1993-065 � _ .-
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date September 22 95
19
5O5 , t0A- 1-g-t
This is to certify that work requested to be done as shown by Permit No. 93065
has been completed.
INTERIOR ALTERATIONS
This structure may be occupied as a
Location ` • H--i yh t e
Owner WARREN TIRE SERVICE CENTER
•
TAX, list, NO tl . -' , i . By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg.& Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-065
WARREN COUNTY, NEW YORK CD
I�
PERMISSION is hereby granted to WARREN TIRE SERVICE CENTER
OWNER of property located at 4 Hi ghl and Av Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Interior Alterations
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 tTt
Wayne Kellogg and Gerald Potter
same
m
2. CONTRACTOR or BUI LDER'S Name
m
n
m
3. CONTRACTOR or BUILDER'S Address c7
•
m
4. ARCHITECT'S Name
5. ARCHITECT'S Address
Iy
6. TYPE of Construction—(Please indicate by X) .
( )Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
No950 sq ft Interior Alterations as per plans and application.
8. Proposed Use
ct•
Retail tire and repair shop -°
0
$ 47.50 PERMIT FEE PAID —THIS PERMIT EXPIRES March 24 19 94
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Q'
c+
town of Queensbury before the expiration date.)
0
In
Dated at the Town of Queensbury this 24t Day f March 19 93
SIGNED BY for the Town of Queensbury
Building and Zoning I ctor
TOWN U „, ' CS----,
�
e, %1L.e, 6`)''''.OP QUEENSB RY ,��
4141111k REVIEWED BY: (r_/-- 1/ •
" #$# FEE PAID: 1/7 y.% ,0
t q*-1 ° .-------
PERMIT NO. : -
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: LA ALl r,S(r <' L066 ci- ALp^mil ,2
P.O. Address: _ LI 1-4-ll4LAk3 (\ Alec PHONE 799-,a)8
Property Location: 4 t-t4 .)-4 LAW i AV(� Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No _*,_____
If yes, Planning Board Review is necessary:
e, i i -a-p -i-c a-b-1-e: 1 Ai m l2.rj( -ri Ra ,56a TzD A✓ t o Fe-:
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
L(N -1--)67-C-C
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ �1OZO
Addition to building
,0. Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: AP ft. x Q20 O ft.
- ---- Other work (describe) * Existing-Building Size:
* 1.0 ft. x 60 ft.
* Proposed building - istance from
GROSS AREA OF PROPOSED STRUCTURE: * property line: j�
*
1st Floor qj(� Sq. Ft. 1� t''2- * Front Yard ('O ft. Rear yard �� ft.
W�`�� * Side Yards 26, ft. and ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Nip, Sq. Ft. *
(not cellar or ba ement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: i l x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units Pier/Slab/Crawl/Partial/Full (Circle One) * - Business _
* Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) 3 S" ft. *
If residential , no. of families: * If addition, what will use be?
No. of rooms (excluding baths) : *
No. of bedrooms:
No. of bathrooms: * Accessory Building:
Primary heating system: * Detached Garage - One/Two Car -- -
Type of fuel : * Attached Garage - One/Two Car . , _
No. of fireplaces to be install d: * Private Storage Building
Will a woodstove be installed?: * Other
Central Air Conditioning: Yes No *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS: 11
Type of construction: wood frame, fire safe, etc. tic -reAwt��
Will any second-hand or ungraded lumber be used? If so, for what? IOD
Foundation Wall Material : Thickness: {0/4--
Depth of Foundation below grad (to b ttom of footing) : M
Will there be a cellar? Ar Heated or Unheated? Ith11.4-eATM Floor Sq. Footage: 950
Will there be a basement? Ar Will any portion be used as living space? 0
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other Material of Roof i6i/lik
Size, wood studs " x " ; spacing " o.c. ; length ft.
Joists (floor beams) : 1st Floor 0.2 " x /0 "; spacing /,6 " o.c. ; span // 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 " o.c. ; span ft.
Exterior Wall Finish: of what material ?
Interior Wall Finish:
If a garage is to be attached, describe materials 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? Height above• roof ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace hearth: ft. in.
Water supply - Municipal or private. well : .
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: S(.6•-P �cc — [G1-41-AciO A1I PHONE 7129-Z16o
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: SKi-P — 1-1--K,141..P - D AkA PHONE 71 k-7�5o
DECLARATION
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
not, 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 drawn to scale, sho ing actual
location of project on premises.
Signature
Owne , owner' s age , architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
•
By:
Code Enforcement Officer
MAIN OFFICE ;{ ` --7( :-,_�,, ,�, ATLANTIC-INLAND, INC.
997 McLean Rd. 1 r` " --
,. (,-.,y y,- . , " — .-- NEW YORK
Cortland,New York 13045
kl MEMBER OF N.F.P.A.AND I.A.E.I.
Phone: (607)753-7118 FIRE UNDERWRITERS
' (607)753-7809 C 134261
(607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service)
(Incorporated in the State of New York)
Desiring Certificate of Approval,application is made for inspection of electrical installation in the premises described below.On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION itkAAvc(u Ir^,, , I ci c
CITY,TOWN,VILLAGE (DU EE }F,42,,1 1 U COUNTY IL)r'+.E'�2 N STATE NI Fr-r,�) `e'r)0.IC
STREET
ADDRESS [--'f 1--' { !.-{I At i l" AV�, BUILDG.NO.
RURAL
DIRECTIONS POLE NO. ,
OWNER'S \1 r� /�,r-- ,/-
I `t J/!! V/ /
NAME .Ut1VQ JO IIlG-7 C—'_), OCCUPIED AS tt\VMler1-- / f-isitiEY1 ;(� va: rR-)./! tiJiI I@',\ i`iv,
OCCUPANT {j�h� d(::, \ 1})� _rl i\ .BUILDING—New 0 Old)`WORK—New 0 Additional j7' /
OWNER'S P.O. _'''. A /)
ADDRESS G- �'-•-)^\' '{::',l =>-"1 --- --L.� , )c= 1 % ,-ti.S, / ) , `Y.
APP.FOR—ROUGH WIRING%❑FIXTURES I:I OR . READY FOR INSPECTION 111 A vg.'i-['i 1-2, 19'.j
FEE REMITTED—$ BY CHECK 0 CASH 0 MONEY ORDER 0 MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK
Number of Rough Wiring Outlets Fixtures Add Installation
Swtch Li'tng Recep. KW Med. Mogul Fluor. ' 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Heat Base Base
Elect.Heat '
V !(� Amp.Service Water Htr._ Burner Air Cond.
Surface Unit Oven Range Gr.Disp. Dish W.
Dryer H.P.Pump Ex.Fan Hood
OTHER EQUIPMENT(Specify Type&Capacities)
TYPE OF SIZE OF SUB- BRANCHES NO.OF
WIRING OPEN,: CONCEALED 0 OTHER MAIN MAIN CIRCUITS
APPLICANT'S
f Ear SIGNATURE rr ' ,�- l.
.dam. ,_7,\ .r LICENSE# PERMIT#
APPLICANT'S / '�v '—"' NAME OF
ADDRESS (.¢ IA I j-_f4 Li\r ),,, ti lei r - UTILITY
CITY I)(1I.."l jc/,AU Kt'STATE V ..•^c. BENOTE TI -.� 9g a ,,.
JL j, ZIP CODE /��� BE NOTIFIED r t iJ O rJ t
SPACE BELOW FOR USE OF INSPECTORS ONLY
ROUGH WIRING AMP SERVICE K.W.SURFACE
OUTLETS EQUIPMENT UNIT
SWITCHES AMP SERVICE K.W,OVEN
CONDUCTORS
H.P.GARBAGE
RECEPTACLES H.P.PUMP DISPOSAL UNIT
MEDIUM BASE K.W.
FIXTURES • K.W.DRYER DISHWASHER
MOGUL BASE K.W.WATER
.FIXTURES HEATER K.W.RANGE
FLUORESCENT H.P.AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES - --- DETECTORS VENT FANS
�MOTORS,H.P. 1/20 1/12 1/10 1/8 1/6 1/4 ' 1/3 1/2 3/4 1 1/ 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
APPARATUS Elect.Heat
MISC.INFO. Received
Inspected.- FEE PAID
g�Yie� ❑PROGRESS TOTAL$
/YI k El DEFECTIVE
Check No.
R. # 60 ❑Rough Wiring Certificate
yn ❑Temporary Service Money Order
' hi 1213� 0 FINAL CERTIFICATE
Cash
Mon.-Fri. 6-7:30A.Ma ❑Dup.Cert.Req.
518-692-9295 ❑MUNICIPAL Charge
513-638-6339
MUN.ADDRESS
ATTN:
Temp.Cut-in Card No. Final Cut-in Card No.
Inspector
AI-01 MI INInIPAI ITV
//)O PAn.
TOWN OF QUEENSBURY
�`
ICat '! BUILDING & CODE ENFORCEMENT
r'=�,, 7421 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: l/,d DEPART: /�- - INSP: �
FINAL INSPECTIONON REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIVED:
NAME Gj /Yef���e
LOCATION '� (//+/ ? •
DATE 9j/firm PERMIT # . J-��
• TYPE OF STRUCTURE
FOOTINGS BACKFILL FRAMING PLUMBING_
INSULATION
N/A % YES NO
CHIMNEY/"B" V:NT/HEIGHT
PLUMBING VENT/•IXTURES
ROOFING •
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS •
FOUNDATION INSULATIO
INTERIOR STAIRS/RAILI•GS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS .•ENET.: .TION
FIRE DAMPERS
CEILING FIRE SI PPING
FIRE DOORS/CLLI4ERS VVV
EXIT DOOR H7XRDWARE
EXIT STAIR6 RAILS
PLATFO /ELEVATOR
HANDIC PPED ACCESS
HANDI PPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE QR C/C ✓C/-
TOWN OF QUEENSBURY
4154
BUILDING & CODE ENFORCEMENT
;rt4 7421 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: Ad DEPART: INSP: (2Y-
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, t. complex)
DATE INSPECTION REQUEST RECEIVED: --7.1) 0--
NAME \, C 1 V7'eAA 6
LOCATION `-k \-c l CNA^-- (_
DATE R - , PERMIT # �.�- l.9(OS
TYPE OF STRUCTURE -f y\� A1\
FOOTINGS BACKFILL FRAMING PLUMBING_
INSULAT ON
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VEN FIXTURES
ROOFING
4
EXTERIOR FINISH
HEATING/HOT WATER ,
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENET• .TI•
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
,HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.-
FINAL SURVEY PLOT PLAN, IF REO
OK TO ISSUE C/O OR C/C Ca ' A/4 •'
�.
-4c4.66 ��-
�,�, er
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTME
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE ,Z/Hp/A/ PERMIT #.
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 PURPOSE ON/SITE /
FOUNDATION/WALL POUR ,/ „F •
REINFORCEMENT IN PLACE r
FOUNDATION/DAMPROOFING II ,
BACKFILL APPROVAL C I
ROUGH PLUMBING I
PLUMBING VENT/VENTS IN PLACE „/
PLUMBING UNDER SLAB If •
FRAMING:
JACK STUDS/HEADERS ;,
BRACING/BRIDGING I
JOIST HANGERS
JACK POSTS/MAIN BE,,M
HEATING ROUGH-IN 1
INSULATION: i°' ;.
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- \
FLOORS R- \
WALLS / R- .
CEILING R-
DUCT WORK OR PIPING IN UNHEATED \\
SPACES
REMARKS:
Nee/ b
lugt/ /h CD -
•
ARRIVE aSQ
DEPART �rr J
INS CTOR
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION .
DATE qt IYA3 PERMIT, 93-06 3—
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
CHIMNEY HEIGHT/LOCATION N/A YES NO
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 NS
ALL PLUMBING FIXTURES OK �TING
GARAGE FIRE PROOFING /
DOOR CLOSERS
OTHER FIRE SEPARATION/
FIRE/DEMISE WALLS /
DUMPSTER
SITE PLAN/VARIANC REQUIREMEN
FINAL ELECTRICAL/
OK TO ISSUE C/O OR C/C
COMMENTS:
C/
arl r ./9 ',46'4 /ems Olt `��e
ARRIVE --9`yf
DEPART gr2,0
ISECTR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 4
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME PUS 64,0
LOCATION 4
DATE 4/.231/3 PERMIT I
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POURSSFORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IDS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF 1WE CONCRETE.
MATERIALS FOR THIS( PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN ;PLACE
FOUNDATION/DAMPROOF'iNG
BACKFILL APPROVA'' ,
ROUGH PLUMBING ' t
PLUMBING VENT/VENTS I? PLACE
PLUMBING UNDER r LAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRID1GING
JOIST HANGERS
JACK POSTS/MAIN BEAM t,
HEATING ROUGH,-IN
INSULATION: I
FOUNDATION WALLS INTERIOR R-
FOUNDATIO WALLS EXTERIO R-
FLOORS \R-
WALLS I R
CEILING I
DUCT WORK_OR PIPING IN UNHEATED
SPACES
REMARKS: /Sfa&_
bkcba Pam, 71 Ace.e. AccUJ
ot io-e2/-1
Pam-
ARRIVE AN
DEPART
NSPECTOR
/51 _ - - �
I FORMATION FOR BUILDING DEPARTMENT
• LENDING AGENCY
Atlantic-Inland, Inc. is in the process of issuing a Certificate of
Occupancy/Compliance for the electrical installation/
construction project as covered in an application filed with
our main office. •
J- 3/- )1117(4" 4/
Date Inspector
•
NEW YORK ATLANTIC-INLAND, INC.
TCI 19 OF QUEEMSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURV9 NEW YORK 12804 .
TELEPHONE (518) 745-4447.
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME / c'`' /j/1,64:._
LOCATION 4 Ati ,L
DATE 3/‘ PP' PEAT 0 J -O 1
TYPE OF STkUCTURE
RECHECK APPROVED
}N/A . YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE �—
' THE CONP%CTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR ti Hi .;RS FOLLOWING
THE PLACEMENT OF THE CONCRETE!.
MATERIALS FOR THIS URPOSE OR SITE
FOUNDATION/WALL PO,R
REINFORCEMENT IN P ACT-
FOUNDATION/DAMPROOaING
BACKFILL APPROVAL
ROUGH PLUMBING if
PLUMBING VENT/VEN S N PLACE
PLUMBING UNDER SLAB /
+/FRAMING: y
JACK STUDS/HEAD' RS
BRACING/BRIDGING \ V
JOIST HANGERS
JACK POSTS/MAIN BE \
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS _NTERIOR R-
FOUNDATION WALLS EXTERIOR R-,
FLOORS R- '
WALLS R-
CEILING R-
DUCT WORK OR pPING IN UNHEATED
SPACES
REMARKS: /
: Je �Ie:. it c cee
//1,--fs4.1- Ae&-e eA 4-e cirko
a„f X/e/ ,'` >r• - ��
ARRIVE 0',O
DEPART 4/Ye/. "
SPECTOR
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION h '
DATE /i 19 PERMIT# 75( 93-C)
012 ' APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS /
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLAT1ION .�
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM I
I /
INTERIOR FINI4HES
STORAGE:
CLEARAy E TO SPRINKLERS
CLEARANCE 110 HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: U OK TO THIS DATE
ded /S ;
6174 it sib
Cal
2/015 IN PECTOR
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TOWNOFQUEENS-BURY - - -
REVIEWED BY
DATE 3 02ei 3
TOWN OF QUEENSBURY Billl i i" MENT
Based on our limited amination.
compliance with our comexmen{VbEhallDEPART
not be construed as indicatingthe
•
plans and specifications aro in full
compliance with the code.FILE '613PY
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I HEREBY CERTIFY TO
WAYNE D. KELLOGG do GERALD C. POTTER
THE FIRST NATIONAL BANK OF GLENS FALLS,
IT'S SUCCESSORS AND/OR ASSIGNS
TRW TITLE INSURANCE OF NEW YORK, INC.
THAT THIS MAP WAS MADE FROM AN ACTUAL SURVEY ON
THE GROUND ACCORDING TO RECORD DESCRIPTIONS AND
MOWS LOCATIONS OF BOUNDARIES AND IMPROVEMENTS
ON THE PREMISES AND THERE ARE NO ENCROACHMENTS
OTHER THAN SHOWN.
LEON M. STEVES
DATED: MARCH 8, 1993
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'1N►AUTHM-ZED ALTERATION OR AD"M TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209. SUB-"()N 2. Of 1NE
NEW YORK STATE EDUCATION LAW.'
'ONLY COPS FROM THE ORIMAL Of THIS SURVEY
MARKED 1MTH AN ORIGINAL OF THE LAND SURVEYORS
MAL SHALL K CONSIDIM 70 BE VALID TRUE COPIES.'
''JER-MCATIONS INDICATED HEREON SIGNIFY THAT
THIS SieRN`tis ' WAS PREPARED IN ACCORDANCE " THE
COSTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
SY THE NEW YOM STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CER7MCATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF To THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LVIDING IN&TITUITION US1ED HEREON, AND
TO THE ASSIGNEES OF THE LENDING NST1'T IM.'
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AppliCatiol
MAR 2. 4 1993
Administrator
• IV OF QUEENSb,
REE-EfVE#3-
1993
ODE DEPr
MAP OF A SURVEY MADE FOR
WAYNE
D.
h' G
� GERALD
C.
TTER
TOWN OF QUEENSSURY
COUNTY OF
WARREN N.Y,
SCALE + 1"=30'
DATE + MARCH 8,
1993
VanDusen & Steves
LAND SURVEYORS,GLENS FALLS,NEW YORK
I,P. Q.PE *:---"-p
N.Y, S ATE LICe NO, 35617
93029