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1991-461 • ' t CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date December 13, 19 91 This is to certify that work requested to be done as shown by Permit No.' 91-461 has been completed. This structure may be occupied as a k, of Duplex LocationStevens Rd Christine Sears Owner By Orden Town•Board TOWN OF QUEENSBURY . . OcIKKA Director of Bldg. & Code Enforcement ., BUILDING PERMIT TOWN OF QUEENSBURY ti No. 91-461 WARREN COUNTY, NEW YORK 421, PERMISSION is hereby granted to Christine Sears f-+ OWNER of property located at Stevens Rd Street,Road or Ave. in the Town of Queensbury,To Construct or place a z of Duplex (Building "A") at the above location in accordance to application together with plot plans and other information hereto filed and rD approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. a' Vf 1. OWNER'S Address is Same s VI 2. CONTRACTOR or BUILDER'S Name Frank Sears fD 3. CONTRACTOR or BUILDER'S Address rD V) 4. ARCHITECT'S Name 5. ARCHITECT'S Address rD x 6. TYPE of Construction— (Please indicate by X) (X)Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. 1,020 sq ft 2 of Duplex as per plot plan specifications and application 8. Proposed Use Z of Duplex $ 120.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 9, 19 92 (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 this Day f July 19 91 SIGNED BY for the Town of Queensbury Building and Zonif,i Inspector TOWN OF QUEENSBURY . w REVIEWED BY: IOWN OF OUEENSBUR`t gillk RECEIVED % " FEE PAID: /r9-(� e for* JUN 271991 PERMIT NO. : 91 - 21 (o f BLDG. & CODE DEPT. BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. * * * * * * * * * * * * * * * * * *** * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property: q-I S ; � ', There0-(, P.O. Address: _ O ,C 7)4 4 Li _C 74e.Jec3( PHONE7J,. •--j/e Property Location: '1,e-9;e/l)AGjc.0,r-/ (,agoc( Tax Map No. 11/7/ t / ilibLi/ /S el'S ViHas there been any split of this property since Octo er 1, 8? Yes No . K_ If yes, Planning Board Review is necessary. Subdivision Name, if applicable: Lot No. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: Pr il 11) I . gelq rC NATURE OF PROPOSED1WORK: . J / * ESTIMATED MARKET VALUE OF THE �L��` K Constr pion o new bu4ldi gg_ * CONSTRUCTION: $ f0 ��d ,(��5�s�ax Addition to building * V � Alteration to building * COMPLETE INFORMATION RppIRED BELOW: (no change to exterior dimensions) * Size of Property: 76J ft. x 5 2_7 ft. Other work (describe) * Existing Building Size: * ft. x ---- ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: I 1st Floor O Z O Sq. Ft. �� D * Front Yard 66) ft. Rear yard 2tfUft. * Side Yards q5-t. and 7�ft. 2nd Floor L, Sq. Ft. * If on corner, setback from side street- * ft. Other Floors —, Sq. Ft. * (not cellar or basement) * OCCUPANCY INFORMATION: * . TOTAL FLOOR AREA: ( aa() Sq. Ft. * Primary Building_ - * Nt One Family Dwelling Size of New Structure: 3 O ft. x ,_ ft. * x Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units Pier/Slab/Crawl/Partia /Full (Circle One) * Business * Industrial No. of stories (Habitable space) / * Other Height (grade to ridge) 1 ft. * If residential , no. of families: - 1 * If addition, what will use be? No. of rooms (excluding baths) : No. of bedrooms: 2 * . No. of bathrooms: /' -_ �* Accessory Building: Primary heating system: Pet* Detached Garage - One/Two Car Type of fuel : Q;G * Attached Garage - One/Two Car No. of fireplaces to be installed: A g • * Private Storage Building Will a woodstove be installed?: * Other Central Air Conditioning: Yes No * (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. ©e.7 J -,, A,-,r,, Will any second-hand or ungraded lumber be used? If so, for what? (kD Foundation Wall Material : TouF-to,L (oncedg( T�h.ickness: 10 !l o6,4' e 0,WeS 4,4,14 Depth of Foundation below grade (to bottom of footing) : i,!7 l0 `/ Will there be a cellar? yce S Heated or Unheated? tp/kei.apci Floor Sq. Footageiet4W) Will there be a basement? Will any portion be used as living space? 4i0 If so, what portion? Sq. Ft. Type of Use? / Type of Roof: Sloped/Flat/Shed/Other S��y� Material of Roof �pivi`fo Size, wood studs 2 x ,; spacing I ' o.c. ; length . ,: ft. Joists (floor beams) : 1st Floor 2, " x (fi'a "; spacing /Cv " o.c. ; span 3O ft. Joists (floor beams) : 2nd Floor " x "; spacing " o.c. ; span ft. Overlays (ceiling beams) : " x "; spacing " o.c. ; span ft. Roof rafters: " x " ; spacing o.c. ; span ft. Roof trusses (pre-engineered) : spacing 2q " o.c. ; span .367 ft. l Exterior Wall Finish: je ar f,- (( of what material ? �.c�Dc,d Interior Wall Finish: i -z " ` i- 3vc( If a garage is to be attached,l describe i�terials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so, will a Fire-Rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? Up,( Height above roof i ft. Depth of chimney foundation below .g ade: / 4 ( ft. Depth of fireplace hearth: `'�) jt,� ft. ft) (ir in. Water supply - Municipal or private well : 1lnWO i SEPTIC SYSTEM: Distance from any private well (including adjoining properties: AL ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: PHONE NAME OF PLUMBER & ADDRESS: PHONE NAME OF MASON & ADDRESS: PHONE NAME OF ELECTRICIAN & ADDRESS: PHONE DECLARATION To the best of my knowledge and belief 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 not, and that such work is horized y t e owner. Signature -'�i�/�, c ,f1, ,„4% 0 e , owner s age , architect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods:PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) JUN 7 1991 PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; Multi-Family Dwellings BLDG. & OQDE DEFT. (3 Stories or Less) PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets - Sev_A- _ -- Q_(1,eehXS APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross-Floor Area = Sq. Ft. 2. Type of Heat - Elec. Base Board Other 1„, -*- 3. Is Building Mechanically Cooled? YES 4. Percentage of Area of Windows and Doors Over 17% Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED THE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat A. Roof & Floors exposed to ambient temperatures R 1�- B. Exterior Walls R C. Glazed Area R 3.433 ff'I& D. Exterior Doors . R E. Floors over unheated spaces R 7,G ' -7-4 F. Edge of Slab on Grade (Heated Building) R --) -d( G. Basement/Cellar Walls (Above Grade) R jj _- H. Basement/Cellar Walls' (Below Grade) R II -! I. Heating/Cooling - Ducts - Piping in Unheated_ Space R 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code ro' YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED (9 %/ �F34or��� APPLI T'CA S SIGNAT RED DATE / TELEPHONE NUMBER INSPECTOR'S REMARKS : f., ,t MIDDLE DEPARTMENT INSPECTION AGENCY, INC:. National Headquarters - 1337 West Chester Pike,West Chester, PA 19380 • APPLICANT COMPLETES THIS SECTION . Date: • r City, Town or Township _ •,r 7, ( County (, l,�.. a .f State �`/ / Location/Address (�.,-• i/L1 L r �Lk `-1 i - - fTh. c c .+t `` (if Located in Rural Area-Please Attach Directions)- • i Pole # -Owner `" b' ,- , :7��T �� `='a 1 _j Permit # ? ?/r,' I Occupied As ``- = Y`� Building: New[' Old❑ Occupant Work Area in Building (Floor #,etc.): App. for: Wiring Service❑ or: Ready for Inspection: ' Fee Remitted-$ " . Cash n Check ri ' M.O:.n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat . - Switches, - Lighting - f }�J Amp. Service ' Surface Unit Dishwasher - Range Receptacles Water Heater Air Conditioner Dryer- Pump Number of Fixtures Oven Garbage Disposal ' Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: • MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number - of Each Size Applicant's Signature ( License # Permit # T/A `"� Utility: (NAME) (OFFICE LOCATION) Applicant's Address: (City) (State) (Zip) -• Service Request # -Phone # Electrician: MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: • • Correct Location: '.Same as Above n or: - • Red Notice Label 7 Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater ' . Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors I Pump •Vent.Fans MOTORS H.P. 1/20 1/12 1/10'1/8 1/6 1/4 1/3 1/2 3/4 1' 11h 2 3 5 " 71/2 10 15 20 25 30' 40 50 75 100 Mark Number of Each Size -• 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CO RECT FEE PAID RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ • CASH ❑ n L/A - " Owner Fee CHK # n L/A - - . Due n IPA Municipal MO # INV # Date: • Other Side I 1 ' Utility Applicant El Owner ❑ Cut in Card n Temp # Date • n Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/89 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 g BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME '7'2,-;14c LOCATION fLi DATE j'z 2-IS I clj 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 PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPO E ON SITE , FOUNDATION/WALL POUR • REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN P AC PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGIN — JOIST HANGERS JACK POSTS/MAIN BEAM 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 REMARKS: A‘s p A \--e s -To Am& ARRIVE � j DEPARTS_t� s3"U d /°� ,/ ' INSPECT OR TOWN OF QUEENSBURY (11\ ;•-,� 531 BA Y ROAD • QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED \`�\ l \c0 NAME '�(� (`'\ LOCATION 3`t--ef\) DATE ,)` \,3j \C\\ PERMIT# TYPE OF STRUCTURE -' l'')0.0161,X -- -� RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS j( DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMME TS: • ARRIVE j11" �� / DEPART llac' INSP TOWN OF QUEENSBURY ;" 531 BAY ROAD' QUEENSBURY, NEW YORK 12804 TM ' ' TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME cje=I t 'i I S'6-1 -S LOCATION :.T(;11.t,U DATE r / C�� PERMIT# Q ( -L--/ 6 f TYPE OF STRUCTURE 0t/0 LiG RECHECK )< j jr 11/4[.i a= 1 0 PLL FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING - ROUGH PLUMBING FINAL ELECTRICAL-- SEPTIC - INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A I YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT �. ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATIIc BASEMENT INSULATION/DUCT tf'K INTERIOR TRIM/PRIVACY Dts FINISH FLOORS: BATH/KITCHEN WATER GHT OTHER FLOORS SWEE'ABLE OTHER FLOORS CAETED STAIR CLEARANCE/'AILINGS HANDICAPPED ACC'SS SMOKE DETECTO' BATHROOM FAN:/WHOLEHOUSE F' ALL PLUMBI FIXTURES OPERA NG GARAGE FIr PROOFING (DOOR CLO:ERS OTHER F. RE SEPARATION XFIRE/ MISE WALLS }� DUMP ER SIT PLAN/VARIANCE REQUIRE ETS XFINAL ELECTRICAL ; OK TO ISSUE C/O OR C/C COMMENTS: � 7 AD3c' -IL 2 1 M L L' co s C) c� /S;Ut- C-/( L , j ARRIVE `` DEPART <3 !l INSP ; 01 LJ-ii i A R Y' i ,11 I ,.., A TOWNA BU OF QUEENSRY �` .�, 531 BAY ROAD Vital ;:* QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 " "( PECTOR°S REPORT REQUEST F Wf,S E TILIOON RECEIVED IS/ -J NAME rc%Lr S CIt6,4/\71 ,/ LOCATIONS 1-eiVf4LS 2c) DATE f g/5/i _PERf4ITP q 1-41,o I TYPE OF STRUCTURE 2 0- LU f/f ` A RECHECK )ti F rSi De, L'i)a : - FIRE MARSHAL APPROVAL (COIMMERCIAL STRUCTURE) ,/FOOTING /FOUNDATION :/BACKFILL ,J_FR�IMING _ROUGH PLUMBING FINAL ELECTRICAL SEPTIC a/I'NSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LO 'TION 1 B VENT/LOCATION / ;: PLUMBING VENT I ‘2. • - ROOFING SIDING DECK/PORCH/STEPS/RAILIN S{ .- RELIEF VALVES ,,` FURNACE/HOT WATER OPERA? G BASEMENT INSULATION/DUCjTWIRK INTERIOR TRIM/PRIVACY -OORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT =' OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED — STAIR CLEARANCE/RAILI'NGS HANDICAPPED ACCESS SMOKE DETECTORS i :, , BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING_ DOOR CLOSERS .1, OTHER FIRE SEPARATION FIRE/DEMISE WALLS K DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL 3�.a Inc;,' fa,.0 >4: OK TO ISSUE C/O OR C/C COMMENTS /- J- J1 c:IC:Li:'+ POO2 4)0: S�.Li_----" di os i ,,,(„ _'1C) fc.t#uij'fL'Rer-1- P -Sow L2 K'R A-Pr Pri- -iz i 0 0Z-6i-it-A- -,-o,s2;i Gr 6. / -Sz 4e(�,i'Svc=3 r i C,,e) , '1i. i D Sc,CS c J,Lg5 tr/vf'E,Y_Q),t/-3--e' c_v••,-r L1:L( ARRIVE ;'•_`_ 0 j I P T jh (%F.?r /419-6 ELECTRICAL INSPECTIONS PLL,x- DUPLICATE MUNICIPAL RECORD Permit No. Owner C/ S-6"--)4/ZS. :•Occupant - /jam Location �J r eVe��S Y�- I' - No. Street 6 (A.,cz='cf 3 23-ram/ f Town or City - State installation as itemized on reverse side has been visually inspected pursuant to applicable codes. , Installed by. ' �• y 0` [i� £2 . ) Date !iYi ' 9" / ector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 2?-3 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER • ' .?"/; Oterveis S J,7G.i- WIRING &CONTROLS FOR a BURNER qRECEPTACLES H.P.PUMP FIXTURES K.W.OVEN MP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT DAMP.SERVICE CONDUCTORS / K.W.DISHWASHER K.W.SURFACE UNIT / K.W.DRYER lK.W.RANGE AMP. RECEPTACLE / K.W.WATER HEATER _ FRAC.H.P.VENT FANS 4. ,..e.e.___ I MOTORS H.P. 1/20 1/12 1/IO Si Vs 1/4 'h 14 Y. 1 11 2 3 5 71/2 10 15 20 25 30 40 50 75 100 MARK NUMBER _ OF EACH SIZE - . APPARATUS TOWN OF QUEENSBURY .it BUILDING AND CODES DEPARTMENT 4/21 531 BAY ROAD er QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED ij gI 1AME Ofi iu,da.e LOCATION jd Q.l elu/1 R6-4 DATE I / /q I PERMIT # %/—6,I TYPE OF STRUCTURE Y7 cli1 RECHECK APPROVED N/A YES NO 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/WALL POUR ' REINFORCEMENT IN PLACE ' FOUNDATION/DAMPROOFING BACKFILL APPROVAL . .' ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS - BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN INSULATION: i O G)?!2.(4-Ve/ ) FOUNDATION WALLS`INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: L O W '!L L-6 0,5 L. — �v�h—i - g ' Ci + 11 it ARRIVE /5 / ' DEPART I/-2cS-- • ' " 1 19. '/✓L`� —, INSPECTOR TOWN OF QUEEIISBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED c NAME _1'12i5; ,lie.-J;: � ' LOCATION 5/Is t" :A `S 12_;p DATE /0/2-Sig/ PERMIT I - 6 1 TYPE OF STRUCTURE C� 1 - LI G7 RECHECK g-{ZL\ ) j APPROVED N/A YES NO 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/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL . )( ROUGH PLUMBING X' PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB YFRAMING: Te% ('rf e--,C= y JACK STUDS/HEADERS iC BRACING/BRIDGING )( JOIST HANGERS )( JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING , FIREWALLS \ HEATING ROUGH-`0 ' INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION,: ALLS\EXTERIOR R- FLOORS / �, R- WALLS / R- CEILING/ DUCT WORK OR PIPING IN UNHEATED SPACES/ REMARKS: CCU J J UI I ///5 S L..c_)12p'Lrc,i ric. 70 ARRIVE DEPART ,-_. I NS'PEC TOR IN‘GYIP►i TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT // REQUEST FOR INSPECTION RECEIVED L 0 9 t/ /q / NAME S ee�`(S ) /1\Y' LOCATION /,i2r..7 c ) elae6 DATE /o/ 8 Ci/PERMIT # ) - vT, / TYPE OF STRUCTURE {i-i RECHECK APPROVED N/A YES NO 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/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: a r JACK STUDS/HEADES BRACING/BRIDGING \ . ( JOIST HANGERS \ I /\\-% JACK POSTS/MAIN BEAM. „' /f FIRESTOPPING ti : \ WALLS t' A CEILING k. F I REWA LLS.. ,,HEATING ROUGHj.IN-- -14INSULATION: l4- \ FOUNDAT)-O"N WALLS INTERIOR -R- `-FOttNUATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: j) 5oi—j2 11 -c' L CA) L,1 • CA, L ;(13 i L(' (041 B;l&v1:J��L: �L� 17-12- 14-`tS' .L1 LOW ARRIVE ICE / DE PART /°`i .'i! V/� INSPECTOR • • I0:i cc�� // Down o f Queenibur, BUILDING and ZONING DEPARTMENT • • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 1)07 C , ��1i- I S I rl I LOCATION ` k -5(/ .LDS 2 j) -1)Ur'i-4.s_}C. DATE_ / /2�/ ��'I PERMIT NO. �/ =li `` SOIL TYPE - and1J- Loam - Clay - Percolation Test Required? YES - NO . Percolation rate - Min/Inch TYPE of SYSTEM: • Absorption field-, tota ieng Length of e c - nch ---__ -._ • Depth e ches `'----___ 1�� ze of gra • '- � ' ' SEEPAGE PITS4 umber of) •c �. ,. Size- ft. / ft. �J L L ici Gravel size _ �. (;-} PIPING: Size Type `J'2O' Bldg. to tank i_jj 5cr1LAO (Pv' Tank to dist. b.bq'ox _ y- V ii Dist. box to f teldvmits. ,•-f P c L_ Openings sealed•? ES' NO Partial LOCATION/SEPARATIONS: rTh Foundation to ,Stank ft. _6 Foundation to absorption ft./0 L Absorption to)lot line ft. � 0' Separation of' pits • ft. i LA-.(7 LOCATION OF SYSTEM ON• PROPERTY(circle o e) Front - Rear - Left side - Right side - COMMENTS: Original approval., was for tile fields. Seepage pits were installed. Left unit has one pit 8 'X10 ' Right unit has two pits- 6 'X8 ' . • Changed -lot plan submitted. Town engineer has approved change. See letter in file. 0_ 12_ 1 C;0 (c. 4._ e k, )/i 3�'f9 i/6 JW•5 1 L'A- i � A r&'Z S CiC Cu p,r1,tic,/ A-5 1 a u o i r Du pi ZL: (5,,I L 4 SYSTEM USE APPROVED YES-) NO (Mc' ----17 • Building inspector r 01/86 and vl 1 TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT OCT 2 a 199j ` T(-C!-t'--,At)S Pn.4-n- PROPERTY LOCATION P G l�m.L'c *Cr Ct(- Li 6, 1 l--` iA-mc •[25 Ct I -y670 OWNER OR TENANT BUILDING SEWAGE SIGN OTHER / REMARKS: i ,)&-.PA,el*r6, tP ricl- ,k)7e5 f111 r22 v f 0650 1:0 ia_ j/4(=. 4 i i-iAL 0� )JuPtL k_ S :(4jqo 7L! PVC T3Lo6761-71iv;15_ Pi k v I D /4--ccv iz i}' G/ P L;-r- PLAiki S I{o w/,v() af� ...„--- f•rc ru A I LocA-r(0.0 O !A,V(CS , /A,vKS v,v L-c f 111(A-f I-) 1 •v B1 co Xi Aztla_ A `-n iz P'rW.LI Pill i,coo `T" AP e 2i)ve-c. F I \ ti CONTACT THIS OFFICE W THIN ' %i 7 1` YNSPEC OR "HOME OF NATURAL BEAUTY. . .A GOOD PLACE TO LIVE" SETTLED 1763 • wim TOWN OF QUEENSBURY �` Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT (jC i f 19 g/ i ,us 2piO PROPERTY LOCATION It CL S OWNER OR TENANT BUILDING SEWAGE X SIGN OTHER REMARKS: / 7 l L/}N/J(J✓( �tPi aui/ f10 / (fit ( Lv,r/_,vor,t/r=L:�z q 1f-Y5. V ,p 77 of:: /4 LT-J 126 G 4tz. t Ci TED L 6P/1 C P,T 5 (41-350f2_1-10,1).--i-ek-ci-( _(3) As (V A- c r)r? ( 6 r Al()---ELLI /3--? Pf2o VP n CONTACT THIS OFFICE liftittil0 /r'AAr c7 % i DVS' INSPECTO "HOME OF NATURAL BEAUTY. ..A GOOD PLACE TO LIVE" SETTLED 1763 ..own o� Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME I) QS LOCATION S(-,(ibA/S \ . DATE 10/[0 / ql PERMIT NO. 4 " 46 ( SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES •- NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel ; SEEPAGE PITS4Number of) 'L Size- ft. X ft. '{ ' Gravel size , Y PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: �+ Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear Left s de `- Right side - COMMENTS: S�(S I E44 lo&S ii[?f 6- //-O f?1tl `moo (I PP PouCv PL/1 Ajs. Su@ mA r e r(A v(6 o rzor rzA iv A-79Lf CA-r1OA 1S I Nsi A-Li S,-(sn A 5 03o r r-i) SYSTEM USE APPROVED YES NO - Bui� ding In ,sector 01/86 and vl TOWN OF QUEENSBURY /6)30 '111) BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTIONN RECEIVED i(`) /0/ I NAME spays-, LOCATION \ an 5 Z^� DATE/// / /C/ PERMIT # �2) (i TYPE OF STRUCTURE — hu \ /` RECHECK APPROVED N/A YES NO 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 ¢ONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR 1 REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB 0 7,FRAMING: JACK STUDS/HEADERS I ) BRACING/BRIDGING / JOIST HANGERS / JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING 7' FIREWALLS HEATING ROUGH-IfN INSULATION: / FOUNDATION WALLS INTERIOR',R- FOUNDATION/WALLS EXTERIOR 'R- FLOORS i R- WA LLS R= CEILING / R- DUCT WORK OR PIPING IN UNHEATED SPACES I REMARKS:I -30 / 5 /`f/1/6 , GUI Air)l[3, 24-CGS f(S;v-05 WI-Wa&/AID(<nr.03- (DK sri3 i •vsUL r,�- 6/1v Ar5vrrr k z4 5 x (7os 6-33 ARRIVE f f,QO DEPART i/2.3ZD U� I NS PEC R TOWN OF QUEENSBURY 04 BUILDING AND CODES DEPARTMENT '!== 531 BAY ROAD �� QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED NAME C&a Yl C4 1r c LOCATION c lG�`�iV\ S DATEr4910 PERMIT if ! %/ TYPE OF STRUCTURE Z C9' )C>\Q I-E.j ' RECHECK (� J1 APPROVED (� N/A YES NO 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/WALL POUR REINFORCEMENT '1N' PLACE FOUNDATION/DAMPROOFING ' i BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE, PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING , WALLS I' `d, CEILING FIREWALLS 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 REMARKS: --LP P11,G0),?114;r ARRIVE / ; ) ) DEPART 7(5D /� , INSR CTOR VY TOWN OF QUEENSBURY , BUILDING AND CODES DEPARTMENT 531 BAY ROAD fl' QUEENSBURY, NEW YORK 12804 CG`r.b TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORTy-I , I� REQUEST FOR INSPECTION RECEIVED 6 1 NAME �(CJ L �cI\J7 LOCATION (3 a-Q VI./0 DATE PERMIT # - L (t TYPE OF STRUCTURE RECHECK APPROVED IN/A YE NO fF00TINGS/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/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL r. ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE r PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING ! JOIST HANGERS JACK POSTS/MAIN BEAM I FIRESTOPPING WALLS CEILING FIREWALLS 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 REMARKS: I ARRIVE DEPART NS PEC TOR 1101111K i TOWN OF QUEENSBURY 531 Bay Road, Queensbury, NY 12804-9725 (518) 792-5832 • December 30, 1991 Frank Sears Stevens:Road Queensbury, NY 12804 Dear Frank: . I This letter is in reference to your 'duplex on Stevens Road which has been issued a Certificate of Occupancy for the two upper units. This is to advise you that no further work is to continue on the third unit until you receive. site plan approval by the .Planning Board and request and receive an approved building permit for the third unit from this office. A building permit will have to be submitted to this office when you convert this from a duplex to a three unit building, it becomes a different class of building under the building code, and is now considered a multiple dwelling, therefore, it must meet other code requirements which requires .a building permit. This is also to advise you that, several months ago, it was discovered that the garage you built behind your residence was never issued a building permit and none was sought. Therefore I am requesting that you submit for a building permit for this garage as it is constructed with a complete set of plans and plot plan being submitted to this office along with an application. This office will do inspections for compliance and issue a Certificate of Compliance upon completion of the inspections. If you have any questions regarding any of the above matters, please don't hesitate to contact me. Sincerely, • • DAVID HA N DIRECTOR OF BLDG. & CODES D H/sed "HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763 FROST RIST-FROST ASSOCIATES,P.C. CONSULTING ENGINEERS ARCHITECTS SURVEYORS POST OFFICE BOX 838 21 BAY STREET GLENS FALLS NY 12801 October 28, 1991 FAX518.793-4146 RFA #89-5000.401 518.793-4141 Queensbury Building and Code Enforcement Town of Queensbury Office Building 531 Bay Road Queensbury, NY 12804 Attn: Mr. Dave Hatin, Director Re: Frank Sears Duplex - Site Plan 35-91 Sewage Disposal Systems Dear Mr. Hatin: As discussed this morning, we suggest that the sewage disposal seepage pits installed by Mr. Sears be allowed to remain and put into service provided that they were sized and installed properly for the design flow. Among the special circumstances upon which our opinion is based are the facts that the area is served by the Town of Queensbury water system, many other individual sewage systems in the area rely upon seepage pits for subsurface disposal , and subsurface disposal by other means would necessitate additional tree removal . Very truly yours, RIST-FROST ASSOCIATES, P.C. Thomas M.1kmowich, P.E. Managing Pr. ect Engineer TMY/cmw GLENS FALLS,NY-LACONIA,NH DEED REFERENCE: PART OF LEAH M. HARTMAN TO ' CHRISTINE SEARS DATED AUGUST 21, 1974 IN BOOK 585 PAGE 86 12• MAX. -�...� ./,. -1/jr P(p FT. E110 ALL a��TOR II►Es WST K STANDARD TRENCH PROFILE i KI.OM _ � � 7ETTE1lrQ1 ' _T r - =-Ilil=- Ilr e• TO 12' EARTH —_ FILL L A 2- ��- - IMIN. 12• O 2.' wM. STANDARD DISPOSAL SYSTEM =.ATb1 - - LLEVAT100d SEIVGL D'20zAL LAYQUT NHS. - I. FILE FIELD i0 BE 100• OR MORE FROM ANY LAKE, SWAMP DITCH OR WATERCOURSE AND ID - OR MORE FRO%I ANY *ATER LINE UNDER PRESSURE. 2. FOR SEWAGE PIPE BETYnEEN HOUK AND DISTRIBUTION BOX USE DUCTILE IRON PIPE WITHIN 50• OF ANY EXISTING WELL 3. DISCHARGE FOOTV4C, ROOF AND CELLAR DRAINAGE AWAY FROM RAGE SYSTEM. 4• DISPOSAL FIELD SHALL BE CONSTRUCTED PARALLEL WITH CONTOUR LINES. 56 iT1c SfOf�c �cu ' �E Q 1£S T MAY 14 I115 I ( '_ 5A1�US Igo C`J1�EI�)CC oF- C 2oaao U ATg.� T E2Gol.A`C1�.J TEST -TTo O/t.P 1 IWcH - 1 MI 10 I Plz�(IoSfo �-,�--� US/>.c•r� (,oc 4nLrpo`I ZONE INFORMATION: ZONE = SR 20 MIN. AREA = 20,000 SQ. FT/ MIN. WIDTH • = 100 FT. % OF LOT TOBE PERMEABLE = 30% MAX. HEIGHT OF BUILDING = 40 FT. MN. WASTE SEPTIC TANK DISPOSAL FIELD BEDROOMS FLOW (MIN. CAPACITY TRENCH LENGTH G.P.D. GAL.) 2 300 1000 125 v 3 ♦SO 1000 187 4 Ooo 12+ro 250 t - SEWAGE DISPOSAL SY T M SI IN G NOTES. EXPANSION ATTICS, ETC., ARE COUNTED AS BEDROOMS- 2. BASED ON ASSUMED PERCOLATION RATE OF 0 TO 3 M1N.. ACTUAL LENGTH OF TRENCH TO BC ADJUSTED IN ACCORDANCE WITH N.Y,S,D.O.N. REGULATIONS AND TO BE BASED ON PERCOLATION TESTS TAKEN AT TWE OF SYSTEM INSTALLATION. J. IF GARBAGE GRINDER, DISHWASHER OR CLOTHES WASHER INCLUDED MINIMUM SEPTIC TANK SIZE SHOULD BE 1.2 Sb f DALLOMS ko TIiRtE DEDROOMS OR LESS. �caolwwo �c�s CAAM - YAA°QN,s Amu i °tR1I11[D CO�OIi KCOYENO@. 1 ALL 0N1LC'T MfNiln DISTRIQUTION BOX T��Y TAT SAW q ELEVATION. °AfiLa O SEPTIC TANKS 1. ALL UNITS SHALL BE PRECAST CONCRETE AS MANUFACTURED BY FORT MILLER OR EQUIVEIENT. 2. ALL STRUCTURES TO BE PLACED ON FIRM, COMPACT SAND OR GRAVEL FOUNDATION. YM EREVER EXISTING FOUNDATION CONDITIONS ARE UNSUITAKE, CRUSHED STONE SMALL BE PLACED AS NECESSARY TO ACHIEVE A STABLE FOUNDATION. SEPTIC TANK 3. SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL BE EXTRA HEAVY CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADINC. T_ INSTALLATION OF DISPOSAL FIELDS: V� 2 CONSTRUCTION SHALL BE AS SHOWN IN *DISPOSAL FIELD DETAILS.' 4. PLACEMENT OF CRUSHED STONE. PERFORATED PIPE AND BUILDING TMS OWC.. AND SHALL BE kH ACCORDANCE WTH THE N.Y.S. PAPER OR STRAW SHALL BE AS SHOWN. AND CARE SHALL BE I J AS`TUDEPARTMENTF481- OF HEALTH LION OF HOUSEHOLD SYSTEMS ANp EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND ASTI GATED 6 INSTALLATION OF THERMOPLASTIC PIPE AND OTHER WASTE MATERIAL IN THE STONE AND PIPE. CORRUGATED TUBING W SEPTIC TANK LEACH FIELDS. NO HEAVY EQUIPMENT SHALL 8E ALLOWED WITHIN THE LIMITS S. THE PIPE SHOULD BE LAID AT THE GRADES RELATIONSHIPS SHOV*4 ONAND TO THE OF THE DISPOSAL. FIELDS AFTER PIPE INSTALLATION HAS BECUN. CONTINUOUS GRADES g1THpUNISADRAVANGHUM�MAIN AININGD STRAIGH JOINTS T AFTER EXCAVATION 2' WIDE TRENCH TO THE DEPTHS REQUIRED. OR OTHER UNSUITABLE CONDITIONS. THE PIPE SHALL BE LAID' THE WALLS AND FLOOR OF EACH TRENCH SHOULD BE CLEANED WITH THE HOLES DOWN IN ALL CASES. AND RAKED TO ACHIEVE AN EVEN SURFACE AND TO LOOSEN e. ALL DISPOSABLE FIELDS SHALL BE GRADED TO SHED RAINFALL SMEARED SECTIONS Of TRENCH. AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY LANDS OF FROM THE DISPOSAL FIELD. MOLNER SEPTIC TANK AND DISTRIBUTION BOX 14-7- I - Z7.385 14' a E 5 4* I RIGHT LANDS OF OF, BARBARA MELVILLE wn 6411599 _�j w ' LANDS OF DIDYK 4-7 0 0 LANDS OF �z 147 - ! - q�.�z �JyL � o MONRIAN �Q) C I I � tu I (�� ,�oS OF 3�Z CA / FRANK & CHRISTINE SEARS S 85 23 '31 " �E� � to - 327.31' y AREA 99,331.83 sq. ft. 2.28 acres O h CO Q 31 — - LANDS OF DEPALIO _ qq-I 3 r�i "lti=1ll OLLIM PAP. KAY ON STRA• •• KW� TM ".30 1v�- SETBACK REQUIREMENTS: FRONT = 30 FT. SIDE = TOTAL OF 30 FT. WITH A MIN. OF 10 FT. REAR = 20 FT. O 1 L..APT15 4 Y "T 0 0 S S 85 23 30 E ED ST H E JPF f D 7 GARAGEz6.z.. So.gS� O O \ N ` `" Ch �^ , 550- 64 ' ' pv 85.22,0 I 1 ANDS' ; , (OF NIAGA7�A �o �MOHAWIL- 'POWER CORP. � -7 L THE TOWN LANDS OF QUEENSBURY I 4_ 1 a P t7i'/1.tE F4f1E rezw- Ch' W40A/G ALL E'AV e 01JC11,4 v49,ir • ft9Vf T)PfAICAI .Df7W1Z OWNER (�'•r.f�RC QuE CHRISTINE SEARS #4 STEVENS ROAD 1474-44.4 .ENSBURY N.Y. 12804 LOCATION MAP: C PR • Grens Gravel P,1.: TOM OF -z , .n o • E o yII��, e • I -OWN OF QUEENS3UR,; RECEIVED JUN 2 71991 BLDG. & CODE DEpT. 1 f Q)- 41 �,Yf qi-41oN2. MAP OF A SURVEY MADE FOR CHRISTIN-E SEARS TOWN OF QUEENSBURY COUNTY OF WARREN N.Y. SCALE: 1 "=50' DATE I MAY 20, 1991 Vadusen & Steves APPLICANT LAND SURVEYU�S, GLENS FALLS, NEW Y❑RK FRANK L. SEARS I Pf':- Ica., 9,vf rD-- RD #4 STEVENS ROAD r;N,Y�, STATE LIC, N❑. 3561i t.02,5 - ' E 5v T QUEENSMY N.Y. 12804 s + MAP # 74200