2004-149 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CER'T'IFICATE-._OF OCCUPANCY
Permit Number: : p20040149 Date Issued: Friday, February 11, 2005
This is.to certify that work requested-.to.be-done as shown by Permit Number P20040149
has been completed.
-- _ Tax Map Number: _ 523400-295=006-0001-002-002-0000
Location: 113-5 WEST MT. RD
Owner: JOHN JR& CARA GITTO
Applicant: JOHN JR& CARA GITTO
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage -_3 Cars AttachedI�DSingle Family Dwelling Jw N
Apprcavat inctudez septic' .sy,,tem az-bu�
as attached ins ct i.on beet indicatez Director of Building&Code Enforcement
and map.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040149 Application Number: A20040149
i
Tax Map No: 523400-295-006-0001-002-002-0000
Permission is hereby granted to: 7OHN JR & CARA CTTTO
For property located at: WEST MT. RD
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 Value
Owner Address: JOHN JR& CARA GITTO
84 ASH DR. APT 1 Firepl Ice
LAKE GEORGE NY 12845-0000 Garage-3 Cars Attached
Single Family Dwelling $150,000.00
Total Value $150,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
ADIRONDACK DREAM HOMES
15 ANTIGiTA Rd
OTTEENSBITRY_ NY 12804-0000
I
Plans&Specifications
2004-149
SINGLE FAMILY DWELLING
$365.04 PERMIT FEE PAID-THIS PERMIT EXPIRES1he
Friday,April 08, 2005
(If a longer period is required,an application for an extension must be made to code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queen ury; Thursday,April 08, 2004
SIGNED BY for the Town of Queensbury.
irector of Buildin Co Enforcement
��- iqq
Check Residential Plan Review: One&Two Family Dwellings
YIN/N/A
(2)Full sets of plans
Over 1,500 sq.ft.—Stamped
Design Loads On Plans:90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
indow Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
Grade,5.0 sq.ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
esidential Check Paperwork Compliance and Inspectors Checklist: OK
ampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
fairway Headroom 6' 8'All Stairs 36"Width
Cl Stair Run and Rise
9
Winder Run and Rise
r
,Spiral Not Allowed From 2nd Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
all Width,36"min.
drails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
Mafety Glazing Notes For Required Areas
Garage Fire Separation
Garage Floor Sloped
Attic Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
arbon Monoxide Detector Lowest Sleeping Level
Soil Test Results,if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Building Permit Application
Town of Queensbury Department of Community Development,742 Bay Rd., Queensbury,NY 12804
(518)761-8256
A permit must be obtained before beginning construction. Permit No.:
No inspection will be made until applicant hats received a Fee Paid:
valid building permit. Form must be completed. Rec.FeePaid:OW
Reviewed By:
Applicant: Owner: W_, P� 2004.
Address: Address: Wes\. (' , ►:, P-a► ` INGq� URy
z�o ��DE
Phone#: Phone#: Sys
Tax Map Number; ��� • Z-
Subdivision Name:
(if applicable)
Lot Number: 1 House Number: /Street Name
OR ` I
Property Location: \,J CSar heJ�ti
New Building: esidentia Commercial Estimated Market Value of Construction: &I\Jo j ooa
❑ Addition: Residential/Commercial If an Addition,what will use of addition be?
❑ Alteration: Residential_/Commercial
o No change to
Exterior size: Residential/Commercial
❑ Other work: (describe
Check Below Occupancy Info 1"floor sq.ft. 2'd floor sq.ft. Other floor sq.ft. Total Sq.Ft.
Single Family Dwelling �,. pg5 Z 7j6Z 1
Two Family Dwelling
Townhouse
Multifamily Dwelling
#of units
Office
Mercantile
Manufacturing
1 car detached garage
2 car detached garage
3 car detached garage
1 car attached garage
2 car attached garage I/UU
3 car attached garage 1 '/
Storage Bldg.,Comm
Storage Bldg.,Res, ( �
Other 3
What is the proposed height of the structure: feet 1zS inches
P P � �_ 8
Will any second-hand or ungraded lumber be used? If so,for what? �30
No.of Fireplaces to be installed:
No. of Woodstoves to be installed:
List below the person(s)responsible for supervision of work in regards to Building Codes:
Name Address - - -Phone No. - - - —
Builder )4,1.5 ►, x, R lAk Gc<<ae. 6d9- R\%o
Plumber t Cti W\5 c.0c►.,,r6 917. •ZZZo .
Mason G.► c4I, %A Z- %
Electrician C e 6 S T rl`1 g • 9 5
Declaration: Please sign below after you have carefully 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 specified or noted, and that such work is authorized by
the owner. Further, it is understood that Uwe 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 Surve by a licensed surveyor; drawn to scale,showing actual location of all new construction.
Signature: (circle one: owner,owner's agent,architect contractor
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)-761-8256 f
1 OWNER INFORMATION: ................................................ :..
�. s �
Location of installation: WtS%,
File Permit No.
Tax Map No. a°�� / (> '
Fee Paid rOiNl1J r) 2004
Owner's Name: `
Address: ook�1CA<( 6 1 -c sw c -w1S�0 T
2. INSTALLER'S NAME : S'ckM Q5 PHONE NO. S`_ 9 a -3 6 f)Z.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Dailylow_
1980 or older x 150 gal/bdrm =
1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes_ / no X
Spa or Hot Tub Installed yes_ / no )
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Too a h S ature Ground Water Bedrock or Impervious Material I7o estic ter SLipply
Fla san at what depth at what depth municipal
Rollin —loa feet feet we
Steep slope c ay if well; water supply
slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
rJvl-G /�GLZ.�Q
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: gallon (min. size 1,000 gal)
Tile Field: each trench ft. Total System Length: 2ZO ft. 6'd��ivr'LICU
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
l�z16V
S' ature of responsible person Date
�....,.,.,.+serrll ►Tncrvt�.= 'TS C'NAXC ''ITOa 14OLLYM- 01Au?8 L(1S,dI�IrJIS 'L
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UNOd
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y,i,N►�I itl:!12l II'lN13i t�(�I►1,�121.Vd;�IS
.t.�)cttstl;) 11::ods.i(I :filttM7� lint: %-MAWS'.
�.tncibua�nt� 10 unukl'..
ENERGY C D O O E COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS T Ap p ti 9 20
Oar 0�
Compliance Methods:Part 5*-Acceptable Practice Method— 1&2 Family Dwellings (04f®�Q�"45'600'D"J8
Part 6 - Thermal Rating—Component trade Offs 1&2 Family DwellinY
Multi-Far wily Dwellings(3 Stories or less)
Part 4*-Design by Component Performance, Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
APPL,ICANT'S NAME: PROPERTY LOCATION:
PART 5!METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area a3jOZ square feet
2. Type of heat- Electric Oil V"Gas Other
;
3. Is building mechanically cooled? r, yes No
I
4. Percentage of area of windows and doors Over 17% Under 17%
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TOR VALUES AS ,
SHOWN ON PLANS SUBMITTED:
a. Roof R 3 o
b. Exterior walls R—W— --
c. Glazed areas R sp VS
d. Exterior doors R-1'
e. Floors over unheated spaces R
f. Edge of slab on grade(heated building) R
g. Basement/cellar walls (above grade) R 1
h. Basement/cellar walls(below grade) R t\
i. Heating/cooling-ducts-piping in unheated space R
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
Applicant's Signajure
pp f Date Phone Number
INSPECTOR'S REMARKS:
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
A
Application for Fuel Burning Appliances fD
applicable to solid fuel & vented gas .appliances C�
APR 0 2 7.004
Date l , 20 O Pe E- 1
`�fil d'0 Y
BUILDING AND CODE
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and 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.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: _S&Nn �_ C.c.s GN`Ir� Stove: wood coal pellet gas
Fireplace insert
Address: ���- (`��"^�"`�`� i xe'�a Fireplace; factory-built: (�wood
Fireplace, masonry: o gas
Furnace: wood ga 9 oil
Phone:
If non-masonary applicance,please provide
Owner: _�-a\' car- Cz.k C'mu Manufacturer Name:
Address: Model Number:
Chimney Information
Phone: 9 t-15'5L 31 (circle appropriate words)
Masonry block brick stone
�� the steel size: inches
Exact Address: �.�1e,��- 1`�wr��-) Q� .
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must
con or m to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consulvavailable Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall Insulated =Direc-tventing
Chimney Liner
4 Ca.�rha[ear-'ter.Depaz�me�t—To�r�of Qzzee�.erbaYz�, 3V'e�-7tzorl�
Fire Marshal Code# $Collected $Refunded Re ived fion •efunded to .
---i�`—� -- -
�/ address: _
A 173 3389 (190) Public Safety f�
A 233 2655 ( 30)Minor Sales
DATE:
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink K Goldenrod(Cashier's Dept.)
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date t , 20 Permit No. / i
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention.and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requiretnents and also will allow all inspectors to enter preinises to per f rrn required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: i Stove: wood coal pellet gas
Fireplace insert
Address: Fireplace, factory-built: wood gas'
Fireplace, masonry; wood gas
Furnace: wood gas, oil
Phone: ; "� :. r� 'i •
+j
If non-masonary applicance,please provide,
Owner Manufacturer Name:
Address: Model Number:
Chimney Information
Phone: (circle appropriate words),
Masonry block brick stone
(T1"'ue" the steel size:' inches
Exact Address: s
of construction or installation :Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must
con orm to NYS Fire Prevention &Building: Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wa/1 / Triple wall. / Insulated / Direct venting
Chimney Liner
� Ca,,�,i2f�r'�r.Department—To�ru o�Queea�rbury, lV"e�7[Tor�-
I
fr
FireNltrrs`hal Code# $Collette $ e'arnciccl Recerverl om�i;efiutrlect to)1 €{ sf_ �
aclrl-ess
9 173 3389 (190) Public Safety
A'233 2655, (230)Minor Sales
DATE: � f�Fy�#�•�-t f�!. � t � �
To
f
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.)
169 Haviland Road
Queensbury,.NY`12804
Hutchins Engineering Phone: (518)•745-0307
Fax (518) 74$-0308
March 3.1, 2004
Mr. John Gitto
3 Dorchester Place
Gansevoort, NY 12831 TO
APR 2004
8U L®0V QUEE1V5gU
Reference: Proposed Residence of John and Cara Gitto GAiV�CEDE�°
West Mountain Road, Queensbury(T)
Septic System Site Evaluation
Dear Mr. Gitto:
On this date(..observed a.test.pit and--conducted two soil percolation tests in
order to determine septic system requirements_for.your proposed,four-bedroom
residence. All tests were conducted.in.the area indicated as.preferred septic
system location.:.The site. has recently been graded"in the area of the proposed
house.and septic system 'Results of.tests are as follows:
Test Pit TP-4
0-8 Brown Silty Sandy Till with Cobbles'&Boulders"
831-2311 Redish.Brown Silty Sandy Till with Cobbles and Boulders
23"-64' Brown Coarse.Sand with Cobbles.and Boulders
64 End,of Test Hole.
No.Groundwater..or mottling observed. :
Percolation Test PTA
•Depth =28" .
Silty'Sand.with Boulders
Stabilized-Percolation.Rate '. 7 Minutes 0. Seconds
-Percolation Test PT-2
Depth =27"
Silty Sand with Boulders
Stabilized Percolation Rate 7-Minutes 20 Seconds
Based upon the above test results,.it is my opinion that a conventional-septic
system, as.deftned by NYSDOH.Appendix 75-A, is appropriate for this siteHKOU
G..Thomas Hutchins, P.E.
i
G.Thomas Hutchins, P.E. torTr.hutchins@hetheaven.com
Queensbury Building & Code Enforcement - Resid nti nal Inspection
Office No.(518)761-8256 Arrive: a pm part: a�
Date Inspection request received. _ Inspector's Initials _
NAME: IT#: L
11
LOCATION: D TE:
TYPE OF STRUCTURE:
Comments
Y N N/A
'Chimne Ht./"B"Vent/Direct Vent Location e C4
Fresh Air Intake - f d� `
3 inch Plumb Vent through roof minimum 6"
Roof Co lete/Exterior Finish Com lete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in, or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete _
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum
Gypsum _
Grade away from foundation 6 in, with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.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
Interior privacy/trim/doors/main entrance 36 in.
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
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched _
Garage fireproofing/3�4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . f .-150 s . ft. vents CD
Building No./Address visible from road
Final Electrical
Site Plan /Variance re uired
Final Survey Plot Plane /
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\BuildinQ&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL /
Cert. 84846 Cut-in Card No.............................,S1
Permit No....................................... r ..
Owner..................... ...j.��.........................................................ti........................................................ .
Location... L �a /j2�'LLsI✓'1. ..../..` .............................. .•.
... .......... ...... .............................
fe
-76
InstallationConsisting of... ............................... ......................,/..............................................................
.................................................... ...... ..................
dc
..............................................ram �1.P�ems........................................ ................................................................
InstalledBy............/ -........................................................................Lic:No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making i ections at any time, and if its
rules are violated,the Company shall have the right to v e this c9r ate.
Date..... . ..Q. ................ INSPECTOR.................................................
Queensbury Building & Code Enforcement - Res' ntial 'nal Inspection 91-11,111-IA-
Office No. (518)761-8256 �f I� Arrive: am/p part:
Date Inspection request received:o`� �laoy� _ Inspector's I n i tals:
NAME: ( U P RMIT#: 0)62)
LOCATION: /3S ATE: ;
TYPE OF STRUCTURE:
Comments
Y N N/A n /
Chimney Ht./"B"Vent/Direct Vent Location {�/�, /r/�.
Tc MS
Fresh Air Intake /
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios----
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %"
Gypsum
Grade away from foundation 6 in,with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. 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.
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Wind w in stairwells safety la in
Interior Smoke Dete tors: ��
Every level: / Every Be coom: /
Outside every bedroo area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in,x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
P-
6ffice No.(518)761-8256 Arrive: pm a t: am/pm
Date Inspection request received: C� _ Inspector's Initials:
NAME: I PERMIT#:
LOCATION: 1<<�t I '. NL DATE: ic�16-S
TYPE OF STRUCTURE: c�
Comments I
Y N N/A � �� 1, '. <L-
— — K
Chimne •Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more a,stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete b� U�J - �D
Interior/Exterior Railings 34 in.to 38 in. ,���t�n
Platform at all exterior doors fP K- -
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %"
Gypsum /7
Grade away from foundation 6 in,with 10 ft. � \���
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate Ai'
U�t -fi�1
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. 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
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Dete ors:
Ever level: ! very Be oom:
Outside every bedroom
y ea: ✓✓✓
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window _ , S�
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf '
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/.door closer PC-L-F-- vlc� � ��.�r
Duct work Sealed properly �� �'-l�
Gas Logs in Sealed or Glass Enclosure
Attic acces 3o in zz, x 30 in.(ht.)In accessible area
Crawl Spaces 18"x--24"access, 1 s . ft.-150 s . ft.vents _
Building No./Address visible from road C AV`
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic S stem/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Insvection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Town of,Qfensbury lore Marshal �` I
741 Bay Road
Queensbury,NY 12804
761-8105/761-8206
fax 745-4437
Fa&IM Buil Woo urnin Fireplace/Stove Ins ection Report
Notice:New York State,requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructi7- 77
ifications is allowed.
Permit# Schedule Inspection Timed-0— am �anytime Inspector
Name e°`-"-y`t1" Address 3S �/\,�J �c Rough In Fin
Appliance Manufacturer Model#
Masonry Chimney Factory Built Chimney Flue Size Double WAIL-Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles(all sides) !�
Safety Strip Installation(fireplaces only)
Firestop(s) Vertical Chase �/�
Wall Penetration v
Chimney Clearances to Combustibles
Chimney Termination
3 feet above roof penetration;2 feet above
any combustible construction within 10 feet
Combustion Air '
Hearth Extension
Mantel(height above f/p opening)
FireP lace Doors/Screen(required)
qhft—Bing Depk Yello —C mer Pink—Fire Marshal
i
Town of,Qii� bury Fire Marshal �,Crjy
742 Day Road
Queensbi ry,NY 12804
761-8205/761-8206
fax 7,45-4437
Factory Built Wood Burning Fireplace/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No-deviation from the manufacturer's
instructions or specifications is allowed�y
Permit# 0 w 9 Schedule Inspection l Time w am pm ytime Inspector —
Name rn—y Address 11��� t r' *� t�D hough in L Final
Appliance Manufacturer Pr S 5 C. Model k G y
Masonry Chimney Factory Built Chimneyx Flue Si C�', !Double W Triple Wall Insulated
Yes No' 'N/A Comments
Floor Protection
Clearances to Combustibles(all sides)
Safety Strip Installation(fireplaces only),
Firestop(s) Vertical Chase
Wall Penetration
i
Chimney Clearances to Combustibles
Chimney Termination
3 feet above roof penetration;2 feet above
any combustible construction within 10 feet
Combustion Air i 1
Hearth Extension
boa
Mantel(height above;f%p opening) � '1
Fireplace Doors i Screen (required) �
i
WMte—Banding Dept. WHO —C-4
mer Pink—Fire Mangy
0
�• R12079604 w
i AJS Joist.11 .Rei.rifosce_, rnent Detail '
m " Joist: 9-'l!2"AJS 20 MSR Job.�fame: E3itto- Residence ; ¢ co
Loading: 40 L015 DL psf Address: 1136:West Mountain Roast R � N
Spacing: IS" O.C. City: Queensburry, ANY', * °'
Span Lengths: 16'-0", 16.0" Distributor. Boise Distribution -Westfield
Center of Hole Start Location: 6"from bearing Date: December 7, 2004 1' _
c Contact; Nathan Olived- 2 0
rZ
0 16'span :Z
v
24" _1 a
to �
m 4-1A
000 ! • Existing 3"
`� ' ` diameter hole
w
r
a
i
a
N
6" A m
J '� I
r+ s:
m �
1. Min. 314" Plywood/OSB" x 2' long reinforcement placed on both sides of joist web �
N with 1/8"gap at top and opening cut to mato with existing hole.
co
2. Split reinforcement horizontally to fit around existing duct/pipes in hole.
3. Apply with face grain horizontal.-
4. Glue to web with floor panel adhesive on full surface.
m 5. Nail with 4 rows 8d nails, 4"o.c. and clinch on athor .aide%. '
Use APA Rated 41312.4 plywood/OSB and better only.
N
r.
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/ m D am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: U PERMIT#:
LOCATION: INSPECT ON: / G
TYPE OF STRUCTURE: �,�
Y N N/A. C®Ib MEN
V/
Framing .
"Jack Studs/Headers
Bracing/Bridging
JO1St}lanaP��? y'Z`CL�-�
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 %2 (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 frorn 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
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
/1'4v) ��
LASucHemingway\13uilding.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building&Code Enforcement Arrive: am/ rl�J1�part: tn/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:`�•JJ
NAME: C // 0 PERMIT #: (� L — / 9/
LOCATIO INSPECT ON:�
TYPE OF V STRUCTURE:
o
Y N N/A � nn
PVC: R-1,R-2,R-3,R4 Drain/Vents �o u
Cast Iron, Copper Drain/Vent/ Comm. �� p,`p,�✓�j'
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates ' �U
1 % inch min.. Drain Size
Washing Machine Drain 2 inch nun.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction �V I
Water Supply Piping
Cooper Commercial N
do er, CPVC,Pex One and Two-Family
` - sulation/Residential Check/Commercial Check JAI
Proper Vent,Attic Vent
Duct i Hot Water Piping Insulation
If required unheated spaces
Combustion Air Slipply for Furnace
Duct work sealed properly/No duct tape
oppG�I E /� L vvA2c
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: arn/p part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 1✓ PERMIT#:
LOCATION: INSPECT ON: Z 3 d
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Jack Studs/Headers
Bracing/BridgingJpP,Po
Joist hangers /
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more PVC—GD 1144N o •
Headroom 6 ft. 8 in. , I D LC it Fed k, m)
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2 (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
Fire 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 %2 inch or 5/8 inch Type X
'Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
r
20 in. (W)
5.7 sf above/_below grade
5.0 sf grade
L:\SueHemin-,Way\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m e art: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 2W
NAME: PERMIT G�U #: a
LOCATION: INSPECT ON: Oy
TYPE OF STRUCTURE:
Y N N/A Framing COMMENTS
Jack Studs/Headers MAIVI) .
Bracing/Bridging pro/�p V"q-L—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 '/2 (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
Fire 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 %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
LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
DEC 01 2004 11:48 FR 84 LUMBER MALTA 518 899 5687 TO 6689181 P.01/02
Engineered Wood Products
AJS10 20�MSR Joist Hole Analysis
Maiti-Span 9-UX'Joist W o.c.-16'-0"spans-40 psf LL/15 psf DL
Check 3"diameter horizontal web hole curt 12"from 5.5"wide bearing edge minimum
Ads 201a 20 MSR Description:MULTI-SPAN FLOOR.FOIST
9.5 inches Builder.
1144 PoUnds Job Name: GITTO
550 ounds Address: 1135 WEST MOUNTAIN ROAD
City,St: CUEENSBURRY,NY
3lnches I Supplier,
0 ineles Distributor. BOISE DISTRIBUTION-WESTFIELD VA
0 inches Date: 121112004
Hole Factor 0.3180 . �������®
Vallow 642.400 ounds
CSr. 0.@56 ok 2�O
Shear stress ratio is less than 1 so ok DEC
!VVM Factor. o•000
TOWN
BUILDING AND CODE
Y
Ler h Factor 0.000. use..249 for s and.29 for others
Vallow O.ODO unds
CSI MAI NIA
Nate: •
3" dia hole Otherholas shall be rMnimum o►12 inches fmarn
edge of hole shown.or the•larger of 2 times the
largest hole dimension from edge to euge
i
II 3"diameter hole shown on this Mail
4 shall be a clean out c;rcular hole with
3-7/8" m n. no jagged edges Holes with jagged
edges.will require reinforcement
repair that is not shown here.
x = 12" Min.
Design Summary:
1. 3"dia.horizontal hole cut 12"minimum from edge of bearing does not require repair
2. Joist end reaction at this bearing shown an design report shall not exceed 550 pounds.
Prepared By Bill Theobald.P.E. Sheet 1 of 1 12/1/2004
141?5722432 PAGE:01
6 'd T8i6-899-8TS JaTPeN PJL-moH dao :al i3O TO o0a
DEC 01 2004 11:49 FR 84 LUMBER MALTA 518 899 5687 TO 6689181 P.02/02
At
_ -
i �•
BC CALL.'®9.1 DESIGN REPORT-US Wednesday.neoerrber 01.20v4°eon
SOMEry
Singlo 91/2"AJSTm 20•MSR Rem IMTMZCG; °1 _
Jab NaM: G1T1•o pecir Liar
NATB txlVEftl
Add;=v 1185 WEST MOUNTAIN ROAD spearer.Dcegner BOISE-WESTFiELD e1W55.
62.we.Z;p:t1UEENW,#RY.NY Cotipany:
C:z►Nncr. M;st~
Code•reports: ESW•�
iB 00-00vw
16OD0�' t ;e
I.I.8793ft
.�a761hs LL Iasi Lbe p1,121 Ipa
0:•211112 OL S®8lba
Total HanTofltN Product Let+gth=32-0POD _ .
General.Data Load Summary t� St It End TVw Vr31ue OCS DVS
U51mp26d1 StenOald uewptwn
tlt nf.AtQa Lpk 00-00.00 32-00.00 LW- 40 pd W 100Yo
pcad 15 psf 18° ova
>Var•�a+iy0e Jost
LettCaMll¢vrc No Hola Summary t qeL yydlh MOM R7,9M.;naver: V0 ID Dewpiton MOM BlCl121110
1 01-0104 Loll 3" 3°
VOW.,
DC Spadn3: 16, Controls Summary 'R NloWrttlole DutaUon Load 9pR11 Lceallon
Repltlher: YW cortroMpe Vallw
Cons'.-va(lan Type*Glued Pos.Morrent 1642tblbo 482% 100% '3 1-ILg4ta
N Molrunt 2372114bs GOA% 100 A
DiSGlOsuro EnnddReocaan 487ft 42.6% 103A '5 2-Right
? �,;Yrfiwenass and atuuaCyof Irrt.RoacSal 14381b8 49.1% 1=% 1 1-Rl3ht
i-p,t +s'JE ve ifs by anyame Cor.L Stmr 7121b3 820 100'.4 1 1-Rrght
c•?11...it2S HuloW1 Sheaf 407lbs 62A% 43
bbKy .'•'. Tots;Load Deft Ub76(0.T8Z7 35.5% 13 1
B•r'p sa9ca. TnE Dole wt Lka Load Dell Us%(OMI 56.5°Ar 13 1
above fs bised up:^I:,Wng Total Nag.Do& -0.057" 11.59/. 13 2
W ooe de-apted.deaignptopeAits mm ven 0.292- 28.2% 1- 1
and ar>a &nxtwds. InsW!abcn She perry 20.1 Na 1
of 13015E enginvwt dvzod
poduats most be in amotdanw g ft f(ng t3upports
Val the ci�mntsrataftion0*% %A1OW 'KAlW
ON tyo snumblo bugifra Coosa: Now, � Che.(Lx" Value Member M1"
To obmin an In iddion Guide or it FM y p�� 1.3Wx2AW 497 We 26.7"/6 n1a svuw Plne-F!>-
youh veanyques5ons;pleasecali 91 WaLIPlatt 3-1/1"x2.1/:` 14581ba 392g6 nis Spnxs�ne w
(tt0i))232=078B trdore ueglnn!ng 132 WaRlPlate 4971bs M7% n!a Sp vco-Ply
piod:rcii��alFd:Or.
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2Cr:.1ZOARD�Y8C089RIM Octninws Code mWnwm(U240)Tgelloedd2Bot39arcleNP.
bv:•iii• ' b0SE GL UW4;' n rreela UeerapeoTod(U46M Live loadrialedi0n Cruet;&
VEks,ruftrf,%s JER.jA-RIV.N�. Drip mwh arb vary(1,7 Ma dmumload de0a"OiWft
VERSA-RN.?LUS%.
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VERSf41tA v.ALLJOlmand
AJS-1 mn-L34emarics OF
Saint CAacade I;Moration.
Page'0• .
2004 is:23 1.4135722432 PAGE.02
** TOTAL PAGE-02 xr*
a 'd TSi6-899-8TS .aalPeN pjemoH daO =ZT 1�0 TO oaa
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: _ai pm De am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial .
NAME: PERMIT#: I
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
_--F Y N /A C®14 MENTS
uming
Jack Studs/Headers 7— R&PA I l"-->
Bracing/Bridging
Joist hangers
Jack Posts./Main Beams
Exterior sheeting nailed properly
12" O.C. A—P,4(R
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 %2 (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
Fire separation 1, 2, 3 hour
F' e wall 2, 3, 4 hour
Firestopping �� f
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
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 L y
. , A6 L—
�t % � V1
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
FactoKy Built Wood Burning Fireplace/Stove Inseiection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specii"tcations is allowed.
Permit# (!- t-1 l LA� Schedule Inspection i�� Time__ pin anytime Inspector �(✓
Namc —aH a\�& I-rrO Address �5 T- 01-f Z'� bough 1n /' Final
Appliance Manufacturer Model# <;
Masonry Chimney Factory built Chimney�K Flue Size Double WallX Triple Nall Insulated_
Yes No N/A Comments
Floor Protection �� .3 �, J L,I 1-} '' L-
Clearances to Combustibles (all sides)
Safety Strip Installation (Fireplaces only)
J
Firestop(s) Vertical Chase
Wall Penetration
Chimney Clearances to Combustibles � `V\� `��'' `���`<L c-�
Chimney Termination
3 feet above roof penetration;2 feet above
any combustible construction within 10 feet
Combustion Air ,;
i
Hearth Extension
Mantel(height above f/p opening) �\
Fireplace floors /Screen (required)
White—Building Dept. 3'ello —Cus mer Pink—IYre Marshal
1
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: _am/p epart
742 Bay Road, Queensbury, IVY 12804 Inspector's Initials:
NAME: �i PERMIT#: —
LOCATION: INSPECT ON: I
TYPE OF STRUCTURE:
Y N N/A
-7 mi ng C®le'IIdIENTS
`IYra q� /
Jac tuds/Headers
VBracing/Bridging Joist hangers 't*'e Ae'A'-R Hot—& /D•^-
Jack Posts/Main Beams
Exterior sheeting nailed properly bGG S Oa CLOD %c� GtJc
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in. rl?6 IU,41,,
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (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
Fire separation 1, 2, 3 hour
Fire wall 2, 31 4 hour
F%restopp ng fCkAle V
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch e X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Sp7ade
drooms
24 in. (H)
20 in. (W)
5.7 sf above/below
5.0 sf grade s
,e P � Al�/ � PC- ,vs� �/�rL Pz-
N
LASucHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: 9
NAME: Ci�KC)
LOCATION: y S -�
PERMIT
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept.of
Community I
Development. V
Upon review the
survey has been:
Crai ro , Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
S7g 07 p2"
200.00• E b
h
0
W CO
LOT 1 N _ S 82027
� r � 40 E
_
690.57 O O
-
LOT 2 N A
218,144 sq.ft. 8203 '44"E
5.01 acres �` 134.98,LU
Q
3
IN
o
984.53'
N82°27'40-W \ �� �•,'y�
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: CARA A. GITTO
JOHN GITTO
BANKNOIRTH, NA,
IT'S Stl P/ /OR ASSIGNS
FIDE I INSURANCE COMPANY OF NEW YORK
'e
CERTIFI
MAC _EW- NYS 50135
DATED: SEPTEMBER, 3'
OCTOBER 15; �+
FEBRUARY 3, 2005
D u ,5' Map of a Survey made for ate: FEBRUARY 12, 2004
'� a 'UNAU,HORI2fD AL7ERA7WN OR AM7M M A SIA%SY Scale 1"=100'
/1 YAP BEAWKI A LICENSED LAND SURVEYORS SEAL IS A
/V[`/`�/ �"��SECIM' . p1z� Cara A. Gitto
THE
NEW YORK S7AlE EDUCATOR LAW.'
'MLY COPIES FROM 7HE ORIONAL OF TiS SURVEY
MARKED WITI AN ORKIIMAL OF 7HE LAND SURVEYORS
Sieves SEAL SHM.L BE OON90ERm 70 BE VALID FY I COPIES• & S_ 1
ctx7RVEY AS INDIC-PWARED ED IN ACOEON IDANCY THAT
n«s=UR�EY WAS� E w A�A«�w7H T 3 2-3-05 FINAL HOUSE LOCATION
BY 7Wi caDE aF PRACE A FOR LAND SLMLVEYORS ADDPIm
BY 11#NEW PORK STATE ASSOCIATIpI OF PROF7590NAL �
a n u r v e y o r s TO 7iW PERSUM FOR SWU W Y IS SPPREr�µD John G i tt o Jr. 2 10-15-04 FOUNDATION LOCATION $�T 1 OF 1
ON M BEHALF,0 7W TTE COMPANY.COVERMIAMTAL
169 Haviland Road Queensbury, New York 12804 oF 7w w 1 9-13-04 ADD CERTIFICATIONS
Ton of Queensbury, Warren County, New York GITTo C-990
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 01251-2
J
Septic Inspectio*ectionrTe
Office No. (518)761-8256 Date Insd:
Queensbury Building&Code Enforcement Arrive: part:742 Bay Rd., Queensbury,NY 12804 InspectoNAME:LOCATION: S tJ
RECHECK:
Comments and/or diagram
Soil Type-, Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft• `
Well separation distance _
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field/Pit
Opening Sealed: Y/N/Partial
Location/Separations
Foundation to tank kf
Foundation to abso tion
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Fro Middle Rear
System
Use
St us:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueI4emingwa}\13uilding.Codes.Inspection.FORMS1Septic Inspection Report.doc January 28,2003
TPI
vi QUEENS
BUILDIIC
yS
REVIEWED.B
t! IDA
i � a
Np5e
1250
Abl
E
! 10r
3 — '
r
RECEIVED
C
19 2004
T BUILDING AND CODE
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: _ ai jrr��'Depart; am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's InitialsA :
� l
NAME: &URE:
PERMIT#: 04qLOCATION: INSPECT ON:
TYPE OF STRU
Y N N/A COMMENTS
rammg'
Jack Studs/Headers �ea� 1�Ci S��G S F�—
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 PC A,
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
ABC- ��
Metal Strapping for Notches Top Plate r47
1 '/2(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
Fire separation 1, 2, 3 hour
ire wall 2, 3, 4 hour
i .
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
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
`Y:\Sue Hemingway\BuiI ding,Cod es 11 restopping Inspection Report.doc January 28,2003
Septic Inspection Report
Office No.(518)761-8256 Date Inspection request;receiv
Queensbury Building&Code Enforcement Arrive: fam/prn part: a:�j1� am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial's_
NAME: PERMIT NO.: (7�0V 4— /
LOCATION: i INSE$CT ON: -�
RECHECK: {V'
Comments and/or diagram
Soil T e. San 'am/Cla
.Type of Water:( unic'•4 i Well Water
Waterline se aratron Istance
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length
Length of each trench
Depth of trenches ® -,aft.
Size of Stone
Seepage Pits: Number t
Size: x
Stone Size: ` 6
Piping Size Type
Building to tank +-��\� %r_:t 1-No .-,7 �
Tank to Distribution Box ; ti\
Distribution Box tb,Field/Pit
Opening Seale ) �/Partial
Location/Separations V
Foundation to tank A.0 ft.
Foundation to absorption Lv ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of System on Property:
Front dear I Left Side Right Side
Middle Front fiddle Rear
System— se Status:
/ Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
_Disapproved
L:\SueHemingwaylBuilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
Septic Inspection Report
Office No. (518)761-8256 Date Inspection r uest ecei d=-!7a
Queensbury Building& Code Enforcement Arrive: am/p a742 Bay Rd.,,Queensbury,NY 1,2804 Inspector's Initi ls: �NAME: P IT NO.:LOCATION: SPECT ON`:
RECHECK:
Comments and/or diagram
Soil T e: Sand o Clay
Type of a er: cipal Well Water
Waterline separation distance C1 ft•
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft. t
Length of each trench 1 ft. Chi W2
Depth of trenches ft. r�
Size of Stone
Seepage Pits: Number w
Size:
Stone Size:
Piping Size T e
Building to tank
Tank to Distribution Box e n '
Distribution Bo ield/ it
Opening Seale artial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Se aration of Pits ft
Conforms as per Plot Plan Y
Location of System on Property: �C
Front Rear Left Side Right Side v
Middle Front dle Rear
S stem atus•
Ap ov ----
a al Approved and needs to be re-inspected,please call the Building&Codes Office
spproved
LASueHemingway uilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
042
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection requ t received: ,Queensbury Building&Code Enforcement Arrive: _am/p part -,U am/ m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: / U J�^a— T a l�" PERMIT#:
LOCATION: 5 INSPECT ON: // G
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
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 %2 (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
ce and-s w 'eld 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
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
LASueHerningway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection5ERMrr
to �
Queensbury Building&Code Enforcement Arrive: Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's InitNAME: do
LOCATION: : _ FNTSPECT ON: 0 0oil
TYPE OF STRUCTURE:
Comments
_ --- _ Y N N/A �� JlJ=l1x- �Jl OJT,
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 Damp proot7^ tiVatel roofing
ooting D m Daylight
v Footing D e:
12 inch width
6 inches above footing
o 'or w 'eas der
ackfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASuel erningway\BuiIding.Codes.Inspection,FORMS\Foundation Inspection Report.doe .January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/prn Depart:) pm
742 Bay.Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: _ �d PERMIT#:
LOCA'CIUN: _ �l J�. -t INSPECT ON:
TYPE.OF STRUCTURE:
Comments
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 Dampproofng/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:\Suel-Icmingway\Building.Codes.Inspection.FURMS\Foundation Inspection Report.doe January 28,200:
169 Haviland Road
Queensbury,.NY,12804 _
HUtchlnS Ehgineerin'' Ph6ne:.(518) 745-0307.
Fax:-(518).745=0308 .
March 31,,2004 O
Mr. John.Gitto
3 Dorchester Place 2004
Gansevoort;;NY: 12831
�0wn1 OP BUILDI I. .
Reference. Proposed Residence•,of.John and Cara.Gittof�'�(:OpY '
: -
W est Mountain`Road;:.Queensbury(T') -
Septic System-' Evaluation .
Dear.Mr•: Gitto:
On this.date'.I,'observed a test pit and conducted two soil percolation tests in
order to determine,aeptic system requirements for,your proposed;four-bedroom
residence: All-tests Were-conducted-Jn.the area indicated as preferred septic
system:location.' .The site:has recently.peen graded.in'the.area of the proposed'`..
house.and septic system Results ofaests are as-follows:
Test TP-.1
0-8" ' BrOy�n.Silty Sandy Till,with.Gobbles.,& Boulders _
8"-23" .='• Redish Brown Silty Sandy.Till with Cobbles and Boulders
23"-64" Bro�nrn Coarse Sand with Cobbles,.and Boulders
641) End of Test.Hole.
No Groundwater or mottling observed:
Percolation-Test'PT=1 _
.-Depth =28"
Silty�Sand with,Boulders
Stabilized.Percolation.Rate =:7 Minutes'Q Seconds .
Percolation T.e t.PT-2
Depth,= 27"
Silty Sandwith Boulders
Stabilized Percolation Rate =.7,Minutes 20 Seconds'_
Based upon-the above test.results; it is my opinion that.a conventional sI.eptic
system,:as.defined,by..NYSDOH,Appen"dix 75-A, is appropriate for this site.:
R ards
' �,.AS FIuT
',G.:Thomas Hutchins, P.E. c a� A,
G.Thomas Hutchins, P.E. torTr.hutchins@rietheaven.com
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection requ st received:
Queensbury Building&Code Enforcement Arrive: anvp Depart m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: 6 PERMIT#: _ )
LOCATION: _^ :;"I t r INSPECT ON:
TYPE OF STRUCTU
Comments
ootings
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: _T
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
L:\Sue}-]emingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003
Permit Number
C
MECcheck Compliance Report Checked By/Date
VC—
Proposed New York State knergy Conservation Construction Code APP U 2 2004
MECcheck Software Version 3.3 Release I Towiv
Data filename:Untitled BU AIG q BU,@
TITLE:GITTO, JOHN AND CARA Up CQ pF Y
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE: 12/08/03
DATE OF PLANS:6/9/03
COMPLIANCE:Passes
Maximum UA=493
Your Home=379
23.1%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 1277 30.0 0.0 45
Wall 1:Wood Frame, 16"o.c. .2649 19.0 0.0 135
Window 1:Vinyl Frame,Double Pane with Low-E 287 0.350 100
Door 1:Glass 40 0.350 14
Door 2: Solid 77 0.100 8
Basement Wall 1:
Solid Concrete or Masonry,7.6'ht/6.8'bg/7.6'insul 1220 11.0 0.0 77
Furnace 1:Forced Hot Air,90 AFUE
Air Conditioner 1:Electric Central Air, 10 SEER
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans,specifications,and other calculations submitted with this permit application. The proposed systems have been
designed to meet the Proposed New York State Energy Conservation Construction Code requirements.
Builder/Designer e'Ala4.41 Date ���
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release I
DATE: 12/08/03
TITLE:GITTO, JOHN AND CARA
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. _Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.8'bg/7.6'insul,
R-11.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
Doors:
[ ] 1. Door 1:Glass,U-factor:0.350
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 2. Door 2: Solid,U-factor: 0.100
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,90 AFUE or higher
Make and Model Number
[ ] 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher ,
Make and Model Number
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC
rated installed inside an.appropriate air-tight assembly with a 0.5"clearance from combustible
materials and 3"clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
(adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
provisions of the Building Code offew York State,the Residential Code offew.York State or
the New York City Building Code,as applicable.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55°F must be insulated to the
levels in Table 2.
i
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
I
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w O l0�
LOT 1 ►: S 82027'101, E
0 ^ _ --_ 690.57 O 0
�I �O N '�
LOT 2 — --- N
218,144 sq.ft. S8203p.44"E Q
5.01 acres z ---. 134.98'
z ° 0 3
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984.53 ---' — /
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N82°27' 10"1111
RECEIVED
NOV 1 9 2004
TOWN OF QUEENSBURY
BUILDING AND CODE
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: CARA A. GITTO
JOHN GITTO
BANKNORTH, NA,
IT'S SUCCESSORS a ASSIGNS
FIDELITY NATI ONCE COMPANY OF NEW YORK
C.
CERTIFIED
MATTHEW C. STE , N 5d`135
DATED: SEPTEMBER 13, 2004- 5W35
OCTOBER 15, 2004
Date: FEBRUARY 12, 2004
Du S Map of a Survey made for Scale 1"=100'
UNAUTHORIZED ALTERATION S ON OR ADDITION A SURVEY
MAP BEARING A LICENNSED LAND SURVEYORS SEAL IS A
VIOLATION of SEC71ONEDUCATION
ATIO sue-aNsla+z,OF THE Cara A. G i t t o
NEW YORK STATE EDUCATION I.AW.�
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY ��•yy
S MARKED WITH AN ORIGINAL CONSIDERED
OF THE LAND SURVEYORS S— 1
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. ^ 1
•CER7IFICAnONS INDICATED HEREON SIGNIFY THAT /V`J J�-'I
THIS SURVEY WAS PREPARED IN ACCORDANCE MATH THE
EASnNG CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
Land Surveyors LA THE NEW ORS. STATE ASSOCIATION S PROFESSIONAL •
LAND SURVEYORS.SAID CMR71FICATIONSSURVEY
SHALL RUN ONLY John G i t t O J r•
TO THE PERSON FOR wl+aM THE SURVEY IS PREPARED,AND 2 10-15-04 FOUNDATION LOCATION 1 OF 1
ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL 1
AGENCY AND LENDING INSTITUTION LISTED HEREON.AND
169 Haviland Road Queensbury, New York 12804 TO THE ASSIGNEES OF THE LENDING INSn7Unow Town of Queensbury, Warren County, New York 1 9-13-04 ADD CERTIFICATIONS
GITTO C-990
(518) 792-8474 New York Lie. No. 50135 1 1 1 NO. DATE DESCRIPTION DWG. NO. 01251-2
V
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�� ^ 218,144 sq.ft. 40" E
CDN 5.01 acres 690.57' O
Z
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625 340'44 E
98�00 575 �------- 3
34 _ 550 0 0
625 � 984.5
600 575
2'?7 40"jry '� h
600
Date: FEBRUARY 12, 2004
�J�''�� Du ti.J,�\�/ e "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY Scale 1"=100'
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A Map made for
QA VIOLATION OF SECTION 7209,SUB-DIVISION 2,OF THE
(V�/`/ NEW YORK STATE EDUCATION LAW."
"ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
S MARKED Nth AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED 7D BE VALID TRUE COPIES." J O H N G I T T O
.CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
Land Survey o r S TBy
O THE NEW V STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY
70 THE PERSONN F FOR WHOM THE SURVEY IS PREPARED,AND
ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL /''�
AGENCY AND LENDING INSTITUITION LISTED HEREON,AND Town of Queensbury, Warren County, New York
169 Haviland Road Queensbury, New York 12804 TO THE ASSIGNEES OF THE LENDING INSTITUTION"
GITTO C-990
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 01251-2