2001-823 TOWN OF QUEENSBURY
742 BayRoad,Queensbury, 12804-5902 (518) 761-8201
Q �Y�
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010823 Date Issued: Tuesday, April 23, 2002
This is to certify that work requested to be done as shown by Permit Number P20010823
has been completed.
Tax Map Number: 523400-301-014-0002-002-000-0000
Location: 18 MCECHRON Ln
Owner: VASILIOU MICHAEL J INC
Applicant: VASILIOU MICHAEL J INC
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling (Dair/P 4I f •
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
f• 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010823 Application Number: A20010823
Tax Map No: 523400-301-014-0002-002-000-0000
Permission is hereby granted to: VASILIOU MICHAEL J INC
For property located at: 18 MC ECI RON Ln
in the Town of Queensbury, to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: VASILIOU MICHAEL J INC Single Family Dwelling 136,537.00
23 SUNNY WEST Ln Garage-2 Cars Attached
LAKE GEORGE,NY 12845 Fireplace
Total Value 136,537.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
VASILIOU MICHAEL J INC COMMONWEALTH ELECTRICAL A(
23 SUNNY WEST Ln
LAKE GEORGE.NY 12845
PO BOX 706
HAGUE.NY
Plans & Specifications
2001-823 LOT 2#18 MC ECHRON LANE
1736 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECFICATIONS
$256.72 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,November 07,2002
(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 e To of ee sbu • ednesday,November 07,2001
SIGNED BY �� for the Town of Queensbury.
Director of Building&Code Enforcement
: '% ENERGY CODE COMPLIANCE APPLICATION
,F,),3
f _ TOWN OF QUEENSBURY, WARREN COUNTY
-'' 9000 HEATING DEGREE DAYS
ffri6.&k,01—
Compliance Methods : PART 5 - Acceptable Practice Method - 140. "v
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 NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 1, 7L3(. ? square feet
2 . Type of Heat - Electric Oil V Gas Other
3 . Is building mechanically cooled? Yes 1,/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 ,49
c . Glazed areas R
d. Exterior doors R gf �
e. Floors over unheated spaces R �-
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R _ �g
h. Basement/cellar walls (below grade) R /0
i. Heating/cooling-ducts-piping in unheated space R .
6 . Service (domestic) hot water heating device /
Conforms to minimum efficiency per code v/ Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
S nature Date Phone Number
/My74,7,
INSPECTOR' S REMARKS :
Fire i1Iarshal's Office Town of Queensbur•v. 742 Bay Road,Queezisburv, \1•
- ' (Sl8) 7G1'-320�
Application for Fuel Burning Appliances & Chimneys ),...?(:). . ..
applicable.to solid fuel & vented gas appliances
Date ; "a9, ' `,' ' , -�� O Permit No,.�x t
Application is hereby made to the Building& Crule.s Qf/ice/rr the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention aiul•Buildiiig Code: The applicant or owner
agrees to comply with all applicable lairs, ordinances, rggulations, and all Conditions that are part of
these requirements and also will allow all inspector s to e itet-premises to perform required inspections.
4 NOTE to applicant: Rough-in and Final Inspections are. required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name• r'C4 f' Afs", fit,f,.; + m Stove: ivoocl coal pellet gos
Fireplace insert
Address:A.3 9,i f1 V Fireplace, factory built: wood g .
4 3 •,,,F , :F ,'4 r , :; Fireplace i aaso;pry: wood gas
` Furnace:; ` wood as oil
X i<
Phone: ! -
;- ` if non tii sonary appl,icance, please provide •
Owner:
. ‘,....) A 11174- Manufacturer Name:, - "' &.,;
Address: l. ""7 ---e —7.**—' -#07 :,&
Model Number: ��
• Chimney Information"
'Phone: ' (circle appropriate nords)
' Masonry block brick stone
Flue tile steel' size: niches
Exact Address: 6r-b?"1, jawe6/ -
,• of construction or installation Factory-Built =
Manufacturer name: ,•;;-. : '
• . _ Model Number:
Note: Listed By: . - Number:
Construction/Installation roust
conform to NYS Fire Prevention &Building Indicate (circle) chimney material:
Code. Consult available Town of Queensbury -
Handouts regarding required inspections. Double wait / Triple wall / Insulated / Direct ventin
. - Chimney Liner•
j- c(alh1e r',ra Dcp tancut— Trolarrzz col"Queezaerbuz'y, 1%revisr/York I ,
t
Fire Marshal Cade# S Collected ti Refunded •Receir•ed,fi•om (refunded to): 1 1 -V
1 i' 't l' IA*, 40
i . aaddress:
.4 173 3389 (190) Public Safety E — — — — — —
.4 233 2655 (230)Minor Sales ^ C
s;;;,. b — I O w,ti V[ L o2 �.„..,-
.
White(Applicant) r` Green(Fire Marshal), ! . Yellow(Bldg. Dept.)' ' Pink& Goldenrod(Cashier's Dept.) / ,
YF-'
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. ( 013
No inspection will be made until applicant has received a Fee Paid $ a...
valid building permit. All applicants' spaces on this Rec. Fee Paid p •° 0
application must be completed and must appear on the Reviewed By
application form. �
D
Applic ant:,iC . %4/z/ctil� .one,Owner: a ` E I v E
Address: , ,,�; �`6t�l1v?y � r ,7e- Address:
/ , :, AR629 " N 0 V 0 5 2001 fl/c
Phone#(s/k) t - Phone# ( )
TOWN OF QUEENSBURY Q
BUILDING AND CODE
Property Location: Lot Number: / House Number l/f eZ-21 y/
Subdivision Name: ` 6' 6 ' i/a. Tax Map Number:
05' New Building: residenc /commercial Estimated Market Value of Construction: $ Ago, 6'..77
a Addition: rest ence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
0 No change to exterior size: residence/com'l
❑ Other work(describe )
Check Occupancylnformation 1st Floor 2"Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
2/ Single family dwelling ?P'1, 3 D f 73"e;
a _Two family dwelling
o Townhouse
❑ Multifamily dwelling
#of units
❑ Office
o Mercantile
o Manufacturing
o 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
a 1 car attached garage
2 car attached garage 41 Fr7! P9'
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential •
❑ Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so, for what? /14,
Type of Heating System: electric/ oil /vi+ ood 6ced hot a r baseboard/other:
Number of Fireplaces to be installed / Number of Woodstoves to be installed e
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder /%=/,rA£i_ • As/L-/' ' f S'�P
Plumber f, z.177-7 i�U 7>' — 44?
Mason f'49/r)iitieZ) G.I VA'ric)!? 79 - d z7-7
Electrician n "� cC'L G ',' ��7/- 99J7
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:/ ilding and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all c ns Y.nn4/1/4/
Signature: / '�) owner,owner's agent,architect,contractor
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:Zey ,M Geiv tv-7
File Permit No. 0)—da3
Tax Map No.
Fee Paid
Owner's Name: isi /16'_ 77/4. 'i.-r
Address: I Y AL-7,T 2' r4/i
/7/y
2. INSTALLER'S NAME : y /71427 //;/7 PHONE NO. 7 9
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 L x 110 gal/bdrm =
Garbage Grinder Installed yes_ / no ✓/
Spa or Whirlpool Installed yes_ / no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
ra•h S.:,_,,ature Ground Water Bedrock or Impervious Material Do ter Supply
Flat' sa at what depth at what depth municipal
'oiling Loam feet feet
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: /mod gall (min. size 1,000 gal.)f
t. Total System Length: Z ft.
Tile Field: each trench / Y /&
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
` jy 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 repect to this application and agree to abide by these and all
requirements of the Town of Qu ensbury Sanitary Sewage Disposal Ordinance.
L `l•
�
Sig to of responsible person Date
TOWN OF QUEENSBURY
;4e `i 3 ^ BUILDING & CODE ENFORCEMENT
4n � � 742 BAY ROAD
'- rv3 QUEENSBURY NY 12804
, -.`,i; ` (518) 761-8256 //,��ll
ARRIVE: DEPART: INSP: (Jn
FINAL INSPECTION REPORT —JJ
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPEC ION REQUEST RECEIVED:
NAME \ CJ.3 1 �_(
LOCATIION 44 (� r,
DATE 1, ^ -0D. PERMIT•# / -
TYPE OF STRUCTURE L_
FOOTINGS BACKFILL FRAMING PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTU
ROOFING \\
EXTERIOR FINISH
HEATING/HOT WATER \
RELIEF VALVES \
FLOORS - \
FOUNDATION INSULATION _
INTERIOR STAIRS/RAILINe
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENET• 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
SIT PI�E p.N/VARIANCE REQ.
NAL SURVEY PLOT PLAN, IF REQ "✓
OK TO ISSUE C/O OR C/C •
•
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart�/`'
7Jern
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 NAME oc5 t t (,l PERMIT# 6(--e
LOCATION -( DATE 7 MN• 2 ./
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,Ian ' 18 in.or more
Interior Handrails stairs both side 3 more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/re ator 8"above grade
Gas Furnace shut-off within 30 fe t or thin line of site
Oil Furnace shut-off at entrance to ce area
Furnace/Hot Water Heater operat g
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sid m ire than 3 risers
Interior privacy/trim/doors/m ' entr. 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 ►^— &6Q tt-e-1 O G
outside every bedroom
inter connected CC`lt.0 id"rJ N(--ttd CK
Bathroom fans gP,\r4ticn
Plumbing fixtures ,/
vnundation insulation I
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
S}te Plan/Variance required 608(4A 6 0 2.V 6
11)
PlPnal Survey Plot Plan ✓As Built Septic System layout required 45 6U(�,1��—
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_ ,1 ��
Okay to issue permanent C/O(Certif.of Occupancy) GL� (� n s1&�{/ iir et/
, ,_
qu ) 0 AT1
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement X /
Dept. of Community Development Arrive am/pm Depart(`) m
Town of Queensbury Inspector's'nit is
742 Bay Road
Queensbury ew York 12804
t i<
NAME L Q�� ��� 1 �l 1 PERMIT I
-Jd-,3
LOCATION .. C. S\ Ty-----. DATE —
TYPE OF STRUCTURE Vic{
N/A YES NO COMMENTS
Chimney Heightf"B"Vent/Direct Vent Location '
C Fresh Air Intake
''� Plumb Vent through roof ✓/
Roof Complete 1./
Exterior Finish Complete t�Interior/Exterior Railings 30"t 3 " /
Exterior Handrails,balconies,I din 18 in.or more �/�
Interior Handrails stairs both sides 3 o more risers
Grade 2%away from foundation �/✓/
8"clearance to sill plate
Gas Valve shut-off exposed/regu tor 8"above grade
Gas Furnace shut-off within 30 fe t or 'thin line of site_ / 1 2 � `�b5�i
Oil Furnace shut-off at entrance to ce area ✓ 4/l.�
Furnace/Hot Water Heater operatin U� 1�D V O;r^
Relief Valve(s)installed '^'
Headroom,6 ft.6 in.on stairs .
Basement stairs,6 ft.4 in. .,/ /�
Handrail exterior stairs both sides mo to than 3 risers / '3i2,�� ✓C" itr C N
Interior privacy/trim/doors/main entr e 36" ✓�
Floor Finish ✓,/
Bathroom/Kitchen watertight ��/
Interior Handrails Balconies/Landing 18 in.or more V
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom ✓
outside every bedroom ✓
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation — i/ (}1,.,_,P(��- ,is
3/4 hour fire door/door closer V Q
Garage fireproofing `�j Ccrti„`P�� 6-- y�ctZ\ �A 1�6
Garage penetrations sealed V �"
Furnace in separate room protected(in garage)
Light ventilation per room ✓ /
Safety glazing 18"dress m flo9- �/
Final Electrical l7 12 ter pip..
Site Plan/Variance equir d /
inal Survey Plot Plan ttt///
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_ 7
Okay to issue permanent C/O(Certif.of Occupancy)
FIRE MARSHAL
TOWN OF QUEENSBURY
; j QUEENSBURY, NY 12804
(518) 761-8205
ARE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# ?> ( —e a
NAME tf/c S ( L_A o
LOCATION 4-C"C-ct1,(2d"J
SCHEDULE INSPECTION ON 4 It q
A PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHT'
FIRE EXTINGUISHERS .
FIRE ALARM SYSirE
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO H TING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FI CE-MASONRY
'REPLACE-FACTORY BUILT /,tk
REMARKS: OK TO THIS DATE
INSPSLIP.PUB ,INSPECTOR
Office Use
-`GENERAL IIvTSPECTION REPORT Inspector:
Town of Queensbury
Ready at time: 1/0 5i
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART`' U' -m/pm Notes:
(518) 761-8256 Inspector's Initials—.\(-'`Y
•
NAME: 46a-hp() PERMIT# el— 6 2Z.
LOCATION: (-or
CC f{`Qtl d 64/ INSPECT ON(date): 3 Ji/(J?/
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 freezi g
for 48 hours following the place ent
of the concrete.
Materials for this purpose on site •
Foundation/W allpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab\
Plumbing Vent/Vents i lace
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
eated spaces R-
P er Ven Attic Vent,
raming (7Ai2 .
Jack Studs/Headers
Bracing/Bridging
Joist Hangers •
Jack Posts/Main Beam
Air Infiltration Barrier •
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
•
Office Use
,£ENERAL INSPECTION REPORT Inspector:'
Ready at time:
Town of Queensbury
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbuiy, NY 12804 ARRIVE am/pm: DEPART c%ctm/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: Vil9 D 0 PERMIT# 07—
LOCATION: Lo-r w '`�‘1.elC&i-l/RO✓) INSPECT ON(date): —0 07/
TYPE OF STRUCTURE:
RECHECK •
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f
providing protection from freeing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site t
Foundation/Wallpour
Reinforcement in Place /
Foundation/Dampproofing /
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac
Rough Plumbing-N.__
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 jR-
oper Vent,Attic Vent
"Framing
4P6K O(& .6/kR _ /C.C,S
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam -1)Air Infiltration Barrier �d �&- I es° G(.
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
5 \
, ,A,
1-14 ,_,
GENERAL INSPECTION REPORT - .. '`�`
( 518 ) 761-8256 �_,.;�
Town of ,:;�r_�.� . •:;�.; �Y:;j
Queensbury
Dept.of Community Development Date inspection request received: \
Building&Code Enforcement
742 Bay Road 1 c '-) /'
Queensbury,NY 12804 Arrive am/pm Depart—)'2 fn �/
Inspector's Initials (/'"
NAME: �Sl�1 PERMIT# 0 v8C2
LOCATIO : ' (' N\ DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I 1 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 1
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval ' /
Plumbing Under Slab , , _ /
Plumbing Vent/Vents in Place ,1' /
Rough lumbing /
Hea ' g RoughtIns .rh.:2, \_ 1
ndation Walls Interior R- 1
Foundation Walls Exterior R- i 7
Floors R- 1
Walls R- 1,-
V
�Ceiling R- C6
Duct work or piping in
unheated spaces R- /
�ro r Vent, Attic Vent "f' / /
a l g '3,-r LNCrK o ie (� C L
` Jack Studs/Headers b'Lo6V „30) I
Bracing/Bridging I V
Joist Hangers /
Jacki:o-ats/Ma_ in-Beam /f�� /�
Aiifi t a on Barrier' `/ ,�' v ml jl I - �(J
I
"a,Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL
INSPECTION n n Office Use
GE1V L'RAL REPORT Inspector:
Ready at time:
Town of Queensbury
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road DEPART V%�
Queensbury, NY 12804 ARRIVE am/pm: � p
` / m Notes:
(518) 761-8256 Inspector's Initials ve
NAME: U45L160 PERMIT# 0 I T CJ Z5
LOCATION: L 'V A, ( Ckt1cA) LA)' INSPECT ON(date): �&-----'
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor i. - sponsible for
providing prote tion vom freezing
for 48 hours following le placement
of the concrete.
Materials for this p ose on ite _
Foundation/W allpour
Reinforcement in Place
Foundation/Dampproofi
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents Pl.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 d
unheated spaces R- _
Proper Vent,Attic Vent
Framing
Jack Studs/Headers .
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier I/C6114P6Z-1-6' 81e)/L)U° gi.t _ /{ga()6- thA-R
Fire Separation 1,2, 3,hour
Penetration Sealed 't � R,,,AFire Wall2,3,4 hour
Firestopping
C�4-1 r02. IR, J.tGa�
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
---144-1 1
f P?.r `. S - _Tor
3 :3O
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` ; a
Inspector's Initials \
1
) i
NAME: Va<S) r�t _. {V, e PERMIT# 0 ;
LOCATION:, 4 ( \pQtn jQ[L DATE : - ' �.
TYPE OF STRUCTURE: S __�
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from frees
for 48"hours following the pla erne
of the concrete.
Materials for this purpose on sit
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing /
Backfill Approval
Plumbing Under Slab /
/Pfumbing Vent/Vents.in•Place (///
Rough Plumbing
Heating Rough-In •�..
Insulation F
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
yt work or piping in
nheated spaces R-
Vent,AtticVent
t_ "
i ____1 7j
C-: .
Jack Studs/Headers ,�///•t/ /'�4t OL ID I Jed�.K�
Bracing/Bridging
Joist Hangers ' Gkti I,
Jack Posts/Main Beam /
Air InftltrationhBarner ' ✓ 44 j /l '1D l(
Fire Separatit n l '2 '3 hour 1
Penetration ealed
Fire W , 3,4 hour `
F soping "
2A ail\ T6 A)-5ut. .
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Jt-T-ji(jO u
Location
Date 2\113 16)-- Permit # O f ��
SOIL TYPE: Sand-Loam-Clay-
Results of P- olation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FI LI : Total Length
Length of eac rench
Depth of Fen, es
Size of s one
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Bdx
Dist. Box to Fi:•ld/Pit
Openings Sealed Yes No Partial
LOCATION/SEPARA IONS:
Foundation to T.nk feet
Foundation to A'sorption . _ feet . .
Separation of Pits _ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:L_C-/}C{ R
6-em/2
/67 L /N674-zLG-r,
/c 3 Li:- . /r ►Erg 126.012
/(oz ( r RcQ0/R6-D
SYSTEM USE APP OVED: YES NO
Arrived:
Departed:
Building Inspector
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury 1
74/1
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depa7,2_6
ate,/,pm
Inspector's Initials
NAME: PERMIT It l 1f7^1
—/
LOCATIO • � DATE:� 2
TYPE OF STRUCTURE:, >
RECHECK
N/A YES NO COMMENTS
Footings/Piers �— I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection fron`i : eezing
for 48 hours following the ;placement
of the concrete.
Materials for this purpose On.ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Ven .• in PI:ce
/t d5 )C'Of
Heating-Rougli-In ry
Insulation
Foundation Walls Inte 'or R-
Foundation Walls Ext rior R-
Floors R-
Walls R-
Ceiling R-
Duct work or pipi in
unheated spac s R-
//
Pro r Vent, Attic ent
Jaelc=Stucts/Headers
Bracing/Bridging /�
Joist Hangers //.4/5fira- /-4A/6a5 ) ' P�C�`_�
Jack Posts/Main Beam
✓AYr lt'.raeion%Bather
Fire Separation 1,2, 3,hour ^ �
Penetration Sealed /V XO
Fye Wall 2, 3,4 hour 1.7
= :.irestapping,
l '/2
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement ^
742 Bay Road I SD
Queensbury,NY 12804 Arrive am/pm Depart______ arm
Inspector's Initials ,
NAME: V k-S L‘O J 1 PERMIT# 5
LOCATION: L_o 1 7, \1,,`,L (1,-(A(La k DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I—T— I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f
providing protection from fr zing
for 48 hours following the acem t
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Intetrior R-
Foundation Walls Exterior R-
Floors R-
Walls R- _
Ceiling /7 R-
Duct work or piping i
unheated spaces R-
oper Vent,A c Vent
Framing 41 (.,`( l' ti
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
SEPTIC DISPOSAL SYSTEM INSPECTION
Name /4-3/(aU
Location Ld j giG(iG/(,)d�
Date Z /0 Permit #
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Ra - 'inute/Inch
TYPE OF SYSTEM: P'e
ABSORPTION FIELD• Total Length i ���
Length of each t ench NSP,
Depth of trenches Z 2-L(6(
Size of stone
SEEPAGE PITS: Nums-r-
Size - ft. • ft.
Stone size
PIPING: i=- Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pi
Openings Sealed? Y:s No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption . _ feet , .
Separation of' Pits feet
Conforms as per Plot 'lan Yes No
LOCATION OF SYSTEM O PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS: .
�1J�A)-7;4-c c- 4, UP Al
/mil MO . Co a.,
CST Larc24.4S
65/0b Cis. /C,2_1%�ri �� iEti�
SYSTEM.USE APPROVED: YES /`NU iefe'vlelc�
Arrived:
Departed: ''
>/
Building Inspector
TOWN OF QUEENSBURY .
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name CC-) 1, �t ____,a ill
)G_
Lc„,(?
Location {, O, 11()CLC:(11/0/1
Date / /Pernit )(— O-�j
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length \ fc,L\'1(
Length of,e.acch trench) (qn olf ;q i,A
Depth of trenches zJ
Size of tone \ .11 ."1",c1.0TDO
SEEPAGE PITS: Number-
Size - f . x ft.
Stone size 1
PIPING: Size Type
Bldg. to Tan 1,3'`h(: )40
Tank to Dist. x is
Dist. Box to F eld/Pit It p -- —
Openings Sealed. Yes No Partial
LOCATION/SEPARAT ONS:
Foundation to Tan ` O feet
Foundation to Abso ption 11) feet
Separation of Pits _ few
Conforms as per Plo Plan . Yes/No�
LOCATION OF SYSTEM O PROPERTY:
(circle one)
Fr-ont--Re r - Left ide - Right Side
Middle Fron - Middle Rear
CO /
'
'I � �i�✓' -�11
i
•
-- M t\j\ \. 10\c.,-€--___ (__R \a4,4_
py,_SYSTEM USE APPRDA�"�+Esdii �"�
N%
Arrived: t ' i
IP
Dep. Irks,A ��.A ! /'
f : 1 di .g In/tor.
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: I2 )/ 0 ( opL.
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart p
Inspector's Initials
NAME: V A S i t;00 P_(OERMIT# 'ROO) pa
LOCATION: L01 a rf;:cbc.e.0-, \``'--ll�} DATE : IZ(f71UrTYPE OF STRUCTURE: (Z-A
RECHECK
N/A YE)/NO COMMENTS
FFootings/Piers (j7 ,Z - T I
Monolithic Pour Form /
Reinforcement in Place �i kif
The contractor is responsibl: for
providing protection from freezing
for 48 hours following the placemen
of the concrete.
Materials for this purpose on s to
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 1
unheated spaces R- 1
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 C 4.1
Queensbury,NY 12804 Arrive am/pm Depart)' dm/pm
Inspector's Initials
NAME: U Sl t j 0(l PERMIT# 6/r
LOCATION: % k p 3 tiLIL-&c—:-KKt)A) C/JpATE : 2- l0 0/
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers ~� I
Monolithic Pour Form
Reinforcement in Plac-
The contractor is re. .nsi'.le for
providing protectio from l eezing
for 48 hours followi g the .lacement
of the concrete.
Materials for this purpo a on 'to
Foundation/Wallpour —
Rei orcement in Place
F.undatio mpproo •„ V ,/
e ackfill Approval d�J/
Plumbing Under Slab
Plumbing Vent/Vents in Pl. 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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 2-<(
Queensbury,NY 12804 Arrive am/pm Depart pm
1 / Inspector's Initials,
NAME: V A-5 f L l 0(0 PERMIT# di —67,3
LOCATION: Ir r�z - L�,� �-� ,, l DATE : / Z-/1 1/ I
TYPE OF STRUCTURE:
RECHECK
N/A YE O COMMENTS
Footing /Piers � I
Monolith- our Form
Reinforcement in Place `- L 4..kie
The contractor is res .n .ble for
providing protection from reezing
for 48 hours followin._the .lacement
of the concrete.
Materials for this purpos, on si e
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin:
Backfill Aproval_
Plumbing Under Slab
Plumbing Vent/Vents in Plac-
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior '-
Foundation Walls Exterior "-
Floors R-
Walls R- 1
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
7,,,,, _____ ii.)iym
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
. ) GAInspector's InitialsNAMEC � ,i Q/ PERMIT# 013
LOCATION: pal . ) &, ATE : — 01
TYPE OF STRUCTURE: J`\r
RECHECK
N/A YES I COMMENTS
F tings/Piers —I �' I
onolithic Pour Form
Reinforcement in Place
The contractor is respons. le fo'r
providing protection from freez4
for 48 hours following the lacement
of the concrete.
Materials for this purpose on ite 1
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval , /
Plumbing Under Slab -___-----
Plumbing Vent/Vents in Place
Rough PIumbing
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
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury,NY 12804
Phone=518-745-4400 Fax -518-792-8511
J $13
December 31, 2001
Job #46143
Mr. Glen Bruso
New York State Dept. of Health
77 Mohican Street
Glens Falls,NY 12801
RE: Lot#2—Lisa Copeland, purchaser
Emerald Grove Subdivision - Queensbury (T)
Dear Glen:
This letter is to inform you that I inspected the completed septic system for the house on Lot #2
in the Emerald Grove Subdivision on December 28, 2001. The house being constructed on this
lot is a 3 bedroom house with no expansion attic, no garbage grinder and no hot tub/spa.
The septic system as installed consists of a 1,000 gallon septic tank and 167 lineal feet of
absorption trench. The installation conforms with the requirements of the approved subdivision
design drawings.
Please call me if you have any questions or concerns.
Sin erely,
Thomas W. Nace, P.E.
cc: Dave Hatin,_Town of Queensbury
Michael Vasiliou-fax 668-5656
. .
, Al-
aL
,_ ,
/ -/lic & Atir'----
•
, . . eo
-.6C7a
1 1 li',c---,
. ,... c,,,,,
. - br tz.,„_,
______—, 0.` TpWN 1007
.�( 't? e0/�0N ANpNS�UKY
4G41°�2d s
1
i I
"I have seen or observed, or believe I saw evidence of,
all objects such as houses, wells,trees,fences, etc.,
shown on this document I also represent that I have
personally measured the distances set forth on the diagram."
�1 ��� // ®,S D/
22�l�fef� D E
SIGNATURE
- • ,w'k,,,,
f ,
.k'
. - •
..:?. . ..:..
•
i • .
•
• C
\
LAND 0' PINES SUBDIVISION ../ 4 il-CKS ,
- 7-C— Iv 6
y 161
te
164 163 1 pe 43°- In<
t.p
9Rft01A
06 c)-3 fitesut7" I/O
No6,890-k , . ...
., , . ,,,e,,..." ri....--/".-..,r,".-i:37:Pc':•.>/,/,/::-:...)
N0916°°,7E„ ..,,..„.....,•,. ..,•/......;....,••,./..-....43/.:50':/..:--•/:•/:".-:•.;//:.. .i":"/':.:,../:?,:;.' '.'...,:•.;,••;,/,•••:...;,•.:',:...::.;',/,',/,.:.:.....:.-;,,,,.',.....:.://'..-:.:.:-/"...-..:•.,/,/...,:•-',;;;•;.'.....:•-',/,',/:..
,/,• 3- ) ':"/..:.::••' '...,* ',.:- , ... ••:• ..::.;/2::.. .:. • ••.::::/ /..:::::., ....'// :•/, . :/://,;•/.. ;'.:::;,"/"/;:-..-,...;',"••:',.......;:::::',/....:•.;7,',./.:....:::::
,,,.• •/.../...:•.',/,/,/:•/,/'/,•/...:•-',,,......*„.../:/..2./ -/,/•...:•-://,/....:..,:".',</:..,/,,...:///s.:• •..://,',/:......,/,/ .;,„:::.:.•-....„/,:•••,.•:••;,,,,,,..•....-,-„•;.•;•..,/„•;,...:.?..:.• •;„•„::::.,,,,,.......,,,,,,...-.......,,,,,,.........„,/,•.............
,•,..-,/,.-../„/...;,...//2.•.,..,,,...",-.....;.•;,,,r...../;/;,,,.•.,....,/r.::.•:•••/,•,:.•.:///....:•.,/,/:..:...2://:•.:...",/./s:.../2'..< ',,,,....:-.`,/,'„c.:..;:',/,/...:•//,/...:///,/"7 •......::-•,••:',/...........,-.>:/:..;-,/,'„,:•.::.,4•......,,,•••••:•:•,::,/,'
.•;,/,, ....///,..... .•.:•:...-,•,,......//,...--,..:<,,. ..„/„/,..... .;;;„;.:;,•„/...;•;,/,/„/.......;,/,/....:•••,/„......:...„.•••••••:..;:,/,:...-.:/::/,',/..::.-;/:--....:..2;,/,...:•-,/,•...;'...;/,'<,• -;:.;,...-.-.....:.;:.;,•;',•••••;:./,/,'..::•:',/,:•-•'..;:•:',•:•-://:••
-•,.. "/,/,''// //./•:///.'tif,/it3i4 ".-'' . ...•:'2"..*:.•:•?'',/,',..",;4://,',2,2:".-::.••••::".:.:".."-- .:•-;/2::::.••</,2.:.:.',4-:.-2..*,/,:•:::'•/2..;.;•/2".:.;;;;;/./....: ;/:...;::.;:.;',•;,•••:-..'.--;//:::•.;;;;',..-:'..::::,•:,`,/,::-.;::::::
• •:///'- "/"./...//..."-•••• •••••••.,/,--,'"--:-. 7////is./ .•••••• / - .•/..- /-.-.7/•'•.'-'//.•. ".. -" "/"/".-//..•.-",/./.7-z-4*.. //1".. '1 . . j--' ......:;;;;i:.."...-;;;;
•••••',.',....::-.',1 %
• • , •
•. • '• 'I.'''''. •I/"1"/' r'' ''Z . . . V////r",D2101 - . '1'.....''//r .7::/:••..//: \
.11//'.....2
...//
i4if'.. I•••/..• 1 ....... ,, ,•
•••.. r,e•..•i
• , 0 „/ .../... 15' SIDE
[..,..,::/.7....I SETBACK (TNT')
.... . .
.....,...•..•".
- r- //I ./..,. ........ ..... ,,,,.:..:
• A
NO-CUT AND
X -)..i. "//,.. /
• St BUILDING
t.'•".• '','•:1 SETBACKS (TYP)
/./.. /.ii.: ....'.... ./...'.,,
(//17 '...' 1 Lo T r... •• ..
. : . ••••••••
„•.,.....-,..,,.
-•.r.,i/z,.• •
r . • . ,„4
;•'" A ir",•Tn 1;,:.•1 . . .
111311 './.:•'.-',/',": 1
r i•WP• 4 '..-tir,;'••••••• 3 .'•r-".'"
. „ 1;,,,,' i it;:•"1 ....i :,, 1.;; .:::::1 43,687 sq.ft.
43,686 sq.ft. r . . ,„„i
43,686 sq.ft. :',: ::". ....:/:',.: 43,686 sq.ft.
.. ' //,•
„„., ., ,•
• --./. 1.00 acres •//. " - • .-.:•;;,' 1. . , . ,„! 1.00 acres
/'.. ././. I rip ,..c.....s.
" •...1 , 1.00 acres ....... ",/...1
•••••• './,'
/: - , • ../, . • i
. .. ,/..
• '
BUILDING SETBACK
-14tave seen or observed,or ILiii,... eve3.1
1 ai sEpte .:::,, • -a ..s6 .Do 4,'-
• • ..,.; o i • ,•,/,
? "-::.:-4<:.: r("3)
saw evidence of,
x *.1;,'1 Vier" &11" 'a 6 I.:>„///:•.,1
,.., ...„,.. ,
,"....// 1.-t.fliajects such as houses,weillA",,.:r.:e*,'.• fences,etc.,
1...//r,i
ol, n on this document *..„...:',..., ",..."...iient that I have
„ „ • /
•,,-:,-,::,z:',...::::::1 /
..,•,•.:11ei5cona y measured'.... ''....; II the distance set
forth on the diagram!' .-'.......:. :: ‘,-;.• /000
• ,.. [:::::•:.:;.;:"<•.::::i
. .
i -DATE •0
, 137.50' i/011/
137.50' \ 137.50'
137.50'
....--• • ' 0 ....-----=-...
0 --1-- 7,14 12C i&_?J- ---1Atti ,....,
6"----___, ----171—r.1
i
-i Tt -i
IA -----
V 0 .
( 78.45'-1 -
I'••
- • NO0
137.50' '
I - .„1_
38 OE
r
1
137.50 - -, •
I ' 137.50'
MAP REFERENCE:
THE GROVE SUBDIVISION
DATED NOVEMBER 6. 2000
LAST REVISED MARCH 3, 2001
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
LAND 0' PINES SUBDIVISION
HEREDY CERTIFY THAT THS MAP WAS PREPARED
FROM AN ACTUAL RW SURVEY.
THS CEitT MATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
DEHALF TO THE TRLE COWANY. GOVERNMENTAL. AGENCY
AND L!]OM INSTITUTION LISTED HEREON.
CERTV"TKM ARE NOT TRANSFERABLE TO ADMV"
Nsimi IONS OR SUaSIEIAUENT OWNERS..
163
162
N06°38'00'E
137. 0 wt��
3 Ly
IN ti t,IIN
3 i 43,686 sq.ft. y
1.00 acres
2 FRAME STORY
42.51'
ITIE5 137.50'
S06038'00'W
GERTVED Ta LISA a COm.At+D 11�[ c E C H R O N LANE
GLENS FALLS NATIONAL BANK +TRUST COMPAY.
ITS SUCCESSORS AND/OR ASSIGNS
FIDELITY NATIONAL TITLE INSURANCE COMPANY
OF NEW YORK
GERIM aY•
MATTHEW C. STEVE& LLS NYS 50135
DATED APRIL 22. 2002
.v an D us eh
Steves
Land Surveyors, LLB
169 HavUand Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
'"" ° CCAM'p" �" A°°YO TO & 19 A
YM RAIMNi A UCL1gFD LAND SiNtKMONS l6Al K A
"cc
Map
of a
Survey made for
"MAIN of m11 72A $is-WAM 2 Or M
MW YOMf STAN =MAIM LAW
'DILY COr®fw m TM ONOWL Or AIL!%may
1lARAlD INTN M CMfiWK OP TMC LAW 5UW4ZVM
W6#L.VALL"°1°`VMV `°.
tYRANCA WW 90CAIM NOWN SOWY AIAT
TM AM11tY USArlAll®N ACCCMAWCE UMAlE
LISA
J.
COPELAND
COMM 0=9 a r1UCTAK FM LAND UOVEY li ADOPM
W " NW "m SrAw A,S mvm w pop="&
I'm ttMtKY01K. SAOI carw Tom at" am ONIT
10 Alt MM M AMDY AQ VACYA FlWMM AND
ON Nq amwr 10 Alt AAF CWA W. awaftem"
AOOIOY AND umm ""mm Um mom
Town of Queensbury,
Warren County, New York
10ImAM"=Of M Lmm "mum'
161
1
NO. I DATE
DESCRIPTION
(Alp(_ L 5
OCOI
APR 2 3 2002
TOvv�a ) c
1'=40'
s-1
8F$T 1 OF 1
DWG. NO. 85418-2