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2007-409 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4z Community Development- Building &Codes (518) 761-8256 CERTIFICATE (D"'FE7 COMPLIANCE Permit Number. P20070409 Date Issued: Friday, October 03, 2008 This is to certify that work requested to be done as shown by Permit Number P20070409 has been completed. Tax Map Number. 523400-308-007-0001-008-000-0000 Location: 12 EVANNA Dr Owner. SCOTT & AMY DANAHY Applicant: SCOTT & AMY DANAHY This structure maybe occupied as a: Porch By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility compliance liance with Site Plan, P 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 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20070409 Application Number. A20070409 Tax Map No: 523400-308-007-0001-008-000-0000 Permission is hereby granted to: SCOTT&AMY DANAHY For property located at: 12 EVANNA 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. Type of Construction Value Owner Address: SCOTT &AMY DANAHY 12 EVANNA Dr Porch $12,000.00 QUEENSBURY,NY 12804-0000 Total value $12,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2007-409 360 SQ FT PORCH $40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 17, 2008 (If a longer period is required,an application for an extension must be made to the code Enforeement Officer of the Town of Queensbury before the expiration date.) Dated at the Town, Queensb kT, Tuesday,July 17, 2007 SIGNED BY C f 1 �' ` / ��' for the Town of Queensbury. . t. t', . Director of Building de orcement y........�.»..��OI ? -------ONLY -.a..�.a���.«a..a:sue-.=.i as�.-,.��...:.-a...,, a...>e. �.„i v �+\VA/ f e TAX MAP N PERMIT NO. a e 4110 a � a FEE PAID �44� BLDG. &CODES APPROVAL P 6 y ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION Use this application for any structure other than the Principal Structure(house)to include,but not limited to: garage, shed,greenhouse,dock,deck,etc. Refer to Informational Brochure No. 3 entitled Accessory Structures- Sheds/Fences. A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VAUD PERMIT.NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VAUD BUILDING PERMIT. OWNER: Sc of I'1 M A R"j p INSTALLERIBUILDER: SA A L ADDRESS: 11 L.VA"I fJ A D h(J t= ADDRESS: PHONE NOS. �j�l 744�'-0303 PHONE NOS. LOCATION OF PROPERTY: S Atli ' 4-V A W C-'_J SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: ESTIMATED COST OF CON STR"U�CTION: $11,4� ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? IF YES,PLEASE LIST: 54c- 2UU S Q `4. CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: Scott DA►A NFL PHONE:.(1I;16 TrS-02o3 15T FLOOR 2!0 FLOOR TOTAL PROPOSED PROPOSED CONSTRUCTION S4 FT. SO,FT. F{ HEIGHT FT.&IN. OPEN PORCH DECK 3 SEASON,COVERED OR ENCLOSED PORCH' ii Q Q fq. A b S Q F . KF4 G q.0j,"l Z P4 BOATHOUSE BOATHOUSE WITH SUNDECK DOCK SHED POLE BARN DETACHED GARAGE(NO.OF CARS:_ OTHER ACCESSORY STRUCTURE: 'CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS IF THE STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE. To the best of my knowledge,the statements contained in the application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Codes,the Zoning Ordinance,and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such worts is authorized by the owner. Further,it is understood that Itwe shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As-Built Survey by a licensed surveyor,drawn to scale, QUESTIONS? CALL 761-8266 OR EMAIL showing actual location of all new construction. ( codesogueensbu!y.net I have read and agree to the abo . VISIT OUR WEBSITE FOR MORE INFORMATION www.gueensbury.rlet Signed-A, ^� Dated: 1 Z -� Namerritle(Printed) S CO 11 �_ ANA��f ��ar�coW�t fC Town ,_', Q11eetlsho-y - (70mmulltt11 De-Vellopmerlt Offi, • 142 Bay Moral, Queen,;b 'y, 1 ?804 -------------- -- Fire tV arsha 's Office lvwn Of Qu ensht€ry- 742 Bay Road ' QueensbttYt/, 1N'Tew Vori -12s Michael'/. Pal ner, Firs Mnrshnl- Gary Stillman, epuhl F -e Nrrskal APPLICATION FOR FUEL BURNING APPLL NC S Application is hereby made to the Building &Codes Office for the issuance of a Building B- Use Permit pursuant to the New York State Fire Prevention &Building Code. 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 all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER: �(A-A DA/4 A iL INSTALLER/BUILDER: J A-M LN ADDRESS: 1 Z. 0)AiA A Q(1 V E ADDRESS: PHONE NOS. 6 m)I 7yS--()3 03 PHONE NOS. LOCATION OF PROPERTY. I Z LilAtWA U 10L SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND(OR INSTALLATION: � CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: S'L(A )A NR W-) PHONE:(T 1T-��d3 ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 7614205 or 7614206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: fremarshal(dtgueensbury.net MASONRY" CHECK ONE ✓ VISIT OUR WESSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES www.gueensbury.net FLUE CHECKONE ✓ DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL ` LINER CHIMNEY MATERIAL CNECKONE ✓ V/ **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: He'l PASTbNc- MODEL NO. O i ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. Cc�rnnutifti )fvelo)Ltent C�jce 4 --- - Qtuccrrsbary, Near York •12804 PLOT PLAN Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines. It SIDE PROPERTY LINE p t Z r Z c, `" Z I 4 O w Z7 O � CF\UU r w m � � x ( f =J s 6 a } Q. O % SIDE PROPERTY LINE 1 SQUARE _. FT. ` TOWN OF QJcENaEl!RY DDiLDiNu DEPARTMENT 1 Based on our limited examination, cornpiiance w O our comments shall not be construed as indicating the C~:VctA^ 4Wvy plans and specifications are in full compliance with the Building Codes of _ /D New York State. 0 '-y 4Dhv"e! 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I h fr � 36xbp 36)t b0 36 n CO ?6 A 66 pb'x wr,nb.. 7 u,udoti w,,,4— 1 r, __ _ -ITT- _ 1 _1 2r"ia �i FM zmms -1,kil" 4 M- Tbctthck- ft-A l "�Nr� l Z I z`r Fk,oM BACk of 4�c d H Pr�e� 0 rJ c — �a�ftitC�ed KuoF TRvSS 6 tZ �6 12 r' oven NA► ) ov S(,Ar 5 �2 ovc/c6-1 off GAS. 4�,Jol (144411u1 R4F4c2� RooF S4tA4 1-4S T/g 056 /AgN."o POST qmd + MvA r(,.-, tLvc4(oN P,,4 t4,jW FP2a•'1 2'x�s`Y�<?T/idclso(ce� s'iv po) L�'x 6") 2'J(� oauslcol Acl wrc,l t +�do►�1 I /��C t lc'i S 3C X X 60" I•rdot�lS'� I 2�1" OcAoyp, Li ►r 40i c N A S jde I Sides t,.1� Be ee'��c�( � S�� ore Il ��y� srdrd ?o ra�G� Novsc' Tours of Queewbory>Pf'rre bL rdad 742 Bay Bead QC__ - J,NY in" 761-SM/761-S206 fax 7454437 Factory Bn&Gas l ireola m/Stove laspection Report NOW=New Yodc State milawes fist all UL Kited,beta"bank appiaam be im talled amwdig to the zwmbrmdons"d s spa n cadems eo im the Mammal aeoetpatyi loe.�tie a No deviation frow tie�wussdact+s hatnwfiew or 3pedficadow is allowed. pawk# y®g Sciedofe uvwsw Ag —1— 6 "rase 0 at pia mytine r K. D� R I-Aq Addcrs; 12— model# �7 1 Hired vet 1P'actory Bum Chimmy not sin De"Ie wall Tr pie Wal! Lasalated Yes Ne WA Cosa seas door Protection 3awance s to Combustibles(all sides) irestep(s) Vatiad Ciase Wall remckadmi ent Gearaoces to Combustibles eat/Chimney Terminasm Wmney beiSht smut be 3 feet above roof or ;2 feet above airy cede M astndionwiddo to feet U Shut-off Valve or Nubustim Air mirth Extension(if any) Intel glit aboveV mess Operntion A Placement Of IJ?) —OWbftg DepL YeYvw rile—tyre Maninl Queensbury Building & Code Enforcement - Residential in spection Office No. (518) 761-8256 Arrive: 1-- pm D part: am/pm Date Inspection request received: Inspector's Initials: NAME: 1 � .�3 �1�S� P R T LOCATION: \� AT TYPE OF STRUCTURE: Comments" Y No WA 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs deckspatios 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 indies 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/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents Bathroom Fans,if no window_ Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency ress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hat Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'IV Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pie Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if r uired Okay to issue C I C or C/O 'Tem era /Permanent LABuilding&Codes Forms\Building&CodeMinspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Queensbury Building & Code Enforcement - Resid tial Final ection Office o. (518)761-8256 Arrive: - a = anh/pm Date Inspection request received: Inspector's Initra s: t NAME: ER #: LOCATION: r' E: TYPE OF STRUCTURE: Comments: Yes No WA 4' Building Number Address visible from road Chimney t/*W Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Compkft/Exterhor Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 indnes 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 6 inch clearance to sill plate Gas Valve shut-off e J regulator 18 inches above grade Interior privacy/trim/doors J main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety gla2ft Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: B backup: Attic access 30 irndnes x 22 inches x 30 indhes(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft:150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within One of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Va s installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrodk Underside minimum W Gypsum Basement stairs dosed rise>4 inches Garage Fk Pitched ! Garage fireproofing/'/.hour fire door/door closer Duct work Sealed propertyi� Gas Logs Sealed or Glass Enclosure ' tJ�Ir 'C-O Final Electrical Final Survey Plot Plan Aj-, uw®op 6%001iL Arc Fault Breaker in Bedrooms Flex Gas Pi ond B ' T��7 Eg,1x— 1 As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required K�E�- (p if Flood Plain Certification if required Okay to issue C/C or C 10 Tem /Permanent I LABuilding&Codes FormslBuilding&Codesllnspec dw FonnslResidendal Final Inspection Form_revised_100405.doc;Revised January 7,2008 Framing / Firestopping Inspection R port Office No. (518) 761-8256 Date Ins cti request received: Queensbury Building&Code Enforcement Arrive: �am/ De art: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's In ials: NAME: PERMIT#: '7 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Fr ttic AWess 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z 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 s paration 1,2, 3 hour Fi wall 2, 3,4 hour irestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %z 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 Framing / Firestopping Inspection Report ` (y Office No. (518) 761-8256 Date Inspectionyequest received: Queensbury Building&Code Enforcement Arrive: !, ('i��''am/pm, pepa/rt: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: c—�-E� NAME: NL LPERMIT#: (1,9_407, LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A Framing COMMENTS L !� Attic SIP,22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. j Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 1 '/s w 16 gauge(8) 16D nails each side J 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 wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation J House side '/2 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 �r- V - Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection quest received: Queensbury Building&Code Enforcement Arrive: 7/ am/pm.,,/Depart: am/pm 'Initia 742 Bay Road, Queensbury,NY 12804 Inspector ls: . P—� p NAME: PERMIT#: V� LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS CFraming "x 30"minimum Jack Studs/Headers �j r?e C Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. i Headroom 6 ft. 8 in. I Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z w 16 gauge 8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft.or less on center f Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping i `7��,q•�- c.L Penetration sealed -� 16 inch insulation in cavi min. T o(( c� (n,� �'- I c�Ae Garage Fire Separation House side %z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms �v 24 in. (H) 20 in. (W) f� 5.7 sf above/below grade I C rote ��C. 5.0 sf gade Framing / FirestoPPing- Ins ection Report Office No. (518) 761-8256 Date Inspection r ue9--Mct;ived: Queensbury Building&Code Enforcement Arrive: " r� De rt: " , a 742 Bay Road, Queensbury,NY 12804 Inspector's Im _ 1 f NAME: /l PERMIT#: LOCATION: INSPECT ON: — TYPE OF STRUCTURE: Framing Y N N/A COMMENTS Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/s w 16 gauge 8) 16D nails each side Dr 00 sq. ft. floor trusses Anch&Bolts 6 ft. o less on center Ice and water shiel 4 inches from wall 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 1- Foundation Inspection Report Office No.(518)761-8256 Date Ins tioIre Queensbury Building&Code Enforcement Arrive: Depart: ,L�,?a742 Bay Rd.,Queensbury,NY 12804 Inspector's IniNAME: - T#: LOCATION: LT OK-:— TYPE — OF STRUC . Comments 40- Y N N/A aFo:oEtingps ` 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 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 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 MAP REFERENCE: MAP OF A SUBDIVISION MADE FOR MICHAEL DICKINSON DATED: JANUARY 15, 2003 BY: DAVID J. BOLSTER w x e LOT #11 1U ° ,,a� LANDS N/F OF rn I SANDRA D. BUSTEED o _ >- , . - -1-100 -PAGE 8 $40141 O � Np Z , r y LOT#12 \ 28,398 sq. ft. o \ N \ O �\ I 2 p N .3 \ \ • •Q.�*OF NEW yo • C.sl LOT #13 " 'n r. �, D u ,S' ,II+AY,Ngr3D AL,ERA,ION pt AOp,ION TO A 9M1EY .� Scale 1'= 30' (� 1W SEAIM10 A�LAND SURMDVM VAL a A Map of a Survey made for j %"ArM W SEC—7M 9 -0%UM x OF,IE eves C W*VM STAN M"TM I"' S \� `/ ^ / OILr001O H10M M Ogne L a TILLS 5 ltm __ AMRAm wwn AM auc+w Of m WD:ArRVefop SEAL SHMI r C0wS10ETm M K V"V"CWM- %"M-M "MM°'IM"TwAT Cerrone Builders T53 SURVEY U PREPARED w ALAW SLwCE wtw THE Land surveyors Eff M 000E 0P S A NA P0R 7M SURVEYORS ADOFlEp oY TE wE1E Ypr(suTi ASSOCIATION a W j wo suRVtM F sAo CEATFIC SM% tS M Ruw owLY SHEET 1 OF 1 T)THE PER90N FOR 11110w TIE SURVEY tG IyIEPARD,MO Ow IES mu F TO TE ATE COwPARY•OOYEIWENTAL 169 Haviland Road 10E"�'AND`A'�PI LOOM*ASWUM TV "'SON "° Queens Warren County, New York 1 7/2G/04 CHANGE ROAD NAME Queensbury, New York 12804 TOMASSIGQ�OPMIDpIfMTiIVIIOIL• Town o! wry, y (518) 792-8474 New York Lic. No. 50135 f. CARPENTER N0. DATE DESCR1P710N DWG. No. 03283-12 309.19-1-