RC-000671-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000671-2016 Date Issued: Tuesday, March 7, 2017
This is to certify that work requested to be done as shown by Permit Number RC-000671-2016
has been completed.
Tax Map Number: 308.8-1-75
Location: 96 BURNT HILLS DR
Owner: Michaels Group Homes,LLC
Applicant: Michaels Group Homes,LLC
This structure may be occupied as a: Single Family Dwelling w/FP 2743 s.£
Garage 451 s.f. By Order of Town Board
LARIC Subdivision,Lot 6 TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the p2a
pirecto w ng&Code E men
Planning Board or Zoning Board of Appeals.
% TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761.8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000671-2016
Tax Map No: 308.8-1-75
Permission is hereby granted to: Michaels Group Homes,LLC
For property located at: 96 BURNT HILLS DR
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Michaels Group Homes,LLC Single Family-New $270,000.00
Owner Address: 10 Blacksmith DR Total Value $270,000.00
Malta,NY 12020
Contractor or Builder's Name/Address Electrical Inspection Agency
Michaels Group Homes,LLC
10 Blacksmith DR
Malta,NY 12020
Plans&Specifications
Single Family Dwelling w/FP 2743 s.f.
Garage 451 s.f.
LARIC Subdivision,Lot 6
$1,516.25 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,October 12,2017
(If a longer period is required,an application for an extension most be made to the code Enforcement Officer
of the Town of Queensbury before the expir on date.)
Dated at the Town of Q ensbury ' 4dne ober 12,2016
SIGNED BY: / for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
Date: `1Permit No. QC ��1' 2plb
Tax Map ID Permit Fee 212 lo.25
Zone Historic? Yes No Rec Fee 'q 13550
Subdivision Name L ot# Si>e�# s
Subdivision#
Project Location '�tko ZWee r 4-11145 O17atic
TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family,multiple family,
apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. This is in addition to the
permit feels).
Primary Owner(s) MIGHDt�S 2c7 S�
Ct Ftc�l q � to c-
Address 10 tM4 r--grA-t=
— PLY IZOZO
Phone/Email 513 , q,to'511
Applicant S'P-ME !ss p r�ov
Address
Phone/Email
Contractor SJ►wl� a s /�o�.I�
Address
Phone/Email
Contact Person for Building & Codes Compliance: Phone c6'5>') -3l 4 4
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration Ise floor sf 2"d floor sf Total sf Height
Family Single 1,410
g Y
Two-Family
Multi-Family
i
(#of units
Townhouse u W
Business Office Y
- y
Retail-Mercantile
Factory-Industrial
Attached Garage
(1,0, 4+) %,(- 451 c}
Other
Town of Queensbury Building&Codes Principal structure Application revised January 2016
If commercial or industrial please indicate name of business
Proposed use of building or addition Stw1GtLr, try 17.eSt(>c— LAa
Source of Heat(circle one) Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances &Chimneys
Are there structures not shown on plot plan? No
Are there easements on the property? Kp
Site Information:
a. Dimensions or acreage of lot
b. Is this a corner lot? _Yes __No
c. Will the grade be changed as a result of construction _Yes No
d. Public water or Private well(circle one) ublic Private
e. Sewer or Private Septic System(circle one) Sewerrivate
Value of all work to be performed (labor or materials) $ o o —
DECLARATION.
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
3. I certify that the application, plans and supporting materials are a true and complete statement /
description of the work proposed, that all work will be performed in accordance with the NYS
Building Codes,local building laws and ordinances,and in conformance with local zoning regulations
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate
of occupancy.
5. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of
all newly constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above: /
PRINT NAME: o r J- �g G U DATE: 1,71
L
SIGNATURE: DATE:
For office use only /
Operating Permit Issued: _Yes —No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
Fuel Burning Appliance & Chimney Application Office Use Only
Received
DATE: g za I l a Tax Map ID
TAX MAP ID: Permit No.
Permit Fee
ZONE:
OWNER MRCS-I/kt s C.IS &O p I-kVme5 ,V-UC- PHONE/E-MAIL •j\9,��t�j ,(p'311
ADDRESS 10 gt-CkLA4S10-t%T*4 MM-rx j M,-/ IZOZ.o
INSTALLER/ 132ST F2E HED.c�TH �, p�\v PHONE/E-MAIL 51� , �b9 • q�0
BUILDER
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: 'Co1W LC. ClkS.SC.\O
PHONE/E-MAIL 4b5-7 .3\44 BUILDING ADDRESS q 1,, bkl2.1X a.-ULLS bQ"=—
ROOM OF INSTALL: PLANNED INSTALL DATE:
FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN&
STOVE FINAL INSPECTION ARE
FIREPLACE INSERT REQUIRED.
FIREPLACE,FACTORY BUILT* NOTE:
MANUFACTURER'S
FIREPLACE,MASONRY
INSTALLATION MANUAL
FURNACE(GARAGE ONLY) MUST BE AVAILABLE AT
HC�c 1 L�„-00 TIME OF INSPECTION
*If factory built provide manufacturer name: ; Model#:
Listed by: %3.1-• Number: U%—17--I A3lo
CHIMNEY INFORMATION
Masonry** (check one) _BLOCK _BRICK _STONE
Flue _TIE _STEEL _Size in inches
Material _DOUBLE WALL _TRIPLE WALL _INSULATED
** If non-masonry provide manufacturer name: ; Model#:
DECLARATION: Construction/installation must conform to NYS Fire Prevention & Building Code and/or
manufacturer requirements. 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 inspector's to enter premises
to perform required inspections.
I HAVE READ AND AGREE TO THE ABOVE:
PRINTNAME: w t a1-7 \-115c4 DATE: z y L
SIGNATURE: DATE: !�/I-y 11,6
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
SEPTIC DISPOSAL APPLICATION Office Use Onlv
Received
DATE: G Vul I v'a Tax Map ID
TAX MAP ID: Permit No.
Permit Fee
ZONE:
APPLICANT 1`�1 Kk1 p,�-�•c� cjmc,'V- VX.4-Acs, 11.0 PHONE/E-MAIL
ADDRESS 10 GPaV-, WAA-TL* , 1`L1-/ l-zr3zo
INSTALLER/ CH b "e� s E>GC ANI Akll M Z, PHONE/E-MAIL 1b 4 9 3"1 t
BUILDER
OWNER MIG4{p.p,,.S C%TxOA,� Kv"%5S ,L-r- 5%6 .05F .t.
ADDRESS
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: TOTAV LpLkc--X t 0,
PHONE/E-MAIL 436"7 -3144-
RESIDENCE
3144-
RESIDENCE INFORMATION
Year Built #of bedrooms X gallons per bedroom =total Daily flow
1980 or older Garbage grinder installed Yes >(No
1981-1991 Spa or Hot Tub installed —Yes oto
1992-Present 5 (ip
PARCEL INFORMATION
Topography XFlatrolling _Steepslope %Slope �t1TURE aE9RCD
Soil Nature Sand Loam Clay Other
Groundwater At what depth: VIA
Bedrock/Impervious material At what depth:
Domestic Water Supply 'C Municipal Well(if well,water supply from any septic system absorption is_ft.)
Percolation Test Rate: per minute per inch(test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank size gallons(min.size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub
System Absorption field with#2 stone Total length ® R.;Each Trench
Seepage Pit with#3 stone How many: ;Size
Alternative System Bed or other type:
Holding Tank System Total required capacity? Tank size #of tanks
Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will
no longer allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the
septic system layout on file-no exceptions.
Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material representation 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 and agree to
abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
PRINT NAME: k t o 7 /uS G(� DATE: L 9 I b
SIGNATURE: f DATE:
Town of Queensbury Building&Cos Principal Structure Application Revised January 2016
Town of Queensbury Thomas R. Van Ness
Highway Department Highway Superintendent
742 Bay Road, Queensbury,NY 12804 Home: 518-745-0929
Phone: 518-761-8211
Fax: 518-745-4466 David Duell
Deputy Highway Superintendent
Home: 518-745-0938
DRIVEWAY PERMIT
Date: tet '2'1 I tb
Applicant Name: MVG-ic.co s 4zo%-P Oto►��,��c
Telephone No.: 'S%0 .T5a.(P-611
Address to be Inspected Otto V&% W Hsu S (�t�ta
Return Address: to %LA4Ars1-xr1%4 t>1;r1 t-�rn ,tyy t zom
Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes
at the specified location
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action
has been taken:
STEP 1: ( ) Preliminary approval
NEED O Slight Swale
( ) Deep Swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used(if necessary)
( ) 12" ( ) 15" ( ) 18" ( ) 24„ ( ) 36"
Preliminary inspection completed by: Date:
Approval by Highway Supt.: or Deputy Supt.:
Upon completion please resubmit this approval permit for a final approval.
STEP 2: ( ) Final Approval ( ) Rejected
Date:
Thomas R. Van Ness,Highway Superintendent David Duell,Deputy Highway Superintendent
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
REScheck Software Version 4.6.2
Compliance Certificate FF=LEOPY
Project The Sinclair
Energy Code: 2010 New York Energy Conservation
Location: Warren County, New York
Construction Type: Single-family
T
Project Type: New Construction
O
Orientation: Bldg. faces 90 deg. from North N Lr)
Conditioned Floor Area: 2,743 1111:2 r.
Glazing Area 14% _
Climate Zone: 6 (7635 HDD) p i (`o
Permit Date: 21 September, 2016 C O Co
Permit Number: V J
w
Construction Site: Owner/Agent: Designer/Contractor: > dj
96 Burnt Hills Drive The Michaels Group, LLC CL'=
Queensbury, NY 10 Blacksmith Drive 3 C) i
Malta, NY 12020 `.. N ti
cii
y C LL
Compliance: - t tb j
Compliance: 3.9%Better Than Code Maximum UA: 436 Your UA: 419 m Q
The%Better or Worse Than Code Index reflects how close to compliance the house is based an code trade-off rules. 00 V
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. LL
M C � r^
Envelope Assemblies G
Gross Area Cavity Cont.
meter
Foundation Wall:Solid Concrete or Masonry 1,368 0.0 13.0 0.052 70
Orientation: Unspecified
Wall height: 7.6'
Depth below grade: 6.6'
Insulation depth:7.6'
2x Std Basement Windows:Wood Frame:Double Pane with Low-E 4 - 0.310 1
Orientation: Unspecified
1x 5030 Sliding Window:Wood Frame:Double Pane with Low-E 15 0.310 5
Orientation: Unspecified -
1st Floor Walls:Wood Frame,24"o .c. 1, 2p 21.0 0.0 0.056 75
Orientation: Unspecified L SLf ,� U?6
CD
Foyer#1: Solid 1 [ 21 0.170 4
Orientation: Unspecified td — -- —
2x Living (BG):Wood Frame:Double Pane with Low-E s 32 � 0.310 10
Orientation: Unspecified -
1x Home Office(AU): Wood Frame:Double Pane with Low-E 35 0.310 11
Orientation: Unspecified
Mud#20: Solid 19 0.170 3
Orientation: Unspecified
2x Great Room (E): Wood Frame:Double Pane with Low-E 29 0.310 9
Orientation: Unspecified
Ix Great Room (R): Wood Frame:Double Pane with Low-E 27 0.310 a
Orientation: Unspecified
2x Breakfast(B):Wood Frame:Double Pane with Low-E 20 0.310 6
Orientation: Unspecified
Project Title: The Sinclair Report date: 09/27/16
Data filename: F:\Share\Design\Res-Check\Burnt Ridge\96 Burnt Hills Drive.rck Page 1 of 7
Gross Area
Assembly or Cavity Cont. U-Factor UA
Breakfast#7:Glass 40 0.300 12
Orientation: Unspecified
1x Kitchen (S): Wood Frame:Double Pane with Low-E 16 0.310 5
Orientation: Unspecified
1x Dining (F):Wood Frame:Double Pane with Low-E 29 0.310 9
Orientation: Unspecified
Ix Living (E): Wood Frame:Double Pane with Low-E 14 0.310 4
Orientation: Unspecified
2nd Floor Walls:Wood Frame, 24" o .c. 1,589 21.0 0.0 0.056 78
Orientation: Unspecified
2x Master Bed (AT):Wood Frame:Double Pane with Low-E 32 0.310 10
Orientation: Unspecified
1x Foyer(AQ):Wood Frame:Double Pane with Low-E 17 0.310 5
Orientation: Unspecified
Ix Bed #2 (G):Wood Frame:Double Pane with Low-E 32 0.310 10
Orientation: Unspecified
2x Bed #4(G): Wood Frame:Double Pane with Low-E 64 0.310 20
Orientation: Unspecified
Ix Bath(AM): Wood Frame:Double Pane with Low-E 7 0.310 2
Orientation: Unspecified
1x Bed #3(K):Wood Frame:Double Pane with Low-E 17 0.310 5
Orientation: Unspecified
1x Bath(BM): Wood Frame:Double Pane with Low-E 16 0.310 5
Orientation: Unspecified
lx Bath(AM):Wood Frame:Double Pane with Low-E 7 0.310 2
Orientation: Unspecified
Ceiling: Raised or Energy Truss 1,721 38.0 0.0 0.025 43
Plant Shelf: All-Wood joist/Truss:Over Unconditioned Space 35 30.0 0.0 0.033 1
Floor Above Garage:All-Wood joist/Truss:Over Unconditioned Space 190 30.0 0.0 0.033 6
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck Version 4.Y.2 and t comply with the mandatory requirements listed in
the REScheck Inspection Checklist.
El,rµ D- RuOyity 9Cd
Name-Title Sig ture Dat
Project Title: The Sinclair Report date: 09/27/16
Data filename: F:\Share\Design\Res-Check\Burnt Ridge\96 Burnt Hills Drive.rck Page 2 of 7
REScheck Software Version 4.6.2
Inspection Checklist
Energy Code: 2010 New York Energy Conservation Construction Code
Requirements: 0.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each
requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section Plans Verified Field Verified# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
&Re .ID
103.2 Construction drawings and ❑Complies
[PR1]1 documentation sufficiently ❑Does Not
demonstrates energy code ❑Not Observable
compliance for the building
envelope. ❑Not Applicable
103.2, Construction drawings and ❑Complies
403.7 documentation sufficiently ❑Does Not
[PR311 demonstrates energy code
compliance for lighting and ❑Not Observable
mechanical systems.Systems ❑Not Applicable
serving multiple dwelling units
must demonstrate compliance
with the commercial code.
403.6 Heating and cooling equipment is Heating: Heating: [ Complies
[PR2]2 sized per ACOA Manual S based Btu/hr Btu/hr ❑Does Not
on loads per ACOA Manual J or Cooling: Cooling:
[]Not Observable
other approved methods.
Btu/hr Btu/hr— ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 31-ow Impact(Tier 3)
Project Title: The Sinclair Report date: 09/27/16
Data filename: F:\Share\Design\Res-Check\Burnt Ridge\96 Burnt Hills Drive.rck Page 3 of 7
Section
# Foundation InspectionComplies? Comments/Assumptions
&Re .ID
303.2.1 Exposed foundation insulation ❑Complies
[FO11]2 protection. ❑Does Not
❑Not Observable
❑Not Applicable
403.8 Snow melt controls. ❑Complies
[FO12]2 ❑Does Not
di ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title:The Sinclair Report date: 09/27/16
Data filename: F:\Share\Design\Res-Check\Burnt Ridge\96 Burnt Hills Drive.rck Page 4 of 7
Section Plans Verified Field Verified
# Framing!Rough-In Inspection
&Req.iD Value Value Complies? Comments/Assumptions
402.4.4 Fenestration that is not site built ❑Complies
[FR20]1 is listed and labeled as meeting ❑Does Not
AAMA/WDMA/CSA 101/I.S.2/A440
or has infiltration rates per NFRC ❑Not Observable
400 that do not exceed code ❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures ❑Complies
[FR16]2 sealed at housing/interior finish ❑Does Not
J and labeled to indicate&It;= 2.0 ❑Not Observable
cfm leakage at 75 Pa.
❑Not Applicable
403.2.2 All joints and seams of air ducts, ❑Complies
[FR1311 air handlers,filter boxes, and ❑Does Not
building cavities used as return ❑Not Observable
ducts are sealed.
❑Not Applicable _
403.2.3 Building cavities are not used as ❑Complies
[FR1513 ducts or plenums. ❑Does Not
Q1 ❑Not Observable
❑Not Applicable
403.3 HVAC piping conveying fluids R-_ R-_ ❑Complies
[FR1711 above 105 OF or chilled fluids ❑Does Not
J below 55 OF are insulated to R-3. []Not Observable
[]Not Applicable _
403.4 Circulating service hot water R-_ R-_ ❑Complies
[FR1B]' pipes are insulated to R-2. ❑Does Not
a, []Not Observable
❑Not Applicable
403.5 Automatic or gravity dampers are ❑Complies
[FR1912 installed on all outdoor air ❑Does Not
J intakes and exhausts. ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 iHigh Impact(Tier 1) i 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: The Sinclair Report date: 09/27/16
Data filename: F:\Share\Design\Res-Check\Burnt Ridge\96 Burnt Hills Drive.rck Page 5 of 7
Section
# Insulation InspectionComplies? Comments/Assumptions
&Req.ID
303.1 All installed insulation labeled or OComplies
[IN13]' installed R-values provided. ❑Does Not
Ikk ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 J High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: The Sinclair Report date: 09/27/16
Data filename: F:\Share\Design\Res-Check\Burnt Ridge\96 Burnt Hills Drive.rck Page 6 of 7
:SectSection Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
ion
.ID
402.4.2, Building envelope tightness ACH 50 =_ ACH 50 =_ ❑Complies
402.4.2.1 verified by blower door test result ❑Does Not
[F11711 of<7 ACH at 50 Pa.This ❑Not Observable
u. requirement may instead be met
via visual inspection, in which ❑Not Applicable
case verification may need to
occur during Insulation
Inspection.
403.2.2 Duct tightness via post- _cfm _cfm ❑Complies
[FI411 construction with maximum ❑Does Not
4 leakage of 8 cfm to outdoors,or ❑Not Observable
12 cfm across systems.For
rough-in tests,verification may ❑Not Applicable
need to occur during Framing
Inspection,with maximum
leakage of 6 cfm across systems
and 4 cfm without air handler.
403.1.1 Programmable thermostats ❑Complies
[F[9]2 installed on forced air furnaces. ❑Does Not
419, ❑Not Observable
❑Not Applicable
403.1.2 Heat pump thermostat installed I❑Complies
[FI1012 on heat pumps. ;❑Does Not
di ❑Not Observable
❑Not Applicable
403.4 Circulating service hot water ❑Complies
[FI11]2 systems have automatic or ❑Does Not
d, accessible manual controls. ❑Not Observable
❑Not Applicable
401.3 Compliance certificate posted. ❑Complies
[FI7]2 ❑Does Not
u� ❑Not Observable
❑Not Applicable
303.3 Manufacturer manuals for ❑Complies
[FI1813 mechanical and water heating ❑Does Not
f* equipment have been provided. ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title:The Sinclair Report date: 09/27/16
Data filename: F:\Share\Design\Res-Check\Burnt Ridge\96 Burnt Hills Drive.rck Page 7 of 7
2010 New York
Energy Conservation
Construction Code
Energy Efficiency
Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 13.00
Floor 30.00
Ceiling / Roof 38.00
Ductwork (unconditioned spaces):
Glass&Door Rating U-Factor SHGC
Window 0.31
Door 0.30
Heating&Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name• Date:
Comments
Truss ID Signage required at Electrical Meter for all 2016
Residential and Duplex Permits.
6 inch circle with white reflective background and red letters and
red striping.
=FILECOPY
Circle one to be used
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Map Reference:
Map Of Proposed Subdivision Made For
Laric Development, LLC
Dated.,April 10, 2003
Last Revised: January 4, 2014
By: Van Dusen & Steves
Filed., March 3, 2014, Plat C-349 1�
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°UNAUTHORRED ALTERATION OR ADDITION TO A SURVEY Map Of a Survey- made for -Scale ,.111.1 3I I -
A.JI . MAP BEARING A LICENSED LAND SURVEYORS SEAL ISA _
9,� _ VIOLATION OF SECTION 7209,SUB-DIVISION 2,OF THE, - ,' _ ' '
- NEW YORK STATE EDUCATION LAW.,°
_ m " e s . . � - "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY - _ - _ _ .
�N�i(-J MARKED KITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.° ® r
IS SURVEY
W S INDICATED HEREON SIGNIFY THAT SHF ,/^p y['IT/' f� - -
THIS SURVEY WAS PREPARED IN ACCORDANCE PATH THE _ Steven F�,'J" Y 1��"./' a � - - �' � _
- - EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED � - '
STATE
OF
..r 'e r s _ LAND SURVEYORS.SAID CERTIFICATIONS SHALL PROFESSIONAL
. ' _ _ , �gJ�L^T' i �� q -
• -1 2 TO THE PERSON FOR WHOM,THE SURVEY IS PREPARED,AND - - , _ - Hl E i 1 ® -
.I . _ = ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL <>Qr� - „„ ...,..,, .... ., ......
��aa u ,) D York
grip - AGENCY AND LENDING INSTITUITIDN LISTED HEREON,AND � ' T® Queensbury, r y T - _ - -
- 1 V9 HaVllnd Road - ' Queensbury, New 1 Or81 1FiUO4 _ TO THE ASSIGNEES OF THE LENDING INSTITUTION.' - ueQ' "5"'�rJ Warren County, New _
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(518) '792-8474 . New York Lie. No. 50135 - „ .,:. -
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N0. DATE DES
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