Loading...
2001-226 TOWN OF QUEENSBURY 42 Ba Road ueensbu NY 12804-5902 518 761-8201 T�� 7 Y , Q rY, � ) Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010226 Date Issued: Friday, November 02, 2001 This is to certify that work requested to be done as shown by Permit Number P20010226 has been completed. Tax Map Number: 523400-295-020-0001-031-000-0000 Location: 14 RUSH HOLLOW Ct Owner: TRA-TOM DEVELOPMENT, INC. Applicant: THOMAS J. FARONE & SONS, INC. This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling Director of Building>&,Code Enforcement TOWN OF QUEENSBURY wy - 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010226 Application Number: A20010226 Tax Map No: 523400-073-000-0001-021-000-0000 Permission is hereby granted to: THOMAS J. FARONE & SONS. INC. l-z)110u3 For property located at: 83 f •a '—L-n .l_ d-73 J 4RUS� C04� 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. "IPmc o.NrCS -Q Type of Construction Value Owner Address: JAPES &CANDY ERGISISSingle Family Dwelling 200,000.00 Garage-2 Cars Attached QUEENSBURY,NY 12804 Fireplace Total Value 200,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2001-226 LOT#73 HOUSE#14 Rush Hollow Court 1800 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $350.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,May 29,2003 (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 s ate4:19 , Dated at the To of e T= ..'/,May 29,2001 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building PermIt Application O J fib* Town of Queensbury - Dept. of Community Development, 742 Bay Road;Queensburv,-NY 12804 /761-8256/ ' BUILDING & CODE ENFORCEMENT NOTICE . Requirements prior to issuance PERMI R A permit must be obtained before of this permit: € ' 'I beginning construction. No inspections PERMIT will be made until applicant•has received ❑ 'iOr).' 13 Zoning Board Action { a VALID BUILDING PERMIT. All Area /Use REC 0 applicants' spaces on this application j PAID 3 MUST be completed and the signature Q Planning Board Action REVIEwECDI IC `� �C 8UR of the applicant must appear cal the SPR / Subdivision /Other Building iccrerrnr ••lication form. nit�,, Recreation Fee Payment Applicant: Thomas Farone Owner: Thomas Farone ' Address: P .O. Box 8 0 4 , Route 9 P.O. Box 804 , Route 9 Address: Gansevoort, NY 12831 Phone # ( 518 ) '587 - 8989 Phone # ( ) Property Location: Lot No Ti / House No.I ARoad.Name: Subdivision Name: Indian Ridge, PUD SPR 51-99 Tax Map Number l --Phase I Section Block int 14 E OF PROPOSED WORK: ESTIMATED MARKET V LUE OF THE New ' 1d' CONSTRUCTION: $ © 71.04 n r idence / commercial Add' tion to wilding: ence / commercial OCCUPANCY INFORMATION: Alteration to Building: ymary Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work (describe below) Mercantile Manufacturing Other — GROSS AREA OF PROPOSED STRUCTURE: //,, •i6' If ADDITION, what will use 1st Floor vl sq• f of new add' o ? : 2nd ,Froor. . .) . . sr, sq. f4. I 26 Other Flouts sq. q f (not unfinished cellar or basement) ACCESSORY BUILDINGS: 41'3_ �L Detached Garage 1, 2 c- TOTAL FLOOR AREA: 1 $O D SQ. FT. x Attached Garage 1, Private-Storage Bui .ing SIZE OF NEW STRUCTURE: Commercial Storage Building Other 56 FEET X 3 FEET Foundation Type: 1114q\-c.-0 Will any second-hand or ungraded ' Number of Stories : • lumber 17fd7 If so, for what? (habitable space oryly) Height (grade to rl.dge) : feet TYPE OF ATING SYSTEM: • Number of f ireplaCe and/or woodstove (circle all which .lies) to be installed:, 1 � Electric / Oil / 0 / Wood ,a4 Forced Hot Air / eboard / Other Person responsible for supervision of work as regards to building codes is: Builder: Thomase Farone ( samerassabove) Phone Plumber: C & G Plumbing 654-7477 • 'Mason: Heath Russell 796-3033 Electrician: Modern Electric 584-8341 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 Uwe shall submit prior to a Certificate of Occupancy.or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. . 7. Signature: i OM . 4/9---D/r (owner, owner's agent, architect, contractor) Application for Permit-Septic Disposal System Town of Queensbuty 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION:. g __......-....................................... ..... Indian Ridge Subdi moo = � 7 Office Use Location of installation:Lot No. / House No. Tax Ma No. Road .Name: APR 2 7 0� e Permit No. P rOvvN I l—ice Gnd N i Owner's Name: Thomas Farone B(11 hr OC1�eG�ivD u{ ypid Address: P.O. Box 804 , Route 9 Gansevoort, NY 12831 2. INSTALLER'S NAME : PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = . Total Daily Flow 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes / no N 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) 'by :: ure Ground Water Bedrock or Impervious Material Domestic Water Supply at what depth at w at depth municipal • Ong. loam Fret 'feet well Steep slope clay if well; water supply %slope other from any septic-system depth: absorption is ' ft. 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 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 50 gallon (min. size 1,000 gal.) Tile Field: each trench Sx 97 ft. Total System Length: 9 $ ft. Seepage Pit(s): number of D size of each: ' ft. by ft. Size of Stone to be used: # iy 1 / depth or thickness feet Bed System Size: Uvl ° ` x Alternative System: W/ F'i length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: V" allons /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 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 regulations with respect to this application and agree to abide by these and all requirements of the Town of Queen ury Sanitary Sewage Disposal Ordinance. I nature of s, nsible person Dat r;NJ I( I Lulls;. APPLICATIONS • ;l, .-1- ENERGY CODE COMPLIANCE APPLICATION • ' - TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods : PART 5 - Acceptable Practice Method - r'`=" 1&2 FamilyDwellings onl ' ">` ;. 9 ( Y) t.titi PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings ( 3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME : PROPERTY LOCATION: �.� N5e0AX7. 11- IV5k iOcow G PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - laiwo square feet 2 . Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled? Yes No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls . R --M- c . Glazed areas R d. Exterior doors R 1 e . Floors over unheated spaces R 1 f . Edge of slab on grade (heated building) R• /b g. Basement/cellar walls (above grade). R h. Basement/cellar walls (below grade) R `!) i . Heating/cooling-ducts-piping in unheated sp ce R 6 . Service (domestic) hot water heating device . Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Applicant' s Signature Date Phone Number INSPECTOR' S REMARKS : • Fire Marshal's Office , . Town of Queensbury, 742 Bay Road,Quecnsburv, NY (518) 76148205 Application .for Fuel Burning Appliances & Chimneys. applicable to solid fuel & vented gas appliances (0-6)l--c.LP-4, Date -21 f lr ' 20 0/ Permit No: . Appliceiion is hereby made to the Building& Codes Office fijr the issuance ofa Building and Use Permit pursuant-to the New York State Fire Prevention and Building Code. 771e applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of `these requirements and also will allots'all tispectors:,to enter"premises to perform required inspections'. NOTE to applicant: Rough-in and Final Inspections are required.' Ap,ilicant Information Fuel Burning Appliance Information T 1 i� '� }t( fi (circle appropriate words) i Name: } ' 't tj't' ' t Stove: wood coal pellet gas ^i p'i Fireplace insert , Address: t').)''' f( \ C` Fireplace, factory-built: wood t(gas ) a Get .k)1.: ,1 ° 5 it_ I-, •,) '( ( 1) 1 Fireplace, masonry: wood gas .1./ `� • Furnace: wood gas oil Phone: ',. lr i` .61 If non-masonary applicance, please provide Owner: Manufacturer Name: i__('Ai iv O Address: i t,t er�` C_w Model Number: f .I'14 „t , /. ( t 1 .' . Chimney Information Phone: (circle appropriate words) •. i Masonry block brick stone - , (i , ,� . / Flue tile steel size: ?inches Exact Address. ,J / ' 1<:i . 14.511noi, ofco,i rea tioti or installation Factory-Built ici , , 7 -,w ',,- Manufacturer name: (.,,.�`Ai t41;> ; r .. .��,,� �,,� r tom'''''' Model Number'E) 1 r' 2, ; if' IQ Y�`l Note: -1 :.;. i j ' ., ;. i . Listed By: l 1 I . Number: Construction /Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: ' Code. Consult available Tot•�iz of Queensbui-y "` } Handouts regarding required inspections. Double wall / Triple trail / Insulated 1 Direct venting . • Chimney Liner, i Oaszaak €er',ir.Dep$.xnt r ea2t— Ircyzesrsi of Qu.eexcesbazx-gr, Newsy Y®rl Fire Marshal Code# S Collected S Refunded Receitcd li'oni (rcfimded to): 4 ° e 7 %,-.z "4_F ?/ address:.4 173 3389 (190) Public Safer- C« b-° - .a 233 2655 (230) Minor Sales • 1 . k,,,..�?t ., , - .-'1 ... wve. - 7 • (/C�j4 o2 Deli . 7Na:), White(Applicant) , Green(Fire Nlarshal) / . Yellow(Bldg. Dept.) Pink&Goldenrod.(Cashier's Dept.) rr r,'r,' r r r,„ ._ r,_r ��,•,..„,,'•rn:r '��,, 'i• h rr �.,,.. i•.'r�.'Y•Y. r• r r• r• .. r• r• r•. r•. - 4 MIDDLE DEPARTMENT INSPECTION AGENCY, INC. << %. &,,04.that the electrical wiring to the electrical equipment listed below has been examined and is approved as •• 0being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date • - , (,j noted below and is issued subject to the following conditions. << A% Owner: Unknown • Date: November 7, 2001 << 6% Occupant: Same;, '•, Location: Lot #73 Rush Hollow Ct. (j Queensbury, NY Vie: Occupancy: Residence - . e; 6 Applicant: / (<< Vie?) Immanuel Electric, Y (e?j 2 Mohawk Avenue • . . . • (�. (•., Alplaus, NY 12008 S < � No_ 14-104542 c,; Equipment: __,. _ ____ .,`. N� . kC�) J - ( . 34—Switches �; (j) 60—Receptacles ,: �' :. O 34—Fixtures >: • (j 200Amp. Service Equipment 4/0 •(�;a) 1-Dishwasher • ,i. 1—Dryer`••. 0 2-20Amp. Receptacle • c • • 0 3-Vent Fans - • (ys,. This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and ,&, , (C" above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership <<' Y) inspection. No warrantyis ex ressed or implied as to the mechanical safety, effi- of the property indicated above,this certificate shall be immediatelynull and void. ((:(�� P ' P P� P P Y l In ) •<<� be valid for fitness ciency or period of onef the 1pment for year from the above ny notedr purpose. date. Should hecate electrcal this certificate that may be s (revalidated upon becomes invalid nspection by the Middleabove Deparrtconditions, ment �� i . 11 system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle (�•, } (�s�1 ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation. (`ill) any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. (�•� ,l (4i1..•-•:• %�••—•�—Ns' r��--\• ••—•1'n�.�',. vim' /' „ �•.•)-- �C�• - •�• s'$(•'+` kW `�tii/INs 4"7"0' 1.//r i�•A. �/P `'.t4 9/7\:•'•'/•.`9�-N• it r/•'�r.Y/\r:�r/V., st • Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: /2;'36 —1 Etna Town of Queensbury Dept. of Community Development Request received: All/OK. Meet: Building& Code Enforcement At time: 742 Bay Road 11 Queensbury, NY 12804 ARRIVE— am/pm: DEPART lm/pm Notes: (518) 761-8256 Inspector's Initials NAME: 1\rn O U a` SC' S PERMIT# a G� + `-z3 (2 r LOCATION: Lo7 13 l 6 A/54 )bIa/ U COLY/ INSPECT ON(date): 2 t] v� 1 TYPE OF STRUCTURE: RECHECK i (\ N/A YES ENO COMMENTS oo ings/Piers, ,(5'(i �1� Mc olithic P ur Form Rei orcern6nt in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemen of the concrete. Materials for this purpose on site Foundation/Wallpour f t Reinforcement in Place Foundation/D ampproo fmg 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 QUEENSBURY illik BUILDING & CODE ENFORCEMENT ' Otil 531 BAY ROAD QUEENS BURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: W'1 ---- — FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING DATE INSPEC N REQUEST RECEIVED: NAME �Nr- LOCATION -):47)/01-/(.24(4 DATE 1/�;2'(9-06 PERMIT # oco/-c)d" TYPE OF STRUCTURE FOOTINGS BACKFILL_ FRAMING PLUMBING INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIIR S' IRS/RAILINGS STOCK•,sOM E CLOSURE FIRE/rEMIS WALLS PENETRATION FIRE D' P.RS CEILIN. . IRE STOPPING FIRE DOORS/CLOSERS DO R HARDWARE r EXIT ST IRS/RAILS PLATFO ELEVATOR HANDICAP ED ACCESS HANDICAPkED BATHS HANDICAP9ED PARKING FINAL EL CTRICAL I S TE PLAN VARIANCE REQ. INAL SURVEY PLOT PLAN, IF REQ %' OK TO ISS!E C/O OR C/C 1 4-11/1 111 ,,-.. T-3,6 aru, RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: /I / , U/ /?`l"„___ Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart/0 i belye Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, ew York 12804 "`��NAME ° _�-e� PERMIT U z`"1/ l ,; ,-.‘4'. LOCATION '/` ! )) �i p- `P//�SI,l 14,./� . DATE // 2 ,2dU/ �y�,,e TYPE OF STRUCTURE 5 N/A YES NO COMMENTS / �___,....---" Chimney Height/B"Vent/Direct Vent Location ✓ /fU��L ESN { Fresh Air Intake / / Plumb Vent through roof S// Roof Complete .4(/ Exterior Finish Complete (// Interior/Exterior Railings 3 5'to 36" ✓'/ Exterior Handrails,balco es,landing : in.or more 4/ Interior Handrails stairs .,th sides 3 or ore risers Grade 2%away from foundation • / 8"clearance to sill plate . Gas Valve shu.-off expo-•d/regulator 8"above grade Gas Furnace sh off with 30 fee. .r within line of site Oil Furnace shut-o i a .,441 • o furnace area Furnace/Hot Water Heater 4.erating {// Relief Valve(s)installed 1/ Headroom,6 ft.6 in.on stair 1// Basement stairs,6 ft.4 in. t/�, Handrail exterior stairs both sr es more than 3 risers Interior privacy/trim/doors/ma'a entrance 36" Floor Finish 17 R OLA,V� t'ULL_ ge— i AY G Bathroom/Kitchen watertight fi $ kV- le CK�„� Interior Handrails Balconies :1:•.ig 18 in.or more ti/ Railing across window in stairw:lls ,7 { /� tJrOr� Smoke Detectors: ✓/ • �v�T�I�' /t'4i�����`� Li every level ,J/ /� kii%7S every bedroom / A-A/C f- ✓fy1 outside every bedroom J / inter connected / ✓/ r Bathroom fans 4.( C�.�Z L-�� (.�-15U t Plumbing fixtures ✓✓✓ r Foundation insulation 4J 3/a hour fire door/door closer /A'S% Li.-- I')2-- VIZ ' e. C_64.._011 Garage fireproofmg CeN.,_ L�L _ Garage penetrations sealed7 1 ' 1 r� ���° Furnace in separate room protected(in garage) / Light ventilation per room / V Safety glazing 18"ore •from.flool- a/ / Final Electrical (t 110( ' °�(Jr ✓ Site Plan/Variance required Final Survey Plot Plan '// il A•1 Jr -r/A UC-''' As Built Septic System layout required Okay to issue C/C(Certif,of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ / Okay to issue permanent C/O(Certif.of Occupancy) �/ • "j ( 1 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initials L l-- 742 Bay Road Queensbury,New York 12804 NAME �R�f?( - PERMIT d -izLL LOCATION 1 c 6i 16 t/nl� DATE TYPE OF STRt TUREURE N/A YES NO COMMENTS Chimney Heightl"B"Vent/Direc• 'e .cation 12,V S G- 5 Fresh Air Intake Plumb Vent through roof Roof Complete N Exterior Finish Complete Q ` 0 Interior/Exterior Railings 30"to 3 1!k'C�K O(e 5 cS Exterior Handrails,balconies,Ian. g 18 in.or ore ,� C S Interior Handrails stairs both sides or more •.ers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/r=I at. : above grade Gas Furnace shut-off within 30 feet o within line of site Oil Furnace shut-off at entrance to .ce area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more an 3 risers Interior privacy/trim/doors/main entranc. 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 • .or more Railing across window in stairwells Smoke Detectors: every level • every bedroom outside every bedroom utter connected Bathroom fans Plumbing fixtures /Fdation insulation :1( ‘134 hour fire door/door closer age fireproofing 7{7 VGarage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor ,J/ Final Electrical pe Plan/Variance required 47" ✓ inal Survey Plot Plan L 0 Eaat t 4 7a As Built Septic System layoutq red Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy). Okay to issue permanent C/O(Certif.of Occupancy) 33 FIRE MARSHAL / 4-1-1 t A U t TOWN OF QUEENSBY ` QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INS ECTION REPORT REQUEST RECEIVED I/ ow PERMIT# �e1W 0702P NAME `fr,4 yy-,o,___, LOCATION 141-y/3t SCHEDULE INSPECTION ON G.1' 1 Gj1 M ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYTEM FIRE SUPPRESSION S STE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLE'S CLEARANCE TO HEATING (NITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT 6L— REMARKS: 6 OK TO THIS DATE Peay.J INSPSLIP.PUB .INSPECTOR ii1)7( FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST CEIVED PERMIT#0/ NAMES LOCATION -7 3 - ; /11600\ ) Lf SCHEDULE INSPECTION ON JO -/C M) ANYTIME APPROVED N/A YES I NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSIO' - • EM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SP"INKLERS CLEARANCE TO HATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIR LACE-MASONRY F LACE- CTORY UILT (r Or REMARKS: ' Ef/OK TO THIS DATE INSPSLIP.PUB INSPECTOR GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 1V15 p D art ?n p m - spector's Initi. m.- " NAME: f Of PERMIT# k LOCATION: 1 ‘At5 c_i_, DATE: • k TYPE OF STRUCTURE: RECHECK - N/A YES NO COMMENTS Footings/Piers Monolithic Pour Fo Reinforcement in Plac- The contractor is re .•nsible for` providing protection om freezing for 48 hours followi the placement of the concrete. Materials for this purpo e on si Foundation/Wallpour Reinforcement in Place Foundation/Damppr& Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in 'lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte or R- Foundation Walls Exte or R- Floors R- Walls R- Ceiling '- Duct work or piping in unheated spaces 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 hour117 Firestopping 1----‘ t1,1)3-- -----,,, "�.:.:_,mow. _»Yy?{t'x.;w«�a..e_..,.�-- GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 1 o 3h a Depart m spector's Initia NAME: , • -l PERMIT# 1—_1 LOCATION: 1 11LDATE : / -3- TYPE OF STRUCTURE: RECHECK (�\ N/A YES NO COMMENTS Footings/Piers \ —1 I I Monolithic Pour FoI Reinforcement in P1 ce The contractor is esponsib e for providing protecti n from I eezing for 48 hours folio 'ng th- .lacement of the concrete. Materials for this pu .•s- on site Foundation/Wallpou Reinforcement in PI4 e Foundation/Damppfo fing Backfill Approval Plumbing Under Slab plumbing Vent/Vents 'n Place , / \/ Rough Plumbing \M' V 61- C-®L' \42 /Hea 'ng Rough-In _ \I ulation Foundation Walls I tenor R- Foundation Walls E enor R- Floors R- 1 Walls R- (q V/ Ceiling R- 'U Duct work or pipin in unheated spaces R- ,1 Proper Vent, Attic Vent �/ Framing Jack Studs/Headers /Bracing/Bridging V Joist Hangers I ..3\-\o V L-`.Win\-b @, TO 0 -- Jack Posts/Main Beam_ 2_,Azvp i bo - \czb ED b Air Infiltration Barrier Fire Separation 1,2, 3,hour \j`V \NZ% � Penetration Sealed ire Wall 2,3,4 hour Firestopping 'ED `T-© \tZ'b�J\O\ T\iP),_ Foot_-_ -m?O, bu-rvotuk GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive : Depart• `3; ?' tor's Initi z� NAME: FR V_C3 I - PERMIT# •la Z. LOCATION: 73 tr-vot1_p DATE: —. TYPE OF STRUCTURE: 5 RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour orm Reinforcement i Place The contracto is responsible fo providing pro = tion from free ng for 48 hours fol.'wing the pla'-ment of the concrete. Materials for this p rpose on s}e Foundation/Wallpo Reinforcement in Pl.ce / Foundation/Damppr..fing/ Backfill Approval / Plumbing Under Sl3b Plumbing V ents i Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte 'or R- Foundation Walls Exte 'or R- Floors R- Walls - Ceiling •- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing 1 Ayr it ) Ft tCR 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 1 Ac;.L1--K-°W RetroL\ j O::ate- =.hi^ Ali GENERAL INSPECTION REPORT Ilif ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road i. Queensbury,NY 12804 Arrive • •m Depart �,t/ • 4#111.)•m .. -,ector's Initi, A NAME: V-----;X`C PERMIT# ®1� LOCATION: 7 E.2/ VSh L�//bv DATE : al S= OO ) TYPE OF STRUCTURE: q F Y� RECHECK N/A YES NO COMMENTS Footings/Piers I --- Monolithic Pour Form r1 CAL C__C \c c__\I\ — ; Reinforcement in Place ---\ F\-C.D9-- C t VLF The contractor is responsible for providing protection from freezing (c,� o�\/.., \6Z PLC for 48 hours following the place 1-nt G� N �G � of the concrete. ri�T ' r t cS9'0. Materials for this purpose on site Foundation/Wallpour 1,g ezz-et v L "s 1 Q- i" L ---\ —Z VC-.) Reinforcement in PlaceC. 2 7 Foundation/Dampproofing Backfill Approval i c:0 '6 a,-- \ Q•. --- IPlumbing Under Slab .�p� �9 �i�4�� Plumbing Vent/Vents in Place .f Rough Plumbing `.7 V A C: -D Lp0 Heating Rough-In Insulation \)e--- -1- ` cA-- - -v`�0 V--N-> Foundation Walls I' : rior R- Foundation Walls xterio R- _ p Floors - cD -�� t ' Nj SAL, v Walls r- Ceiling •- -i Duct work or piping in unheated spaces R- �Pr r Vent,Attic Vent \ h�fra a I V J. i .L/Headers j Brae-ridging ,I Q�j kolo •1 t angers fi ;i V.41 Jack Posts/Main Bea Air Infiltration Barrier � /Fire Separation 1,2,3,; ourI/ V Penetration Sealed _ /Fire Wall 2,3,4 hour I Firestopping Qpi\ GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road j Queensbury,NY 12804 Arrive am/pm Depart I` t �m� Inspector's Initials.„1 NAME:\ \((V \ 0 I,{,) PERMIT# �V LOCATION: '� U cT l � c X DATE: — 1 TYPE OF STRUCTURE: RECHECK N/A YES-NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection front freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Bacltfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing. J Hearing Rough-In Insulation Foundation Walls Interior—' Foundation Walls Exterior '- • 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/M Infiltration BaainrrierBeam Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping 42C:t-() /. 11 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive i Depart /1a, Inspector's Q _ �a (p NAME: G.�1`c`2. ,(�(bY� PERMIT# LOCATION: k'l 051k) DATE : a c-0') TYPE OF STRU TURE: RECHECK N/A YES NO COMMENTS Footings/Piers 7 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following th- • acement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Fo tion/Dampproofin: ckfill Approval lumbing Under Slab Plumbing Vent/Vents in P ce 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 a e GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart' Inspector's Initials `01 i NAME �`(( l (�1 s PERMIT#D I — LOCATION: . DATE: TYPE OF STRUCTURE: rei k 'bec cit0 CT— RECHECK • N/A YE/0 COMMENTS otings/Piers !� Monolithic Pour Form � � U{e ,, \ 4uo Reinforcement inP ace The contractor i respo ible or C /4 A providing protec on fro freezing for 48 hours folio 'ng the placement of the concrete. Materials for this purpose n site Foundation/Wallpour Reinforcement in Place/ Foundation/Dampprodfing Backfill Approval�l Plumbing Under Slal3 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 Jo ,,,(//7)1 • 7q 53i GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart g" Inspector's Initials NAME: G``C ti PERMIT# LOCATION: '� DATE: TYPE OF STRUCT : RECHECK N/A YES,/ 0 COMMENTS IZngs/Piers P-)i Cr bb,, � I, +" I4 Monolithic Pour Form 6.74.0 Reinforcement in Place The contractor is responssi le for providing protection om zing for 48 hours followinL the pla ment of the concrete. Materials for this purpo e on site Foundation/Wallpour Reinforcement in Place- ``"- Foundation/Dampproo i g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P ace Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte or R- Foundation Walls Ext. 'or 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 TOWN OF QUEENSBURY BUILDING_ & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 S'PECTION REPORT SEPTIC DISPOSAL SYSTEM INSPECTION ection request received: Name /zOt�C if Q • y I am/pm Departar pm Location I ! i\ '/�( ocLOCO Inspector's Initials Date 7//O/�/ Permit # 0/- 7i PERMIT#O 1 DATE : _7 /_ O / SOIL TYPE: Sand- oa -Clay- _ Results of Percolatio Test- (if applicable) R.te- !inute/Inch TYPE OF SYSTEM: S NO COMMENTS ABSORPTION FIELD: Tot:1 Length jT j Length of each tr:nc' Depth a trenches / /1)-/) OA /GC Size of one SEEPAGE PITS: Num3er- Size - ft. x ft. Stone size ._ PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/P't Openings Sealed? es No Partial LOCATION/SEPARATIONS Foundation to Tank feet Foundation to Absorp ion . _ .fe.et . . Separation of Pits feet • Conforms as per P1 t P1 an Yes No LOCATION OF SYSTE ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: SYSTEM.USE APPROVED: 0 NO Arrived: • I � Departed: 7 I I Building Inspector GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart \J Inspector's Initials NAME: / ie odd- a rs PERMIT# Of 7 2-6 LOCATION: !' dCG c DATE : ZIT C TYPE OF STRUCTURE: RECHECK N/A YES-NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re••• ible for _ j providing protectio fro freezing •6•�C froi C lX-s for 48 hours followi g the lacement of the concrete. Materials for this purpos- on si Foundation/Walipour Reinforcement in Place Foundation/Dampproofin Backfill Approba1 Plumbing Under Sat, Plumbing Vent/Vents in Pla e Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior 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 -, TOWN OF QUEENSBURY e- BUILDING &. CODE Road RCEMENT 742 Bay Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION / / \ Name Location Date Ce 1 1 01 Permit # � SOIL TYPE: San. Loam-Clay- 67 \--, '---\\ ,1 • o STRE Results of Percolate- ete/Inch e (if applicable) Rate \ TYPE OF SYSTEM: �� ABSORPTION FIELD: To, . e, 't /2 Length of each trenc A Depth of trenches I Size of stone yoGosFo r ..4• �, SEEPAGE PITS: Numb: ft. a ft. r Y Size - 74 �` Stone size _ Si e TYPe r PIPING: g cl LjG0 \ r Bldg. to Ta k -�-- r r Tank to Dist. so?: -=--r—� r W Dist. Box to Field/P� _ IA Partial___AL__ — ,� / IT Openings Sealed? CATION/SEPARATION LO / 'feet r to Foundation to Tank - r� feet r Foundation to AbsorptCon - r =' Pits _ f- \-.. s r 'Separation o� Yes No r ��� Conforms as per Plot 'lan 'ROPERTY: \� r r LOCATION OF SYS M ON �\ / , (circle , '- ` i'e - Right Side r ,, Front - \ ' Middle } t e 'ear ,s• , ,,- COMMENTS: _ 'e ' 2'w C RI< ° 0---dr et-A A) • k 0 K `mac, C- v6-� _ lot Plan made for ve awrW-- U/�q-/ A) �RONE & SONS, Teyo SY IN i A� YES ge-oig-/- I INC. SYS M USE APPROVED: Arrived: Departed: 4E; AS--- (/(L/ �����‘i ' p f� .J I�'`-� W l Ret)&02--g---- Nl�o lrt) Building Inspector a �---- ..„2„ `T GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 5;�ai /•m Depa �►,�. ��'/ Inspector's Ini n . NAME: y� 2 PERMIT# 7� j LOCATION: �IA 1-1i 0h h\ `-\t7� £.3 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 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 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury � �m Dept.of Community Development Date inspection request received: _ W 0 Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart • Inspector's Initials a.,16-/L.Q PERMIT#__ NAME: i LOCATION: .,7' l,. 1:71)-(_-6 DATE: / WA.-tec- TYPE OF STRUCTURE: RECHECK { 1 , / N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re•••ILsible for providing protectio from\freezing for 48 hours followi the p cement of the concrete. Materials for this purpos=on si Foundation/Wallpour Reinforcement in Place dare unda` a n/Dam..roofin. ► /frier ReAb 9 Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pl. Rough Plumbing Heating Rough- ' Insulation Foundation Walls Interior '- Foundation Walls Exterior ' 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 -RC--- cli GENERAL INSPECTION REPORT ( ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart ` i Inspector's Initials (J # C— PERMIT NAME: \`��C�-Q-- -_ LOCATION: 7 TURE ( ) (� A,t ) DATE: / TYPE OF STRUC : . RECHECK N/A YES-NO COMMENTS otings/Piers I — p Monolithic Pour Form - ` //6 !•C G- ie e .r�laf .P' Reinforcement in Place � V The contractor is responsible for ( ,'4-1' 5 providing protection fro "t'-ing for 48 hours following t - pla :'i ent of the concrete. Materials for this purpose .n site Foundation/Wallpour ee-e_itkcrciz., Reinforcement in Place Foundation/Dampproofing Backfill Approv Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte or R- Foundation Walls Extehor 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 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road y �J Queensbury,NY 12804 Arrive am/pm Depart mm Inspector's Initials,<�J!"'� NAME: X-CJ-"S�Q l \ll PERMIT# O D LOCATION:_„,2 4- -2 3 V�T �U` I a- ) DATE: (p —43 Q ()) TYPE OF STRUCTURE: RECHECK N/A YE NO COMMENTS F 'ngs/Piers��G�,c-ic I onolithic Pour Form Reinforcement in Place The contractor is responsibl for providing protection from ing for 48 hours following the laceme of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Plumbing Vent/Vents in Plac Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior - Foundation Walls Exterior - 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 INDIAN RIDGE PUD PHASE ONE DATED JANUARY 26, 2000 REVISED APRIL 3, 2000 BY VAN DUSEN & STEVES LAND SURVEYORS, LLC 72 `'sL' -1\ ' \ 1 \ f 73 �. \\ J rn o 41,504 sq.ft. 7,>9 0.95 acres �\ l 11>1 NO CLEAR ZONE ALONG REAR LOT LINES Dusen 8c Stever Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lie. No. 50135 WAAWORIM ALTERATION Olt AODRION TO A SURVEY MAP SEJVGRO A LICENSED LNO SURVEYOR: SEAL 13 A VIOATNN OF SEC VOK 7M SID-OMYDU ]. OF THE NEW YOIK STATE OXMI N LAM.' 'ONLY COPIES FROM THE ORROW OF TER! SIRWY MARKED OI TM AN ORMUL OF THE LAND INVEYOM SEAL !HALL K CONSDENED TO LIE YNO TRUE CONES.• 'CERIVICATIONS MCSTED MWON SO MY TINT THIS SURVEY WAS PREPARED N ACCORDANCE WTH I E OWN 000E OF PRACTWE FOR LAND SURYITOIS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFLSSMAL LAND SURVEYORS SAD CERTFLCATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SNVEY IS PREPARM AND of HS SEMW TO THE TITLE COMPANY; ODVflWINENTAL AGENCY AND LDONO NSTRUITION USTED HEREON. ND To THE ASSGREES OF THE LEONO NSTIR WL' \ f \ f Sgp.23,5 "W Map of a Survey made for Thomas & Patty Savin Town of Queensbury, Warren County, New York EEi STR i 74 75 tea»-a�C.o RS I HEREBY CERTIFY THAT THIS MAP WAS PREPARED CEO FROM AN ACTUAL FIELD SURVEY. VETHIS CERTIFICATION SHAM RUN ONLY TO THE PERSONS D FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY Nov9, 2001 AND LENDING INSTITUTION LISTED HEREON. j'0�,yN OFQl EENCERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL e 1�0SB RY INSTITUTIONS OR SUBSEQUENT OWNERS. oV NE Nt; NDCO( CERTIFIED T0: THOMAS dt PATTY SAM „<�E CHICAGO TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: OCTOBER 12, 2001 le 1'=30' S — 1 SHEEN 1 OF 1 SAVIN NO. I DATE I DESCRIPTION I DWG. NO. IR-73