97-169 CERTIFICATE: OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
August, 26 97
Date 19
This is to certify that work request d to be done as shown by Permit ,No.
has been completed.
SINGLE FAMILY DWELLING
This stricture may be occupied as a
LOT 12440 •KETTLES WAY
Loc,tion pp� ryry pp��eeTT�Tp��n tt77' 7rgy r4� q� L Y C
MICHHAELSS GROWL" y HE .T . e'
Owner
TANMA? No, 14 83.2 By Order Town'Board
TOWN OF'QUEENSBURY
LG%f1C
Director of Bldg. & Code Enforcement
. r.
BUILDING PERMIT
TOWN OF QUEENSBURY Na
VALUE $ 145900 97169
TAX MAP NO. 48. —3-12 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MICHAEL: GRlOU-P,THE L.L. C
OWNER of property located at LOT 12#40 KETTLE-6 -WAY Street,Road or Ave.
in the Town of Queensbury,To Construct or place a ; INC�LE FAMIL f 1WkiLL.¢..NG
at the above location in accordance to application together with pot plans an o er in orma Ion hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
1810 STATE RT. 9 SUITE 3
LAKE GEORGE , NY 12845
2. CONTRACTOR or BUILDER'S Name
MICHAELS GROUP
3. CONTRACTOR or BUILDER'S Address
1810 RTE 9
LAKE GEORGE , NY 12845
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
)Wood Frame ( )Masonry ( 1 Steel (
7. PLANS and Specifications
286°1 SQ FT SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECTFICATIONIS
8. Proposed Use
SINGLE FAMILY DWELLING
$ 349 PERMIT FEE PAID —THIS PERMIT EXPIRES May 12 19 99
(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 12Day of May 19 97
SIGNED BY � el for the Town of Queensbury
:uild ng and oning Inspector
07/03/95 13:27 5187454423 TOWN OF QUEENSBURV FACE 01
.,401�171M TOWN OF ()UEENSBURY Fee Paid _ ' (7
BUILDING & CODES DEPARTMENT
Permit #
APPLICATION FOR; PORCHES-DECKS-
DOCKS & BOATHOUSES ESt. Cost
1 PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF 711E 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 special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION. T
Owner of Property: The M.ichaets Group, LLC
P.O. Address 1.810 Rte. 9, Lae. George, NY 12845 Phone # 668-3376
Property Location t_wk- la - /VD _ Tax Map # _
Subdivision Name (If applicable) Hadson i;'o.inte
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS RE TO BUILDING CODES:
Name: Jim Chandler Address Same Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Dock Boathouse (Circle one)
Size of Structure to be built (square .00tage) : 1 a X J _
Foundation Material : Width 8" Cone/Lac PiWhickness
Depth of Footing, below grade: To {rrort £.i.ne per code
Size of Posts or Studs: 4" x 4" _ x pen gradeLong
Size of Floor Joists: 2" x 8" x 10' Span
. Decking or Flooring Material : 5/4 x 6 prezzune ,fteated
Flow will Porch or Deck be fastened to building? laq hotted
If Roof Will Be Ins alled, nswer Following Questions:
Size of Posts or Stu s: _ x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-el in ered spacing) : Span
Type of Roof: oped 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 aif 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.
Use of Existing building(s) : -
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and ft.------
If on corner, setback from side street: ft.
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
:ogether with the plans and specifications submitted, are a true and complete statement
rf all proposed work to be done on the described premises and that all provisions of the
3uilding Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
;hall be complied with, whether specified or not, and that such work is authorized by the
rwner.
FATE: 42°7r1/ SIGNATURE
0 ner er s Agenc ch' ect Contractor
;EVIEWED BY CODE ENFORCEMENT OFFICER, DATE "V� SI IAIURE UIj
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
-oBUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance
1 of this permit: PERMIT FILE NO. ^
A permit must be obtained before a 6o
beginning construction. No inspections • PERMIT FEE PAID$3 r
will be made until applicant has received Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use RECREA770N FE PAID
applicants' spaces on this application
MUST be completed and.the signature 0 planning Board Action REVIEWED B . o
of the applicant must appear on the SPR / Subdivision /Other Build'g Inspector
`pplication form. .. J Recreation Fee Payment
Applicant: The M chaea Gnaup, Inc. Owner: Same - -
. • Address: 1810 Route 9, Lake. Geonge, NY 128ilui4 dress:
Phone # ( 518 ) 668 - 3376 Phone # ( ) - .
Property Location: L0+ I a " 4 o -1- p.Q6
Tax Map Number 14- h—/ 2 /`-
Subdivision Nam : HariAon Pointe Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
x New Building: CON TRU 3ION: $ ILI-j> 300
residence / commercial
Addition to Building: 1
residence. / commercial OCCUPANCY INFORMATION: i
Alteration to Building: Primary Building -
residence / commercial X Single Family Dwelling 1,
Residence / Commercial Two Family Dwelling
no change to exterior size - Family Dwelling
Office
Other Work (describe below) Mercantile ,
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE: aQ y -
1st Floor ) o( gri s . ft. V If ADDITION, what will use
of new addition be? :
2nd .Floor j 114 sq. f • N/A •
Other Floors 0 sq. ft., <
(not unfinished cellar or basement) /, ah ACCESSORY BUILDINGS:
• \ ��11cc,, ZS Detached Garage 1, 2 car ,
(o
TOTAL FLOOR AREA: oo 1 SQ. FT K Attached Garage 1, •
E
Private Storage Bui ing
SIZE OF NEW STRUCTURE: ��e!"a Commercial Storage Building
s o1 FEET X 4 a FEET Other
Foundation Type: Pod Will any second-hand or ungraded
' Number of Stories: lumber be used? If so, for what?
(habitable space only) Nar11r(��,.#, "
Height (grade to ridge) : of`t-�- feet TYPE OF_ HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all whit 13es)
to be installed: I Electric / Oil Gas"/
Forced Hot Air / s'dboard / Other
Person responsible for supervision of work as regards to building
codes is: Jim ChandIPn., Pna joet ManOge.h.
Name Addresss Phone
Builder: The MLe.hae2- Gnoup, Inc. 1810 Rte 9, Lake. Geon.ge, NY 12845 518-668-3376
Plumber: Fava P.PumbLng. 16A PaAfz Road. GP.en1 Fa Ls, NY 12801 518-798-4399
. Mason: JD Bouehen,. Boi 268, Gnanvitie, NY
Electrician: FanPUPh F.QP0t)i o, 9446 7 7af 6jne y St. , Sche.nP.ctady_, NY 19308 518-371-9922
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a
Certificate of Occupancy-or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; a to scale, showing actual location of project on premises.
Signature:
'(owner, owner's agent, architect, contractor)
TOWN OFQUEENSBURY
742 Bay Rd., Queensbury, NY .12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
f 91
Date t./ �, cf ,19 Permit No. ei-- f42
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant s / / (i�� t (-1;C c <,'; APPLIANCE (check appropriate boxes)
Address / /0 (,7 (.?// / '/ ❑ STOVE: ❑Wood ❑ Coal ❑ Pellet ❑ Gas
10 FIREPLACE INSERT
rat -c Zip / 7 .`--;' La-FIREPLACE, FACTORY-BUILT:
o Wood d' Gas
Phone 66, _. 3 I ( 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner 5 r1 rail (_ 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE: >.
Manufacturer: f 'e_ ',(:__(c.L _ _ ;
__ . _ - __ —. ._ _ - Zip - _ --Model;: '•f ,f
2
Phone
4
CHIMNEY. (check appropriate boxes)
*`EXACT ADDRESS of proposed construction ,
❑ MASONRY: ❑ Block 0 Brick 0 Stone
t/ 0 f`r iiii°r LIP— FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTA LATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE < Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS. a Double Wall 'o Triple Wall
REGARDING REQUIRED INSPECTIONS: ❑ Insulated ❑ Direct Venting
❑ Chimney. Liner
s
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected 'Amount Refunded
Code Number Title �g
A 173 3389 (190) Public Safety . 'p .
A 233 2655 (230) Minor Sales ' '
Fee Collected From or Refunded to )1(\r\ (.1 8 r'i.. :' '.,
Address: f $gym.. ..f (.i Ai , ,
Dated: )4 .—_A -t - Town Clerk or Deputy `r.V AA i j ,l
White:Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
- - '' STAMP RECEIVED ,. :
TiEPTIC. DISPOSAL .PERMIT : -
.y.
Location of properly for installation , d+ Q- i{Ok QM . . 1 .
- tMTT NUMBER
Owner's Name: The M.Leh .pJA Gnoup, LLC '
Address: - 1810 Route 9, 1 ak(2- GPOng ,' NV 19845 i�
Installer's Name: Fn-<edman Excavating FEE PAID.
Phone #: ( ) 518-639-4035 . •
Number of bedrooms (if residential.): FOWL= - -
• G00
Total daily flow (residential' -compute C@ 150 gal: per bedroom):
Topography: X Flat [1 Rolling [-1 Steep Slope % of Slope
Soil Nature: 1 XI Sand 1i Loam Clay n Other ,--/Depth:
Ground Water: at what depth? 30 feet
Bedrock or Impervious Material: at what depth? s feet . • .
•
Percolation Test: I- 1,•Not Required (X I Required/Rate 1 ruin. per inch
Domestic Water Supply. . 1 i Municipal i--1 Well I 1 Other '
If domestic water supply is a WELL: 'water supply from any septic absorplion_is - •feet
PROPOSED SYSTEM: .
Septic tank: 1 250 gal. (minimum size: 1,000 gal.) '
. MeField: each trench 54 feet. , • /• total system length• 216 feet.
Seepage Pit(s): :number of N/A / , size each: ft. x rt.
Size of stone to be used: # 2 Stone - _/- - depth or thickness • feet. • -
IIOI..DINO TANK SYSTEM: (if required)
Number of tanks: N/A Size of each: _ gal.
11 Alarm s• ystem and associated electrical work to be inspected by a certified agency.
•
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,u pon
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•r•espect,to this application and agree to abide.by these and all
-requirements o f the Town a f Queensbu Sa ' ry.Sewage Disposal Ordinance. - . • Q
Sierratrrre ofrespoirsihle person: Date: [19
. 4 bed home
• _ .
HAANET 1 ENG1NEERtNG
JOHN L. I—HAANEN. RE.
THOMAS W. NACE. P.E.
CE V .
August 16, 1995
Mr.run Chandler i APR 2 9-1997
The Michaeis Group � i .,;JIR`i
6 Century Hills Drive 'TOWN OF ca®E
Latham,New York 12110 ��{1LDIt�1G Alp
VIA FAX: 798-8182
Reference: Hudson Pointe PLID - Percolation Tests
Dear Jim:
In accordance with the PUD approval for this project,we have performed site specific
1 percolation tests on lots 412,411,410,49,48,and 47. These tests were performed in the
area of the lots where septic systems locations areindicated on the plans.
The stabilized percolation rates are as follows:
__ 12-- �liniaitfe 6=seconds ;
Lot 411 2 minutes 40 seconds
Lot ig0 lminute 30 seconds
Lot#9 lminute 26 seconds
Lot#8 Iminute 10 seconds
Lot T 7 1minute 7 seconds
These tests were performed on August 15, 1995.
Should you have any questions,please call.
Regards,
•
Q.Tnomas Isu
•
mod—.
L1C 253 HAY STREET.CUEENSBURY,N.Y.12804
• TEL:(518)793-7444 FAX:(518)793-7061
..%.;��13s )..�).- aU.I.RA,I-.1��..1.),,.1.J, .l�•e-ca"_C.\.,-•�7.•_l'a�.Ca"AaT,ip_s �l.�e..C7.� A... ?�,_0"-7.•.CJ_�_l'J„_CJ.� .,,, �,_C.J_..,,,,I J.. Ka�1J4,K":7._C",,,•..l'J.._C,\.C7...&"0..,_C'7.L_l'7...._la..p,_C'..tc4,
1� ly
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' r
.�, BUREAU OF ELECTRICITYwill IOW 1 4, ,),.„
�' 111 WASHINGTON AVE. SUITE 704, ALBANY, NY 12210 •
• Date Application No.on file, } l
3 �l:l11. 1 flO. 1
!‹; THIS CERTIFIES THAT IT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of �Y
iii THE I.3:1'I'41F,L 3 iRE"rl:l.E', 40 } Ii'1"VLES trtM'! LOT I'.', flfi l NSHURV, N.Y. I
.:' in the following locationU _ ❑ nt Baseme E 1st Fl. El 2nd Fl. Section Block Lot i
�; teast 1J�-'s`i° i r:,.1.".)`_'1 ,Y.i, examined on and found to be in compliance with the National Electrical Code. ,Y.
O iy
�. T
�; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS I
-' ECEPTACLES SWITCHES
'' OUTLETS INCANDESCENT•FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. ��
--, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Tr
' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS.El H.P. NO.OF FEET AMT. WATTS 4:' SYSTEMS Y
■■❑. .-. I M�) ❑❑ li
■—■.AP
•, SERVICE DISCONNECT NO.OF S E R V I C E ;ii
Pi AMT. AMP. TYPE METER E.2 2W 1,B'3W 3 0 3W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G.
q i-y mum. PER 0 OF CC.COND. OF HI-LEG 5 OF NEUTRAL '
• j ..S f]6:} 4....�.1 .E ❑ I. ❑ 1. .�i�:.i .! �.�'(� �f
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OTHER APPARATUS: 0
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y_ &C GENERAL MANAGER a
zi'..li N ",1AE1 1iv, t 2 +."`-) _.1 - '7_ Per ? i�I r
; This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ;)0:
'?'i,icYit:q-craf iii Iwt:id,;'i&i"ifYe"i•i'iwri,tfY.YYAti'iA-"r. Yef iif'%sfY.Y 7wrl.C,Y.Y iAi:'/AfYeYii,Y.CYfl1.fYAfYeY[f,Y.YJ•C.Y.YY.Y,Y.f.7e,YsYYii::f•fY.Y v.Y.'%.Y:fiYY.FY.Y,Y.Y.ie.YVr'iliYY.YY.YYai7
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
�. TOWN OF QUEENSBURY
./ BUILDING & CODE 'ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
4-4
ARRIVE: DEPART: INSP: .I
FINAI. INSPECTION REPORT - RESIDENTI
DATE INSPECTION REQUEST RECEIVED: [ LO
NAME `A \"ti LOCATION ) Y�'PQA&C
DATE C) ) \ PERMIT d"nl�"i t
TYPE OF STRUCTURE 1 0
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/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPE TING
INTERIOR TRIM/PRIVACY D
FINISH FLOORS:
BATH/KITCHEN WATERTI HT
OTHER FLOORS 'SWEEPA LE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING •
DOOR CLOSERS
FINAL ELECTRICAL
SITVPLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE CIO OR C/C
0 lat -
TOWN OF QUEENSBURY
4j10027!! BUILDING & CODE ENFORCEMENT
-�Z ' 742 BAY ROAD
� .rl' QUEENSBURY NY 12804
,sr4,s; • ( (518) 761-8256
ARRIVE: igiost DEPART: (712 INSP:�_
FINAL INSPECTION REPORT - RESIDENTI';►L
' �DATE INSPECTION REQUEST
� RECEIVED:
--� �;�
NAME �i (-46Ili (�� f ITU'n,C
LOCATION ;, frj r% T
DATE �y T' l: '
���p y� ��s�PERM��,IT
TYPE OF STRUCTURE (J!r'/ rl°
FOOTINGS_ FOUNDATION _ BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE O. FIREPLACE
/ N/A YE , NO
CHIMNEY HEIGHT/B VENT/HEIGHT I i` I
PLUMBING VENT a/ F/
ROOFING I
EXTERIOR FINISH i° / A ,
PECK/PORCH/STEPS/RAsILINGSI/
V
RELIEF VALVES k
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACYI DOORS j®j/
KNISH FLOORS: /1 Y!, 1 J/
c,
BATH/KITCHEN WATERTIGHT
I
OTHER FLOORS SWEEPABLE:,
OTHER FLOORS C ' °RPETED
STAIR CLEARANCE,RAILINGS \ ‘i//1/
J1OKE DETECTORS �.
pATHROOM FANS/t
PLUMBING FIX/URES kVV://://:1(/'
FOUNDATION/NSULATION
GARAGE FIRRE PROOFING
DOOR Vli CLO HERS
FINAL E ECTRICAL
SITESI P AN/VARIANCE REQ. \•
:\ ///://1(
FINAL/SURVEY/P>LOT PLAN
OK TO ISSUE C/OiOR C/C
Co11 Lc_ s
10J31— O
OLL 1 1`uc a ItiN fNIL- c)ZVEi
„y4 TOWN OF QUEENSBURY
FIRE MARSHAL
rfM QUEENSBURY, NY 12804
(518) 761-8205 .
FIRE MARSHAL INSPECTION REPORT .
REQUEST FOR INSPECTION RECEIVED 8I)4 7
NAME 111,1 Lh&t-I ,ELL
LOCATION #U IjP}k1-es /Jag,
DATE PERMIT # 6 )(Pg.
• AP,_PROVED
N/,A YES NO
EXITS
AISLE WIDTHS V,
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS 97
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE: sl
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE ,
. 1
CHIMNEY
WOODSTOVE .
FIREPLACE-MASONRY
FIREPLACE- FAN OYBUjLT' .
REMARKS: `j�{ ❑ OK TO THIS DATE .
•
INSPSLIP.PUB I PECTO
3p
TOWN OF QUEENSBURY
„ • - BUILDING & CODE ENFORCEMENT
i IM , 742 BAY ROAD
� �". QUEENSBURY NY 12804
ter.,0
`4Neo;' (• (518) 761-8256
ARRIVE: DEPART: 1• /INSP: (/
FINAL INSPECTION REPORT - RESIDENTIAL
n
DATE INSPECTION REQUEST RECEIVED:n , 6712 J`7 7
NAME rfl!t el�ll��� /L coe4-}��
LOCATION /0 I��I !`LS k y—
DATE �Ido4- - PARMIT' +t '7 7" 144
TYPE OF STRICTURE /j
FOOTINGS_�FOUNDAON _ BACFILL RAM G /
ROUGH PLUMBING FOUNT
SEPTIC V1INSULATION -V
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
q N/A YE NO
CHIMNEY HEIGHT/B VENT/HEIGHT: /
r
PLUMBING VENT {,, •
ROOFING i.
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
':i/1////// 1
RELIEF VALVES ',,
\ p,
FURNACE/HOT WATER OPERATING /'
,; 1//
INTERIOR TRIM/PRIVACPDOORSJ/
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
r
OTHER FLOORS SWEEPABLE';'
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS /
SMOKE DETECTORS ,I
PATHROOM FANS I
14?))/
I
PLUMBING FIXTURES ,".
FOUNDATION INSULATION
GARAGE FIRE PROOFING ,
DOOR CL SER I
FINA EL C R C L/ 'LI -4` J
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
.40.d05r— n_ +-R r Pok. &.
fie-- &LG— (eti 1'0 u Ai 17.& ReAk 6R/IG '
( pfrd / 110)4) 761.8256
TOWN OF QUEENSBURY '
BUILDING & CODE ENFORCEMENT
742 BAY RD., °QUEENSBURY NY 12804 x, �* `• 3
INSPECTOR'S REPORT: 4PDEPAR77.G, INFJ/
REQUEST FO INSPECTI RECEIV ,_, ) , /
NAME �SY� -
LOCATION //'�/ r f(c=, t4_ ,
.� Q
DATE � /7 PERMIT A C11-(]`I �d
TYPE OF STRUCTURE: of
RECHECK _ APPROVED
N/A YES NO
FOOTINGS/PIERS ® \
MONOLITHIC POUR FORM, 1
REINFORCEMENT IN PLAC', 1
THE CONTRACTOR IS RESP NSIBLE FOR
PROVIDING PROTE TION F OM FREEZING
FOR 48 HOURS FOLLONIN THE PLACE-
MENT OF THE CONCRETE.
i
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _ M
BRACING/BRIDGING
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JACK POSTS/MAIN BEAM
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INSULATION:
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FOUNDATION WALLS EXTERIOR R-
FLOORS R- -
WALLS R- -
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY rx r`
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 sag}; .,r
INSPECTOR'S REPORT: ARR!."D EPART I ' r"5-INT 1//" ___
REQUEST FOR INSPECTION RECEIVED:
NAME NAME /V�/CI1 ) �F/2()MY
',
LOCATION 6 , >/7 ".J `"4;,% J`
DATE 7/Z/ /q7 PERMIT fl q)7 — /67
TYPE OF STR CTURE:
RECHECK j APPROVED
N/A YES NO -
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,
REINFORCEMENT\IN PLAC
THE CONTRACTOR I RES ONSIHL FOR
PROVIDING PROTE T N ROM EEZING
FOR 48 HOURS FOLLOW PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PUR OSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _.
ROUGH PLUMBING _
UMBING UNDER SLAB
FRAMING:
J CK STUDS HEADERS
LING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER _
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—
. ‘
\ '. 3 (518) 761-8256
,e
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 1
742 BAY RD., QUEENSBURY NY 12804 r' ,-'• t .
INSPECTOR'S TORT: ARP/1 ` 1—IEPA2/?JINT�,
REQUEST FOR INSPECTION ECEIVE f 7-- 2 ,
NAME �Q'��\ �I,J�Je
f1f LOCATION /if D a+k,
DATE 1--) t ,(i97 PERMIT Agl C:::\1 ---1(DCA
TYPE OF STRUCTURE: �
RECHECK ly APPROV
N/A YESED
NO
FOOTINGS/PIERS 1 I
MONOLITHIC POUR AMd`
REINFORCEMENT IN ICE / ._
THE CONTRACTOR IS SPONSI4E
RE FOR
PROVIDING PROTE TIOR$ FROM FREEZING
FOR 48 HOURS FOLLOWI G THE:PLACE—
MENT OF THE CONCRETES _
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE ,i ` _
FOUNDATION/DAMPPROOFING V. _
BACKFILL APPROVAL i
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ROUGH PLUMBING �]
q,
PLUMBING UNDER SLAB/ A. _
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AIR INFILTRATION/BARRIER Iq
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INSULATION: 1 �
FOUNDATION WALLS INTERIOR R— I
FOUNDATION WALLS EXTERIOR R— '
FLOORS R— f
WALLS R— ti
CEILING R—-'j _z , er
DUCT WORK R PIPING IN
U EATED S ACES R— - 1
Ke00 � ec .K
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT '' '_
742 BAY RD., QUEENSBURY NY 12804 .,t
f c ��iU
INSPECTOR'S REPORT: ARfjI DEPAR�� IN'NU
REQUEST FOR/ I SPECTTIION RECEI DE,DD: '
NAME AMCi ifia6 ,'i/ . r K;.
LOCATION , `-S r
DATE 7/�� 77 f�PERMIT S 7 -10,
111 �;! g
TYPE OF STRUCTURE: N d
RECHECK Ir
APPROVED_
II N/A YES NO
FOOTINGS/PIERS (;;
MONOLITHIC POUR FORMt jf
REINFORCEMENT IN PLACE 4:
THE CONTRACTOR IS RESPONSIBLE/FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING, THE PLACE-
MENT OF THE CONCRETE. !n,
MATERIALS FOR THIS PURPOSErON SITE
FOUNDATION/WALLPOUR '•, /
REINFORCEMENT IN PLACE :!
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+ROUGH PLUMBING 1
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AIR INFILTRATION BIRRIER i
_
HEATING ROUGH-IN .. 1.1`
INSULATION: / 1
FOUNDATION WAILS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS J R- 1
WALLS R-
CEILING R- 1
DUCT WORK 0 PIPING IN
UNHEATED SP CES R- \
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT "_
742 BAY RD., QUEENSBURY NY 128/04
INSPECTOR'S REPORT . ARR DEPART 1l 1x •'IV'(
REQUEST FOR INSPECTION RECEIVED•,
NAME Uf-11'� C 65 ;.
LOCATIONy1 ,I
DATE 2 , l/31, PERMIT t / - /69
,1TYPE OF STRUCTURE:
RECHECK :1 APPROVED
. r.N/A YES NO
i
FOOTINGS/PIERS V
MONOLITHIC POUR FORM 1•. ,
REINFORCEMENT IN PLACE ,!{
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. l x
MATERIALS FOR THIS PURPOSE ON3SITE
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1
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REINFORCEMENT IN PLACE .r.'
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PLUMBING
/
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NG• I
JACK STUDS/HEADERS •
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HEATING ROUGH-IN I
/
INSULATION: ri l _
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- 1
FLOORS R- 1
WALLS R- !•
CEILING R-
DUCT WORK 611 PIPING IN
UNHEATED S'ACES R-
( :k1t_ OFF 001),-50-e--25'
N NoT Cotki (_ -_/[ ..
(518) 761-8256
TOWN OF QUEENSBURY ;`
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ''. :.
INSPECTOR'S REPORT: ARM)/ 'U ..�-I DEPART NTc`",e✓
REQUEST FOR INSPECTION RECEIVED:
k bk iR/Q I)
NAME (-1 ti.s (2) '� . /�_�� .
LOCATION r`G}Lr��✓) COY(/,/1
DATE ''7 l 8 h-2 PERMIT e -r7l(e TYPE OF ST U CTUREr;;
•RECHECK .`APPROVED_
N/A YES , NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE I
i
THE CONTRACTOR IS RESPONSIBLE FOB
PROVIDING PROTE TION "FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. "• I
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MATERIALS FOR THIS PURPOSE ONISITE -
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FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE 1 i
fi ge
FOUNDATION/DAMPPROOFING It
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BACKFILL APPROVAL ,b ,4
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RAMING: ,
J CK STUDS! ADERS _ /
CING BRIDGING _ /
FIST HANGERS iii///
JACK POSTSAMAIN BEAM
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HEATING ROUGH-IN I
INSULATION:
FOUNDATION WILLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- N
WALLS R- - N
CEILING R- \
DUCT WORK R PIPING IN
UNHEATED S ACES R- •
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 .•'r "`t
�A a 441C-
MQUESTFORINSpEcI0NINSPECTOR'S REPORT: AR5`4� DEPART J•l RE IVED: `ei
NAME MC- VLila
LOCATION I_ 1l l .l K \ ?/ (3
DATE %� /~
�. Iy PERMIT A /r�Q�j
1
TYPE OF STRjUCTURE: S I
RECHECK �,1 / APPROVED
t FN/A YES NO
FOOTINGS/PIERS
MONOLITHIC tUR FORM
REINFORCEMENTIN PLACE _
THE CONTRACTO IS RESPONSIBLEAFOR
PROVIDING PROTE TION FROM FRE ZING
FOR 48 HOURS FOLLOWING THE PCE-
MENT OF THE CONCRETE. F
MATERIALS FOR TF S PURPOSE 4 SITE
FOUNDATION/WALLPO\R /
REINFORCEMENT IN PACE I 1 -
FOUNDATION/DAMPPROOaNG I _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLU ING UNDO SLAB
- ING•" 14 ` 2 > /e•
-?5; 17--
JACK STUDS/ EADER _
BRACING/BRLbGING %
JOIST HANGi1RS �y .
JACK POSTS/MAIN BEAt3
AIR INFILTRATION RRIER
HEATING ROUGH-IN
INSULATION: _
FOUNDATION W LLS INTERIOR R- \ _
FOUNDATION W LLS EXTERIOR R- '
FLOORS I R- A WALLS / R- +
CEILING I R- I -
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TOWN OF QUEENSBURY
' s FIRE MARSHAL
n QUEENSBURY, NY 12804.
. (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED-, 7`72.L( "' /al-
(- > )aR, .� G-rcuoNAMIh� I � �: =
:.
LOCATION l/ K ie
DATE P MIT #7—/q 9'7 l 7_//o
.,i APPROVED
'? it N/A YES ' NO
EXITS
AISLE WIDTA,S1
EXIT SIGNS if
EMERGENCtLIGHTIN -
d
FIRE EXTINGUIHERS
AUTO. EXTINGUISHI, G'SYSTEM
HOOD INSTALLATION . .
AUTO. SPRINKLER:�,SYSTEM 5
ALARM SYSTEM - i� - .. -. -
INTERIOR FINISHES !
STORAGE: I s }
CLEARANCEtITO SPRINKLERS
CLEARANCE1TO HEATING•UNITS • : .
REQUIRED SIGNAGE ''7A
CHIMNEY
WOODSTOVEI `''
FIREPLACE-MASONRY ' • " ' • - /. - / . . • ;
FIREPLACE- FACTORY BUILT;\' '. -
.REMARKS - ' ' OK TO THIS DATE
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• 004)41 .--
(518) 761-8256
f1-
TOWN OF QUEENSBURY ,t,
BUILDING & CODE ENFORCEMENT :,e,, 44
742 BAY RD., QUEENSBURY NY 12804 `'.° {;y`.y
INSPECTOR'S REPORT: ARR DEPART- :13 INT "\" `
REQUEST FOR INS-PECT.ON RECE ED: 7 1 V 7
NAME '
LOCATION ' • ) Amr Ipq
V i n
DATE- WLW '1 PERMIT #J 1• am
TYPE OF STR4CTURE: (S
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
il
MONOLITHIC AR FORM
REINFORCEMENT!IN PLACE
THE CONTRACTOR IS RESPONSIB/E FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOkLONING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR TH PURPOSE ON SITE
FOUNDATION/WALLPO1
REINFORCEMENT IN PACE St I
FOUNDATION/DAMPPROOPINGI 1
BACKFILL APPROVAL �111
PLU ING VENT/VENTS I . PLACE
OUGH PLUMBING �'\.
Er It
PLUMBING UNDER SLAB 1
FRAMING: I
JACK STUDS/ 1EADERSt
BRACING/BRIDGING
JOIST HANGERS \, �J"
JACK POSTS/MAIN BEAR '
AIR INFILTRATION BARRIER
HEATING ROUGH-IN I
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WAXLS EXTERIOR R- 1 _
FLOORS ' R- k '
WALLS R- 1 `
CEILING R- 6
DUCT WORK 0 ' PIPING IN '
UNHEATED SP CES R- \
•
1
i
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ACi( 1i5 61/.,
Location 1/10 /474-(6—s (0 /
Date Permit #
SOIL TYPE: San' -Lo. -Clay
Results o _+ ; ' •n T- :t-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Len th V7-A
Length of each ench
Depth of trenc .Size of stone,/ 10(1 f-1 Pec01(�
SEEPAGE PITS.: Number-
Size - ft. x ft.
Stone size
PIPING: Si- e Type
Bldg. to Tank Sv'Z
Tank to Dist. Box 5c4)
Dist. Box to Field/P:. ., R
Openings Sealed? No Partial
LOCATION/SEPARATIi' .
Foundation to Tank /O feet
Foundation to Absorption feet
Separation of Pits eet
Conforms as per Plot Plan es No
LOCATION . SYSTEM .ON PROPER •
(circle
Front - Rear - Left Side - Right Side
Middle - t - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: 111 NO
Arrived: �r1J
Departed: - `
V
Building Inspector
C-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 'de2 S
Location in s
Date c-f—1 —l7 Permit # ` �I
SOIL TYPE San Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM-
ABSORPTION FIELD : Total - gth '
Length of each t ench Agg
Depth of trenche
Size of stone .. -/ciaTra
SEEPAGE PITS: Numoer
Size - ft. ft.
Stone size _
PIPING: Size Type
Bldg. to Tank 4'r y 3
Tank to Dist. Bo -`5 0-U
Dist. Box to Fi-ld/Pii, 4
Openings Sealed? es No Partial
LOCATION/SEPARATIr
Foundation to Tank Q feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan all No
LOCATION OF SYSTEM ON PROPER ' .
(circle s_• •
Front - Reay - Left Side - Right Side
Middle -rout - Middle Rear
COMMENTS:
fe00 t F o/AAR -SOX //PE
Coy (--t s 'I Ac K
SYSTEM USE APPROVED: YES NO
Arrived: 's*.16'
Departed: 3 '
Building Inspector
rE; ?:::)
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR - t-"DEPAR '✓O N'
REQUEST FOR INSPECT N REC VED: "`
� n
NAME NS-V\N
J � v O (�
LOCATION
!i/�i % C� f� /
DATE 'Q y ` f l7 ��PEERRMMIT # 1 1- 1 ��
TYPE OF STRUCTURE: s�-4:J
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT N PLACE
THE CONTRACTOR ' S RES•=NSIBLE FOR
PROVIDING PROTE ' ION 1161.1 FREEZING
FOZ 48 HOURS FOL *W' G SHE PLACE-
MENT OF THE CONCR ^t
MATERIALS FOR THI' PURPOSE ON SITE
FOUNDATION/WALLPS R
REINFORCEMENT IN PLACE _
t//4
FOU ATION/DAMPPROOFING _
CKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER _
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-
(518) 761-8256
TOWN OF QUEENSBURY i: .:.
BUILDING E. CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ' 1 Im—.'`- 'INSPECTOR'S REPORT: ARR��r U ARiI'�i r�-1;7;"k
REQUEST FO INSPECTIONJ� / RECEIVED:
NAME /4 //1 � 5 6AP-
LOCATION 4 /Jo(,(1-�-J lam() //�
DATE D q7 PERMIT A Py lei/
TYPE OF STRUCTURE: ,
REC CK APPROVE
N/A YE NO
OOTINGS/PIERS
MONOLITHIC POUR FORM
I V/
REINFORCEMENT I P ACE
THE CONTRACTOR I R SPONSIBLE FOR
PROVIDING PROTE IOiI FROM FREEZING
FOR 48 HOURS FO KING THE PLACE-
MENT OF THE CON TEL
MATERIALS FOR Tit IS URPOSE ON SITE,_
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE i _
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
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MAP REFERENCE:
HUDSON POINTE P.U.D.
BY VAN DUSEN & STEVES
DATED MAY 1994
LAST REVISED MARCH 6, 1995
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON APRIL 5, 1995
AS INSTRUMENT NO. 44
PLAT CABINET B SLIDE 43
9
aW
d
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0
O
U
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: KEVIN S. & KELLY A. SMITH
M & T MORTGAGE CORPORATION,
IT'S SUCCESSORS AND\OR ASSIGNS
- - CHICAGO TITLE INSURANCE COMPANY
CERTIFIED BY:
MATTHEW C. SIEVES, LLS NYS 50135
DATED: AUGUST 20, 1997
• , OF NicyyY .
C.
S0t35 ••
. ``DIaND
(A I,- / cr �
'UNAUTHORIZED ALTFUMM OR ADDITION TO A SURVEY
MAP BEARING A LICENW LAND SURVEYORS SEAL IS A
VIOLAIION OF SECTION 7208. 9U6-O %"M 2. OF THE
NEW YM STATE EDUCATION LAX*
'ONLY COPIES FROM THE ORIC AL OF THIS SURVEY
MARRED WITH AN ORIMAL OF 7RE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPES.'
'CERII "110NS IIDICA7ED HEREON SIONIFY THAT
14S SURVEY WAS PREPARED IN ACOORDANCE " THE
00SWA CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YOM STALE ASSOCIATION OF PROFESSNONAL
LAW SURVEYORS. SAID CERINRCA704 SHALL RUN ONLY
TO THE PERSON FOR *W 1HE SURVEY IS PREPARED, AND
ON NIS BEHALF TO 7HE TITLE COWANY. GOVERN MTAL
AGENCY AND LENDING lign=7NON LISIED HEREON. AND
TO 7W AS81WU OF THE LENDING INSR1U=K"