,.-,''r.".:`...�;�- `::;..:. 67. NO MORE BUILDINGS 0D'' WITHIN A.P.A. �,� ::;..:?4-� 0bVtt ' ' 394.27, .-.-..DRi-.} ::•.;... 01 sa ` - - T4T, o� • 1 _ �y� 161.11' qy� t FFI . OPY LOT 2 TOWN o' .UEENSBUR r 9.tI8 ACRES BUj1 DING DEPARTMENT ., exam; Based an our limited n :,ion,comp iance TOWNOF QU � with our comments si-al be construed as indicating; the pians and specifications are in ���,�� & '� '�� E' . 123-1-11.2 foil compliance with the"wilding Codes'of New`fork State. k�VIe1lUet. Y: Date. • I - h rt 419.73, 2016 o 1 , 0 LnLn 0 Ln -0 ® 7 'UNAUTHORIZED ALTERA1 10N OR ADDITION TO A.SURVEY ® 0 p I MAP BEARING A LICENSED LAND SURVE1rOR5 SEAL 15 A 14 m tN—I C' h VIOLATIQN.OF.SEOTION 7209, SUB—DIVISION 2, Of,THE NEW YORK STATE EDUCAiiQN LAW" "QNLY COPIES FROM THE ORION&t?fi-THIS SURVEY M � AT wry Q s MARK�;D.WITH AN ORIgNAI,9F THE LAND SURVEYORS ' a '' v- ti a SEAT $ NALt.BE: G(?N91D66 To Be VALID TRU 40PIES" O �(� "CERTIFlCR ms,INDICATED HEREON SIGNIFY THAT M O O I Q?' rI THIS SURVEY,WAS�,PREPAAED IN"ACCORDANCE WITH THE_ 'v E>aSTING CODE OF PRACpCE FOR IANp $URV6'ltlR$ ADOPTED 8Y THF tNEW'YORK STATE AaS$OCIATIQN OF PRQK1 SIONAI- M J Q LAND SURVEYM$- SAID CERTIFICATIONS,SHAU"RUN ONLY 1� THE 5 GENS 0 Tt THE IGSO �NM�ENT�� ON'a AGENOY AND LENCNNG.INSIITUITIQN LISTED HEREON, AN 0 TO THE ASSIGNEES OF THE LENDING INSTI i1)TIQN" Aq � . .............. ��_ MAF? pt A "SURVEY" :MADE FOR 343.717, ---- _M 'OS R p ®0rfEPH & EU UA, R I CI �T : E TOWN OF QUEI NSBURY COUNTY CJI ' WARREN � Y SCALE 1 50 , SCA ff f DATE 1 MARCH 28> 1997 P OF , LANDS .N/ _ GORDONBEVERLY SILTS ®� s- _P - __' _, LAND :SURV1~YClRS;GLENS FALLSI NEW YgRK N,`(, STATE L. 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