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2004-322 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20040322. Date Issued: Wednesday, August 25, 2004 This is to certi that work requested to-be done as shown b Permit Number - P20040322 _ - -- - - - fY q Y has been completed. Tax.Map Number: 523400-296-005-0001-023-000-0000 Location: 16 HIGHPOINTE Dr Owner: GUIDO PASSARELLI Applicant: GUIDO PASSARELLI This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached YDwelling ' Sin le Famil d g Director of Building&Code Enforcement �r- TOWN'OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040322 Application Number: A20040322 Tax Map No: 523400-296-005-0001-023-000-0000 Permission is hereby granted to: CT1 JTD0 PASSARF1J,T For property located at: 16 HIGHPOINTE Dr in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: GUIDO PAS SARELLI 465 LAKE Ave GaragFireplace LAKE LUZERNE, NY 12846-0000 Single d -2 Cars Attached Single FamilyDwellin $190,000.00 Total Value $190,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-322 LOT 16 HSE#16 HIGHPOINTE DRIVE 1600 SQ FT SINGLE FAMILY DWELLING $240.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 20, 2005 (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 To of eens u day,May 20, 2004 SIGNED BY for the Town of Queensbury. IV Director of Building&Code Enforcement Buildhig Permit.Applicatiou Town of Clueensbury —Dept of Comurnmily Development, 7,12 Bay 1Zoad, (luceilsbury, NY (518)761-8256 A permit must be oblaincd t)eiUr'C beginning,couslruclion. Pcl•rltil bile No. No insltcction will be rtr,ulc ulttil al)plicat h l, as r a ccUivcd 1`cc Ilaid $ a valid building perntil, All applicants' sinlccs on this c Paid application must be courplcicd end nrtrsl appear on llte 1 v c ed 13 application (in-n). II Applicant• y __I� -_. ��rs Owner: Address: Aciclress: PI1011C It �� � rp 2004 Properly Location: Lot Nunll)cr. ._/60 / R OL= Nutubw _1 )c Z017417' C®g�1�� Subdivision Nattic: S2)�Wlse- 1:1 Tax Map.Number: U New 130ilding: r sid /Commercial I-stinrrled i\•lurkel VUIUC or COIiSIRIClioll: $ -BO400 U Addition: residence/ Commercial Van Addition, what will use of new addition 60 U Alteration: resicleucc! commercial U No change to exterior size: resicleucc/cunt'I U Otha work(dcsct ibe _-�„r) Check - --- — - 1 goer Olher hour Tul:il Uccup:wcylnfornlaliun Below ml.U. „I. ft. ml. 1'l. Sgnarc Fccl 6D Single f rntily dwelling; V 76 U Two family dwellirt9__—_ U 'Townhouse U Multi farllily dwelling /r of units U _Office U MCI-Canlile U Mallllrtclllrill� U I car detached garage U 2 car detached garage -- _ U _3 cat'detached garage _ _ 0 �U i Cal.a(tached garage - _ 2 car nllached g;tragc ygi � U 3 car a((ached garage U Storage building- Commercial U Storage building - restdcntial U Other _ Will any second-ltat►d or utlgmded lumber be used'['.If so, for what'l /!f Type of I leating Sysicu): electric/ oil / 0/wood / f reed i lair baseboard/other: t S Numbcr u(' irephices to be installed --� ' Nuu)ber of Woodsinneg to be installed List below the person(s)responsible fur supervision or work as rr;.:i c's to bUildinl;codes: Name Address Phone Number Builder / • Mctsott �,�� Thra7�':�Ls rya "lyloC Electrician DeciaradoU: please,sign below alter you have carc(itlly read the staicment: .. To the best of my knowledge the statements conlamed ill this application, together Willi llte plans and specificalious submitted,are a iruc and complete statement of all proposal work to be done oil(lid described premises and that nil 1)rovisiorts'of lice Building Code, the Zoning Ordinance and all other laws perlihihig to the proposed work shall be complies( Willi, whc,hcr specilied or noted,and that such work is authorized by llte owner. Further, it is rmdelstood Thal I/we shall submit,prior ion Ccrlilicale of occupancy or Ccrlificale of Compliance being issued,as rcgcicsled by(lie Zoning Administrator or Director of,Building and Codes,nil JS 1111iit Sln•I'e),by a licensed surveyor;►Fawn to scale,showing►filial location ufall new couslruclion. , Signature: S ''nwttcr,gwncr's agent,architect,eenlractur I .rM.rt1YI NI�an1.Mr.lrw....-.:.M ..•.• .......... ... • ,.� \ i Fire Marshal's Office `�` "I Town of Queensbury,742 flay Road,Queensbury,NY '`� (518)761-8205 Application for Fuel Burr ing Appliances & Chimneys applicable to solid fuel & vented gas appliances Date t:: ..i d 20 ; ,r 1 _- Permit No. H"�g Application is hereby rnadto the Building& Codes Office for the issuance of a Building and U,te Pertnit 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 per f rm required inspections. NOTE to applicant: Rough-in and. Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: Stove: wood coal pellet gas Fireplace insert Address: °ti i`,l ! ' ` d i r, I'l', (. LFreplace,,factory-built:. wood gas.-_. I Fireplace, masonry: wood gas Furnace: wood gas oil Phone: If non-masonary applicance,please provide Owner: -W, Manufacturer Name: d' .t .;: .• f YI Model Number: Address: -- -- Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size: V inches Exact Address:r,,.'f fife .y l: ,I?y 1 - of construction or installation Factory-Built , Manufacturer name: Model Number: Note: Listed By: Number: Construction/Installation must cots orin to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall,-% Triple wall Insulated / Direct venting Chimney Liner Ca.,�tb3er'�r Depa.rtme�t—T'oi�� .off Quee�,6rbrxry, l�T��Yar.A: Fire Marshal Code# S Collected $Refunded Received fi"om (refunded to),f_ �` P'�'�- address: A 1733389 (190) Public SaJLty A 233 2655 (230)Minot;Sales - _e White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / fink&Goldenrod(Cashier's Dept.) hire Marshal's Office. Town of'Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimney , ,, �A! applicable to solid fuel & vented gas appliances4 Date l , 20 d Permit No. � � r WIV Of` App ication is hereby road to.the Building& Codes Office for the issuance of a 11 �wD Sg�RY Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owne CQDR 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) t Stove: wood coal pellet gas Name: 7& ve, /ya is — Fireplace insert ac factor - wood Address:���S� P1 11 .— Fireplace, masonry: wood gas Furnace: wood gas oil Phone: . — If non-masonary applicance, please provide . l Owner: Manufacturer Name: ����� G Address: Model Number: Chimney Information Phone: (circle appropriate words) Ma_&anry block brick stone "Vue the ee size: Al inches Exact Address: Jc7 !& )V,r A nafnTe 0,11 of construction:or installation Factory-Built + Manufacturer name: Model Number: Note: Listed By: Number: Construction IInstallation must con orm to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. CEwaP Triple wall / Insulated / Direct venting Chimney Liner � C�,sthier'�Depaz�t�ez�t—Z'o�.0 of Qzzee�;erbury, lV''e��orl3: I Fire Marshal Code#/ $Collected $Refunded Received fi•on: (refautde'd to.) A 173 3389 (190) Public Safety CZ- address: A 233 2655 (230)Mino Sales DATE.' 41 I-,,eo�� V _ n.cww— White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.) Application for Permit—Septic Disposal System 7iomn elf Queensbtuy 742 Bay Road Qiieensbtuy, N1' 12804 (518) 761-8250 1. OWNER INFORMATION: ........................................................................:..................................................... i Office Use Location of iustallation: .40T Ila File Permit No. (f Tax Map No. —6a�/--�g _/ /- Fee Paid Owners Name: T, ............................................................... ...... .............. Address: 9,6YRT "A rr 2. INSTALLER'S NAME Cox6T, PHONE NO. TO ! 1 2004 T BUILD U 3. RESIDENCE INFORMATION: (circle year of dwelling;indicate It bedroom U E�lSg s) and multiply I1Z G�11ff�CODE Y bedrooms with applicable gallons per bedroom to equal total daily.Jlow) Year of House: No. of Bedrooms x Computation = Total Daily Flow_ 1980 or older x 150 gal/bdrtn = 1990— 1991 x 130 gal/bdrin = 1991 —present _� x 110 gal/bdrtn = L32 0 Garbage Grinder Installed yes + / no !/ Spa or Whirlpool Installed yes / no --4f— 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) Top t r Soil Nature Ground Water _Bedrock or Inuvervious Material Dom_es_lic Water 5upplx _sand W.what depth at iv%tat clepth /it ra Rolling oam feet feet well Steep slope clay if well; ►eater supply _____%slope other from any septic-systent depth: absorption is ft. other Percolation Test: (To be completed by licensed profZssional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: for Neiv Construction: Alt individual sewage disposal systems nand be designed by a licensed Professional engineer or architect(unless installed in a Plaitning Uoard approved subdivision). Add•250 gallons to the size of(lnc septic tank and leach field for each Garbage Grinder, Spa or Wliirllx�ol Tub. Septic Tank: I.Wo gallon )nin. size 1,000 gal.) Tile Field: each trench (,�Q_fi. Total System Length: ewn t' Seepage Pit(s): number of size of each: fl, by fl. Size of Stone to be used; 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: Alann System and associated electrical Work nnust 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'niake a material fact or circumstance knowrn 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. Signatur ' responsible person Date Residential Final Inspection Office No. (518) 761-8256 Date Inspection re est r iv Queensbury Building&Code Enforcement Arrive: am/p epa t:• 742 Bay Rd., Queensbury,NY 12804 Inspector's Init Is y NAME: E IT#: G 3 LOCATION: TE: S U TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof 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 Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 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 Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke De ctors: Every level: / Every B$droom: Outside every bedroot area: 11 Inter Connected: / Batter backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 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 . JA 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(Cert. Of Compliance) Okay to issue Temporary C/O(Cert. Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occupancy) L:\SueHenvngway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Towel of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Gas Firealace/Stove hispection��port Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions specifications contained in the List.anllation Manual accompanying the appliance-No deviation from the manufact er' instructions or specifications is allowed. Permit#2— c' 3^ Schedule Inspection Ce> Z h�i Time_:. am m anytime Insp u� l N:ameV0lLEB u \ Address -,IA '��t-NaF Rough Inw 'nal Appliance Manufacturer.-_ ; ) — -_,-n Model Direct Vent Factory Built Chimney I Flue Size .Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chasc�—/ Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve V Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. Yello#Cast mer I Pink—Fire Marshai Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm Depart: am/pm Date Inspection request received: Inspector's Initials: _4 NAME: PERMIT#: LOCATION: n DATE: — TYPE OF STRUCTU Comments Y N N/A Chimney 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 @ 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 %Z" 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/'/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 ariance required tnal 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 Insp. form 2.docLast printed 2/12/04 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: t, Queensbury Building&Code Enforcement Arrive: —am/pI ))//e�part: n-i/pm 742 Bay Road, Queensbury, NY 12804 Inspector's InitialN _ NAME: G�� �' L�RMIT#: LOCATION: n ti�INSPECT ON: — O 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 An or Bolts 6 ft. or less on center ce and snow s d 24 inches from wall Fire separatio 1, , 3 ho ire wall 2, 3, 4 hour estopping 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:\SLIeHemin-.way\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 ToRvi of Queensbury Fire Marshal 742 flay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Facto,r�v Built Gas 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. Permit# Schedule Inspection__ 7 �' ime am pin anytime InspZmal: Name - !����� Address ``�7 % -` --- Rough In �_ _ L _ Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size .Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (alp sides) /irestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement (if LP) Pink—Fire Marshal White—Building DeptepDept ��� Yellow Ctabt er Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Gas Fireplace/Stove Inspection Regort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the histallation Manual accompanying the appliance.No deviation from the manufacturer's instructions or ecifi ati ns is allowed. permit# 64 i 3 zv Schedule Inspection � ® Time am pm anytime Inspector Name � �� Address Rough 14 "Final_ Appliance Manufacturer. _ Model# Direct Vent Factory Built Chimney Flue Size __ Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firs estop(s) Vertical Chase Wall Penetration— VC Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion fir Hearth Extension (ifany) Mantel Height above Vp opening Witness Operation Tank Placement(if LP) White—Building Dept fellow Cast er Pink—Fire Marshal Rough Plumbing / Insulation Inspection Report "moo Office No. (518) 761-8256 Date Inspection reque t received: Queensbury Building&Code Enforcement Arrive: am/p part: m/pIn 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: L1 p(Q L� PERMIT#: l Z LOCATION: C' INSPECT ON: 0 TYPE OF STRUCTURE: ` Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper, CPVC,Pex One &Two Family 1 y /o� 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 COMMENTS: 1 L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 1 1 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/ptn1, De art: b am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: I "Z. I NAME: � 1� �L" PERMIT #: 0* 3 Z-- LOCATION: i T. INSPECT ON: -,7 7 �� TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min. Drain Size Washing Machine Drain 2 inch min. Read or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/chan a of direction W 'ter Supply Piping Cooper Commercial Cooper, CPVC,Pex One and Two-Family 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 VF COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: qln04 -3 1.,3 Queensbury Building&Code Enforcement Arrive: am/pm Depart. am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: �\P PERMIT #: �t�0 LOCATION: lb INSPECT ON: © a- ;00 TYPE OF STRUCT S FD Y N N/A PVC: R-1, R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 '/ inch min.Drain Size Washing Machine Drain 2 inch min. 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 Water Supply Piping Cooper Commercial _Cooper, CPVC,Pex One and Two-Family >' -insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace D,Met work sealed properly/No duct tape COMMENTS: rj,�-f%�y C�Liz,�C� �/0C—C S r 1 �A j( C�c1C--�EJ �� ✓z5 . C PCE-1 Gv�Cl L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Repoit.doc November 17,2003 Framing /Firestopping Inspection-Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pni� rt: - am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: 00 3a LOCATION: .LP INSPECT ON: TYPE OF STRUCTURE: N/A COMMENTS . Framing - " -- - Jack Studs 1 Headers �i✓5 �- G u�� �'`j �c-��5 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 Ice and snow shield 24 inches from wall Fi separation 1, 2, 3 hour ire 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.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Dough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: a 1 0 D;10 1, n� Queensbury Building& Code Enforcement Arrive: am/p e a am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: .� NAME: PERMIT #: DO LOCATION: J , ' y INSPECT ON: TYPE OF STRUC S 7 i l� Y N NT/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place r -Rough Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. ead 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 Water Supply Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Famil 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 ro erl /No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Repoit.doc November 17,2003 Framing /Firestopping Inspection Report _. Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials: .1�` �— NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N 'N/A COMMENTS Framing . 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 ofts 6 ft. or less on center Ic nd 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 %Z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 PFW f, Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: r am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: • r NAME: Qs-� PERMIT NO.: 011 LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sa o m Clay Type of . Municip 1/Well Water Waterline sepa ation d• tance Well separationdisti6ce ft. Other wells: ft. Absorption Field: Total length 2 ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size T e Building to tank Tank to Distribution Box Distribution Box Field/Pit Opening Seale /N/Partial Location/Separations Foundation to tank V ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Location of Sy bear on Property: Front Left Side Right Side Middle Front Middle Rear S Tstem Use Stat Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueHemingwaylBuilding.Codes.Inspection.FORMS\,Septic Inspection Report.doc January 28,2003 Foundation Inspection Report C Office No. (518) 761-8256 Date Inspection request fieceived: Queensbury Building&Code Enforcement Arrive: am/pm 1� Depart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ��JJ _ �c� `.�3 NAME: PERMIT#: LOCATION: `� ^ASPECT 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 /Keinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 in lrwidth 6 ' ches above footing in of for wet areas under slab ackfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingwaylBuilding.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003 R1 V i` Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request e G Queensbury Building&Code Enforcement Arrive: '- am/ -e4: t a� 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials: NAME: ""` PERMIT#: LOCATION: I INSPECT ON: G TYPE OF STR CTURE:c7zo . l r� Comments Y N N/A ootings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placem t of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Darnpproofing Foundation/Waterproofing Type of Dampproofmg/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. LASueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003 Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factors_Built Gas 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 accotn anyi g the appliance.No deviation from the manufacturer's instructions or p cific iline is allowed. ` I Permit# v 3 Z�/ Schedule Inspection am pm anytime Inspector v�� Name Address Rough b Final_ Appliance Ii/itanuf urer //� �/v��� L -J � l > z�► Z� . �®ael# 5 5 �, Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wald Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase' l S�f�-GL 716 P 0 Fz C-14,4% Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. Yellow host er Pink—Tire Marshal [Dug rJ�cPr�r�cPr��cPr.Pr fr�cnr.Prnr�r�r�rncPrPcPr�r.Pr�r�r��ctr�r��r3c1�rJ�rlclacPrlr�r�clrJ�r�rn��r�r�cl�rJ�rPrJ�r�ctcicl7r�cf�CIP Icy 5 5 Y THIS CERTIFICATE OF COMPLIANCE THE 5 B 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FUL'TON STREET - NEW YORK, NY 10038 5 . 5 Lj CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 TERRE MAJESTIC INC., *TERRE MAJESTIC959 STATE 5 5 QU ENS UROYUNY 12804-6290, QU ENSBURY, NY 12804 5 5 5 5 16 HIGHPOINT DRIVE LOT 16 QUEENSBURY, NY 12804 5 Located at 5 �-Application Number: ?000103 -Certificafe-Number. 2000103 5 Section: Block: Lot: Building Permit: BDC: A239 5 5 Described as a occupancy, wherein the premises electrical system consisting of S 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 5 S Basement,First Floor,Second Floor,Attached Garage,Outside, 5 S 5 A visual inspection of the�premises electrical system, limited to electrical devices and wiring to the' extent detailed 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State' Code Enforcement and Administration, or others authority having jurisdiction, and found to be in compliance therewith on the 25th Day of August,2004. S 5 Name 2TY Rate &in - Circuit Tare 5 5 Alarm and Emergency Equipment 5 Sensor 6 0 Smoke 5 Appliances and Accessories 5 Bell Transformer 1 0 KW 5 5 Dish Washer 1 0 1.5 KW S Disposal 1 0 F.H.P. 5 CCJ Exhaust Fan —2 0 — F.H.P.- . 55—Furnace - --- -- - - - - - — 1 0 _ ~~Gas 5 Micro-wave 1 0 5 Wiring and Devices 5 5Fixture, 39 0 Incandescent Receptacle 43 0 General Purpose 5 Switch 41 0 General Purpose _ 5 Pole/Post Lighting Standard 1 0 Residential 5 Outlet 3 0 Telephone 5 Receptacle 5 0 GFCI 5 Outlet 4 0 CATV yeah 5 Paddle Fan 3 0 Residential 5 f Continued on Next Page 1 o 2 5 " 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 o �� ��n��rn�imo�� o 1r.12..MJ��.t�t1rJ�r.Tr��.tcPr.J�r l'c.l�c(rJ�rJ�rJcPLrL3rJ�rJ�cPrJ�rJ�rnrJ�rJ��Pt1�r l"r__!'rJcPr1rJ�r�r�rJ�rJ�rJ7r..l'rJ�r�r�rJ�rJ�cPr�c l�r 9�ct� Iy c 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 RWRITERS S 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 5 5 5 Upon the application of upon.premises owned by 5 5 TERRE MAJESTIC INC., *TERRE MAJESTIC 5 959 STATE ROUTE#9 959 ROUTE 9 5 QUEENSBURY, NY 12804-6290; QUEENSBURY, NY 12804 5 5 5 Located at 16 HIGHPOINT DRIVE LOT 16 QUEENSBURY, NY 12804 5 e 5 ApplicatiorrNumber: 200b-1-03- - - -- ----5 5 Cerfificafe Number: 2000103 5 5 5 5 Section: Block: Lot: Building Permit: BDC: A239 5 5 5 5 Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: �5 5 Basement,First Floor,Second Floor,Attached Garage,Outside, 5 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to'the extent detailed rj 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 25th Day of -August,2004. 5 5 Name QTY Rate Ratine Circuit Tyne 5 5 Service 5 5 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb 5 Meters: I S 5 5 S 5 5 5 �- 5 spar ij 5 2 of 2 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 rJ�rJ�rJ�cPrJ�rJ�r.PrJ��Pr�cPc l�rJff�rJrJ�ctr1rJ�r�cPrJ�rJ�r�r�rJrJ�rJ�rJ��rJ'cPrJ�cPcPrJ�rJ�cPrJ=r�rJ�r1rJ�LPr�cPrJ�r�rJ�cPrnrJ�cl�r Pr�rJ�r�r�r�c�r PrJ�� O s'• N U N C .1 0 ,+ a O O - co co emu- ._Ile y `Q C13 P� a © c� b �° oNa, %D" cr) N O O O O /"1 0Q•99t 0'9 weld �, L OJ has saouelsip aqj painseaw AlleuMad aneq j;eq! juasaidw osle I pownpop sigJ ua unnogs `'ova `saoua `saa�� 'sipm `sasnog se goes sloalgo Ile `}o aouapina ryes E anapq ao `par,Iasgo jo uaas aneg G, f,NE2IC Igosalf Xheced MECcheck Compliance Report Proposed New York State Energy Conservation Const Cv� MECcheck Software Version 3.3 Release lb " 1 4 2004 Data filename:Untitled Tovvpl OF QU TITLE:TERRE MAJESTIC, INC. SU'LDING f Ep SBU y COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:05/13/04 DATE OF PLANS:5/6/04 PROJECT INFORMATION: 04-12-04 COMPLIANCE:Passes Maximum UA=365 Your Home=267 26.8%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 832 30.0 0.0 29 Wall 1: Wood Frame, 16"o.c. 1997 19.0 0.0 104 Window 1:Vinyl Frame,Double Pane with Low-E 162 0.350 57 Door 1: Glass 40 0.350 14 Door 2: Solid 58 0.100 6 Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.8'bg/7.6'insul 854 11.0 0.0 54 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 64 19.0 0.0 3 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. -Bviider/Designer. Date ��� R MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE: 05/13/04 TITLE:TERRE MAJESTIC, INC. 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: [ ] 1 2. Door 2: Solid,U-factor:0.100 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation 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 of New York State,the Residential Code of New 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 T must be insulated to the levels in Table 2. 4 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by 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) 1 LEGEND o I.R.F. IRON ROD FOUND o. LOT 17 o I.P.F. IRON PIPE FOUND !'� ►� o I.R.S. IRON ROD SET rd UTILITY POLE STONE WALL K—X- BARBED WIRE FENCE o POINT W.F.P. WOOD FENCE POST S► —ohw— OVERHEAD WIRES ?sue \ "A NOW OR FORMERLY d t; LOT 16 AREA = 0.84f ACRES d s� 22.3' TELZ,P HOUSE c\ ELE El : CERTIFICATION: �, 3• .pq GAT IRF o CERTIFY TO: 1) MICHA EYA. BOCCIO & LISA M. BOCCIO Q� 40.5' 2) HUDSON RIVER BANK AND TRUST CO., IT'S SUCCESSORS AND OR ASSIGNS 3) MONROE TITLE INSURANCE CORPORATION THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY COMPLETED ON AUGUST 04, 2004. THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR 23.1' �� SUBSEOUENT OWNERS, OTHER THAN AS MAY BE OR EXPRESSLY STATED HEREON. LOT 15 "MAN O� MAP REFERENCE: EEC: '�1� RECEIVED CATV IRF DAVID J. BOLSTER MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION AUGUST 17, 2004 MADE FOR GUIDO PASSERELLI, ROUND POND SUBDIVISION AUG 17 2004 SITE PLAN" DATED)ED UNE 24, 993EN & STEVES, L.L.S. / TOWN OF WEE IURY LAST REVISED SEPTEMBER 29, 1993 BUILDING AND CODE FILED IN THE OFFICE OF THE WARREN COUNTY CLERK PLAT CABINET B, SLIDE 51, MAP No. 86 NOTES: MAP OF A SURVEY MADE FOR , RD`s�'��� MICHAEL A BOCCIO 1) THIS SURVEY WAS PREPARED WITHOUT THE �S 9` A. BENEFIT OF AN ABSTRACT OF TITLE AND 1S ��' ,�O 3.8 +�•Fi'�. THEREFORE SUBJECT ANY EASEMENTS, & LISA M. BOCCIO COVENANTS OR RESTRICTIONS OF RECORD • ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE. Town of Queensbury County of Warren State of New York 2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY %'P/ �6.4953� MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A F NE`�y�' DAVID J. BOLSTER VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF THE ''���I,,,,,►1���'``` LICENSED LAND SURVEYOR NEW YORK STATE EDUCATION LAW. 342 Main Street, Hudson Falls, New York 12839 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY LLS N t l B David J ay . Bolster, .Y.S Li N 49534 Date: Aug. 7 2004 T M c. o. ae: , Tax a MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS D p #: SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. Date Sealed: 4S t7lo4— Scale: 1 inch = 30 ,Meet Revised: Drawing #:04183C