1993-096 i - r 1- ., '+".-- i':.,.L•.yq 1._ ., .�tw4•,+,�;,,.-r. , - - v . .....-v ..._
VIMMMEMEMMMOW
CERTIFICATE--OF OCCUPANCY
rf TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 0401.L 21 199
This is,to certify that work requested to be done as shown by Permit No. 93-096
has been completed.
This structure may be occupied as a
single family dwealing with
1AY J t.of C a t.Lott,hud 91 r wy a
4
Location. Lot 7 Haiiipton Court, Queensbury Forest Subdivision Phase III
Owner Forest Wood Homes, Inc. y,
121=4-7
By Order Town Board
� '
TOWN-OF QUEENSBURY
ri 1
Director of Bldg. do Code Enforcement
-1
x
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-096
WARREN COUNTY, NEW YORK i N
PERMISSION is hereby granted to FOREST WOOD HOMES, INC.
OWNER of property located at Lot 7 Hampton Ct, Queensbury Forest IItfeet, Road or Ave.
—n
in the Town of Queensbury,To Construct or place a Single family dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and cn
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
HCO2 Box 286P
Warrensburg NY 12885 ,3
2. CONTRACTOR or BUI LDER'S Name
c7
r-
3. CONTRACTOR or BUILDER'S Address 0
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4. ARCHITECT'S Name —0
ct
0
n
5. ARCHITECT'S Address .o
CD
CD
czr
6. TYPE of Construction—(Please indicate by X) -S
-11
(X)Wood Frame ( ) Masonry ( )Steel ( ) 0
O
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7. PLANS and Specifications
't7
No. 31'x48' Two-story Single family dwelling as per plot plan, speci- sv
fications and applicaiton including two car attached garage and septic system. cn
8. Proposed Use 1. 1
1--1
Single family dwelling
PERMIT ISSUED UPON CONDITION THAT AMENDED PLANS BE SUBMITTED WITHOUT FAMILY ROOM. m
$ 199.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 19 19 94 -
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the a
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 19thDay of April 19 93
SIGNED BY '140-1'1 5 Z 2i for the Town of Queensbury
r{ ng aZeoning Inspector
TOWN OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT ,:4.11 f _ �'
BUILDING & CODE ENFORCEMENT , FEE PAID: /t/Q9i-a a.44
531 BAY ROAD
QUEENSBURY, NEW YORK . 12804 PERMIT NO. Q3,o R
(518) 745-4447 _
BUILDING PERMIT APPLICATION ,ws' OF OUEENSb,
. RECEIVED
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDI 5DPER[�Q ~'
All applicants ' spaces on this application MUST be complet and11
signature of the applicant MUST appear on the application form.
"* P COfF fFP'fi
OWNER OF PROPERTY: Fo,
Mailing Address : lit-Q? km- ' Qi 1a�A, l r9 NY am-
Telephone
Number(s ) : Work l J Home 63-,;y7q Other '
PROPERTY LOCATION: /I)7 7 f fit�;07jjGi O. uiv"f OGteephs',�i �;f phase III
Tax Map Number: Section 42/ J Bloch LI- Lot 7
Subdivision Name: ileeac1,u7y �D&et" phase ill Lot No. 7
1
,,,,,a(
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 1 Q00
\/ NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL ti/ Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR 7fl SQ. FT. 8'1
eo IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR 751 SQ. FT. -1-6-4 r
•
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS :
A''D Detached Garage - One/Two Car
TOTAL FLOOR AREA: 110 S . FT. v Attached Garage - One/ wo Car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
'M FEET X 1/ FEET
Foundation Type: nouvej Will any second-hand or ungraded
Number of Stories : I a lumber be used? If so, for what?
(habitable space only) no
Height (grade to ridge) : 075 feet Type of Heating System:
Number of fireplaces and/or woodstove , (circle all which _a•plies )
to be installed: I N.lectric
Fo / Wood
rced Hot Air • .seboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
NAME OF BUILDER/ADDRESS/PHONE: Forest W04r) James lC-O x f'' !AJWV1�,rA���jIMc W 413"3979
NAME OF PLUMBER/ADDRESS/PHONE : (�(',PJ',iz,,,,,�'i„, Qu�r;I II-, U(ikri,„, ,.1 t,a/ /`lfy
NAME OF MASON/ADDRESS/PHONE: �-1- AO)firmu5 tie-0k i,ox jf „ip.(i isbu4 I . 61913-3�779
NAME OF ELECTRICAN/ADDRESS/PHONE: erler h,i, 54, 14, /I, lI toN- evgd
1
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 n AS BUILT PLOT PLAN
drawn to scale, showing actual location of p o ' c o remises .
Signature ‘
(Owner, own r' agent, a chitect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
V
4,111W"==, ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY ark OF QUEENSbL.
9000 HEATING DEGREE DAYS RECEIVED
Compliance Methods : PART 5 - Acceptable Practice Method PR - , 1993
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component `Tf AFT•
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'S1 NAME: PROPERTY LOCATION:
/;rest Wood liOnne.S /4 7 Que.hchurt, po/A7 1
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - � square feet
2 . Type of Heat - Electric Oil V Gas Other
3 . Is building mechanically cooled? Yes V/ No
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof. R 30
b. Exterior walls R )�
c. Glazed areas R la
d. Exterior doors R
e. Floors over unheated spaces R )1
f. Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R
h. Basement/cellar walls (below grade) R
i. Heating/cooling-ducts-piping in unheated space R 10
6 . Service (domestic) hot water heating device /
Conforms to minimum efficiency per code �/ Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App -' ant' ignature Date Phone Number
i a Aril la) Ig°13 03-397%
INS CTOR'S REMARKS:
TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT ' Permit #
Fee Paid
jr-i .ds� OF QUEENSb�.
Date: f 0,, 1993 Reviewed By RECEIVED
LOCATION OF PROPERTY FOR INSTALLATION: d - ? 93
Owner's Name: Fnv'S " Wood times
& CODE DEPT_
Owner' s Mailing Address: fie- oa box p� N '
11Xf5
Installer' s Name: Phone -
�Q�e Fold Wood ���s #: ��3,�97f
Number of bedrooms (if residential ):
Total daily flow (residential-compute @ 150 gal . per bedroom) : 1.0
Topography-Circle One: Flat Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam .Clay Other /Depth:
Ground Water-At What Depth? J�a� �' Feetjr-e4 fry .
tom
Bedrock or Impervious Material-At What Depth? g Feet
Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Municipal Well Other
If domestic water supply is a we 1 -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank ������
p )off() gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench 50 feet//Total System Length 2aO feet
Seepage Pit(s): Number o / Size eac :
Size of Stone to be used: # a / Depth or Thickness feet
************
ING TANK SYSTEM IF RE U
No. of Tanks Size of Eac Gal .
Alarm system an associated electrica ork to be in cted by a certified
agency.
***************
I have read the regul ion on the reverse side of this sheet and agree to abide
by these and all requirements of th Tow of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: DATE: I',-
Septic System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
• 1) the proposed location of the system •
2) location and distance to lot lines
3) location and distance to structures
4) location and distance to any water supply
5) size and dimensions of all tanks, distribution boxes, tile fields
and/or drywells
B. No system shall be covered before inspection and approval by the Building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
Town of Queensbury
Building & Code Enforcement
Department
531 Bay Road
Queensbury NY 12804
Remarks:
.
THE NEW YORK BOARD OFFIRE UNDERWRITERS
DO NOT 1NRITE HERE-FOR OFFICE.USE ONLY - —1 -' '
, .
_
- ! .
, ------BUILDING PERMIT NO.
_ -
TEMP.# DATE I i
' . • ,,
. _
CITY OR VILLAGE • ZIP CODE TOWNSHIP 1 COUNTY
.,':q "
, , POLE NUMBER ',,,..-••--
STREET AND NO.OR ROAD ------rr'
d, t 41 '' i A ti 1 I
i 4-;< ,' .140..
BETWEEN WHAT TWO CFIOSS,STREETS IS PREMISES LOCATED? / '••••, SECTION • ;BLOCK -
V ., r --,,
,..-
..
OCCUPANT'S NAME BUILDING OCCUPANCY . -
• .,•••..
\ •. -."..,.. •
OWNER'S NAME AND ADDRESS ,i \ ... HOME TELEPHONE NUMBER
. :'-'%, ', .., • I%.,),i:, / 1,17,i,,•1/.• / \
CURRENT SUPPLIED BY FROM THEIR 'OFFICE --", - .=+•‘ WORK TELEPHONE NUMBER
•
BUILDING IS ,_._,•„ ,
- NEW l:fr'‹ . - ' . OLD 1=1 WORK IS 'NEW LJ '. ADDMONA"L O 4 DEFECTS REMOVED 0 . ,
tt2,--.:1,:••-...-• • • -,.. - = • ,- .: '' LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED A' -
. r------",- -.' NUMBER OF OUTLETS, -• N .of Fixtures&
MOTORS BRANCH
HEATERS- . OFFICE USE
Lamp Receptacles CIRCUITS, ONLY
- lion . Side Attach't --:-.- H.P. Watts „, ', A.W.G.
Ceiling Wall :- Recep'1§ Switch' Pendant Bracket -No. Type Each No. Each 'a Gauge . INSPECTION — ..
;'-."sioE . ,
, I - .
,
SUB- .
--= .
" BASE- , • ,,..
MENT _ ' ..
• 1st
,-.'''' , .
FL. ,_ . 1 • -
2nd , . si, • . . .
FL
, .
_
3rd .
FL. ., '' -
,
. A . ..,
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. . - ',.,,-
...., i. . -•:.
• .. ' .
•
. ,
.. . .
( 1.THISFOUNDAP AP DL IDCIATTI(DI ONI<IA ILS EINTENDED TTONOT C OAVBEDRNITEH LEI SATBEODV Ey-OLUI STAERDE EA(9 TU HI POMREI ZNETDO T. BEO MAKEINSPTEHCET EIN%PB EU T IIFOANT ATNI MDEAOD Fail NSST PTEHTCE FI OENE,T H ETOCROEV EI IS -
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE‘APPLICANT.
/ ,.....<1,-.
'••,,, SIZE OF MAINS ' . • ' FEEDERS ELECTRIC SIGNS/LAMPS , TOTAL WATTS
7 ' A
CHARACTER OF WORK i ._„, 0 EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
‘ •: -
0/CONCEALED •
DATE WORK TO BE STARTED /„...,-, DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY .
.
SERVICE ENTERS BUILDING ' MANUFACTURER OF SIGN .
- ,•,'" El OVERHEAD D UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE). , - MUST ENTER APPLICANTS 1, "
I 1
IDENTIFICATION NUMBER IP"-
.
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. f
PRINT NAME AND ADDRESS' ,,.,"-7 --•=7,
r
' NAME OF APPLICANT • - -- - - -. ., - ' - DATE OF APPLICATION "SiGNATURE OF APPUCANT ‘,...t..,-...A••••,
f: 3 l
‘.141%- •.W‘P..., . k;7"--- ,
;v .(' - 1..., .-",... ' ,,,T.ELEPI:IONT NQ:,.C. •••-•2?.
' X.:'.j ';`-----•±11' ,'' , ••:,_ 0,._, ',- N- -(» 142;•._. \
. .
CITY OR FIOST OFFICE„ ,,."'". A - - -.) -ZIP,;CODE :LICENSE No.WHEN APPUCABLE
Ur =
....) a i tk et$:. V •
- , 2
0 85 John Street -
, :,..../ •
0 41 State Str t ' - 0 570 Delaware Avenue 0"217 Lake Avenue 0 202 Arterial Road.. ' -
NEW YORK,NY 10038 \\ALBANY,NY 12O7 BUFFALO,NY 14202 • ROCHESTER,NY 14608 SYRACUSE;:NY;13206 . .
(212)227-3700 - - (518)463-212 • (716)884-1155 (716),254-0141" . (315),463-8552
._•
- ._ —. .—. . . - . ......• ,.•,,, • ••.... A.Nra..1, '/..•••••,.—I r.:11. II I I 1 ,,.r.—I.%RA I l 't I T.11."It eV -- - -":-." ,
TOWN OF QUEENSBUR '
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date ,19 Permit No. q - :)6/(a
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 ions , lnn) /- , APPLIANCE (check appropriate boxes)
Address off f) r i) ' ❑ STOVE o Wood o Coal ❑ Pellet
0 F,IEPLACE INSERT
/A o rpt i hoa N.Y Zip iU S CYF1 REPLACE, FACTORY-BUILT:
J
❑'Wood ❑ Gas
Phone ❑ FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner say Os a La, _ ❑ FURNACE: o Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY:
Manufacturer: MAY
Zip Model: akti Outlet: inches
Listed By: Number:
Phone
CHIMNEY (check appropriate boxes)
Exact address of proposed construction
't ❑ MASONRY: 0 Block 0 Brick 0 Stone
// 7 ll41 4 O m,a7 r� uvi/' i(:)l44, FLUE: 0 Tile 0 Steel
' 1 Size: inches
CONSTRUCTION/INSTALLATION MUST ne/FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manu acturer: IttaA9c Model:
BUILDING CODE. CONSULT TOWN OF List d By: 0 Number:
QUEENSBURY HANDOUTS PROVIDED o°Double Wall 0 Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑ Insulated
Cashier's Department .Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title 1 A 173 3389 (190)Public Safety
A 233'2655 (230)Minor Sales
Fee-Collecte d Fromor—Refunded to: V-ti`` 41-, /t' ram'°
Address: r
Dated: 41..5/i.3 s - Town Clerk or Deputy:. . _„1,11 .a D
White:Applicant Green:Fire Marshal Yellow:Bldg. Dept. Pink& Goldenrod: Cashier's Dept.
!.(„ \t!1,11,)tl.itr Itl st .tl..iti 19!fib .IP h lt/ tb,itl‘tf.,tr,}h 1tl it/,jtl, tl N,ktl.Al","1, ti Ori. i"\t!tb„)ti,\tc,1114,M."N"h 011,. r," r.,1tr,vtl„tt it it t•?_sy tI,fit(.t Ct 9l,1h„4!
ip THE NEW YORK BOARD OF ' FIRE UNDERWRITERS 1' -``'M 1
4016628
BUREAU OF ELECTRICITY
71; 41 STATE STREET.ALBANY;NEW YORK 12207
°' JONE '18, 1'"a''3.i' Date ` .14<..'E'i69./9.i A t'?A ;,;,!
Application'No.on file
ek: THIS CERTIFIES THAT
%: only the electrical equipment as described below and introduced by he applican .named on the above application number in the premises of
., o
0, CO-:EST U000 H;)If1aS, 11AIIP` OU MUM ;11t'd1Wtt(IR , 11.Y. o
• CI
in the following location; L` Basement El 1st Ft. ❑` 2nd FL I f !I''' Section Block Lot
,' was examined on 1 i1�a' ��' 1'? a and found to be in compliance with the National Electrical Code. ':
►: FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
,-,;'. OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. . 'z.
i'
,:
•
i
A, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS nu. UNIT HEATERS MULTI-OUTLET DIMMERS 1
• AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS ,;
K,
'' I 1~ 1 .5 1 _I •.
J.
ifs: SERVICE DISCONNECT NO.OF S . E---- R-- . V I . C . -. E_ _ ._ _ _'•
AMT. AMP. TYPE METER 1,e 2W 1 2 3W 3 a 3W 3,0'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•ail NO.OF NEUTRALS A.W.G. 'i
EQUIP. PER% OF C .COND.. OF ail OF NEUTRAL
4.• 1 ;?tea CB I X 1 /t . I. f 0
w' OTHER APrfPARATU'S: ,
C t7t 'i
' SHOKiti ii1�T1 CTO1{.._ I
0, .
of' •
i'
i'
J.
IA' '( i
. 111c: APEET ELETDIA.! "INC. (
cr,..
...,,,: 1:e7 HORAWK AVE
1,
.'' CUTI '•; N Y e 12302 BRANCH MANAGER
eX: 2,39
i;
Per
K: 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. :',
,;C'4(4(•4,-4j rtC 4,-.4C'4,C'4C-lti'it,-4 4 iti'it,7ti:4C'4C•'4,-;.4;Yt-,-'iti'it "itf itC 4,'4C'4,"4,-4,"r 'r41 ti'i46f'tC'ie tC'ril w"itf'iet rtrr�� es dV iti'iOi r.,iei i et le iti"re; rya 'e+"•„,
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT )V/21-
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED (/'44
NAME GGLteiet/LGP, CCU (4'?itLe
LOCATION p_t j �r, /PG(_,
DATE 45743 / PERMIT -09.T- O
TYPE OF STRUCTURE r5;41, of 2c, at-irk d 42,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM ' i!
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE. ;Y
MATERIALS FOR THIS PURPOSE,fON
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE < '
FOUNDATION/DAMPROOFING ; /
BACKFILL APPROVAL ;+,, Gr
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE I
PLUMBING UNDER SLAB \;; '
)(FRAMING: ;<',
JACK STUDS/HEADERS ';,
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM ' .
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS IN +ERIOR R-
FOUNDATION WALLS EERIOR R-
FLOORS R-
WALLS / R-
CEILING R-
DUCT WORK OR PIP/NG IN UNHEATED
SPACES
OEMARKS:
44JT - I l'$it ' q A/6 S
ARRIVE f a:Lf5
DEPART // 4,-j c,
INS ECTO
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 0
NAME 7oPA.f (ikeze , 7-xi„)
LOCATION j°- 'J b/a/yvv-,4 01t
DATE /a,/4 PERMIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS\
AUTO. EXTINGUISHING SYSTEM 1
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM I
ALARM SYSTEM
\ VT
INTERIOR FINISHES vti
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING�1UNITS
REQUIRED SIGNAGE \.
y
y
LL`HIMNEY
WOODSTOVE
'FIREPLACE-MASONRY
t-FIREPLACE-FACTORY BUILT )(
REMARKS: I 1 OK TO THIS DATE
��L-- - DLL
CA-1 Wry jai: mo`e:
2/015 I PECTOR
` TOWN OF AUEE
531 BAY ROAD
k,,,,i £. QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME ... 'tl (.t%l,:r. / r-,-,S'.
LOCATION 47,4 # 2 )442/ C`[ /'
DATE Øi/9 ' �PERMIT' 9 > 96
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BAOKFILL FRAMING
TROUGH PLUMBING '';._FINAL ELECTRICAL SEPTIC
o' Ironl oIu N WOODSTOVE FIREPLACE _
REMARKS
y
I APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LO ATION
B VENT/LOCATION/ I
PLUMBING VENT / 1 i
ROOFING / \
SIDING /
DECK/PORCH/STEPS/RAILINGS. K
RELIEF VALVES
FURNACE/HOT WATER OPERATING ,
INTERIOR TRIM/PRIVACY DOORS X
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED J.
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DO -CJ OSERS,_
BATHROOM FANS " ,
ALL PLUMBING FIXTURES OPERATING :{
GARAGE FIRE PROOFING 94
DOOR CLOSERS
OTHER FTRF SEPARATION
FINAL ELECTRICAL p.) SI B
OK TO ISSUE C/O OR C/C
1MMENTS:
NS C OR
TOE 1 OF QUEEWSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804 `��
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 4Jpi
Location f 7 444 ( /
Date 4/�93 Permit #
SOIL TYPE: an Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch i-5
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length 7_cj
Length of each trench 5`0
Depth of trenches
Size of stone
SEEPAGE PITS: Number- /.
Size - it, x
Stone size 4
PIPING: Size T pe
Bldg. to Tank
Tank to' Dist. Box S po
Dist. Box to Field it !lG
Openings Sealed? es` No Partial
LOCATICC/SEPAR l 0W :
Foundation to/Tank (i feet'--
Foundati on Or Absorp ion 70 feet r
Conforms es per Plot P',,an COY No
LOCATIOOF SYSTEM ON PROPERTY:
(circle' •A -
Front!- Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
.
SYSTEM USE APPROVED: YES NO
Arrived: -3n.
Departed: -3'ZY
Building Inspec or
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804 A/c___
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED / 7/93 /QI4L
NAME 7?)ui ai -r,/ (.44
LOCATION 4 �f 64.
, �� /9.1) PERMIT# 9 - 494
iff 0E5_9/ APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS /'
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY \
WOODSTOVE \ ,
FIREPLACE-MASONRY ,/
FIREPLACE-FACTOR//Y'BUILT
2
REMARKS: [J OK TO THIS DATE
mil r
Gai/fl/aX
--7L/L/-->> 7)941-A,7 7"'/22
2/015 I SPECTOR
TOWN OF QUEENSBURY „�,n,
BUILDING AND CODES DEPARTMENT `'Q
531 BAY ROAD 11)(1
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 5/2/f�
NAME t 7diiiii lilt' A li f,0
LOCATION , jf 7 //l (,09`-n
DATE 5(24I qj PERMIT
TYPE OF STRUCTURE SFb � 4c 4, ���jl}c/e-0
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 SfI'TE
FOUNDATION/WALL POUR .7/
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING :V
BACKFILL APPROVAL \
ROUGH PLUMBING
PLUMBING VENT/VENTS 'IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN/BEAM \
HEATING ROUGH-IN /
( INSULATION: ti
( FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS \R-
WALLS fl` IR-
CEILING R-, }�
DUCT WORK ,OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE /d2()---DEPART / . a-<- /
INSPECTOR
TOME OF QUEEMSBURY ry j a
BUILDING AND CODES DEPARTMENT '
531 BAY ROAD AAA
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTIo RECEIVED
NAME C. 41,44/3_s
LOCATION
DATE 3'1 q3 PE•';!IT 0 �Oy1
S TYPE OF 6TRUCTURE /
RECHECK APPROVED
,N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONT 'CTOR IS RESPV SIBLE
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 ;t
)ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE/ j(
PLUMBING UNDER SLAB- _ t_ -
)(FRAMING'
JACK S UD HEAD R p
BRACI /BRIDGING 1
JOIST HANGERS I �C
JACK POSTS/MAIN BEM/ -7
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTE IOR R-
FOUNDATION WALLSJEXTER OR R-
FLOORS ,/ R-
WALLS / \ R-
CEILING I .\ R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
/PP SWO OND2-n- 3 i :i-r-
f - Q C 1 4007-\\
01 Z ,t)S OLI41-72-7-
ARRIVE IO•-1 C
DEPART /01.- O
INSP CT R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME / CS-100 Y) l M&S -
LOCATION L4D-I- /14-4 rC ,V c-
DATE 516(93 PERMIT # 3 -0 9'4
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 I
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOF NG
BACKFILL APPROVAL /
ROUGH PLUMBING 1 /
PLUMBING VENT/VENTS`IN PLACE/
PLUMBING UNDER SLAB \ K
FRAMING: 1
JACK STUDS/HEADERS\ /
BRACING/BRIDGING ! /
JOIST HANGERS 1 /
JACK POSTS/MAIN BEAM/
HEATING ROUGH-IN
INSULATION: 4
FOUNDATION WALLS I TERIOR R-
FOUNDATION WALLS •XTEIOR R-
FLOORS ;. R-
WALLS R-
CEILING 7� R-
DUCT WORK OR PIPING IN UNHEATED
SPACES \',
4
U
REMARKS:
%9`r vG f G k -f- f?013 Cryv j-
ARRIVE /O
DEPART /8; �
IN EC OR
jareAubI6 /Jo
TOWN OF QUEENSBUR
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ,S/,S/Q,2 ow...,
NAME NaLa_1, / ( Vit2221,=&
LOCATION �f 7 4t2/v-.i
DATE 011ie PERMIT 1 ' 9,5-, l '
TYPE OF STRUCTURE FJ &))7f i q.0 VI,
/
RECHECK APPROVED
f N/A YES NO
FOOTINGS/PIERS J'
MONOLITHIC POUR FORM I'
REINFORCEMENT IN PLACE F'
THE CONTRACTOR IS RESPONSIBLE 4 '
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 ? ,A,'
FOUNDATION/DAMPROOFING d /'
BACKFILL APPROVAL IA';
ROUGH PLUMBING i`.f x.
PLUMBING VENT/VENTS IN PLAqCE
PLUMBING UNDER SLAB y'I
FRAMING: ,;f
JACK STUDS/HEADERS I
BRACING/BRIDGING / 'A
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:
Pc/a417 S
A-564 aHLI- i!,%.,(P P ICWO
ARRIVE P-(-) •
/////,,-. .
DEPART too
IN PECTOR
345}(In
TOWN OF-QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED 3
i"
NAME
LOCATION b4-4-1
DATE I PERMIT #
TYPE OF S RUCTURE
RECHECK APPROVED
N/A/0 YES �10
OOTINGS/PIERS / t/
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE 1
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM /
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CO?kCRETE. /
MATERIALS FOR THIS PURPOSE ON SPTE
FOUNDATION/WALL POUR \
REINFORCEMENT IN PLACE \ /
FOUNDATION/DAMPROOFING \ I
BACKFILL APPROVAL X
ROUGH PLUMBING :/ \
PLUMBING VENT/VENTS IN PLACE \.
PLUMBING UNDER SLAB ,( \
FRAMING: /
JACK STUDS/HEADERS /
BRACING/BRIDGING /
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:
ARRIVE 3:76
DEPART -J
INSP
TOWN OF QUEENSBURY &i/
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED .I.X/Wg am
NAME (/)citeirtti (/aA LL 7tti.b
LOCATION p54- "
DATE I$?99/g3 PERMIT # 93-a95
TYPE OF STRUCTURE `/JJ cv 30 9arta9e.-
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 I ��r
ROUGH PLUMBING I 4;
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB 1 �'
FRAMING: 1 ti
JACK STUDS/HEADERS `
BRACING/BRIDGING I
JOIST HANGERS (
JACK POSTS/MAIN BEAM ;'a
HEATING ROUGH-IN �!
INSULATION: ^�
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R- 1
WALLS / R-
CEILING / R- 1.
DUCT WORK OR PIPING IN UNHEATED \
SPACES /
/ \
REMARKS:
ARRIVE °"
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME CeNci-L.0 i
LOCATION V6 -(; ( gAAiA,u P— )
J
DATE 4/2.4`'D PERMIT
TYPE OF STRUCTURE 1 5 -OS
RECHECK APPROVED
N/A YE$ NO
FOOTINGS/PIERS cpsfitiv-e-a-
MONOLITHIC POUR
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSEsON SITE
- FOUNDATION/WALL POUR /
REINFORCEMENT IN PLA E
FOUNDATION/DAMPROOFIN I
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN LACE
PLUMBING UNDER SLAB /
FRAMING: f
JACK STUDS/HEADER'S
BRACING/BRIDGIN
JOIST HANGERS ;y
JACK POSTS/MAI'N BEAM \
HEATING ROUGH-I4l
INSULATION:
FOUNDATION/WALLS INTERIOR RN _
FOUNDATION WALLS EXTERIOR R—\ •
FLOORS / R— \,
WALLS R— \,
CEILING R—
DUCT WO OR PIPING IN UNHEATED
SPACES
REMARKS:
co/2., E L,t0 abri
ARRIVE AZ_O
DEPART l s
I SP TOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4{/,Z6ll/s
NAME (lla,{d.lif
LOCATION _ oy ,7
1.
DATE //t� r/� PERMIT # 9 - oq
TYPE OF STRUCTURE ,5/J
RECHECK APPROVED
N/A YES NO
)(FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE j .
FOR PROVIDING PROTECTION FROM''
FREEZING FOR 48 HOURS ,FOLLOWING
THE PLACEMENT OF THE C NCRETEr.
MATERIALS FOR THIS PUR OSE OW SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE #
FOUNDATION/DAMPROOFING% N
BACKFILL APPROVAL .
ROUGH PLUMBING \a
PLUMBING VENT/VENTS IN PLA@E
PLUMBING UNDER SLAB f
FRAMING: V
. JACK STUDS/HEADERS S
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM . .
HEATING ROUGH-IN .
INSULATION: ‘
FOUNDATION WALLS INTE IOR IR-
FOUNDATION WALLS EXTE IOR R'-
FLOORS R-\,
WALLS R-`\; _
CEILING ' R-
DUCT WORK OR PIPING I aNHEATED
SPACES
RE RKS:
-k rrAI S`F ck s L.T Z p r
rdp.�iU it.,ri2;64
Grviveir RULPL j.- •g-- 1-Sey-rufg,a ,Lj-c'}T
ARRIVE //f. j
DEPART l iii-16.
INS ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0
TELEPHONE (518) 745 4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ( ;z4)t f".-e,_
LOCATION eacgAM,U D c
DATE f1[ -pJq3 PERMIT if �93- S- J P
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
kFOOTINGS/PIERS
ONOLITHIC 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 i I
BACKFILL APPROVAL I
ROUGH PLUMBING E h
PLUMBING VENT/VENTS IN PLACE'
PLUMBING UNDER SLAB \ I
FRAMING:
JACK STUDS/HEADERS f
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM �.
HEATING ROUGH-IN .
INSULATION:
FOUNDATION WALLS INTERIOR R.-
FOUNDATION WALLS EXTER OR
FLOORS R-\
WALLS R- \
CEILING R- \
DUCT WORK OR PIPING N UNHEATED,`
SPACES
REMARKS:
/V6T-NA1)(I;
cco Giretz, / 1 f;00- 1/,3d
ARRIVE /q,
DEPART Z4{
I, SP CTOR
1 mt. y
escf) 641 r.4 .„iq OF OUEENSbL.
RECEIVED
-6"'+ N APR 31993
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MAP REFERENCE:
QUEENSBURY FOREST PHASE III
BY VAN DUSEN & STEVES
DATED SEPTEMBER 19, 1991
LAST REVISED APRIL 22, 1992
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N 8318'00 "
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I HEREBY CERTIFY TO
LAWRENCE G. & BONNIE J. MtCASLAND
GLENS FALLS NATIONAL BANK & TRUST COMPANY,
IT'S SUCCESSORS AND/OR ASSIGNS
OLD REPUBM- NAIIONAL TITLE INSURANCE COMPANY
THAI• S 11108W )AADE FROM AN ACTUAL SURVEY ON
THTO RECORD DESCRIPTIONS AND
SO ATI NDARIES AND IMPROVEMENT'S
ICI �PREM ERE ARE NO ENCROACHMENTS
THAN.-
LEON •t�t•Y•••
DATED: MAY 28. 1993
cti
C'1
V
LANDS OF
QUEEN VICTORIAS GRANT
H6;MEOWNERS ASSOC.
'UNAUIHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAW SURVEYORS SEAL IS A
VIOLATNON OF SECTION nos. SUB-OIMSION 2. OF THE
NEW YORK STATE EDUCATION LAM.'
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED MATH AN OfW*AL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.'
"C£RWICATKINS INDICATED HEREON SIGNVY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE MATH THE
DOSTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL.
LAND SURVEYORS. SAID CER7MATIONS SHALL RUN ONLY
TO INIE PERSON FOR WHOM THE SURVEY IS PREPARED. AND
ON HIS NNALF TO THE TITLE COMPANY, GOVERN WITAL
AGENCY AND LENDING INSTITUITKIN LISTED HEREON. AND
TO THE ASSIONEES OF THE LENDING IISIrWINON.'
MAP OF A SURVEY MADE FOR
rI
LA fgNCE G. & BONNIE I MTELOD
TOWN OF QUEENSBURY COUNTY Of WARREN _ N.Y.
SCALE, 1 "=30' DATE, MAY 28, 1993
VanDusen & steves
LAc,+D SURVEYORS,GLENS F'ALLS,NEW YORK
N.Y, STATE LI - NO. 35617
121-
m