2001-199 FT .111a TOWN OF QUEENSBURY
742 Bay Road, Queensbu�ry,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010199 Date Issued: Friday, May 18, 2001
This is to certify that work requested to be done as shown by Permit Number P20010199
has been completed.
Tax Map Number: 523400-132-000-0001-012-001-0000
Location: 59 RICHARDSON St
Owner: DAWN ROBICHAUD
Applicant: DAWN ROBICHAUD
This structure may be occupied as a:
By Order of Town Board
Garage - 2 Cars Detached TOWN OF QUEENSBURY
(DJ
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
410111a
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010199 Application Number: A20010199
Tax Map No: 523400-132-000-0001-012-001-0000
Permission is hereby granted to: DAWN ROBICHAUD
For property located at: 59 RICHARDSON St
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: DAWN ROBICHAUD Garage-2 Cars Detached 9,800.00
59 RICHARDSON St Total Value 9,800.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
BOBBY JOE TUCKER
4 JAMAICA Rd
SOUTH GLENS FALLS,NY 12803
Plans &Specifications
2001-199
576 SQ FT 2-CAR DETACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
$35.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,May 01,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensb ry; Tues ay,May 01,2001
SIGNED BY for the Town of Queensbury.
Director of Building ode forcement
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-82561
° BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuancer --.
'�y�
A permit must be obtained before of this permit: PERMIT FILE NO.C)2X 1,191
beginning construction. No inspections PERMIT FEE PAID$
will be made until applicant has received El Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use
applicants" spaces on this application RECREATION FEE PAID$
MUST be completed std.the signature El Planning Board Action REVIEWED BY: r-V) '
of the applicant'must appear on the SPR / Subdivision /Other Building Lulkcmr ___.
pplication form. J
• ,n,. J Recreation Fee Payment
Applicant: 143P 14y ,t 17 .c 1 Gdee. Owner: P,4 J` ,Z1 / ,, ,e / b x ,tvz
. ' Address: 2/ ..1 xr ,Q /G, ,,,,, � /el-..A �- V I Sf� S"J
Address: r,. E s c in ✓.- ti V_! ,A./ e 377/
Phone # (O lz71 - 22. zl Phone # (ice,-) 7f3 I Z ?
Property Location: ... i ___h .4_,-r,/is - i -fie
Subdivision Name: Tax Map Number 1 Z-/ / / "/2, /
/
Section Block lot
NATU OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
K New Building: CONSTRUCTION: $ _ , (-19
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwe
no change to exterior size Family D . 1 1VED
Office
Other Work (describe below) Mercantile APR 2 20�f
Manufacturin
� Ether IBWN F QtJEENSBURy
GROSS AREA OF PROPOSED STRUCTURE:
► 'Autry rn,-
1st Floor ��� r, sq. ft. If ADDITION, what will use ""
2nd .Floor. . ., of new addition be? :
sq. ft.
Other Flouts sq. ft.
(not unfinished cellar or basement)
. ... ACCESSORY BUILDINGS: -
A' Detached Garage 1, 0 car
TOTAL FLOOR AREA: S- 7 4 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
q FEET X V FEET Other
Foundation Type: /p,vr>v /fc_ Will any second-hand or ungraded
Number of Stories : , i lumber be used? If so, for what? lU
(habitable space only)
Height (grade to ridge) : (2-" feet TYPE OF HEATING SYSTEM:
Number of fireplace a /or woodstove (circle all which applies) ._
to be installed J Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible foju ervision of work as regards to building
codes is : r a�, y ..th' /e, 0,% rig-Arm t�� ,e, ,6, iU71/Z8og -7g3
Name I.ddresss Phone
Builder: '.052 e <o S ,er h e741 J .
Plumber: ,1--
Mason: �,� te sue/ � h0 V
Electrician: .ah'
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, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
_ _ _ 3LKAA_____,„
Signature: �)
(owner, o er's agent, architect, contractor)
1
1—V-\
RESIDENTIAL FINAL INSPECTION REPORTlin —
Office No.(518)761-8256 Date inspection request received: tD� 1
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart I.I. am/pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbu ew York' 12804. P
-j „Q 1_ 1g9'
NAME �i/�'�� "` c G•J'b�� PERMIT# ��'J
LOCATION ,7 / G ' h)�, ATE Y
TYPE OF STRUCTURE lr� G-I-[�—�
N/A "YES V NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
�'Fresh Air Intake �
Plumb Vent through roof / I' 1,- ki _ --i ` j
Roof Complete i/
Exterior Finish Complete
Interior/Exterior Railings 30" o ."
Exterior Handrails,balconies landin' ;8 in.or more
Interior Handrails stairs both.ides 3 or ,E ore risers
Grade 2%away from founda .n
8"clearance to sill plate
Gas Valve shut-off exposed/re! ator•8"above grade
shut-off
Gas Furnace shu owithin 30 V eet o within line of site
Oil.Furnace shut-off at entrance ,. 'i i ace area
Furnace/Hot Water Heater opera g
Relief Valve(s)instaI'll
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
• Handrail exterior stairs both sides mo.e than 3 risers
Interior privacy/trim/doors/main entran e 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18' .or more
Railing across window in stairwells
Smoke Detectors: >
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation /re
s hour fi door/door closer �
Garage fireproofing ni///
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor J/
Final Electrical
Site Plan/Variance required .
Final Survey Plot Plan
As Built Septic System layout required i//
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
.
1)())
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 (� 2E/
Inspector's Initials ).
NAME: PERMIT# ()) l C
LOCATION: DATE: __ (� r
TYPE OF STRUC
RECHECK
N/A YEXNO COMMENTS
otings/Piers 1: i�F ! \I
Monolithic Pour Form �.
Reinforcement in Place 2
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
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 It-
Ceiling It-
Duct work or piping in
unheated spaces It-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging u ,
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
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