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RC-0772-2018 .- ` TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development - Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: RC-0772-2018 Tax Map No: 309.6-1-46 Permission is hereby granted to: Do For You Construction For property located at: 21 NATHAN ST 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 Owner Name: Xiao Jun Li Single Family-Addition $44,832.00 Owner Address: 21 Nathan ST Total Value $44,832.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Residential Addition 352 s.f. Cross Ref.AV 72-2018 $ 250.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, December 12, 2019 (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 I to. Dated at the Town ee ury; W-• / , P ecember 12,2018 SIGNED BY: , \ for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ADDITION/ALTERATION PERMIT Permit#: -2 - 2016 APPLICATION Permit Fee:$ 2 7 rimn u1Qycensbury 742 Bay Road,Queensbury,NY 12804 Invoice#: 110 P:518-761-8256 www.queensbury.net Project Location: t\l0*+\a' ,5f Tax Map ID#: 30 `1 , CL - 1 - 4 (p Subdivision Nam : E © E Q V E CONTACT INFORMATION: DEC 0 5 2018 • Applicant: � TOWN OF OUEENSEl1RY Name(s): o c I OO ( b t�(�kl(vl BUIL�JINO&CODFS ` Mailing Address, C/S/Z: S rt :�+-DA )v\ L.)`) 122)�1 Cell Phone: ( St E, ) •z_Loo A S; '7.'� Land Line: ( ) Email: (Y1 X Z.. tY\. ).0 13 r_ Cx._h UQ, • Primary Owner(s): Name(s): CO,-r& l Y,\(\C Mailing Address, C/S/Z: Z 1 [Ja 1 St Ovitoe,nnbx::te' ft 17-bO Cell Phone: ( ) Land Line: ( 5 t B ) 7 ci ). - a131v Email: < c ory • Contractor(s): Business Name: tVO Pc r '6 Lit) (nf s hD> 1 Contact Name(s): ' 91Y1 D V F-o' re_ Mailing Address, C/S/Z:'5f), Cif }AY\ ta a ) Fart A�`�, � 1 )7$L1 Cell Phone: (5 (9) ) 2,(0 - 9) rI3 Land Line: ( Email: pn Z 5 t:? lV a.h0 O , C. v I'v\ • Architect(s)/Engineer(s): Business Name: V i S Pn tiiee ciil Contact Name(s): 17 CLv1 'jam`A Mailing Address, C/S/Z: -2.O(1) C,ten St-, Sit, :5( ` c\E s FCL,V s (Vy E51) Cell Phone: ( ) Land Line: (. j S) ) 7 C a- a a Lo-1 Email: V • r iC►.,(Ne Y\ ( rrk(kJ:. 1 Contact Person for Building& Code Compliance: 1(i.i\ Rvti y1 Cell Phone: ( ) Land Line: (Fj IS ) -7 q ,3- Q au(-{ Email: d r a in V151 eX10 etY\CU 1 Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 • PROJECT INFORMATION: TYPE: Commercial X Residential WORK CLASS: Single-Family Two-Family Multi-Family (#of units Townhouse Business Office Retail Industrial/Warehouse Garage (#of cars ) _Other(describe ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: ) 3, 1st floor: 2nd floor: 2nd floor: 3'floor: 3rd floor: Basement (habitable space): Basement (habitable space): Total square feet: 3 5' Total square feet: ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ 4 + 0p 3 2. If Commercial project, what is the proposed use: 3. Source of Heat (circle one): Gas Oil Propane Solar Other Fireplaces need a separate Fuel Burning Appliances &Chimney Application 4. Are there any structures not shown on the plot plan? YES NO Explain: 5. Are there any easements on the property? YES NO 6. SITE INFORMATION: a. What is the dimensions or . . -.ge of the parcel? 2 4- b. Is this a corner lot? NO c. Will the grade be change. .s a res a construction? YES NO d. What is the water source? PUBLIC PRIVATE WELL e. Is the parcel on SEWER or a PRIVAT EPTIC system? Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 DECLARATION: 1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If the work is not completed 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 and/or 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: PRINT NAME: —%�� O/17'd.S SIGNATURE: _ ;,t,_ DATE: /(--)")- )j Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 ciREScheck Software Version 4.6.4 Compliance Certificate ,,,,sP \..\\G 'r n�y°'S� Project Yang Building Addition *`p or '' it Energy Code: 2015 IECC iry Location: Glens Falls, New Yor D [IVE n) 'st Construction Type: Single-family �� Project Type: Addition DECQ s 6 ° 0790..- , �� Climate Zone: t�G 0 2t118 \ ,:,.,. 6 (7635 HDD) U,.,,v`�,��� Permit Date: , - " Permit Number: TOWN OF QUEENSBURY BUILDING&CODES Construction Site: Owner/Agent: Designer/Contractor: 21 Nathan Street VISION Engineering, LLC Queensbury, NY 12804 206 Glen Street Ste 56 Glens Falls, NY 12801 ompiiance: Passes using UA trade-off Compliance: 0.0%Better Than Code Maximum UA: 79 Your UA: 79 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Assembly or U-Factor UA Perimeter R-Value R-Value Ceiling 1: Flat Ceiling or Scissor Truss 486 38.0 11.0 0.023 11 Wall 1: Wood Frame, 16" o.c. 432 21.0 0.0 0.057 21 Window 1: Wood Frame:Double Pane with Low-E 71 0.300 21 Basement Wall 1: Solid Concrete or Masonry 421 0.0 15.0 0.046 18 Wall height: 7.8' Depth below grade: 6.8' Insulation depth: 7.8' Window 2: Vinyl/Fiberglass Frame:Double Pane with Low-E 16 0.290 5 Window 3: Vinyl/Fiberglass Frame:Double Pane 7 0.400 3 Compliance Statement: The proposed building design described here is co istent with the building plans,specifications, and other calculations submitted with the permit application.The proposed build' as been designed to meet the 2015 IECC requireme is in REScheck Version 4.6.4 and to comply with the mandatory require nt isted in the REScheck Inspection Checklist. Name-\. le gnature Date 309.6-1-46 RC-0772-2018 Yang, Carol 21 Nathan St Residential Addition 352 s.f. Project Title: Yang Building Addition Report date: 09/30/18 Data filename: C:\Users\Irobision\Desktop\1375 Rescheck.rck Page 1 of 9 EScheck Software Version 4.6.4 Inspection Checklist Energy Code: 2015 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. S ckion Plans Verified Field Verified # Pre-inspection/Plan Review Value Value Complies? Comments/Assumptions 103.1, Construction drawings and ❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the building envelope.Thermal ❑Not Observable envelope represented on ❑Not Applicable construction documents. 103.1, Construction drawings and ❑Complies 103.2, documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR3]' lighting and mechanical systems. ['Not Observable Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. 302.1, Heating and cooling equipment is Heating: Heating: "❑Complies 403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR212 on loads calculated per ACCA Cooling: Cooling: Manual) or other methods ['Not Observable Btu/hr Btu/hr approved by the code official. ❑Not Applicable Additional Comments/Assumptions: [11JHigh Impact(Tier 1) 2 Medium Impact(Tier 2) J 3 Low Impact(Tier 3) Project Title: Yang Building Addition Report date: 09/30/18 Data filename: C:\Users\lrobision\Desktop\1375 Rescheck.rck Page 2 of 9 Section Plans Verified Field Verified Foundation Inspection Value Value Complies? Comments/Assumptions & Req.ID 402.1.1 Conditioned basement wall R- R- ❑Complies See the Envelope Assemblies [FO4]1 insulation R-value.Where interior R_ R_ ❑Does Not table for values. insulation is used, verification may need to occur during ❑Not Observable Insulation Inspection. Not ENot Applicable required in warm-humid locations in Climate Zone 3. 303.2 Conditioned basement wall ❑Complies [FO5]1 insulation installed per ❑Does Not manufacturer's instructions. ENot Observable ❑Not Applicable 402.2.9 Conditioned basement wall ft ft ❑Complies See the Envelope Assemblies [FO6]1 insulation depth of burial or ❑Does Not table for values. distance from top of wall. ENot Observable ENot Applicable 303.2.1 A protective covering is installed ❑Complies [FO1112 to protect exposed exterior ❑Does Not insulation and extends a minimum of 6 in. below grade. [Not Observable ❑Not Applicable 403.9 Snow-and ice-melting system ❑Complies [FO12)2 controls installed. _ ❑Does Not ENot Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Yang Building Addition Report date: 09/30/18 Data filename: C:\Users\lrobision\Desktop\1375 Rescheck.rck Page 3 of 9 Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID 402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies 402.3.1, average). ❑Does Not table for values. 402.3.3, 402.3.6, ❑Not Observable 402.5 ❑Not Applicable [FR2]1 303.1.3 U-factors of fenestration products ElComplies [FR4]1 are determined in accordance ❑Does Not with the NFRC test procedure or ['Not Observable taken from the default table. ❑Not Applicable 402.4.1.1 Air barrier and thermal barrier ❑Complies [FR23]1 installed per manufacturer's ❑Does Not instructions. ti ['Not Observable ❑Not Applicable 402 4 3 Fenestration that is not site built �dii ❑Complies [FR20]1 is listed and labeled as meeting ; '❑Does Not AAMA/WDMA/CSA 101/1.5.2/A440 or has infiltration rates per NFRC ❑Not Observable 400 that do not exceed code ❑Not Applicable limits. 402.4.5 IC-rated recessed lighting fixtures ❑Complies [FR16)2 sealed at housing/interior finish ❑Does Not and labeled to indicate <_2.0 cfm leakage at 75 Pa. Not Observable ❑Not Applicable 403.2.1 Supply and return ducts in attics ❑Complies [FR12]1 insulated >= R-8 where duct is ' ,❑Does Not >= 3 inches in diameter and >= �, �yi�,u�ip€„u �:i`� R-6 where < 3 inches.Supply and ❑Not Observable return ducts in other portions of ❑Not Applicable the building insulated >= R-6 for diameter>= 3 inches and R-4.2 for< 3 inches in diameter. 403.3.3.5 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. ❑Does Not ❑Not Observable '> ❑Not Applicable 403.4 HVAC piping conveying fluids R- R- ElComplies [FR17)2 above 105°F or chilled fluids ❑Does Not below 55°F are insulated to >_R- 3 ❑Not Observable ❑Not Applicable 403.4.1 Protection of insulation on HVAC ElComplies [FR24]1 piping. ❑Does Not -41 ['Not Observable ❑Not Applicable 403.5.3 Hot water pipes are insulated to R- R- ElComplies [FR1812 >R-3. ❑Does Not ❑Nat Observable ❑Not Applicable 403.6 Automatic or gravity dampers are ElComplies [FR19]2 installed on all outdoor air EDoes Not intakes and exhausts. ['Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Yang Building Addition Report date: 09/30/18 Data filename: C:\Users\lrobision\Desktop\1375 Rescheck.rck Page 4 of 9 r Section Plans Verified Field Verified # Insulation Inspection Value Value Complies? Co mentsfAssctmptir ' & Req.IL3 i �� 303.1 All installed insulation is labeled ❑Complies [ihii3]Z or the installed R-values ❑Does Not provided. ❑Not Observable ❑Not Applicable 402.1.1, Wall insulation R-value. If this is a R- R- ❑Complies See the Envelope Assemblies 402.2.5, mass wall with at least 1/z of the ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN3]1 exterior,the exterior insulation requirement applies(FR10). ❑ Steel III Steel ❑Not Applicable 303.2 Wall insulation is installed per '"TT" ��'� __ ❑Complies [IN4]i manufacturer's instructions. tiii ❑Does Not i;�� ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Yang Building Addition Report date: 09/30/18 Data filename: C:\Users\lrobision\Desktop\1375 Rescheck.rck Page 6 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Plans Value Complies? Comments/Assumptions l Req.113 4'02.1.1, Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, ❑ Steel ❑ Steel ['Not Observable 402.2.6 [FI1]1 ❑Not Applicable 303.1.1.1, Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. ❑Does Not [F12]1 Blown insulation marked every �i ", ❑Not Observable 300 ft2. '• ❑Not Applicable 402.2.3 —Vented attics with air permeable ❑Complies [F122]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. ❑Not Observable ❑Not Applicable 402.2.4 Attic access hatch and door R- R- ❑Complies [F13]1 insulation >_R-value of the ❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ' ACH 50 = ACH 50 = ❑Complies [F117]1 ach in Climate Zones 1-2, and El Not <=3 ach in Climate Zones 3-8. ❑Not Observable ❑Not Applicable 403.2.3 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies [F14]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=3 cfm/100 ft2 without air handler @ 25 Pa. For rough-in ['Not Observable tests, verification may need to ❑Not Applicable occur during Framing Inspection. 403.3.2 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies [F12711 determine air leakage with ft2 ft2 ❑Does Not either: Rough-in test:Total leakage measured with a ❑Not Observable pressure differential of 0.1 inch ❑Not Applicable w.g, across the system including the manufacturer's air handler enclosure if installed at time of test. Postconstruction test:Total leakage measured with a pressure differential of 0.1 inch w.g. across the entire system including the manufacturer's air , handler enclosure. 403.3.2.1 Air handler leakage designated ❑Complies [FI24]1 by manufacturer at<=2%of '❑Does Not design air flow. ' ❑Not Observable ❑Not Applicable 403.1.1 Programmable thermostats ❑Complies [FI9]2 installed for control of primary ❑Does Not heating and cooling systems and initially set by manufacturer to ['Not Observable code specifications. ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [F110]2 on heat pumps. ❑Does Not ❑Not Observable ❑Not Applicable 403.5.1 Circulating service hot water ['Complies [F111]2 systems have automatic or ❑Does Not accessible manual controls. r ,❑Not Observable ❑Not Applicable I 1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Yang Building Addition Report date: 09/30/18 Page 7 of 9 Data filename: C:\Users\lrobision\Desktop\1375 Rescheck.rck Section Flans Verified Field Verified # Find insp*sction Provisions Complies? Comments/Assumptions & Req.l[3 Value Value 403.6,1 All mechanical ventilation system � i,�'� -''�,� � ���i,:it !r'❑Complies [F12512 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy 14 z • ari, Irrp F l; and air flow limits. ��„i D • �,� ❑Not Observable `i����1������i� ��❑Not Applicable 403.2 Hot water boilers supplying heat ❑Complies [F12612 through one-or two-pipe heating ❑Does Not systems have outdoor setback control to lower boiler water ❑Not Observable temperature based on outdoor h• �r ❑Not Applicable temperature. ` �, ,�,p�y�,�r a 403.5.1.1 Heated water circulation systems ' ❑Complies [F12812 have a circulation pump.The -❑Does Not system return pipe is a dedicated return pipe or a cold water supply �) ❑Not Observable pipe. Gravity and thermos 1,; "'k� ❑Not Applicable syphon circulation systems are a not present. Controls for circulating hot water system pumps start the pump with signal for hot water demand within the 7744 occupancy. Controls �'T rPa automatie mp when water iscally in turn circulationoffthpu loop is at set-point temperature and no demand for hot water exists. 403.5,1.2 Electric heat trace systems ['corn plies [FI29]2 comply with IEEE 515.1. or UL r� ❑Does Not 515. Controls automatically adjust the energy input to the ❑Not Observable !. heat tracing to maintain the ❑Not Applicable desired water temperature in the piping. 403.5.2 Water distribution systems that ❑Complies [F13012 have recirculation pumps that ❑Does Not pump water from a heated water supply pipe back to the heated [Not Observable ❑Not water source through a cold Applicable water supply pipe have a demand recirculation water system. Pumps have controls that manage operation of the 4 4` pump and limit the temperature of the water entering the cold water piping to 1049F. _ „'dG'_ 403,5.4 Drain water heat recovery units �' "'!`,, � ����a�) ,❑Complies [F13112 tested in accordance with CSA o rq'ya � ,�a�� 4aa❑Does Not B55.1. Potable water-side - ��q�a pressure loss of drain water heat V! ; b1db, � �,❑Not Observable �' '❑Not Applicable recovery units < 3 psi for l� " ' �opH pp individual units connected to one $7�� h� � ��i , or two showers. Potable water- p' „ ` �'� side pressure loss of drain water heat recovery units < 2 psi for individual units connected to three or more showers. ` tea li,A� F,av t 404.1 75%of lamps in permanent: `''❑Complies [Fl6]i fixtures or 75%of permanent - � ,❑Does Not fixtures have high efficacy lamps i�'�'��111iy �: 1 � ❑Not Observable Does not apply to low-voltage lighting. :; 14 � ❑Not Applicable 404.1.1 Fuel gas lighting systems have wv ❑Complies [F123)3 no continuous pilot light. ���. °❑Does Not °, ZZ' ii rmigod�mri'� . ',:, Not Observable e iKwai4 kiA:SPry: ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Yang Building Addition Report date: 09/30/18 Data filename: C:\Users\lrobision\Desktop\1375 Rescheck.rck Page 8 of 9 • Section Plans Verified Field Verified # Final inspection Provisions Value Value Complies? Comments/Assumptions 401.3 Compliance certificate posted. ❑Complies [FI7)2 ❑Does Not ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating EDoes Not systems have been provided. Not Observable ENot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title:• Yang Building Addition Report date: 09/30/18 Data filename: C:\Users\Irobision\Desktop\1375 Rescheck.rck Page 9 of 9 czei. 2015 IECC Energy Efficiency Certificate Insulation Rating R-Value Above-Grade Wall 21.00 Below-Grade Wall 15.00 Floor 0.00 Ceiling / Roof 49.00 Ductwork (unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.30 Door Heating&Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: Name: Date: Comments • I HEREBY CERTIFY TD LAWRENCE R. LARSON ' ,•' GLENS FALLS NATIONAL BSNp r TO �:,u '1'.IPAN'[, I ., , `� AMERICAN TITLE INSURANCE COMPANY THAT THIS MAP WAS MADE FROM Ail AC iJ L SUP T Y 1NA -\\ t)1I__(1),D7. THE G h4�k.cOROINc TO RECORD CR P ION NC. 7 I _LIB ,�I d.'�Y�AOI�pT,° 60UNORII AP'D Mna IEMEN EU r I Vt T� - "1{,�,(S; THERE ht E •'V� fN r(rACH6lt h1 T- a ir- i....' 111,,erfir ',y t,, c• ; �m. s+ar►s tr J. --- __ s a3-'.ic; 'a4 °•.FOE NE�y•° 5 2018 • • l yi llt . 115,Ot? —.ITuns_._'__. Dnu 4 TOWN OF QUEENSSURY BUILDING&C i 1 1r;'r i _ ,.........;.' °'1' ' 'il "UNAUTHORIZED ALTERATION OR ADDITION O A S R•. , � I 9 I 111 i I 1 1 '-r v ^ MAP REAING A UCEN ED LAND SUP.<YORS SEAL IS A� fi�ljti •° CI) , --�• 1' Y,oLAnun OF SECTION 7209, SUO-DIVISION 2, OF THE a `u � NEW YORK STATE EDUCATION LAW' 1 'J CLpDl, I,I LT `\: 'ONLY COPIES FRDU THE ORIGINAL OF THIS 'IAVEI' t /rt),_{ I --- - -C �� ,,'ARKED WITH.At CISTINAI.OF STE LAND SURVEYORS r <z .c .r L SHALL RE Cor IDERED TO RE AU RUE 11' aa I _ t ,/ '; '.J I �.� CERTFl ATOM WOICATED HEREON ..ICNIFY STAT 1 111. t i v r z '� I it 15 SURVEY WAS PREPARED. IN ACCORDANCE WI11 THE 1 W �Ll (.A TINC CODE OF PRACTICE FOR[AND SURVEYORS ADOPTED a .✓ 5f mi NEW YORK STATE ASSOCIATION OF PROFESSIONAL.. (5 ) ,,1 ('3 r,1+� I I. CO �.,a1 LAND SURVEYORS. SAID CERTIFICATIONS SHALL.RUNT ONLY _ if-p„,_ Imo' TO THE PERSON.FOR MHOS THE,SURVEY IS PREPARED, AND j L� �i;!r,; I '" ON HIS BEHALF TO THE TITLE COUPANY. COAERNIIENT.AL 1 e, .AGENCY AND LENDING INSTTUITON LISTED HEREON, AHD t0 THE ASSIGNEES OF THE LENDING INSTITUTION" _ CC) T - {.,4 CV N - __ 1r,. y MAR OF A SURVEY MADE FOR 0 r1 TOWN OF OUEENSBURY COUNTY OF WWARREN i 0 I'll !t l 4 ()/I' - SCALE JULY o 1989 79 L . illf ).1V i rT( 7 217C & [eves 0 1 LAND SUVEE rOkS, NS ,AL.,..., I„ , 1 N. S TITLE. I.TO, ND, 3' ,1: ,L, , fli,rcl. i2, ::ti ) fI U �It.{L1 I!'?O I)SV1 ar1(..� 1 !080 'Tc� ., 27R 6 Y`( (-.6li ;Iiilh110:;11 (1 co cii� t f'i +'1 J 3)- [' F-1.- d c M ›'eNCC 0.:N� ( k i4.�° '�kv/4x� y, Em¢ ;'S�4,w aPnx=.' F #'n 4.A `',- ''+vg #""-t"`'C 9.'"°.u'„- - .-,.