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2002-360 E ,, TOWN OF QUEENSBURY � COPY 742 Bay Road eensb NY 12804-5902 (518)761-8201 ��� y ,Qu urY� Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Pemut Number. P20020360 Date Issued: Friday, February 14, 2003 This is to certify that work requested to be done as shown by Permit Number P20020360 has been completed. Tax Map Number. 523400-227-017-0001-009-003-0000 Location: 4 HILLMAN Rd Owner. SCOTT & DEBORAH KINGSLEY Applicant: SCOTT & DEBORAH KINGSLEY This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Single Family Dwelling atr/P Director of Building&Code nforc ent TOWN OF QUEENSBURY410111%8 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020360 Application Number: A20020360 Tax Map No: 523400-227-017-0001-009-003-0000 Permission is hereby granted to: SCOTT&DEBORAH KINGSLEY For property located at: CLEVERDALE Rd 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 Value Owner Address: SCOTT&DEBORAH KINGSLEY Single Family Dwelling 225,000.00 10 1/2 WILLIAM St Fireplace GLENS FALLS,NY 12801 Total Value 225,000.00 Contractor or Builder's Name/ Address - Electrical Inspection Agency Plans &Specifications 2002-360 Construction of a single-family dwelling as per plot plan and specifications. AV 23-2002 approved on April 24, 2002 for height relief. $264.96 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday,May 13,2003 (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.) Dated at the T of Quee sbuury; Monday,May 13,2002 SIGNED BY for the Town of Queensbury. ^ Director of Buil.it: 14,4 e Enforcement Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File_No. Off" i No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Ree.Fee Paid $ application must be completed and must appear on the Reviewed By: application form. Applicant: �,CelN- _ Owner: lb co � e�T o d a U` C t'i nla s Address: t a t.l ;1 a w, �. Q Address: t o W:ILA a Nn. 54,-W+ C,laps IS2 t1 s 1 Y 1-7 b o 1 &Z Ise-+n,1�1 Fa 11 s 1L1_Y 1 Z.S o 1 Phone#(51& )III?- - 5-7-1 3 Phone#( 51 e) -11 - 5� Property Location: Lot Number: Z / House Number l Subdivision Name: Tax Map Number: a--/New Building: ft-e-s-i-d-enc'ey commercial Estimated Market Value of Construction: $ Z Z- 5.0 0c' ❑ Addition: resi ence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l ❑ Other work(describe ) i Check Oceupancylnformation I"Floor 2" Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ca' Single family dwelling 'L 5'l 1C, -L Z1 2 ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units e❑ Office .` ❑ Mercantile ❑ Manufacturing 61 `2011 ❑ 1 car detached garage ❑ 2 car detached garage Wiv Or QZ%� 6�n ❑ 3 car detached garage ❑ 1 car attached garage s ❑ 2 car attached garage ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- , •residential ❑ Other What is the proposed height of the structure feet a inches Will any second-hand or ungraded lumber be used? If so,for what? je..)a Type of Heating System: electric/ oil / gas woad /forced hot air baseboard t ther: j i Number of Fireplaces to be installed b R C, Number of Woodstoves to be installed 1 List below the person(s)responsible for supervision of works regards to building codes: 11 Name Address Phone Number Builder "Cie_o e 1 - F �Zsoi IL#6-6oRt - cell-36k I28`t Plumber e: b - '"t`t3 8Z rka Mason 41) Qvee� �93- Rb`iyl Electrician l; :E{Qcgsic -1571 Late ve Declaration: please sign below after you have carefully read the statement: 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 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,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survev by a licensed surveyor;drawn to scale,showing actual location of all new onstruction. Signature:.4zv��- owner,owner's agent,architect,contractor Application for,Permit—Septic Disposal System Town of Queensbury 742 BAY.Road Queensbum NY 12804 (518) 751-8256 1. OWNER INFORMATION: --- -- - -- } ce Use Location of installation: c.o c'n.e c 6A" L le�e._���Q- '�-.� �+a.n File Permit NCC 'Xb Tax Map Nox:E°' 1-1/�_/. `t.3 1 Fee Paid Owner's Name: <4 06 c4� i_ �..................... Address: 16 a-A' G ('e F-0,l)S 2. INSTALLER'S NAME PHONE NO. 04f 3 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate 4"bedroom(s)and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No of Bedrooms k Computation = Total Daily Flow 1980 or older x 150 gal/bdrm 1980—1991 x 130 gal/bdrm = 1991—present 3 x. . 110 gai/bdm Garbage Grinder Installed yes_v'�/ no., Spa or Whirlpool Installed yes ✓I _no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Toponraphv Soil Nature Ground WaterBedrock or Impervious Material Domestic Water Suvnly Flat sand -at what depth at what depth municipal o lid loam Iko 0Vi q-feeet a feet well Steep slope clay- ifwell;water supply _%slope er from any septic system de tj� t8.t�;�« absorption is ft. Loaun da �rowv� �v v� other - L CA a Qinn 2ek« isr Percolation Test- Wo be completed by licensed professional engineer or architect) . Rate: _ minute per inch. 5. PROPOSED"SYSTEM: For New Coustruetion: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning.Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank:` 2-5-0 gallon(min. size I,000-gal.) Tile Field: each trench 50 .ft. Total System Length: z,5`0 ft Seepage Pit(s): number of � size ofeach: ft by fi Size of Stone to be used # `'y= / depth or thickness ` feet Bed System•Size: x { Alternative System: length and/or size r 6. HOLDING TANK SYSTEM: (if required) _ r 1 Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &,INFORMATION FOR RESPONSIBLE PERSON(please read)For your protection,please note that pursuant to Section 136 29 ofthe Code of the Town of Queensbury,any permit or approval granted-which is based upon or is granted in reliance upon any material misrepresentation o=failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements ofthe Town of Queensbury Sanitary Sewage Disposal Ordinance. gnature f F spa si a person -__7T",Date TOWN OF QUEENSBURY Fee Paid BUILDING & CODES DEPARTMENT Permit # APPLICATION FOR: PORCHES-DECKS- DOCKS & BOATHOUSES Est. Cost A PERMIT MUST BE ObTAINED- BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING: The undersigned hereby applies, for a .Building- Permit to do the following work which will be done'A n .accordance. with the description, plans and specifications submitted. and such special conditions as may be indicated on the permit. IWO SETS OF STRUCTURAL PLANS SHALL BE SUIIMI•iTI WITH THIS APPLICATION- Owner of Property: Sc o - '-4-- e a Q P.O. Address l 0 Fa Us- N Y ► Aa1 Phone # Property Location _Corner "S ""I CA gyre J&1#_ ,roR�s� Tax'Map # Subdivision Name (If applicable) gf-ety\CC_A PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: v to Name: - �_ Address io Phone#rI BUILDING SPECIFICATIONS: j 4 Type of work to be -.done: Porch Deck Dock Boathouse (Circle oneZ') Size of Structure to be built (square footage): _ 3L 15,t� _ , 1 - Foundation Material: Width 17-" p,v.. '>o;ko Thickness Depth, of Footing, below grade: Size of Posts or -Studs: x x V&4.%tS, Long Size .of Floor -Joists: Z- x fa x l7-f Span Decking or Flooring Material : / X L, 5 Y Q How will Porch or Deck be fastened to building? aged. MAY 0 U 2002 E01SBURY If.-Roof Wil-� Be Installed, Answer FollowingSltll�lt�t{ �I�� C(ODE Size :of Postsor Studs: x .ic - c�rrg Roof Rafters: Spacin an Roof .Trusses (pre-engineered Span Type of Roof: Slope flat S�� Other (Circle one) Material of Roo ZONING, INFORMATION: TWO PLOT- PLANS MUST BE, PREPARED AND SUBMITTED, drawn reasonably to scale and at tached hereto;show nn c ear y anc c st nc�Ty a•T1—IiuiTc{ings, whether existing or proposed acid indicate all se.t• back d.imensioris From property lines. Show location of water supply and location an'd configuration_, or septic disposal area. -Size of Property: ?aot> ft. x 300 ft. }, ,Existing -building(s): Size ft. x ft. � ^"` Sir�C,�vr"e•- Size ft. x ft. `�• e_ 6'"0 A,V1 WL Use- of Existing building(s): Proposed structure, distance from propertyline: Front .yard 1—� ft. Rear yard z o' ft. - ;Side yards P,g ft. and t gip,`_ ft, ;If on corner, setback from s di a street: e p` • ft. DECLARATION To the;'best `.of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement- of all proposed work to be done on the described premises and that all provisions of 1:he Building- Code, the Zoning Ordinance, and all other laws pertaining to the proposed work shall be complied' with. whether speciriecl or not, and that such work is authorized by tileowner. DATE: _ $",j � 2_ SIGNATURE wner Owner ge rch tect, Contractor REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE. Fire Marshal's Office Town of Queensbury,742 Pay Road,Queensbury,NY. (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances. Date 20 f� .. Permit No. ..3 . --a f Application'is hereby made to the Building& Codes Office 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. - . NOTE to applicant: Rough-in and Final Inspections are required. - Applicant Information ' Fuel Burning Appliance Information r> :h (circle appropriate words) s :=. ✓ Name: c 1 P_fj. . Stove: : wood coal - pellet gds ) if�:(t- � 4 A , - . t Fireplace insert Address: 1 1. 47,E 1 \=c s 1 c-ilt,f Fireplace, factory-built: wood g,gas, t it'-3 r;.. 1_ , f � 1 "ZN0 i Fireplace,.masonry: wood gas f Furnace: wood gas oil • -Phone: c7 1 2- 5 q 1 If non-masonary applicance, please provide Owner: . Manufacturer Name: Address: . Model.Number: - . - Chimney Information Phone: - - - (circle appropriate words) Masonry block ,Ur,ick stone • Nv,,i �k Flue tile (steel_) size: inches 1 Exact Address: `` ri.. tiM�; ��� ( �t�vt,{-n l; ,c�t of construction or installation Factory-Built Manufacturer name: Model Number: ` Note: Listed By: Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated Direct venting Chimney Liner ICa,>srh.[er'is DepEartmeat—Z'ry :,of Qzzee i bzwy, ItlesnirVidrlit .ppAa Fire Marshal Code II $Collected $Refunded Received from (refunded to): vr' '�Sf L- " .y( t ltc- at.- -''� address• - A 173 3389 (190) Public Safety 4.,"��`. .S: 1 A 233 2655 (230)Minor Sales " -, -- a r . (41 f- White(A plieant) /- Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) Lea2mw 2400 sAlj�? ENERGY CODE COMPLIANCE APPLICATION • TOWN OF QUEENSBURY, WARREN COUNTY =' 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Met '. - 44 1&2 Family Dwellings ( o a i o PART 6* - Thermal Rating - Component Traudwilmaj 1&2 Family Dwellings;. Mul TIFamily Dwellings (3 stories or rags)" 9 2002 PART 4* - Design by Component Perpnance Commercial Buildings-H ,UI .s�9;-Reside&t ial *Requires submission of worksheets i k.(1 APPLICANT' S NAME: PROPERTY LOCATION: 6co-* ' . X: 74, 17 Isd fsAits, Rnal , c 1,Nr-Jaif— PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - Z1 Z`-1 Z square feet 2 . Type of Heat - Electric Oil �as Other 3 . Is building mechanically cooled? Yes ✓No 4 . Percentage of area of windows and doors Over 17% V Under 17% 5 . R-VALUES FOR .INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R3B b. Exterior walls R ___11— c. Glazed areas ? how .R 3-6 d. Exterior doors? Low E , R 3.3 e. Floors over unheated spaces R P! f- f. Edge of slab on grade (heated building) R _ 9 g. Basement/cellar walls (above grade) R 19 h. Basement/cellar walls (below grade) R i . Heating/cooling-ducts-piping in unheated space R NCI 6 . Service (domestic) hot water heating device / Conforms to minimum efficiency per code ,/ Yes No •. TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED App Sign ure D t Phone Number `ja ;�� (i Z r79 2--5`7r7 of r146— O`t t RKS: INSPECTOR' S R h TOWN OF QUEENSBURY ry BUILDING & CODE ENFORCEMENT 411 742 BAY ROAD rt � ,,,,It; QUEENSBURY NY 12804 "'0s'" ' (518) 761-8256 �� ARRIVE: DEPART: INSP: ""' FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DHE•LLINO hotel, motel, apt. mplex) DATE INSP TION,�// RE UE T CEIVED:D NAME CJ L e. LOCATION eV ]' DATE /y d 3 PERMFT'"N ✓ �� <��./ • TYPE OF ill 4-lid � � FOOTINGS _BACKFI L FRAMING PLUMBING INSULATION N/A YES NO / CHIMNEY/"B" VENT/H, IGHT t1 / PLUMBING VENT/FIXTURES / ROOFING \ r EXTERIOR FINISH \ / HEATING/HOT WATER \ / , RELIEF VALVES ,// FLOORS - / FOUNDATION INSULATION // INTERIOR STAIRS/RAILINGS f STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION • :1 FIRE DAMPERS / CEILING FIRE STOPPING/ / FIRE DOORS/CLOSERS /+ EXIT DOOR HARDWARE EXIT STAIRS/RAILS \ PLATFORM/.k;'t'E VATOR HANDICAPPED ACCESS \ HANDICAPPED BATHS `` HANDICAPPED PARKING FINAL ELECTRICAL 1 SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN, IF REQ OK TO ISSUE C/O OR C/C • j c114-ii --A-A4- 11,,_„21- Residential Final Inspection A-1- ;304w Office No. (518) 761-8256 Date Inspection request rece e ,z21/3 ;,,J�tI . Queensbury Building&Code Enforcement Arrive: ardpm./'Depart: 6_ am/pm • . 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials ' � . pu /„..,,,L., NAME: �C r S f ei, PERMIT#: )-- LOCATION: 4 j- '/l P et✓ ' `}DATE: 0'7 'vim TYPE OF STRUCTURE: �'� �..A Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location �� Fresh Air Intake 3 inch Plumb Vent through roof if Roof Complete J�, Guard 30 in. or more @ stairs, decks,patios •s/ Guard at stairwell at 34 in. or more il Guard at deck,porches 36 in. or more \/ Exterior Finish Complete ,Jr Interior/Exterior Railings 34 in.to 38 in. .1/ Platform at all exterior doors / Interior Handrails stairs 2 or more risers ••,,/ Grade away from foundation 6 in. with 10 ft. \I, Handrail Termination at Newell Post or Wall -1 8 inch clearance to sill plate \/ Gas Valve shut-off exposed/regulator 18"above grade ,,// Gas Furnace shut-off within 30,ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating .,/ , / •Low water shut-off boiler ,/ •Relief Valve(s)installed V i Interior privacy/trim/doors/main entrance 36 in. `//, . Bathroom/Kitchen watertight V/ Safety glazing \f/ Window in stairwells safety glazing •w/ Interior Smoke Defectors: '/ Every level: 'ti( / Every Bedroom: V Outside every bedroom Brea: sJ "`` Inter Connected: v / Battery backup: P ! / Bathroom Fans,if no window - ( / Carbon Monoxide detector / ."/' Plumbing fixtures \f Foundation insulation ,/ Floor truss,draft stopping fmished basement 1,000 sf , ✓' Emergency egress below grade ‘1/2 • Basement stairs closed rise>4 inches -1 3/4 hour fire door/door closer •✓/ Garage fireproofing J' Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents Building No./Address visible from road / Final Electrical „I/ ! Site Plan /Variance required 'J / • Final Survey Plot Plan / -I As Built Septic System/Sewer Dept.Inspection Sticker . / Flood Plain Certification,if required / Okay to issue C/C(Cert. Of Compliance) ,, . Okay to issue Temporary C/0(Cert. Of Occupancy) / Okay to issue Permanent C/0(Cert. Of Occupancy) a,% _ /., ' ...,N L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 // 1.11t,„„1 A_A4 i esidentidrF rla1 Inspection-- 7 ,e� ,,w -C/- -.-- Office No. (518) 761-8256 Z04 "- '� D i sp�e t •uest re , ed: q 0 Queensbury Building&Code Enforcement Arrive: ?,' , .1,.. !•.. : 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia s: , 1- \. NAME: i1A c S l� P/ T#: oC GU;/--; �PCj / LOCATION: >/ M//;y, ,_ U DATE: J S/0 3 TYPE OF STRUCTURE: ! // �' °) Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location _ ?/2 v` So Fresh Air Intake ,/ 3 inch Plumb Vent through roof 4-T.— j&l -`d-tr 7 X Roof Complete Guard 30 in.or more @ stairs,decks,patios ✓, C p �`i, 'L ---�a . 4 Guard at stairwell at 34 in.or more ✓ �"` Guard at deck,porches 36 in.or more � ,� p-eet r a/kik-. Exterior Finish Complete c Interior/Exterior Railings 34 in.to 38 in. ( I / �- ,( , Platform at all exterior doors _/� ✓ *co, f(41-1.-,61? .f °J`-�e � Interior Handrails stairs 2 or more risers vz.S Grade away from foundation 6 in.with 10 ft. / Handrail Termination at Newell Post or Wall / ✓ 1 6-�- F �jb‘ �l � E� ��,U 7 8 inch clearance to sill plate •./ l\L` `�c)� A} 0;z__it, Gas Valve shut-off exposed/regulator 18"above grade ./ Gas Furnace shut-off within 30 ft.or within line of site / . R" �y ;�,` � o-,� Oil Furnace shut-off at entrance to fuinace area f � �y �� �`� � ��`�� J y Furnace/Hot Water Heater operating _ Low water shut-off boiler I , HN-pLCIN 41 TV-0 t-kt`t aCi' Relief Valve(s)installed f • Interior privacy/trim/doors/main entrance 36 in. V CD \13_6711,Nts1/4..Z-V VO„D c5c p =chen watertight V/ V30 E ��, \NP1: - L alb a/ q�- � �_ �1 t Window in stairwells safety glazing 'v CA-)i\,1PL�\ �' t `0 Interior Smoke Dete tors: f Every level: V / Every Bed om: \''�k 51'7 t t,l:. L ®y"'Outside every bedroom a: / Inter Connected: / Battery backup: V li: '� t �4i� j� �.� Bathroom Fans,if no window f Carbon Monoxide detector J ,/ )v ,. ca 0 �A� Ot�� Q1 Plumbing fixtures ✓ Foundation insulation --i:1 1 LI liC4. Fj .6` -WR Floor truss,draft stopping finished basement 1,000 sf � Emergency egress below grade y ( � ) - )PtV3 �MBasement stairs closed rise>4 inches �./ .��. �J 3/4 hour fire door/door closer .✓./ -- Garage fireproofing // \ � tl�L � Duct work Sealed properly ,/ 1,�� Attic access 30 in.x 2'1!�x 30 in. (ht.)In accessible area y// Iyl \�,\\1Lr —E: Nit( Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq.ft.vents Building No./Address visible from road l /a /, Final Electrical '{> A! ® \ � -C�q ,�� R Site Plan /Variance required CZ,(v `� Final Survey Plot Plan i®\ ` '�j� As Built Septic System/Sewer Dept.Inspection-Sticker �/ Flood Plain Certification, if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/0(Cert. Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupancy) i kr TOWN OF QUEENSBUR ' " BUILDING & CODE ENFORCEMENT 742 Bay Road 1 • 93`a'3i Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 5C,Of J � P Location _Hi If h''LG.vL led --/51- , Date 7 f j/(tom Permit # Zo2-3(e—O SOIL TYPE: Sande(oam..Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: �a ABSORPTION FIELD: Total Length Length of each trench ,S6 Depth of trenches r-t Size of stone . • SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box ye. JaL Dist. Box to Fi e1 d/Pi tm 1,4°' f-k Openings Sealed? Yes No Partial LOCATION/SEPARATIONS " Foundation to Tank EL feet Foundation to Absorption S feet Separation of Pits __„,feet feet Conforms as per Plot Plan . (Ydi) No LOCATION OF SYSTEM ON PROPERTY: (circle 9 - Front -(Rear - Left Side - Right Side Middle Front - Middle Rear ' COMMENTS: SYSTEM USE APPROVED: S' NO Arrived: 2-for Departed: 7�r Building Inspector. • 11=� � � ��� /fee Use GENERAL INSPECTION REPORT Inspec Town of Queensbury Ready nne: Dept. of Community Development Request received: , , �'--- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE V-lo am/ n ' Qrm Tinores: (518) 761-8256 Inspector's Initials ....----; NAME: is-` _e PERMIT#?o - 3 C) LOCATION: & Idate): si. 1 JCi J �TYPE OF STRUCTURE: Zni REC HECK N A I YES I NO COMMENTS • 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/Wallpour _ Reinforcement in Place Foundation/D amppro o fing Approval lumbing Under SlabJackfihl lumbing Vent/Vents in Placeough Plumbing 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 R- lent,Attic Vent Jack Studs/Headers V . Bracing/Bridging Joist Hangers Jack Posts/Main Beam ,/�/r Air Infiltration Barrier Ire Separation 1,2,3,hour netratl Sealedre Walll 2 2,3,4 hourrestopping _ �Ta� L:\SueHemingway\Building.Codes.Inspcction.FORI�iS\GENERAL INSPECTION REPORT( „ �V - -D -i w� _ V-oaM Ai-JUL-1'30-2002 TUE 03:46 PM TRUS JOIST FAX NO 856 985 9806 P. 02/05 rrl- 6� ` • V �' - U ORT JOIST TJ.Beam(TM)6.04 Serial NEumber.? 200 005404 ,1 WW1 M010210:09:55 AM • 1,1 1,7/8"`TJI®/Pr•o(TM)-130 a@ 8" o/c • Pape 1 Engine Version:1.4.16 THIS PRODUCT MEETS OR EXCEEDS THE SET.DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED • 31: o� ,a .1. 15• b Product Diagram is Conceptual. LOADS: Analysis is for a Joist Member,, Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration,12.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(plf) Floor(1.0D) 57.0 17.0 0 To 15' Adds To CROSS JOIST HANGER LOAD • SUPPORTS: . Input Bearing Vertical Reactions Ply Depth Nailing Detail Other Width Length (Ibs) Depth LlvelDeadlU pl iftlTotal 1 Plate on 3.50" 2.25 624 1186/0/810- N/A N/A NIA A3:Rim Board 1 Ply 1 1/4"0.8ETJ-Strand masonry wail •Rim Board® 2 Microllam LVL 3.50" Hanger 631/189/0/820 1 11,88 N/A H1:Face Mount. None beam Hanger -See TJ SPECIFIER'S I BUILDERS GUIDE for detail(s):A3:Rim Board,H1:Face Mount Hanger . HANGERS: Simpson Strono-Tie®Connectors Support Model Slope Skew Reverse Top Flange Top Flange Support Wood Flanges Offset Slope Species 2 Face Mount Hanger IUT3512 0/12 0 No N/A • NIA NIA • -Nailing for Support 2: Face:10-N10,Top N/A,Member.2-N10 DESIGN CONTROLS: Maximum Design Control Control Location ' Shear(Ibs) 788 -788 1420 Passed(55%) Rt.end Span 1 under Floor loading , Vertical Reaction(Ibs) 788 788 1315 Passed(60%) Bearing 1 under Floor loading . • Moment(Ft-Lbs) 2856 2856 3697 Passed(77%) MID Span 1 under Floor loading Live Load Dell(in) 0.304 0.363 Passed(U573) MID Span 1 under Floor loading Total Load Defl(in) 0.395 0.725 Passed(U441) MID Span 1 under Floor loading. TJPro 55 30 Passed Span I -Deflection Criteria:STANDARD(LL:U480,TL:L/240). -Allowable moment was increased for repetitive member usage, -Deflection analysis is based on composite action with single layer• / (20"Span Rating)GLUED&NAILED wood decking. —-Bracin Lu:All compression edges(topand bottom)must be b• '= . i •- -.•- •—lied fled otherwise. Proper attachment and positioning of lateral 9( ) P 9 .�' bracing-is required to achieve member stability. ' •�'p t O: :;:; OR INFORMATION: PROJECT INFORMATION: •�� � 4 HILLMAN ROAD ` 01 er p7aod� /'•ist,A Weyerhaeuser Company . CLEVERDALE,NY � Op N E1iJ y�'•�Centre Blvd j . - lion New Jer 1:1 Phone:1-856-596-5555 x3021 ax . -9806 Copyright ° 2001 by True Joist, a Weyerhaeuse Su fleas TJla,TJ-Beam° and Hcrollem° are registered t demarke of T e Joist. - e-I Jaiu?',Pro" and TJ-Pro' are arademarka of a Joist. Simpson Strong-Tice Connectors is a registers trademark of Simpaon Strong-Tie Company, Inc. C.\WINDOWs\Desktop\TECH CALLS\CURTIS LIMBER CO\HILLMAN RORD\CASE MI SUPPORT JOIST - 07-30-02.ame _ .J*2:30-2002 TUE 03:47 PM TRUS JOIST FAX NO, 856 985 9806 P, 03/05 An. �`Tl��. t CASE#1 SUPPORT JOIST . • A\fl6vahaeuscr Bus noa TJ-Beam(TM)6.04 Serial Number.7002005404 ' User:4 719010210:09:57AM 11 718" TJI®/Pro(TM)-130 @.8" o/c - . . Page 2 Engine Verslon:1.4.16 • THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND. LOADS LISTED TJ-Pro RATING SYSTEM -Tha TJ-Pro Rating System value provides additional floor performance information and Is based on'a GLUED&NAILED 19/32",5/8"Panels(20"Span Rating)decking. The controlling span is supported by beams. Additional considerations for this rating Include:Ceiling-None. A structural analysis of the deck has not been performed by the program. Comparison Value:2.37 ADDITIONAL NOTES:. . ., -IMPORTANT!The analysis presented is output from software developed by Trus Joist(TJ). Allowable product values shown are in accordance with current TJ materials and code accepted design values. TJ Engineering has verified the analysis.The Input loads and dimensions have been provided by others( tLCVt N 14 • GV R�r t5 L'J frk.BGEland must be verified and approved for the specific application by the design professional for • the project. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. • -Allowable Stress Design methodology was used for Building Code NER analyzing the TJ Distribution product listed above. Operator Notes: . CURTIS LUMBER CO.,INC. •, 460 BIG BAY ROAD QUEENSBURY,NY 12804 ATTN:KEVIN H. PHONE:518-792-8601 , FAX :518-792-8603 • t1• . ' XI i!.•, 0730 �pQ` S' OF Yk1 PROJECT INFORMATION: .-`,., :.,-.,TOR'INFORMATION: 4 HILLMAN ROAD Jim Oliver CLEVERDALE,NY / i TrusJoist,A Weyerhaeuser Company 111 104A Centre Blvd • Marlton,New Jersy 08053 f Phone:1-856-596-5555 x3021 I Fax : 1-856-985.91306 i Copyright a 2001 by True Joist, a Weyerhaeuser ueineee TJia,TJ-Beacom and Microllamo are regietered-tra#emarke of True oiet. - e-I Joiet°,Pro- and TJ-Pro" are trademarks of True Joist. Simpson SL•rgng-Tlee Connectors is a regietered trademark of Simpson Strong-Tie Company, Inc.' • C,\WINDOWS\Dooktop\TECH CALLS\CURTIS LUMBER CO\HILIMAN ROAD\CASE Al SUPPORT JOIST - 07-30-02.eme • �..4'-4_'I`k=30-2002. TUE 03:47 PM TRUS JOIST FAX NO, 856 985 9806 P. 04/05 mtl� a"; ;,,� SUPPORT JOIST useram i.0 Serial A "700 DBsao4 . 11 718" TJI01Pro(TM)-130 @.16" olc Page 1 Engine Version:1.4.16 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED. El 1 . ,� 4 Product Diagram is Conceptual. . LOADS: Analysis is for a Joist Member. . ' Primary Load Group-Residential-Living Areas(psi):40.0 Live at 100%duration,12.0 Dead Vertical Loads: -Type Class Live Dead Location Application Comment• . - Point(Ibs) Floor(1.00) 128 38 3'10"• - SHORT SIDE HEADER LOAD • • Polnt(Ibs) Floor(1.00). 208 62 5'6" - LONG SIDE HEADER LOAD SUPPORTS: Input Bearing Vertical Reactions Ply Depth -Nailing Detail Other Width Length (lbs) ,Depth LIvelDeadlUplift/Total . • 1. Microllam LVL 3.50" Hanger 632/169/0/821 1 11.8B" WA HHI:Fare Mount None beam • 2 Stud wall 3.50" 3.50" 504/151/0/655 N/A 'N/A . N/A . Al:Blocking 1 Ply TJI®/Pro(TM)- -See-TJ SPECIFIER'S/BUILDERS GUIDE for detail(s):H1:Face Mount Hanger,A1 Blocking . HANGERS:Simpson Stroni Tle®Connectors Support Model Slope Skew Reverse Top Flange Top Flange Support Wood Flanges Offset. Slope. Species 1 Face Mount Hanger IUT3512 0/12 0 No N/A - N/A N/A -Nailing for Support 1: Face:10-N10,Top N/A,Member:2-N10 . DESIGN CONTROLS: ., Maximum Design Control Control Location Shear(Ibs) 801 801 .1420 Passed(56%) Lt.end Span 1 under Floor loading.. Vertical Reaction(Ibs) 801 801 1615 Passed(50%) Bearing 1 under Floor loading . Moment(Ft-Lbs) 2956 2956 3697 Passed(B0%) MID Span 1 underfloor loading Live Load Defl(in) 0.282 0.363 Passed(U617) MID Span 1 under Floor loading Total Load Dell(in) 0.366 0.725 Passed(U475).-MID Span 1 under Floor loading TJPro 41 30 Passed Span 1 . • -Deflection Criteria:STANDARD(LL:U480,TL:U240). ' z � -Allowable moment was increased for repetitive member usage./`` ' ass • ION: " -Deflection analysis Is based on composite action with single I-jf -9 /V., - . (20"Span Rating)GLUED&NAILED wood decking. -Brad All compression edges(top and bottom)must. 4Ir A 3'1 I✓;• - .detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. olb , 03 � -,. 14 '•PE; •TOR INFORMATION: PROJECT INFORMATION: . ;'t ; 4 HILLMAN ROAD . , c.-- q. 'if 1 aver • CLEVERDALE,NY -ii'I, e;go gi oist,A Weyerhaeuser Company s. e'OF me* ' A Centre Blvd ! -Marl on.New JersvZig /\ f 1 - lir (Phone:1-856-596-5555 x3024) • I Fax :1-856-985-980B - Copyright 0 2001 by True Joiet, a Weyerhaeue r Bu lneae • TJI°,TJ-Beam° and Microllam° are registered rademarke of T a Joiet. e-1 Joiet',Pro' and TJ-Pro' ere trademarks o True Joiat. Simpson Strong-Tie° Connectors is a regieter d trademark o; Simpeon Strong-Tie Company, Inc. C,\WINDOWS\Dcektop\TECH CALLS\CURTIS LUMBER CO\HILLMAN ROAD\CASE N2 SHORT SIDE HEADER JOIST - 07-30-02.ama • 4 -30,-2.002 TUE 03:47 PM TRUS JOIST FAX NO. 856 985 9806 P. 05/05 r nwmess r CASE#2 Dr�4 / '' SUPPORT JOIST • T.I-Beam(TM)64 Serial Numb f�pvtE�sdueu4e Users 4 71301021 29:31 AM er.7oo2oosa04 11 7(8" TJIOIPro(TM)-130 @ 16" olc Page 2 Engine Version;1.4.16 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED TJ-Pro RATING SYSTEM - -The TJ-Pro Rating System value provides additional floor performance information and is based on a GLUED&NAILED 19132",518"Panels(20"Span Rating)decking. The controlling span is supported by beams. Additional considerations for this rating include:Ceiling-None. A structural analysis of the deck has not been performed by the program. Comparison Value:1.45 ADDITIONAL NOTES: -IMPORTANT!The analysis presented is output from software developed by Trus Joist(TJ). Allowable product values shown are in accordance with current TJ materials and code accepted design values, TJ Engineering has verified the analysis.The input loads and dimensions have been provided by others( ,ICev t� �-,r t -''rt5 L-v ree,GlZ )and must be verified and approved for the specific application by the design professional for the project. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code NER analyzing the TJ Distribution product listed above. Operator Notes: CURTIS LUMBER CO.,INC. 460 BIG BAY ROAD QUEENSBURY,NY 12804 ATTN:KEVIN H. PHONE:516-792-8601 _ FAX :518-792-8603 • • noFESSI04.4( `:Q ti:CA, KUS, F� 1.7; 9 _� IAA . . M • J \N4 417' 0750(1176 00. • I1 � tcOFNO PROJECT INFORMATION: • OPERATOR INFORMATION: 4 HILLMAN ROAD Jim Oliver CLEVERDALE,NY TrusJoist,A Weyerhaeuser Company 104A Centre Blvd Marlton,New Jersy 08053 / Phone: 1-856-596-5555 x3021 • Fax :1-856-985-9806 Copyright e 2D01 by Truo Joist, a Weyerhaeuser Business TJIr,TJ-Beam° and Microllamm are registered trademarks of True Joist. e-I Jaist',Pro' and TJ-pro" are trademarks of True Joist. • Simpson Strong-Tie® Connectors is a registered trademark of Simpson Strong-Tie Company, Inc. . . C,\WINDOWS\Desktop\TECH CALLS\CURTIS LUMBER CO\HILLMAN ROAD\CASE 02 SHORT SIDE HEADER JOIST - D7-30-02.eme ,22 ;1"/. (7-( -`f 3 tiAidAriemook\ GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 7 I J )20)— Building& Code Enforcement 742 Bay Road �� C Queensbury,NY 12804 Arriveiam�J�j Depart ~11 � P Inspector's Initi- ,�Y- V" NAME: .ei 5 i{ PERMIT# ,1'"- (00 LOCATION: 'eves_cit4-& , DATE : .A oa.)' l Gt TYPE OF STRUCTURE: _ 1. RECHECK N/A YES NO COMMENTS Footings/Piers I 1 I () TOLL, k aC l_._V_ai Cott VI\_01 6 Monolithic Pour Form ,,Reinforcement in Place /114 fl% I-'EThe contractor is responsible for providing protection from freezing / l J 11-3ktiIA GQ� kA rt___C2-5 --A7Nr_j?___ for 48 hours following the placement �T�O'� of the concrete. i Materials for this purpose on site L/��,1- ,�-1\ , _Q 7 k t t, L=, 4t0 Foundation/Wallpour / arc P1, \At:L -& Reinforcement in Place f Foundation/Dampproofing / Qb 1 Q-31.-ALt- -a tij\ k-Vc 1, 9--b ` Backfill Approval / t� i lumbing Under Slab / t `� IV lumbing Vent/Vents in Place ough Plumbing / --Crl G 0-\-- L,"\-- C:-.LR,--- 1V`O Heating Rough-In Insulation 2e \ti\5��l_L, Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling ` .)b vj�=c. - c, t F'- - U z,J\ Duct work or piping in unheated spaces R- v` `i\ b fi ..\E oe_6`1- Pro r Vent, Attic Vent L9.,_\ f-FC-?-- t\-)\--- M „` , 9 Jack Studs/Header Vit Bracing/Bridging �( Joist Hangers Jack Posts/Mai team /1 Air Infiltration Ba f 'er Fire Separation 1, , 3,hour Penetration Seale Fire Wall 2,3,4 our Firestopping • Office Use GENERAL INSPECTION REPORT Inspector: Ready at timeL Town of Queensbury Dept. of Community Development Request received:0 IT /Y Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART c-3"am/pm Notes: (518) 761-8256 Inspector's Initialsv NAME: le PERMIT# C �'�;1 --3 6=6) • LOCATION: G' N(date): TYPE OF STRUCTURE: • RECHECK N/A YES NO COMMENTS 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/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab 7460 . j P q Ci 1 `P1:- Plumbin it/Vents in Place u liPlu • 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 R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury / Dept. ofCommunityDevelopment Request received: (J l/ p p 9 Meet: Building& Code Enforcement At time: 742 Bay Road , `• eD p Queensbury, NY 12804 ARRIVE am/pm: DEPART - 2lam/pm Notes: (518) 761-8256 Inspector's Initials a � NAME: l!'1 PERMIT#(- 1D.)—J (0 A LOCATION: INSPECT ON(date): d TYPE OF STRUCTURE: C 1-4.1.,;'l./ RECHECK N/A YES NO COMMENTS 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 Po dation/Wallpour o n pr i�.,�, `` V` 3ackfill Approaal, -t ✓ Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing 4H9ating Roug is sul}tion �r c tion Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use GENERAL INSPECTION REPORT Inspector: Ready at time:, ,OU -1.31) Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE k t2,D a A T\?`?jam /pm p Notes: (518) 761-8256 Inspector's Initi is NAME: C 0� N. ,n PE 4 # D LOCATION: '� INSPECT ON(date): (� — TYPE OF STRUCTURE: RECHECK N/A j YE NO COMMENTS ootings/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/W allpour Reinforcement in Place Foundation/D amppro offing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing _ 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 R- Proper Vent,Attic Vent Framing Jack Studs/Headers • Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour_ Penetration Sealed Fire Wall 2,3,4 hour Firestopping • L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc TOWN OF QUEENSBURYAO P. BUILDING & CODE ENFORCEMENT 9 tP,0 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Li Name Location LA Z � /y�� p1 Date I-M?.-Permi t # p � SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank _- Tankto�Di-st:B�?c- Dist. Box to Field/Pit Openings Sealed? Yes No . ,Partia LOCATION/SEPARATIONS: Foundation to Tank _ feet Foundation to Absorption . feet , Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: t° • yo„ No 5 r v2 SYSTEM USE APPROVED: YES NO Arrived: 'Ste+ Departed: ^^hh `a Y Building Inspector Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: ,'CL Dept. of Community Development Request received: 8 5' Meet: Building& Code Enforcement At time: _ 742 Bay Road t Queensbury, NY 12804 ARRIVE am/pm: DEPART I d am/pm Notes: (518) 761-8256 Inspector's Initials V pz NAME: p 4" PERMIT# v76©R-36 D • LOCATION: �,11 Q�.,L, ��, INSPECT ON(date): 24 y��,,4, TYPE OF STRUCTURE: ,SF ' RECHECK 36/- 1;,)>?C ll iF 9co Need io acne. N/A YES NO COMMENTS 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/Wallpour Reinforcement in Place • Foundation/D ampproo fing Backfill Approval_ Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing — Heating Rough f Issulatioi3 �=�� ° Fou a on Wall Interior R- Foundation Walls Exterior R- s R- Wall Walls R- 13 Ceiling R- 57 Duct work or piping in unheated spaces R- ✓ Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging. Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour ?legation Sealed ire W._al12 ,4 hour x ro+ v'Firesicrpping�� `£� L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc MAP REFERENCE: MAP OF A PROPOSED SUBDIVISION OF LANDS OF LEIGH P. BEEMAN DATED APRIL 25, 1995 LAST REVISED MARCH 23, 1996 BY COULTER & McCORMACK LICENSED LAND SURVEYORS Aft S74'26'00'E 300.00' ^ 3 Nto 0' n u u LOT 2 2.11 ACRES 3a Ui LOT 1 W g � N O � O N �O z � o w 51.3' G I t,. 20.2' N r n II M N 318.40' AL CIRF N74'26'I50"W I I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR HILL1tiIAN ROAD BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION USTM HEREON. LEGEND: CERTIFICATNONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: SCOTT D. & DEBORAH B. KINGSLEY IT'S LGLENS FALLS S NA ONAL BANK AND ASSIGNS TRUST COMPANY, CIRF CAPPED IRON ROD FOUND � UTILITY POLE ° o • � f `i ;;� COMMONWEALTH LAND TITLE INSURANCE COMPANY o � a CERTIFIED BY: ` � .✓��C�?`� . �,.::%� c�• .' MATTHEW C. SIEVES, LLS NY5 50135 Cj� o SU13s l .Q o ��•�,1� • DATED: JUKE 20. 2002 C�I�uD • ll D � � ate June , 2002 �` .il '"'"""'°'°�°AL°'""°"°MOVEM M T° 131% Y Map of a Survey made for Scale 1"=50' IYM EJY W"UCflIM!? S 9UIIVEIM .LS" MQAnpI�'8i1011 Y70i.SA-OMBQi 2,OF 1NE 'MY OOFlE FNM sm 0"Wft MF"SUM," MMIMD Wnl IM CNWX CF W W°SUMY"M - S' teve s ,&�YWUM"Ao,.W""�` Scott D. D�oborah B. Kingsley neMs MOMAIm how aMwY nut np x/IYEY M"E FlIQMED M ACCOWMRI w1M nIC oas�a 000c a rM"cna tat we suRvswe�oa►= Land Surveyors , LLB WeSOti'1'�IfSI"� a K M M=M OWL Ka" SHWT 1 OF 1 ON IS 169 Haviland Road Queensbury, New York 12804 »° M: " W M� »o Town of Queensbury, Warren County, New York KINGSLEY m n° Q 7NE won MMmnI110L' (518) 792-8474 New York TAc. No. 50135 NO. DATE DESCRIPTION DWG. NO. 99229 C-684