1996-074 BUILDING PERMIT
VALUE $ 10000 TOWN OF QUEENSBURY 96074
TAX MAP NO. 132. -1-12. 3 No.
WARREN COUNTY, NEW YORK
ROBICHAUD, RICHARD & DAWN
PERMISSION is hereby granted to
59 RICHARDSON ST.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
RESIDENTIAL ALTERATIONS (DORMERS)
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. OWNER'S Address is
301 LAMPLIGHTER ACRES
FORT EDWARD, NY 12828
2. CONTRACTOR or BUILDER'S Name
HERMANCE, JAMES
3. CONTRACTOR or BUILDER'S Address
13 EISENHOWER AVENUE
GLENS FALLS, NY 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ALTERATIONS
( )Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
256 S¢loFT RESIDENTIAL ALTERATION (DORMERS) AS PER APPLICATION
8. Proposed Use
RESIDENTIAL ALTERATIONS (DORMERS)
12 PERMIT FEE PAID —THIS PERMIT EXPIRES March 28 19 98
(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 28 Day of March 19 96
SIGNED BY % for the Town of Queensbury
ding and Zoning Inspector
Ijepartment of Community Development Reviewed By: < V2/6-- -
' Building & Code Enforcement 3uilding Inspect r
Town of Queensbury '� =`i ► Permit No.
742 Bay Road ��
Queensbury, New York 12804 Fee Paid $ P.
(518) 745-4447 Building Permit Application
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
Applicant: ,./, e /7 e(-,e7- �il C P Owner: i€a Ac d- h,<'ha e4,4
Address: /3 5efl ( A US Address:
Phone # ('7 ,5) 0 4 - 4 c Phone # (7 J j ) /a - , 13
Property Location: cet g,,, 5o, � r
Tax Map Numb
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ JO� ( w
residence / commercial •
Addition to Building: - --
residence / commercial OCCUPANCY INFORMATION:
A, Alteration to Building: P,r,%'mary Building -- _- - - -
(eside re)/ commercial t% Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwel]�ingnc) `0
Office s`ua' c L:) ,
Other Work (describe below) Mercantile
Manufacturing
. Other , �(
GROSS AREA OF PROPOSED STRUCTURE: �� U DOMM JO4240-0
1st Floor s ft . If ADDITION, what will use
q• of new addition be? :
2nd ,Floor a_c6 sq. ft.
Other Floors sq. ft. •
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car -
TOTAL FLOOR AREA: SQ. FT. Attached Garage 1, 2 car
• Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
FEET X FEET
Foundation Type : • Will any second-hand or ungraded
Number of Stories : • lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : /MMi' ' . f' ,�-;7' , . .
_ Name Addresss Phone
Builder: _ 771 ,rA7e.4, 4rc/ 7 Jc_ '71-‘3Qc5( .------ - - -
Plumber:
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 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.
Signature: _ I
(owner, owner's agent, architect, ractor)
' ..
i':f .J.' `�4 Y.,...: E,, .j wa`
t_'.'... _'_tz.r- ..gin`.
TOWN OF QUEENSBURY li,q 1
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR ' DEPAR3'4INTJ/X
REQUEST FOR INSPECTION RECEIVED:
NAME r- c3Bial-f41).10
LOCATION eci-foosai) 5`71
DATE 61( ic-ft6 PERMIT ft -- 61714
TYPE OF STRUCTURE:
RECHECK 1 APPROVED
/ N/A YES NO
FOOTINGS/PIERS /
MONOLITHIC POUR FORM I . _
REINFORCEMENT IN PLACE /
);1
THE CONTRACTOR IS R SPO SIDLE FOR
PROVIDING PROTE TIO FR M FREEZING
FOR 48 HOURS FOLLOWX G THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
--7
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLAtE 1\ .
FOUNDATION/DAMPPROING
_
BACKFILL APPROVAL
PLUMBING VENT/VEN S IN PL1 .
ROUGH PLUMBING / \
i PLUMBING UNDER SLAB \ _
FRAMING: / \
JACK SItUDS/HEADERS .
BRACING/BRIDGING \
JOIST HANGERS 11
JiiEigi7EIN 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
Ager 3'36P--
TOWN OF QUEENSBURY '•
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 `4
INSPECTOR'S REPORT: ARKS" e DEPART~ I Tom"` "
REQUEST FOR INSPECTION RECEIVED: 4'1 !6
NAME �R & �tP' Co'`3i�1�e` 4-ct
LOCATION 5-5) 1a.la. p-... �` ,/i
DATE [ e, PERMIT # - O'7�f'
TYPE OF STRUCTU \:\ 4, > t i ers/1
RECHECK `, APPROVED
1 ‘ N/A YES NO
1
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RESP NSIBLE FOR
PROVIDING PROTE TION FR M F'EEZING
FOR 48 HOURS FOLLOWING HE -LACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPO "�ON SITE -
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLA
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAffL
PLUMBING VENT/ViENTS IN PLACE
6
ROUGH PLUMBING
PLUMBING UNDER. SLAB
FRAMING: _
JACK STUDS/HEADERS \\,_
BRACING/BRIDGING
JOIST HANGERS �----
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER 1
HEATING ROUGH-IN _
(e SULATION: _ / _
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS �
R-
WALLS R-
CEILING R- >
DUCT WORK OR PIPING IN
7 EATED SPACES R-
/ - V6t)
a\A 3
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT •
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRalATDEPARD I ,
REQUESTFT INSPECTIONIRECEipp+ - ?A'
NAME n rlivur\ c 1d1
LOCATION 59
DATE.
PERMIT 12"
TYPE OF STRUCTURE: CT)- -)- Ictf r0(0-/X
RECHECK APPROVED
_ _
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE ' ,
THE CONTRACTOR IS RESPON ".1J.E FOR
PROVIDING PROTE TION -EEZING
FOR 48 HOURS FOLLOWINf THE LACE-
MENT OF THE CONCRET. -.
MATERIALS FOR TB PURPOSE ON ITE
FOUNDATION/WA.:POUR
REINFORCEM NT IN PLACE
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
SCR INFILTRATION BARRIER e...b17.1`4,-1,0.'. 00/4
N'C'Ve
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-
ktibiJ
TOWN OF QUEENSBURY 4'A
BUILDING & CODE ENFORCEMENT
531 BAY RD• r QUEENSBURY NY 12804
(;-
INSPECTOR'S REPORT: ARRO:04<EPARIO A _qi/4
REQUEST FO INSPECTION RECEIVED: 9
NAME C1141)I)
LOCATION R 5 dA-.)
DATE PERMIT ft 7‘ o7
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
\ //1
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPOR94LE OR
PROVIDING PROTE TION FROM FREEZ ,NG
FOR 48 HOURS FOLLOWING THE PLAC -
MENT OF THE CONCRETE.
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
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_
47- 4-19 -11
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TOWN OF QUEENSBURY r`^- . m.
BUILDING & CODE ENFORCEMENT w
531 BAY RD., QUEENSBURY NY 12804 1':* ",
INSPECTOR'S REPORT: ARV`55'DEPART /;O T d
REQUEST FOR ECT N RE VED: I11 ç
NAME 6 ,
i .LOCATION tom' d , 01(7kkr)cSMA
DATE - l / - . V PERMIT $ _ 1 ''
TYPE OF STRUCTURE: e
i
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE P ,
THE CONTRACTOR IS RESPQ'NSIBLE FOR
PROVIDING PROTE TT REEZING
FOR 48-iR'S LLOWING THE P E-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PU OSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING�/
BACKFILL APPROVAL .
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
LUMBING UNDER SLAB
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-