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2001-776 Alb 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: P20010776 Date Issued: Monday, May 20, 2002 This is to certify that work requested to be done as shown by Permit Number P20010776 has been completed. Tax Map Number: 523400-290-017-0001-005-000-0000 Location: 48 MASTERS COMMON SOUTH Owner: MICHAELS GROUP LLC THE Applicant: MICHAELS GROUP LLC THE This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 3 Cars Attached Single Family Dwelling (7- ,J Director of Building& ode E rcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010776 Application Number: A20010776 Tax Map No: 523400-290-017-0001-005-000-0000 Permission is hereby granted to: MICHAELS GROUP LLC THE For property located at: 48 MASTERS COMMON SOUTH 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: MICHAELS GROUP LLC THE Single Family Dwelling 279,000.00 10 BLACKSMITH Dr Garage-3 Cars Attached MALTA,NY 12020 Fireplace Total Value 279,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency MICHAELS GROUP NEW YORK BOARD OF FIRE UNDEI SUITE 1 10 BLACKSMITH Dr MALTA,NY 12020 Plans &Specifications !2001-776 48 MASTERS COMMON SOUTH 3142 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $449.84 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday, October 22,2002 (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 the'I;o of Que sbury; onday, October 22,2001 SIGNED BY d God for the Town of Queensbury. Director of Buil ' & e Enforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. Jr. 2 No inspection will be made until applicant has received a Fee Paid $ valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear on the Reviewed By: V/e6r"---- application form. Applicant:`j�j- E e,� �L� Owner: Smic. Address: 1G `Ziac .9fnkt\r, 'DQJ3 J_, Address: caCThTzc� Phone#(I )PJ - fd31 1 Phone# (.. ) - • Property Location: Lot Number: / House Number / 4'Alcor (1l'(1(Jp,S Csakk., Subdivision Name: 141147010 Tax Map Number: XNew Building: residence /commercial Estimated Market Value of Construction: $ 2a9i o Addition: residence/ commercial If an Addition, what will use of new addition be? ❑ Alteration: residence/ commercial o No change to exterior size: residence/coal ❑ Other work(describe • • • • Check Occupancylnforination 1`' Floor 2"Floor Other Door Total Below sq. ft. sq. ft. sq. rt. Square Feet Single family dwelling 5b2 15t40 3 . ❑ Two family dwelling o Townhouse o Multifamily dwelling • #of units • o Office • o Mercantile o Manufacturing o 1 car detached garage • • ❑ 2 car detached garage ❑ 3 car detached garage • o 1 car attached garage ❑ 2 car attached garage 'X 3 car attached garage �7Z8 ❑ Storage building- commercial - o Storage building- residential o Other Will any second-hand or ungraded lumber be used? If so, for what? 14,N • Type of I-leating System: electric/ oil /4310 wood /forced hot air/ baseboard/other: Number of Fireplaces to be installed .. Number of Woodstoves to be installed N, a List below the person(s) responsible for supervision of work as regards to building codes: Name " • Address Phone Number Builder } t1lGhzelS iron •`D KacksrK040 Dv. fie`}z Plumber C4Ac p1umbihe l � \��� ��ur� 05 -24 Mason 1�•Cj, c 5443 C Q 421— 59 Electrician Fogr kx-- El.acityaL 9,444 �Z k.. B 11-GJ°a2"L 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 he 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 Buildin at Co les,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all tie Vlmstruc Signature: owner,owner's agent,architect,contractor a Air',;,,.• ,,;, o JO �, : TOWN OF QUEENSBURY . If 4' BUILDING & CODES DEPARTMENT Fee Paid rl�;c}y�.Aatr���1 APPLICATION FOR: PORCHES-DECKS-V AV Permit 11 cdal, �7� } '''' DOCKS & BOATHOUSES Est. Cost A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING: The undersigned hereby applies for a Building Permit: to do the following work which will be done in accordance with the description , plans and specifications submitted , and such specia conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTI WITH THIS APPLICATION. Owner of Property: -f/ i AAii6-AL1S 6,2cZdu P P.O. Address /6 5JAGK ci /1-1 - D/LVE . . Phone 0 ' Property Location " NiiNt6Ar COMMCMS Tax Map' 11 %--7-13 Subdivision Name ( If applicable) k—kil fhC:0 PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES : Name: /�ff '�K'� i LtT `w-tom Address ()I r o n e ll BUILDING SPECIFICATIONS : Type of work to be done : Porch Deck Dock Boathouse � (Circle one ) Size of Structure to be built (square footage) : atoms t, Foundation Material : Width Thickness __ Depth of Footing, below grade : Size of Posts or Studs : x x Long Size of Floor Joists : x x Span Decking or Flooring Material : How will Porch or Deck be fastened to building? • If Roof Will Be Installed, Answer Following Questions : Size of Posts or Studs : x x Long Roof Rafters : x Spacing Span Roof Trusses (pre-engineered spacing) : Span Type of Roof: Sloped Flat Shed Other (Circle one ) Material of. Roof: ZONING INFORMATION: TWO .PLOT PLANS MUST BE PREPARED AND SUBMITTED , drawn reasonably to scale and attached hereto , showing clearly and distinctly all buildings , whether existing or proposed and indicate all set back dimensions from property lines . Show location of water supply and location and configuration of septic disposal area . Size of Property: ft. x ft. Existing building(s) : Size ft. x ft. Size ft', x ft. ___ - ---- -U-s-e of E x i-s t firs g_b u-i l d i-n g(S) : ____----- — -- -- -- Proposed structure , distance from property line: Front yard ft, Rear yard ft. Side yards ft. and i't. If on corner, setback from side street: ft. . DECLARATION To the best of my knowledge and belief the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code , the Zoning Ordinance , and all other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work 's : thorized by the owner. DATE: 16 (6,(d ( SIGNATURE i/Ci7—; Owner, Owner' s Agency, Architect , Contractor REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE • Application for-Permit— Septic Disposal System Towle of Qtteellsbtuy 742 Bay Road Queerisbury,NY 12804 (518) 761-8256 1, OWNER INFORMATION: • • • Office Use Location of installation: Filo Permit No. Tax Map No. / / Foe Paid Owner's Name:• �'nUIiG�A'G�-�Ji Address: V-6al.)61T225 1.OUti.; 6 • • 2. INSTALLER'S'NAME : • .. ... PHONE NO. 3, RESIDENCE INFORMATION: (circle year of dwelling, indicate 11 bedroom(s) and multiply II of •"" • bedrooms with applicable gallons per bedroom to equal total daily flow) • • Year of House: No, of Bedrooms x Computation Total Daily 1980.or older x '150 gal/bdrnt = 1980— 1991 x 130 gal/bdrm /'/ 1991 —present x 110 gal/bdrn = d Garbage Grinder Installed .yes` / no Spa or,Whirlpool Installed yes / no L/ 4, • PARCEL INFORMATION: (circle applicable information & indicate measurements) • o UW.h Zo.iLMittuX . Q.rvund Water_. _ as!!ock..or_an,poll'avt!$_Me.tor_l��l_._>?omgstic Watvr.Supply got sat / at what depth of what depth mrru►rlel/,al 1 Ing oar feet feet well Steep slope c ay if well; water supply %slope other from any septic-system depth: absorption is f1. other Percolation Test: (7' be completed by licensed.prt fessional engineer or architect) Rate: inute per Inch • 5. PROPOSED SYSTEM: For New Constructlen: All individual sewage disposal systems must be designed by n licensed • professional engineer or architect (unless installed in a Planning Board approved sutxlivision). Add 250 gallons to the size of the septic lank and leach [icid for each Garbage Grinder, Spa or Whitipool Tub. Septic Tank: gallon (min. size 1,000 gal) lea)A.) 6 6R Tile Field: each trench fT. Total System Length: - f!• " Seepage Pit(s): - number of size of each: _._fl•-by ./�• Size of Stone to be used: ll / depth or thickness __•__,_._..,._.-!�'el " 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 bo void. I have road the regulations with respect to this application and agree to abide by those and nil requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. • 0, Signature of responsible person Date • , , , . . Fire Marshal's Office Town of Queensbury, 742 Bay Road,Queciishurv, NY . (518) 761-8205 ,.. . , . Application for Fuel Burning Appliances & Chimneys. applicable to solid fuel & vented gas appliances i -4 J. Date -'4 ,-,_.,%., '.: : 20; '_,_ i Permit No. Application is hereby made to the Builditit &'COilesOffice for the issuance of a 131'11(11;1g and Llse 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 pail of these requirements and also will allow all inspectors to enter premises to petfOrm required inspections. Of NOTE to applicant: Rough-in and Final Inspections are required. Applicant information - Fuel Burning Appliance Information (circle appropriate words) Name: C \f? ii'',-; 'i', V,.1',.!.4V c,• Stove: wood coal pellet gas Fireplace insert, ,, , Address: , 4`, V--:. ' '''''' '%.1'-''' 0' li- 1 ` tt' ',,, Fireplace, factory-built:. wood i.:gas :<t• Fireplace, masonry: wood gas -tv-%,-..,%t'te••:,, t...N.1 `‘.1 ',I --,, ;•5.'. , .. Furnace: wood gas oil Phone: If non-masonary applicance, please provide Owner: ' :,,,. Manufacturer Name: . Address: 0 Model Number: p. Chimney Information Phone: ' . (circ)e appropriate words) • ' Masonry block brick stone , Flue tile steel `• size inches - • 4i) * ,1,-•. k, en. .., „ ,(,'-,,,,,, Exact Address: '''''-1.-v-) N' .;.-,A,, ';.•,-( .,, ,i Uh'fi• ,'..,it, ;:- , Of construction.or installation 'Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction I Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensbuty Handouts regarding required inspections. . Double wall ./ Triple wall / Insulated / Direct venting ,,. • Chi Miley Liner • i C.1510117 i eity'st ii t beitzmitat.itz2-3.,extt— Tkiiirgrix €,,f 491z4eiemutabiz.1-.3r, _AT-few 1 Fliv Marshal Code II S Collected S Refinuled Received front (i-qiiended to): ''' , 1 :, .- ', • ••,,_...:' ,:,, - . . - - address: .4 173 3389 (190) Public Safer-i- ,„., „.. - , A 233 2655 (230)Minor Sales . , ;:'' • -i'•4 ,,.. -. • 1 •••' . White(Applicant) , Green(Fire Marshal) / Yellow(Bldg. Dept.) i Pink&Goldenrod(Cashier's Dept.) . . FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED // PERMIT# 61 7 7� NAME tAkiCfQb (� - LOCATION `qgA5 . C44.. • 5 • SCHEDULE INSPECTION ON AM PM ANYTIME r\ APPROVED N/A YES I NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNIT REQUIRED SIGNAGE CHIMNEY W D STOVE REPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: OK TO THIS DATE 16e Amoo 5z4, INSPSUIP.PUB INSPECTOR /144-1A RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: • Building&Code Enforcement Dept.Dept. of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initials • 742 Bay Road Queensbury,New York 12804`lC. ) �]`� NAME `S\ �1\ C\1 c�c2 X ( PERMIT n ( ' ! ! (� LOCATION LA. �(`��;?a �� rn�,,� no-KDATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location � _ �G+ Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" • 36"N Exterior Handrails,balconies, lidin 18 in.or more Interior Handrails stairs both si••s 3 o more risers Grade 2%away from foundation 4:1)(041 ' C'tip 8"clearance to sill plate Gas Valve shut-off exposed/regul:tdr 18"above grade Gas Furnace shut-off within 30 fee or within line of site Oil Furnace shut-off at entranto .ce area • Furnace/Hot Water Heater operatin;. Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. • Handrail exterior stairs both sides m• e than 3 risers Interior privacy/trim/doors/main en i . ce 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 inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan 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) RESIDENTIAL FINAL INSPECTION REPORT oe Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart ' I n/ Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12 04 NAME /-- ik,,,_ •S 671-9-1,1 /> PERMI / — f 7 ' LOCATION -j - :e>,- • DATE A761 TYPE OF STRUC ,1-'�. jr /if N/A , NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location / Fresh Air Intake rl Plumb Vent through roof /// Roof Complete , / Exterior Finish Complete ✓ Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers �/ Grade 2%away from foundation z✓✓// 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 R�„ � Oil Furnace shut-off at entrance to furnace area \JO j{t-LL--- Y7 H' '� IJ /y'` Furnace/Hot Water Heater operating --,,-' //a� Relief Valve(s)installed , me,„(, De-- e2 ,, i Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" / Floor Finish tt// Bathroom/Kitchen watertight / Interior Handrails Balconies/Landing 18 in.or more 7 ✓___ Railing across window in stairwells Smoke Detectors: / every level V/ every bedroom V/, outside every bedroom f// inter connected v! Bathroom fans Plumbing fixtures /� Foundation insulation 1/ ' 3/4 hour fire door/door closer / Garage fireproofing , c/ Garage penetrations sealed / L _ Furnace in separate room protected(in garage) 1// Light ventilation per room Safety glazing 18"stilts fr s o floor ✓ Final Electrical f O I?2 {L--(du 5 - Site Plan/Variance required Final Survey Plot Plan l/ / As Built Septic System layout required .J G'-c eR) c d i'(l o z- J.L Okay to issue C/C(Certif.of Compliancy Okay to issue temp.C/O(Certif.of Occupancy)_ / Okay to issue permanent C/O(Certif.of Occupancy) �/ FIRE MARSHAL TOWN OF QUEENSBURY `, j QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST(RECEIVED PERMIT# 0(-7 7� V NAME MA -c.wkA-6-2. 6 , LOCATION 5 ' - 5. SCHEDULE INSPECTION ON ; /1`1e5`2f AM PM ANYTIME APPROVED N/A YES I NO EXITS AISLE WIDTHS (c ,\ . EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY / WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT 6 * - REMARKS: OK TO THIS DATE %\\ff? ' INSPSLIP.PUB INSPECTOR •.Y: TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT k�,?�y `E�` 742 BAY ROAD QUEENSBURY NY 12804 ,, "ft''`",00,.,y '`' (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPEC ION REQUEST- RECEIVED: I NAME �Y\[JLQV CI P LOCATION DATES 141 ^O2 PERMIT # (f[ ^ 27b TYPE OF STRUCTURE s:F. FOOTINGS BACKFILL FRAMING P UMBING_ INSULATION N A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS • FOUNDATION INSULATION INTERIOR STAIRS/RAILINGS / STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR • HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PL VARIANCE REQ. /� AL SURVEY PLOT PLAN, IF REQ 4 OK TO ISSUE C/O OR C/C Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury /9?& Ready at time: gai--Dept. of Community Development Request received: 7" d Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials NAME: C PERMIT# -% ( -7 767 LOCATION: .1D ) INSPECT ON(date): 0/),0114. TYPE OF STRUCTURE: 7. RECHECK N/A YE I NO COMMENTS ootin's/Pi- Monol hic Pou orm Reinfor :11-• in Place_ The contractor is respo isible for providing protection fr%m freezin., for 48 hours following t e place ent of the concrete. Materials for this purpose of .rte Foundation/W allpour Reinforcement in Plac- Foundation/Dampp'oofing 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 }.` N w BUILDING & CODE ENFORCEMENT ' '''..*It 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT �'"'81fEL�'r4a® (hotel, motel, apt. complex) DATE INSPECTION REQUEST ECEIVED: NAME -Y LOCATION a2-1 Q/{___S (JnN Arv' DATE - -c PERMIT H C) ( 77 r_4/• 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 INSULATIO ' INTERIOR STA -'. ' 'ILI 'GS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENE ' TION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR ' HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL S2RVEY /VARIANCE REQ. PLOT PLAN, IFFREO -`J OK TO ISSUE C/O OR C/C Office Use GENERAL INSPECTION REPORT v4:1 „0) Inspector: Town of `t v Ready at time: To Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road ` 'l Queensbury, NY 12804 ARRIVE am/pm: DEPART 1(i - 1 dim/pm Note (518) 761-8256 Inspector's Initials -kfie/- NAME: C--I,nC) PERMIT#6 ` • )7 j^ CZemat-A{R? J .LOCATION: ' Mr))C ( INSPECT ON(date): '��i����./ TYPE OF STRUCTURE: ( c-A RECHECK rr `N/A YES NO COMMENTS . Footings/Piers \ Monolithic Pour Form \ Ill Reinforcement in Place 1 The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site , Foundation/W allpour 1 Reinforcement in Place t 1 Foundation/Dampproofing Backfill Approval_ \ I Plumbing Under Slab \ I P bing Vend nts in Place \ /�� ough Plumbuig \ / (mil,.-PLC'( 12P11-(.1 Ilea ng Rough-In ti/ Lr rTafion / 4— 4rvO &Pcie Fton Walls Interior R- % lJ Foundation Walls Exterior R- / Floors Walls R- Ceiling R- Duct work or piping in unheated spaces R- oper Vent,Attic Vent ✓SFr`a vn ° ' I - Tack Studs/Headers B cingBridging 1 oist Hangers 1 Jack Posts/Main Beam • Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed `'ile Wa 2,3 4 hour A e IV-4W ..sto •i�ng I '-1 yr Ifp«.'('Gi L:\SueHemingway\Building.Codes.Inspection.FORMS\GE RAL INSPECTION REPORT.doc , Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: * rt c2� Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road ("2 Queensbury, NY 12804 ARRIVE am/pm: DEPART ' 1 am/pm Noted (518) 761-8256 Inspector's Initials NAME: V•\.‘0 J c.5 6,9_•P . PERMIT# 0 ) — 7 7 t, LOCATION: g LA,re le,5 Cd1,,. - > . INSPECT ON(date): 3 12—e. /6"2.---- 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/W allpour_ _ Reinforcement in Place Foundation/D amppro ofmg Backfill Approval Plumbing Under Slab l�u inn Uenteni Place ugh Plumbing !v C3 �Rfr(✓ 77. He ting Rough-In clnsulation _` i v 0 Getic Fo nation 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 Wall 2,3,.4 hour %` irestoppingo � i..J L:\SueHemingway\Building.Codes.Inspection.FORMS\GF,NERAL INSPECTION REPORT.doc i Office Use GENERAL INSPECTION REPORT 3 13) Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road �� Queensbuiy, NY 12804 ARRIVE am/pm: DEPART. `�am/pm Notesg a j ,-.,.; .y irm (518) 761-8256 Inspector's Initials NAME: C.\\Cx Q G-r-- 1 PERMIT#(-) I ---7 7 (...o Q� LOCATION: 1-1(R � C._(Zi1NOTh11 _(---) INSPECT ON(date): - \. l- 0 TYPE OF STRUCTURE: SS- " J RECHECK N/A YES NO COMMENTS . Footings/Piers Monolithic Pour Form Reinforcement in Place \, The contractor is respo ible"for providing protection fro fre zing for 48 hours following tl e pla/ement of the concrete. Materials for this purpose o sit J • Foundation/Wallpour Reinforcement in Place /� _ 2 Foundation/Dampp oofrng — u0-(/� /I!6 A6fl- ( Backfill Approval Plumbing Under Slab Pmbing Ventients in Plac 11-'1 ' ough Plursabiiig Heatr ough-In n \\ Ir`'� a ozi N5l A-�(- /'dL Ae,oUc' pC-( �-� t L"' Foundation Walls Interior R- _ CS00Gv6, 5.Foundation Walls Exterior R- �C_ > 5 _ n n Floors Imo- Walls R- CI ✓/� l n) /71'r4-L-- /A)S UC. . . A t�i � !teaeqJC l!/ZC-CL. J Ceiling b i/ 6T6n.)t if,e_i., f3c t ND ( v+3 Duct work or piping in unheated spaces R roper Vent,Attic Vent ;4 Framin ;j't / . • Jack Studs/Headers • racingBridgi�n$ �Clivt--'C -& '/J.T�bie / ,o6 ld"$ Joist Hangers( 0),( AA 1 e R,(65 Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Firc/Wall 2,3, our estopping ( ///1/#r4-.1 F "03 6 li j- 6C c C- Quie) ' L:,SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: 1 \ Town of Queensbury Ready at time: (.7D Dept. of Community Development Request received: Meet: Building& Code Enforcement - At time: 742 Bay Road G� ' Queensbury, NY 12804 ARRIVE am/pm: DEPART CD •im/pm Notes. (518) 761-8256 Inspector's Initials NAME: U/\ G c _ PERMIT# Q / — 7 7 LOCATION: Lite tikA-S • C_cf1A_ p -.S INSPECT ON(date): 3 itS102-- TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respon4ible for providing protection from freez. . for 48 hours following the place, ent of the concrete. Materials for this/Iurpose .• ite Foundation/Wallpour` Reinforcement in Place Foundation/D ampproo fang l Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte 'or R- Foundation Walls Ex erior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- y,tepea Vent A Vent 4‘7F7 � ,�c- ,, tQ �c� /ail-la �l6 C _ �K . Studs/Headers ngBridging t/ •• oist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fir all_Lja 4 /�F toping pur _ 1/( - C "ke-�c� F C� /-1 r 5 0 64k.A,v2, 410 1/2-06 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury --14(/� n Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART 1 :1—)jam/pm Notes: �ei � , (518) 761-8256 Inspector's Initials `\ NAME: 11\` D PERMIT#_C) 1 ^ 7 7 G-j LOCATION: / I c\o,_ f__ _QA,,,Gimis- INSPECT ON(date): 3'' / 2---frofoo;-, TYPE OF STRUCTURE: •----- T RECHECK N/A YES NO COMMENTS . Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re•.o I ible for providing protectio from eezing for 48 hours follow' the p acement of the concrete. Materials for this purpos on sit- Foundation/Wallpour Reinforcement in Place \ _ Foundation/D ampproofing Backfill Appr•val , Plum mg Under - .. Pl bing Vent/Vents in Plac- / I) 7-ough Plumb'lig,:. = -- 17 �n)5121-Le-- 4-/Z— ! C A- eating Rough-In Insulation Foundation Walls Interior '.- Foundation Walls Exterior R Floors R- Walls R- Ceiling R • - Duct work or piping in it-br l� - ) unheated spaces R- / p-e-r(ri,„, 6- 6/'{2x P Vent,Attic Vent fl Jac..bCriiiStuds/Headers //Oa' ✓ * (�6Bracing/Bridging f �' C� ���� Joist Hangers ✓ tcy /Op-1 cr /}41 5 / Jack Posts/Main Beam V Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed J restaail 2,3,4 h_our_ / _ing '., i� COuL pth k Rb''PPt)U & 2 I-Q FG '. 5y541111 . /i59,- r�o6a2 c /JlI", tv. ld1cf.L- t 6,<,7-. Cc-rvP L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc FIRE MARSHAL f TOWN OF QUEENSBURY � j QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST ECEIVED _ PERMIT# 6�J7� NAME / h'\G-q (çRI - LOCATION SCHEDULE INSPECTION ON /Fe 7/ AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING _ FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLE CLEARANCE TO HEATING!UNITS REQUIRED SIGNAGE I CHIMNEY m- WOOD STOVE PLACE-MASONRY ),I !REPLACE-FACTORY BUILT jtAic-ric. REMARKS:, ZG, ,g `7 ❑ OK TO THIS DATE ©tic y \jftC INSPSLIP.PUB INSPECTOR - ,, _..c.\, I tA 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\Z)%an Depa 4 :64 • Inspector's 1 _� NAME: %I 4\01,PQ,/J c PERMIT# 0/— 77 (" LOCATION: C-i Ct �NIP DATE : �-E '�' TYPE OF STRUCTURE: s RECHECK N/A YES NO COMMENTS Footings/Piers I_I 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 Fo dation/Damplproofing ckfill Approval i , 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 Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road /"� . c1/4 • Queensbury,NY 12804 ArriveVim/ 1➢epart ?ri-f b p� ector's Initials NAME: \\c\.,IS\c",,&,') &C)LL PERMIT it Ol 7 7((3LOCATION: \)5� s(Y\c\S ( (' 15rQ f1((f DATE : J ) -j3-.YrQ TYPE OF STRUCTURE: O RECHECK I N/A NO COMMENTS otings/Piers ' t ~� N� I Monolithic Pour Form 1 i Reinforcement in Place 1 The contractor is responsible fot providing protection from freezing for 48 hours following tile pla f ment of the concrete. Materials for this'purpase-e site Foundation/Wallpour , Reinforcement in Place I Foundation/Dampproofing 1 Backfill Approval Plumbing Under Slab Plumbing VentNents in Place Rough Plumbing I Heating Rough-In Insulation Foundation Walls Interi r R- Foundation Walls Exte ' r 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 • 'YLmot '.. .: - - CONSERVATION CONSTRUCTION CODE ... PART S COMPLIANCE FORMDaD ,7 7 - - Building Design by Acceptable Practice II_DING. DDRESS: '4S1cc,r 4 Men C} DATE _*1644atic I• _�.,_-, 4)6 S y . COUrITY: . p: f •RC HITECr,ENGINE OR �-7�-C7 S�Co )ONIRACFOP.: micHA Gi ouP PHONE: 5 1 8- ERMiT APPLICANT: 54r1t PHONE . HEATING DEGREE DAYS (Table 2-1) n 5000—6000 X 7000—9000 I. BUILDING DESCRIPTION (Pre-qualifying Conditions) If the building does not meet all of the following pre-qualifying conditions, f. Part 5 of the Energy Code may not be used. Budding is residential with-cue or two dwelling units. - X Building is-less than 5,000 gross square feet L Building is three stories or less in height. xl Ratio of glazing area to gross wall area is equal to or less than 17%. • III. PROJECT TYPE n New construction Substantial renovation of existing building ❑ Addition to existing building I I Exempt(7810.6c) ,�OF NE � O4 IV. HEATING SYSTEM TYPE • = '' ',r � r•I �.. .11 VJ' -X Gas-fired ❑ Oil-fired I I Heat pump Electric h ? f t\ ,• "`�_ ter':+�'-t Joint Sealing: 7814_1 0(i) Joint Location I Sealant Type Specified I Plan/Spec_ Reference Windows Polycell I Doors frames Weatherstripping Walls at roof/ceiling I Pol vrel l Walls at floors/found_ Polyceil Wall panels N/A Utility entrance weatherstripping Penetrations Polycel Other Other 1 Air Infiltration Barrier: 7814.10(j) Location Required? Specified I Plan/Spec_ Reference . Walls yes/no No-Cedar Siding Other. yes/no Fireplace: 7814.10(k), (m) Required 1 Specified Plan/Spec_Reference Outside combustion Yes- air duct with damper Flue damper with max 20 cfm, or damper and non-combustible doors `fir 20 c_f_m_ Gas fireplace ignition • No VI. HVAC PERFORMANCE: 7814.11 (Table 5-3) Equipment Minimum Performance Specified Performance Plan/Spec.Reference Furnace 70% AFUE 90% Boiler Heat pump Central air conditioner i - 1 • vlt. t-�\JAG c:uIN i riUL_ 7814.i2 Temperature Control Required 1 Specified PlantSpec_ Reference Thermostat each Yes - dwelling unit . , Shut off at each Yes terminal unit Thermostat Required Specified , q � p I Plan/Spec. Reference Minimum range 1 Yes 45T-85°F Deadband Yes range >_ 5° Automatic - Yes Capability V I I!. DUCT SYSTEMS: 7.814.13 Category Required Provided Plan/Spec.Reference Duct ? 1"thick N/A in conditioned space insulation • R-33 in uncondtioned space Transverse Sealed Yes joints . • IX. VENTILATION SYSTEMS: 7814.14 System Type Required I Specified Plan/Spec. Reference Supply Damper at envelope Y e s Exhaust Damper at envelope Yes • Supply on/off switch I YPS IExhaust - on/of switch Yes • X_ PIPING INSULATION: 78.14.15 Piping Type Insulation Provided Plan/Spec. Required Reference Heating distribution" >_ 11/2" N/A Service bot water`" > 3/4" N/A • `Does not apply to runouts_ "Does not apply to piping with a diameter Iess than or equal to 3/4"inch_ XL SERVICE WATER HEATING: 7814.21 (Table 5-4) Performance Requirements V%acer Heaters Minimum Specified Plan/Spec. • Performance Performance Reference Storage a' > _93 -_00132v I > _93 • Instantaneous N/A Pool N/A • • Controls Category - Required Control Control Provided Plan/Spec_ Reference System automatic control Yes System temp_•setting range 140 degrees max_ Pool heater • 1liJ N/A Pool heater on/off switch N/A Electric water heaier • separate switch N/A Gas/Oil water heater separate valve Yes XII. ELECTRICAL POWER: 7814.31 • Category I :Required I Specified I Plan/Spec. Reference Electric meters I La. dwelling unit -'e= • E.TI-t:10 c AL; . OP/,CUE FRAKED ALL: wORKSF`-EE- R-Value i R-Yalu. ia:vlatad ConaLruction Frtead - Arai _ Coacoonant I • I(taa i„, ~ 0.6b t 101 iylcL. I(it File 0-68 r--= ___ -45 1/2" Gypsum Bd_ t _45 . -. tailboard - 3-. 19.00 6 tt S )-4{. TzvltLiCn ---- �' Ili ..,),•‘ ---- 2x6 @ 16 o_c_ 6.87 li : 11 -_ Studs ++ t . 54 ,. - 1/2" Waferwr�od • _54 I1 / `-� Sh<athiag ! l r t. -65 . ViilySlid;ag :65 l 1 i► O.17 - - G ^ __ Ezt Air F:t I 0.17 21_49 g_7otat 9_36 • U Fraction. K Insulated F f Fraeed Frection< P.-total InsulaLaC - R-rottl Fracao • —____85 . U rr < _15 21.49 9.36 t _056 • t:. t Wall Stud Spacing intulatad Fraction Framed Fraction 12" 0.C.. _83 - I . 17 16" 0. C. _85 _15 :A" 0_C_ .Bb _ 12 • BASEHEF(T/CELLAR WALLS: eORKSHEET @ stairwells R-Value R-Value with Ext. - Construction with Int. N . Insulation Co+toonents I insulation 1 H 0.17 0.17 a ' ,- �•4 �0.t t Ext. Air File - • 1-4-11 j None • -. �� .�♦ • _ ; Exterior -r ini nh - *J. .�..' Lii i 8" Poured s•,,�- 81oct (Concrete) _ _.1 7Z_ ._ •• ' : 1 '. 4.4 44 :° Core (neulatioo 1*• - '- - I-11z`R-� 112-`. •i < Insulation `s a _ •�• ItV*4 (axt. or i nt. ) ���gj0 �� • - ''«-- Lone ;AIIIIIIIIiiiir". tt 1!4• _ ` Interior Finish t ll`A. :- _ • _ _«— 0.68 - nt, 0.68 _n .�� r - R-Toti l /3 -37 l . U • R R-Total 1 c:. U - -07T ,c /3- ?' _ 8 « Exposure Above Grade w ' • . 41 Depth 6elo.c Grade - 48 • • • EASEHEWUCELLAR KALLS: INORKSH£E- • R-Valve = R-Valet with Ext. ( Coactroctioi with Int. ' - incvlati.on Coatooaants Insulation ♦ L 1 : �. 0.17 ( 0.17 .- ��N �.4 ( Ext. Air Fi l c • ,. �•1 ` 1-4, None - ► 4 f .�41 - 1-Lr_t____-1-1 Exterior Finish °. •��. �� • 8" Poured - .'1 . . 4P; - Bloce (Concrete) - _'_L_7Z . __ - �, : •�4- i ' 141 _ - i,� � a - Core Insulation - . 4: —t ���- i (;f any] 1 - 41, : ��4 • (itsvlation o. -.4:. �' �a ♦♦ ♦♦ A . ���. tt L�4��<. None t I _= �- ; Interior Finish _ ��t .. ►�4�.. - - 0.68 1 0.6 8 ` •�� - -t- tot, �.ir Fi1n — .i i ��. 13.57 R-Total • • • • U 1 w R-Total •• 1 c: I/ 13 .57 .C74 • Exposure Above Crade - 8 Depth 8cloir Gracie 48 . • 1 OPACUE FRAKEJ F J 0R- RORKS-E j/ !i I�Ii-L,--I �J 1 Jy )(-1,—, /tt - T ,.// �� . f i 1 i• 11 \N • . • -:N. -::-.-- ..„ ..si ...; . j �� 1 1 k W, ‘.! ‘ . :k_ - • 9.--- -1_,- : : il, ' 4-'1: R-Value j R-Value ' i Insulated I Construction Fraoec 1 • Area Ccrtcnents • _ Area • • • f ` O.92t i 0.92't . 1 Ext. Air Film 19.00 6" Batt ---- - - - - - - - - • . . . . insulation ---- 11 7/8" TJI15 @ 2411 O-C{ _ Joists .... . . . ( 3/4" wafer; Jod _ i ( 93 . .. . Sub-Floor ...:P . ctlFy1 . . .( ( _neg1:- -- . ... an. Floor . 1 1_ I 0.92 0.22 Int. Air Film 21.02 R-Total ! :16.86 • U insulated Fraction** Framed Fraction=v - r d • R-Total Insulated R-Total Frawed •u .95 r _ .05 0 21.02 16.86 °''.048 * For vented crawl space, use R * 0.17 for ext. air film. • • t* Floor Joist Spacing (nsulat'ed Fraction Franca Fraction 12" O.C. _87 13 16" 0_C_ _90 _ 10 4 • ROOF/CEIL(KG iVENTEDi : 'ORKSH££: r - /2:5;----E-E7:177- ( \f IA:11 t • i - R-Valve R-Value = Insulated t Construction . Fraaed Area 1 Components ^rer ' 0-17 I Ext. Air File 0_17 1 30.00 9" Batt i ---- 12.00 Overlap - • - Insulation 2x4 bottom chord ---- @ 24" oc f 4.35 • • .45 1/2" Gypsum Pra_ _45 I • .... Wallboard 0.61 0.61 Int. Air Film 31.23 I R-Total 17.58 • Insulated Fraction* Framed Fraction* r •• R-Total .Insulatsd R-Total Framed • u _93 .07 r _034 31.23 17.58 . • • * Roof Joist Spacing Insulated Fraction Framed Fraction' 12" Q.C. .87 -13 16" 0.C. .90 .10 • 21,.^ 0.0 .93 .07 MAP REFERENCE: MASTER'S COMMON SOUTH DATED: AUGUST 26, 1987 BY: VAN DUSEN & STEVES FILED: MARCH 10, 1988 DRAWER 17 FOLDER 1 LEGEND: 0IRF = IRO ROD FOUND - FIRE HYDRANT � an D us e� Stever Land Surveyors, LL,C 169 Haviland Road Queenebury, New York 12804 '518) 792-8474 New York Lie. No. 50135 HIGHLAND GOLF COURSE 'UNAUTrMZED ALTERATION OR ADDRION TO A SURVEY NM BF K40 A LICENSED LAND SURVEYORS SEX 12 A VIOLATION OF SECTION T"ADB, SUN-DIMNtlV X OF INC N!W r= STATE EDUCATION LANAI VWY COACT rROM tat CRAWL& Or THIS SLAW KtWZD WIM AN OWSINM.Or THE LAND SURAV= SEAL SHALL. BE CONMENED TO BE VAUO TRUE COPW 'CERTNICATIONS 10WED HEREON SONNY THAT TM SURWY WAS PRS7ARED N ACCORDANCE WITH IKE OWN OOOE OF PRACTCE FOR LAID SURVEYORS ADOPTED BY THE NEW YORK SKATE ASSOM71ON Or PROFESSIONAL LAND SW%9VQR& SAID CMW*ATIONS WALL RUN ONLY TO 1HE PERSON FOR WNOY THE SURVEY IS PREPARES, AND ON HIS 0EK" TO A1E 11TIE COMPANY, WVERIMCNTAL AUENCY AND LENOMO INSITUIRON LARED, NERKk AND WTNCASdGRS Or"t USS)" oarlu ft, 7V 'o ` r TIII I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL. FIELD SURVEY. THIS CERTIFICATION SMALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALr TO THE TITLE COMPANY. GOVERNMENTAL. AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEDLJENT OWNERS. CERTIFIED TO, Kenneth W. 5chnelle 5haron M. 5chnelle Chicago Title Insurance Company CERTIFIED BYs--------- ---------------- MATTHEW G. STEVE$. LLS NY$ 50135 DATM April 10, 2002 PC, 4A t -r -9- 200l -116 Map of a Survey made for Kenneth W. & Sharon M. Schnelle Town of Queensbury, Warren County, New York 1 4-15-02 NAME CHANGE NO. DATE DESCRIPTION e1 AwKiL 'J, dUUE le 1'=30' S --1 SHEET 1 OF 1 SCHNELLE DWG. NO. MCS-13