1987-325 II
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I
CERTIFICATE OF OCCUPANCY
CY *�
TOWN OF +QUEENSBURY
WARREN COUNTY, NEW YORK
DateApri1 .5 , 19 88
1
This is to certify that work requested to be done n shown by Permit I 8 ' 3
25
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j has been completed.
This structure may be occupied as a One-Family Dwelling
l.acation Aw=r. 37 tridden Hills drive ( St . No . 37)
x Pau Cordes and Cynthia- Nassivera
Owner
Cordes
l.
i
By Order Town Board
TOWN OF QUEENSBURY
Bunning & Zoning Inspector
i
y BUILDING PERMIT
TOWN OF QUEENSBURY No. 87_325
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Paul Cordes and C nthla Nassivera—Cordes d
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OWNER of property located at Lot 37 Hidden Hills Drive ( St . No . 37 ) Street, Road or Ave.
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in the Town of Queensbury, To Construct or place a One—Family Dwellin
at the above location in accordance to application together with plot plans and other information hereto filed and rb
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. su
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1. OWNER'S Address is 45 Sanford St . C-1
Glens -_Falifs , New York '16
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2. CONTRACTOR or BU1 LDE R S Name
John Mills �}
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S. CONTRACTOR or BUILDER'S Address N!
4 Haviland ave . I
Glens Falls , New York 0
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4. ARCHITECT'S Name
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B. ARCHITECT'S Address r*
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x
6. TYPE of Construction — (Please indicate by X) N ro
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{ } wood Frame f 3 Masonry ( ? Steel i ) C x
Gr' F-'•
1 F"
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7. PLANS and Specifications -- .4 rn
42 ' x26 ' per plot plan , specs€ scations and application m ty
No. including sewage system and two—car garage (under )
B. Proposed Use
One—Family Dwelling `"
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$ 5400 C /O w
$ 164 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Jan . 1 1988
(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_) .S
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Dated at the Town of Queensbury this 5th Day of June i9 87
SIGNED BY for the Town of Queensbury
ui ing and Zoning I nspaCt
aq
�" / TO BE COMPLETED BY BLDG . DEFT .
Applic�fla " [) upEn36ure Permit 19 ryT�C3WfJ OF QU£E�`1 rfut?�
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R. D. 1 Box 98 Zoning DesignationIR.1f1LS1
Queensbury, New York 12801 Variance No. �I JUN 1 1 yip 7
Site Plan Review No .
- 3 - / BUILDING 8c CODE DEIP-r,
Approved by :
APPLICATION FOR "./r //* J./�-� ' � # l " • 1' �SO
EliILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description , plans and specifications submitted, and such
special conditions as may be indicated on the Permit .
The owner of this property is : +,1'eZ , j { �rrrtic cL - a ,• G 5
P . Q. Address S'r sA r+74 ,5�74, Tel ,
Property Location : _ de=± -7 Tax Map No . "
Street number or building lot number
Subdivision name ( if applicable) j qr A' f70rll- '
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
c- ,ems .5t.�. u •t'�-r' 9 7 f -
Name P . O. Address Tel , No .
Name of lumber / J"/11S` AddressAl ,v�_._ �w, Tel .
Name of builder rr� n ��.
p Address Tel . 7J► 2giS Z .
Name of mason s- t. L�,� t. - Address 4011111 P I Tel , of 12 -w 7A4o s
CH
NATURE OF PROPOSED IWORK : ,i ZONING INFORMATION :
,6/ Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
_Addition to a building * drawn reasonably to scale and attached hereto ,
_Alteration to a building * showing clearly and distinctly all buildings .
(no change to exterior dimensions) whether existing or proposed and indicate all
Other work (describe) set-back dimensions from property lines . Give
_ street and number or lot number and indicate
* whether interior or corner lot . Show location
FOR DEMOLITION PERMIT , STATE SIZE AND
LOCATION OF STRUCTURES AFFECTED . of water supply and location and Configuration
* of Septic disposal. area .
*
W COMPLETE INFORMATION REQUIRED BELOW ,
7sr>c /5"7 g SW it / 3 7 �f
7 y- x / s
* Size of property ft X ft .
* Existing building ( s ) Size ft X ft .
W
PROPOSED BUILDING AND USE : * Existing building ( s ) Use
Size of new structure Oft X ft
Foundation-pier/slab/crawl/partial ful W Proposed building, distance from property line
(circle one )
No . of stories (habitable space) .�-
W Front yard 7 a ft Rear yard .41 11 ft
* Side yards � ® ft and 6t3 ft
Height { grade to ridge) Z g ft . * If on corner , setback from side street ft
If residential , no . of families
No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION
No , of bedrooms �3
,� PRIMARY BUILDING
No . of bathrooms 7r3� ,/ One family dwelling
Primary heating system !.✓ *
Type of fuel (",.oS * Two family dwelling
No . of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? _ * Permanent occupancy
Central Air conditioning? �y/ lj W Transient occupancy
Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Ranch Contemporary Log cabin * Other
Raised. ranch Mansion Duplex If addition , what will use be?
Split level Old style Bungalow
Ca e C Cottage Other ACCESSORY BUILDING- COAOA� 401 AL";O't
Col nial Row Town House * Detached garage/one oar/ t 4x:t • [711
( CIRCLE ONE PLEASE } * . Attached garage/one car/ two car/ � �{�]-"'�C4car
* * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * 'Other
CONSTRUCTION 11 day
_ - - - - - - - - - Z/-2' I' f'k�
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS : �7
Type of construction , wood frame , fire safe , etc .
Will any second-hand or ungraded lumber be used? If so , for what?
r,
Foundation wall material ee wjwe� Thickness
Depth of foundation below grade (to bottom of footing ) S"
Will there be a cellar?LzAA Heated or unheated�� 'loor sq. footage / C.� Q sq ft
Will there be a basemen yyx Will any portio be used as living space ?
( If so , what portion? sq . ft . - - Type of use?
Type of roof - oped flat/shed/other. Material of roof Sfv.. 1Fc
Size , wood studs "' X4" spacings_"o . c . length ��_ft ,
Joists ( floor beams ) 1st , floor "X__/4o '" spaci.ng14"o . c . span ! ft ,
Joists ( floor beams ) 2nd . floor 2- " X / eJ IF spacing-,44_"'o . c . span /3' ft ,
Overlays ( ceiling beams ) "'X�"' spacing��'"o , c , span /S ft ,
Roof rafters �"'X '' "' spacing I f 4 o . c . span
Roof trusses (,pre-engineered) spacing '"o . c . span ft . /
Exterior wall finishAw S/` rhls of what material? I.Zeh yyr
Interior wall finish 17 'f1*
If a gara a is typs be at ched ; describe materia s to be used for FIRE SEPARATION :
Lma
Is there to be an opening between garage and dwelling? 3 If so will a Fire-rated
door , enclosure , and self-closing device be provided?
Will a flue-lined chimney be installed? A.OwV Height a196ve roof ^— ft .
Depth of chimney foundation below grade -- ft .
Depth of fireplace hearth Et:-- in . ¢
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well ( i eluding adjoining properties ft .
( A. separate application is necessary for any repair or new installation of septic system)
Town of Queensbury I D A V I T
County of Warren STATE OF NEW YOR.K
I swear that to the best of my knowledge and belief the statements contained
in this application , together with the plans and specifications submitted , are a true and
complete statement of all proposed work to be done on the described premises and that all
provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to
the proposed work shall be complied with, whether specified or not , and that such work is
authorized by the owner .
SWORN TO BEFORE ME THIS Signature -- '
rj Owner , owner ' s agrent , arcnxrect , contractor
` day of ) 19
SUSAN G JENKINS
Hobe g,wflc. StMe of N.r.
N tary ublic ,CZ
en Coun , N . Y . Mffe" rossioCoonty �(1�
�' Commission E�gNns
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT :
BY
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following :
1 , Gross floor area. 2, /
2 , Type of heat.
3 , Is the building mechanically cooled ? AJ -c�
4 , Percentage of area of windows and doors / 3 �a
A . Over 16 % Only
10 U value of gross area of walls , roof / ceilzng and floors
exposed to ambient conditions'`
2 . Floor over heated spaces YES NO
a , Are foundation walls insulated ? YES NO
1 , If YES , what is the R value ?
3 , Slab on grade YES NO
a . If YES , what is the R value of insulation around,
perimeter of floor ?
4 . Is basement heated ? YES NO
a , R value of insulation
51 Type Of insulation
B . Under 16 % only
1 . R value Of roof and floors exposed to ambient conditions .
2 , R value of exterior walls /2-- / l
3 . R value of glazed area 1<�9 ` Z ' 4-)
4 . R Value of doors o4e /5
50 R value of floors over unheated spaces /
6 , R value of slab edge insulation . unheated slab W
71 R value of slab insulation � heated slab WA
8 _ R value of heated basement/ cellar walls ( above grade )
9 . R value of heated basement /cellar walls ( below^ -grade )
10 . Type of insulation , /f*t ''45S tt.F115- ¢ C't4 j / �
C . Controls ? c}
1 . Thermostat maximum heat setting •
D . Duct Systoms
1 . is duct system installed in unheated spaces ? YES NO
a , If YES , R value of duct installation
b , R value of duct in other areas
E , Piping Insulation ( 0offil /% ��+ IAA0 "" .
11 Size of hot water or cooling carrying agent p1peAoW /y
2 . R value of pipe insulation art! A
F . Service Water Eieating D
10 Performance efficiency JF
2 . Temperature control setting maximum _ —
G , For Swimming Pool Only
1 . Maximum heating ,✓"
Telephone No * � �C �-r
{ afpplicant ' s :; 1a, IlaLkIZ' c
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE -/' - gr -7 /
LOCATION OF PROPERTY FOR INSTALLATION �.� 3
: rafi�I",,'.�-
Owner's Name rx-asrs 7 y .i Telephone: 7
Address* _ V� a4- *,- ,rC� �5 �. ,r `�
Installer's Name* � /��Irr .C'srm ) Telephone:
,,�,�rr O -- --------
L E . '' /t
Number of bedrooms (residential only) �J _
Total daily flow (compute @ 150 gal per bedroom) y5r d
Topcngraphy: circle one: Flat Rolling Stee Slope $Po of slope
Soil Nature: circle one: Sand oam Clay Other / Depth: ,S�b feet
Ground Water: At what depth? feet
Bed1vo -k. or Impervious Material: At what depth? _ + feet
Percolation test: circle one: of requir .d require / rate min. inch.
fs
Domestic water supply~ cirfele one: ixnici We11 Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ too feet
PROPOSED SYSTEM : Septic Tank lto966 gal. (minimum size: 1 ,000 gal.)
TILE FIELD* Each Trench ._ 460feet / Total system length - feet
Size each feet by feet
Size of stone to be used # / Depth or Thickness Feet
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least Z4 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and approval by the building
nspector. allure to comply wit t is requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
Co. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal C Wdinance.
Signature of responsible person:Date:
Town
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 79Z-583Z
SETTLED 1763 HOME OF NATURAL BEAUTY . . . A C,OOD, PLACE TO LIVE
.��i '�� Jawn o� '�ueens6urt�
I� BUILDING and ZONING DEPARTMENT
I Bay and Haviiand Road, R.D. 1 Box 98
Queensbury. New York 12801
ING INSPECTOR ' S REPORT
NAME 6�l4.f2 �" '�
L G C A T I GN /� r+` .9r_ f
Date .j Permit No . � S
I✓ - APPROVED - 'YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry eneer
Rough Pl bing
Relief Va ves
Ext . Porch s
Finished F1 ors
Interior Tri
Stairs & Rail ngs
Cellar Brain T le
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELEC ICAL INSPECTION _ _...._
DRIVEWAY A PRDVAL �—
Final Building Survey
I3ext scheduled inspection (call /when ready )
Remarks- ee �70&a7 fir C w
lF� !''"F'QOlt2 'y'�e✓rJ P #J'Se� e?5 S'�id/.�o�--C
Bu inspector
6/86 and-vl
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF I TY
41 STATE STREET, A,LBANY, NEW YORK 12207 �j
Datlk'Ril. 260 193€i Application No. on file 014696 / M
d7 A 71440 !__
THIS CEFI~TTPIES THAT
only the electrical equipment as described below and introduced by the applicant nartseel an the above applicatian number in the premises of
PAUL COROES , HIt7T3EN Hlvi.i.S LOT 37 } Q1JF:Ir.Nc;B :RYt iee.v YO K
in thefallawing location: ® Basement L3Ilst Fl. Eg 2" Fl. 0UTS1DE Section 93 Black j Lot 37
was examined on and faund to be in compliance with the requirements of this Board.
FIXTURE RXTURES RAFIt3E5 coOKlNl;c LtECKS OVENS ItISII MfASHERS EXNAiJSi FANS
OUTLETS OMPITACLES SWITCHES INCANDESCE NT I FLUOMCENt I AMT_ I K. W_ I AMT. K. W, AMT. t.W_ AMT_ K- W_ MAT, H. P.
21 61 .47 '20 1 3 VI
DRYERS FURNACE !MOTORS MTLIRE AFMANCE VWORRS SPNOAL REC'Frr TIME CLOCKS Rill UNIT HEATERS O MMYUTLET BUMMERS
AMT. K. W. C ML H. ►1. P. GAS H. P. Mt. NO. A_ W. G. AMT. AMP. AMT. AM PS. TRANL. AMT. H. P. SYSTEMS WAT'TE
NO. OF FEET AMT,
Y
3 17r I DRYE � I O
SERVICE DISC OI4NECT "0. CIF S E R V I C E
AMT. AMP. TYPE EOLAP. } +R' 2W 1 X 3W 9 .1 9W 9 X IAV ND. C CC- COHU. of [.0 Cd/Ntr. Na. Of ilr<LEC. HG. Of NEUTRALS OF M ELI G.
OTHER APPARATUS: .(
3— GFC I
1 - SMUrKlz; DETECTOR �y
Y.VF EjLKr'6` 1C ROOM HEATER
.4
0; M � . �
PAUL COiA:DFS �r�
45 STANFORD STREET GLENS FA 4LS , NEW YrRK 1280 .1 ° 39 BRANCH MANAGER
Per
This certificate roust not be olttred in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MIDST NOT BE ALTERED IN ANY MANNER.
flown
4
fown o/ Queen6 ury
BUILDING and ZONING DEPARTMENT f{ ,,tj-v-
gay and Haviland Road, R. D. I 'Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME (/
LOCATION
Date Permit No . ,
J
APPROVED YES �ldU
Footing/Pier Forms
Foundation
waterproofing
Backfill
i, orraming
Roofing
Siding
Masonry Veneer
%I(Aough Plumbing r
Relief valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railing
Cellar Drain Til
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION
Foundation
Floors
Walls
Ceiling
FINAL ELECTRIC INSPECTION
DRIVEWAY APPROV
Final Building Survey 1
Next scheduled inspection (call when ready �Y
Remarks- / �t.e� . e"r L
Building Inspector
6/86 mcl-vl
Q r+ BUILDING and ZONING DEPARTMENT�
J J Bay and Haviland Road, R. D. i Box 98
f
C}ueensbury, New York 12801
SEPTIC RIISPOSAL SYSTEM/ INSPECTION
NAME _.1 [ &}G*'t
LOCATION /wi 0`L3 eX,1
DATE ; WI f PERMIT NO, _ p / "-
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required"? YES - Q
Percolation rate - Min/Inch _
TYPE of SYSTEM: ,
Absorption field, total 1e th V-Z 40�2 _
Length of each trench
Depth of trenches' "
Size of gravel_ ,
SEEPAGE PITS4Number; of
Size- ft. X _ f
Gravel size
PIPING : Si Ty
Bldg . to [ank _
Tank to dist . bo:w' �r
Dist. box to f lefld/nl [s+.
Openings sealed? ES NO partial
LOCATION/S EPA RAT I C tJ S
Foundation `to tank t`.
Foundation to absorption ft.
A,bsorpt on to lot line �'ft,
Separation of pits ft.
LOCATIQNYSTEM Cx�T PROPERTY (circle one)
Front - ea - Left side - Right side -
CC KN ENT
SYSTEM USE APPROVED YES NO
Bui Inspector
0I/86 Ind vl
a9vst v/ Q" eenszulry
BUILDING and ZONING DEPARTMENT
Bay and Haviiand Road, R_0, 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME !ei
LOCATION
Date ertnit No . ✓m�f, --
= -
Footing/Fier Forms APPROVED YES NO
4Mundation
lWaterproofing
aB�Tcicf i11
Framing
Roofing
Siding
Masonry Venee
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs 6 failings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ce i Ling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspectlon (call when ready )
Remarks-
6f86 and-vl
Building Inspector
gown 0/ Queen il "ry
BUILDING and ZONING DEPARTMENT
Bay and Maviland Road, R-D. 1 Box 98
aueensbury, New York 12801
BUILDING INSPECTORrS REPORT
NAME - ^�
LOCATION ` T /ylee
Date / permit Noe
/►'' APPROVED - NO
40e ting/Fier Forma
Foundation
Waterproofing
Sack€ill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproof! g
Door Closers
Smoke Detecto
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL ---
Final Building Survey
Next scheduled inspection (call when ready
Remarks-
-
Building Inspector
6/86 and-vl
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