6094 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 _
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a
Location
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA PRINTING GLENS FALLS. N Y 12801 $ 793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY No. 6094
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Theodore G. Arnstein
OWNER of property located at Brayton Road, Cleverdale Street, Road or Ave.
►-3
in the Town of Queensbury,To Construct or place a One—Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and O
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. O
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1. OWNER'S Address is Cleverdale, New York 12820 0
►'i
2. CONTRACTOR or BUILDER'S Name
rt
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John Mason .
Sunsoval, Inc.
3. CONTRACTOR or BUILDER'S Address
Cleverdale, New York
4. ARCHITECT'S Name eti
K
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( XWood Frame ( )Masonry ( )Steel ( ) N
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7. PLANS and Specifications
46 'x78 ' per plot plan, specifications and application ,
No. submitted including sewage system, two-car attached (p
garage.
8. Proposed Use
One-Family Dwelling
0
5,06 C/Up4 icJ
$ 120. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 80 1-1
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 18th Day of September 19 79
(D
SIGNED BY G for the Town of Queensbury
B ilding and Zoning In ct
�4
TOWN OF QUEENSBURY !Space inside block to he filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for \Ielrlia.stieltt No. .
I'c i mil l'.sued I9
BUILDING AND ZONING PERMIT lit }..'.,sire, lq
/on i,e. I)i.triiI
\ ,,lue „f Work
THREE 13) Copies of a PLOT PLAN, Drawn to scale \ `'"''' f h\
showing the actual dimensions of the lot to be built :' ,,,,,)C4"
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- ----
MITTED WITH THIS APPLICATION.
/1 •- / 3 d 9/1 ' /7 TOWN OF QUEENSiT�1.-
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK SEP 1 $ 1979
ANSWER ALL OF THE FOLLOWING. 8 1979
The undersigned hereby applies fora permit to do the following work a A.I . �/0. 0 1 2 3 4 5 6
which will be done in accordance with the description, plans and sp• ctf - ?I 101 0, 1 ,�, �, , 1,
cations, and such special conditions as may be indicated on the permit.
The owner of this property is: • I
Theodore G. Arnstein Cleverdale, New York 12820
INA 'E) ;p0 A',L)kESsi . . .
The person responsible for supervision of the work insofar as the Btl>;c' ;Ig Code and the Zoning Ordinance apply is:
John Mason Cleverdale, New' York 12820
(NAME) IP 0 ACORESSI
Name of Builder Sunsoval, Inc. .Address Cleverdale, New York 12820
Sunsoval, Inc . Cleverdale, New Yorl 12820
Name of Plumber \ddre s,
Name of Mason Sunsoval Unit , Inc . . .Addrt'ss Cleverdale, New York 12820
Lot Number Estimated value of proposed wor 4. i 6o s 000'00
Name of Village . CleVerdale •
Name of Street Brayton Road side of street ,1•rth 0, east 0, south M. west Ci
Nearest Cross Street
Main Road Distance tirt :. Ii1, ross street 2000 Fr.
Property is north 0,south D.east 1, west N from Cross street
If on Corner, which corner, northeast Li, northwest O. southeast (._' 'i,ut':-ct°a
(Designate by marking with an "X'• in the cin'ect Tate.?
NATURE OF PROPOSED WORK OCCUPANCY
Main Building
Ci Construction of a new building. ;X;
l� Addition to a building. )tie Lundy dwelling '
Iwo-tinnily dwelling -_
❑ Alteration to a building. 'twe apartment house
Cl Demolition of a building. Stork hu,Iding . _1
(V -ar attached garage
t.)th.t r
Accessory Building
()F t i G F
detached garage __;
❑ Other work. Describe: . : C . . .-a C t t.'°� J
J
I e :rt- acgg
►�rt� ,t e Iplcken house '
" 4 Prlvatc, storage building
Other . . . . . . . . . . . . . . . . . . . . . . .
ZONING SPECIFICATIONS, Fill in for new building, of addition toe>.Isting building, or a change of occupancy.
I Indicate on the plot plan street names, the location and
size of the property, the location, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
I NORTHL L_ Show p
pro osed building(s) in dotted line and existing
proposed
ttuilding(s) in solid line.
r---- ' 13o ft. x . . . . �.80 . . ft.
Size of property
Size and use of existing buildings, if any
30x50 - one family dwelling. .
y 4 6 78� ft.
w w Size of proposed building ft. x . .
ae
Height (from grade to ridge) 26, ft.
Front yard 90.5 It.
Side yards 28.5 ft. and 62. . . . ft.
Rear yard 13 .5 ft.
SOUTH f If on corner, setback from side street . . . . . . . . . • • . ft.
Note: All distances are net, as measured front street side
line to nearest part of building.
(OVER)
7-73—N
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.? wood frame
Will any second-hand lumber be used? no If so, for what?
Material of foundation walls .Poured concrete Thickness . .8. J.rl,
Depth of foundation walls below grade it. Continuous foundation? yes
Will there be a cellar? no If so, material of cellar floor asphalt shin leS
Type of roof: Sloped or flat? sloped Material of roof A g
Size, wood studs 2 " x ", spacing 1 "o.c., length . 8 ft.
—
Size, floor beams, 1st floor " x — ", spacing — "o.c., span — ft.
Size, floor beams, 2nd floor 2 " x 10 ", spacing 1 6 "o.c., span I.6 ft.
Size, ceiling beams 2 " x 6 ", spacing 2� "o,c., span TRUSS . . ft.
Siie, roof rafters or beams 2 " x 6 ',spacing 214. . ."o.c., span TRUSS . . ft.
Exterior finish 1"x12"&1"x3" Board and Bat't,enwith what material? R.S.. . Pine
Finish of interior walls. . Srl.eet rock
If garage is to be attached, of what material is wall between garage and main building to be constructed?
sheet rock fie wall
Is there to be an openin between garage and building? yes
Kind of heating system not air Oil burner yr coal? . oil
Will a flue-lined chimney be provided? Yes . Depth of chimney foundation below grade 'ft
Height of chimney above roof. .6 ft. . . . , . . •
Will there be a fireplace? Yes Depth of fireplace hearth —
Willa toilet be installed? YeS. . . . . . . . . : . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to water supply? yes
Water supply (public water supply or pump) pump
Distance of cesspool from any private well' �A, feet
Will drainage system be provided with required traps, cleanouts, and vents? .yes
AFFIDAViT
Town of Queenshury
County of Warren .
State of New York
I swear that to tt vejjof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING 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.
Signature C.-;__ _,—
Sworn to before me/this °� ' biWNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR
/'- -. day of r?"I=t/ . 19' / c'
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
TN O i 1 s:I l% `f
WA EN COUNTY, MEW YORE
Application fors BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obta3 n0cz before beginning work.
ANSWER ALL of the following:
•
234.8.5 sq. ft.
1. Gross floor area
2. Type of heat Hot air - Oil Burner
3. Is the building mechanically cooled?. yes
4. Percentage of area of windows and doors 14.2
A. Over 16.On
1. Rio value of gross area of walla, roof/ceiling and floors
exposed to ambient conditions •
2. Floor over he.ted spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES, what is the R value?
3. Slab on grade YES DIa
a. If YMS, what is 4he R value of insulation around perimeter
of floor?
4 . Is basement heated? YES NO
a. R value of ins ul,at4o a
5. Type of ineulntion. . . .
B. Under 16% Onl'
1.Cimino'o of roof and floors a po .ed to ambient conditions
9
2. U value of anterior wall:_. .04.9
J•
U value of glazed ay-o •555
4 . U value of doors
.071
5. U value of floors over heated space e
.044
6. R value of slab edge insulation unheated ssiab N1.A :. . . . .
7. R value of slab insulation - heated slab N/A
S. U value of heated banementJcellar walla (above grade) N/A
9. R value of heated basement/cellar walls (below grade) . . . NIA.
10. Type of i.x2su/ationn
Fiberglass
C. Controls „o
I. Thermostat maximum heat setting ee
D. Duct Systems
1. Is duct system installed in e.reheated spaces? YES NO
a. If YES, R value of eeuct installation
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2. R value of pipe insulation
F. Service water Heating
1. Performance affix:Le cy
2. Temperature control, setting maximum
G. For Swimming Pool Only
1. Maximum heating
b
1 TOWN OF QUEENSBUR
RECEllVETOWN OF QUEENSBUR'f
BUILDING AND ZONING DEPARTMENT
BAY AND HAVILAND ROADS RD P.rt OCT 2 19/9
GLENS FALLS, NEW YORK 12801 &M. P.M.
71a1911011`1112111213141b16
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY
OCCUPANT'S NAME T 4-,e °C,:e , « < � �v ADDRESS_C le s!ecAc„& ..4 h\ `e 125 Zo
TELEPHONE OWNER'S NAME 1"..e i-, 0f-v....,.e..c- i\s‘-e-
ADDRESS e to q,erpQa.j e ) ICI Y I7� � — NUMBER OF BEDROOMS 41
GARBAGE GRIND R? Ye: 5 (YES OR NO) TOPO GRA_PHY: I IJAT ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHETI \c-* c-9 e
NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, RROGKS,, ETC. C\ -
PERCOLATION TEST WATER SUPDLY: MUNICIPAL,: IIELL, OTHER 0, e �_..
DIP..GRih"1dM O. i ROPCSrD SEPTIC S'I;iEMi
J.." 1 ;YNe «lro.\r C\cik
(000 GcNi 17-' ece+ver-
G/
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OTHER ?EF TINENT IN CRMATION�
t,T IS HEREBY AGREED THAT IF THIS APPLIC. 1ION AND PLANS ARE APPROVED,
. NSTALL A::IcN OF SEWAGE DISPOSAL FACILITIES WILL DE .;ADE IN ^CCU:^DANCE
WITH DETAILS SH('}�'IN
DATE 9 /y 7/ SIGNATURE OF A.P'L:.CAN7'
LAKE GECRGE PARK COMMISSION APPROVAL:.
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STATE OF NEW YORK
EXECUTIVE DEPARTMENT
ADIRONDACK PARK AGENCY
P. O. BOX 391
FORT GEORGE ROAD
LAKE GEORGE. NEW YORK 12845
818-668-8476
September 20, 1978
John Mason
Cleverdale, N.Y. 12820
Re: Arnstein
Dear John,
From the information gathered during my site -•
inspection September 15, 1978 and our discussions at that
time. The situation you have inquired about is as follows:
1. The Arnstein parcel is situated on a small
point on the west side of Cleverdale in the
Town *of Queensbury.
2. The lot is located in a Moderate Intensity
Land Use Area.
3 . An existing single family dwelling is situated
on the lot so that it is 13 ' 6" from the mean
high water mark of Lake George, which is marked
by a seawall, on the south side of the point and
28 ' 6" from the mean high water mark on the westerly
side of the point, also delineated by a seawall.
4 . There are no wetlands on the site.
5. The Arnstein' s propose to remove this single
family dwelling and replace it with a new single
family dwelling at the same location.
Please be advised that construction of the new single
family dwelling will not require an Agency permit or variance
so long as it is setback atleast 28 . 6 feet from the mean
high water mark along the westerly shoreline and 13 . 6 feet
from the mean high water mark along the southerly shore
and so long as any new onsite sewage disposal system is
atleast 100 ' from the mean high water mark of Lake George.
This is of course provided the new structure is less than
40 ' in height and continues to be used as a single family
dwelling.
Letter to Mr. Mason
page two
September 19 , 1978
This determination is grounded on the fact that
Section 811 of the Adirondack Park Agency Act provides
that a single family dwelling may be rebuilt, replaced,
expanded or enlarged so long as such activity does not
violate or further ary existing noncompliance with, the
minimum building setback of the shoreline restrictions .
I should point out to you that this letter is based
on the information supplied by you and recited herein. Should
the facts differ from those recited, our nonjurisdictional
determination could vary accordingly. Furthermore, this
letter cannot serve to exempt your proposal from approval
or permit requirements of other state or local governmental
bodies.
If you have any further questions, please do not
hesitate to contact the Agency. Thank you for your
cooperation in this matter.
Sincerely,
Charles Scrafford
Associate AP Project Review
Specialist
CS :hf
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TOWN OF QUEENSBURY
Building Department Jy�
Inspectors Report Date //7' ✓ '"
Name /t i^i'1 f e /
Location �i
Permit No. Z d ! 5/ Weather
Remarks
Excavation •
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final SurveyC.1/9
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board \ i
Ext. Porches
Finished Floor
Interior Trim
Stairs &Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval L/
Floors '
Insulation Foundation
Walls
Ceilin
J/
Building Inspector
REMARKS
`C C 4�� G 13,O1
0
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 6 deb
Name arU` 4/ J v 3 e ;h
Location f i-cuATC r KO G( C IC
-cf4-
Permit No. 6. b 9 Weather
Remarks
Excafation
Footing Forms
Footing & Piers L4 ' f' 4 e f
Foundation
Cement Coat —/'—� 7�
Waterproofing v 4e- e-.10-7‹.4-
Backfill \
Final Survey 474/ j 4i2,
Framing
Sheathing ;Pi 7
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches f
Finished to T
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation
Walls
Ceiling
Building Ins ctor
REMARKS Y
TOWN OF QUEENSBURY
Building Department
Inspectors eport Date
Name
Location ice
Permit No. (a o 1 LI Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
_Final Survey
Framing (/j �..
Sheathing
Roof Felt
Roofing
Siding
Rough Masonry Veneer
Rou
Rgh Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim f
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Bu 'mg Inspector
REMARKS
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