RC-000658-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
_µ Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000658-2016 Date Issued: Wednesday, February 7, 2018
This is to certify that work requested to be done as shown by Permit Number RC-000658-2016
has been completed.
Tax Map Number: 303.20-1-26
Location: 2 PHILLIPS AVE
Owner: Walter Prouty
Applicant: Clute Enterprises, Inc.
This structure may be occupied as a: Single Family Dwelling 1008 s.f.
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, 4t
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
f 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-000658-2016
Tax Map No: 303.20-1-26
Permission is hereby granted to: Cline Enterprises,Inc.
For property located at: 2 PHILLIPS AVE
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
Tvce of Construction
Owner Name: Walter Prouty Single Family-New $105,000.00
Owner Address: PO Box 252 Total Value $105,000.00
Hudson Falls,NY 12839
Contractor or Builder's Name/Address Electrical Inspection Agency
Clute Enterprises,Inc.
6 Holden AVE
Queensbury,NY 12804
Plans&Specifications
SFD 1008 s.f.
$201.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,October 3,2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
en
Dated at the Town of sbu / / Ulm& , ct a 16
SIGNED BY: f'-yr'/ /vf for the Town of Queensbury.
Director of Building&Code Enforcement
^010
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PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: Cl )l. aP �. � � . OWNER: C1ap_
ADDRESS: . 5� _ Q, (r'S ADDRESS:
PHONE NOS._ ::Tc7?, `7.>7-7
PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: Qt- L_ —PHONE: 3 40
LOCATION OF PROPERTY: e
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ❑ NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THATTz
z
APPLY TO YOUR 0LL jx C1 0
PROJECT ¢ O O (i W ww JOLL � LL w ¢ a = =0 J LL o = O () U
z Q Q i- � N � OLL OF- a: [U- Z
I- LL d S cdSINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO,of UNfTS_)
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 1 C ?00<D FUEL TYPE:_ r- .A
HEAT TYPE: *HOW MANY FIREPLACE(S): Q� AND/OR WOODSTOVES(S):_ �
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? O
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: 4 P o
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. 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 NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my age ill obtain a certificate of occupancy. I also understand
that I/we are required to pr de a as-.t)
' rvey by a licensed land surveyor of all newly
constructed facilities pri to issu ce ficate of occupancy.
I have read and ag a to th ov
Signed
i�ireCiU: 6'lQ �: I:OCiw 3Cii ICiI. .,�„ICS, c,'Ist:��.ic—
ides
Or septic systBr s, ..
Lvlllfiq Fidi1'•IlliSt atUr' 761-82'13 (fOr C!L`eEtiOC':i1 tU� reclutir=d permits, the permit process,
application requirements or to schedule an appoin(meni}
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
303.20-1-26 RC-000658-2016
Prouty, Walter Revised 4/14/2010
2 Phillips Avenue
- - -- Single Family Dwelling 1008 s.f.
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT.
V
OWNER: �1� INSTALLER: 3 .5
ADDRESS: r � -
ADDRESS: �p
PHONE NOS. PHONE NOS._ 7 7.7>7
LOCATION OF INSTALLATION:
YEAR BUILT NO.OF X COMPUTATION RESIDENCE INFORMATION:
BEDROOMS Gallons er bedroom = TOTAL DAILY FLOW
1980 or older X 150 = GARBAGE GRI ER
INSTALLED? h
1981-1991 X 130 —
1992-present X _ SPA OR HOT TUg
110 — INSTALLED? t.�Z,
PARCEL INFORMATION: �./
✓ TOPOGRAPHY: FLAT ROLLING ! STEEP SLOPE
- __. /aSLOPE
✓ SOIL NATURE: SAND LOAM_
CLAY OTHER_
✓ GROUNDWATER: AT WHAT DEPTH?
✓ BEDROCKJIMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER St PLY: MUNICIPAL WELL_ '
(If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mpl]
(Test to be completed by a licensed professional engineer or architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer
or architect(uNeas installed in a Planning Board approved subdivision).
TANK SIZE: \C og::, GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for
each garbage grinder,spa or whirlpool tub.
SYSTEM TYPE:
'ABSORPTION FIELD(WITH NO.2 STONE) Total length 1 So ft. Each trench_�X o
❑SEEPAGE PITS)(WITH NO.3 STONE) How many? Size?
❑ALTERNATIVE SYSTEM Bed or other type?
❑HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks?_
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
For your protection,please note that pursuant to Section 13629 of the Code of the Town of Queensbury,any permit or approval
granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall be void.
I have read the ations with re ��a lication and agree
to abide by se and all requi nts of of Queensbury
Sanita .wage DIS na a QUESTIONS? CALL 761-8256 OR EMAIL
VISIT OUR WEBSITE FOR MORE INFORMATION
S' ure of Person Responsible Date -
Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804
Town of Queensbury Revised 4/14/2010
Highway Michael F. Travis
Department Highway Superintendent
742 Bay Road, Queensbury, NY 12804 Home (518) 798-0413
Office Phone: (518) 761-8211 Thomas R. Vanness
Fax: (518) 745-4466 Deputy Superintendent
Home (518) 745-0929
DRIVEWAY PERMIT www. Queensbury.net
Date: 912-7 I t
Applicant Name:
Address to be inspected: 1;2 Ptti� ���a ALS
Return Address: CIn
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: ( ) 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 inspections completed by: Date:
Approved by Higway Supt: Deputy Supt.:
Upon completion, please resubmit this approved permit for a final approval.
Step 2: ( ) Final Approval
( ) Rejected 303.20-1-26 RC-000658-2016
Date: Prouty, Walter
2 Phillips Avenue
Michael F. Travis, Highway Superintendent Single Family Dwelling 1008 s.f.
Thomas R. Van Ness, Deputy Highway Superintendent
Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Tc.-ta5'_ 201b 44970
Permit No... ...................................Cert Cut-in Card No.....................................
Owner........ ......9;e—.
....................................................................... ...
............. ..
Location.. .....fTG 11. ................................................................. .� .... ................
Installation Consisting of../ r:1..1' . ..k �. ..........
...... . �® f. ......................................................................................
....................................................................................................................................................................................
InstalledBy....` . .....3�..................................................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making in
ons at any time, and if its
rules are violated,the Company shall have the right to r o e his ce ific
Date12 - tG� >> ....... ...1� ....................................
..........................1.....l............. INSPECTOR....................� . .:�:.-:r:....
Member N.F.P.A.,I.A.E.I.
REScheck Software Version 4.6.2
Compliance Certificate sF? �J 2015
Project 28x36 RAISED RANCH
Energy Code: 2010 New York Energy Conservation P
Location: Warren County, New York
Construction Type: Single-family
Project Type: New Construction
Conditioned Floor Area: 0 ft2
Glazing Area 9%
Climate Zone: 6 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
2 PHILIPS AVE - CLUTE ENTERPRISES,INC
QUEENSBURY, NY 12804 6 HOLDEN AVE
QUEENSBURY, NY 12804
518-793-7277
Compliance: Passes using UA trade-off
Compliance: 10.0%Better Than Code Maximum UA: 221 Your UA: 199
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area Cavity Cont.
Assembly or U-Factor UA
Ceiling 1: Raised or Energy Truss 1,008 38.0 0.0 0.025 25
Wall 1: Wood Frame, 16"o.c. 288 19.0 0.0 0.060 13
Window 1:Vinyl Frame:Double Pane with Low-E 15 0.330 5
Window 2:Vinyl Frame:Double Pane with Low-E 15 0.330 5
Window 3:Vinyl Frame:Double Pane with Low-E 15 0.330 5
Door 1:Solid 21 0.160 3
Wall 2:Wood Frame, 16"o.c. 224 19.0 0.0 0.060 13
Wall 3:Wood Frame, 16"o.c. 288 19.0 0.0 0.060 14
Window 4: Vinyl Frame:Double Pane with Low-E 15 0.330 5
Window 5:Vinyl Frame:Double Pane with Low-E 9 0.330 3
Window 6:Vinyl Frame:Double Pane with Low-E 6 0.330 2
Door 2:Glass 21 0.310 7
Wall 4:Wood Frame,16"o.c. 224 19.0 0.0 0.060 13
Basement Wall 1: Solid Concrete or Masonry 288 0.0 13.0 0.056 16
Wall height:4.0'
Depth below grade: 3.8'
Insulation depth:4.0'
Project Title: 28x36 RAISED RANCH Report date: 09/30/16
Data filename: Z:\Clutel\Rescheck\2016 -2 PHILIPS AVE QSBY- Revised.rck Page 1 of 7
Gross Area Cavity Cont.
Assembly or U-Factor UA
Basement Wall 2:Solid Concrete or Masonry 192 0.0 13.0 0.056 11
Wall height:4.0'
Depth below grade:3.8'
Insulation depth: 4.0'
Basement Wall 3:Solid Concrete or Masonry 288 0.0 13.0 0.056 16
Wall height:4.0'
Depth below grade:3.8'
Insulation depth:4.0'
Basement Wall 4:Solid Concrete or Masonry 192 0.0 13.0 0.056 11
Wall height:4.0'
Depth below grade:3.8'
Insulation depth:4.0'
Basement Wall 5: Wood Frame 288 19.0 13.0 0.033 10
Wall height:4.0'
Depth below grade: 0.0'
Insulation depth:4.0'
Basement Wall 6:Wood Frame 192 19.0 13.0 0.033 6
Wall height: 4.0'
Depth below grade: 0.0'
Insulation depth:4.0'
Basement Wall 7:Wood Frame 288 19.0 13.0 0.033 10
Wall height: 4.0'
Depth below grade: 0.0'
Insulation depth:4.0'
Basement Wall 8:Wood Frame 192 ' 19.0 13.0 0.033 6
Wall height: 4.0'
Depth below grade: 0.0'
Insulation depth:4.0'
Compliance Statement: The proposed building design describe ere is cc is t w the buildi ns,specifications,and other
calculations submitted with the permit application.The prop d build' een signed to the 2010 New York Energy
Conservation Construction Code requirements in RESchec ersio a t0 c ly with andatory requirements listed in
the REScheck Inspection Checklist.
Name-Title Sign re Date
Project Title: 28x36 RAISED RANCH Report date: 09/30/16
Data filename: Z:\Clutel\Rescheck\2016 -2 PHILIPS AVE QSBY-Revised.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
& Req.ID
103.2 Construction drawings and ❑Complies
[PR1]1 documentation sufficiently ❑Does Not
k demonstrates energy code
❑Not Observable
compliance for the building
envelope. ❑Not Applicable
103.2, Construction drawings and Ocomplies
403.7 documentation sufficiently ❑Does Not
[PR3]1 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 ACCA Manual S based Btu/hr Btu/hr ❑Does Not
v, on loads per ACOA Manual j or Cooling: Cooling: ❑Not Observable
other approved methods. Btu/hr_ Btu/hr ❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 12 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: 28x36 RAISED RANCH Report date: 09/30/16
Data filename: Z:\Clutel\Rescheck\2016 -2 PHILIPS AVE QSBY- Revised.rck Page 3 of 7
Section
# Foundation Inspection Complies? Comments/Assumptions
& Re .ID
303.2.1 Exposed foundation insulation ❑Complies
[FO11]2 protection. ❑Does Not
U'
[]Not Observable
❑Not Applicable
403.8 Snow melt controls. ❑Complies
[FO12]2 []Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
----------------
1 lHigh Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 26x36 RAISED RANCH Report date: 09/30/16
Data filename: Z:\Clutel\Rescheck\2016 -2 PHILIPS AVE QSBY-Revised.rck Page 4 of 7
Section plans Verified Field Verified
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
& Req.ID
402.4.4 Fenestration that is not site built ❑Complies
[FR2011 is listed and labeled as meeting ❑Does Not
AAMA/WDMA/CSA 101/i.5.2/A440 []Not Observable
or has infiltration rates per NFRC
400 that do not exceed code ❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures ❑Complies
[FR16]' sealed at housing/interior finish ❑Does Not
and labeled to indicate&It;= 2.0
`-`' cfm leakage at 75 Pa. ❑Not Observable
❑Not Applicable
403.2.2 All joints and seams of air ducts, ❑Complies
[FR13]1 air handlers,filter boxes,and ❑Does Not
4y, building cavities used as return ❑Not Observable
ducts are sealed.
❑Not Applicable
403.2.3 Building cavities are not used as ❑Complies
[FR15]3 ducts or plenums. ❑Does Not
❑Not Observable
❑Not Applicable
403.3 HVAC piping conveying fluids R-_ R-_ ❑Complies
[FR1712 above 105 QF or chilled fluids ❑Does Not
below 55 QF are insulated to R-3. ❑Not Observable
[]Not Applicable
403.4 Circulating service hot water R-_ R-_ ❑Complies
[FR1B]1 pipes are insulated to R-2. ❑Does Not
W
• ❑Not Observable
❑Not Applicable
403.5 Automatic or gravity dampers are ❑Complies
[FR19]1 installed on all outdoor air ❑Does Not
intakes and exhausts.
di ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 12 IMedium Impact(Tier 2) 13 1 Low Impact(Tier3)
Project Title: 28x36 RAISED RANCH Report date: 09/30/16
Data filename: Z:\Clutel\Rescheck\2016 -2 PHILIPS AVE QSBY- Revised.rck Page 5 of 7
Section
# Insulation Inspection Compiles? Comments/Assumptions
& Req.ID
303.1 All installed insulation labeled or ❑Complies
[IN13]2 installed R-values provided. ❑Does Not
[]Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: 28x36 RAISED RANCH Report date: 09/30/16
Data filename: Z:\Clutel\Rescheck\2016 -2 PHILIPS AVE QSBY- Revised.rck Page 6 of 7
Section Plans Verified Field Verified
# Final inspection Provisions Value Value Complies? Comments/Assumptions
& Re .ID
402.4.2, Building envelope tightness ACH 50 =_ ACH 50 =_ ❑Complies
402.4.2.1 verified by blower door test result ❑Does Not
[FI1711 of<7 ACH at 50 Pa.This
requirement may instead be met ❑Not Observable
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
[F1411 construction with maximum ❑Does Not
leakage of 8 cfm to outdoors, or
12 cfm across systems. For []Not Observable
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
[FI9]2 installed on forced air furnaces. ❑Does Not
[]Not Observable
❑Not Applicable
403.1.2 Heat pump thermostat installed ❑Complies
[FI1012 on heat pumps. ❑Does Not
❑Not Observable
❑Not Applicable
403.4 Circulating service hot water ❑Complies
(FI11]2 systems have automatic or ❑Does Not
accessible manual controls. []Not Observable
❑Not Applicable
401.3 Compliance certificate posted. ❑Complies
IFI712 ❑Does Not
❑Not Observable
❑Not Applicable
303.3 Manufacturer manuals for ❑Complies
[FI18]3 mechanical and water heating ❑Does Not
equipment have been provided.
1_-]Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Ter 3)
Project Title: 28x36 RAISED RANCH Report date: 09/30/16
Data filename: Z:\Clutel\Rescheck\2016 -2 PHILIPS AVE QSBY- Revised.rck Page 7 of 7
2010 New York
Energy Conservation
Construction Code
Energy Efficiency
Certificate
Insulation Rating R-Value
Above-Grade Wall 19.00
Below-Grade Wall 32.00
Floor 0.00
Ceiling / Roof 38.00
Ductwork (unconditioned spaces):
Glass&Door Rating U-Factor SHGC
Window 0.33
Door 0.31
Heating&Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
J
MAP REFERENCES: DEED REFERENCE:
MAP OF A SURVEY MADE FOR
COLLETTE CONSTRUCTION, INC. PETER J. PHAIR 7FENCE POST
DATED: DECEMBER 15, 1997 TO
BY. VAN DUSEN& STEVES WALTER PROUTY
DATED MARCH 28, 2014
MAP OF A SURVEY MADE FOR BOOK 4959 PAGE 219
MICHAEL C. & TERESA M. HAMMOND
DATED: JULY 25, 1989
BY: VAN DUSEN& STEVES
MAP SHOWING LANDS OF
IMPERIAL HEIGHTS PARK
DATED: JUNE 1, 1911 rJRF
BY: D.J. RAINVILLE ��
MAP OF A TOPOGRAPHIC SURVEY MADE FOR
CERRONE BUILDERS, INC.
DATED: DECEMBER 4, 2002
REVISED: MARCH 15, 2006
BY: VAN DUSEN& STEVES LANDS OF
LAND SURVEYORS, LLC JASON WALTERS
WV
0
LANDS OF 99 70
W ❑
TERRY MONROE Z ;� CIRS S 87054155" E CIRS w
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k 150.00' C5 w ►� o
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11244.0 Sq. Feet o = o 0
0 0.3 Acres o o rr
LANDS OF goo o ,� 69 o
TERRY MONROE
o �
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GAKAGE
FOUNDATION -
ASPHALT DRIVE a O
N
STOCKADE FENCE 150.02' - \ I." co
F N 87054 '55" W CIRF `°� a �.eF . . . . �eF co
FINAL SURVEY
LEGEND: V 15 QF NE
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FEB 0 7 2018 <:
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CIRS = CAPPED IRON ROD SET TOWN OF QUEENSBURY c�
BUILDING&CODES :
-o-I = UTILITY POLE
20 1�c SF LANO S P
Datel JULY 15, 2014
Scale 1"-30'
((A�� �\ "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY -
n®mil /J�'1 c MAP BEARING A LICENSED LAND SURVEYORS SEAL ISA Map of a Survey made for
VIOLATION OF SECTION 7209,SUB-DIVISION 2,OF THE
NEW YORK STATE EDUCATION LAW." S- 1
"ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY S_ 1
1
MARKED WITH AN AN ORIGINAL OF THE LAND SURVEYORS
Ste -ves SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES." Mahar
'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT Catherine L•
THIS SURVEY WAS PREPARED IN ACCORDANCE NTH THE 3 02/05/18 HOUSE LOCATION
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED -
L a Yl d Surveyors LBY AND THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LASURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY 2 11113117 PROPOSED GARAGE SHEET 1 OF 1
To THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND
ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL -
AGENCY AND LENDING INSTITUITION LISTED HEREON,AND Town of Queensbury, Warren County, New York1 9/26/16 PROPOSED HOUSE
169 Haviland Road Queensbury, New York 12804 TO THE ASSIGNEES OF THE LENDING INSTITUTION.' PROUTY C_2833
N0. DATE DESCRIPTION 14070 `
(518) 792-8474 New York Lie. No. 50135
303.20- 1-26