2004-684 TOWN. OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20040684 Date Issued: Thursday, May 19; 2005
This is to certify that work requested to be done as shown by Permit Number P2.0040684
has been completed. -
Tax Map Number: 523400-295-016-0001-012-000-0000
Location: 132 FARR Ln
Owner: TRA-TOM DEVELOPMENT INC
Applicant: THOMAS FARONE.& SONS INC.
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Attached TOWN OF-QUEENSBURY
Single Family Dwelling
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 Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN. OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20040684 Application Number: A20040684
Tax Map No: 523400-295-016-0001-012'000-0000
Permission is hereby granted to: THOMAS FARONF,& SONS TNC..
For property located at: 132 FARR .Ln
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: TRA-TOM DEVELOPMENT INC
677 STATE ROUTE,9 Fireplace
GANSEVOORT NY 12831-0000 Single -2 Cars Attached
Single Family Dwelling- $250,000.00
Total Value $250,000.00
i
Contractor or Builder's Name /Address Electrical Inspection Agency
FARONE CONSTRUCTION
PO BOX 804 ROT JTE 9
GANSEVOORT_ NY 12831
Plans&Specifications
2004-684 LOT.# 57.HSE#132 FARR LANE
1758 SQ FT SINGLE FAMILY DWELLING
$263.76 PERMIT FEE PAID=THIS PERMIT EXPIRES: Wednesday, September 14, 2005
(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 Town of Queensbury; Tuesday, September 14,2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Check Residential Plan Review: One& Two Family Dwellings
Y/N/N/A
,(2)Full sets of plans
Over 1,500 sq. ft.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
j Above/Below grade,5.7 sq. ft.
i/ Grade,5.0 sq.ft.
24"(h)x 20"(w)min.
44"Max,Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofmg/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10' Exterior Grade
V/ Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
R uired
ce and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
latforms At Exterior Doors
S irway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise ;
r
Spiral Not Allowed From 2n Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
,eftall Width,36"min.
/andrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
Garage Floor Sloped
Attic Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results, if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Building Termit application
Town of Quccnsbury—Dept of Community Development, 742 Bay Road', Quccnsbury,NY
(518) 761-8256
A permit must be obtained before beginning construction. Permit File No. J W g
No inspection will he trade until applicant has received a FCC Paid $
valid building pe•mil. All applicants' spaces on this Rcc. Ucc Paid $�
application must be completed and nnlsl appear on tile we Y:
e RCviCd B
application form. �"
Applicant; Thomas Farone Uwncr: Thomas Farone
Add oxress: ' i�4 _ Route 9 Address:�'���OX BII out- 9
Gansevoort, NY 12831 ansevoort, NY---=1
Phonell (518)587 - 8989 Phone#( 518) 587 - 8989
FAX: 518 584-2093 Office contact person: Geri Pastore
Property location: Lot Number: / House NumberZ/ �%/�/?�j j_TfQ
Subdivision Name: Indian Ridge Tax Map Numbcr:
New Iiuildin residcn /conlnlcreial Estimated Markel Value of Construction: $ 07
u Addition; residence/ commercial frail Addition, what will use ol'ncw addition be?
Akration: residence/ conune•cial
❑ No change to exterior size: residence/conn'I
u Other work(describe
Chech (kellpallcy111fo1•tlladoll 1' Flour 2 Fluor Olher Iluor '1•ulal
Ilelow sq. rl. sq. I1. sq. li. Square Feel
Single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
11 of units
❑ office — R .Q
❑ Mereantilc M
❑ Manufacturing
❑ 1 car delc►ched garage
❑ 2 car detached garage l nl lFFnleRl iM4
❑ _3 car detached garagc — _ BUILDING AND CODE
u I ear attached garage
2 car attached garage 'Z —
❑ 3 car attached garage
u Storage building-
eonuncrcial .
❑ Storage building- ------ ---`— —....--+--- -- —
_residbntial
u Other
Will any second-hand or ungraded lumber be used? If so, for what?
Type of I Icating System: electric/ o'��/ ggas ood / forced hot air/ baseboard/other:
Numbcr of 1,7replaces to be installed �_ Number of 1I'oo►stoves to be installed
List below the persons) responsiblc lily supervision of work as regards to building codes:
Namc Address Phone Number
BLli1dCr Thomas Farone _ same as above
Plumber . P lumbing
Mason
1?Icctrician •tt r Electric _ 5�_ �1 f /*
I)ecijj!M. !j: plentic sign below al•lcr you leave cnrcliilly rcotl Ihc s(nlenunt:
To the best ol'nly knowledge the slalenlcnts contained ill this application, together Willi file plans and specifications
submitted,arc a true and complete statement of all proposed work to be done on the described premises and that all Z
provisions of file Building Code, the Zoning Ordinalice and ',III olhel•laws pertaining Ill the proposed Work shall be complied
Willi, whelhcr spccilied or noted, and that such work is authorized by the owner. I'milier, it is understood Ilia[ Ilwe shall
submit,prior ton Certificate of Occupancy or Certilic:ite of Compliance being Issued,as requested by the Zoning
Administrator or Director of Building and Codes, an AS Rifilt S►n•ret,by a licensed surveyor;drawn to scale,showing,,'
location ol•all ncw,conslrucfion. %
Signature;� N`— _— wna, owner's agent,architect, corlt•actor
r -
Application for Permit-=Septic Disposal System
Town of Queensbury, 742 Bay Road Queensbury, NY 12804 (518) 761-8256
I. OWNER INFORMATION: Indian Ridge Subdivision
Office Use
Location of installation:Lot No. / House No. . r r L
Road Name: File..Permit No.
Tax Map No. I
r Fee Paid
Owner's Name: Thomas Farone
Address: P.0• Box 804 , Route 9
Gansevoort, NY 12831 .
2
2. INSTALLER'S NAME �� �//�In K� (�-r PHONE NO. 361—
3. RESIDENCE INFORMATION: .(circle year of dwelling, indicate 4 bedroom(s) and multiply# of
bedrooms with applicable gallons per bedroom to equal total dailyJlow)
Year of House" No of Bedrooms x 'Computation = Total Daily Flow
1980 or older x 150 ga1/bdrm = 'ECEI V
ED
1980— 1991 x 1.30 gal/bdrm =
1991 —present x 1.10 gal/bdrm = 3 _ SEp 0 2, ZGG4
Garbage Grinder Irlftalled yes / no TOWN OF QUEENSBURI'
Spa or Whirlpool Installed yes / no BUILDING AND CODE
4. PARCEL INFORMATION: (circle applicable information &indicate measurements)
MRrap ature Ground Water Bedrock or lm ervious Material Domestic Water Supblv
1%la s at what depth at what depth nnunictpal
Zolling oam fee! -
Steep slope. clay if well; water supply
,%slope other from any septic-system
depth: absorption is Jl.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by.a licensed
professional engineer or architec►'(imless 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: . 42 gallon (min. size 1,000 gal)
fl. .
Tile Field: each trench SX� ., Total System Length:
Seepage Pit(s): number of size of each: Jl. by --;Jl.
Size of Stone to be used: # / depth or thickness _feet
Bed System Size: x
Alternative System: - length and/or size _
6, HOLDING TANK SYSTEM: (if required)
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 of the Code of the Town
of Queensbury, any pen-nit or approval granted which is based upon or is granted e,
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 regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
No
Signature of res.ponslbl person Date
Fire Marshal's Office Town of-Queensbur•y,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel &vented gas.appliances
CX
Date �/ "�� , 20 Permit No.
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 perfor►n required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: �Wj•__5_,_ Stove: wood coal pellet. gas.
Fireplace insert
Address: 904 al Fireplace, factory-built: - wood gas
Ca AA15Y.V an gzE Fireplace,.masonry: wood
Furnace: wood gas oil
Phone: g?—' Pg FQ
If non-masonary applicance,please provide
Owner: Manufacturer Name:
Address:_ /�'1'h�� Model Number:
Chimney Information
Phone: (circle.appropriate words)
Masonry block brick stone
Flue -tile steel size: inches
Exact Address:
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. Doable wall / Triple wall. / Asulated / Direct verrtirrg
Chimney Liner
Cla�abe�er'iar l�ep&Zz-tm4-_u1—X1k>VV7a of Quep»�bzzxy,3V-��7�orZr
Fire Marshal Code# S.Collected $Refunded Received from(refunded tp): K�7�
-d� addres
A 173 3389 (190) Public Safety o`-
A 233 2655 (230)Minor Sales
DATE:
n.ia a�wLo— Ww V[o2.0 02 �a�sc�0
White(Applicant) / Green ire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.)
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/ epart:Z` ' tam/pm
Date Inspection request received: _^ Inspector's Initials: _
NAME: A-V LG PERMIT#: �.
LOCATION: _ DATE:
TYPE OF STRUCTURE: _
Comment
_ Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location Ir
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete Z
Guard 30 in,or more @ stairs,decks,patios 4 �Q t -r�G.QAr,�
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more I
Exterior Finish Complete l�5��¢t-L C(t & LAC-K L �
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers 7/ r
Enclosed Stairs Sheetrock Underside minimum
Gypsum _ I
Grade away from foundation 6 in.with 10 ft. VTAk I ✓
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/re ulator l 8" above rade U
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 Valves installed/Heat Trap/Water Temp 110 /
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched _
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"acceps, 1 4q. ft,150 s . ft. vents
Building No./Address visi le frgfn roagl-
Final Electrical
Site Plan /Variance required
Final.Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C I C or C/O Temporary/Permanent
L:\PamW\BuildinQ &CodeslInspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection I'
Office No.(518)761-8256 Arrive: am/p a art: am/pm.
Date Inspection request received: Inspector's Initials: �?
NAME: PERMIT#: V
LOCATION: - [3 Z— C DATE: S
TYPE OF STRUCTURE:
_ Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" —
Roof Complete/Exterior Finish Co,m lete
Guard 30 in,or more a),stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %Z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 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 Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: __ / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector _
Bathroom Fans, if no window _
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping stoppiag finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/<hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical yJ U� ✓�•
Site Plan /Variance required /
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res.Final Insp. form 2.docLast printed 2/12/04
rTown of Queensbury Fire Marshal
742 Day Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove In�vection Re-Rort
Notice:New Fork State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed. `
IPermit# 2-oa4- ` L --
Schedule Inspection � 1� !�5 Tine_______am pin anytime Inspector
NameF Address 132o`lZ _ Rough In Final
Appliance Manufacturer. —_ Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes o N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) vertical tease
Wall Penetration
Vent Clearances tb Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet alcove roof
penetration;2 feet above my combustible
construction within 10 feet
Gas Shut-Off Value
Combusti0n Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
White—Building(Dept. � �~+ Yelloov t bst er Pink—Tire Marshal
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received:
NAME: /ice
LOCATION: 1-6 2 -1��t'z- LP�
PERMIT#:
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review t e
survey has bqenj
Crai B n, z.oning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Fina1 Survey
Zoning Administrator.doc
MAP REFERENCE:
INDIAN RIDGE PUD
PHA5E TWO
DATED AUGUST 27. 2001
BY VAN DUSEN STEVE$
LAND SURVEYORS. LLC
56
55
1 lee
�Ag0,1� •42,
2Z
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'NQ
40.90'
04
�16 ,4 NO-CUT
ZONE
2 STORY
57 WOOD FRAMED
HOU5E CUNDE
36,840.30 sq.ft. CONSTRUCTION)
0.85 acres
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2 a
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58
RE D
MAY 18 2005
TOWN OF QUEENSBURY
UTILITIES 3fp/ �qy�� � j�,:
BUILDING AND CODE
pI i3h,
a�.. u S � 'UNAUlNORO!EO AL7ERAALTERATION OR AOpn Date, FEBRUARY, 28,aN To�SURVEY. MAP REA/ING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for S cate 1'_-30'NOTATION OF SECTION 7M.SU-DWON z of THE
NEW tax STATE EDUCATION LAW'
S t e v e r OILY COPS FROM N L OF THE
OF SU SURVEY
MARKED wni AN ORIGINAL OF of LAND moons
M SMALL K CONSIDERED TO BE VALID TRUE
� .*CEftT*rATIQN5 INDICATED THOMAS J. FARONE & SON, INC. S- 1
nos SURVEY SINS PREPARED w EDIN *-e TNA THE
Land Surveyors ° THENEWEVOW����""'° °
IN THE NEW O11M SIDLE ASSOCIATION OF SHALL
RUN ONLY
LAND 91RVEYQRS,SAID mC1iMAn013 SFIML RUN ONLY
70 M PERSON FOR wwM THE SURVEY 6 PREPARED,AND
ON"IS
RENAL'To
nw TITLE
OONPANY.Dow"mffu
169 Haviland Road Queensbury, New York 12804 O,TIAGEN "'S`EES O THE LENDING" IT TW A"° Town of Queensbury, Warren County, New York SHEET 1 OF 1
iD nR:A99CNEES OF mE LENONO N6nN710N.'
FARONE
518) 792-8474 New York Lie. No. 50135 NO. 1 DATE DESCRIPTION DWG. NO. IR-57
o
- . Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: aln/pm�l �e (a pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �;Nu /�f n
NAME: ^ PERMIT#: — 64'
LOCATION: ( 3�. r/ INSPECT ON: 5'
TYPE OF STRUCTURE:
Y N N/A COMMENT
,taming
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
ire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L4 C 7-1
l+
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: OJ
Queensbury Building & Code Enforcement Arrive: arn/ epart: pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial
NAME: PERMIT
LOCATION: INSPECT ON: G�
TYPE OF STRUCTURE: _ 1
Y N/A COMMENTS
gamin
Jack Studs/Headers
Wf4.1— VAn,, r, t>
Bracing/Bridging �) S
Joist hangers (/ �v�L Ijk - 9 4
Jack Posts/Main Beams /
U SS
Exterior sheeting nailed properly
12"O.C. Q
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall-
Fire separation 1, 2, 3 hour
Fi wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SucHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511
RECEIVED
JAN 0 4 2005
December 24 , 2004
TOWN OF QUEENSBURY Job #46138
ZONING OFFICE
New York State Dept. of Health
77 Mohican Street
Glens Falls,NY 12801
RE: Indian Ridge Subdivision - Queensbury(T)
132 Farr Lane (Lot#57) - Septic System
Dear Sir/Ma'am:
This letter is to inform you that I inspected the completed septic system for the house on 132 Farr
Lane (Lot#57) in the Indian Ridge Subdivision on December 22, 2004.
The septic system as installed was for a four bedroom house and consisted of a 1,250 gallon
septic tank and 220 lineal feet of absorption trench constructed with stone and perforated pipe.
The system conforms to the requirements of the approved subdivision design drawings.
Please call me if you have any questions or concerns.
Sincerely,
Thomas R. Center Jr. ,PE
cc: Dave-Hatin Town of Queensbury
Tom Farone
Framing / Firestopping Inspection Report 1
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: _ _arn/p Depart: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ��( � _ PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %a (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Ancho Bolts 6 ft. or less on center
\ e and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5,7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc .January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: ,
Queensbury Building&Code Enforcement Arrive: am/pm apart: o' am/
742 Bay Road, Queensbury,NY 12804 Inspector's Initials.
NAME: PERMIT #:
LOCATION: 0�2 -1� -R .� INSPECT ON: !(
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1, R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % in inch m . Drain Size
ashing Machine Drain 2 inch min.
ead or Air Supply Test ()..VX
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
Insulation/Residential Check/ Commercial Check
Proper Vent, Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
r
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection requ�st received: '
Queensbury Building&Code Enforcement Arrive: an/p>�I� Depart. am/pm
742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials. VVVVVI
NAME: PERMIT#:
0 z , �S
LOCATION: INSPECT ON:
TYPE OF STRUCT
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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
Foundation/Waterproofing
Type of Dampproofmg/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12-inch width
6 inches above footing
6 mil poly for wet areas under slab
Bac 1 Approval
Bing Under Slab
PVC/ ast/Copper G�
F dation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
/L-,'\S eHemingway\Building.Codes.Inspection.FORMSToundation In pectioryR doc January 28",20�03
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection regNf st received:
Queensbury Building&Code Enforcement Arrive: am/�i �/ Depart �! in
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
s�llv'"
NAME: — _ PERMIT#: W
LOCATION: B ��� (��p INSPECT ON:
TYPE OF STRUCTURP:
Comments
N N/A
Footings
Piers
Monolithic Slab
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
einforcementin Place /
-f,.._.-.i�i.
,F0o n'daton-Dampproofing
Foundation/Waterproofing
Type of Dampproofing/W�ateT oofing
Footing Drain Daylight or Surhp
Footing Drain Stone:
12 inch width
6 inches above footi/ga
6 Mjl-Vbly for wet/Areas under slab
Plumbing Underf'lab
PVC/Cast/ '•opper•
Foundati Insulation Interior/Exterior
R-
Ro gh Grade 6 inch drop within 10 ft.
LASucHemingway\Building.Codes.Inspection.FURMS\Foundation Inspection Report.doc January 28,2003
ff
1
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _ t
Queensbury Building&Code Enforcement Arrive: anvil n Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME: _ �(J'�1_ PERMIT#:
LOCATION: _ � INSPECT ON: �
TYPE OF STRUCT RE:
Comments
--------- X N NIA
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible or
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 Danipproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASucHemingway\BuiIding.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: z 4
Queensbury Building & Code Enforcement Arrive: am/ Depa /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #: 0 � �1 g
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
®� 4
C®
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent / Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction
Pressure Test
Drain / Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test �C�CU� v 2
Water Supply Piping
Air/ ead
.S.I for 15 minutes
nsulation / Residential Check / Commercial Check
Proper Vent Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
se EL(REV,)I/96) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TH ...NEW. YO.RK BOARD:OF. FIRE UNDERWRITERS CERiIFlCATEN°-
DO NOT WRITE HERE 'FOR OFF
ICE.USE ONLY
"= =:" BUILDING PERMIT NO.
CITY OR VILLAGE 7'P CODE
TOWNSHIP COUNTY
STREET IND NO.OR ROAD
AZ ?� POLE NUMBER
• BETWEEN WHAT TWO CROSS OFF*` PREMISES LOCATED? aec,lloN _� BLOCK
LOT
` OC UPANT•S NAME BUILDING OCCUPANCY
}
OWNE 'S NAME AND A015RESS -
HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY FROM THEIR
OFFICE WORK TELEPHONE NUMBER
BUILDING IS r-NEW OLD ❑ WORK IS NEW Cl AODn10NAL❑ DEFECTS REMOVED C
UST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS ' No.of Fixtures& MOTORS HEATERS -BRANCH OFFICE USE-
Lamp lamp Receptacles CIRCUITS .:
tlOn ONLY'
Side Attach'1 H.P. watts A.W.G.- Ceiling We" Receo'Is Switch Pendant Bracket No. Type Each No. Each No• Gauge INSPECTION 'S
OUT I .
SIDE
SUB-
BASE
BASE-
MENT -
1
1staT
i
FL
2nd
FL
3rd _
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. i
I
` THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED.BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,ASS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS
Applicant affirms that there is not an application for electrical
CHARACTER OF WORK ❑EXPOSED
(]CONCEALED inspection pending with a qualified electrical inspection
DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein. ,
This application is valid for a period not exceeding one year
SERVICE ENTERS BUILDING from the date received by the Board.
❑ OVERHEAD UNDERGROUND —
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
IDENTIFICATION NUMBER>
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS'
NAME OF APPLICANT DATE OF APPLICATION SIGNATURE OF APPUCANT
STREET ADDRESS TELEPHON NO.
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
40 Fulton Street I ❑ 111 Washington Ave. I❑3291 Lake Shore Road I ❑ B03 West Avenue I❑202 Arterial Road
NEW YORK, NY 10038 SUITE 704 BUFFALO,NY 14219 SUITE 106 SYRACUSE. NY-13206
(212) 227-3700 ALBANY, NY 12210 (716) 827-11: ROCHESTER,NY 14611 (3151 463-8552
(518) 463-2122 (716)436-4460
THE NEW YORK BOARD OF FIRE �&EbWRITERS
RE
SF� 0 2 2004
TOWN DING NND CODEY
-BUIL
Town of Queensbury Fire Marshal
742 Day Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
Factory B as ire la e/Stove Ins ecti u R ort
Notice:New York State requires that all UL Lasted,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
/l,L instructions r specifications is allowed.
Permit# v i yW&�/ m` an 'aaaW_�
r
Schedule Inspection Time p
Name �.�z�� Add ss >��'o r _ RougBa naal�
Appliance Ma7- aFactory
trer �U Model# sL� C �`'�/
Direct Vent Built Chimney Flue Size Doub all pie al >0 Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s)' Vertical Chase
Wall Penetration
Vent Clearances to Combustibles /4jVf
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extensions (if any)
Mantel
Height above f/p opening
Fitness Operation
Tank Placement(if LP)
Wbite—Building Dept. _�- Yellow tit er Pink—I+ire Mahal
Dough Plumbing / Insulation Inspection Report
� r
Office No. (518) 761-8256 Date Inspection request r ceived:
Queensbury Building& Code Enforcement Arrive: am/p. part: I ti am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT #:
LOCATION:_ Lot5l Pal INSPECT ON:
TYPE OF STRUCTURE: ;'
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
Plu ing Vent/Vents in Place
R Plumbi I Nail Plates
'/z inch min..Drain Size
Awashing Machine Drain 2 inch min.
Head or Air Supply-jest
` :Draiti;and Vents�' ,J
5 PSI or 10 feet above highest
connection for 15 minutes l
Cleanout every 100 feet/chin a of direction
Water Supply Piping
Cooper Commercial
Cooper,CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueBemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Septic Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p epart - am/pm
742 Bay Rd.,Queensbury,NY 1,2804 Inspector's Initials:
g
NAME; Ci��( C��s'�_ _ PERMIT NO.:
LOCATION: INSPECT ON: _O
RECHECK:
Comments and/or diagram
Soil Type Typef Sa ay
Type of err: Mumci / Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft,
Length of each trench 'S ft.
-Depth of trenches Z ft.
Size of Stone
-Seepage Pits: Number
Size: x
Stone Size:
Pi ing Si Type
Building to tank L
Tank to Distribution Box a �a
Distribution Bo 'eld/Pit
Opening Seale . Y /Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
-Conforms as er Plot Plan Y N
Location of System on Property:
Front Rear (j;)Right Side
Middle Front iddle Rear
System Use Stat
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
Permit Number
REScheck Compliance Certificate Checked By/Date
New York- State Energy CvuSei Jation Construction Code
RES check Software Version 3.5 Release I ��
Data filename: C:\Program Files\Check\REScheck\1758-03 BALSAM-FARONE-LOT 5' ' 'FURSBURY.rck
TITLE: PLAN NO. 1758-03 BALSAM SEP o' 2 2004
COUNTY: Warren TOWN BUILDING ANDCODE
Y
STATE:New York
HDD: 7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE:08/30/04
DATE OF PLANS:AUGUST 30,2004
PROJECT INFORMATION:
THOMAS J.FARONE AND SON
LOT57-132 FARR LANE
QUEENSBURY,NEW YORK
COMPANY INFORMATION:
WILLIAMS&WILLIAMS DESIGNERS
509 GLEN STREET
GLENS FALLS,NEW YORK 12801
COMPLIANCE:Passes
Maximum UA=450
Your Home UA=359
20.2%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 1758 30.0 0.0 62
Wall 1: Wood Frame, 16"o.c. 1688 19.0 0.0 84
Window 1:Vinyl Frame:Double Pane with Low-E 199 0.320 64
Door 1: Solid 28 0.130 4
Door 2: Solid 21 0.130 3
Door 3: Glass 42 0.330 14
Basement Wall 1:Solid Concrete or Masonry 1756 11.0 0.0 122
Wall height: 8.0'
Depth below grade: 6.0'
Insulation depth: 8.0'
Window 2:Vinyl Frame:Double Pane with Low-E 20 0.320 6
Furnace 1:Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,th are attesting that to the best of his/her knowledge,belief,and professional judgment, such plans or
specifications are i; mplian wit Code
esigne Date
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release 1
DATE: 08/30/04
TITLE:PLAN NO. 1758-03 BALSAM
Bldg.
Dept.
Use
Ceilings:
[ ] J 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall l: Solid Concrete or Masonry,8.0'ht/6.0'bg/8.0'insul,
R-11.0 cavity insulation
Comments:
Windows:
[ ] I 1. Window 1:Vinyl Frame:Double Pane with Low-E,U=factor:0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 2. Window 2:Vinyl Frame:Double Pane with Low-E,U-factor:0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ] Yes[ ]No
Comments:
Doors:
[ ] 1. Door 1: Solid,U-factor: 0.130
Comments:
[ ] 2. Door 2: Solid,U-factor:0.130
Comments:
[ ] I 3. Door 3: Glass,U-factor:0.330
Comments:
I
Heating and Cooling Equipment:
[ ] I 1. Furnace 1:Forced Hot Air,92 AFUE or higher
Make and Model Number
I
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3"clearance from insulation.
Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
r �
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
(adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
provisions of the Building Code offew York State ,the Residential Code of New York State or
the New York City Building Code ,as applicable.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 T must be insulated to the
levels in Table 2.
Table I: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation 77iickness far HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
MAP REFERENCE:
INDIAN RIDGE PUD
FHA5E TWO
DATED AUGUST 27. 2001
BY VAN DU5EN + 5TEVE5
LAND SURVEYORS. LLG
56
55 f � �
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409 �I
57
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he.��1; Wens, trees, fences
' all o' resent t `
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„
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,,)easured th ,distances set forth 0158
Je s "Fig,
ti AT
Sl NA R
0. o� �vE�
�o� SEA �z 200�
100 Q�ND�p E
,WN v��pING P
ate AUGUST 2004
uS ALTERATION oN OR ADDITIOSURVEYORS
TO A SURVEY Map made for Scale 1'=30'
�1 MAP BEARING
A LICENSED LAND SURVEYORS SEAL IS A
�w VIOLATION OF SECTION 7209.SUB-DIVISION 2,OF THE
/��y & NEW YORK STATE EDUCATION LAW.'
S CMLY MTM ERDM THE OR THE'INAL N THIS SURVEY
MARICED VATH AN ORIGINAL E THE LAND VALID5URV11011
E
SEA SHALL CONSIDERED rD BE VALID TRUE COPIES.'THET H O M:A S J. FAR C N E & SON, INC .
CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
Land Surveyors E70STING CODE OF PRACTICE FOR LAND OFSURVEYORSPROFESSIONAL
ADOPTED
By
THE NEW rose STATE AssoannoN OF PROFESSIONAL
LAND SURVEYORS SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND
ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTALAGE SHMT 1 OF 1
169 Haviland Road Queensbury, New York 12804 TO THE CY 51C LENDINGELENDINGIN LISTED HEREON.AND Town of Queensbury, Warren County, New York
f TO THE ASSIGNEES OF THE LENDING INSTRUTION.•
FARONE
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. IR-57