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1999-022 CERTIFICATE . , : OF.•.00CUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Juice 8 99 Date 19 alq. 13—'1 — 35 This is to 'certify that work requested to be done as shown by Permit No 99022' has been 'completed. . •. SINGLE- FAMILY_ DWELLING . This structure may be occupied as a 3g BIRCH RD.. ,. Location POGONOWSKI, WILLIAM Owner TAX NAP NO. 39 . -.1-5 8 . 6 By Order Town Board TOWN OF QUEENSBURY‘ Director of Bldg. (Sc Code Enforcement • BUILDING PERMIT VALUE . $ 1.67900. TOWN OF QUEENSBURY No 99022 TAX MAP NO. 39. -1-58 . 6 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to POGONOWSKI, WILLIAM OWNER of property located at BIRCH RD. Street, Road or Ave. in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNERS Address is BIRCH ROAD 2. CONTRACTOR or.BUILDERS Name, MICHAELS GROUP, INC. 3. CONTRACTOR or BUILDERS Address - JIM CHANDLER, PROJECT MGR 1810 ROUTE 9 LAKE GEORGE, NY .12845 4. ARCHITECT'S Name - NEW YORK BOARD 5. ARCHITECT'S Address NEW .YORK BOARD OF, FIRE UNDERWRITERS 6. TYPE of Construction-(Please indicate by X) SINGLE FAMILY DWELLING ( )Wood Frame ( 1 Masonry ( )Steel ( 1 7. PLANS and Specifications, 2714 %XI ft SINGLE FAMLIY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN , SPECIFICATIONS 8. Proposed Use . . . SINGLE FAMILY DWELLING 333 March •3 2001 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) 3 . . . .March- 1999 Dated at the Town of Queensb ry this Day of . • 19 ZitSIGNED BY J�-� for the Town of Queensbury Building and rung Inspector . uild in Perm it Application • • . Town Of QNec'lish111:)' - Dept. of • Community Urrrlopment, 742 lhry Karat, utrecn.thtrry, NY 12804 1761-8256J 11U11.UING & CODE ENFORCEMENT NUTICE _ Requirements I)rivt' to issuance pLltAlll'r/LL"NO. T� -�� �. -------- -------, t)C Illis l)crnlil:-__._- 22 3Y4--5- nA Ix tntil utst I oWnincd I l nc ` --" --" PGIih111'rLG 1'AIU J�beginning cutts(tuclien. Nu inspections I_� 7�ming Ilcxrld Aclioltwill Ix; ntnde until nl+I+lir�, d lu,s tccc•ivccl • It/.(. 'VlicnnI lJ spices on I'14rtAi1 I. All Awn 1 usc �-i(�.IaIUN FEE!AIU$ nl+l+liennls' spices on Ihi:r nl+pli+nlinn . MUST bo cumq,lclecl and tlro sigunlute L ] Planning Do !Action REVIEWED Dr: of the npplican( must nplx:nr on the SI'll / Subdivision /Other Dullding lrulxcrar `ppticnlion final. ik.:4r._- _---1 I(cctcntium Ice Payment )te • . Owner: r R. I cRAJ S ._ Applicant: 1 hr bl.t chrue f.h Gump, inc. f Addles: I810 Route 91 Lae (;eo1rr., NV 128�ild less: -(� (O etC� i C1 0 Phone./l ( 518 ) - - Phone it ( ) _... _.. . _. ... .. Property r.Utnlion: ICI�. -no(xsa - Pei1 Tax 'tp Number__ A ibl --1�Ma Scctiou Block l rrt Subdivision Mn nc: _( .SLIC - - • 1111'1'Uilr or PROPOSED WORK: fa'J'I1.111'1'LU MA1tKET VALUE OF Tills Hew Building: CONSTRUCTION: •$ I1 aC'� --� -- residence / commercial Addition to Building: UCCUE'hl!tCY xerronFtn'rxoN: residence / commercial Primary Clul.l.ding - A.l.l:c)::re i.3.d nc Lt/ cet t.no X Single rant.i.ly Uwea -ECE1VED residence / commercial Two Family Dwelling Residence / Connner.i;.ictl __ Family UwelliB O 2 T4G� -- no change to exterior size Office Other Work (describe below) Mercantile °TOWit11 t��r;lt�.ekly BUF Manufacturing BUlI i�l>k�r� .AND CODE _ ___-____--- - Other GROSS AREA OF i'ItUE'U5LU STRUCTURE,:�l If AUUI'1'ION, what wi11 use lot Floor (�-. scl• f t. We I� of rlew� additive be? : end .Floor . l sq. ft' 168 N/A Other Floors eq. ft. (not • unfinished nislted cellar or baeeuteut 3 ACCESSORY DUMDUMS. � Detached Garag` l r Attached Garage 1r 2 c ` 'ru'a'nt, FLOUR AREA: 2-1 I N sci• FT• _x-- private • Storage Nuildlllg 333 Commercial Storage Building SIZE OF HEW STRUCTURE: f Other ' �t t .FEET X �_ FEET . . -.. . . Type: Nuked Will an second-hand or ungraded craded Foundation } E Z g lumber be used? If no, Number. 01_ Stories : - �j ; T7[li'C UF' HEATING 5Y5TE1dS (habitable space only) �.- :� � Ileight (grade to ridge) : �, _ circle all whiC Rpi1 es) Electric / Oil Gas // es) Comber ns alrel).l.aces and/or wove[stove ( Gas) Wood/ Other l v be installed: Forced clot Air / Person Fes •ons a for supervision of workoraEri gards t Pr;building P ' • .miu ttaftei codes i.s : 2 lls'ItctlldC�1.�>l�� clreszat� 'a11ete Y� tlf 2845 518-GG8-337G Plumber: I'ctyct I' !wilder:!wilder: Ills? tiL c.l�czef�s G1tuu1�, Itic. 181 9 f�C�NVU 12801 518-198-4399 AumU n,__16_ 1'�tlz Itgaals hlttnon: JJ1 li_lLtt.r.11ey,_(I.v2L21z8p___Gaa►ial•Ce., N I ,18-3Y 1-992?. I;l e s t):.i c:.i.e)1t:_._Lam_vs1t._[:_CCt, ------------- DEC1.AliAl1UN: Please sign below t je`►•you have carefi:ily read the statement. h '1'o the best of my knowledge the statements contained t mhi s s apof-all proposed'work totbehe plans and specifications submitted, are a true and complete st. the c(cscribcci premises and that all provisions of the Building Code, the Zoning Ordinance and all or other laws pertaining to the proposed work shall Ibe complied urdct with,odwhether specified slifi submitted, and d a that such work is author ized by the owner. l'tn t , Complianceng an AS I3UU-'1'PLOT PLAN by Certificate of Occupancy'or O Certificatewiof actual location of project on premises.a licensed surve or; clra n to scale, showing -Signature: , r ,.eunrr'i anent. architect, contractor) • d TOWN OF Q UEENSB UR V 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS g6;?"- Date fit"inj af ,19 — Permit No. r " APPLICATION IS HEREBY MADE to the Building Dept. 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. Please fill out additional form if more than one appliance and/or chimney. Applicant ,'` / 1 f ' _r (.S itt 3 APPLIANCE (check appropriate boxes) t Address . I, ,. °j,)G _ ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas f, r 0 FIREPLACE INSERT .t13 ` j `.C_i� �,: Zip _12-C,i.fS (d FIREPLACE, FACTORY;BUILT: ❑ Wood ❑t Gas Phone(` _ ((,,) ► %%`/ I 6 s2>L_.c 0 FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil Address ,,- ,., ,� t;.., IF NON-MASONRY APPLIANCE: - --- _, ',._ (,,k--,k ' _ , Manufacturer: _- Zip Model: Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction 'r, i --; 2,( � c� 0 MASONRY: ❑ Block 0 Brick ❑ Stone f�t p�_1 FLUE: 0 Tile 0 Steel / Size: inches CONSTRUCTION / INSTALLATION MUST 0. FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION St' '' Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE, Listed By: Number: TOWN OF QUEENSBURY HANDOUTS 0 Double Wall 0 Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated D,,Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 (190).Pub,lic Safety A 233 2655 (23"0) Minor Sales- . Fee Collected From-or'Refunded to: �' '"� .i-. A' :'" .., , ,-i Address: yi '- - /° 1 f4 i ii Dated: f...fj`f, 1l 3 Town Clerk or Deputy': l _., .,7 (1(,c, 5f. A ' White: Applicant Green: Fire Marshal Yellow:,Bldg. Dept. Pink & Goldenrod: Cashier's Dept. Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Ems,E C E 1 '0/.E D 9 9--od Dept. of Community Development Permit No. a Building &Codes Office r EB 0 2 1999 742 Bay Road Fee Paid $ Queensbury, NY 12804 TOWN OF QUEENSBURY BUILDING AND CODE Location of property for installation: I riot_ knot Property Owner's Name: 'iQ N(rij .S twits Property Owner's Mailing Address: 100 e VDL1 _ q --Lake tlo ore(� !MI , uc Installer's Name: t LL ( Phone # -a I(ICJ . Number of bedrooms (if residential): Y Total daily flow: (residential - compute @ 150 gal./bdrrn.) Topography: ✓ flat, rolling, steep slope % of slope Soil Nature: ✓ sand, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet Percolation test: not required, NA. required [rate I min. per inch] Domestic water supply: municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank: Iasv gallon (minimum size: 1,000 gal.) Tile field: each trench 54 feet / Total system length: 24(D feet Seepage pit(s): number of / size each: ft. by ft. Size of stone to be used: # / depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: A)IA— Size of each: gallons CA1arm system and associated electrical work to be inspected by a certified agency. 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 Ordinan J Signature of responsible person: Date: (__(4--1Y /C-D :: .. FIRE MARSHAL th , TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED (o 7 qe,7 NAME ll 'z�✓' LOCATION o4-Irzi- 1�G� PERf MIT# SCHEDULE INSPECTION ON ILq Juil 'P lei; I U:oa ePM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHT NG FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION' INTERIOR FINISHES STORAGE: CLEARANCE TO S'RINKLERS CLEARANCE TO EATING UNITS REQUIRED SIGNAGE CHIMNEY OD STOVE IREPLA El MASONRY ACTORY BLT. ❑ OUGH-IN FINAL REMARKS: OK TO THIS DATE INSPSLIP.PUB INSPECTOR TOWN OF QUEENSBURY 41411BUILDING & CODE ENFORCEMENT 742 BAY ROAD ; •1 QUEENSBURY NY 12604 (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST REG.IVED: l Y NAME l , \\ LOCATION q ���� DATE PERMIT N TYPE OF STRUCTURE � FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT /`� ROOFING / EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES ///). FURNACE/HOT WATER OPE• TING/ INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEW ATE'TIGHT OTHER FLOORS 'SWE'PABLE OTHER FLOORS CA•PETED STAIR CLEARANCE/• FILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTUR ' FOUNDATION INSU AT ION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PL&t(/VARIANCE REO. AL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C RESIDENTIAL 1E•iNAI.INSPECTION REPORT /6) PI Office No. (518)761-8256 Date inspection request received: 7 J Building& Code Enforcement IA Z Dept. of Community Development Arrive am/pm Depa Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME `'l L1 .j �/'l0."L' PERMIT# Ca, LOCATION h j'I L, (��L DATE TYPE OF STRUCTrizE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location `T Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete 1,/f Interior/Exterior Railings 30"to 36" ►/ Exterior Hanoi ails,balconies,landing 18 in. or more Interior Handrai' stairs both sides ,'r more risers Grade 2%away • •m foundation 8"clearance to sill • ate Gas Valve shut-off e ••sed/reg .1. 'r 18"above grade / Gas Furnace shut-off wi 30 - or within line of site Oil Furnace shut-off at entran - to furnace area Furnace/Hot Water Heater o• ating Relief Valve(s)installed Headroom,6 ft. 6 in. on .'rs /7/ Basement stairs,6 ft.4 in ✓ Handrail exterior stairs •lth sides more than 3 risers Interior privacy/trim/doo s/main entrance 36" Floor Finish / Bathroom/Kitchen watertight ✓� Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells Smoke Detectors: every level 1 f every bedroom ///, outside every bedroom inter connected Bathroom fans / Plumbing fixtures Foundation insulation k / 3/4 hour fire door/door closer Garage fireproofing t// Garage penetrations sealed / r� Furnace in separate room protected(in garage) �/ / , Light ventilation per room ,/ Safety glazing 18"or less om r Final Electrical 57 zl Site P1anNariance required 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) l/ GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Lay Road Queensbury,NY 12804 • 7. Airam/pm Depart am/pm Inspector's Initials`44--- NAME: 90dr • S PERMIT# LOCATION: 0`10 r- f\ DATE : TYPE OF STRUC RECHECK N/A YES 0 COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible providing protection from freez►I g for 48 hours following the place -nt of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing H ling Rough-In �� ation `r ,JSj/, c. Ei �ir 2 Foundation Walls Inte- or R- Foundation Walls E •erior R- it) Floors R- Walls R- 19 Ceiling R- 3� Duct work or . iping in unheated :..ces R- Proper Vent, ttic Vent Framing Jack Sql.. eaders Bracirg/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping 6- /4-4-W GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: L/ Z1/? Building& Code Enforcement 742 lay Road Queensbury,NY 12804 Arrive ' /(am/pm Depart am/pm Inspector's Initials 04 NAME: poG-0-NoufsK. 1 Af(I , PERMIT# LOCATION: ,, DATE : Z TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form • Reinforcement in Place The contractor is responsible for L. providing protection from freezing f for 48 hours following the placem t l ,.� C""""? of the concrete. �c Materials for this purpo on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing 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 Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: 7/al 68 Bui➢,',:g& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive `//S am/pm Depart am/pm Inspector's Initials NAME: 66r d N OI/J j K/ WM• PERMIT# -0- D( a-- LOCATION: a r,i+ _ DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form ' i Reinforcement in Place / 7 The contractor is responsible fq providing protection from freezing for 48 hours following theme �acement of the concrete. Materials for this purpose pin site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents/in Place Rough Plumbing J Heating Rough-In� ' *nsulation ✓ fri Foundation Walls Interior R- ' Foundation Walls Exterior R- J Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers BracingBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 1 hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping FIRE MARSHAL .,,/ TOWN OF QUEENSBURY ` j, QUEENSBURY, NY 12804 _ (518) 761-8205 FIRE MARSHA NSPECTIO REPORT REQUEST RECEIVED NAME po opJc Ski }4, LOCATION FERMI # 9 -0)/ SCHEDULE INSPE1 TION ON L( a] ti I PM APPROVED N/A YES NO EXITS AISLE WIDTHS I EXIT SIGNS I EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM I FIRE SPRINKLER SYSTEM I FIRE SUPPRESSION SYSTEM I HOOD INSTALLATION / INTERIOR FINISHES STORAGE: CLEARANCE TO SPRIN 'LERS CLEARANCE TO HEATI G UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE ❑MASONRY FACTORY BLT. ❑ROUGH-IN ❑FINAL REMARKS: OK TO TE INSPSLIP.PUB INSPECTOR GEGENERALINSPECTION REPORT /� Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 ;;.ay Road Queensbury,NY 12804 Arrive 0: aim Depa 3 t/ �`' Inspector's Ini si NAME: PC2) J .5K4 11�J} `10v�� PERMIT# '+ LOCATION: a.4)\Y-PQ� r)rfL DATE : MI`' 40 9 TYPE OF STRUC RECHECK `JC 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 placem; i t of the concrete. Materials for this purpose site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pl. 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 J�Gk Posts/Main Beam VeThfiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping -2 . \ ,6 \.--- - GENERAL INSPECTION REPORT yy-) Town of Queensbury 1-1 Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury, 12804 ^ : Arriv ors Depart .4 . ; .m -s Inspector's Initi: .d , NAME: �Q9 611A( PERMIT# LOCATION: \c Q -Kr, DATE : 111Ra3/ 11 TYPE OF STRUCTURE: \ RECHECK N/A YES NO COMMENTS Footings/Piers •` I Monolithic Pour Form Reinforcement in Place The contractor is responsibl; for providing protection from J•=- ing for 48 hours following th- placement of the concrete Materials for this p. ::"se ►, site Foundation/Wallpo Reinforcement in Place Foundation/Dampproofing Backfill Approval �' Plumbing Under Slab / ‘ ..:\k Jo.umb' g Vent/Vents in P : _e •✓) �� �gh Plumbing I,�� ' 2.0eD arca_e�,Y.i V \ 2 Heating Rough-In \1 ' Insulation . '� Foundation Walls Interior R- Foundation Walls ExteLor R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent F ng \b c Zs az_ Wit% ii J'Jack Studs/Headerst V/ t3 U.1 E \ t kAeW Bracing/Bridging Joist Hangers V/ LA© . C. P‘._1\03 Fb ._-_ Jack Posts/Main Beam V/ g-P42-k.4 > Air Infiltration Barrier Fire Separation 1, 2, 3, hour �-`b ,�L�C ��,\( Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT • 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name 1-1-16-CODU.)/)4"l1 Location Z P v ROA4 B Date L —(c`c 1 Permit # 9 - SOIL TY San - -Clay- Re ults of Percolation 'est- (i applicable) 'ate- 'nute/Inch TYPE c SYST '•, ABSORPTION F - LD: Total Length Length of e.• h trench /.5 cP (50 Depth of t -nches 2 E Size of stifle •rtt- Z SEEPAGE P'TS: Number- Size ft. x ft. Stone siz'- PIPING: • Size Type Bldg. to Tank Li fi` L4 . Tank to Dist. Box LA9t Dist. Box to Field/Pit , „Li" W'"RW-- Openings Sealed? „Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank 1 0 feet Foundation to Absorption feet Separation of Pits fee Conforms as per Plot Plan Ye No _ LOCATIOi OF SYSTEM ON PROPERTY: (circle o Front Rea eft Sim- Right Side Middle •rout Middle Rear COMMENTS: P-F GkAy,z1Eiu± ,ADD + 'f)15. vz) Fv_otA 662Ti . • 'kat SYSTEM USE APPROVED: YE 41111110 Arrive � Dept4 : ow. 7 L. 1 ir Bui 'i ing ,.. : 'or rr`s- TOWN OF QUEENSBURY ---BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 1:ud - 4,, C1 )S ) Location MI6 Date ' Permit # qq-Odt) SOIL TYP411001, yam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench `, Depth of trenches l Size of stone - SEEPAGE PITS: N , ber- Size f . x ft. Stone s' e ,_ PIPING: .r ize Type Bldg. to Tan ``-5'\0 )--i°1,:,e_fit Tank to Dist. Box Dist. Box t�. Field/Pit 1J •`C Openings S_:led? Yes No rtia LOCATION/S:PARATIONS: Foundation to Tank t; feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Y-. o LOCATION OF SYSTEM ON PROPERTY: (circle one) Front <=-10:22 eft Side _`R�ight Side Middle ro —f I'd l-e-A a-r-- COMMENTS: • fj\ SYSTEM USE APPROVED: Arrive. :4Depa-'ed: ...:: . 41/// : .i ding In for GENERAL INSPECTION REPORT 3 41°/i7 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road 3 rh Queensbury,NY 12804 Arrive am/pm Depart am/pm Inspector's Initials NAME: ',\1 1 {,0\ro-N Y�Cl'l�S \ PERMIT# LOCATION: 97 i rc ((4 DATE : TYPE OF STICTURE: ��,0 RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place r)5( gpotil 61-)e The contractor is respo • ble for providing protection fro freezin for 48 hours€ollowing i e place ent of the concrete\ Materials for this purpo . on site Foundation!Wallpour Reinforcement in Place Founda . A ampproofi g ki7 _ Zi Afproval l Plumbing Under Slab Plumbing Vent/Vents in lace 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 Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT 0)3, Town of Queensbury -� Dept.of Community Development Date inspection request received: 3 -. Buil I'ng& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive & m Depart i on 0--)s i Inspector's Initi NAME: 4 -4J� trrue J 'f PERMIT#LOCATION: ;fCG, ! , e 1—k DATE : — TYPE OF STRUCTURE: RECHECK N/A YE NO COMMENTS 'ootings/Piers // I I Monolithic Pour Form z- Reinforcement in Place 2 - � The cone • orris responsible fc1 providing p .tection from freezing for 48 hours • owing the place ent of the concrete. Materials for this p ,,,•se on site ✓ Foundation/Wallpour — Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P ace 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 Air Infiltration Barrier Fire Separation 1, 2, 3.hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping _•. .1'J!k1_• J!_l •,l'J_• J_._l')!_lJ!l'J•_l1•_l' i 1)!_l'J_•_:'i.•_l' •_l'J_.Q')ft'Atk.Al'J_•l'J_• J_•lJ_ )_•l'J_.AV.K.A J_l1__l'J•l'J_•_l • 1k•_l'.O.M• ')AQAQ' IA:Al'J_•l •_lJ_•l'J_•eg.1.•elJ_..e._:'/, =C: IF IA TjJ C} THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGEGE 1 - e'+'3? i9 BUREAU OF iELECTRICITY i? 7 111 WASHINGTON AVE., SUITF,.Z04, ALBANY, NY 12210 I h. _4 JUNE 15 1999 T504349a9/999 A 142839 I)" �(+ Date ° Application N on file IA FERMI THIS CERTIFIES THAT u .1,9-022 • • only the electrical equipment as described below and introduced by the,app want named on the above application number is in the premises of N .44 li 'i THE MIC'HAEL,S GROUP, BIRCH RD. LOT 58.G, QU.EENSSBURY, NY +Yi in the following location; ® Basement 1" 1st Fl. X 2nd Fl. , GAR Section 39 Blockl Lot 58.6 it 1 was examined on MAY `'' �' and found to be in compliance with the National Electrical Code. • Wi IY C+ Ir FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS r -G OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. +}- ' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,r -, AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. CI H.P. NO.OFf FEET AMT. WATTS Y r . 1);i �� SERVICE DISCONNECT NO.OF S E' R V I C - - -- E - iY TC+ METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. I -G AMT. AMP. TYPE EQUIP. 1 0 2Wlap 3 0 3W 3 0 4W pC 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL ,Y I 1 200 CB 1 1 ,.2.10 1 2/0 I: -` OTHER APPARATUS: it 4C+ IT :1 G. '.C.I:—4 ij I C��iE DETECTOR:JR;—8 j + Ir_ 1 1h , I):,+ Ir IA w r FQRc^,VE'. E'LE'C'./BOEL ELE'C`T. ! ... ;'"' 'I l • lr I Wi.i. I-At! D. f1C'P'ARTLJ.�1T yam`4,s:., r�q;ki T.t ti • Ri t4iJ[6p7ft�1}' 'tr`��8�' B`1'. .,F t4 � at,„.,,•i1, 'j♦'1' GENERAL MANAGER pr �I 6�G.[1LJ3Y-�JL SAL.L�° NY, 12309 ':L 1 .+ ���{�IL 23�� WI - . o- n Per i 1.,�, This certificate must not be altered in anymanner; return to the office of;,the Board if incorrect. Inspectors may be identified by their credentials. ;;)h.'/;4'r;4Y;iie,Y•Y;IV;Y•YY•Y-4Y;iiiiIrii,T,YiYY•YY4YY•Y4YYiii;iipT.Y4YY.YY7•Y4Y4YY•Y;WIY�YY•Y4Y4YYir•.;fie.YiYYiYYiY.-4YY•Yriiiii;filii1Y0Y4Y4Y4YYVaiiii1Y•YYii;4YYiY Zisi rnpv PCIP RI III nIN(T nFPARTMFNT TI-IIR rr1Pv (-IF rFRTIFIC.ATF MI IRT WIT RP Al TFRFfI IN ANY MANNFR_ VAIL WIN WNSTRUClON C•O• PARTS COMPLIANCE FORM Building Design by Acceptable Practice • fEB 0 2 1999 MELDING - TOWN OF QUEEMSti tf" 63llILDIN NND CODE ADDRESS: _ �( ICY , DATA j ictiq r _„ 12 . COUNTY: W n-•P . kRCET EC:, GTh E. R,OR . :ONT AcroR: THE NI0/4A &2oUP PHONE: , 0.7 7--ocda. ]-J9 rERMIT APPLICANT: Sh MG •• PHONE:.. • . HEATING DEGREE DAYS (Table 2-1) ❑ 5000—6000 . Q 7000—9000 I. BUILDING DESCRIPTION (Pre-qualifying Conditions) If the building does not meet all of the following pre-qualifying conditions, Part S of the Energy Code may not be used. © Building is residential with•one or two dwelling units. • © Building is less than.5,000 gross square feet E Building is three stories or less in height Ratio of glaring area to gross wall area is equal to or less than 17%. • II. PROJECT TYPE - El New construction ❑ Substantial renovation of existing building ❑ Addition to existing building ❑ Exempt(7810.6c) fq E� •�•�• f. F' ?mo • V. HEATING SYSTEM TYPE r'�;���;�' .�— : �"w;-\`'� • $' x • _ t"• Gas-fired ❑ Oil-fired El Heat pump ❑Electric ,J l �.. OQ n`:C �C• 4 1 Y. 17v11-LJINU CN V CLOYt UA i A:7814.2 Envelope Component Minimum Provided Plan/Spec. Required Reference Exterior wall R= 18 R= 18.01 Roof/ceiling R= 24 ' R= 29_4 Floor R= 19 R= 50 .5 Foundation wall - R= 10 R= 13.57 _ _ Slab edge insulation.on. R= 10 R= N/A � - Glazing I R= 1.7 R= 3.3 Entrance door R= 2.5 R= 10 Insulated depth below grade D= 48" D= 48". 1 Skylight _ R= 1.7 i—R= 3.8 Skylight%of total roof area 1%Maximum • I %= < i`a ' Vapor Retarder: 7814.2(c) Location Location Type Plan/Spec. . I Required Provided Provided Reference ` Walls Yes Poly Ceiling Yes Poly Floor Yes 3/4" OSB .5 Perm _ • • • • I Other Infiltration Rate: 7814.2(h) Element I Maximum Rates I Rates Specified I Plan/Spec.Reference Windows 037 cfm/lin. ft. I .12 Doors 0.50 cfm/sq. ft. I Patio -:12 Swing _04 Vve•44yC111111�. _ I U 1.1.. i Ull) - Joint Location I Sealant Type Specified ' Plan/Spec. Reference Windows Polycell - V Doors frames weatherstripping Walls at roof/ceiling Pr1 yre11 Walls at floors/found. Polycell 1 Wall panels N/A Utility entrance Weatherstripping I Penetrations Polycell Other Other 'Air Infiltration Barrier: 7814.10(j) Location I Required? I Specified I Plan/Spec Reference . Walls yes/no I No-Cedar Siding 1 Other yes/no I I Fireplace: 7814.10(k), (m) Required • I Specified 1 Plan/Spec. Reference Outside combustion yes- air duct with damper Flue damper with max_20 cfm, or der < 20 c_f_m. damper and non-combustible doors . • Gas fireplace ignition No • VI. HVAC PERFORMANCE: 7814.11 (Table 5-3) Equipment I Minimum Performance 1 Specified Performance I Plan/Spec.Reference Furnace 70% AFTJE ( 90% Boiler . _ Heat pump Central air conditioner - - .•vim Temperature Control • Required Specified Plan/Spec.Reference Thermostat each Yes dwelling unit • Shut off at each • terminal unit Yes • • Thermostat Required I Specified Minimum range Yes f Plan/Spec.Reference 45T-85°F Deadband range 5° Yes Automatic • capability Yes VIII. DUCT SYSTEMS: 7814.13 Category I Required I Provided Plan/Spec.Reference Duct ? 1"thick N/A in conditioned space insulation R-33 in uncondtioned space • Transverse Sealed. joints Yes • • IX. VENTILATION SYSTEMS: 7814.14 System Type I Required � Specified Supply Damper at envelope Plan/Spec Reference Y es. I Exhaust. Damper at envelope Yes • Supply on/off switch Exhaust • on/off switch Yes • XX PIPING INSULATION: 7814.15 :Piping Type Insulation Provided Plan/Spec. Required Reference Heating distribution` I >_ 134" I N/A Service hot water*" > 3/4" N/A I ;Does not apply to runouts. E=Does not apply to piping with a diameter less than or equal to 34"inch. • XL SERVICE WA T ER HEATING: 7814.21 (Table 5-4) Performance Requirements - - _ Water Heaters Minimum Specified Plan/Spec. • Performance Performance Reference Storage > _93 —.00132V I >.93 Instantaneous N/A Pool I N/A I • I Controls • Category Required Control Control Provided Plan/Spec. Reference System I automatic control I Yes System temp.setting range 140 degrees max. Pool heater D ' N/A I Pool heater on/off switch N/A Electric water heater I separate switch I N/A - Gas/Oil water heater I separate valve I Yes • I XII. ELECTRICAL POWER: 7814.31 Category I Required I Specified I Plan/Spec. Reference I Electric meters Ea. dwelling unit I Yes • S. EASEHEHT/CELLAR WALLS: WORKSHEE7 @ stairwells R-Valve ' with « Ex.. 1 Construction 1 R-Value with Int. Insulation i Caaoonents Insulation • 0.17 ►•♦� j Ext. Air Film ( 0.17 �• •- ♦� None • ►�♦� �i • i Exterior Fir. sh •� _;♦4k • � ' • ►:♦�' $�� Poured s &.►dam • :::.• i 1.4.1: , 81 act (Concrete) . ...L.32.... ♦; . ♦, Care [nsrrlation ♦♦4 • • N. " • M- ��►vt• Insulations. • ' ��♦� . '.'� j��j (ext. or int. ic•U0 T -0•1' +1:�♦i . ......... . • • . Interior . I� ' - ��� ♦� e •• •• Finish — 1 I - • {Rz Air F:1 0.68 _ • " " •••--• R-Total �J?'. 7.. • • B . w R-Total u 1 Expastare Above Crade . 8 « Depth Below Grade 48 • BASEMENT/CELLAR WALLS: WORKSHEE7 R-Ys l ue 4 R-Ya 1 ee :• with Ext- Construction with Int. • Insulation Cowoonents Insulation ► �� 1-44-1 i Ext. Air Film •( 0.17. , . ...'�� iExterior Finish • ��� > � i • .� I 8,. Poured . . . • -, t••• ... [1. �� ; Bl oct (Concrete) i 1 72 _t ���: • Core Insul.stian i :�: . °. t N.it any) =11 •° �•.: �.���: Insulation �� --1�• • ` - Interior Finish .-• •••` 0'.." ant L;r•. F068 j- ♦♦:I' ci- • •t .• 13.57 R•Total 1 , • U • w R=Total . 1 U" 13.57 .074 • - Exposure Above Crade w 8 « Depth Below Grade 48 • '* . r - • • IORL OPACUE FRAMED *ALL: wORKSHEE7 R-Value . insulated . ! R-Value 1( Construction Framed Area Coeoonert 1 1� • Area I�� - .0.68 . Film n711/11i 11f ....... fat. Air 0.68 . . .:45 ... • 1!2. Stan Ed.• ' . ��itI ii/( Ui- traiiboard .45 �lirfl� ll�jlil!!111:1 . .19:00 •6•. nsulation . ---- J • I 1 .ii Studs //'� TITT7's 1 . tr-Imbillig. 1 1=- 11 . t.:65. . . .... 4c di nq - 65y f ) - i(14 �L�l 0.17 ()) Ezt . Ai Flee 1 0•Z7 .. 21.49 R•7otal I. 9.36 • • Insulated Fraction Frae: a Fraction* w R-Total InsuiateC R•Total Fraeea .15 21.49 ' • 9.36 _056 * fall Stud Spacing ' i Intuiated •Fraction + Framed Fraction • 12" 0. C, .83 - .17 t6" 0. C. .t:5 .15 24" O.C. .. .88 • • .12 OPAQUE FRAMED FL.COP: KORKS!?E_' .... _ ...--- 7-74_,.....-.7._--, \ . , . .., \ .., : : /I.( I( irr • e...f.;:::::_./..__/_.:.zL: R-Value R-Value ; I Insulated Construction ' - • a C Are fraoea _ j I craanents Area V ' I , • } 0.92* Ext. Air Film 0.92* • Insulation ---- --- 11 7/8" TJI's @ 24" o_ci. ▪ Joists I • la.8a. ' 3/4" wafe 1 _93 zwccd . . .. Sub-Floor .. 3 1 i i -n ?:... carpet/vinyl Fin. Floor . ne91.• 1 I 0.92 Int. Air Film 0.92. 21.02 R-Total• 16.86-• I U Insulated Fraction** Framed Fraction** o « R-Total Insulated R-Total Framed • Uo s .95 « .05 21.02 • 16.86 .048 • •_ ,* For vented crawl space, use R - 0.17 for ext. air film. ** Floor Joist Spacing I Insulated Fraction 11 Franca fraction 12" 0.C. .E7 I _13 16^ O.C. .90 - .10 2k" U.C. .93 .O7 ROOF/CEILING iVEHTED): 'ORK HEE7 • Y s a R-Value • • 1 i R- alu Insulated • Construction Framed Area 1 C - - Components :.rer • 0.77, ... Ext. Air Film 0.77 • • ' 30.00 i 9" Batt ---- 12.00 Overlap . insulation i 2x4 bottom chord ---- @ 24" oc 4.35 • .... Joists • '•• _45 1/2" Gypsum Bd. c5 . .... Wallboard • 0.61 • 0.61 Int. Air film 31.23 R-Total 17.58 Insulated Fraction* Framed Fraction* r • R-Total Ins ` ulated R-Total Framed U .93 .07 r 31.23 17.58 _034 • e Roof Joist Spacing insulated Fraction j .Framed Fraction 12" 0.C. .S7 • .13 16" O.C. .90 .10 2k" 0.C. .93 .07 • • ADIRONDRK FENCE TEL No .743-1167 May 17,99 14:36 P .01 9 --‘°). 2 J�1N ® 3199� RY -co,�`�or-c�v�ENc®�� BUILDING AN® �r_______._ & ____---) L� 6., ,,..._.--0' .-r--a\ \ 41'i , ___.. _ _ _________ _ -717,,,,,P..) "I have seen or observed, or believe I saw evidence of, all objects such as houses, wells,trees,fences, etc., • shown on this document. I also represent that I have personally measured t distances set forth on the diagraua." VI . /Jr,/. 4/eP SIGNATUR' DATE I ____)_,1' s„ ,,,,,,,,,_„ (..-f_Th) ,, ) ,,r.. ,-, y --_-i, : L .1 )9----_—_-, 1 : 1 2 ( • I, ti. 1 li i 4 ,-/71 , rig, Z „A /6/ • .i, r L ' \ . . ()9 ...10()_ Jl " � 1V 1, 9� ` ' RED.,E1V 1 \Xtr4)`)..)Cr -\°'-Ha - --- , 'FEB 2 1989 b„�,rrk�ti �� �Sdh/� 1 TOWN OF Q rgavz- f 1-- -) ► I �vi�r� e� sev v 1/..../.:::";.0,...,....:/Ymt/../ , I ODE .r.�.2/rda-�/ . / / !'tV//?•PHS//c/P y. / / / `7ndd 17.vdh'>/4Y i I. I II 1 - - - MV Zvi+. OZ D/'o/D-S` , M .O_f!_: /S e /O-S • , /z .......„----"---7.7 - .7 *.9 - ----,-N - • • .. ,.., .-V.5z , ' - f-747 , . - . 1 4 --7 .-.\1 . '. - - -T..--N r \ ':k\ NOP \' �/�C w'' I O o;_ - - yea A ,• ,/- \ � o —ter o �/ ..// =�s ) '' '• s 4 ,'•//i1 Q. - 7.----/- -- .1.... .•-\\ "2P.; IV.5-9/ .7 ..k 003 ,,,,,;-- .410,,,,.,/.4 ,: __„___ :. 5__7,2 • 4461 , .r!"\L (-7-1 D-„ A-. ? Ir�J ; / ' L T 1 it \ . -ma c I; - ; ‘ ) k \ v/' I + I . c i— - 7 , • -', ', . , ! ; k ,.., e, „. /(' -.,.. _,. -- .. , ... . . :.„, , • ..,) ) ...... , . . ,, ,.,,,,,, -;,_ .- /s,. , „,,, 4...--... ..,, ,• • y,..,,_ \\ \\, , ,• . ... \ \ .' //„I'i 6titl'•/ / ~' `o \ y M 7/, aU 0 ea se \ . �� / , ,;1,4 A �� /_ ' ,\V u,. ,,,cts Ora, ��_ ^�; / .,, O� �r3 / / vyy,� sup sery _ j . , ,/„ o h ed +� ,� �b In, pc,sona I teas �aoUses, in,eiley�/\ \,.fr,� , �\ ` r / • ,� sL ° et a/s�istaileriis ire ��s, fe��sidenc. .. / 0 1 en , et / S/GAI„ at /h — s r �1 Q / /).11 oF" L •� � •a P$ �� 6� - oar , to .s?'� OS'o� cZs�� ' „a„ lianIXa �� — MAP REFERENCE: MAP OF A PROPOSED SUBDIVISION OF LANDS OF ROY & JEANNE TONNESEN DATED NOVEMBER 26, 1989 LAST REVISED MAY 19, 1990 BY COULTER & McCORMACK LICENSED LAND SURVEYORS 3000 CINb ONIcni 18 A»(1USN33(10 :10 Id'MO 666L L 0 Nnr (33ne3038 t0 ..1 LOT 1 LANDS N/F ROY & JEAN TC IV F,D tto i� SUN 0 3 1999 -TOWN OF OUP p GQQ�Y .�� BUILGIN� A COQF` I'j P� )j ffW j,0 . IN C. ..q an Dus eh 8c Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 ,'518) 792-8474 New York Lie. No. 50135 LANDS OF WARREN COUNTY ��� ROAD - ' UNAUIHCISZED ALTERATION OR ADDITION TO A SURVEY MAP EEAHSNG A LICENSED LARD SURVEYORS SEAL IS A VIOLATION OF SECTION 77D0, S I! -DIVISION 2, OF THE NEW YORK STATE EDUCATION LAN.' 'ONLY COPE FROM TIE ONNAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAID SURVEYORS SEAL. SHALL K tIONBDEI I TO BE VALID TRIO COPIES.' 'CQTPICATIONS INDICATED HEREON SIGNIFY THAT TM SURVEY WAS PREPARED N ACCORDANCE WITH SHE ENSTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY TIE NEW YORK STATE ASSOCIATION CF PROFESSIONAL LAND SURVEYORS SAID CERTIFICATIONS SIALL RUN ONLY TO THE PERSON FOR WIIOM THE SURVEY IS PREPARED, AND ON IBS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LOOM NSTTSTION LISTED HEREON. AND TO THE ASSIdEES OF THE LENDING NS 77UTIOW Map of a Survey made for WILLIAM D. & WENDY POGONOWSKI Town of Queensbury, Warren County, New York *AG*q.` NO. I DATE 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: WIWAM D. do WENDY POGONOWSKI BANKNORTH MORTGAGE COMPANY INC., IT'S SUCCESSORS AND\OR ASSIGNS STEWART TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: MARCH 22, 1999 DESCRIPTION Scate 1'=50' S-1 SHMT 1 OF 1 POGONOWSKI DWG. NO. 99015 r—iA N 7 00 U) I I rn