97-679 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 9 19 98
121°1
This is to certify that work requested to be done as shown by Permit No. 97679
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a
37 CANTERBURY DR.
Location
Owner THOMAS, TERRY & KATHERINE
TAX MAP NO. 40. -1-5 . 2 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OFQUEENSBURY
VALUE $ 100000
TAX HAP NO. .40..-1-5._2 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to THOMAS. TERRY & KATHERINE
OWNER of property located at 87 CANTERBURY DR. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a SINCLE 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: OWNER'S Address is
183 SANFORD ST.
GLENS: 'FALLS.;... NY. 12801
2. CONTRACTOR or BUILDER'S Name
ZIHRO.: GARY
3: CONTRACTOR or BUILDER'S Address
1899 :BAY ROAD.
LAKE GEORGE. NY "" 12845
4. ARCHITECT'S Name
•
yM NEW YORK, BOARD
5. ARCHITECT'S Address '
=- =>NEW"YORK-.=BOARD:::OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
(I Wood Frame ( I Masonry O StPJN?ItE-. FAMILY DWELLING: :,_
7. PLANS and Specifications
No.
1.708 SQ«:FT SINGLE FAMILY DWELLING WITH . 2—CAA. ATTACHED:z:GARAGE_ __`e4
?" AEU. PER. PLO!L"PLAN.: SPECIFICATIONS
8. Proposed Use
SINGLE;FAMILY. _DWELLING
FEE PAID -THIS PERMIT EXPIRES' -" " Novelluerdi19 g =p
(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.)
Dated at the Town of Queensbury Day-DT' November... � .a19.::�: 97 <: x
SIGNED BY for the Town of Queensbury
Building and Zoning.Inspector
rBuilding Permit Application
TownOf QueeilSbUly - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-8256j
. , _____,
'O BUILDING & . CODE ENFORCEMENT
NOTICERequirements prior to issuance `
1 of this permit: PERMITFILE N
A permit must be obtained before /
beginning construction. No inspections j P ,,. ,,,,, PERMIT FEE PAID$ C. 'a/ °`
will be made until applicant has received n Zoning Board 4ction,f.'i. 1 L r'to
a VALID BUILDING PERMIT. All • Area /Use i '=a
applicants' spaces on this application C NOV 1 2 199 RECREATION FEE PAID$
nf
MUST be completed and.the signature n Planning .Board Action REVIEWED BY:
of the applicant must appear on the SPR /
Subdivsion0//O ther� ,- s-�- 1-Fl Y
BuildingInsperor
`pplication form. nit),. Recreation Fee@RaTm ien:kiG A i CL-`
Applicant: ,�' RV 4 TfAx>)%/&74Cc.S Owner: T)4�pe
' Address: 'L '. 6/��t I��,t✓ • e ( 07 /,-S V
Phone # ( ...a...,_) ad,1 " ,2 1 Phuw # ( ) ii(als' "7Ib
Property Location: (Ve.44 L 7 _ i e a.
Subdivision Name: Tax Map Number:_ '4' Ill l—I
_
Section Block Tnt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $/1f/ ;iZZ
(esidence)/ commercial ,
Addition to Building: ,
residence / commercial OCCUPANCY INFORMATION: ' .
Alteration to Building: Pr mary Building_-__ _
residence / commercial i9�Single Famy�.. w:el'1;h70" ''
Residence / Commercial Two Family �Dwdlu ng -'
no change to exterior size . Family Dw 1
�1U '� 1997
Office
Other Work (describe below) Mercantile , .. O `)
Manufacturing
Other 1 �Uit.C�-- Ali,: CO
GROSS AREA OF PROPOSED STRUCTURE: _L
.2:1 - If ADDITION, what will use
1st Floor
Jiqt_2nd Floor ssq. -Lips(7�' Rf new addition be? :
q• ip,—
Other Floors sq. ft. ,
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
/ Detached Garage 1, 2 car
TOTAL FLOOR AREA: A_' / 70 4' SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
52-5( FEET X 234'2 FEET Other
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) : &'' feet -- TYPE OF_ HEATING SYSTEM:
Number of fireplaces and,ot woodstove (circle all hich appli s)
to be installed: // lectric / Oil / Gas od
Ic S Forced Hot 'it / aseboar Other
Person responsible/ or supervision-of woijk as regards to building '
codes is : gCJg �Y Jece A15, 11 /`r�1VlA� .
Na3tie Address Phone 7ej-6/043
Builder: •
Plumber:
. Mason: .
Electrician:
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, it is understood that I/we shall submit prior to a
Certificate of Occupancy"or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing ._tual loc • of project on premises.
Signature: _
(owner ner's agent7-..._, ••n .c:r)
•
•
72.4� c
- 1
' ice.
•
ENERGY CODE COMPLIANCE APPLICATION NOV 1 2 1997
•
TOWN OF QUEENSBURY, : WARREN C0UNrfro`o,•. . .
' 9000 HEATING DEGREE DAYS '
BULDINC: CODE
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 -Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings (3 _ stories or less)
PART 4* - Design -by Component Performance
Commercial Buildings-Hi Rise Residential
• *Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION: -
--GqiN aiLld Kejkirlr6V).-T(A0110A (01-6n
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
•
1 . Gross Floor Area - /7191C40 scuare feet
2 . Type of Heat - Electric )( Oil Gas Other
3 . Is building mechanically cooled? Yes No
• 4 . Percentage of area of windows and doors X Over 17h Under 17%
3 . R-VALUES FOR INSULATION GIVEN BELO',T MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a _ Roof R 31,a.B aX�
b _ Exterior walls ai•�5
R �,0faq•13, i S1a ay`
c _ Glazed areas R . 13
• d_ Exterior doors • R 1�
e . Floors over unheated spaces • R 04 .0a
f _ Edge of slab on grade (heated building) R 10 •
g_ Basement/cellar walls ( above grade) R 1 a,• ,
h _ Basement/cellar walls (below grade) R 5
1 . Heating/cooling-ducts-piping in unheated space R 1
6 . Service (domestic) hot 'water heating devic
qf
Conforms to minimum efficiency per code (, Fes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Ap ' cant's :,gnatur 77/ Phone Number / /8
�� u _N`-F1,Urar& l.11 A-0)( c — �'�7 �Co 1 35� ��
INSPECTOR' S REMARKS:
•
•
• • .
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury ( i' 7 --( 7
Dept. of Community Development Permit No.
Building &Codes Office t ,r"—
742 Bay Road i'. Fee Paid= $'
Queensbury, NY 12804
NCY`11.21997
•Location of property for installation: C'[o 1;�.�0,1--''AUA4. ;' .: 1rs�r);
Property Owner's Name: 'G 4i( 1171.t.•?C?.
Property Owner's Mailing Address:
Installer's Name: vls ( %/7 Phone # 7'3 —0(3/
Number of bedrooms (if residential): Total daily flow: /SZ)
(residential - compute @ 150 gal./bdrm.)
Topography: X flat, rolling, steep slope % of slope
Soil Nature: '( sand, loam, clay, other I depth:
Ground water: at what depth? feet / Bedrock or Impervicus Material: at what depth? _ feet
Percolation test: X not required, required [rate min. per inch]
Domestic water supply: municipal, well, otter 4,e,_
If domestic water supply is a WELL, water supply from any sec absorption is feet.
PROPOSED SYSTEM
Septic tank:` gallon (minimum size: 1,000 gal.)
Tile field: each trench3)(s0 feet / Total system'iath: Zs O feet
page pit{smber-of size each: it. 5y ft.
Size of stone to be used: # / depth or thickness / X g feet
r otter Size-of-each- gallons
Alarm 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 Town of Queensbury, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresethtion 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 daese and all requirements of the Town of
Queensbury unitary sewage Disposal •
Sigiature of responsible person: e1 Date:
,its
TOWN OF QUEENS : n URY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date l ,19 q-7 Permit No. 2
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,-71: APPLIANCE (check appropriate boxes)
Address ! qt x a ❑ STOVE: ❑Wood ❑ Coal ❑ Pellet ® Gas
0 FIREPLACE INSERT
my 0/Zip / g c. t FIREPLACE, FACTORY-BUILT:
p¢Wood ❑ Gas
Phone ") /— (474 /'3 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner „ ,, , .5 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address trk02 s,.r.t,,r,„r 4)9 r IF NON-MASONRY APPLIANCE:
_ _ - _ _ _ _ _ Manufacturer_ -_
�;P..d9 al', Lr M cover .4ZIP 2. i i Model:
~d e.13�rfl�f
7
Phone ,/,/ (0 " -- )l
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction,
i, 0 MASONRY: 0 Block 0 Brick 0 Stone
FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALL'ATI_ON MUST fq FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION &.- Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE - Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑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
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fie Collected From or Refunded to: (' -,1<'y 7
Ad'dr-ess4 --- ---7 -�'"? �: -` • 1 "
Dated: i f l ' / ,-'/ Town Clerk orcpeptity: / .. (F
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
J!4VJ.l'9_1l'MO l J._l'J__l ATAII,_l'J_l'Alll 19.::kiktAC ATAIAne .),,M.AVATAIIA!A :l._l."l'J__l'"V.A.V.A.V.1l_l J_._l'ie,1':l._l'A::l_._0Pk':l111.'JA.l'.LS!J_t_l J_i %21_ :Lit! ._l..,Lt el''/,
VI rY
K, THE NEW YORK BOARD OF FIRE UNDERWRITERS Pc,
, Sm 6E�s56 BUREAU OF ELECTRICITY ,
j, 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 ,r
Vic' tvi
Date HAY 22, Application No. on file Iv
THIS CERTIFIES THAT 77 ,
, only the electrical equipment as described below and introduced by the applicant named on the above application nu er is in.the premises of ,A
?C' I
TERR3' & KATI-1y TH.O1-IAS, 37 C NTERBURCY DR, QU£,EHSBURY, NY
, in the following location; El Basement ® 1st Fl. ❑ 2nd Fl. Section Block Lot ,ji
• was examined on 19 F 1998 and found to be in compliance with the National Electrical Code. jr
°' v
=G rY
?Ci I
4 FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
- OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT.. H.P. 1,11
WI 39
=G
' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTES iY
-,, AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. ma H.P. NO.OF FEET AMT. WATTS '
iii
r
�' _SERVICE DISCONNECT No.of_. _ _,_- _ _ -_ S E-- - -. R V-- --•- 1- - ----C —�-E - -- � _ `
-4 rY
�IMETER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP, I 0 2WME/3 0 3W 3 0 4W PER 0 WI OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL r}'
® 2 CEO 1 ■■ 1 /0 r I
-1 OTHER APPARATUS: N.
, CEILING FAN--5 ,
, ttOTORS:1—F H.P. ,r
. .C.1_ —7 r
rY
t SMOKE DETECTOR:--6 v!
tk+ TRACK LIGHTING.)�-32 rPi5i5i
'(r I
-r .:. - r
r `L X- {✓.•. ,�; t}:� I. .-; l 1.
•
1899 BAY ROAD 4."_t4-- ':aw-- ''d„ GENERAL MANAGER pvi
1 LAM E GEOI GF, H 2 354 • /aLlL"a-?, ,--t:='r 2? C�
_>. e*•= - ^ Per ..-3 1 1
1; This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. r
ii-iY Y�Y YiY_YiY Y Yr'4Y 2iiii1YiY YiY I'iiYYeY Y�Y Y YiiY YsYYaY YiY Y071-,YoY YeYY Y Yi?.Y%Y Yi'aY YYiYY'114T,�Y rriiii Y•Y 4Y Yiii.iiiiii ii'liarlini Y;V?.Ziiiil YiiI 5Vaiii el4til YVYYiY Yii;
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
AllTOWN OF QUEENSBURY
01!1.0! BUILDING & CODE ENFORCEMENT
ga J 742 BAY ROAD
QUEENSBURY NY 12804
( (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT '— RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: (D C� �
NAME 4��Ni I Y V y
LOCATION �`t (1/\, / �,�k, U Q
� _JJ �] 0
DATES _� PERMIT " l 10 ( 1
TYPE OF STRUCTURE (.--NI-D
FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC _ INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
.\
CHIMNEY H IGHT/B VENT/HEIGHT
PLUMBING _ENT
ROOFING
EXTERIOR FIN SH
CK O H ST PS ILINGS
RELIEF VALVE
FURNACE/ WATER OPERATING
IN OR TRIM/PRIVACY DOORS
FINISH FLOORS:
OATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
PATHROOM FANS 1
JLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
POOR CLOSERS
FINAL ELECTRICAL
SITE PL VARIANCE REO.
AL SURVEY PLOT PLAN v"
OK TO ISSUE C/O OR C/C
RESIDENTIAL FINAL INSPECTION REPORT
,.,___—___, &A V
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept of Community Development Arrive n i apart ,,..a •P
or's Initial.
Town of Queensbury
742 Bay Road
Queensbury,New York 12804
--•,--- /Pr
PERMIT#
NAME ���`� DATE
LOCATION
TYPE OF STRUCTURE _
N/A S NO COMMENTS
Chimney Height/"B"Vent/Direct V t Location
Fresh Air Intake •
Plumb Vent through roof /,
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36" . Ny
Exterior Handrails,balconies,landing ilk.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"abo e grade
Gas Furnace shut-off within 30 feet or within 1' of site /�
Oil Furnace shut-off at entrance to furnace area \� x/`
Furnace/Hot Water Heater operating
Relief Valve(s)installed t/
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 ris s \ i
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight / \V/ .
Interior Handrails Balconies/Landing 18 in. r more
Railing across window in stairwells / 1/ ' ' 1, /)\\
Smoke Detectors: /
every level /
every bedroom
outside every bedroom /
inter connected / t‘
Bathroom fans /
Plumbing fixtures /
Foundation insulation I I/
3/4 hour fire door/door closer / 17/ :
Garage fireproofing ( //
Garage penetrations sealed r f
Furnace in separate room protected(in garage) j
Light ventilation per room
Safety glazing 18"or less from floor �/�
Final Electrical
Site Plan/Variance required Vat6 ‘v,31:E)
Final Survey Plot Plan - I/
� �� - 0b�
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)
}k, TO N O QUE NSBURY
FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
•
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME Chi r
LOCATION Y
DATE PERMIT # "od,..
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
t
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SY
HOOD INSTALLATION
AUTO. SPRINKLER SYSTE
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE /
FIREPLACE - MASONRY
‘*/
FIREPLACE - FACTO Y BUILT
REMARKS: ❑ OK TO THIS DATE
•
INSPSLIP.PUB IN P C R
.\\ On
RESIDENTIAL FINAL INSPECTION:REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive 1V $m Depart
Town of Queensbury
Inspector's Initials
742 Bay Road •
Queensbury,New York 12804 •
_ r (�
!� PERMIT# IF I
NAME CJ h �'� � DATE —
LOCATION 3 "S
TYPE OF STRUCTURE 5
N/A • YES NO COMMENTS
•
Chimney Height/"B"Vent/Direct Vent Location f 1
Fresh Air Intake Nii
V`
Plumb Vent:through roof V
Roof Complete V r�‘0,tG �,� C� 7j.�
Exterior Finish:Complete
Via
Interior/Exteridi Railings 30"to 36" li.
Exterior Handrails,balconies,landing 18 in,ormore Interior Handrails stairs both si ore nsers _ •.
Grade 2°%=away from foun on •
-
8"clearance to sill plate J
Gas Valve shut-off ex sedlregulator 'above grade /
Gas Furnace shut-off thin 3 fee or within line of site V ' /
Oil Furnace shut-off ce to furnace area `�
Furnace/Hot ater eater operating _ I �4 �����Relief Valve(s)ins led nF}�; _6 )' //
Headroom,6 ft.6 on stairs
Basement stairs,6 .4 in.
i .
Handrail exterior irs both sides more than 3 risers /
Interior privacy/tr�m/doors/main entrance 36" N. /
Floor Finish I V
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more 7
Railing across'window in stairwells
Smoke Detectors: 9 /
every level V
every bedroom
outside every bedroom f
inter connected -
Bathroom fans
Plumbing fixtures Foundation insulation I V v,
3/4 hour fire door/door closer f
Garage fireproofing 1/
Garage penetrations sealed f
Furnace in separate room protected(in garage) �/
Light ventilation per room '
Safety glazing 18"or less from floor
Final Electrical o
Site PlanNariance required F�600 VON-vt `1`L /
Final Survey Plot Plan ; ‘ _ r
As Built Septic System layout required u�F�� 11, �fl w l CA-, 6EA-PANC'_
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) -
FCC_t_ Puom- °t u `\---- vd
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement 742 Bay Road
Queensbury,NY 12804 Arrive am/pm Deparl� r- m
Inspector's Initials��
NAME: I k651 A-5 PERMIT# 2-67
LOCATION: C r l2 G z✓ r L DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsib,e for
providing protection from f eezing
for 48 hours following the p acement
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- 1
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 Ban, er
Fire Separation J , 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:
Building& Code Enforcement
742 Bay Road , + A
Queensbury,NY 12804 Arrive-, Van/pm Depa> `� m/ m
Inspector's Initials �J
NAME: � " �-21�r�'�
P # LO
LOCATION: 72,2 OfiyaQA j\ Ytl, DA : — j is `
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl for
providing protection from fre ing
for 48 hours following the pla meat
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing / f/ `�� �
Backfill Approval /5� Z �o f—��5- I�
R.
Plumbing Under Slab
Pluming Vent/Vents in Place
ng
H ing Rou Ir: f
nsulation ,!( t ) Colu.fwr - /d�U(r - ek)61 s6
1-?
Foundation Walls Interior
Foundation Walls Exterior t i l / C— tq oVC I"n A1PC j,u
Floors /
Walls - - l V r>L' ( A( i '(�C
Ceiling R-
Duct work or pipin n
unheated spaces �� CC
,�Jy��
R-
Proper Vent, Atticyent \
Framing
Jack Studs/Waders A C (,�--CK
Bracing/B'-'dging
Joist Ha gers_
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 off Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive IO;LIC am/pm Depart am/pm
Inspector's Initials
NAME: \\`(r' iL L-eytt? PERMIT# � _(0 7 ql
LOCATION: ,`J ,� M3 � t DATE : Z
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor• respon ' e for
providing prote ion ,m fr zing
for 48 hours foil wi g the pla ement
of the concrete.
Materials for this p - se on site
Foundation/Wall r
Reinforcement i lace
Foundation/Da pproofing
Backfill "oval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
emulation C-ei 1jN5 a 47
Foundation Walls Interior I
Foundation Walls Exterior R-
Floors R •
-
Walls R-
Ceiling R- 3 Sy
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 V
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT °'
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR/13 DEPART INT 1�i,-
REQUEST FOR INSPECTI RECEIV D:
NAME \, ro., ,
LOCATION f C! L2
DATE ViX[ PERMIT A 972 C
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM.-FREEZING
FOR 48 HOURS FOLLOWING E PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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 •
-
(518) 761-8256
TOWN OF QUEENSBURY
•
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY�� NY 12804 �• ,t y;,,
INSPECTOR'S REPORT: ARR/6 JV DEPART INTO"
—
REQUEST FOR INSPECTION RECEIV D:
NAME /(5 fr1
LOCATION �. ac. ir/ 2)(�fV7 —
DATE 3 )- PERMIT 0 /'— ('
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE—FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE P
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSD cN SITE1
FOUNDATION/WALLPOUR 1 _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN , LACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: _
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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— •
•
(aEJ Cider- / %ir-
/ '°z) '--. / 'Y6 O,qik
(518) 761-8256
TOWN OF QUEENSBURY r'
BUILDING & CODE ENFORCEMENT �. •'.;
742 BAY RD., QUEENSBURY NY 12804 ;$':','x,y,
INSPECTOR'S REPORT: ARR /a) DEPART INTIA/
REQUEST FOR INSPECTION RECEIVED:
NAME /I{(J fr5
LOCATION C"f-A.1/62 lzy LA) ,
DATE '- A49(198, PERMIT R ??-( /
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR I RESPO BIBLE FOR
PROVIDING PROTE TI R M FREEZING
FOR 48 HOURS FOLLOWING HE PLACE-
MENT OF THE CONCRETE. I
MATERIALS FOR THIS PURPO\E ON SITE_
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _ 4
BRACING/BRIDGING
JOIST HANGERS -
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
•
�1,� c . - i(52 5770.1)5
7 11 .Cc-h-N
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received: " I,D---cfir
Building& Code Enforcement
742 Bay Road kfir,
Queensbury,NY 12804 Arrive L I`UV am/pm Depart!j
I ` m
6. 1,-,) Inspector's Initials
NAME: cl( PERMIT# —( • - y
LOCATION: I�b`r- DATE : ,5 `I 3 e
TYPE OF STRICTURE: ( 9)
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/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
p'ratning
Jack:Studs/Headers
Bracing/Bridging V AJAIL Ate- api.436efa eciLlp5
Joist Hangers
Jack Posts/Main Beam . 1 ��'S�'c & 1-3
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
•
INSPECTOR'S REPORT: ARR/G4 JDEPART IN /-
REQUEST FOR INSPECTION RECEIVED:
NAME 77 tr i
f m J
LOCATION / l�v ;/i�:) r//-
DATE f 2-IAPERMIT R `C'(!� C/7-�
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURP E ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN AC
ROUGH PLUMBING
PLUMBING UNDER SL
7 .-
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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- •
ade,(7 d
(per v e pe.
ck.,bfAr6 ,_5C) cY( - 1K L=
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT •`
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 4 1 6-Tr\fk �l '
Location 3 ___00(NN' V, r"1
Date ) �) Permit # 17—(0-71
SOIL TYPE: Sand-Loam-r a
Results of Per,olatio Te:t-
(if applicable) Rate : inu a/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: o u.al ength 2774
Length of each trenc .36D, �, '
Depth of trenches
Size of stone � -1 4
SEEPAGE PITS: IN r=
Size - f , ft.
Stone size
PIPING: Size Type
Bldg. to Tank 1-0.C14. 4�
Tank to Dist. Box W iT .2 1-06evi
Dist. Box to Field/Pit L.011
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank Irj feet
Foundation to Absorption r feet
Separation of Pits ..— feet
Conforms as per Plot Plan Yes o
LOCATION OF SYSTEM ON PROPER :
(circle one)
Front - Rear - Left Side - Right Side
Middle Front—MTadle Rea m
COMMENTS:
a5Ve.6E ;� �Et-Ao v ED T-9
Va - `-r\ To
UALL_ 13 P E.A K`61-Pit `Ep 1001
ET�3i ez1 LL-
5 -1—,Bc . T ii1 T-i mE__. 5 901,
ov Tb -
SYSTEM USE APPROVED: YES NO
Arrived:
Depar : N^ 0
Building Ins c or
` (518) 761-8256 •
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRfl DEPART m Ib
REQUEST FOR IN PECTION REC VEED: - I r
NAME ` J�n.a -ems i� C U c�-)11/1 Cam,
LOCATION :3 / � r-
DATE 1.D cs T C`"%. ) PERMI ( 7- (,7
TYPE OF STRUCTURE: ?��1
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PL. E
THE CONTRACTOR IS RESPO --IBL0, FOR
PROVIDING PROTE TION F••M ' EZING
FOR 48 HOURS FOLLOWING HE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPO` ON SITE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
}CKFILL APPROVAL Si//1
PLUMBING VENT/VENTS IN PLACE ,.
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: •
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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- •
"' (518) 761-8256
s.
TOWN OF QUEENSBURY $'
BUILDING 6 'CODE ENFORCEMENT a
742 BAY RD., QUEENSBURY NY 12804 =r.t:.kt. a _
INSPECTOR'S REPORT: ARR c `''� DEPART /�)IN je(
REQUEST FO$ INSPECTION RECEIVED: 2 2-
NAME NQA'5
LOCATION 01.4.75AgocY 04,
• /,�
DATE /Z.1 /g, PERMIT .ft ! 7�W 1?
TYPE OF STRUCTURE:
RECHECK APPROVE
N/A YE NO
!ZINGS/PIERS V
MONOLITHIC POUR FORM _
REINFORCEMENT IN PLACE
THE CONTRACTOR ISSP NS OR
PROVIDING PROTF T ON F OM FREEZING
FOR 48 HOURS FOLIOHING THE PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PUR OSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE ._ t .
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH—IN
INSULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R— _
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN T—
UNHEATED SPACES R—
(518) 761-8256
e), . -
,, ,L s,;.
TOWN OF QUEENSBURY -
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 -44.,T,1 3W;y '
INSPECTOR'S REPORT: ARR9 5 EPAR( _I2 INT "' `'
REQUEST FOR INSPECTION RECEIVED:
NAME /Ied724 4'5
LOCATION - i(} &[14%) J0- -
DATE %Zf2q'7 PERMIT 0 6114
TYPE OF STRUCTURE: //
RECHECK APPROVED i
N/A YES NOf
OTINGS/PIERS �JJ
MONOLITHIC POUR FORM 1
REINFORCEMENT IN PLACE ,
THE CONTRACTOR IS RESPONSIHL ` . OR.
PROVIDING PROTECXION FROM FRD `'- G
FOR 48 HOURS FOLLOWING THE PIgACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR \
REINFORCEMENT IN PLACE ._ .__
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT r.
742 BAY RD., QUEENSBURY NY 12804 aatSaa kw,w
INSPECTOR'S REPORT: ARR/ DEPART/. CV INT. '2
REQUEST FOR INSSPECTTION RECEIVED:
NAME /yvn
LOCATION 5,71)/6036(061 645.
l?�DATE /7—/4/7 PERMIT A (6;77
TYPE t STRUCTURE:
REC ECK APPROVED
N/A YES NO/
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES ONSIBL FOR \
PROVIDING PROTECTION F OM FR EZING
FOR 48 HOURS FOLLOWING {E ACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOS ON SI
FOUNDATION/WALLPOUR L -
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFII G
BACKFILL APPROVAL /
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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—
•
1 c? 'k
� 6`
(518)761-8256
TOWN OF QUEENSBURY , ;: .
BUILDING & CODE ENFORCEMENT , . .
o1 a
742 BAY RD., QUEENSBURY NY 12804 °4`,,....�«<z. l.
INSPECTOR'S REPORT: ARV �DEPARj/`✓v INT v PS
REQUEST FOR INSPECTION� RECEIVED:
NAME t 14(514�/a�� (/
LOCATION t CA-N d`� U •0 4 -J
DATE L�-\ 06,7 PERMIT 0 7 - co L 9
TYPE OF STRUCTURE:
R HECK APPROVED
N/A YES . NO .
OOTINGS/PIERS
MONOLITHIC POUR FORM n\ ,
REINFORCEMENT IN PLACE 5-4 4 _
THE CONTRACTOR IS ESPONSIBLE FOR
PROVIDING PROTEOTI FRO4 FREEZIN
FOR 48 HOURS FOLLOW G THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE SITE_
FOUNDATION/WALLPOUR --
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFI G
-
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS%MAIN BEAM
AIR INFILTRATION BARRIER
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-
' �v 0 ,,
,....
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENTt/
742 BAY RD., QUEENSBURY NY 12604 ft. . .
AP
INSPECTOR'S REPORT: ARFq-Ob DEPAR'IC1 7- I i
REQUEST FOR INSPECTION RE EIVED: I V"CC1
NAME C_/JC/(� 7P�', V
J
LOCATION 37 _cA .1-- ' Lj \t,),-'
DATE 1( -4-C 7- PERMIT e (�
TYPE OF STRUCTURE: " 9' 7 Sol/
RECHECK APPROVED
N/A YES ..,
NO
?OOTINGS/P�IERS 1c V
•
MONOLITHIC POUR FORM :11:Ail?.__
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. -
MATERIALS FOR THIS PU"OSE IN SITE
FOUNDATION/WALLPOUR I _
REINFORCEMENT IN PACE /l
`J
FOUNDATION/DAMPPR6OFING
SACKFILL APPROV:
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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- ,
•
1 %% 1 ,c
3-b kx.l oE y 3 -c 0 � -C' Fe-05
V-b Sr 1 ,, t;ts�. 6 i_t P Kok - ' 3
VT-UM :NOLLVDIAISSVIZ)axoz
L661 11 '-UV CL 1 '01=,,I :3-1VDS
AJJZflOD NH'dWm IC2if1HSN33n 90 DEMO
svwoEu T,,Auual w i aZu-5mivx
0 Ile ,-ex
IN
�
Ll LA
IV
J
VJ
C;
L'(3
Or bejj�
shown :)uses,Wells i� 'es. jt'
on this UUC'jjj 23
60L ,etc..
easUre rEsent that I have
I also re
d distances sat (,";h
00 the diagram."
TE
LANDS OF
WILLIAM MUCCI
N 60*12'53" E 3' f W
78.73'
AREA
4,233. sq. ft.
0 0
DO
0.09 acres
6 l!_1
28.1'
LANDS OF
JOHN WHALEN
� an
8c
Land
37 Chester Street
,518) 792-8474
DOCK
a�
3 0
s
0
o 00 C
0
CV -H
0
85.86' �
V
S 60'05'19" W 1'
D u ,s e
Steves
Surveyors
Glens Falls, New York 12801
New York Lie. No. 35617 & 50135
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7200. SUB -DIVISION 2. OF THE
NEW YORK STATE EDUCATION LAM.'
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN OIOGINAL OF THE LAID SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VA1D TRUE COPIES'
% RTFrARONs INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
ETOSTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHO/ THE SURVEY IS PREPARED. AND
ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL
AGENCY AND LENDING INSRTUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.'
LANDS OF
ROBERT CANTERBURY
Map of a Survey made for
TERRY M. & KATHARINE L. THOMAS
Town of Queensbury, Warren County, New York
.;
N
LO
I
I
0
0
z
a
x
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: TERRY M. & KATHARINE L. THOMAS
TRUSTCO BANK, NA,
ITS SUCCESSORS °ANQ\OR ASSIGNS
COMMON TITLE INSURANCE COMPANY
CERTIFIED BY:��
MATTHEW C. STEWS, LLS_N'Y'S 50135
DATED: DECEMBER 18..1997
Uate: ULGtmbLK
Scale 1"=10'
S-1
SHEET10F1
DECK & BAY WINDOW THOMAS
DESCRIPTION DWG. NO. 96048
NO. I DATE