2005-075 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Pemut Number. P20050075 Date Issued: Thursday, June 04, 2009
This is to certify that work requested to be done as shown by Permit Number P20050075
has been completed.
Location: 57 OAK TREE Cir
Tax Map Number. 523400-309-005-0001-050-000-0000
Owner. DIANE PETTA
Applicant: BARBARA MARCINO
This structure may be occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the -
( / � 0/
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 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050075 Application Number: A20050075
Tax itlap No: 523400-309-005-0001-050-000-0000
Permission is hereby granted to: BARBARA MARCINO
For property located at: 57 OAK TREE Cir
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: BARBARA MARCINO
57 OAK TREE Cir Residential Addition $12,000.00
Total Value $12,000.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
I'lans&Specifications
2005-075
308 SQ FT RESIDENTIAL ADDITION (LIVING ROOM)
$75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, March 16, 2006
(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 T n o ueen ry; a esday, March 16, 2005
SIGNED BY Q for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
Q.permit must be obtained before beginning construction. Permit File No. o 06—0 -5
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants'spaces on this Rea,Fee Paid $ , G 0
appliostion must be completed and must appear on the Reviewed By:
applioation form.
licaat: Npt+V Owner: c �14ZA�'tx�
Address: 044 n&&—e Address: .5 7 Or4A4,
Phone#(_) f . / Phone#
Property Location: Lot ber.�ILJS
/ House Number I
Subdivision Name: � Tax Map Number:
0 New Building: residence /commercial 'Estimated Market Value of Construction:$ Zl
`§� Addition: � commercial If an Addition,what use of new addition be?
0 Alteration: residence/ commercial L/y/�yU a e
O No change to exterior size: residence/com'1 '
O Other work(describe
check OccupancyWormation 1 Floor 2 Floor Other floor Total
Below sq.M sq.ft, sq.ft. Square Feet
30e)
X Single fi=ily dwelling
0 Two family dwelling
c Townhouse
o Multifamily dwelling ,
#of units ,
o Office
o Mercantile
o Amufactutin
0 1 car detachedprage
0 2 oar detached
0 3 car detached gamp
X 1 oat'attached gm I
Q' 2 oar a tched Samp
0 3 car a#ached prap
o Storage building-
commercial
c Storage building-
resideaftl
0 Other
What is the proposed height of the structure, '✓ ,feet inches
Will any second-hand or ungraded lumber be used? If so,for what? A/�h
Type of Heating System: electric/ oil ad /forced hot air/ baseboard/other:
Number of Fir'e ylaees to be installed ���// Number of Wood4toves to be installed
List below the persou(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder I HA eA 5 N / Z4qo-zg0
Plumber AeA C/ CGS.
Mason
Electrician d/ /�,
DeclAag please sign below after you have caraWy read the statement:
To the best of my knowledge the statements contained in this 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 Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether speeiSed or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
siubmi%prior to a Certifioate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Adrninialrator ector of Building and Codes,anAs Bch Survey by a licensed surveyor;drawn to scale,showing actual
location of new.
Signature: o ,owner's agent,architect,contractor
Check Residential Plan Review: One & Two Family Dwellings
Y/N/N/A
(2)Full sets of plans ! -
Over 1,500 sq. ft.—Stamped
j Design Loads On Plans:90 Wind Floor Loads 40 psf
-/ 70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
Window Schedule With Glass Size n
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
l j Grade,5.0 sq.ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofmg Materials On Plans
oundation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
Framin - oss Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
Spiral Not Allowed From 2d Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
Handrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
rsf N Garage Floor Sloped
Attic Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results, if required
Septic To Well Or Water Line Separation
All Paperwork Signed
WINDOW SCHEDULE
Job Site/Address: 5-7 OAK-1— Date: ; 41'0-S-
owner: ?W-cv ^A3 Application No.
Window Window Window Unit or Rough Rough SQ.FT. SQ.FT SQ.FT. Clear Clear Special Hardware
Number or Manufaturor Model/Type Stock Openin Opening Glass/Vis Egress/Cie Opening Opening or Instructions
Letter on Name Numbe g Height ible Vent ar Width In Height
Plan Cali Width Light Opening Inches In Inches
Size
Example Entry
A Andersen Narrollne 3062 3' 2 6'5 '/2 15.30 8.36 6.01 34 2415/36 Tempered
Double 1/3" 11/16 Glazing
Hun
CADocuments and Settings\Sue\Local Settings\Temp\Window Scbedule.doc
Job Site Address: A4e, Date: 2- I�•bs
Owner: -"�fj"A' ) Application No. File No.
Building Permit — Calculation Sheet
Natural Light, Ventilation & Emergency Egress Requirements
Habitable Area of Req. Light Actual Req.Vent .Actual Sq.Ft. Remarks
Room Room 8%of Room Light 4%of Room Vent Opening for
in Area Square Area Square Egress
Square Footage Footage
Feet
�tou 30$ Z 1•�8 IZ=�77, S1• S1-��
L:\SueHemingway\Building.Perm{LFORMS\NatLight Ventil.Salculation.Sheetdoc
200 Series Casement &Awning Windows Andersen.
WINDOWS - DOORS
Table of Basic Unit Sizes/Casement and Compatible Specialty Windows Scale 1/8"= 1'-0"(1:96)
1'-8 1/2' 2'-01/8° 2'-4 3/a' 3'-4 3/a' 4'-0' 4'-8 112' 5'41 1/8, 2'-1115/16' 3'-4 13/I6" 4'-0'
Unit Dimension
(521) N(625
(721) (1035) (1219) (1435) (1826) (913) (1037) (1219) (1521)
1'9, 2'4Rough Opening (533) (733) (1048) (1232) (1448) (1838) (927J (1051) (1232) (1534)
in
0
CM CTCW1 CTC2 CTCW2 CTC3 CTCXW1
CTQCS
1911/16' 23 a/16" 36' 43 13/16' 31 1/8'
Unobstructed Glass Glass
(491) (5T8) 1 (914) 1 (1097) (791)
u-i a u? n M
AR21 IR1fi1" _., AR31
o
AN31
(O O fND Or l�[1
A21 A251 A351 1 A31
N .... N `.. AW31
16 118" 19 3/4" 24" 16 1/8" 19 3/4' 24" 19 3/4" 31 1/8' 36' 43 3/16, 55 1/16'
Unobstructed Glass � � � � � Glass
(410) (502) (610) (410) (502 (610 (502 (791)11 (914) 11 (1097) 11 (1399
0 0 E ED 00 00 oao
CN13 C13 CW13 CN23 C23 CW23 C33 EP3D030
m0 0 E] [ED] 00 00 oao
CN135 C135., CW135t CN235 C235 CW235t C335
0 0 0 ED 1111
CN14 C14 CW14t CN24 C24 CW24t C34 P3040 P3540 P4040
CN145 C145 C245 CW245t C345 P4045
CN15 C15 0CW15- CN25 C25 CW25t C35 P3050 P4050 P5050
/
\
CN155 C155 CW155t C255 CW255t P4055
These double wide
oohs are available as: -
'Left OPer./Right Opec\
Left Oper./Right Son. _-
-+ Left Stat./Right Oper.
or Stat both sides.
CN16 C16 CW16t CN26 C26 Met P3060 P4060 P5060
t These units meet or exceed the following dimensions:Clear Openable Area of 5.7 sp.ft.,Clear Openable Width of 20"and Clear Openable Height of 24"when appropriate hardware(straight arm or split arm)is specified.
"Andersen",and the AW logo are registered trademarks of Andersen Corporation.All other marks where denoted are marks of Andersen Corporation.
-2003 Andersen Corporation.All fights reserved.
200 Casement& Specialty Page 1 of 3
Andersen®200 Series Casement&Specialty Windows
Specifications
See 400 Series for more choices.
Opening Specifications
.................................................
Clear Clear Clear Opening in Full Open Crack Top of
Opening Position in inches(mm) Opening Straight Split Subfloor Overall
Opening Glass Arm to Top of Unit
Unit Straight Vent Sash Arm Vent
No Arm Split Arm Sq Ft Vent Sq. Inside Sill Area
Only Sq.
q Ft( q
S S Sq Ft(Sq Str.Arm Sp lit Arm (Sq cm) Linear Ft (sq m) Ft.(sq Stop Sq Ft
m) Height m) Inches S m1
m) Width Width (mm) ( q(mm)
CN13 - 2.3 - 10 13/16" 31 1/16" 3.5 8'11 7/16" - 3.1 48 3/4" 5.1
- (0.214) - (275) (789) (0.325) (2729) - (0.288) (1238) (0.474)
CN135 - 2.7 - 10 13/16" 35 15/16" 4 9'9 3/16" - 3.6 43 7/8" 5.8
- (0.251) - (275) (913) (0.372) (2977) - (0.334) (1114) (0.539)
CN14 - 3.2 - 10 13/16" 43 1/8" 4.8 10'11 9/16" - 4.3 36 11/16" 6.8
- (0.297) - (275) (1095) (0.446) (3342) - (0.399) (932) (0.632)
CN145 - 3.6 - 10 13/16" 47 15/16" 5.4 11'9 3/16" - 4.8 31 7/8" 7.5
- (0.334) - (275) (1218) (0.502) (3586) - (0.446) (810) (0.697)
CN15 - 4.1 - 10 13/16" 55" 6.2 12'11 5/16" - 5.5 24 13/16" 8.5
- (0.381) - (275) (1397) (0.576) (3945) - (0.511) (630) (0.79)
CN155 - 4.5 - 10 13/16" 59 15/16" 6.7 13'9 3/16" - 6 19 7/8" 9.2
- (0.418) - (275) (1522) (0.622) (4196) - (0.557) (505) (0.855)
CN16 5 - 10 13/16" 67" 7.5 14'11 5/16" - 6.7 12 13/16" 10.2
- (0.465) - (275) (1702) (0.697) (4555) - (0.622) (325) (0.948)
C13 4 3.1 18 5116" 14 7/16" 31 1/16" 4.3 9'6 11/16" 4 3.9 48 3/4" 6
(0.372) (0.288) (0.0465) (367) (789) (0.399) (2913) (0.372) (0.362) (1238) (0.557)
C135 4.6 3.6 18 5116" 14 7/16" 35 15/16" 4.9 10'4 7/16" 4.6 4.5 43 7/8" 6.8
(0.427) (0.334) (0.0465) (367) (913) (0.455) (3161) (0.427) (0.418) (1114) (0.632)
C14 5.5 4.3 18 5116" 14 7/16" 43 1/8" 5.9 11'6 13/16" 5.5 5.4 36 11/16" 8
(0.511) (0.399) (0.0465) (367) (1095) (0.548) (3526) (0.511) (0.502) (932) (0.743)
C145 6.1 4.8 18 5116" 14 7/16" 47 15/16" 6.6 12'4 7/16" 6.1 6 31 7/8" 8.8
(0.567) (0.446) (0.0465) (367) (1218) (0.613) (3770) (0.567) (0.557) (810) (0.818)
Clear Clear Opening in Full Open Crack Top of
Clear p g p Split Subfloor Overall
Opening Position in inches(mm) Opening Straight
Opening Glass Arm to Top of Unit
Unit Straight Vent Sash Ann Vent
No. Arm
Split Arm Sq Ft Only Sq.Ft. Vent Sq. Inside Sill Area
Sq Ft S Sq Ft(Sq Str.Arm Split Arm (Sq cm) Linear Ft (sq m) Ft.(sq Stop Sq Ft
m)( q m) Width Width Height (mm) m) Inches (Sq m)
(mm)
C15 7 5.5 18 5116" 14 7/16" 55" 7.5 13'6 9/16" 7 6.9 24 13/16" 10
(0.65) (0.511) (0.0465) (367) (1397) (0.697) (4129) (0.65) (0.641) (630) (0.929)
C155 7.6 6 18 5116" 14 7/16" 59 15/16" 8.2 14'4 7/16" 7.6 7.5 19 7/8" 10.9
(0.706) (0.557) (0.0465) (367) (1522) (0.762) (4380) (0.706) (0.697) (505) (1.013)
C16 8.5 6.7 18 5/16" 14 7/16" 67" 9.2 15'6 9/16" 8.5 8.4 12 13/16" 12
(0.79) (0.622) (0.0465) (367) (1702) (0.855) (4739) (0.79) (0.78) (325) (1.115)
CW13 4.9 4 22 9/16" 18 11/16" 31 1/16" 5.2 10'3 3/16" 4.9 4.8 48 3/4" 7.1
(0.455) (0.372) (0.0573) , (475) (789) (0.483) (3129) (0.455) (0.446) (1238) (0.66)
CW135* 5.7 5.1 22 9/16" 20" 36 3/8" 6 11'15/16" 5.7 5.5 43 7/8" 8
(0.53) (0.474) (0.0573) (508) (924) (0.557) (3377) (0.53) (0.511) (1114) (0.743)
CW14* 6.8 6 22 9/16" 20" 43 1/8" 7.2 12'3 5/16" 6.8 6.6 36 11/16" 9.5
(0.632) (0.557) (0.0573) (508) (1095) (0.669) (3742) (0.632) (0.613) (932) (0.883)
CW145* 7.5 6.7 22 9/16" 20" 47 15/16" 8 13'15/16" 7.5 7.3 31 7/8" 10.4
(0.697) (0.622) (0.0573) (508) (1218) (0.743) (3986) (0.697) (0.678) (810) (0.966)
CW15* 8.6 7.6 22 9/16" 20" 55" 9.2 14'3 1/16" 8.6 8.4 24 13/16" 11.8
(0.799) (0.706) (0.0573) (508) (1397) (0.815) (4345) (0.799) (0.78) (630) (1.096)
CW155* 9.4 8.3 22 9/16" 20" 59 15/16" 10 15'15/16" 9.4 9.1 19 7/8" 12.8
(0.873) (0.771) (0.0573) (508) (1522) (0.929) (4596) (0.873) (0.845) (505) (1.189)
CW16* 10.5 9.3 22 9/16" 20" 67" 11.2 16'3 1/16" 10.5 10.2 12 13/16" 14.2
(0.975) (0.864) (0.0573) 1 (508) (1702) (1.041) (4955) (0.975) (0.948) (325) (1.319)
hap://www.andersenwindows.com/UE/ProductGuide/Residential/20OCasementSpecialty S... 2/10/2005
400 Series Frenchwood®Gliding Patio Doors Andersen- rulu
WINDOWS - DOORS 1_21ilI111111111
Three Basic Unit Heights
...............
C". .0
op
Standard Pattern
Grilles
FWG 1X68 FWG loillill FWG)ol80
Table of Basic Unit Sizes Scale 1/8"= V-0"(1:96)
Exterior views shown.Arrow indicates direction of panel.
T-8' 1 1/4" 4'-11 1/4" 91-9.
Unit Dimension 4 ..................... ..
(1505) (1505) 1 (2972)
2--8 3/,,`i! 5-0" T-O"
Rough Opening
(832) (1524) j (1524) (2991)
2 1 1/s'!1 211/8. 211/8"1 211/8" 211/8"1 1 21118" 21118" 2 ti/s' 211'W'
Unobstructed Glass*
"(5 "(537) 1"(53 7)4'�37)1 ,"(53`7)
(537) (537),j
Available i
in 2
3 heights 2 N
Grille order number
FWG 2968S FWG 5068L FWG 506SR FW6 10068-4** FW62668 FWG2680
FWG 29611S FWG 50611L FWG 5061IR FWG 1006114** FWG2661i
FWG 29805 FWG 50801. FWG 5080R FWG 10080-4**
Unit Dimension 3:-2" 5'-11 1/4" 1 5..1..1 ./4 — 111-91
(965) (1810) (1810) (3581)
3/' �-O-
Rough Opening T-2 ,, 6(1829) 1 V-9'/4'
(984) T (1829) (3600)
271/8' 1 271/8' 2 7 1,'8" 1 2 P/8' 2 7'Is" 11 2 7-18' 2 7 Va" 271/8' 271/a,
Unobstructed Glass* 6..
8 1 (689)r(6i 9 1"(689) "(689) _(689) "(689) (689)l (689)
Availab
in 21
le
3 heights
AC Crille order number:
FWG 33:8S FWG 6068L C;a6068R:> FWG 12068-4** FW63068 o FWG3080
(;T r
FWG 33 I FWG 60611 II FWG 120611- *
FWG 3380SS FWG 60SOLL FWG 6080RR FWG 12080-44 * FWG30611**
Unit Dimension 41-2- 7'11 1/4" 1 T-11 1/4" 155_911
(1270) (2419) (2419) 4801)
4'-2 8/4- W-0. 81-0. 15'-9 3/4'
Rough Opening ...... .......... ...............
(1289) (2438) (2438) (4820)
39 1/8' 39 1/8" 39 1/8" 39 VA' 39 1/8' 39 1/8' 39 1/8' 39 1/8" 39 Va"
Unobstructed Glass* —(994) t r(-99-4) I'-�(_94) t (994)1'1 (994) 1 (994i I41)t (99 t (994)jtF
---.........
Available
in
3 heights
�
+
AG Grille rder number:
FWG 43:8S FWG:068L FWG 8068R FWG 16068-4** FWG4068 FWG4080
FWG 436115
FWG 0611L FWG 8061IR FWG 160611-4** FWG40611
FWG 4380S FWG 80801. FWG 808011 FWG 16080-4**
'Unobstructed Glass"measurement is for sing:e-panelwidth only.
Four-panel doom open without obstruction.
AG:Andersen*art glass panels are available for these sizes.
• "Unit Dim ension"always refers to outside frame to frame dimension.
• Dimensions in parentheses are in millimeters.
• Combinations of door units joined together may require horizontal or vertical reinforcement.This reinforcement should be specified by a professional engineer.
When ordering be sure to specify color desired:White,Sanotone,Teriatone'or Forest Green.
"Andersen-,and the AW logo are registered trademarks of Andersen Corporation.All other marks where denoted are marks o(Andersen Corporation.
TM2003 Andersen Corporation,All rights reserved.
400 Frenchwood® Gliding Page 1 of 2
Andersen®400 Series Frenchwood®Gliding Patio Door
Specifications
Opening Specifications
.........................I.......................
6'8" Hei ht
Unit Clear Max.Clear Opg in Full Open Position in inches Glass S Ft S Vent S Ft S Overall Unit
No Opening (and mm) ) ( q q ( q Area
Sq Ft(Sq m) Width Height m) m) Sq Ft(Sq m)
2968 - - - 9.26 - 17.67
- - (0.86) - (1.642)
3368 - - - 11.89 - 20.98
- - - (1.105) - (1.949)
4368 - - 17.15 - 27.6
- - - (1.593) - (2.564)
5068 11.58 22 1/8" 75 3/8" 18.52 11.58 32.71
(1.076) (562) (1915) (1.721) (1.076) (3.039)
6068 14.72 28 1/8" 75 3/8" 23.78 14.72 39.34
(1.368) (714) (1915) (2.209) (1.368) (3.655)
8068 21 40 1/8" 75 3/8" 34.3 21 52.59
(1.951) (1019) (1915) (3.187) (1.951) (4.886)
10068 23.42 44 3/4" 75 3/8" 37.04 23.42 64.59
(2.176) (1137) (1915) (3.441) (2.176) (6.001)
12068 29.7 56 3/4" 75 3/8" 47.55 29.7 77.84
(2.759) (1441) (1915) (4.418) (2.759) (7.232)
16068 42.27 80 3/4" 75 3/8" 68.6 42.27 104.34
(3.927) (2051) (1915) (6.373) (3.927) (9.694)
6' 11" Hei ht
Unit Clear Max.Clear Opg in Full Open Position in inches Glass Sq Ft(Sq Vent Sq Ft(Sq Overall Unit
Opening (and mm) m Area
No. Sq Ft(Sq m) Width Height m) ) Sq Ft(Sq m)
29611 - - 9.68 - 18.31
- (0.899) - (1.701)
- 12.43 - 21.74
33611 - - - (1.155) - (2.02)
43611 - - 17.93 - 28.6
- (1.666) - (2.657)
50611 12.04 22 1/8" 78 3/16" 19.36 12.04 33.89
(1.119) (562) (1987) (1.799) (1.119) (3.148)
60611 15.31 28 1/8" 78 3/16" 24.86 15.31 40.76
(1.422) (714) (1987) (2.31) (1.422) (3.787)
80611 21.84 40 1/8" 78 3/16" 35.85 21.84 54.49
(2.029) (1019) (1987) (3.331) (2.029) (5.062)
100611 24.36 44 3/4" 78 3/16" 38.72 24.36 66.93
(2.263) (1137) (1987) (3.597) (2.263) (6.218)
120611 30.89 56 3/4" 78 3/16" 49.71 30.89 80.66
(2.87) (1441) (1987) (4.618) (2.87)
160611 43.95 80 3/4" 78 3/16" 71.71 43.95 108.12
(4.083) (2051) (1987) (6.662) (4.083) (10.044)
8'0" Height
Clear Max.Clear Opg in Full Open Position in inches Overall Unit
http://www.andersenwindows.com/UE/ProductGuide/Residential/400F WGlidingSpecificat... 2/10/2005
6000TR-OAK
36" TOP/REAR VENTED DIRECT VENT GAS FIREPLACE
50-7/8 112931 — 56-9116 [1436.7}---�
40-1/32 [1017]
20-518 [525] 42-13116[1087.4}►
17-1/4 [439] 23-15132 [596.1] j�----►
8-11/32 (211.9}
1/2
[13 ' 72 [1828.8
[ 1/2 [113
36-1/16��(915.61 ,��� 28-1/2 MI ,/, 80 [20321
[722] 40[1010 I�
[361 J
9-31/32� J
i
[ 253.5 21-1/2
�s
12041
[968[ 33-1/2
2-118 O 36-1/8 [917] 18521 2-112 O [681/]
[54.21 161
�. 41
6-718 110401 5
1174.41 [126.9 J
SPECIFICATIONS
Model Height Front Width Back Width Depth Glass BTU Input
6000TR-OAK Actual Framing Actual Framing Actual Framing Actual Framing Size (NG)
38112(9781 22(559]
lssoo \ ,
Inches 38 38 1/2 41 42 28 1/2 42 21 1/2 22 36 x 24 3/4 -30,000 \\j[
Reference dimensions only.We recommend measuring individual units at installation. 42[1067]
09/04 HEAT-N-GLO - (952)985-6000 - www.heatnglo.com A-1
N A, r--\j V-- 1--\ I LE:15) r�;g 51-71
Queensbury Building & Code Enforcement - Residea
^ spection
Office No. (518)761-8256 Arrive: y am/pm
Date Inspection request received. Inspector's Initials,
NAME:LOCATION: -
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4' Building Number Address visible from road f 7) f`
Chimney Height/'B'Vent/Direct Vent Location
Fresh Air Intake
3 inch PlumbingVent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete � ��'
Platform at all exterior doors
Handrail 4 or more risers ___
Guards at stairs decks,patios rnore 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 _
Interfor/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ram Com liant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off ex sed/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 sq.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/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Terri 110
Enclosed Stairs Sheetrock Underside minimum%"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
7* 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 required
Okay to issue C/C or 1 Temporary/Permanent
LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
'ermit No.....................................p..Cert. N2 11020 Cut-in Card No....................................
./)weer......... #A1�.....J7 .7.T/.`..7....................................................................................�...�..........
.ocation..... ............��..�.�....T .........�ZLRA....................................Q. ..t ..a............
nstallation Consisting of....r [.5.. .. .. ...........................
.... �C'.I..�/�.�/l.!f.....C?�e�F%L—
.......................................
..................................................................................................................................................................................
nstalledBy....."`:..............................................................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
ancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
ntroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
ules are violated,the Company shall have the right to r v ke "Fic
PIPi
)ate....3..:"...�...7..:..�..,��.......... INSPECTOR.. ....... .........................................................................
Queensbury Building & Code Enforcement - Residential Final Inspection
Office-No.(518)761-8256 Arrive:
Date Inspection request received: Inspector's Initials._7
T#:NAME: �
LOCATION: Ak�,,
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road ?X)P
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake `�116106
3 inch Plumbin Vent throw h roof minimum 6 inches J
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios 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
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet ko�
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
Safe glazing/WindowWindow in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emer ency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler Lacl�\Pia
��
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''/z"Gypsum
Basement stairs closed rise>4 inches Lj�� Ulm
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
As Built Septic System/Sewer Dept.Inspection Sticker � `
Site Plan /Variance required 043.c-- o cy-u B�---�-�J
��Ay;
Flood Plain Certification,if required
'—�V
Okay to issue C/C or C/O Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doe
Queensbury Building & Code EnforcI t - IdeWial al Inspection
Office No.(518)761-8256 Arrive: a �� a pm
Date Inspection request received: Inspector�l
NAME: ETT AERMIT#: Tj
LOCATION: E DATE:
TYPE OF STRUCTURE:
Comments
Yes o N/A
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
Guards at stairs,decks,patios 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
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches 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:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft,150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched / l�
Garage fireproofing/%hour fire door/door closer _
MA ,�
Duct work Sealedproperly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
�o
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request i
Queensbury Building & Code Enforcement Arrive: a p epart: _ n
742 Bay Road, Queensbury, NY 12804 Inspector's Initial
NAME: to W-1 K'�n aRzk JOA., PERM #: Zc>�
LOCATION: (A-7 BAWL -ram C_L2C F INSPECT ON: (a —94,—& -
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
50 P.S.I for 15 minutes
Insulation Residential Check/ Commercial Check
Proper Vent Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection reque ecei
Queensbury Building & Code Enforcement Arrive: /pm, D art: V a
742 Bay Road, Queensbury, NY 12804 Inspector's Initi
NAME: I JA-Q G t l o P IT
LOCATION: 57 INSPECT ON: =C�pa 5
TYPE OF STRUCTURE: Q-� . Azc- l-n o).t
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent / Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
5 .S.I for 15 minutes
nsulation / Residential Check/ Commercial Check
Proper Vent Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS: � 5; �Q—
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
o0r1 0a*v,
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: U S�
Queensbury Building& Code Enforcement Arrive: am/PZ m
e art: f� /Im/p
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: CA-KIC~? PERMIT#: 2oc!C — v75
LOCATION: 5-7 C42Ct—r INSPECT ON:
TYPE OF STRUCTURE:
Y Framing N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging f�
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 snow shield 24 inches from wall
Fi a separation 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 I
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
/5.0 sf grade
L:\Sue Hemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
QD Z�C��Z3
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection requ st rece.ved:
Queensbury Building &Code Enforcement Arrive: am/ Depai : am/pm
Bay Rd., Queensbury,NY 12804 Inspector's Initials.
NAME: Z y PERMIT#: � 0 �5
LOCATION: _ S; SPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings `
Piers
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 —
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/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:\SueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
Proposed new 14' x 22' addition built
NOTICE on existing concrete foundation
PAPER INSULATION Pji'�)7' r,-
I
23'-e" 22'-0"
aD ��E�� �
�4 OT I C E
-;UIIATION MUST
M111NUTE THERMAL
Existing House
A
Existing Garage
32'-O!5" offs 45--13"
4-1 v
v D
RUILDING & D
kEVIEVVED 8y
-Y
DATE
FILE Co
PY
5rennan 5uildsrs Inc. 14' x 22Addition to Residence
51 Oak Tres Circle 57 Oak Tree Circle
Queensbury, NY 12504 Queensbury,NY
518,260,21W Existing House Showing Addition
Proposed new 14' x 22' addition built
on existing concrete foundation
2x8 floor joists set on pressure treated blocking
on top of existing concrete slab, kN-4)KIA (p Wto%— F-0"
3/4" Advantech subfloor on top of 2x8 floor ,Joists
h ,
h i
i
Existing House
�M M
M
4S4G5 �Y ,Ai
f 1hA
Existing Garage
14
A�Y marr:rrmrr�wsrm�u+r:rmrrmr� sssa��sssassususs+.masV:
amra"wr:rmsvw--m••rra---_------rwuvv---------r•••••�vuvssvvw----------__vmnvmw------._---------
Brennan Builders inc. 14' x 22' Addition to Residence
51 Oak Tree Circle 57 Oak Tree Circle
Queensbury, NY 12804 Queensbury,NY
518.260.2190 Floor Framing Plan 2
New 30 gr Architectural roofing by Owens Corning
over Ice and Water Shield.
Ice and Water shield to cover entire roof of addition and
existing garage
-----------------------------------------------------------------
1'
------------------------------ --------------- ----- ---- ,
Existing House
I
Existing Garage
--------------------------
-------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------
Brennan Builders Inc.. 14' x 22' Addition to Residence
51 Oak Tree Circle 57 Oak Tree Circle
Queensbury, NY 12804 Queensbury,NY
518.260.21SO Roof Plan 73
ASPHALT SHINGLES
COW N—Al.YENT BAFFLES•Z4'O.C.
ENDS AT RIDGE-TO BE INSTALLED SO THAT j�-
AIR FLOW 15 NOT RESTRICTED
PRE�QIf INEER�ROOF TRU85ES:6:13 PITCH �
OAK
CONTiN110115 EAVE'.PROTECTION
EMIre Raof
5/B'OSB SHEATHING C.
H CLIPS
R-38 BATT INSULATION
mr.Fmpc I
5/5"DRYWALL ON
POLY VAPOR BARRIER
2-2k6 TOP PLATES
PsrTaNetl Ylryl SofFlt
I
TYPICAL EAVE
TYPICAL 3&SIDING EXTERIOR WALL:
FINISH SIDING
In'SHEATHING BASEBOARD
PERF MOISTURE BARRIER
TYPICAL he FLOOR SYSTEM:
hf.STUDS•IS,o.c.
3/4'TKa ADYANTECH SUBFl.00R
R19 GATT INSULATION
6 MIL POLY VAPOR BARRIER
1/2'GYPSUM BOARD
IA!In pan[t[v nwcwoe=T.AT u o.c. Prew.ve Trebled
Blocking Y required
EaUt"9 Fowdnlon end slob
e fi L
V— II'I ,,.f
Exleurg: 4"Pd1RED CONCRETE SLAB
e
IJbMIL.POLY VAPOR BARRIER
• �` •'�, 92'BWE STYRO INSULATION
v.i 7 95"COMPACTED GRANULAR FILL
DETAIL AT —` v4 jz Cji'
FOUNDATION LR-1,_4ft'r o�
Brennan Builders Inc, 14' x 22' Addition to Residence
51 Oak Tree Circle 57 Oak Tree Circle
Quaensbury, NY 12804 Queensbury,NY
518.260.2190 Details L�
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6 76
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 IECC
REScheck Solware Version 3.6 Release 2
Data filename: C:\Program Files\Check\REScheck\Brennan Addition.rck
PROJECT TITLE: Addition to 57 Oak Tree Circle
CITY: Glens Falls
STATE: New York
HDD: 7635
CONSTRUCTION TYPE: Single Family
M1
WINDOW /WALL RATIO: 0.13
DATE: 03/16/OS
DATE OF PLANS: 3/16/05
9
PROJECT DESCRIPTION:
309 sffamily room addition
DESIGNER/CONTRACTOR:
Brennan Builders Inc.
COMPLIANCE: Passes
Maximum UA= 87
Your Home UA= 80
8.0%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value -V ue -Factor
Ceiling 1: Cathedral Ceiling (no attic) 308 38.0 0.0 8
Wall 1: Wood Frame, 16" o.c. 648 19.0 0.0 34
Window 1: Wood Frame:Double Pane with Low-E 58 0.300 17
Door 1: Glass 24 0.300 7
Floor 1: All-Wood Joist/Truss:Over Outside Air 308 21.0 0.0 14
Furnace 1: Forced Hot Air, 78 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000 IECC r uirements in R check Version 3.6 Release 2 (formerly MECcheck) and to comply with the
mandatory requireme is listed in the c k Inspection Checklist.
Builder/Designer Date3. o ��
75-
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 IECC
REScheck Software Version 3.6 Release 2
Data filename: C:\Program Files\Check\REScheck\Brennan Addition.rck
PROJECT TITLE: Addition to 57 Oak Tree Circle
CITY: Glens Falls
STATE: New York
HDD: 7635
CONSTRUCTION TYPE: Single Family
WINDOW /WALL RATIO: 0.13
DATE: 03/16/05
DATE OF PLANS: 3116105
PROJECT DESCRIPTION:
308 sffamily room addition
DESIGNER/CONTRACTOR:
Brennan Builders Inc.
COMPLIANCE: Passes
Maximum UA= 87
Your Home UA= 80
8.0%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Cathedral Ceiling (no attic) 308 38.0 0.0 8
Wall 1: Wood Frame, 16" o.c. 648 19.0 0.0 34
Window 1: Wood Frame:Double Pane with Low-E 58 0.300 17
Door 1: Glass 24 0.300 7
Floor 1: All-Wood Joist/Truss:Over Outside Air 308 21.0 0.0 14
Furnace 1: Forced Hot Air, 78 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000 IECC requirements in REScheck Version 3.6 Release 2 (fonnerly MECcheck) and to comply with the
mandatory requirem isted in the Sc ck Inspection Checklist.
Builder/Designer Date
MAP REFERENCE.' I HEREBY CERTIFY TO
BARBARA A. do JOSEPH MARCINO III
HIDDEN HILLS SUBDIVISION FIRST AMERICAN BANK OF NEW YORK IT'S SUCCESSORS AND ASSIGNS
MADE FOR RALPH & MICHAEL WOODBURY T TITLE GUARANTEE COMPANY
THAT
THI WWAI S MADE FROM AN ACTUAL SURVEY ON
BY VanDusen & Steves DATED MARCH ,26, 1986 THE GII� G TO RECORD DESCRIPTIONS AND
FILED SEP"1'EACBER 22, f98B SHO `�' 'boUNDRIES AND IMPROVEMENTS
IN MAP CABINET A SLIDE 44 ONE EN416j, ;ERE ARE NO ENCROACHMENTS
v �
i 1
w
DA4 S
DAT�:�
�s
�• lE Of ��; _,
o I LOT 105
i 02,s
q S 8
v1 /38 J • "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY O
1 \ 1 MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
V VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF THE
W o NEW YORK STATE EDUCATION LAW." V f
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY F' m f
f1+ MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS r
lI ® SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.- 1
(� I ( V 9 CERTIFICATIONS fNDiCATED HEREON SIGNIFY THAT \\✓
(p Q + U -T- THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
1 EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
O Q j C TO(v Q ',�` �[� 1 1 2�Q� BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL C
O LOT 104 a i
Cy O 13,785 sq. ft. `DR'vE TO ERSONS OR (WHOM THE SURVEY IS PREPARED, AND
�,, � lf� r ` ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
O 0.31 acresj �V ^ 1 On W f AGENCY AND LENDING INSTITUITION LISTED HEREON, AND
O36 05rr r TO THE ASSIGNEES OF THE (ENDING !NSnTUTION.'
cil
MAP OF A SURVEY MADE FOR
RBAR & J H MA LINO 1 y ; BA A A. OSEP R II
0 137.14 ' — -
I N 83 TOWN OF QUEENSBURY __— I COUNTY OF WARREN —N_Y,
25 jar --- t- -------------
i ; SCALE+ 1"=30, DATE i JULY 12, 1989
--- - -- ----- - -- --- 1-- ... -- ------ -
LOT 103 vadlisen k teves
t ._A',4D .�' RVEYURS, GLENS FALLS, NEW ''^RK
` -- - -
��.`_ ,?ATE: NO, 356,
04 88- 62C (8,5-458 E--27)
I