DEMO-000565-2017 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: DEMO-000565-2017 Date Issued: Thursday, September 21, 2017
This is to certify that work requested to be done as shown by Permit Number DEMO-000565-2017
has been completed.
Tax Map Number: 226.15-1-13
Location: 120 LAKE PKWY
Owner: Richard Chase
Applicant: Adirondack Designers&Builders
This structure may be occupied as a: Demolition of house,garage&shed
(asbesotos report received) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the r )a; 4 4t
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.
x�
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: DEMO-000565-2017
Tax Map No: 226.15-1-13
Permission is hereby granted to: Adirondack Designers&Builders
For property located at: 120 LAKE PKWY
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
Tvne of Construction
Owner Name: Richard Chase Demolition-Residential $0.00
Owner Address: 41 Glenmere DR Total Value $0.00
Chatham,NJ 07928
Contractor or Builder's Name/Address Electrical Inspection Agency
Adirondack Designers&Builders
PO Box 181
Lake George,NY 12845
Plans&Specifications
Demolition of house,garage&shed
(asbesotos report received)
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,September 18,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Q ensbury' lvndOtfor
,2017
SIGNED BY: /d the Town of Queensbury.
Director of Building&Code Enforcement
s
Office Use Only
DEMOLITION APPLICATION Permit
Permit Fee:$
Town of Ouuccnsbury
Invoice:#: 2 Z 1�1
742 Bay Road, Queensbury, NY 12804
P:518-761-8256 www.gueensbury.net
Demolition Location: 120 C� � Tax Map ID#: '22Lo• I S I` 3
**AN ASBESTOS REPORT IS REQUIRED WITH ALL
DEMOLITION APPLICATION SL 1VI $ 'IN
CONTACT INFORMATION: p SEP 2017
F _ ,
• Applicant--
Name(s): D� aVAC I6
Mailing Address, C/S/Z: 1-7,
Cell Phone: "518 ) 3LP I ' Iqf;f Land Line:
Email:
• Primary Owner(s):
Name(s):
Mailing Address, C/S/Z: 141 G-t IsLi. 4FE 1��I�E , Gi��- �►�'� f�a�a ��`7�'Z
Cell Phone: _(`973 ) -7,2 '7 - n I 'Z q Land Line: _( )
Email:
e Contractor:
Business Name: {�DiRo►-�t7l�G� '� iL� ►-1 -� gel�i�E�?� --+-�C
Contact Name(s): Ar--Vi"
Mailing Address, C/S/Z: I2;D• Q-�o / <:�r--DP-6E , ��1 l2 G
Cell Phone: _(�►� ) `ate ! 'i'Z 5 5 Land Line: _( ,E516 ) L-.� -70-5
3
Email:
Contact Person for Building & Code Compliance:
Cell Phone: _(-3I 'U2!5!5 Land Line: _( !:S 18 ) 1,o0z -V> 3
Email:
Demolition Application Revised June 2017
DEMOLITION INFORMATION:
1. Where will demolition material be disposed? LA4di7 r U-
2. Type of structure to be demolished:
a. Residence 4fA.Nxp)
b. Garage
c. Business
d. Storage Building
3. What type of utilities are connected to the structure:
a. Gas
b. Fuel Oil
c. Propane
d. Electric
e. Public Water
f. Well-Water Pump
g. Public Sewer
h. Other
L None
4. Have ALL utilities been disconnected? Yes No
ADDITIONAL INFORMATION:
1. Two inspections may be required: an inspection to determine that utilities are disconnected, if
necessary, and a final inspection, after the structure is removed and the site is cleaned up and graded.
2. Twenty-four(24) hour notification is required for inspections.
Declaration: I acknowledge that no structure(s)will be removed from the parcel until the demolition application has
been reviewed and approved by the Town of Queensbury Building&Code Enforcement and Zoning Departments and a
permit has been issued.
I have read and agree to the�/above:
PRINT NAME:
SIGNATURE: `-� DATE: 8 )1 912611
Demolition Application Revised June 2017
P.O.Box 2202
„ ohm W Flaw%* 121*1
X31 i}+ �►
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based.on our limited examination,compliance
with our comments shalt not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes o+
New York State.
–11-MAM OF QUEENS13URY
St� � i>dna & COD' PTf:
226.15-1-13
Review 6y' Chase, Richard EMp-000565-2017
Date. tq — Det? Lake Parkway
Demo (residence, gar &
T� N MayCo�ffl, _ shed)
Ply be wivilted timet t hw@ lftpewd tM proIpaq®fj ditj 1 ®H tt�efidmed ropml
e"Ulr6d. 1 t ® tl ORMPISS to C,NOW YOfk SWO APMvod lWwrr Wfy f6r toaft.
Based Ugh MY lhVecdon embined v Ath the labarstaq%at rrasulW tbr fifif tokon #*subw prop.
3"re"re no bsb&"0Fitra hIng Iffld%ftls(ACM),found an Me Subbed Propstlr BY Id td In the
eaffl-
Pigs t; d by the 1abmvbq A ln*,It is my undeManding tho,Stitt t t®any and all SipplWablo vWW or
t0W18 Aid MOU110 i®ns of the dno of tho endoasrd tit ropor#,th®prooWly MW ffigy prow@d VAth modeling or
defflolluon @a tho owrP t 6L
Thank yau
�-r
Michael J.8tweno
License Numbw.92900 �
WS Mill
_ 1
SEP 0 7 201? l i
c 4w`
Please Reply Ib: AmeriSol New York
-
i i 7 EA9T 30TH ST.
AMERI SO NE10.;Y0RK, 1'%1Y i0016
TEL:N'211211679-8600-FAX:(2i2)679-3114
FACSIMILE TELECOPY TRANSMISSION
To: Michael Stevens From: Karol H.Lu
Michael J'. Stevens AmeriSci Job's': 2170019'29
Fax Subject: CLAP-PLM/TEM 3 day Results
Client Project- 120; 120 Lake; 120 Lake Park—way,
Email: mikesoldcarsftinaill.corn Lk.George,Nlk'
Date., Thursday,August 10, 2017 Number of Pages:
Time: 13:15:11 (including cover sheet)
Comments:
CONFIDENTIALITY NOTICE: Unless otherwise indicated,the information contained in this communication is confidential information intended for use
of the individual named above. If the reader of this communication is not the intended recipient,you are hereby notified that any dissemination,
distribution or copying of this communication is prohibited. If you have received this communication in error,please immediately notify the sender by
telephone and return the original message to the above address via the US Postal Service at OUT expense. Samples are disposed of in 60 days or unless
otherwise instructed by the protocol or special instructions in writing. Thank you.
Certified Analysis Service 24 Hours A Day a 7 Days A Week Competitive Prices
visit our web site-www.amerisci.com
Boston-Los Angeles-New York-Richmond
AmedScl New York
117 EAST 30TH ST.
At4ERI So NEW YORK,NY 10016
I TEL:(212)679-8600-FAX:(212) 679-3114
PLIVI Bulk Asbestos Report
Michael I Stevens Date Received 08/05/17 AmeriScl Job# 217081929
Attn: Michael Stevens Date Examined 08/08/17 P.O.#
PO Box 2202 EUP 0 11480 Page 1 of 4
RE: 120; 120 Lake; 120 Lake Parkway, Lk. George, NY
Glens Falls, NY 12801
Client No. / HGA Lab No. Asbestos Present Total % Asbestos
#1 21708192901 No NAD
Location: Dining/Kitchen-Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Khaalid W. Perine
on 08/08/17
Analyst Description: White/Brown, Homogeneous, Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Non-fibrous 9.5%
#2 217081929-02 No NAD
Location: Dining/Kitchen-Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Khaalid W. Perine
on 08/09/17
Analyst Description: White/Brown, Homogeneous, Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Non-fibrous 5.5%
#3 217081929-03 No NAD
Location: Kitchen-Floor-Tile Flooring (by NYS ELAP 198.6)
by Khaalid W. Perine
on 08/09/17
Analyst Description: Light Grey, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 1.6%
#4 217081929-04 NO NAD
Location: Kitchen-Floor-Tile Flooring (by NYS ELAP 198.6)
by Khaalid W. Perine
on 08/09/17
Analyst Description: Light Grey, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 5.7%
#5 217081929-05 No NAD
Location: Bath-Floor-Tile Flooring (by NYS ELAP 198.6)
by Khaalid W.Perine
on 08/09/17
Analyst Description: Beige, Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass Trace, Non-fibrous 2.5%
See Reporting notes on last page
ArneriSci Job 9: 217081929 mage 2 of 4
Chant Name: Michael J. Stevens
PLM Bulk Asbestos Deport
120; 120 Lake; 120 Lake Parkway, Lk. George, NY
Client No. / HGA Laky No. Asbestos Present Total % Asbestos
217081929-08 NO NAD
Location: Bath-Floor-Tile Flooring by NYS ELAP 198.6)
by Khaalid W. Perine
on 08/09/17
Analyst Description: Beige, Homogeneous, Nora-Fibrous,Bull;Maierial
Asbestos Types:
Other Material: Fibrous glass Trace, Non4brous 1.3%
#7 21708192907 No NAD
Location: Bedroom 1 -Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Khaalid W. Penne
on 08/09/17
Analyst Description: White/Brown., Homogeneous, Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Non-fibrous 1.4%
#8 21708192908 NO NAD
Location: Bedroom 1 -Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Khaalid W. Penne
on 08/09/17
Analyst Description: White/Brown, Homogeneous, Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Non-fibrous 3.8%
#9 21708192909 No NAD
Location: Bedroom 2-Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Khaalid W. Perine
on 08/09/17
Analyst Description: White/Beige, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 36.8%
#10 217081929-10 No NAD
Location: Bedroom 2-Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Khaalid W. Penne
on 08/09/17
Analyst Description: White/Beige, Homogeneous, Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Non-fibrous 37%
#11 217081929-11 No NAD
Location: Bedroom 1 -Wall-Drywall (by NYS ELAP 198.1)
by Khaalid W. Perine
on 08/09/17
Analyst Description: Grey/Brown, Heterogeneous, Fibrous, Bulk Material
Asbestos Types:
Other Material: Cellulose 25%, Non-fibrous 75%
See Reporting notes on last page
Arneri&l Job*: 217081929 mage 3 of w
Client Name: Michael J. Steveris
PLS Bulk Asbestos Report
120; 120 Lake; 120 Lake Parkway, Lk. George, NY
Client No. ! HGA Lab No. Asbestos Present 'hotel % Asbestos
#12 21708192912 No NAD
Location: Bedroom 1 -Wall-Dgmall (by NYS ELAP 198.1)
by Khaalid W. Perine
on 08/09/17
Analyst Description: Grey/Brown, Heterogeneous,Fibrous,Bulk Material
Asbestos Types:
Other Material: Cellulose 25%, Non-fibrous 75%
#13 217081929-18 No NAD
Location: Bedroom 2-Wall-Drywall (by NYS ELAP 198.1)
by Khaalid W. Perine
on 08/08/17
Analyst Description: Grey/Brown, Heterogeneous, Fibrous, Bulk Material
Asbestos Types:
Other Material: Cellulose 20%, Non-fibrous 80%
#1: 217081929-14 No NAD
Location: Bedroom 2-Wall-Drywall (by NYS FLAP 198.1)
by Khaalid W. Perine
on 08/09/17
Analyst Description: Grey/Brown, Heterogeneous,Fibrous,Bulk Material
Asbestos Types:
Other Material: Cellulose 30%, Non-fibrous 70%
#15 217081929-15 No NAD -
Location: Bedroom 1 -Wall-Drywall (by NYS ELAP 198.1)
by Khaalid W. Perine
on 08/09/17
Analyst Description: Grey/Brown, Heterogeneous, Fibrous,Bulk Material
Asbestos Types:
Other Material: Cellulose 35 %, Non-fibrous 65%
#16 217081929-16 NO NAD _ -
Location: Garage-Roof-Asphalt Shingle (by NYS ELAP 198.6)
by Khaalid W. Perine
on 08/09/17
Analyst Description: Black/Brown, Homogeneous, Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass 10%, Non-fibrous 23.5%
#17 217081929-17 No NAD
Location: Garage-Roof-Asphalt Shingle (by NYS ELAP 198.6)
by Khaalid W. Perine
on 08/09/17
Analyst Description: Black/Brown, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Fibrous glass 10%, Non-fibrous 33.3%
See Reporting notes on last page
ArneriSci job*: 217081829 Pago 4 of d
Client Name: Micrtael J. Stevons
PLM Bulk Asbestos Report
120; 120 Lake; 120 Lake Parkway, Lk. George, N
Reporting Notes:
Analyzed by: Khaalid W. Perine
'NAD/NSD=no asbestos detected- A=nota lyzed;NA/PS=not analyzed/positive stop,(SOF-V)=Sprayed On Fireproofing containing Vermiculite;
(SM-V)=Surfacing Material conte ning Vermi lite;PLM Bulk Asbestos Analysis by EPA 600/M4-82-020 per 40 CFR 763(NVLAP 200546-0), ELAP
PLM Method 198.1 for NY friable samples, h includes the identification and quantitation of vermiculite or 198.6 for NOB samples or EPA 400 pt ct
by EPA 600/M4-82-020(NY FLAP Lab 1148 ;Note:PLM is not consistently reliable in detecting asbestos in floor coverings and similar non-friable
organically bound materials. NAD or Trace results by PLM are inconclusive,TEM is currently the only method that can be used to determine if this
material can be considered or treated as non asbestos-containing in NY State(also see EPA Advisory for floor tile,FR 59,146,38970,8/1/94)National
institute of Standards and Technology Accreditation requirements mandate that this report must not be reproduced except in full without the approval of
the lab.This PLM report relates ONLY to the items tested.AINA-LAP,LLC Lab ID 102843,RI Cert AAL-094,CT Cert PM-0186,Mass Cert AA000054.
Reviewed By: END OF REPORT
AmeriSci Job#: 217081929
Client Name: Michael J. Stevens
Page I of 2
Table B
Summary of Bulk Asbestos Analysis Results
120; 120 Lake; 120 Lake Parkway, Lk.George, NY
AmeriSci Sample Heat Acid; Insoluble
HG Weight Sensitive Soluble Mon-Asbestos
Sample# Client Sample# Area (gram) Organic% Inorganic% o Asbestos�/m by �� M @.y
g Inorganic /@ F�>!Rf0/®S i.6
01 #1 0.190 78.4 12.1 9.5 MAD -� --_
Location: Dining/Kitchen-Ceiling-Ceiling Tile
1IA
D
02 #2 0.145 83.4 11.0 5.5 MAD
NAD
Location: Dining/Kitchen-Ceiling-Ceiling Tile
03 #3 0.247 25.9 72.5 1.6 NAD NAF
Location: Kitchen-Floor-Tile Flooring
04 #4 0.247 25.9 68.4 5.7 NAD NAI?
Location: Kitchen-Floor-Tile Flooring
05 #5 0.201 58.2 39.3 2.5 NAD NAD
Location: Bath-Floor-Tile Flooring
06 #6 0.157 57.3 41.4 1.3 NAD (gAD
Location: Bath-Floor-Tile Flooring
07 #7 0.147 89.1 9.5 1.4 NAD €IAP
Location: Bedroom 1-Ceiling-Ceiling Tile
08 #8 0.235 88.9 7.2 3.8 DIAD
NAD
Location: Bedroom 1-Ceiling-Ceiling Tito
09 #9 0.144 21.5 41.7 36.8 NAIL NI-Q.
Location: Bedroom 2-Ceiling-Ceiling Tile
10 #10 0.173 22.0 41.0 37.0 NAD NAE)
Location: Bedroom 2-Ceiling-Ceiling Tile
---- NAD WA,
Location: Bedroom 1-Wall-Drywall
12 #12 --- --- ---- --- NAD NA
Location: Bedroom 1-Wall-Drywall
13 #13 - --- ---- -- NAD, NIA,
Location: Bedroom 2-Wall-Drywall
14 #14 --- ---- ---- ---- NIAl3 NA
Location: Bedroom 2-Wail-Drywall
15 #15 --- ---_ ___
Location: Bedroom 1-Wall-Drywall WAD IIA
16 #16 0.433 21.2 45.3 33.5 NAD HAD
Location: Garage-Roof-Asphalt Shingle
See Reporting notes on last page ,�y-
AmeriSci Job#: 217081929
Client Name: Michael J. Stevens
Page 2 of 2
Table F
Summary of Bulk Asbestos Analysis Results
120; 120 Lake; 120 Lake Parkway, Lk. George, NY
Sample Heat Acid Insoluble
AmeriSci HG Weight Sensitive Soluble Non-Asbestos Asbestos%by Asbestos,%bySample# Client Sam le# Area (gram) Organic% Inorganic / Inorganic /
PLM/DS TEM
17 #17 0.312 17.6 39.1 43.3 y� NAD
Location: Garage-Roof-Asphalt Shingle
Analyzed by:Karol H.Lu / ;Date Analyzed 8/10/2017
—Quantitative Analysis(Semi/Full);Bulk Asbestos Analysis-PLM by EPA 600/M4-82-020 per 40 CFR or FLAP 198.1 for New York friable samples or ELAS'198.6 for New York KIM samples;TEM
(Semi/Full)by EPA 600/R-93/116(not covered by NVLAP Bulk accreditation)or ELAP 198.4;for New York samples;NAD=no asbestos detected during a quantitative analysis;NA.=not analyzed;Trace-
<1%;(SOF-V)=Sprayed On Fireproofing containing Vermiculite;(SM-V)=Surfacing Material containing Vermiculite;Quantitation for beginning weights of<0,1 grams should be considered as qualitative
only;Qualitative Analysis:Asbestos analysis results of"Present"or"NVA=No Visible Asbestos"represents results for Qualitative PLM or TEM Analysis only(no accreditation coverage available from any
regulatory agency for qualitative analyses):NVLAP(PLM)200546-0,NYSDOH ELAP Lab 11480,AIHA-LAP,LLC(PLM)Lab ID 102843.
Warning Note:PLM limitation,only TEM will resolve fibers<0.25 micrometers in diameter.TEM bulk analysis is representative of the fine grained matrir,material and may not be representative of
non-uniformly dispersed debris for which PLM evaluation is recommended(i.e.soils and other heterogenous materials).
Reviewed By:
MEW,
WNWOM
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A.&BESTOS INSPECTION REpowi,
PROJECT:INI FOWv A flION AmR ��'om E-
Project 4- Project Na e; Friability: Condition: Damage potential:/ F•Friable
I-Intact '—
—Contact Potential
Date petted: Building Name: NF—Non-Friable 2-Damaged'Significantly Damaged TSi 2—Noise Potential
S ACCeSSlbillt�/ 3'Damaged Surfacing Mater al 3—Vibration Potential
Yi_' 4-Significantly Damaged Surfacing Material 4—An Erosion Potential
I—Easily Accessible
Page Inspectors:S 2—Enclosed "DamagediSignificantIy Damaged Misc,Material 5—Water Potential
�j 3—Restricted Area 6-ACBM with Potential for Damage 6—Other Environmental Potential
of t ��Q4—Inaccessible 7-ACBM with Potential for Significant Damage 7—Other Physical Potential
SAMPLE IDENTIFICATION --
Functional Homogeneous Areas Friability/ Damage Bulk
S ace ID# g Quantity Accessibili Condition potential Sam le# Comments
W 3 Floor —
! Wall (j e.r) 3, =00- y
T Ceiling „vta J i�� r-
OtherC/
�—{moi. 'ter L.,Q..
cp Other ;t lid 0 S �y� 7—
V�p 10 �3e.r7 a e;��,� t _C1 'Y= l °=o
C�Ee_ e• r L.__._
Floor — 4e -- --
- "lc� r
1/ Wall t p� .1 /v ("' t,t'/ L 8� 19,2
°1 Ceiling 13co 1 - C
Other
7'F dei' Other , —Crj l'r U S tom' tU /L^G C Le
- - Other �e g' «Ir 1.
Floor / — — �--
j Wall z� Cc>(J S(� ! i0,2-:4v o
Ceiling I <
{ lL Other 2� �. 0 Sr—
Other �Z0eSF (L,'C— cju) a�s
.
15" Other
Floor /
Wall
Ceiling /
I'( Other
Other
Other /
7Floor /
Other /
Other /
Floor /
Wall /
Ceiling /
Other /
Other /
Other /
t
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i,
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LOT 23
0
a'
o A
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LOT 23
I.P.F.
LOT 24 ,
SITE LOCATION MAP Lands n/f of
Arthur A. & Alison B. Birney o
Book 590 Page 1197 �
a:3 �
2's�' t
Du 5 / 15.4`./ 'p11,
tank �rNte <:w clear
c r CK , % o' over /o
antenna
1', rain
� / t
.� .�'`'{'I'''`''`rr "r gutter
l; i .f� fio
NORTHERLY o, J " ,f!���
1,03't ALONG °? , sQ �,M£J FLOOR ' ' J.P.F
`oi%/�%�`/J� �" _ _ GRA'
THE SHORE AS ( %/r / ELEV. s
IT WINDS & TURNS a,/r. FLOOR
inspected&
Silt fence to be installed as noted. ELE ' 7.
;ff
Installation must be completed ins U . I N• 1 ' A f �' . . -
g �
P p
WOE to beginning demolition. ��; / �,.... �'�
LOT 25
AREA74
LOOK T.."j
Tease contact this-office.to schedule ah
ELE =548.3' ( .
0:35:1 .ACRES
Ispeccdon of the site to any demolition. : 2't s
/ / BE CHMARF3 3 - -
. ._
NAIL I TREEROOT'� �
� tt ll i;
, ' o
r? ..r ELE V. .5' .
2
DEED REFERENCE.
1') WILLIAM R. CORNELL
TO71
1
BETH LYNNE CORNELL rain %f;:. I.R, ,
FILED IN THE OFFICE OF THE WARREN COUNTY gutter - i
CLERK IN BOOK 1460 Al' PAGE 202
LOT 26 ,,; .;�%.rF,,:i,' 4�Lands �
MAP REFERENCE: Kara Ha��der
1) "MAP OF FIRST SUB-DIVISION OF PROPERTY OWNED BY THE Book 3195 Page 53 e
i LAKE GEORGE ASSEMBLY AT ASSEMBLY-POINT-ON-LAKE-GEORGE"
DATED JUNE 8, 1914
PREPARED BY ERNEST L. H. MEYERS, SURVEYOR.
.NOTES:
v
1) BASE MAP PREPARED FROM A 2007 AND 2016 FIELD SURVEY. k
2) NORTH ORIENTATION IS BASED ON MAGNETIC NORTH 2007. VERTICAL
DATUM IS BASED ON AN ASSUMED ELEVATION. CONTOUR INTERVAL
711
3) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT
OF TITLE AND IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS
OR RESTRICTIONS OF RECORD ANY STATEMENT OF FACTS SUCH
DOCUMENT WOULD DISCLOSE.
LOT 27
4) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING r "" ''
A LICENSED LAND SURVEYORS-SEAL' IS A VIOLATION OF SECTION 7209, o ��,5�
SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. N
5) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN Laq70j
ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO >F R`, CD LEGEND
BE VALID TRUE COPIES. $F = � Ijd i C
a _ ;
06
Q
I II SEP 07 2017
� I m o IRF IRON ROD FOUND
! LV o IPF IRON PIPE FOUND
CU 0 ' U o IRS IRON ROD SET
UTILITY POLE
N cx�o STONE WALL
a
•� x WIRE FENCE
r .V -
o CHAIN LINK FENCE
_N!� ❑ WOOD FENCE
PERMIT PLOT PLAN r J O o POINT
F.P. FENCE POST
I HAVE PERSONALLY MEASURED THE DISTANCE N � O E -ohw OVERHEAD WIRES
FROM THE POP RTY LINES TO THE �y (� p n/t NOW OR FORMERLY
PR °PO ED 1 4Uj�7URE(S)OR SIO (S)
SI NATjURE DAT
ftlJ MAP OF A SURR'E'Y MADE FOR
RICHARD AS
GRAPHIC SCALE
30 a 15 so slo 120 Town o f Queensbury County o f Warren� - rren State of New York
BOLSTER AND ASSC'IA?'.E`S
( IN FEET ) PROFESSIONAL LAND SURVEYORS
1 inch = 30 ft. 342 Main Street, Hudson Falls, New York 12839
Russell E. Howard, PLS N.Y.S. Lic. No. 50540 Date: 9/05/07 Tax .Map #:226.15-1-13
Date Sealed: Scale 1 inch30 feet Revised:
= 11/'17/16 .Drawing #: 07098