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2002-760 I � \ TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761.8201 Community Development-Building&Codes (518)761.8256 UtAlIFICATE V11rr OCCUPAN CY Permit Number. P20020760 Date Issued: Monday,December 11,2006 This is to certify that work requested to be done as shown by Permit Number P20020760 118 been completed. Tax Map Number 523400-303.020-0001-035-000-0000 Location: `-%kLYNN Ave Owner. KEVIN LA POINT Applicant; KEVIN LA POINT This structure maybe occupied as a: Garage- I Car Attached By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance,or other issues and conditions as a result of approvals by the Director of Building&CMe Enf&ement Planning Board or Zoning Board of Appeals. Building Permit Application FED Town of Queensbury-Dept of Community Development, 742 Bay Road,Queensbury,NY (518)761-8256 SE QLJ[-zFNS81Jr�jr A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has received a Fee Paid $�a_- valid building permit. All applicants' spaces on this Rec. Fee Paid application must be completed and must appear on the Reviewed By: application form. E IE Applicant: j AR- Owner- F7, i4- . !.mm Address: `3, � Address: LA-0 Ali K!�A-Tp 0 02 Phone#(5L17) -7-7 Phone# TUNI'l OF -.'1---J,,1SBUPY Email Address: ..-,ekEmai1 Address: Property Location: Lot Number: House Number Subdivision Name: Tax Map Numben' gD - i - 13 S- Cad SOX I c3 New Building residence ornmercial Estimated Market Value of Construction: $ E3 Addition: --Re-s-ide—nce/ commercial If an Addition,what will use of new addition be? u Alteration: residence/ commercial U No change to exterior size: residence 1 com'l C3 Other work(describe Check OccupancyInformation I"Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling C.s7c7 D Two family dwelling 0 Townhouse C3 Multifamily dwelling #of units 0 Office C3 Mercantile U Manufacturing 0 1 car detached garage U 2 car detached garage ca 3 car detached garage 00 -)zL, I car attached garage 7X 0 2 car attached garage C2 3 car attached garage U Storage building- commercial 0 Storage building- QQ residential U Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil gas t ood ljforced hot 'r- aseboard othet: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes, Name Address Phone Number Builder y ca-�- CA --79 3 QC77 Plumber Mason __ Electrician —k,-J)re_ X-- V 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 comp;ete statement of all proposed work to be done on the described premises and that all .Jdk provisions of the Builging Co e,iRie Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether spe ' aed or no d,a'jid that such work is rized by the owner. Further,it is understood that I/we shall submit,prior to' Certificate Oc upancy or Certi ate f Compliance being issued,as requested by the Zoning Administrator or Directorof i ing and Code an As Wit Sur—,by a licensed surveyor;drawn to scale,showing actual location f all new construe Sig4dture: owner,owner's agent,architect,contractor _ E E W D Application for Permit—Septic Disposal System SEP 0 y 2002 Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Location of installation:Tax Map No. - File Permit No. tV 7..�-��?g' � / fit--( .-�-.�'S- Owner's Name: (�-�-�� , ke Fee Paid �- � .........................................................................-........ .,m.........._.................. ..... Address:--- 2. INSTALLER'S NAME PHONE NO, -7CL� ..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 Daily Flow 1980 or older x 150 gal/bdrm = 1980-1991 x 130 gaYbdrm = 1991 -present x 110 gal/bdrm Garbage Grinder Installed yes /'no > - Spa or Whirlpool Installed yes_ / no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) TonogLaphy Soil Nature Ground Water Bedro k or Impervious Material Domestic-Water S l sand at what depth at what depth, munici al feet feet we L Steep slope clay 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 5. PROPOSED SYSTEM: •For New C.. JM$4oti: 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 Wluxlpool Tub. Septic Tank: c'Sc7 c) gallon (min. size 1,000 gal.) Tile Field: each trench S'� , . Total.System Length: Seepage Pit(s): number of size ofeaeh: fi by Size of Stone to be used: # 2 / depth or thickness feet Bed System Size: x Alternative System: len&,h and/or size 6. HOLDING TANK SYSTEM: (if required) Number oftanks: / 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 ofthe Code of the Town of Queensbury,any p em-it 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 regulations with espect to this application and agree to abide by these and all requirem nts of the Town of ensbury Sanitary age Disposal Ordinance. ignature ff respqdslble person Date ' - 'Iinv'tt ui` {iti:crTni»si-y . s' 4t:�vt:r s :t;TTtl Sew 'ne [D10-31TtT::t ( Im pt.t`T AITimmdix C AlSORU'VION PII;I.,I:) STWARA I`K)N ILI:CZI.?IIZPRII�:N'I`S --1A ,� �,✓ FOND • •tri+,ur c•�STftr� •'__�`..... `�'f•fV., �u zF G n ,r},�- i:.,sue G� W Sct•tic. ,/� !'P•�-- X--,• 1 Ul:/Ttt(s.`�l l�If+11 ., ' PJAXX> 7. SIGNATURE &INFC3RI 4AMN FOK"SF ONb uoii r, ------/ TOWN OF QUEENSBURY LJ742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020760 Application Number: A20020760 Tax Map No: 523400-303- 20-0001-035-000- 00 (a)( Vc-P Permission is hereby granted to: RONALD &BONNTEDUFOUR For property located at: 1 LYNN Ave 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. Tne of Construction Value Owner Address: KEVIN LA POINT 1 LYNN Ave Garage- I Car Attached Single Family Dwelling QUEENSBURY,NY 12804-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency CLUTE ENTERPRTSES TNC. 13 DAWN Rd OIJFFNSBI TRY_NY 12904 Plans&Specifications 2002-760 Includes 303.20-1-34 AND35, 3 Lynn Ave. Construction of a 1,274 sq ft single family dwelling with a 320 sq ft one car attached garage per plot plan and specifications. $184.88 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,October 02,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Taw ueensbu Wednesday, October 02,2002 SIGNED BY for the Town of Queensbury. Director of Building ode forcement BLDG. PERMIT NO. APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF-OCCUPANCY is hereby requested for the property located at, I-V,"F, Aye , for the following uses: r � lGrn' / M r, 0/0 DATE SIGN URE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby VAPPROVED ( )DISAPPROVED with the following conditions:. Approv4 " a � TEMPORARY CERTIFICATE OF OCCUPANCY FE 0.00 EP SIT• )$ OD.00 . j received on �2 � , Date of Issuance Director of.Bldg. & Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES DAYS FROM THE DATE OF ISSUANCE. 't NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. r2� 2_-- 69- Richard A.Missita HIGHWAY. �sss4r���� F NED Highway Superintendent DEPARTMENT ��� � Home(518)79"127 7d2 Bay Road • Queensb � �.0Q2 rY, S L P M&Aael F. Travis Off Phone; (548) 761-821 i Deputy Highway Superintendent Fax. (518) 7'45-4466 1"C�`r�JN dF Citl'El`JS���`� (518)798-0413 DRIVEWAY PERMIT DATE: APPLICANT NAME: TELEPHONE NO.: ` 70( .2 7 "7 ADDRESS TO BE INSPECTED: RETURN ADDRESS: Applicant must show exact location and width of driveway(s)to be connected to the highway by 1 placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: , STEP 1: ( )Preliminary Approval NEED: { )Slight swale { )Level with the road ( )Deep swale Size pipe to be used(if necessary) ( )12" ( )15" ( )18" ( )24" { )36" Preliminary inspection completed by DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved permit for a final approval STEP 2: { )Final Approval { )Rejected. DATE: Richard A. Missita,Highway Superintendent V Permit Number MECcheck Compliance Report Checked By/Date Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:C:\Documents and Settings\Larry Clute\Desktop\Meccheck\Clute Colonial #2.cck TITLE: 1300 Sq.Ft Colonial#2 �ECEVELD) COUNTY:Warren STATE:New York S E P 0 9 2002 HDD:7635 CONSTRUCTION TYPE:Detached I or 2 Family TOWN OF QUEENSBURY BEATING TYPE:Non-Electric RT! D I NMI G AND 0 D E DATE:09/09/02 DATE OF PLANS:9/9/2002 PROJECT INFORMATION: Queensbury,NY COMPANY INFORMATION: Clare Enterprises,Inc General Contractor 13 Dawn Rd. Queensbury,NY 12604 COMPLIANCE:Passes Maximum UA=269 Your Home=206 23.4%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Raised or Energy Truss 650 30.0 0.0 21 Wall 1:Wood Frame, 16"o.c. 1616 19.0 0.0 86 Window 1:Vinyl Frame,Double Pane 93 0.490 46 Door 1: Solid 41 0.069 3 Door 2:Glass 41 0.490 20 Floor to Bm: All-Wood Joist/Truss,Over Unconditioned Space 624 19.0 0.0 29 Floor overhand:All-Wood Joist/Truss,Over Outside Air 26 19.0 0.0 1 Furnace 1:Forced Hot Air,90 AFUE 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. K MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE:09/09/02 TITLE: 1300 Sq.Ft Colonial Bldg. I Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Raised of Energy Truss,R-30.0 cavity insulation Comments' Insulation must achieve full height over the plate lines of exterior walls. I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R 19.0 cavity insulation Comments: Windows: [ ] I 1. Window 1:Vinyl Frame,Double Pane,U-factor:0.490 For windows without labeled U-factors,describe features: I #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Doors: [ ] I 1. Door 1:Solid,U-factor:0.069 Comments: [ ] I 2. Door 2:Glass,U-factor:0.490 I #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Floors: [ ] I 1. Floor to Bm:All-Wood JoistlTruss,Over Unconditioned Space,R-19.0 cavity insulation Comments: [ ] I 2. Floor overhand:Ali-Wood JoistlTruss,Over Outside Air,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-right assembly with a 0.5"clearance from combustible materials and 3"clearance from insulation. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. . I Materials Identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. f [ ] I Materials and equipment must be identified so that compliance can be determined. C I I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. I Duct insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] I Return ducts in unconditioned attics or outside the building must be insulated to R 6. [ ] I Supply ducts in unconditioned spaces must be insulated to R-11. [ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R 2. Insulation is not required on return ducts in basements. I 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). L I I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. Temperature Controls: L ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space I temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction I provisions of the Building Code ofNew York State,the Residential Code of New York State or I the New York City Building Code,as applicable. I Service Water heating: [ ] I 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. [ ] I Insulate circulating hot water pipes to the levels in Table 1. Circulating Hat Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I 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. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 V or chilled fluids below 55°F must be insulated to the I levels in Table 2. 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) Pp 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) Project Name: BP# Z o f_� - 'r Address: Building Permit Submission i Multipl Du lling & Camrr"P74eas Checklist 7 All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed,.,...... � ❑ ❑... ...... ... ... ... ... ... ... .. yes no n/a 2. Energy Form or CheckMate Energy Code Compliance Forms Complete... Ms Qno ❑n/a 3. Energy Code Inspector's Report from Checkmate Program... ... ... ... ... ❑yes ❑no `❑n/a 4. Septic application completely filled out(if applicable)... ... ... ...... ... ... `o} es ❑no ❑n./a 5. Electrical Inspection Form... ...... ... ......... ... ... ... ... ... ......... ... .. Des Ono ,❑n/a 6. Two(2)sets of plans showing the following: ... ...... Bye ❑ ❑ 6a. Floor plan(s)... ... ... ... ... ...... ...... ... ... ... ...... ... ...... ... ... ... ; yes ❑no Qn/a 6b. Foundation plan... ......... ... ... ...... ... ... ... ... ... ......... ... ...... .. s Ono ❑n/a 6c. Cross section(s)... ... ... ... ...... ...... ... ... ... ... ... ... ......... ... ... ...PKye s Qno ❑n/a 6d. Elevations ......... ... ......... ... ...... ... ... ......... ... ...... ... . ❑s ❑no []n/a 6e. Design loads including floor,snow load,and wind load... ... N�s Ono ❑n/a 6f. Seismic design(required after Jan. 1,2003)... ...... ......... ... ... ... ❑yes ❑no ❑a 6g. Plans signed by registered architect or engineer,signed... ... ... . [-]yes Qno E�6 a and sealed by registered architect or engineer 6h. Window and door schedule......... ...... ......... ... ......... ... ... ❑ Qno ❑n/a 7. Two(2)site plans showing location of the structure to be built,......... s Ono ❑n/a location of well or water lines,location of septic system or sewer be with all setbacks and separation distances shown,and all improvements to the property. 8. Solid Fuel Burning or Gas Appliance Form(if applicable)... ... ... ... ... . ❑yes ❑no W a 9. DrivewayPertnit... ...... ... ... ... ... ... ... ... ... ... ... ......... ... ...... ... ... . ❑s ❑no ❑n/a Date: Staff Initial• L:\SueHem ngway\Building.Permit FORMS\Generic Gheddistdoc Project Name: BP -7 6 0 Address: Building Pennit Submission VE L) Sk&fandy du&g Tuofian2dy du&g SEP 0 9 2002 Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of Queensbury Building Department. If any of the below items are lacking,the pennit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ... ... ... ... ... ... .... ... ... ... ....... 15-1�s n no F]n/a 2. Energy Form or CheckNlate Energy Code Compliance Forms Complete.. ),S<s EJ no EJ n/a 3. Energy Code Inspector's Report from CheckMate Program... ... ... ... ... .. M yes n no [:]n/a 4. Septic application completely filled out(if applicable)... ... ... ... ... ... ... ... 2—Tyes F]no n n/a 5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ... ... ... ... ... ... ... ... .[:]yes no Wa 6. Electrical Inspection Form... ... ... ... ......... ... ... ... ... ... ... ... ... ... ... ..... Dyes nno nn/a 7. Two (2) complete sets of structural drawings... .. ...... ... ... ... ... ... ... ... ... .�rws [:]no [:]n/a a) floor plan;b)foundation plan;c) cross sections:d)elevations; e) window anddoor schedule 8. Two(2) site plans showing location of the structure to be built, .. ... ... 13�s Ono On/a location of well or water lines,location of septic s3stem or sewer line. 9. Setbacks from property lines to new structure ... ... ... ... ... ... ... ... ... ..... Jyes E]no E]n/a 10. Setbacks to neighboring wells and septic systems,including onsite well.... Flno Fln/a and septic systems (if applicable) 11. DrivewayPennit... ... ... ... ... ... ... ... ...... ... ... ... ...... ... ......... ... ... ... hKs ono nn/a Date: Staff Initial: L:\Sucliemingway\BuAding.PenrAt.FOFI&\Geaeric Cheffist.doc Queensbury Building & Code Enfofeement - Residential Final Inspection Offite No.(518)761-8256 Arrive: —am/pm Depart: am/pm Date Inspection request received: Inspector's Initials: , W 0 JF -V NAME: —Lot- fc);V4 PERMIT#: LOCATION: nv\- DATE: TYPE OF STRUCTURE: ,�L t Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior.Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glaziAg./Window in stairwells safety glazing Interior Smoke Detectors: Every level: _ Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, I sq.ft.-150 sq.ft,vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below Eade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum Y27 Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure V,,e-fj- Final Electrical Final Survey Plot Plan /sr"e.- As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required M444e �el',IWAC-P- lJfoe- Flood Plain Certific d Okay to issue C/Lr�—C/0 n or /Permanent trA.-I L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised100405.doc ;. 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: _ NAME: � PERMIT#: LOCATION: L - DATE: - TYPE OF STRUCTURE: - _ ✓ � Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location 1 Fresh Air Intake y 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 moreic�` J 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 1 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 f Low water shut-off boiler / Relief Valves installed/Heat Trap/Water Temp 110 / Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight S afety glazing/Window in stairwells safety glazingy Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window } J!' 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/a 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\Insvection Forms\Res, Final Insr).form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm Depart: _am1pm. Date Inspection request received: Inspector's Initials: f NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE:' Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent throw gt 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 V2" 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 Valve(s)installed/Heat Tra /Water Temp 110 Interior privacy/trim/doors/main entrance 36 in.' Bathroom/Kitchen watertigbt Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Btdroom: 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 if Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer- Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, I sq. ft.-150 sq.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/0(Temporary1 Permanent L:\PamW\]3uilding&Codes\lnst)ection Forms\Res.Final Insp.form 2.docLast orinted 2/12/04 x � z ' N � z a rn �u a rn aw� a No�N� H aa" o , wwa v z� � x w �v 0a�w c wux�h wIu 0 a Qe 0 Na^ aI�W H w Z. 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H w H x n z 4 p H WH U . w w w U . w W x x rn w 0 7, Residential Final Inspection ired Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Quee sbury,NY 112804 Inspector's Initials: NAME: P \j, � r,, � "',Q"� + PERMIT#: C./ LOCATION: DATE: TYPE OF STRUCTURE. "— D' ' Comments Y N NIA 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 Raih s 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 Furnace/Hot Water Heater operating -Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors I main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroo I m: Outside every bedroom area: Inter Connected: t Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor tniss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches -1/4hour 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 sq.ft.-150 sq. 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(Cert. Of Compliance) Okay to issue Temporary C/0(Cert. Of Occupanc Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHemin&r%vay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received:- Building&Code Enforcement t Dept of Community Development Arrive am/pm Deja aanlpmTown of Queensbury Inspector'ssIs �- 742 Bay Road Queensbury,New York 12804 NAME �Cj t-0 Ud- PERMTT# LOCATION DATE 2 & TYPE OF STRUCTURE N/A YES NO COMMENTS r Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30 to 36' Exterior Handrails,balconie landing\18 in.or more: Interior Handrails stairs both 'des 3 or ore risers Grade 2%away from foundati n 8"clearance to sill plate Gas Valve shut-off exposed/re ator 18'above grade Gas Furnace shut.offwit do 30 t tA or n line of site O'1 Furnace shut-off at entrance area urea operat �,' N le- Relief Valve(s)installed Headroom,6 ft.6 in.on sT�ks� Basement stairs,6 ft.4 in. Handrail exterior stairs both sides ore than 3 risers Interior privacy/trim/doors/main en ce 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails BalconieslLan ' 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans bing fixtures oundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical ,*Plan/Variance required vFinal Survey Plot Plan ) ti)t As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif of Occupancy) p Okay to issue permanent C/O(Certif.of Occupancy) (¢9 �w U RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: t q1j Building&Code EnforcementDept of Community Development Arrive am/pm Depart 1tiIain/p Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York'12804 NAME �u Y PERMIT# `Zd0�V 76 6 LOCATION �y w✓► DATE 1 Z TYPE OF STRUCTURE Fr D N/A YES NO CONZ4ENTS " Chimney HeightPT?'Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Intedor/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate 1 ` / •P�Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating f Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/ftWdoors/main entrance 36" 'Floor Finish BathroomMtchen watertight Interior Handrails Balcomes/Landing 18 in or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulationc`- 3/4 hour fire door/door closer Garage fireproof ng Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per ro m Safety glazing 18"or 1 fra floor Final Electrical tf/ Site Plan/Variance req Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) TOWN O F Q U E E N S B U R Y BUILDING � CODE E N FO RC EMEN T 742 BI�Y F2oAD QUE:ENSSURY NY 121304 is i s? 7es i-s2s6 - F'Z F�IA►Z. Z 2+�,5 E'^1E C'Z"Z C7►]i�i �t�PCfR�' COP+31�3EF#.I[�Z]�]G. --.---- IIult]F]C.T�CIa'Z.� X7ri^�EL7G.Z7NJC� (hcrt� 1, rncatal, apt_ ac3mplax) DATE ZNSPEC(T�2C3N /R/` LTES/T R x/VEDs DINE Z e) P EcRM S�T # Cd TYPE C>F STRUCTURE I lJ FOOTINGS B AC K F I L L FRAMING P LU M S I N G =NSULI3TION YOB j xt Y E S Ydo C�iIMNEYI " B " VENT/HEIGHT F'LUMHINC3 VENT FIXTURES ` ROO E'I NC3 - EX'I'E:RIOR �"�NISH H E AT I N G I H OT WATE R RELIEF VALVE S FLOORS F OU N DAT I C3N INSULATION I N T E R I OR S TA S R S I RA I L I N G S STOCKROC?M ENCLOSURE F-IRE/DEMISE WALLS P E N E T RA T I O N FIRE DANSPERS CEILING FIRE S 'O F P I NG FIRE DOORS [CLOSER EXIT.' DC7C:>R OF EXIT S TA I RS L RA I L S F LATFtJ RM ELEVATOR ' HANDICAPPED ACC E S S HANDICAPPED BATHS HANDICAPPED PARKIN G FINAL ELECTRICAL SITE PLAN VARIANCE RE _ ^� FINAL SURVEY PLC?T PLAN _ IF RE OK TO ISSUE CIO can C/C � �� C office Use .GENERAL INSPECTION UPORT Inspector: Town of Queensbury 2 Rea I dy at time Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 8061!!1 742 Bay Road 4 Queensbury, NY 12804 ARRIVE am/pm: DEPARanv,,,. Nate (518) 761-8256 Inspector's Initials NAME; PERMIT# -7-,402-- 760 LOCATION: iA k, lqvc, INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A i YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. COMMENTS Materials for this purpose on site Voundation/Wallpour Reinforcement in Place Foundation/Darnpproofing_ Backfill Approval Plumbing Under Slab A bi PU-Fnts in Place e, Plumbing_ eatin I*�U&hGdn Fulationndation Walls Interior R- t (- Foundation Walls Exterior R- Floors R- Walls 7- Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent V Framing_ Jack Studs/Headers, Bracing/BridgingJoist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation t,2,3,hour Penetration Sealed Fire Wall 2,3,4-hour Firestoppin L:\SueHemiiigway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc OfxeUse .GENERAL INSPECTION REPORT inspector: Town of Queensbury - Ready at time.. Dept. of Community Development Request received.- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE amlpm: DEPART'�k amlpm Notes: (518) 761-825d Inspector's Initials NAME: t U ro t1le— PERMIT# — 7&a LOCATION: INSPECT ON(date): l 1 � TYPE OF STRUCTURE: . RECHECK _ N/A YES i NO COMMENTS Footings/Piers Monolithic Pour Form 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/D ampproofing Backfill Approval Plumbing Under Slab PI bing Vent/Vents in Place Ro gh Plumbing eating Rough- sulation Vteri Foundation tills R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridgim Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour_ _ Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GEI\IERAL INSPECTION REPOR'P.doc 3 r Tort OF QUEEKSBURY BUILDING A_-CODE ENFORCEMENT _ 742 Say R©ad Queensb_u ry MY a0_ SQ4- Cs18) �s1-s2s6 SEPTIC DrSPOSAU SYSTEM INSPECTION N -:,t,�i► Date - /, � e rm ' t SOXIL TYPE: Sa ..z am-- Resu7 -ts o-f Perco? ati on Test- ( 1 -F applicable ) Rate-Mi nuto/Inch TYPE OF SYSTEM ABSORPTIOM FIELD : Total Leng Length o-f each trench [� Depth o-i= trenches Size of stone `� � SEEPAGE PITS : Number,- Size - ft _ x -Ft _ Stone size PIPING : Size Type Bldg . to Tank- l �ty. Tank- to Di st _ Bcsx - D z s-t . B o x -to f-i el d/P -i t SCA Openings Seal ed ? Yes No Party a� EOCATIOMfSEPARATIONS : Foundation to Tank -Feet Foundation to Absorpt!..pn �_ -Feet Separation of PI is F Conforms as per PI o-t P1 an Yes t_OCATION. OF SYSTEM ON PROPERTY: ( c-i rcl e one ) Front - Rear a-t �S d-e-- Ri gh-t Side Middle Ft- ant -- Middle Rear COt EN-rS 4 SYSTEM USE APPROVED= YES NO A r-r1 De -2 D rr Office Use GENERAL INSPECTION REP01\.I Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received.- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am R, a Read y At (518) 761-8256 Inspector's Init al NAME: C-1 A PERMIT ELL) LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 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/D ampproo fing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridgig- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping- L:\SueHemingway\Btiilding.Codes.Inspecfion.FORMS\GE,NERAI,INSPECTION REPORT.doc Office Use GENE AL INSPECTION UPORT Inspector: L - Town of Queensbury Read�time: Dept. of Community Development Request received: It IZIO—L— Meet: Building& Code Enforcement At time: 742 Bay Road Queensburj; NY 12804 ARRIVE am/pm: DEPART No i-*w-"- - (518) 761-825d Inspector's Initials NAME: 1 PERMIT# LOCATION: > INSPECT ON(date): NO TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers--------- Monolithic Pour Form 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/Dampproofmg_ -Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place ,*ougb.Plumbing C^— Testing Rou`In . --Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- oDiling R- Duct work or piping in . unheated aces R- kIrope Ven i Ve FamHIMP *1— 7 Jack StAsh/f fe-a-deAd - ——V/ Bracing/Bridging Joist Hangers ��1'ostslMain Beam ............7-- ir Battier __ Fire Separation 1,2,3,hour Penetration Sealed ire Wall 2,3,4 hour L:\SueHemiiigway'auilding.Codes.Inspection.FORMS\GFNERAL INSPECTION REPORT.doc OjYke Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at,time:: .:` Dept. of Community Development Request received: Meet: .Building& Code Enforcement � r, At time: o 742 Bay Road Queensbury, NY 12804 ARRIVE amlpm: DEPAR �` amlpm Na (518) 761-8255 Inspector's Initials NAME: I PERMIT LOCATION: k(A- V—e— INSPECT ON(date): TYPE OF STRUCTURE: 1 RECHECK. N/A YE IiNQ COMMENTS Monolith' ur Form 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 Found ation/D amppro offing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insu ation t . Fa on a11s Interior R- �� Foundation Walls Exterior R- D Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wa112,3,4 hour Firestoppiug L:iSueHemingway\Buifding.Codes.Inspection.FORMSiGENERAL INSPECTION REPORT.doe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received. 16 � Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRI-VE anZ In:)tPA RTV;X1'aM6m Notes: (518) 7614256 Inspe t 's Initials NAME: PERMIT#,,�/"(D�--74PO LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YE N COMMENTS F-- ;F000:tmg;sF/Piero---� no;1 is Pour Orin ono 1 ic Pour Form 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/Dampproofmg_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridgmig- Joist Hangers Jack Posts/Main Bearn Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppi Ing-- L:\SueHemiligway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORTAOC Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury ' Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVEI C� am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials NAME: L�4 t?l PERMIT# °" a. LOCATION: s &f N's- INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 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 _ K'Foundation/Dampproofmg �Backfill Approval Plumbing Under Slab Plumbing Vent(Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R Floors R- Walls R Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Aix Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:1SueHemingwaylBuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc MAP REFERENCE: MAP OF A SURVEY OF THE SOUTHERLY TWO THIRDS PART OF LOTS 75, 76 & 77, IMPERIAL HEIGHTS PARK MADE FOR DALLAS F. BANCROFT DATED: DECEMBER 13, 1967 BY: JOHN B. VAN DUSEN LEGEND: OIPF = IRON PIPE FOUND OIRF = IRON ROD FOUND O CIRF = CAPPED IRON ROD FOUND OIRS = IRON ROD SET/TO BE SET = UTILITY POLE = WATER SHUTOFF IRS W lef OWNERSHIP UNKNOWN CRUSHED STONE SURFAGE S88°03' 18"E100100, IR5 4' FF I m i 29.99' 1 m 1. i 4 AREA 14,994 sq.ft. 0.34 acres I 7{ 9 L i 1 II 100401, N88003118"W Du y •( �/ & Steves Land Surveors, , L L C 169 Haviland Road Queensbury, New York 12804 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 1209, SUB -DIVISION 2, OF THE NEW YORN STATE rm=, ION LAW.' 'ONLY NTHE OGINAL OF THIS MWB(CO WITH AN ORIGINAL OF THE LAND 5URV-nM SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.' 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE E OSONO CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORIC STALE ASSOCIATION OF PROFESSIONALLINO SURVEYORS. 5A10 CERTIFICATIONS 5HALL RUN ONLY 70 THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND L.ENDINO INS (TUITION LISTED HEREON, AND TDTHE AlOGN=DPTHE LENDING INST,R,DON: (518) 792-8474 New York Lie. No. 50135 3/4' IPF 2G.64' APPROXIMATE LOCATION OF LIMITS OF TOWN MAINTANANCE LYNN AVENUE o c �1 00 0�1 E i 93 78 77 76 7.5 9 Map of a Survey made for CLUTE ENTERPRISES, INC. Town of Queensbury, Warren County, New York NO. I DA TE QF IyE . 74 24 DESCRIPTION sk F Batel mg. -III S-1 SWET 1 OF 1 CLUTE C861 DWG. NO. 02389 111-1-16 & 17/303.20-1-35 & 34 :?c 1-7 �.