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2001-648 TOWN OF QUEENSBURY NY 12804-5902 (518)761-8201 742 Bay Road,Queensbury, Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010648 Date Issued: Monday, July 11, 2005 _This.is tocertify that work fequested-too be done as shown by Permit Number P20010648 has been completed. Tax Map Number: - 523400-308-018-0002-069-000-0000 Location: 5 ROBERTS Ct Owner: - - - GARY & JENNIFER RANDALL Applicant: GARY& JENNIFER RANDALL This structure may be occupied as a: Fireplace By Order of Town Board Garage - 3 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling A Issuance of this Certificate of Occupancy DOES NOT relieve the �f � property owner of the responsibility for compliance with Site Plan, VVV 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: P20010648 Application Number: A20010648 Tax Map No: 523400-308-018-0002-069-000-0000 Permission is hereby granted to: GARY& JENNIFER RANDALL For property located at: ROBERTS Ct 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: GARY & JENNIFER RANDALL Single Family Dwelling 150,000.00 16 SEWARD St Garage-3 Cars Attached QUEENSBURY,NY 12804 Fireplace Total Value 150,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency MILES CUSTOM HOMES,INC. 6 COTTAGE HILL Rd GLENS FALLS,NY 12801 • Plans &Specifications 2001-648 Lot C, House No. 3 Roberts Court Hudson Point,Phase 1 Construction of a Single Family Dwelling, 3 car attached garage and fireplace as per plot plan and specifications $488.64 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, September 11,2002 (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 th Tow oflpury• T sda , September 11,2001 SIGNED BY for the Town of Queensbury. Director of Building&Code 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.cyC67/ - 1 No inspection will be made until applicant has received a Fee Paid S 6e c(y-gs"14° valid building permit. All applicants' spaces on this Rec. Fee Paid S 13 application must be completed and must appear on the Reviewed By: \`1 application form. Applicant: (M' I.e 5 s�tiz Owner: 6°ce_ry -F :re-JAN ? l Address: Co e J f?L. Address: j6 �6.-r-s FBI s Phone# (518) 75'f- ...C74. Phone#(S/8)79 c- 074 793- go o2 Property Location: Lot Number: C- / House Number 3 / 6 L,2r�S �u rt Subdivision Name: S�f Suv� ikril ,� Tax MapNumber: � <308•f�- � - � � V New Building: residence /commercial Estimated Market Value of Co rl~ • Pre►tp ❑ Addition: residence/ commercial �� ❑ Alteration: residence/ commercial If an Addition,what will u e a ton be. ❑ No change to exterior size: residence/com'l ❑ Other work(describe ) Check Occu ancyInformation 15`Floor 2nd Floor ott� O`GUEENSBURY p 1351NCAND019' Below / sq.ft. sq.ft. - qu eet gl Single family dwelling, / 07 I /7o j 33 a 2 ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage ❑ year attached garage Ct" 3 car attached garage 76 j ❑ Storage building- commercial ❑ Storage building- residential ❑ Other fl What is the proposed height of the structure 7 feet 5;1 inches Will any second-hand or ungraded lumber be used? If so, for what? Type of Heating System: electric/ oil gas/ ood arced hot air baseboard/other: • Number of Fireplaces to be installed ( Number of Woodstoves to be installed 0 List below the person(s)responsible for supervision of work as regards to building codes: _ , Name Address Phone Number Builder S-F _ ;!ems c6 c. rcY P��}} ', l 773 -8790 7 - 6 Plumber S+-- ,eit �,"� �.� �-, 7347---LCZp, Mason I to e_,-t u1 a 6O Electrician �(,,,r`� M 0-r,.,a,S Ky 9_? 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 Survey by a licensed surveyor;drawn to scale,showing actual location of all new n ction. Signature: , �� owner,owner's agent,architect;(tractor) Application for Permit—Septic Disposal System Town of Oueensbury 742 Bay Road Oueensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: -�-- Office Use Location of installation: Q-T' S U.-v ' / Q� File Permit No �CJ U Tax Map No3Dgg/ 02- / 6 9" /68' / 6. G Fee Paid Owner's Name: (�" -y �e-h v.iere- �' Address: /6 0...(3-1) r 2. INSTALLER'S NAME : y�-,�9�rj( � c2 PHONE NO. 77.E-'ems 70, 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 = C 1991-—present) x 110 gal/bdrm = `f O Garbage Grinder Installed yes no Spa or Whirlpool Installed yes Z/ / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) '-. •h -re Ground Water Bedrock or I •ervious Material_ ater Su••1 Flat san at what depth at what depth I unicipal 'oiling loam feet 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: fo gallon (min. size 1,000 gal) Tile Field: each trench c55 ft. Total System Length: cQ S-25 ft ft. by „coft. Seepage Pit(s): number of Lj size of each:. Size of Stone to be used: # 3 / depth or thickness 6 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 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 Queensbury Sanitary Sewage Disposal Ordinance. .07A;4" g4 7/0/ Signature of responsible person Date Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY ' (518)761-8205 .,.., Application for Fuel Burning Appliances & Chimneys • �4 applicable to solid fuel & vented gas appliances ,.. F. Date ,� ;) , 20.E Permit No. ,` t -`V,) ,/ :' 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 (circle appropriate words) Name: 1,,I ,- ^ ',- /; .;- Stove: wood coal pellet gas Fireplace insert Address: ,� . It . - ,; . ,i =A°r� Fireplace, factory-built: wood -gii:s5 ,� , � • ".Fireplace;�masoiiry:--`��" wood ''gas ' . Furnace: wood gas oil Phone: .�9,) ? ... c3<':3. �J _ �r. i� �� If non-masonary applicance,please provide . Owner: '> �" ?I Manufacturer Name: .� ,--,�., ,,y ; ' -:,., ,^v;.M r /, A Model Number: 'Address: _:; �:'� , i .? ' > ' - - Chimney Information. Phone: . (circle appropriate words) 0 Masonry block brick stone Flue tile steel size: inches Exact Address: _ ,. -t,..; (..ov,r - - _ . _ of construction or installation /Factory-Built ) - _-Manufacturer name: . -,_�,2< - ,.;,a ;� (�;,')/',r; y ' 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 Ca,ARLIiir',er Department—Wcrptinq of Queei bury, New 3gbottlx. C ' Fire Marshal Code# $Collected S Refirnded Received from (refunded to) "°), ,r).;a,,r`: i i } t C,: (� address. A 173 3389 (190) Public Safety --i '•'''` A 233 2655 (230)Minor Sales V DATE: I `i •` \N,v _ \''-- White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) ,9?066/- 6 '--/6P _./ ;.� ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods : PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) 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 rNAME : PROPERTY LOCATION: -GI es Csts_J lTl� $2..14-3 et, �o w�'►�.�K�osc�-C PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 2 3 ' s fe et square f et 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 3 8' b. Exterior walls R / 9 c . Glazed areas R d. Exterior doors R e. Floors over unheated spaces R 3r� f . Edge of slab on grade (heated building) R // g. Basement/cellar walls (above grade) R /7 h. Basement/cellar walls (below grade) R // i. Heating/cooling-ducts-piping in unheated space R AyA- 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code !O Yes No TEMPERATURE' CONTROL MAXIMUM SETTING 140°' - WILL NOT BE EXCEEDED Applic ' s Si a e Da a Phone Number f 7/6 INSPECTOR' S REMARKS : L' ip t 0 TOWN OFQUEENSBURY � _ 531 Bay Rd., Queensbury, NY 12804 RESIDENTIAL SOLID FUEL BURNING APPLIANCE CERTIFICATE OF COMPLIANCE In conformity with the New York State Uniform Fire Prevention and Building Code Note - Appliances and factory-built chimneys must be listed by nationally-recognized testing agency. Only one appliance permitted per flue. NAME O-le, mi ie.-S ADDRES O kJ Cc(-kr b PHONE APPLIANCE: MANUFACTURER MO r---AlC MODEL 3& 11)VD E QiU (circle) STOVE FURNACE FIREPI�6PCE Wood Coal Pellet FIREPLACE INSERT ALL PROTECTION CI Existing G 1 5 r (� ;� Clearances per listing p C I■ asonry wall only etl°1 i� (�lt_ -1 Clearances reduced by properly spaced-out material (Describe) �� �J FLOOR PROTECTION ❑ Existing ❑ Masonry floor .. 0 tillil- der listing (Describe) CC- CHIMNEY CONNECTOR ❑ Existing ❑ Proper blued or black steel stovepipe, min. 24 ga. ❑ Listed factory-built chimney material v, p, ❑ Minimum interior length 10 ft., max. two elbows / or engineered system p Crimped ends of pipe point toward appliance / min. 3 sheet metal screws per joint and at appliance ❑ Clearance min. 18 inches or per listing ❑ Clearance reduced by properly spaced-out material (Describe) WALL PENETRATION /THIMBLE ❑ Existing ❑ Tile /masonry thimble per recognized standard ncj—ory IhimbL Factory-built thimble per listing MASONRY CHIMNEY ❑ Existing 93/ }� 1"' (e) .1 1 0 Footing inspected IN\ 0 Height 2 ft. above ridge or 3 ft. through roof; 2 ft. above any part of roof within 10 ft. ❑ Air space between clay tile and inner wall of masonry enclosure, refractory cemented joints ❑ Clearance to combustibles (1" exterior, 2" interior) FACTORY BUILT CHIMNEY ❑ Existing 1 11 C 'a,n `O Co rnb Ut Clearance to combustibles per listing red• Firesto s installed if re9 )ui iL- Storm collar at roof4,\A, ❑ Height 2 ft. above ridge or 3 ft. through roof; 2 ft. above any part of roof within 10 ft. Ai FIREPLACE INSERT -�. ��5� La ❑ Installed per listing /directly connected into flue �A c Yil kie' PdI (I' ❑ Flue gases prevented from mixing with room air ...----- FACTORY-BUILT FIREPLACE Appliance clearances, floor protection, hearth per listing ❑ Combustion air provided, Dampers for combustion air and flue operating DATE OF ISSUANCE C.A. 'RANT, FIRE MARSHAL SOLFPERM-11/93 c —, BY THIS NOTICE OF DEFECT THE NEW YORK BOARD OF FIRE UNDERWRITERS Ret BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 on the application of upon premises of d- q MURTHA,BOB GARY RANDALL 91 MANNIS RD 3 ROBERTS COURT GLENS FALLS,NY 12804-1306 QUEENSBURY, NY 12804 Application Number: 1026350 Located at 3 ROBERTS COURT QUEENSBURY,NY 12804 Section: Block: Lot: Building Permit Number Regrets to advise that the electrical installation of the stated premises is not in compliance with requirements of the-reference-standard-as set-forth below:— Item Location Description Reference Std. receptacle 2nd Floor adjacent to each basin 210.52d hydromassage tub 2nd Floor bonding 680.74 hydromassage tub 2nd Floor accessibility 680.73 This notice of defect is issued by: WALTER SONNTAG on the 3rd day of May, 2002. A239 QUEENSBURY,TN TOWN OF QUEENSBURY 742 BAY ST. QUEENSBURY,N.Y. 12804 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm ,Depart: am/pm Date Inspection request received: _ Inspector's Initials: � NAME: _C2 'd' Qrr� ,mil .1�N �'JV PERMIT#: C (O LOCATION: DATE: 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 Complete Guard 30 in.or more @ 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 %" 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 Valve(s)installed/Heat Trap/Water Temp 110 ////)Q) 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: j' 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/%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 sq. ft.-150 sq. ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required L1'4') Final Survey Plot Plan > �` 1/, hw As Built Septic System/Sewer Dept.Inspection Sticker � Flood Plain Certification, if required / Cz 44' d eJ Okay to issue C/C or C/0 [Temporary/Permanent] ,L L:\PamW'Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 ''' Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 o Fire Marshal's Inspection Report Request SCHEDULE � tJ r,� Received: Permit# INSPECTION ON: i 7O2 Name: Acres Ps'LL AM PM ANYTIME Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL D WOOD G✓ l �-� V I STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE • MASONRY ROUGH IN OK THIS DATE OK FOR CO NOT OK FINAL _ FIREPLACE J' FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/C HRISJNUORD/LETTERS2001/F IREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY 3 ( -- z77c) • 91 A RESIDENTIAL FINAL INSPECTION REPORT / ' v Office No.(518)761-8256 Date inspection request received: , Building&Code Enforcement 'J � ((�'� Dept.of Community Development Arrive am/pm Deparf�1"i pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME /1 /4% c- (RO) c)tiQc PERMIT# C) — 5- LOCATION AG,i0 --,- '%5 C'7 , DATE a i — TYPE OF STRUCTURE N/A YES NO COMMENTS / Chimney Height/"B"Vent/Direct Vent Location /' Fresh Air Intake // Plumb Vent through roof 1/ Roof Complete / Exterior Finish Complete Interior/Exterior Railings 30"to 36" , Exterior Handrails,balconies,landing 18 in.or more f Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation / 8"clearance to sill plate ,// Gas Valve shut-off exposed/regulator 18"above grade ✓/ Gas Furnace shut-off within 30 feet or within line of site / i/ Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating vi� Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more th 3 'sers Interior privacy/trim/doors/main entrance 3 Floor Finish Bathroom/Kitchen watertight `® Interior Handrails Balconies/Landing 18 in.or re / c),Rooloc-- Cg6 , r�� ,tl�Railing across window in stairwells ' �,/ 1\ Smoke Detectors: every level E Af eiz o V4 t— every bedroom t/. outside every bedroom/,, inter connected / Bathroom fans ✓� Plumbing fixtures 1 Foundation insulation � 3/4 hour fire door/door closer , Garage fireproofmg / Garage penetrations sealed 1� Furnace in separate room protected(in garage) /i Light ventilation per room �/ Safety glazing 18"or s rp 1 floor Final Electrical /2 2— 4'; S / � Site Plan/Variance required /4 l �A1/R,/6'r Final Survey Plot Plan J 0PA i V yfrs Built Septic System layout required V '�itf e7 46-6ui.T— 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) I l Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request j/ SCHEDULE Received: Permit# 01 V 6 G INSPECTION ON: (O 1) 1610,2-- Name: ?`4A/O'— AM PM ANYTIME Location: APPROVED N!A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY UGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY - MASONRY ROUGH IN FINAL -■ CHIMNEY . FACTORY BUILT ROUGH IN FINAL ��� --� UN IT- STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL �■ FIREPLACE 7 MASONRY ROUGH INC OK THIS DATE FOR CO__ NOT OK FINAL FIREPLACE ■ FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/C HRISJIW ORD/LETTERS2001/F IREMARS HALINS PECTIONRE PORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: I Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive ` a_ Depart Inspector's Mitt. (f NAME:( kr16 PERMIT# LOCATION: 3TS � � DATE : f /1-e6 Y TYPE OF STRUCTURE: RECHECK G; N/A YE O COMMENTS (ootings/Piers —I I I Monolithic Pour Fo Reinforcement in Pl:ce The contractor is esponsiAle for providing protecti i n from freezing for 48 hours folio% 'ng the lacement of the concrete. Materials for this pu •.se on ite Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi g Backfill Approval Plumbing Under Slab Plumbing V nt/Vent in Pace Rough Plumb 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 Dept.of Community Development Date inspection request received: Building&Code Enforcement , 742 Bay Road ,� Queensbury,NY 12804 Arrive am/pm Depart, "`�� `afi1/pm Inspector's Initials V 12.-<- 2iQ-N 0�� -" / -C_ // NAME: �� ' PERMIT# © �' LOCATION: -5 o � DATE : Z 2i TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers_ 1-7 1 Monolithic Pour Form Reinforcement in Place The contractor' responsible for providing prot cti from freezing for 48 hours fo lowi g the placement of the concret Materials for thi purpo a on site Foundation/Wall ur Reinforcement in lace Foundation/Damp oofi g Backfill Appro al Plumbing Under Plumbing Vent/Vents fl Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interi R- Foundation Walls Exteri R- Floors R Walls R- Ceiling R, Duct work or piping in j unheated spaces RI Proper Vent,Attic Vent i Framing Jack Studs/Headers racing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier v 66v4 -7/6 - e/ p'Q �c � r2 Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping 6fr- 6 U ' GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road 3) Queensbury,NY 12804 Arrive am/pm Depart`� am/ m Inspector's Initials NAME:Ga'r PERMIT# 0 O 1- (O`11—[ LOCATION: 3 �p,.�—�5 (.Pj _ DATE : ) TYPE OF STRUCTURE: • \T) RECHECK N/A YES NO COMMENTS Footings/Piers l Monolithic Pour Form Reinforcement in Place The contractor is responsibl for providing protection from fr� zing t for 48 hours following the acemen of the concrete. Materials for this purpose on ite / Foundation/Wallpour / Reinforcement in Place Foundation/Damp=ofin— 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 Posts/Main Beam r Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping ‘ 3Z 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,` j;. i'pm epart i spector's NAME: PERMIT# LOCATION: DATE : - TYPE OF STRUC RECHECK N/A.YES NO COMMENTS Footings/Piers �- I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the p a�ement of the concrete. \1 Materials for this purpose on ite Foundation/Wallpour Reinforcement in Place I Foundation/Dampproofing Backfill Approval ` Plumbing Under Slab I _ Plumbing Vent/Vents in Place t Rough Plumbing E / Heating Rough-In Insulation ` t ti) �, % Foundation Walls Interior R- - � Foundation Walls Exterior h- Floors R- Walls R- I Ceiling R- Duct work or piping in nheated spaces R- - i 013 Pr..-r Vent, Attic Vent I G�='LJm t4� �( '{C lit Foe . aming \�1 l 2 T' - — R`a►- =v�: 1 Jack Studs/H9,der ��� � "� �-'"� C�- .c Bracin n Pc. c ' Joist Han �`�? (�a?%dC, Jack Posts/Main Beam ✓ Air Infiltration Barrier t -' Fire Separation 1,2, 3,hour i�-'i'1 t4 j Penetration Sealed Fire Wall 2,3,4 hour Firestopping V--- 1t2—t Volvo 6;3 _ 3 c?.(3-:_,--c-c-%t,t, R�.�.-,•,•.re'<Z?@s. ?mun".�,?yri:?+•o.:tnrsam..._;, �" GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: / / 7 ,)-(1)/ Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive( •?its Depar -�7► . �� Inspector's Initials `{ , <— NAME: e� l ` PERMIT# L 0 69 LOCATION: �Z4e.IST.S 6 L r-( DATE : / , l /l9.r. TYPE OF STRUCTURE: ` t��t RECHECK \ N/A YES NO COMMENTS —I Footings/Piers ! � I I Monolithic Pour Form s I Reinforcement in Place 1 The contractor is responsible for providing protection !oni freezing for 48 hours following the placement of the concrete. j Materials for this purposb/on site FoundationlWallpour / _ Reinforcement in Place- Foundation/Dampprdo ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents n Place Rough Plumbing Heat. ough-In t nsulatio oundation Walls Interior R- Foundation Walls xterior R- N�� Floors R- CE-V"-1NC� Walls R- Ceiling R- .77 Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing 5 �t�J R t( c-Y 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 k PA-/ GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury / Dept. of Community Development Date inspection request received:'/(5/ 19t5/ Building& Code Enforcement 111 6 742 Bay Road Queensbury,NY 12804 Arrivet-I15 a m epart :' a spector's Initial nqnn r NAME: (vl„ A PERMIT# �� C LOCATION: 3 C DATE : t d t �,tej TYPE OF STRUCTURE: - cf eS%RECHECK ) , 6AJU. 3 t ,/dsv-/- Y'Aazde-N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place / The contractor is respo.sible for providing protection from freezing for 48 hours following he,,placement of the concrete. Materials for this purpose on site Foundation/Wallpour / Reinforcement in Place Foundation/Danipproofing Bacicfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pla,e 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- PropeLVent,Attic Vent (....Frami3tg) \ t u t� t A ✓lk Studs/HeadersJ 1C` ��'V� �t`x"`� \ `' Bracing/Bridging �/�� �, JP�\ F Lc'0E - ‘ Joist Hangers e'4' iv -C-��55 In vr\C=L�G Q t l(J eAR Jack Posts/Main Beam �/ 1 Air Infiltration Barrier L-\— i� � �� kk itNN (.)I \►Q-6 Fire Separation 1,2, 3,hour 111 Penetration Sealed Fire Wall 2,3,4 hour 2-. tD Firestopping • (� ,,�{77 _ \\� `s7 U'`_It irk 0c(.01Lk -yo Mkut-t Fiygz, F. vt \.tit . \.f r \ 1 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name G/C�( 1 /7"�// r_L Location C�^� Date /p, / /,Ob l Permit # 20044 4/ff SOIL TYPE. Sand- am-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Z ' Length of each trench (i cT Depth of trenches Z,-3' Size of stone z SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: �- Type Bldg. to Tank c44 LAD Tank to Dist. Box Dist. Box to Field/Pit r� P� Openings Sealed? 41114101, No Partial LOCATION/SEPARATW : Foundation to Tank to feet Foundation to Absorptio feet . . Separation of Pits fee Conforms as per Plot P1 n Yes No LOCATION OF SYSTEM ON P'OPERTY: (circle one) Front - Rea - Left Sid:0- Right Side Middle Front ":'a•^'1'':'. COMMENTS: Es) - ‘cv � � DV. T3R C SYSTEM USE APPROVED: ES ( NO ) Arrived:„- mw Departed 3C) F.,e. /:ui fdi ng Inspector (//// GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Qucensbury, NY 12804 Arrive am/pm Depart : aMom Inspector's Initials J � L � - NAME: �/ PERMIT# LOCATION: U CS5 S Cj , DATE : l 6 TYPE OF STR CTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement iii Place The contractor,istresponsiblc for providing protection from freezing for 48 hours follov) ig the placement of the concrete. Materials for this purpose on site Foundation/Wal Ipoiir_i Reinforcement in PI c9 F ndation/Dampprooting / ackfill Approval ✓ Plumbing Under S�lab Plumbing`Vent/Jcnts n Place Rough Plumbing Healing Rough-In Insulation Foundation Walls Int,rior R- Foundation Walls Ext nor 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 Scaled • Fire Wall 2, 3,4 hour Firestopping 922) GENERAL INSPECTION REPORT d1 ( 518 ) 761-8256 ) (Le! ) Town of Queensbury l• Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road a •(SiA Queensbury,NY 12804 Arrive am/pm Depart l /pm Inspector's Initials NAME: Y\) O PERMIT# 1 J LOCATION: QK ��� DATE : C) ' TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 l I 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 F3 tion/Dampproo g ackfill Approval (k- R-( A"R • �`�`4 t �— Plumbing Under Slab o Cam/ Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- A-C• re2._ � C� Foundation Walls Exterior R- Floors R- _J 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 , Af 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 VZ .411P ►•apart • spector's lniti NAME: "'s-Ei C�C3���1 PERMIT# (1� LOCATION: 3 t Auk_ DATE : TYPE OF STRUCTURE: RECHECK N/A YE'NO COMMENTS otings/Piers�' Monolithic Pour Fo Reinforcement in • ace The contractor i. responsible for providing prot (tion from freezing for 48 hours fol owing he placement of the concrete. Materials for this .0 se on site Foundation/Wall. 9 Reinforcement in •I ace Foundatio s pp oofing Backfrfl pproval Plumbing Under Sla i, Plumbing Vent/Vent in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Int 'or R- Foundation Walls Ext rior R- Floors R- Walls R- Ceiling R- Duct work or piping i 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 (5-1-t2 iY GENERAL INSPECTION REPORT C/ 3/11 ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 9 / awl Building&Code Enforcement 742 Bay Road �� Queensbury,NY 12804 Arrive ^ "p n Depart r •pector's Initi NAME: 4-(1-v a)i�6__ _ PERMIT# LOCATION: ,3 ,,- DATE : a TYPE OF STRUCTURE: , RECHECK 3; 50/,--7- Y N/A YE O COMMENTS Foorings/Piers, I. I l Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from ,e.'ng for 48 hours following the 'la -ment of the concrete. Materials for this purpose ,n site Foundation/Wallpour Reinforcement in Place I Foundation/Dampproofi„g I Backfill Approval I Plumbing Under Slab Plumbing Vent/Vents i Place 1 Rough Plumbing V Heating Rough-In Insulation Foundation Walls I to,or R- Foundation Walls . erior R- Floors.-- R- Walls R- Ceiling R- Duct work or pipi in unheated spaces R- Proper Vent,Attic Ve i t Framing Jack Studs/Headeris 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� 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 m Depart(- Inspector's Ini NAME: PERMIT# C� (; 14 e LOCATION: 3 DATE : f Lf C. TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I I I Monolithic Pour Form Reinforcement in Place The contractor is respo sible fo� providing protection fro freeze g for 48 hours following a placeiient of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing I Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio R- Foundation Walls Exterio R • - Floors - Walls - Ceiling Duct work or piping in unheated spaces Prope ent, ttic Vet ming eC` 4(":- v' tJ� Jack Studs/Headers / w,-Ct'S\ Est t `I Bracing/Bridging4/ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed • Fire Wall 2,3,4 hour Firestopping 5'Ll BY THIS CERTIFICATE OF COMPLIANCE THE 9�6f' (oils) ' ��� NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY C5 40 FULTON STREET - NEW YORK, NY 10038 5 5 5 5 CERTIFIES THAT 5 5 5 Upon the application of upon premises owned by 5 5 5 5 MURTHA, BOB GARY RANDALL 5 GLENS FALLS, NY 12804-1306, QUEENSBURY, NYY 12804 T 5 Located-at. 3 _ : S-_ - . - ,, ROs�RT.,COlJ..T QUEENSBURY,-NY=.-12g04- - - -- __--- — �_ _-_ - _ � _ -=-_ :_ _--_ 5 C. Application Number: 1026350 Certificate Number: 1026350 5 dui- I VS3 5 Section: Block: Lot: Building Permit: BDC:A239 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring,described below, located in/on the premises at: [5 Basement,First Floor,Second Floor,Attached Garage,Outside, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was found to be in compliance therewith on the 24th Day of May,2002. 5 5 Name QTY Rate Rating Circuit Type 5 Alarm and Emergency Equipment Sensor 7 0 Smoke 5 Appliances and Accessories 5 5 Exhaust Fan 3 0 F.H.P. Bell Transformer 1 0 KW rj 5 Dish Washer 1 0 1.5 KW 5 Oven 2 0 8.80 KW 5 C55 Hydro Massage Tub,Residential 1 0 H.P. 5 J Air Conditioner 2 0 30 Amps 5 5 Furnace 1 0 Gas 5 5 Motors 1 flip 5 5 Panels 5 5 1 100 20 5 Wiring and Devices 5 Fixture 58 0 Incandescent 5 5 Outlet 1 0 Fixture seal CL'U, Fixture 10 0 Fluorescent 5 Continued on Next Page 1 of 2 c5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 ID PrJ [BIOS] LIMP�rJ�rJ�LI J�rJ�rJ�rJ�r�r�rJ�rJ�r�rJ�r�rIrPEJ�r [PLOP E PLIMPrLPrPr PrJ�r.Pr�r_IMPEEPLE I PrJ�r a El one n�EOPEPLnEWPcS3 �cOPEPLIMP �ELnd-3 rLnEPLIPPED L nns LIMP nE.PEPL ET 5 BY THIS CERTIFICATE OF COMPLIANCE 5 O CE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 BUREAU OF ELECTRICITY C5 40 FULTON STREET - NEW YORK, NY 10038 5 5 5 5 CERTIFIES THAT 5 5 5 Upon the application of upon premises owned by 5 e5 5 MURTHA, BOB GARY RANDALL 5 91 MANNIS RD 3 ROBERTS COURT 5 GLENS FALLS, NY 12804-1306, QUEENSBURY, NY 12804 5 5 ,0 1 6 t-t 8 C5 qLocated at-- - - . ,3 ROBERTS COURT QUEENSBLRY,,NY-12804_ - ___ _ =v---- 5 Application Number: 1026350 Certificate Number: 1026350 5 Section: Block: Lot: Building Permit: BDC:A239 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5electrical devices and wiring, described below, located in/on the premises at: 5 Basement,First Floor,Second Floor,Attached Garage,Outside, 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 found to be in compliance therewith on the 24th Day of May,2002. 5 Name QTY Rate Rating Circuit Type Switch 77 0 General Purpose 5 Receptacle 113 0 General Purpose Receptacle 10 0 GFCI C5 Pole/Post Lighting Standard 1 0 Residential Outlet 11 0 Telephone S Outlet 13 0 CATV _ GFCI Circuit Breaker 1 0 GFCI Paddle Fan 4 0 Residential 5 Service 5 1 Phase 3W Service Rating 200 Amperes 5 5 Service Disconnect: 1 200 cb 5 Meters: 1 5 5 Defects previously reported,as items of non-compliance,have been corrected. A visual inspection made of the exposed electrical equipment in 0 5 -d the premises indicated found no obvious unsatisfactory condition. seal 5 5 2 of 2 5 5 gThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 0 PrJ�rJ�rJ PrJopudrorJc.p,:_�rJ�rJ PcpEp�oPrJ Lara ardroomprrJzardor rdropLLnrJpr cnr.Prralt 0 r 1 2‘-;31,, 11.‘64. 1 C.�. i---*". iii . . tje?<.. Cti. 1""j \v- lc° ikc'`' At .a 3 . ,L-�-t I---it • O... '� tr) 'I`�! e. n or observ:d, or believe I sa ,,� `` t`' I all objects such 4 s hou es,. wells,trees,fences, etc., 2 co s !!� hown on this d cumer,t I also represent that I have CS. iersonall y•a'ured t to distances set forth on the diagram." Oa ,,,� CV ri It I Aid ,..., gig ?/(7)7 J• • pi IMI .IGNATIIRE DATE cp; to i \______I. .., . . Ti > . . 4.4 r, .7 ' (j !•,f :: [33} I \PN` —; Irs P1/4- 60 3, 104'. , . _ ..(1) cc 1 , _ 6' ; 7:71- .-ict,C.N.L z 3 u j 21 t1 2 :4%' c L"? ' N 00 ups - _1 q-.P ;‘.,? jr ..-• 'IL ''''' ri"..,,.,9.5s I fitl Q . v) • D ' f 1.--, woor,:,,:,- ., - 46 <&--1— +:-.) / 01-2 I . 'N 1 L..t?1[4: / I 4- K 4 i 4. 4 t,•. .n © o cINS::j r ...) c) L ii� rCO t .4 .. a \•••••1•10.1. ..".............\ N I LO Etr �kti' .4:: mom • I \l J Q 1 t •� /C .4 . 1 1 P1r' , \ � 4 4, :r1 ...05-1. VN.••..1 0. \\(:N..%?.....14....z)' N..i..................op, IR ow di.ar- .,• ,„) , • .. i 5 .1., . e\„.......j.:.1)01:::) 4' L " • 44 • L.-6 9.6.5* ‘1 % ;-.:- .? 7"." V SCZ' ft. .. 'Ye F.'... e •IFfs. 4 C Tu. ver' e et • . -11.:'....r... . ..e,"\\\ Z4. * IP, rl 0 eO. Cr)I 4 I ..._.......k....„..(.il.....,,.,.,i, J \-•,, -,... • it j.. -Q-1(119 -i7 r0ta-...... 'rI .".r.ift d• s-u•rs. o.....".‘.".gsPoa-p1.. 5i.4...i..8..i.o...w.17/ L / e . ga 6 1I 224 I i .-..a..-.. gi ' -r------- ----......._. - : . ..,___,...... -----r.....,. ....,,,NL.......{. n----zt_r--1.44,-......• . 2 217:i. ! - _ • - •-) ,-)0 i i • , 25, 15i, . ,, ,-• ..„.„... .- N 75 -.43 ?5 7 " V/ . . e...................:. . ) i 1 1 . . •czt .- , , • • . r .."---, Fic • II i 4 4,, ,,7, ,, . Nd........01 ..........-.0." 1 I ---c._-_:_---- -------_ _ v. Sc_______ , . _ • 0 . ..Pi- . . 1)._ _ • Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME COX- Aa• LOCATION: \( i-� 0A- PERMIT#: 62 / 67i4g Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has en: Craig , Zoning Administrator Notes: (A? *S ON- CAI - ( f � 1 7(S G (°LW ►wc,- 7 v(c •ow cv4v,21. (A16111, l of L:1SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc N APPROVED SUBDIVISION ISION BY ROBERT E. McDONALD" ZVEYORS 1) THIS SURVEY WAS PREPARED WITHOUT THE LEGENDBENEFIT OF AN ABSTRACT OF TITLE AND IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD ANY STATEMENT OF FACTS SUCH DOCUMENT o I.R.F. IRON ROD FOUND WOULD DISCLOSE. o I.P.F. IRON PIPE FOUND o I.R.S. IRON ROD SET 2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY `� UTILITY POLE MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A STONE WALL VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE BARBED WIRE FENCE NEW YORK STATE EDUCATION LAW.- o POINT 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY FOST W.F.P. WOOD FENCE -EES OVERHEAD MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS RLY /t NOW OR FORMERLY n/f SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. F'ECEI f V ED JUN 2 9 2005 TOWN OF `BUILDDIN QAND CODE Y