1999-441 BUILDING PERMIT
VALUE $ 75000 TOWN OF QUEENSBURY No 99441
TAX MAP NO. 22 . -2-5 WARREN COUNTY, NEW YORK
I asPERM? ir)1(32I hereby granted to MC LAUGH
OWNER of property located at RIDGE RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMTI.y nWELLING
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. OWNER'S Address is
• BRIGID 1966 RIDGE RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
MC LAUGHLIN, D. SCOTT
3. CONTRACTOR or BUILDERS Address •
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X)
SINGLE. FAMILY DWELLING.
( )Wood Frame ( I Masonry ( I Steel ( 1
7. PLANS and Specifications
2016 S. FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS.
8. Proposed Use
SINGLE FAMILY DWELLING
224. July 20 192001
$ PERMIT FEE PAID—THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
Dated at the Town of Queensbury this 20 Day of July 19 1999
SIGNED BY
6fr--- for the Town of Queensbury
Building and Zoning Inspector
:.__.4: = . utlaing Fermat Application
Town of Queensbut y - Dept. !f Community Development, 742 Bay Road, Queei rbiny, NY 12804 /7OI-8256/
fNOTICEJ
BUILDING & . CODE E ENFORCEMENT'
�__ Requirements prior to issuance r
A permit must bo obtained before
, of this permit: PERMIT FILE NO.
beginning construction. No inspections
will bo cnaclo until applicant has received n Zoning Board Action 1)EliN tr4P'?P 1'R1 v' .
a VALID BUILDING PERMIT. All Area /Use '
applicants' spaces on this application
RECREATION FEE AID$
MUST bo completed and.tho signature n Planning Board Action i
of the applicant must appear an the lt1sVlGtt%(/ !B1
SPR / Subdivision /Other Building hupccror
*jplication form. rn..a.).,. J Recreation Fee Payment L' J
APplicantG. `P.R�{ I 1- It�D� i,t Owner: S -�•`a
_ •1''1 Address: 1 q 12 I1 0� IT , ( l�t°� Address: �'
1
Phone # '
� )&�i - .' Phone # ( ) a_
. ' Property Location: eat- g 1as -
Subdivision Name "� •
Tax Map Number '�_/
Section Mock I cat
NAI,aEOF PROPOSED WORK: ESTIMATED MARKET VALUE OF T11E
New Building: CONSTRUCTION:
WO
residence / commercial $ �1
Addition to Building: •
residence / commercial OCCUP NCY INFORMATION:
Alteration to Building: Pr ary Building -
residence / commercial Single Family
Residence / Commercial Two Family DwelV,' ID
no change to exterior size Family Dwelling
Office JUL 1 6.1999.
Other Work (describe below) Mercantile
Manufacturinc-OWN OFQUEENSBURY
Other SlJlt®I1V0,q��p CODS
GROSS' AREA OF PROPOSED STRUCTURE: 'G`9
•
1st Floor 663 If ADDITION, what will use
-- - sq. 13,77--__ of new addition be? :
2nd .door Cf
Other Floors - sq ,ZS
(not unfinished cellar or bas Went)
LP9 ACCESSORY BUILDINGS:
7" Detached Garage 1, 2 car
TOTAL FLOOR AREA: Q o(6 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
� Other
SO FEET X 3.' FEET
Foundation Type:
1 '�t�Q ��1. � Will any second-hand or ungraded
Number of Stories : 1/2 lumbbe,c_be used? If so, for what?
(habitable space only) tw ffe��
Height (grade to ridge) : 2,5feet TYPE OF BEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to, be installed: 1 Electric / Gas / Wood
,Forced Hot Air / Baseboard / Other
•
Person responsible for supervision of work as regards to buildin
g.
codes is : S -°T :- lC lD 9= _147('C tl r699.0? -1
Nalne Address° Phone
Builder: .Zr T1 tl 0 1-1L,t •
Plumber: vQ •
Mason: vi
Electrician: It •
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, arc a true and complete statement of all proposed work to be done on
the described premises and that all provisions or the Building Code, Ilse Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occup;uicy'or Ccrtilicate of Compliance being issued, an AS BUILT 1'LO'1' PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
r 4C„
IN Signature: j �R ,;
•
•
(o ter, owner's agent,c,rchitect, contractor)
• .
a
TOWN OF QUEENS:I URY
742 Bay Rd., Queensbury, NY 12804
, APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date ,19 �� Permit No. ?T.
01
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 .w_3,c; : i /V;j 6,i f`ll/ t/ftAPPUANCE (check appropriate boxes)
Address /1 k f(t e E PCO 0 STOVE: ❑Wood o Coal o Pellet ❑ Gas
i 0 FIREPLACE INSERT
} \a�/ `Jr Zip / t' "/ 0 FIREPLACE, FACTORY-BUILT:
❑ Wood ❑ Gas
r KAFIREPLACE, MASONRY:
Phone 7,: t — 11/Wood ❑ Gas
Owner if c Pi-, f , / 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
j ,
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT -.DDRESS of proposed construction
•- y p • ..D MASONRY: �17;'Block 0 Brick 0 Stone
IIr of i�fq Oil t( r)6t-�: Pr), upl-}lr . ; FLUE: , Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST ❑ FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS 0 Double Wall 0 Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title fit;`+,
A 173 3389 (190) Public Safety r -
A 233 2655. (230) Minor Sales
Cam.• �' a ± !
Fee Collected From-or Refunded to: .�.. _ °t_°, "I" g'"`�''Y �r'f° t .,-A„,,
Address:-.�...-.
. . . /cam . ; r ,,.I I r,' •`0 7) A
Dated:'" - I e. t Ci Town Clerk or Deptfty: \ )1 A I-34y 1
White: Applicant Green: Fire Marshal Yellow: Bldg:---Dept:-' Pink & Goldenrod: Cashier's Dept.
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury
�
Dept. of Community Development Permit No. —
Building &Codes Office
742 Bay Road Fee Paid S
Queensbury, NY 12804
J
Location of property for installation: l?lS GCL— f2--LCcj ( C
• Property Owner's Name:��f.�1 .faiR1 tL) I-e�,�,L.46t(i&i 44.4 j
lt- Property Owner's Mailing Address: i C ai 2,0 r• rzgo
Installer's Name: � ,�-�-� } C�-. C� 1•).1 Phone # $ (3ejc7
. Number of bedrooms (if residential): Q_ Total daily flow: '/2A i@)
(residential -compute @ 150 gal./bdrm.)
Topography: flat, rolling, steep slope 4(5 % of slope
ft
• Soil Nature:sand, loam, clay, other /depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth?(IV feet
Percolation test: not required, k required [rate 4 . min. per inch]
Domestic water supply: municipal, V well, other
If domestic water supply is a WELL, water supply from any septic absorption is JO®fi feet. _
PROPOSED SYSTEM
Septic tank loco gallon (minimum size: 1,000 g-al.)
Tile field: each trench SS feet / Total system length: i C 8 feet
Seepage pit(s): number of .L / size each: . ft.by ft.
Size of stone to be used: #3/4-i'lb / depth or thickness 1 —(Q feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: • - Size of each: gallons
CAlarm system and associated electrical work to be inspected by a certified ag y.
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 malarial misrepresentation or failure to make a
material fact or circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of
Queensbury Sanitary Sewage Disposal Ordinance.
•
Signature of responsible person: - Date: 7m4-
El PrJ c_PLPLEPLLPrJ�rJ [TOPED L M r_PcPr.PcPr�r LPrM�r-ccar
5 5
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY S
40 FULTON STREET — NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
5 C5
SWM.&MELISSA STARK WM. & MELISSA STARK S
104 SHOP ROAD 104 STOP ROAD S
QUEENSBURY, NY 12804 QUEENSBURY, NY 12804 SC
Located at 104 STOP ROAD QUEENSBURY, NY 12804 S
Application Number: 1006434 Certificate Number: 1006434 S
5
Section: Block: Lot: Building Permit:qQ-4)1 I BDC: A239 S
I 1 j 5
Described as a Residential occupancy,wherein the premises electrical system consisting of
5electrical
devices and wiring, described below, located in/on the premises at:
5
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5
found to be in compliance therewith on the 24th Day of November 1999
Name QTY Rate Rating Circuit Type 5
Alarm and Emergency Equipment C5
E Signaling Device 6 0 Smoke c�
Appliances and Accessories EU
Future Appliance Feeder 7 0 fr H.P. 5
Wiring and Devices
Fixture 19 0 Incandescent 5
Fixture —_ -..,—— -: 6 `0-_ -- Fruore§cent
Receptacle 37 0 General Purpose S
Receptacle 1 0 Range 5
Receptacle 1 0 Dryer
Lighting track 0 0 GFCI 5
Lighting track 8 0 5
5 Receptacle 8 0 GFCI U
5 Service Lj
Service Disconnect: 1 cb 200
5 seal CJ
5 5
5 1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 5
El PraPr IPPL OPLIEPr_Pc_ JPrJ �r�rJ�rJ�rJ PLPLPErJPrJ r_Prr_PLPrJ am
TOWN OF QUEENSBURY
� l �I1 BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: `�►J
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME
LOCATION I CD Li - l PP �J[/
DATE � - -QQ ( PERMIT # V) ` l
TYPE OF STRUCTURE ( JY f
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/RAILI GS
RELIEF VALVES
FURNACE/HOT WATER OP:RATING
INTERIOR TRIM/PRIVAC- DOORS
FINISH FLOORS:
BATH/KITCHEN WATE'S IGHI
OTHER FLOORS SWEE• :LE
OTHER FLOORS-CARP DTED
STAIR CLEARANCE/RAIL, NGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION'', •
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ AL SURVEY PLOT PLAN p��j
OK TO ISSUE C/O OR C/•
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive 1 Q am/pm Depart n/pm
Town of Queensbury Inspector's Initialq
742 Bay Road
Queensbury,New York 12804
NAME�Cs " \IN PERMIT# I
LOCATION'1 D . 10 • , DATE OD
TYPE OF STRUCTURE •
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location . ✓ '
Fresh Air Intake V /
Plumb Vent through roof 1//
Roof Complete i//
Exterior Finish CompleteVZ
Interior/Exterior Railings 30"to 36'
Exterior Handrails,balconies,Ian el+g 8 in.or more y �f
Interior Handrails stairs both side. 3 or + ore risers +� / /a» /� e' "`4+�� °t SO ,"'.
Grade 2%away from foundation ✓j
8"clearance to sill plate �/
Gas Valve shut-off exposed/ret ator above grade
Gas Furnace shut-off within 31 feet or 'thin line of site
Oil Furnace shut-off at entrant e to ce area
Furnace/Hot Water Heater op ratin• ✓/
Relief Valve(s)installed tJ
Headroom,6 ft.6 in.on stair. /
Basement stairs,6 ft.4 in. / ✓
----handrail exterior tni..beth sides more than 3 risers +� % � � �,�+rr /a I �(�'�`��
Interior privacy/trim/doors/ ain entrance 36" /'i��-v �/ s
Floor Finish ✓ ...... r :tl/ /� t�;,. 'FlQl
Bathroom/Kitchen watertigh' / fin., /�
Interior Handrails Balconies 1 .*cling 18 in.or more
Railing across window in s A ells
Smoke Detectors: ✓4.."
every level
V
every bedroom
outside every bedroom
inter connected
Bathroom fans f / /— C ._-PFj,. ,/3i,{t��irre.:-
Plumbing fixtures y' /—/a,d
Foundation insulation (i
3/a hour fire door/door clog / /7 /,S/ J/ea tv6£ 2.�
Garage fireproofing ✓
Garage penetrations seal••'
Furnace in separate room,,'.rotected(in garage) x`'
Light ventilation per roo+ / / j�j �`�J;, �Ztv
Safety glazing 18"or less from floor / . /L , -
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan /"
As Built Septic System layout required V
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Cerlif.of Occupancy) u +j
Okay to issue permanent C/O(Certif.of Occupancy) 1 ^ Fkor 0,� ,z. ` �dtilt�
OiLy‘4NW —CL,
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive 2�91--am/pm Depart am/pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 L,�
NAME mil( PERMIT# t `
f.1
LOCATION IJItE��� DATE 00
TYPE OF STRUC
N/A YES NO COMMENTS
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,balconies,Ianding 18' o i ore 0��,�// / ' /) 4 �/
Interior Handrails stairs both sides 3 or mire rise y / i"/ � Tom^ i ra 4 c
Grade 2%away from foundation r /
8"clearance to sill plate — �re � c '�//✓ 6e.4,
Gas Valve shut-off expos regulator 18"above gr.s e
Gas Furnace shut-off within eet or wi in line o?site syok,L
Oil Furnace shut-off at entrance to =area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more I an 3 risers
Interior privacy/trim/doors/main entranc• 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 1: in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation 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
Site Plan/Variance 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)
1
FIRE MARSHAL
„� ► TOWN OF QUEENSBURY
yr-
j QUEENSBURY, NY 12804
(518) 761-8205
-brb. FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED -"-"`---I0 Z0/00
NAME i� 'I -0,��►1I I, �.
rr�� ti,
LOCATION KO (1crJ PERMIT# qqw 4 '-1-I
SCHEDULE INSPECTION ON Icy I
1
5( t Ma.
,.
co ,,
f'APPROVED
N/A YES NO P
EXITS ,1i.
i AISLE WIDTHS ..
c EXIT SIGNS /
EMERGENCY LIGHTING 1
CA
1 / ,- D
FIRE EXTINGUISHERS f 7c
FIRE ALARM SYSTEM '. SF
2,FIRE SPRINKLER SYSTEM 1 3
FIRE SUPPRESSION SYSTEM i a
L'HOOD INSTALLATION 1 '•
}
I INTERIOR FINISHES f/ 1.
>>> STORAGE: I \ k�
CLEARANCE TO SPRINKLERS 1i
CLEARANCE TO I4EATING UNITS
REQUIRED SIGNAGE
% 'i a._CHIMNEY / +..
WOOD STOVE i '.1 ,,,
FIREPLACE ❑MASON�RYY"❑FACTORY BLT.\
/
ROUGH-IN (I11119t? OK' \ i /
ig FINAL -`�, J
REMARKS: CI OK TkO THIS DATE
I) 131't ct Velic;eir IcKfA Q OA, I 0 E
3 1—Fwvm0-Fij r tit- ftrsF Raw& ,L 1
5)-1F Own, Alr in-1-0 Al ¢ -fa
r
INSPSLIP.PUB (� I SP
0
6) CIre,5+o ppal- at tftS4 TIDOR. ('1(I1
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: •
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart
Town of Queensbury Inspector's Initia s l V
742 Bay Road
Queensbury,New York 12804
NAME \ k(L A-06*t.,L-1 A) PERMIT# tCif q )
LOCATION DATE 11 I GCIO
TYPE OF STRUCTURE •
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location l:Y
Fresh Air Intake t K -
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/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
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
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/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more •
Railing across window in stairwells
Smoke Detectors: 0
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures .
Foundation 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
Site Plan/Variance 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)
i 60
RESIDENTIAL FINAL INSPECTION REPORT -7 ?V ` / a I
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depatn�p;r�
Town of Queensbury Inspector's Initials -�UL(�
742 Bay Road
Queensbury,New York 12804
NAME � 1- �L.� ►-l.l,��
C PERMIT 14 I /r t
LOCATION DATE_pr5 fq,1 l.0'Z7
TYPE OF STRUCTURE
N/A YES/ NO COMMENTS•
Chimney Height/1"Vent/Direct Vent Location ✓ E Reek - ��.tJ,Q-t nec
Fresh Air Intake ✓! /vl 54
Plumb Vent through roof V
Roof Complete v/
Exterior Finish Complete t/
N Interior/Exterior Railings 30"to 36" \ 9 , 5
' p Exterior Handrails,balconies,Ianding 18 in.or ore \ 7
6-
Interior Handrails stairs both sides 3 or more ris rs ,
Grade 2%away from foundation \ / _T
8"clearance to sill plate I / .trf Co e I& 6,92_ ('C,/...)
Gas Valve shut-off exposed/regulator 18"abo e grade i
Gas Furnace shut-off within 30 feet or within le of site /
Oil Furnace shut-off at entrance to furnace are1 �/ `
Furnace/Hot Water Heatesp ating �f�
Relief Valve(s)installed ' 7b;a.►,J*Fta /
Headroom,6 ft.6 in.on s s „//
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 .sers
Interior privacy/trim/doors/main entrance 36" / j
Floor Finish
'W;
'Bathroom/Kitchen watertight ,/
Interior Handrails Balconies/Landing 18 in.or more / V I(- ,\` 1+,, '�ksli
Railing across window in stairwells /�
Smoke Detectors: �/
every level
every bedroom
outside every bedroom
inter connectesi I J
Bathroo i l(
bung fixtures i-
Foundation insulation /
3/4 hour fire door/door closer �/f
Garage ureproafmg
Garage penetrations sealed J
Furnace in separate room protected(in garage) / /
Light ventilation per room �/
Safety glazing 18"or less from floor „//
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan l
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)
V LI
TOWN-OF ENSBURY Min 1 I 2
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name m c L .,j,. )i
Location lo, (e (0 KArn, KT
Date ''7 � CG1� I Permit # - 7/ t
9
SOIL TYPE: Sand oam-C1 ay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: I
ABSORPTION FIEL : Tot 1 Length 1
Length of each rench 1 2
Depth of trench s -
Size of stone • 2 I
SEEPAGE PITS: mber-
Size - f . x M ft.
Stone size
PIPING: \Siz Type
Bldg. to Tank IA-k rL
Tank to Dist. Box " -564 . 5--"-
Dist. Box to Field/P v\ 5c� �-C)
Openings Sealed? No Partial
LOCATIOi/SEPARATIONS.
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits / feet
Conforms as per Plot Plan tab No
(..r
LOCATION OF SYSTEM ON PROP 'T .
(circle
Front - Left Side - Riaht Side
Middle hr•nt - Middle Rear
COMMENTS: C� s,,,kars, ��l I ,
C e Is='w S4- •K
C---6 - 66i L ci g 0�
/4) -iii-e--6- 64.)J C4 fi,.3 oo f c4- / r t4C
oK b <'"macs& Ate_ - C JOS
CA-cc_ ,ag ALc6 cK
SYSTEM USE APPROVED: YES NO
Arrived:
Departed:
\)PC.___--
Building Inspector
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road
Queensbury,NY 12804 Arrive am/pm Depart ' am/ m/_
Inspector's Init als �'L/
NAME: 1\ L-.4-0(9 AL (A) PERMIT#
LOCATION: /toe,G &'+o . DATE : ill
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 faing
for 48 hours following the placement
of the concrete.
Materials for this purpose on s tite 14
Foundation/Wallpour E
Reinforcement in Place `t i
Foundation/Dampproofing i I
Backfill Approval
Plumbing Under Slab - - i
•
P g II •ingf ent/Vents in Place
°'o ghPl nbing
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-
r Vent,Attic Vent r
%
Jack Studs/Headers
Bracing,/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fir all 2, 3, 4 hour
= rtsto ptng 0-11 =-
GENERAL INSPECTION REPORT
.
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road /
Queensbury,NY 12804 Arrive am/pm Depart I .1 ti am/pmy
Inspector's Initials
NAME: v'‘k L ku -11.14 PERMIT# — 1
LOCATION: DATE : 3 /ce i/b
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 placeme•'
of the concrete.
Materials for this purpose on site
Foundation/Wallpaur
Reinforcement in Place
Foundation/Dampproofing
B kfill Approval
umbing Under Slab _ u VG
umbing Vent/Vents in Place / // r G Ctik- f' 5
ough Plumbing C � � Ze.;i1c--GK._
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 y.
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road tt
Queensbury,NY 12804 Arrive am/pm Depart`l • am/pm
Inspector's Initials
NAME: i / LL v Gel-&tJ PERMIT#
LOCATION: I.oC,C DATE : ?i
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers •
d � /�
Monolithic Pour FormC%< -
Reinforcement in Place (^
The contractor is responsible for0) U-G-A)
providing protection from freez g
for 48 hours following the pla ment
of the concrete.
Materials for this purpose on si_,
Foundation/Wallpour
_ Reinforcement in Place
Foundation/Dampproofing
Back ill Approval
Plumbing Under Slab
Bing Vent/Vents in Place
Tiff Pluanbi g //4157:4-44_._ //1.41-1
Heating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior -
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces26e R-
r Vent, A ie- nt
ac Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
vEr/ie Wall 2, 3, 4 hour
;��stopp g
iP x>c�W11-iiajs
U
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 : ay Road //
' d
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initials NAME: V&C L•-+t%G 6-WA) PERMIT# 79-7f!
9I
f1 LOCATION: Cn DATE : /2 /4
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 p on site
Foundation/Wallpour
Reinforcement in Place _
Foundation/Dampproofing
Back ill Approval
Plumbing Under Slab
P} mbin Vent/FVets in Pl.,-
��Rough Flztmbi /14-f'
&-AeoCii
Heating Rough-In
Insulation
Foundation Walls tenor R-
Foundation Wall xterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
oper Vent, Attic Vent
Jack s� 36,444.\,5
Bracing/Bridging V /rROV/OC-- u ppd✓ •T l
Joist Hangers (9)ELF_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
tre Wall 2, 3, 4 hour ��� P6-4P
1
_.e_,4,_Q
__L_.) ,.\\--\,r ,k
i3c4:0)
`�%\\ ,CL v��r )RsX
-- . /
C SS'� C0. '�'�'`
•,.
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road r_) .
Queensbury,NY 12804 Arri. pm Depart am/pm
" spector's Initials „) Q —
NAME:
N PE #W. LIU
LOCATION: \ DATE
TYPE OF STRUCTURE: f
RECHECK �d
' N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for ,.
.
providing protection from freezing ''F
for 48 hours following the placement \
of the concrete. w
Materials for this purpose on site a.
Foundation/Wallpour `°
Reinforcement in Place ``,
Foundation/Dampproofing
Backfill Approval t, `.
ns
Plumbing Under Slab ,.
Plumbing Vent/Vents in Place
Rough Plumbing N.
Heating Rough-In /
Insulation / ;*w
Foundation Walls Interior R- E° ,fq
Foundation Walls Exterior R-
Floors R- /
Walls R-
Ceiling R- / „
Duct work or piping in `,
unheated spaces R-
Pro ent, Attic Vent C / `��
ng E` �' �rU1�G�- ,p �, 4i�,�J UN'tc�R ,�c-
� Jack Studs/Headers�'�'"FIR, �'i�. � � � � _ �.
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
( 518 ) 761-8256
Town of Queensbury ,
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
1 /6'-
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart An/Ln
Inspector's Initials
NAME: Wk..c L (jFtt-((L) PERMIT# I
LOCATION: (it— DATE : it
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
• Reinforcement in Place / I�r
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/Dampproofiing /�
Backlit] 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- l /1
�ro r Vent, Atticp Vent // ToO5
� '. /- kO5 t'hin lz - to ' O O l� � ,q � r��J �
Jack Studs/Headers
Bracing/Bridging b A) °Z!� FL2 .
Joist Hangers_ .
Jack Posts/Main Beam o �/ifb� �� b
Air Infiltration Barrier �' 7� K�
' - 5 ON
Penetration Sealed q� t�f�;N(�Yi5 � c �
Fire Separation 1,2, 3.hour
L,446g-R
Fire Wall 2, 3,4 hour
Firestopping
l
: -Z (-4J5P.
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quccnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Quccnsbury, NY 12804 Arrive am/pm Depart C • rpm
Inspector's Initials
NAME: A.4-AU J L(.n) PERMIT# 9
LOCATION: K,. &G- / j - DATE : 11
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 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/Dampprool ig ,
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents.'n Place
Rough Plumbing r _ R
O
Heating Rough-In k i; (,t�5 U - t_e i
Insulation._ .
Foundation Wa • Interior R-
Foundation Wall. Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or p.sing in
unheated sp.ces R-
�Proper Ven�Atti Vent
Framing ` v \l�C- l FZ/Z LOF'
Jack Studs/ aders
Bracing/Bri ging —
Joist Hang rs_ lij l'‘r/i
Jack Posts/Main Beam _
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
YFirestopping i ,/JD Y 201-bq
f/DRAc=1- . roc)'U'C 1,-tr2 — RAra t> CA-ULk 76 6c A-L— CL 16tk4 V&RT t CAFI,i_�
d`O r NYo/Z.L7 c 4) !'h-L (
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Da ' spection request rec:'ved:
Building& Code Enforcement
742 ay Road
Queensbury, NY 12804 Arrive am/pm Depa gym/
Inspector's In ti Is l�
NAME: !fit c44g- . /, PERMIT#
LOCATION: ( /eU) DATE : 11,� �
`(�"
TYPE OF STRUCTURE:
1
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible fo
providing protection from freezin:.
for 48 hours following the placemc t
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Rei' ,rcement in Place
•undation/Dampproofi ng
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
\ f)nr)
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Quecnsbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive am/pm art p /
Ins or's Initia /
NAME: + PERMIT#, 0,q_ it
LOCATION: ; Q DATE : 5?`1 ! 1
TYPE OF STRUCTURE:
RECHECK
N/A ES NO CO 1 TS
Footings/Piers ^ 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
Fou •lion/Damppr ing
acktill Approval AU\{cL--
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 f
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
Fircstopping
I
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement /
742 .::ay Road
Queensbury,NY 12804 Arrive am/pm Depart LIB- m/pm
p Inspector's Initials ��//q'i
NAME: 1iIItL CDi,10A) PERMIT it �. ``
LOCATION: r iL DATE : " /
TYPE OF STRUCTURE:
RECHECK
N/A YE N COMMENTS
ootings/Piers —I
Monolithic Pour Form
Reinforcement in Place ' —4.il
The contractor is res.Ensib - for
providing protection rom fnering
for 48 hours followi g the pl•cement
of the oncrctc.
Materials or this pu s-•sc on si
Foundation allpour_'
Reinforcement ' ac4
Foundation/Dampproo' ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Into .or 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
TOWN OF QUEENSBURY 7/A
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 014 ,t h // /1J
/
Location /04/ � oda
Date . / Pe 't # 99 46- /
SOIL TYPE: Sand-Loam-Cla -
Results o Percolation Te.t-
(if applicable) Rate-Minu a/Inch
TYPE OF S STEM:
ABSORPTII FIELD: Total L=ngth
Length of -ach trench .
Depth of t enches
Size of sti e
SEEPAGE P1 , : Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tan
Tank to Dist. Box
Dist. Box to 'ield/Pit
Openings Seale, ? s No Partial
LOCATION/SEPA' ,TION :
Foundation to T:n� feet
Foundation to Aisorpti on feet
Separation of its feet
Conforms as er 'lot Plan Yes No
LOCATION SYST M ON PROPERTY:
(circle one)
Front - Rear - -ft Side - Right Side
Middle Front - P i dd1 a Rear
COMMENTS:
�b Cod
�° c,�►
CW01605 C__ / P
SYSTEM.USE APPROVED: 0 .
Arrived:
Departed: Emit
Building Inspector
frr64 3 ;dO
FIRE MARSHAL
-'a/ 1111, 1 TOWN OF QUEENSBURY
ial j r QUEENSBURY, NY 12804
,+"n y `+w5., (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED� PERMIT# ??7-- "I /
hi NAME CZ-&( LjA-1
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
•1 N/A YES NO
EXITS 'ti
AISLE WIDTHS ti
EXIT SIGNS \ I I
EMERGENCY LIGHTIN /\\N. I
FIRE EXTINGUISHERS I - -ij
FIRE ALARM SYSTEM / _
FIRE SPRINKLER SYSTE
FIRE SUPPRESSION SY EM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEA NCE TO SPRINKLERS
CL• RANCE TO HEATING UNITS
REQUIRE SIGNAGE
CHIMNEY
OD STOVE
- FIREPLACE-MASONRY RC t-t. IA-I
FIREPLACE-FACTORY BUILT
REMARKS: OK TO THIS DATE
pa a iGraf , b/
evi( s,no/ s��/(
INSPSLIP.PUB INSPEC OR
FIRE MARSHAL
TOWN OF QUEENSBURY
.' �'. QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# q 9-441
NAME N eAfei6 te/ /
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
,WOOD STOVE BFIREPLACE-MASONRY Grt f`i
FIREPLACE-FACTORY BUILT
REMARKS: OK TO THIS DATE
6.e6- v0--e Vkltp_e-Dic (NL
SLic.
INSPSLIP.PUB INSPECTOR
\NA1 COL)' "` - &C/V .,)' ` `:� 419 f ;'
SUMMARY OF TOTAL THERMAL RA ' ING w'
If the total thermal rating below is zero or greater, the envelope portion of the
budding is in compliance with the energy code.
TABLE THERMAL
AREA U-VALUE USED RATING
A. WALL ASSEMBLY
Al. Net Walls Aw R5 Uw o9. (0-1277, * 4-9
Aw 53( ' Uw ,053 (p --� -A2. Glazing Ug ' 333
Ag-= Ug
A3. Doors Add ud, .o 1 _ 40
Ad Ud --- -- �--
Subtotal Thermal Rating for Section A ( Al +A2+A3 ): 6ct
B. ROOF/CEILING ASSEMBLY
B1. Roof/Ceiling Ar 11,15 Ur .01203 (�- _
Ar Ur ---
B2. Skylights Ag Ug =
Subtotal Thermal Rating for Section B ( B1 +B2 ):
C. ENTER DATA AS APPLICABLE (Either Cl, C2, or C3)
C1. Floor At Ile Uf 1 ?) ) Cirb (p
C2. Foundation Wall
Wall Perimeter ft.
Above Grade Exposure — ft.
Insulation De th
8 24" 48" Uf .4 .-----
84" Footing
Perimeter R Value
C3. Slab Edge Insulation --- - `
Subtotal Thermal Rating for Section C ( Cl +C2+C3 ):
D. TOTAL THERMAL RATING (A+B+C)
PARTSVIS
( 476 0
LANDS OF
DUNHAM'S BAY
FISH a GAME CLUB, INC.
(637 - 498)
0
0
W
co
o �
LANDS OF
x STOMVOLL
a(614-181)
�o
m
t 2 MILES TO
ROUTE 149
'J
11
C ,o,E 47 TA }L /mil A
/4/ 9 Co . 18 '
LANDS OF
SULZMAN
0
1
t 2 MILES TO
ROUTE 149
LOCATION MAP
i" = 400'
OTHER LANDS OF
McLAUGHLIN
N 09' 38"0" E
5.30'
LANDS OF
ROBERT E. SAND 8 CATHARINE S. SULZMAN
(722 - 123 )
DEED REFERENCE
DUMOINE FARMS COMPANY
TO
SCOTT & BRIGID MCLAUGHLIN
BOOK 673, PAGE 919
IA-
SECTION 22, BLOCK 2, PARCEL 5
-, 4 " y9
���
`5 24- E /N'> �" 7- �a,(?-
'� OR R LANDS OF
SCOTT & BRM M"UGHUN
n/S�S DPW
B QoWZ E TAO3 -E Y
sE-r -A_Us�L4 /A/ 4��ac� „
MA2frED " CO. � / A E �8
CP,e a2 1r0 Ap c> D ! G AY
of 0U,frDA Qy
_v TO Mc LAUGHLIN
HOME
RECEIVED
FEB 2 8 2001
TOWN OF OUEENSBURY
BUILDING AND CODE
RIG
HT {� �_ — 1�EY
COURSE
BEARING
/'DISTANCE
A - B
N 52'06'20" E
5-78. /2 '
B - C
N 60' 14'20" E
220.17'
C - D
N 51 ' 57'20" E
313.66'
D - E
N 39' 25'40" E
81.47'
E - F
N 58'37'10" E
147.97'
F - G
N 65' 52'30" E
78,52'
G - H
N 48' 56'30" E
49.27'
H - I
N 400 12' 30" E
68.05'
! - J
N 50'01'00" E
118.13,
J -K
N61'2.8'1Oil E
84.011
K - L
N 33' 43'30" E
120.57'
L -- M
N 37'46'50" E
64.40'
M - N
N 60' 33'40" E
41.77'
N - C
N 74'27'50" E
68.20'
0 - P
N 44' 28'30" E
72.26'
P - Q
N 70' 48'50" E
3H.68
Q - R
S 51'04'20" E
25.99'
R - S
S 07' 55'00" E
35.89,
S -- T
S 29'27100-1 W
56.71'
T - U
S 15' 32'20" W
122.68'
1J - V
S 21'50'10" E
92.43'
v-W
S 41'07'20" W
92.65'
OF [ANDS 0�
C 5F �0NV'YFL TO
s�Tua► E
OWN OF UEENSa! !RY, WARREN COU0.
r�j r � A I n
VAL�, 1 U��f FF uj1 ,. H.�(
SURVEY AND MAP BY
7/8 Cc qQi� RO/aD
G AW-s-E ✓00 eT ,✓Et �J 4✓O ek
/2B 3 /
sib - 717- --19 75-
1