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2000-390 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 7618256 CERTIFICATE OF OCCUPANCY Permit Number, 2000390 Date Issued: Tuesday,March 13,2007 This is to certify that work requested to be done as s hown by Permit Number 2000390 has been completed. Tax Map Number. 523400-302-017-0003-029-000-0000 Location: 55 HIDDEN HILLS Dr Owner DELORES LYNN LAM Applicant: GOHN,JEFFREY&JENNIFER This structure may be occupied as a: Wf4ffiewft 742 � ��jaC �� By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the )� pw t property owner of the responsibility for compliance with Site Plan, ' Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 1 1'AT u Building Permit No. Permission is hereby granted to Owner of property located at in the Town of Queensbury,to construct or place a onlieretofiledand at the above location in accordance to application togedier�vrfli_06t_p s approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Owner's Address: '-­EE1,.,SBURY 11Y 1-1804 Contractor or Builder's Name: CUVAL C0111STRUCTION Contractor or Builder's Address: D'1. WEBSTER AVET,111JE "S F AL ,'-'- , IaY Electrical Inspection Agency: CC1MM0 4'WEj',=H ELECTRICAL AGENC'17 21 Type of Construction: RESIDENTIAL Plans and Specifications: - S Q ''I RES I DEDiTIAL AOL)IT 1C:' A'-" 1-1 ER L11_;'!' IP EC 1_F I CAT I ONS Proposed Use: $ 56 PERMIT FEE PAID—THIS PERMIT EXPIRES (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 f Queen s 1 2 y of SIGNED the Town of Queensbury Enforce nt Officer Building Permit Application Town of Queensbul y - Dept. of Conunwiiiy Development, 742 Bay Road, Queensburv, NY 12804 1761-82.561 BUILDING & CODE ENFORCEMENT NOTICERequirements prior to issuance FApermit must be obtained beforeof this permit: PERMIT FILE NO.<„ Zning construction. No inspections Q jj�� ©OZortin Board ActionPERMIT FEE PAID$ �Jbe made until applicant has received 0 g a VALID BUILDINGS PERMIT. All Area /Use applicants* spaces on this application RECREA770N FEE PAID$ MUST be completed and the signature O Phvwing Board Action REVIEWED BY: v of the applicant must appear an the SPR / Subdivision /Other Building tncrrcrar leWlication form. 7h-k, Recreation Fee Payment Applicant: .Y.r�c -�ef�1 •��rvQ �rj{1 AJ Owner: ,v�e Address: '-" �, �Tr_rrtlVrr tS 1)(�� Addresses Phone # ( ) r�'3�Y - &q4_4 Phone # ( ) --.�.4.'Y2 Property Location: Subdivision Name: j� Tax Map Number,-- Subdivision / �f >r:��-•� Section Block lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ residence / commercial _ Addition to Building: residence / commercial OCCUPANCY INFORMATI ��� Alteration to Building: Primary Building residence / commercial ) Single Family Dw Residence / Commercial Two Family Dwell U�g�3 2000 no change to exterior size . Family Office Esl`li Cii ; I,a,� ,sat: Other Work (describe below) Mercantile - --.- Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: 1st Floor. . . sq. ft. If ADDITION, what will use of new addition be? 2 n d .F 1 oo r. . .��. . . 7- s q. f t. /Yres s ✓�®m�F" 1 Other Flouts. . • sq. f t. (not unfinished cellar or basement) ACCESS BUILDINGS: Detac Garage 1, 2 car TOTAL FLOOR AREA: I/2 SQ. FT. Attached age 1, 2 car Private_S t o r Ali "dam----_. SIZE OF NEW STRUCTURE: Comm,.,mrYi4[T Storagedfng Other �^ FEET X s�/ FEET Foundation Type: Will any second-hand or ungraded Number of Stories: ! lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : ,t%,OL-d feet TYPE OF HEATING SYSTEM: Number of fireplaCet and/or woo stove (circle all which applies) to be installed daA.4E:_' Electric / Oil / Gas / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building codes is : Name] Addresssr P one Builder: t ,/At ['v..�15-!~y—� Plumber: __Do-JAt. f'r� Mason: Electrician: -J-I�Ui1AdL- DECLARATION. Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further t is understood that I/we shall submit prior to a Certificate of Occupancy-'or Certificate of Complia ce eing issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scaleel ,�owilQ actual 1 ation of project on premises. Signature: (owner, owner's agent, architect, co tractor) !-I Ca rn UI oil, w N N n 10 (n I(J = Id Id 1-1 t-I 111 n n to I',•;-r I I,@ n,(T �I'(it U);v ill 1-1 11 fl i-i N � (1 i hi 0 ID , . . . ;I; I III UI ly Ii n N` 1i P1 ; Ij II 0 ti Ii I 0 0 :1 Id III ti �1 y, o t11 0 I ;i,w III t11 =I Ul t;n M�j'� (D G 0 I I t7 (D p1 {u n.I-'x 1--'X 0 C; 1 j 1'. 0 � (D (n (n j (D N (n U)to 0 (t Ill rh 0 0 1:11 rt 1- 1 h M t (n y (n ch (D (D (D 0 to N (D 1-11 z (n Its 0- I Id ` [ N 1 ti 11 (D 11 to P. M 0 z N t11 i ?d rt n. (S (D (D 0 (n I-'•n.h•• rd h1 (D 0 (D 0 tt a t M 0 0 to tp p th 0 0 0 to III ti H �n p' rt a0 ti a �n � 0 rt j 0 N 0 �,l@ 0 (n ry to Dy to t A ?, O 1...(n 0 0 0 I-@ p.@ E (n t-1 @ 1 1I rn u1 r, z 1 (1 0 (D (D � I101110) 12. 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Main Office 176 Doe Run Road-Manheim,PA 17545 Permit No. MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL cei-, NO 905 5 8 Cut-in Card No..................................... Owner Location....,451:5- -4 .........................5.................... ................. .............. Installation Consisting of... .... ... ................ ................... .........*....... ................................................................................ ............................................................................................................... y............................ lAstalled B ......... ....... The conditions following governed the issuanc Lic.No................................................... cancelled: e of certificate,and any certificate previously issued is introdTucis certificate only covrs the electrical equipment and installation conditions as of date. Upon introduction of additional equipment or alterations,application shall be promptly made for inspection.the Inspectors of this Company shall have the privilege rules are violated, k- g inspections at any time, and if its 0�Ial.,,n,is ce the Company shall have the rightto of certificate. Date.... .............. INSPECTOR,n .................e ........................... Member N.F.P.A.,I.A.E.I.• ...... Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: e epart, - am/pm Date Inspection request received: �✓ 0 - y►.,r. Inspector's Initials: _ r NAME: (' '` . .. PERMIT#: LOCATION: _f5 DATE: TYPE OF STRUCTURE: Comments Buildin Number/Address visible from road Ye No N/A Chimne Hei t/"B"Ven' Direct Vent Location f / Fresh Air Intake 3 inch Plumbin Vent throw h roof minimum 6 inches G_ Roof Complete/Extegdoors ish Com fete Platform at all exterioGuards at stairs,deck more than 30 inches above adeGuard at stairwell at s or more Guard at deck, Handrail Termination at Newell Post or Wall orches 36 inches or more Interior/Exterior Railings 34 inches to 38 inches Interior Handrails stairs 2 or more risers Grade awa 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 waterti ht Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft,150 s .ft.vents Bathroom Fans if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum''V2-Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure I Final Electrical - Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/Cl Temporary/Permanent L:\Building&Codes Forms\Building&CodesUnspection Forms\R.esidential Final Inspection Form_revised_I00405.doc Queensbu ryBuildi�g & Code Enforcement Final Inspection 4. Of ice No.(518)761-8256 Arrive: eb am/pm Dep am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: ` Comments Yes No N/A Building Number/Address visible from road Chirtmey 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 c SG Guard at stairwell at 34 inches or more / / •� Guard at deck,porches 36 inches or more T Handrail Termination at Newell Post or Wall C �d S5,L-.� Interior/Exterior Railings 34 inches to 38 inches Interior Handrails stairs 2 or more risers ■��,___� Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, I s .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Vr d U Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade �Q Gas Furnace shut-off within 30 feet or within line of site / — Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp, 110 Enclosed Stairs Sheetrock Underside minimum'/s"Gypsum 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 Tiass jgclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/Q Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_I00405.doc GENERAL INSPECTION REPORT 51 761—of Town of Queensburybury 1 Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arriva6� d In epart - pm spector's Initials NAME: PERMIT LOCATION: DATE : TYPE OF STRUC RECHECK N/A YES NO COMMENTS Footings/Piers I j Monolithic Pour Form Reinforcement in Pla The contractor is r7spo 'lle for providing protecti n freezing for 48 hours folio 'ng a placement of the concrete. Materials for this on site Foundatio Reinforcement in Place Foundation/Dampproofi Backfill Approval _ Plumbing Under Slab Plumbing Vent/Vents in PI 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/Bndgin Joi Bangers Posts/Main Beam r Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wail 2,3,4 hour Firestoppin GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement �\ 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart �^ Inspector's Initials NAME: C G7G3/z'�"Lr� PERMIT# LOCATION: DATE : P TYPE OF STRUCTURE: RECHECK N/A YES NO C NTS FootingslPiers I 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/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 - Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging JoisvFlangers ck Posts/Main Beam Air Infiltration Barrier Aft- Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestoppin GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date`inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive_ am/pm Depart am/prn Inspector's Initials S NAME: PERMIT# LOCATION: ✓)f - DATE : TYPE OF STRUCTURE: _ r RECHECK i N/A 4ES 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/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/Readers k Bracing/Brid i • Joist Hangers °, Jack Posts/Main Beam 4 n Air Infiltration Barrier tku I t, ^Vr .� Fire Separation 1,2, 3,hour 111JJJ"`"' Penetration Sealed Fire Wall 2, 3,4 hour Firestopping GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury ��. --- Dept.of Community Deveio)P_T&t Date in ection request received: I/ 3 c2CJZT73 Building&Code Enforcement '742 Bay Road 4', ., Queensbury,NY 7 A04 Arrive am/pm Depard i Inspector's Initials NAME: PERMIT#C>2� 3 9d LOCATION: DATE : TYPE OF STPVCTURE: ` RECHECK NIAt YES NO COMMENTS Footings/Piers� Monolithic Pour Ford Reinforcement in Place",,.,, The contractor is respotxpible for providing protection frontfreezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place . Foundati on/Ua mppro ofi ng Backfill Approval `.. Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interio R- %SIN Foundation Walls Exte r R- M Floors Walls R- Ceiling R- Duct work or piping i# unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridgin Joist Hangers r Infilration B �:0 1 1 1 ire Separation 1,2, 3,hour Penetration Sealed h Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensberry Dept.of Community Development Date inspection request r'bceived: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 4�� Depa � Inspector's.it is NAME: PERMIT# LOCATIORrTiRUi DATE : Cj G TYPE OF t� RECHECK ti N/A YES NO C NTS 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/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough,Plumbing H g Rough-In ulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors Caf t R- Walls �� R Ceiling - Duct work or piping i unheated spaces R- Proper Vent,Attic VeA Framing Jack Stu�riing rs BracingJoist Ha Jack Posts/Ma. Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping M(0 A GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart Inspector's Initials --s� NAME: ✓� PERMIT# vim✓L'� - 396 LOCATION: 1--- TYPE OF STRUCTURE: RECHECK N/A YES NO CO.MME*S 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. r» Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab 711 Plumbing Vent/Vents in Place Rough Plumbin Heating Rou n '—I*Sulation R. / Foundation Walls Interior R- ,, Foundation Walls Exterior yll- _ _.. Floors 441 _ Walls ,K- � Ceiling '� R- Duct work or pi g in unheated R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridgin Joist Bangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping �5, - - GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept,of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depar � r Inspector's Initials NAME: R PERMIT# LOCATIO DATE: --� Z � 7 TXP E OF STRUC RECHECK N/A YES NO COMMENTS Footings/Piers �r j Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing __i- for 48 hours following the placement t � �� U of the concrete- Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo g Backfill Approval PP Under Slab -Plumbing_ P! Vent/Vents in Place tmg Rou -In elation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spacesPro9 R- ru .c�tint, Attic Vent n Jack Studs/Headers Bracing/Bridging Joist Hangers _ // Jack PostsPsis/Main Beam -/-r n �� i/Air infiltration Barrier !"�O Fire Separation 1,2, 3,hour II)enctration Sealed Aire Wall 2,3,m Firestopping (J (518) 761-8256 OGENERAL INSPECTI N REPORT Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive �a�--Depart - rn In P spector's Initial ' NAME: T# LOCATION: ` DA - 0 CD TYPE OF STRUCTURE: , RECHECK N/A YES NO C NTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing pratection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpom Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In 'aN; Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in ted spaces R- Prope ent, Attic Vent F Jack Studs/Headers BracingBridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping MAP REFERENCE: HIDDEN HILLS SUBDIVISION 4"D I HEREBY CERTIFY TO ,5 MADE FOR RALPH & MICHAEL WOODBURY JEFFREYS. & JENNIFER R. COHN FIRST NATIONAL BANK OF GLENS FALLS IT'S SUCCESSORS AND ASSIGNS BY VanDusen & Steves DATED MARCH 26, 1986 LAWYEWF6J.TLE-W URANCE CORPORATION r FILED SEPTEMBER 22, 1986 THAT -VADE FROM AN ACTUAL SURVEY ON THE, TO RECORD DESCRIPTIONS AND IN MAP CABINET A SLIDE 44 %JNDRIES AND IMPRO\rLMENTS ? I� p Z - 07 RE ARE NO ENCROACHMENTS V) v 1� 4 4- U L CO-HE EONS CS t DATE7*&t u LOT 85 Q� _C.c2 a's W4 0 '9 10 E f2o.01 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP NEARING A LICENSED LAND SURVEYORS SEAL IS A Go VIOLATION OF SECTION 7209,SUB-DMSION 2,OF ME NEW YORK STATE EDUCATION LAW.- *ONLY M COPIES FROM THE ORIGINAL OR GINAL OF THIS SURVEY 33.63' MARKED WITH AN OF'THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.- 0) Q> GRAVEL CERTIFICATIONS INDICATED HEREON SIGNIFY THAT DRIVE CO to IS SURVEY WAS PREPARED IN ACCORDANCE WITH THE F T"C RIVE EKIS PRACTICE FOR LAND SURVEYORS ADOPTED Q'yQ!I TING CODE OF Lo Lo By CO THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL Q) LAN S D SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY ko u LOT 84 Lo TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND O 13,248 sq. ft. ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INITTUMON LISTED HEREON. AID 0.30 acres TO THE ASSIGNEES OF THE!ENDING INSTITUTION.' MAP OF A SURVEY MADE FOR JEFFRE IN Cl) Y S. JENNIFER R. COHN I23. 4' Z" TOWN OF OUEENSBURY COUNTY OF WARREN N.Y. JV.84 08;10 TEL r SCALE, 1-=30' DATE- SEPTEMBER 28. 1989 ............... VanDusen & steves LOT 65 LAND SURVEYORS,GLENS FALLS,NEW YORK N.Y. STATE LIC !)___ 9,,_5-84 85-458 DISK-27 LKELLY CONST.