Loading...
1999-119 , . s, CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK , . . . June 2 99 , Date 19 - , This is to certify that work requested to be done as shown by Permit No. 99119 , • - , , ! . has been completed. SINGLE FAMILY DWELLING ,. This structure may be occupied as a _ V V \‘, MALLORY AVE. , ' • , Location \ CLUTE, LARRY Owner - TAX MAP. NO. 117 . -5-4 . 1 By Order Town Board TOWN OF•QUEENSBUFtY . • Ljr ...,- • , ' ( ' l'n) -- ---,r/a1/;•X Director of Bldg. & Code Enforcement , . . . . . , BUILDING PERMIT VALUE $ 60000 OWN OF QUEENSBURY No. 99119 TAX MAP NO. 117 . —5-4.1 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CT,TTT1, T,ARpy OWNER of property located at MALLORY AVR_ Street, Road or Ave. -in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNERS Address is 13 DAWN DR. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDERS Name CLUTE ENTERPRISES, INC. 3. CONTRACTOR or BUILDERS Address 13 DAWN ROAD QUEENSBURY, NY 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY 5. ARCHITECT'S Address PO BOX 706 HAGUE, NY 12836 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING ( )Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications 8321°•SQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SINGLE FAMILY DWELLING $ 96 PERMIT FEE PAID —THIS PERMIT EXPIRES Apri 1 19 19 2001 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 19 Day of Apr 1 1 19 1999 1562 SIGNED BY _ k,t , /l/" for the Town of Queensbury Building andtZot tng Inspector 1 • ENERGY CODE COMPLIANCE APPLICATION -' TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Comnliar_ce 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 NAME: PROPERTY LOCATION: n - PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 7. 3 •D- square feet 2 . Tvpe of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled? Yes \eNo 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 ( c . Glazed areas R - S d . Exterior doors R e . Floors over unheated spaces R •_--- Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h . Basement/cellar walls (below grade) R L ( i . Heating/cooling-ducts-piping in unheated space R S 6 . Service (domestic) hot water heating device Confo -- to minimum efficiency per code Yes No •r.MPERA ' RE CO. ROL •XIMUM SETTING 140° - WILL NOT BE EXCEEDED • •p - Si ►-- Phone Nuee 1 �..► L ( 7s �77 INSPECT, ' S REMARKS: Application for SEPTIC DISPOSAL PERMIT • Town of Queensbury -) Dept. of Community Development 'Permit No.qq_( Building &Codes Office1 742 Bay Road Fee Paid $ Queensbury, NY 12804 - Location of property for installation: (, Property Owner's Name: Qct- C - Property Owner's Mailing Address: Installer's Name: C,(..(-4_ ���� c1.v\E, , Phone # Number of bedrooms (if residential): Total daily flow: c'� (residential -compute @ 150 gal./bdnn.) Topography: Kt, rolling, steep slope 9 of slope • Soil Nature: sand, loam, clay, other /depth: — Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet Percolation test: not required, required j rate min. per inch Domestic water supply: 2S municipal, well, other If domestic water supply is a WFT.T, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank- (WO gallon (minimum size: 1,000 al.) Tile field: each trench if:3 feet / Total system length: 2©fl feet Seepage pit(s): number of / size each: . ft. by ft. Size of stone to be used: # / depth or thickness feet • HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system ard associated electrical work to be inspected by a certified agency. For yotz protection, please note that pursuant to Section 136-29 of the Code of the Town of Qaeensbury, any permit or apptuval 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 be.: .-as _pplicnt, shill . void. I have read the regulations with respect to .:- applicatio. and agree •. abide • these and all requirements of the Town of Queensbury Sanitary Sewage Disposal al,::.:. r Signature of responsible p".0 Date: Building Permit` Application . Town of Queensbury - Dept. of Community Development, 742 Bay Road, Qaeensbwy, NY 12804 /761-8256/ BUILDING �F . CODE ENFORCEMENT' INOTICE Requirements prior to issuance r 1 � j1 A permit must be obtained before of this permit: PERMIT FILE NO. beginning construction. No inspections q 00 will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ 1 n . a VALID BUILDING PERMIT. All Area /Use applicants' spaces on this application RECREATION FE ' 'D • MUST be completed and.the signature n Planning Board Action of the applicant must appear on the REVIEWED Il plictition form. nm.t y SPR / Subdivision /Other / Building inspector ff ) Recreation Fee Payment k / J Applicant: cAi •� C_.;. • Owner: . • Address: - ' Address: • Phone # (5hz )1 l_S - 7D 7 7 I'llonc # ( ) - Property Location: • l�-`f,.._UOz-1 Subdivision Na' ' Tax Map Number .l( / 1�LI .... Section Block Int N TU E OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ residence / commercial Addition to Building: residence / commercial OCCUPANCY' INFORMATION: Alteration to Building: Pr' ry Bl ilcal,i rig e�� residence / commercial . Single Faihily :itZLa 1V Residence / Commercial . Two Family Dwelling no change to exterior size , Family Dweginnei 9 19g9 Office Other Work (describe below) Mercantile TOWN OF tuEEJSBURY Manufacturin�UILDfNta AND CODE Other GROSS AREA OF PROPOSED STRUCTURE: %, •• 1st Floor If ADDITION, what will use 3�- sq. ft. of new addition be? : 2nd .Floor sq. ft. Other Floors eq. ft. (not unfinished cellar or basement) AC SORY BUILDINGS: _ De - ched G ge 1, 2 car TOTAL FLOOR AREA: SQ. FT. Attar 'Garage 1, 2 car Pr' e orage Building SIZE OF NEW STRUCTURE: lmercial S age Building 4 FEET X -3D- FEET they • Foundation Type: fiurel Y Will any second-hand or ungraded ' Number of Stories : t, lumber be usec.I? E{ so, for what? (habitable space only) � Height (grade to ridge) : PI feet TYPE Of` HEATING SYSTEM: • Number of fireplaces d/or woodst-ove (circle all whi .. ' es) to be installed: _ Electric / Oil `tefT_ Wood Forced llot Air / Bas .:.rd / Other Person responsible for supervision of work as rega to building codes is : ( L� r�, _ NAine Address° t Phone • Builder: • Plumber: �c,L\-r l,'S 7a-77 Mason: Electrician: 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 axle, the Zoning Ordinance and all other laws pertaining to the )se I work shall be complied with, whether specified or noted, and that such work is audio eel by the weer. Further ' is nderstood that I/we shall submit prior to a Certificate of Occu ncy'or Ccr ' 'cute of Coin 'ancc bc' ig issued, an AS BUILT PLOT PLAN by a licensed curve r; drawn t c le, showin ctual I tion of project on premises. Signature: (owner, own s agent, architect, contractor) P ,. . . ia,1o6 RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement II Dept. of Community Development Arrive \O an Depart o i.: � Town of Queensbury Inspector's Initial _ 742 Bay Road Queensbury,New York 12804ir l NAME `C N. PERMIT# 1� l 9 LOCATION y\(� DATE (� — TYPE OF STRUCTURE Z (—) N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location ' V/ Fresh Air Intake J/ Plumb Vent through roof Roof Complete ii . , . Exterior Finish Complete Interior/Exterior Railin:s 30"to 36" Exterior Handrails,bal•slues,landing .18 ' . or more Interior Handrails stairs .-ath sides 3 o m re risers ii Grade 2%away from founektion V/// 8"clearance to sill plate / I Gas Valve shut-off exposed/re_ ater 18"4bove grade /ul Gas Furnace shut-off within 30 f=•t or within line of site i s/ Oil Furnace shut-off at entrance to ace area // Fumace/Hot Water Heater opera ' _\ I .✓/ Relief Valve(s)installed 1 Headroom,6 ft. 6 in. on stairs •/j Basement stairs,6 ft.4 in. / ✓Handrail exterior stairs both s des more than 3 risers Interior privacy/trim/doors/m entrance 36" �/ Floor Finish �/, Bathroom/Kitchen watertigh J/ Interior Handrails Balconies/Landing 18 in. or more / V Railing across window in stairwells Smoke Detectors: ✓/ every level • /✓ every bedroom V/ outside every bedroom / inter connected V/ Bathroom fans Plumbing fixturesVi Foundation insulation / 3/4 hour fire door/door closer •,// • Garage fireproofing Garage penetrations sealed ,// Furnace in separate room protected(in garage) V Light ventilation per room i Safely glaring 18"or less from Moor Final Electrical V Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required J Okay to issue C/C(Certif. of Compliance) Okay to issue temp. CIO(Certif. of Occupancy) Okay to issue permanent CIO(Certif. of Occupancy) TOWN OF QUEENSBURY ;'` BUILDING & CODE ENFORCEMENT w} 742 BAY ROAD :!`v � i. QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE I SPECTION REQUES CEIVED: NAME �L LOCATION DATE J '- - MIT H TYPE OF STRUCTURE • FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT . ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RA1 IGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING , DOOR CLOSERS FINAL ELECTRICAL SITE LAN/VARIANCE REQ. INAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL PRV...1 L Panel Board No Cert. N2 6 4 5 4 6 Cut-in Card No Owner //b�� �4-/ V e���p' ,/� /i7� Location....fl.[ A-u-6 /Z,y fri ` CX-C,�t- 7' Installation Consisting of QeZ ( ��" e.2?�L er/ /9 L.>r-c s i .92vv 12 3 P--4-A./ S y VD.0 /4 52v eA�c • Installed By P &. Lie.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of maki = spections at any time, and if its rules are violated,the Company shall have the right to r yoke t s cert. c Date 6 Z-9 9 INSPECTOR • 1.....,--1MCCA A CT ,71-7(A)rti--HY) _ TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location ) Date / ,errni() - //9 SOIL TYP : Sand Loam-Clay- Results of Percolation Test- (if applicable) Rat--Minute/Inch TYPE OF SYSTEM: ) ABSORPTIONe�FIELD: otal Length 2-) e Length of '.ch tre' ch 53 Depth of tre ches Size of stone 14 SEEPAGE PITS: Nu ber- Size - • t. x ft. Stone size PIPING: ' Size Type Bldg. to Tank /9_L` o cf Tyc O Tank to Dist. Box u u go Dist. Box to Field ' 't u Openings Sealed? 410 No Partial LOCATION/SEPARATION Foundation to Tank /L9 feet Foundation to Absorption d feet Separation of Pits _ - feet ►—Conforms as per Plot Plan No LOCATI, IF SYSTEM ON PROPERTY. (circle •�- Front - Rea' - Left Side - Right Side Middle F. . t - Middle Rear COMMENTS: — gc)( Pc_A--u r1LC • • — SYSTEM USE APPROVED: ES NO Arrived: Departed: Building Inspector %f n 1�- ill A • RECEIVED • Li S0 APR 0 9 1999 3-00 ' --koorke,4TOWN OF QUEENSBURY SUILDINa AND CODE 55 ' n l have seen oobutved,Of baron1 sa#evident of ` 1 }" i all objects suct as welb,t1eese ham et,, 4 shown on thi . -nt.1 also. that 1 have ie personal the d ." -. forth on the dhow.".\ "V . V V , ,,c4PF ,t..... -.... 12.(4,, i , . C. -•ATURE... . DATE A4o-4... Z.Co " 7 to I L k ' . e L • ,L 3 0 Q • \ ( \C:C 1 ‘v<-._ RECEIVED [ — 5- " C_1. ( TriMLIAC.i OUEE121 NSBURY t t /4 G AND CODE 5— S U (1-7- 616P77C R'&1•1 GENERAL INSPECTION REPORT Town of Queensbury. Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 :;ay Road Queensbury,NY 12804 Arrive am/pm Depart /d, fr`ram/pm Inspector's Initials 4,-(. NAME: Cc°iG- PERMIT# 9< Ig LOCATION: q-1.l ae2P , , DATE : 77/99 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible or providing protection from ing for 48 hours Toll wing the pl.t •ment of the concrete. Materials for this p on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place ugh Plumbing eating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Pt f 7 Ceiling R- '1-30 V 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 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 ay Road Queensbury,NY 12804 Arrive I am/p _1))epart Inspector's Mit' NAME: PERMIT# LOCATION: ;S-Vo\\ Q (�� � Q DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is -7.•nsible for providing protec on fro•" freezing for 48 hours foll.'wing the placement of the concrete. Mate ' .'s for this purpose o site Foundatio ,&` all.i ur Reinforcement 1. Foundation/Dam..roofing Backfill Approval Plumbing Under Sib Pluming Vent/Ve in Place vReigh Plumbing h i FLoo�- OL L Heating Rough-In Insulation Foundation Wall• Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper ent, Attic Vent F ng �(V Jack Studs/Headers Bracing�Bi idgmg ✓l RA CD Mt Joist Hangers Jack Posts/Main Beam ✓—1.-;6 COIA:Mo5 T`lJ ERP-t PI.c_A\C e Air Infiltration Barrier �---moo Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury 94/i. Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 +,.ay Road Queensbury,NY 12804 ArriveTm Depar • ...,a�•m Inspector's Initi e�d�LNAME: PERMIT# r� LOCATION: ,� }�� , DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The con . or is respons. e for providing •rotection fro freezin for 48 hours lowin:. e place ent of the concrete. Materials for this p ti. se on site Foundation/Wallpo Reinforcement in P.ace Foundation/Dam roofing Bac evil Approval Plumbing Vent/V=nts in Place Rough Plumbing Heati g Rough-In I a n z c Fptc-A bundation Walls Interior R- Foundation Walls Exterior R- Floors R- 06441S -- 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 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 3 ay Road Queensbury,NY 12804 Arrive c im Depart ' C)4//)1) Inspector's Initial` NAME: `(I( PERMIT# LOCATION: \ Ch DATE : • TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is csponsible or providing protectio from :;z' g for 48 hours followi g the p1:ce ent of the concrete. Materials for this purpo on to Foundation/Wallpour Reinforcement in Place Foun tion/Dampproofing //if Approval 'lumbing Under Slab V Plumbing Vent/Vents in ''lace Rough Plumbing Heating Rough-In 4/ Insul$'on Z'` V vFoundation Walls Interior R- q� 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 J. 1-pc ,k3, kip GENERAL INSPECTION REPORT C" Town of Queensbury Dept. of Community Development Date inspection request received: 1-i119/9Q Building& Code Enforcement 742 Bay Road Queensbury,NY. 12804 Arriv m epa `'4, , ',j Inspector's Intl • &410:-- NAME: a(tt= PERMIT# 11 LOCATION: -/nL2 ELa1C cue . DATE : 4/19/9q TYPE OF STRUCTURE: d RECHECK N/A YES/NO COMMENTS Footings/Piers V Monolithic Pour Form Reinforcement in Place '- 'h The contractor is responsible fi r providing protection from ; ing for 48 hours following the p1,cement of the concrete. Materials for this purpo Y= on -'te Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pl. - Rough Plumbing i 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 • . . . ., . ; . . . n , . . . . ..., : " , . . (:),(\___, - II 1 . , . , , . .. . . . n P-a0 , 1 t APR 0 9 ?999 _ __ TOWN OF QUEENSBURY eUILDINCtAND CODE f; • • 7 I. f . "I have seen oil observed eir believe t sew evidence 01, 1 all objects suct as , sess wetb bow,to et, shown on thi u .nL t also, _ • . dui 1 hiss , . personal eaeu1r1 thed' , .; hINt a m" • V 'aru ._:_.. TE �e • aca 3a : i. r f ' . ,L , • , - . • I. 1� i a �_.. • • i i ; i I j.' ,_..� Duce Steves Lana Surveyors, LLC 37 Chester Stree t Glens Falls, New York 12801 (518) 792-8474 New York Uc. No. 50135 LOT 225 LOT 224 1 ' 88.04' L.1 N Z LOT 223 LOT 222 'UNAUTHOIN D ALTERATION OR AOOTTI N TO A SINEYET MAP WARM A UCiN3 0 LAND SLNNEYOIS SEAL IS A WMARON w SECTION 7201k Sw-aw00N 2. OF 1NE NEW I= STATE EDUCATION LAW.' ,ONLY CaPIEs FROM THE NNIONAL OF M SURVEY MANED 111H AN OMAL W THE LAND SUt1EYNS VAL SHALL BE CMdOW TO K YALD TIME COtW O]MFICATINS MM19D HUM SWWFY THAT THIS 3WOEY WAS PWARED N ACCMANCE 117H 1HE COPAL 000E OF PRACOCE FM LAD S IMMIS ADOPTED NY THE NEW V= STATE ASSOCIATION OF PROFESMONAL LAND SINYEYM SAID CERV"TAM SHALL RUN OILY To THE PUM FOR WIN THE SINTEY O PREPARED, AND ON HIS NEN W 70 THE TITLE =rANY. OpYERNNONTAL ADDICT AND LENONW NO1RU710M LWED HEREON. AND TO THE ASSI NEES OF 7ME TAM NSHIUWM' LOT 208 S83'16 44"E 115.03' 115.00' N83_ 74 LOT 211 AN ito RIVE Map of a Survey made for WILLIAM J. & JAMIE L. SMITH Town of Queensbury, Warren County, New York y k-Y lz s � lC NO. I DA TE I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: WIWAM J. & JAMIE L. SMITH M & T MORTGAGE CORPORATION. IT'S SUCCESSORS AND/OR ASSIGNS CHICAGO TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. SIEVES, LLS NYS 50135 DATED: JUNE 1. 1999 DESCRIPTION U S-1 SHW10F1 SMITH DWG. NO. 94210—B C-64 01 4 ko I