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RC-000679-2016 Awl _1M TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 — Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-000679-2016 Date Issued: Tuesday, March 7, 2017 This is to certify that work requested to be done as shown by Permit Number RC-000679-2016 has been completed. Tax Map Number: 266.3-1-50 Location: 106 Wildwood PL Owner: PATTEN PROPERTY DEVELOPMENT,LLC Applicant: PATTEN PROPERTY DEVELOPMENT,LLC This structure may be occupied as a: Single-Family Dwelling 2,084 sq. ft.with 2-car attached garage 672 sq. ft. and gas factory-built fireplace By Order of Town Board Recreation Fee previously paid by developer of Grant Acres Subdivision in year TOWN OF QUEENSBURY 1987 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 Director of Building&.Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 OL Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: RC-000679-2016 Tax Map No: 266.3-1-50 Permission is hereby granted to: PATTEN PROPERTY DEVELOPMENT,LLC For property located at: 106 Wildwood PL 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 Tyne of Construction Owner Name: PATTEN PROPERTY DEVELOPMENT_ Single Family-New $300,000.00 Owner Address: 7 Jackon RD Total Value $300,000.00 South Glens Falls,NY 12803 Contractor or Builder's Name/Address Electrical Inspection Agency PATTEN PROPERTY DEVELOPMENT,LLC 7 Jackon RD South Glens Falls,NY 12803 Plans&Specifications Single-Family Dwelling 2,084 sq.ft.with 2-car attached garage 672 sq.ft.and gas factory-built fireplace Recreation Fee previously paid by developer of Grant Acres Subdivision in year 1987 $567.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: (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 of Que ry; SIGNED BY: ___/ for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only Date: l�i Permit No. Tax Map ID ?�P�o.3l "Sa Permit Fee RG (79-3o I Zone ? Historic? _Yes t/'&0 Rec Fee h ra Bte C pQc� Subdivision Name 6L6 .-t Lot# 70 Site Plan# Subdivision# Project Location W;1 TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family, multiple family, apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. This is in addition to the permit feels). Primary Owner(s) Address l� j K\f�,f "-,- Phone/Email Applicant ((77 I J /- Address r Phone/Email Sp ri n 2016 Contractor Address Phone/Email V (� 1 —7 c� Contact Person for Building & Codes Compliance: Clbrlc' �a>}'i r� Phone % LIV l TYPE OF CONSTRUCTION ✓Check all that apply New Addition Alteration I"floor sf 2nd floor sf Total sf Height Single Family r/ 2 Two-Family Multi-Family (# of units_) Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garage (1, 2, 3, 4+) Other Town of Queensbury Building&Codes Principal Structure Application revised January 2016 If uomm`ercial or industrial please indicate name of business IvIf Proposed use of building or addition S vK Source of Heat(circle one) Oas Oi ropan Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances &Chimneys Are there structures not shown on plot plan? r Are there easements on the property? e Site Information: a. Dimensions or acreage of lot b. Is this a corner lot? _Yes _No c. Will the grade be changed as a result of construction _Yes _No d. Public water nvate cle one) Public Private e. Sewer or Pr' rcle one) Sewer Private Value of all work to be performed (labor or materials) $ DECLARATION: 1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. 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 NYS Building Codes, local building laws and ordinances,and in conformance with local zoning regulations 4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. 5. 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 and agree to the above: qq PRINTNAME: fr u DATE: SIGNATURE: DATE: v /6 For office use only )perating Permit Issued: Yes —No ;cupancy Type ostruction Classification -mbly Occupancy Limit ial Conditions f Queensbury Building&Codes Principal Structure Application Revised January 2016 Fuel Burning Appliance & Chimney Application office Use only Received DATE: /3y/lb Tax Map ID TAxMAPID: 2(,r�P- 3'1.� SES, ':, �) 7Q�b _ - Permit No. Permit Fee ZONE: TC-V•:r: ( - OWNERC k1 p l_ ^/ PHONE/E-MAIL '7q G L16 5y ADDRESS -] n.L��.•n, hd lt.% r- us ✓" /fir INSTALLER/ PHONE/E-MAIL BUILDER S'J} ¢K/Q 06va CONTACT PERSON FOR BUILDING&CODE COMPLIANCE- ;i-PHONE/E-MAIL BUILDING ADDRESS ROOM OF INSTALL: L iy;% PLANNED INSTALL DATE: FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN& STOVE FINAL INSPECTION ARE FIREPLACE INSERT REQUIRED. FIREPLACE,FACTORY BUILT* NOTE: MANUFACTURER'S FIREPLACE,MASONRY INSTALLATION MANUAL FURNACE(GARAGE ONLY MUST BE AVAILABLE AT TIME OF INSPECTION *If factory built provide manufacturer name: r. c ; Model#: P0576 Listed by: Number: 4 'I CHIMNEY INFORMATION Masonry** (check one) BLOCK BRICK _STONE Flue _TIE OC STEEL _Size in inches Material DOUBLE WALL _TRIPLE WALL _INSULATED ** If non-masonry provide manufacturer name: ; Model#: DECLARATION: Construction/installation must conform to NYS Fire Prevention & Building Code and/or manufacturer requirements. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations,and all conditions that are part of these requirements and also will allow inspector's to enter premises to perform required inspections. I HAVE READ AND AGREE TO THE ABOVE: PRINT NAME: l_ � A (/ DATE: —713d to SIGNATURE: DATE: o/3-/ice Town of Queensbury Building&Codes Principal Structure Application Revised January 2016 SEPTIC DISPOSAL APPLICATION Office Use Only 2 Received /� DATE: -/I J0//6 SEP 3 201b Tax Map ID TAX MAP ID: Permit No. Permit Fee ZONE: -- --- APPLICANT �.r ,ti PHONE/E-MAIL ADDRESS `� �«kJ� Sr9JYVL ji�I ,--IIS INSTALLER ePHONE/E-MAIL BUILDER OWNER ADDRESS CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: PHONE/E-MAIL RESIDENCE INFORMATION Year Built #of bedrooms X gallons per bedroom =total Daily flow 1980 or older O '5 3a Garbage grinder installed _Yes LXNo 1981-1991 Spa or Hot Tub installed YesgNo 1992-Present PARCEL INFORMATION Topography _Flat rolling Steep slope %Slope Soil Nature �_Sand k - Loam _Clay _Other Groundwater At what depth: > Bedrock/Impervious material At what depth: Domestic Water Supply —Municipal _Well(if well,water supply from any septic system absorption is_ft.) Percolation Test Rate: Zr 10 per minute per inch(test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank size G gallons(min.size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub System Absorption field with#2 stone Total length G 0 ft.;Each Trench O Seepage Pit with#3 stone How many: IVIA ;Size y l�- Alternative System Bed or other type: Holding Tank System Total required capacity? Tank size11z9—_#of tanks Notes: I)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will no longer allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the septic system layout on file—no exceptions. Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material representation 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 and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. PRINT NAME: DATE: g/jo�//. SIGNATURE: DATE: 9/31),[/6 Town of Queensbury Building&Codes Principal Structure Application Revised January 2016 Town of Queensbury homas R. Van Ness Highway Department way Superintendent 742 Bay Road, Queensbury,NY 12804 -R C : 518-745-0929 Phone: 518-761-8211 Fax: 518-745-4466 David Duell Deputy Highway Superintendent Home: 518-745-0938 DRIVEWAY PERMIT Date: 3 /1- SEP 3 0 1016 Applicant Name: C In r 5 p6� Telephone No.: 7°l(o �yI Address to be Inspected b(v W i J we-aa Return Address: 3� Ucser. Q•d Sa (&'^S 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: i P f + 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 inspection completed by: Date: Approval by Highway Supt.: or Deputy Supt.: Upon completion please resubmit this approval permit for a final approval. STEP 2: ( ) Final Approval ( ) Rejected Date: Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent Town of Queensbury Building&Codes Principal Structure Application Revised January 2016 THERm A== Quality. Comfort, Satisfaction. Thermal Associates 21 Thomson Ave.Glens Falls, NY 128ot 518.798.55oo Fax 798.5620 Patten Property Management 7 Jackson Road South Glens Falls, NY 12803 518-796-4654 We, Thermal Associates, performed a blower door test at the project at 106 Wildwood Place, Queensbury, NY, to determine the air changes per hour, for Patten Property Management on March 2, 2017. Testing procedure performed as per ASTM E779. The result of the test is: ( 1,475 CFM50 x 60 Minutes) / ( 33,924 cubic feet ) _ 2.61 ACH50 Test conditions were as follows: 30F outside air temperature 62F inside air temperature 1.7 PA baseline pressure -48.8-52.3 PA testing pressure N 1102.4.3.1 Testing option.Building envelope tightness and insulation installation shall be considered acceptable when tested air leakage is less than seven air changes per hour(ACH)when tested with a blower door at a pressure of 33.5 psf(50 Pa)as verified using instruments and procedures specified in ASHRAE/ASTM E779.The test shall be conducted by a qualified person,who shall demonstrate competence to the satisfaction of the code enforcement official for the conduct of such tests.For the purpose of this section,ACH50 shall mean air changes per hour of infiltration into a house as measured with a blower door at 50 pascals of pressure,in accordance with ASHRAE/ASTM E779.Testing shall occur after rough in and after installation of penetrations of the building envelope,including penetrations for utilities,plumbing,electrical,ventilation and combustion appliances. During testing: 1.Exterior windows and doors,fireplace and stove doors shall be closed, but not sealed; .Dampers shall be closed,but not sealed,including exhaust,intake, makeup air,back draft and flue dampers; 3.Interior doors shall be open; .Exterior openings for continuous ventilation systems and heat recovery ventilators shall be closed and sealed; 5.Heating and cooling system(s)shall be turned off; 6.HVAC ducts shall not be sealed;and 7. Supply and return registers shall not be sealed. Adam DeVit Blower Door Tester Thermal Associates www.thermalassociates.com JB3 Consulting Joseph Biss III 553 State Route 149 -Suite B Lake George,New York 12845-3515 Phone: (518) 761-9888 JBISS3@AOL.COM - (Qe _ �( NYSDOH Lab ID# 11637 -----� InClient: D Parker Water Wells 5HAR 0 6 2017 PO Box 627 East Poultney,VT 05741 Phone: (802)287-4016 E-mail: parkerwaterwells@gmail.com Results: Spigot- 106 Wildwood-Queensbury, New York Sample Date/Time Date Date/Time Analysis Method Result nvsuoH Number Collection Received Analysis Driniring Un LimWater it 170302D01 03/02/17 03/02/17 03/02/17 Total SM 18-22 <1 CFU/100 <1 CFU/100 1:00 P 3:30 P Coliform 9222n,s,c (-97) ml ml The results relate only to the sample(s)as received by the laboratory. The sample received was analyzed in compliance with NYSDOH and NELAP approved methods and within their accepted holding times. The result(s)is (are) equal to or lower than the State's limits therefore it(they) meets the requirements for NYSDOH Part 5 Drinking Water Regulations. JB3 Consulting's liability for any work performed is limited to the amount billed to the customer leading to the claim of the customer. J04#Bi III An yst/Dtrector Friday, March 03, 2017 This is an original Certificate of Analysis, do not duplicate This is page 1 of 1 r " Lands Now or Formerly of z a ` HUGHES Ar - -. Book 666 Page 70,3 - . 266.3-1-49 585°25'O0'E 297.93' NOTTOSCALE MAPNO ES I 1. Boundary nformadan shown l7ereoii perMap Ref.I I PropoSerl 2. North orientation and bearing base perMap-R f.1. Septic A Warren County taxparce13664-7 yr � Systezrr b 4 The 1peatianofundergroundiinprowmentsoPoncroachments,ifany e ist,oras shorn hereon are not certified, There maybe other underground ufrlifies,the N \ � existence of which are unknown. Size and location of all underground utilities I $y must be>tor7hed Izy the appropriate ai7tliorities. The Underground Facililzes © Proposed � ► ProtechVe Organ&ahon must be notched prior to conducting test borings, Concrete I ' exca vagap acrd construction. Foundation Area=-7,868±acres � 5, T1zis survey was prepared without the benefit of an up to date abstract of title. A Reproductionarcopyingofdusdocumentmaybeaviolativnofcopprightlaw (� e ay 6 unless permission of the author and/or coppight holder is obtained 7 A copy of this document without a proper application of the surveyor's embossed seal should be assumed to be an unauthorized copy. b Lands NoW or Formerly of LIUM SEPTIC PLOT PLAN I HAVE SEEN OR OBSERVED ALL Of JECTS SUC S HOUSES, LLS, TREES, FENCEETC Book 1137 Page 322 0 N THI DO MENT.I HAVE PERS NALLY 266;3-1-54 MEAS TH DI SET FORTH ON THIS �/� 1 N7ya��p „ SIGNATURE DA E AWREFERENCES- ISEP e3 0 2016 1. Map entitled"Grant Acres';prepared byjohrt B VanDuson, dated Dec 29,1976,last revised May 4 1977,filed in the 266.3-1-50 RC 679-2016 Warren county Clerks Office onMay.5,1977. Patten Property Development Lands Now or Formerly pf T� of Lot 20, House No. 106 Wildwood Place r �` - N Grant Acres Phase 1 SFD HUGHES �� REVISIONS RECORDIDESCRIP710N DR?FFER U ��oR PropoSoo'PIOM,lIri m summsw x of THE REw tmix LandsNdii,6rForirier/y of . �wna ua. Book 666 Page 70 3 . H ,201 Pattern Property DevelopinMt,LLQ' I — eyln7.PILL APPROf ErkIGND 7YJWNOF QUEEN5BURY 6V i72l2ENCOUNIY NEw 1109K 266:3-1 49 DRAFTED, &IM _ -- rve iii,PLLC s c17Hcx��LKD Darrah Land StiY g 160$-1 q. .9764 North Shore Road,Hadley,New York 13835 bNL'I BOUNDNN SURVEY lAFP^WRH THE SURVEYOR'S EMSOSSEO Fj7aJ NQ' 16P38 .� SEPI.PRE GENUINE TRUE BIND OORREGT'COPIES gf%SE-SURVEYOR'S -P, „c. SC4LH:7°=40' Phone:518 799 6 2 StrEEr. 1 OF ORIGINAL woRN ANo opwprt - `� t>r]TH:?/73f7b PROJNo.•16M LR od Frame 7� T Q U L E N, j$ I B sidence 01ronPipeFound "E \ Iron Pipe S340 54'00 Lands Now or formerly of �: i-'' `� •�-- Found 33.27 r Iron no 0 Iron Pipe Found Found Richard & Marceline Hughes ! . SSite Location `.. End (Held) `.•tee w sectionsBook 666 Page 703 Iron Pipe Found on Rod Stone Wall 266.3-1-49 Found(Held) R=59.66' Iron S850 25'00"E - D L=6217' 297.93 Iron Pipe Found ---- Pipe CFI=N25°4323"E,58.53' Found S67°2533'E Z2'ho� COZIteZ y (MAPNOTFS NOTTOSCALE 1. Boundaryinformation shown hereon was compiled from an Vactual field survey conducted on january 10,2017 Electrical 2. North orientation and bearing base perMap Ref.1. Q vault Telephone Area=1.86!'acres 3. Warren County taxparcel266.3-150. Pedestal 4. The location of underground impro vements or encroachments, Q if any exist;oras shown hereon,are notcertified. There may ® be other underground utilities,the existence of which are WeE Lands Now or Formerly of unknown. Sizeandlocation of all underground utilities must be verified by the appropriate authorities The Underground AgBy Sang Bob Facilities Protective Organizationmustbenotified Priorto d+ conducting test borings,excavation and construction. oN oo Covered Concrete C0 � Porch o r Book 680 Page 314 cn10 5 5 This survey was prepared without the benefit of an up to 0 2.0 � n 288.9-1-52 date abstract ofdde. z ^ 9`l 1.0' 1 Story oCD cV // \ 1.9' ?8I,d CD 6. Field data capture tookplace with an accumulated snow i Gravel Drive 12.1' 85.8' cover of3"to 8': Every efforthas been made to prepare a i 11 3.1 complete plotting of the conditions Wood Frame 1 Story 7. Reproduction or copying of this document may be a violation Residence 0. ofcopyrightlaw unlesspermfssion of the author and/or copyright holder is obtained. 8. A copy of this document withouta proper application of the Dsurveyors embossed seal should be assumed to bean unauthorized copy. R=41.86' \ 3 3.T MAR03 �r�r / �1�N18°37'06"W,21.61' o MAPREFERENCE'• Propane Filler Z Map entified'Map ofPhase One Grant Acres a Subdivision TOWN OF UEEN BUR 53.9' made forEdwardGrant"prepared byjohnA. vanDusen dated COMMUNITY REVEL PMEN December29,1976,IastrevisedMay4,1977,filedmthe Iron Pipe Found �� Warren County Clerks Office on Marg,1977as map number 1 S60°1543"W,2.8'fmm N790 36'00tiW 79773000031. corner 325 Capped Iron Rod Found Lands NOW or Former/y of 10 5561108W 0.6'.6-om cornier DEEDREFERENCE Z Conveyance to Patten Property Development LLC.b deed dated George & Llnda Waller y P m' P y August 8,2016,filed in the Warren County Clerks Office on September 'R" — \ g 4 016 m Book 5415 of Deeds tpage 276. Book 1233 Pa II yt� e 133r°.v� �� 12 a � 266.3-1-51 qs� 11 ` °t ¢ x KFWnN M.DARRAH �p�RiFipN c�"3 AnwwMap of a Final Survey n ^'a;qqy�: pgOgp3 DATE- RENSIONS RECORD DRAFTER Acm�"ow 70 ne COCUM r o A y Lands Mow orFomierlyof 0 2D17 Patten Property Development,LLC D—h LaW SW-ft1g,RLC APPROVED 1alD TOWNOF QUEENSBURY WARRENCOUNTY,NBWYORK DRAFTED.-CCB N Darrah Land Surveying;PLLC 16038 2 ��-D-,� �V 6'•�✓ PROD NO. 16038 3764 North Shore Road,Hadley,New York 12&35 SHEET: I OFI �,t Phone.•(578)795.4692 'OlB.Y BOIiNOM SURVEY DAPS WRH THE SURVEYOR'S �R'-':,. :.•...cr.'?'n SGiLE:1'-40' SEAL ARE OrJC AN TRUE AND CDRRECf COPE OF THE SURVEYOfYS PROJNO.-16Q3B ORIG8IAL WORK AND OPINKIlL DATE:02/77/2017 Wood Frame Q U E' E N. � CB 0 kon Pipe Foand Residence [ �l S34054'00"E --_Ironpipe Lands Now or Formerly of Found 33.27 Iron Ro 0 Iron Pipe FoundHichard & Marceline b es _ J Found R ,i pfe Location L End En (Held) EndBook 666 Page 703 N1 ` Iron Pipe on Rod Stone W� c'• _,� Found 266.3-1-49 ' Found(Held) _ Q Iron X59.66' 5850 25'00"E p L=6217'- ----____ _ — p I ,__ 297.93 Iron Pipe Found /� — --•-�_ _ Found CH=N25-432TE,58.53' — ____ S67°2533E 1.2'from/ l�/ corner _ MAPNOTES ( " NOT70SCALE t Setback ; r 11 V I I 1. Boundaryinformation shown hereon was compiled from an I I actual field survey conducted on january 10,2017 ElectricalCG2. North orientation and bearing base perMap Ref.1. Q Vault ! �•r�J' v Warren County tax arce1266.3-150. O Telepho e Area=1.86±acres , P O Pedestal 4. The location of underground improvements or encroachments, (� I 100'Setback if any exist,oras shown hereon,arenotcertified. Theremay ti be other underground utilities,the existence of which are I Well Lands Now or Formerly of unknown. Size andlocation ofall underground utilities must I ' I be verified by the appropriate authorities Tire Underground C) I Milly Kang Sah Facilities Protective Organization must be notified prior to Go Covered Concrete _ conducting test borings,excavation and construction. o � o Porch P o Book 680 Page 314 COON I 105' '�� v 5. This survey,wasprepared without the benefit of an up to C) ^ 20, a j n4 Lo 266.3-1-52 date abstract of title. Z / 9.4 1.0' o N CD 6. Field data capture tookplace with an accumulated snow I i Gravel Drive 12.1' /� 858' coverof3'to8° Every,efforthasbeen made topreparea complete plotting of the conditions I 7. Reproduction or co of this document maybe a violation i Wood Frame Story P Pig y Residence hb. Q-C-'b' -ZCZIIo ofcopyrightlawunlesspermissionofthe author and/or copynghtholderis obtained. LN. :" �g `39' surveyor's emsbossdocument d seal should be a umed�o be an of the unauthorized copy. MAR 072017ppI! R=41.86' 3.7 —— J ' — � � S 11MAP}'EFERENCES.• / L=21.86' _._ .� CH=N18'37'06"W,21.61' — — — Propane Filler I j C j:f j+J �;i�';_t j r:A ;v tip,��;�:q1� � a entitled'Ma ofPhase One GrantAcres a Subdivision imadeforEdward Grant';prepared byjohn B. VanDusen,dated Dacember —— _— _ 2unty Clerks Office on May 5,19 as map number Iron Pipe Found N79o�� _�J 7977-Warren CCo3000031. 1 S60°1543"W,2.8'from 36 00"W corner 32 Jr Capped fron Rod Found Lands Now or Former/y of 'f s56011'08'E 0.61hom corner DEEDREFERENCE:• George & Llnda Walker t 1. Conveyance to Patten Property Development LLC.by deed dated August 8,2016,filed in the Warren County Clerks Office on September 1,2016 in Book 5415 ofDeeds.?tpage 276. Book 1233 Page 133 a M. 266.3-1-51 r 4 u '�S"osoeoa° AF' DATE REM04S ROCM/DESCR1FnON °R*7MAMICH THS�R A Map of a Final Survey I e %IMJMMO EMM 7209 3/7/17 1 Added SWU.Syeh":per C.Y—wr 10® NOMM 2 IM MR Y= Lands Now orFomrerly of EMICAMN ML 0 2017 Patten Property Development, LLC Omnri 1md 9m�4q,pLLC APPROVE6.KMD TOWNOFQUMVSBURY WARRF.NCOLW Y,NEW YORK DRAFTED.CCB M CHECKED.,lctim Darrah Land Surveying;PLLC 16038-2 PROJ.NO. 16038 3764 North Shore Road,Hadley,New York 12835 MY eMQW SuaYLr WPS WITH TW SURVEMn k]605gD SCALE:1'=40' Phone.•(518)798-4692 SHEET: 1 OFI W-M.ARE 6�ME 7811E AND COM OF'DM MVMn PROTNO.16038 O"I&WW AND Maw DATE:02/17/1077 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL �.-(e q-1 . Zo 1 e Permit No........................................Cert. N 44893 Cut-in Card No..................................... Owner.......... . ... .. il ................................................................................................................. Location../64... 0..P....P .................................�uc�..r***/............. �-c *7a'��A �o L1�S Installation Consisting of... ...�...�r�..!!r�................ ....t.................................. �......................�._ ,�l�n� ... .. .. ,-:2� 1....................................................................................... .................................................................................................................................................................................... InstalledBy......5. '��r` ............................................................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 privilege of maki inspections at any time, and if its rules are violated,the Company shall have the right-toe e t i c ificat Date.... ..'' ." .'............... INSPECTOR.................. .... .................................................................. Member N.F.P.A.,I.A.E.1.