2011-234 ION
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110234 Date Issued: Tuesday, August 28, 2012
This is to certify that work requested to be done as shown by Permit Number P20110234
has been completed.
Tax Map Number: 523400-301-005-0001-067-000-0000
Location: 14 NOBLE Way
Owner: GAMAL KHALIFA
Applicant: GAMAL KFIALIFA
This structure may be occupied as a:
Shed/ Storage Sheds
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the 4
property owner of the responsibility for compliance with Site Plan, Ir
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110234 Date Issued: Tuesday, August 28, 2012
This is to certify that work requested to be done as shown by Permit Number P20110234
has been completed.
Tax Map Number: 523400-301-005-0001-067-000-0000
Location: 14 NOBLE Way
Owner: GAMAL KHALIFA
Applicant:
GAMAL KFLAT IFA
This structure may be occupied as a:
Shed/ Storage Sheds
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110234 Application Number: A20110234
Tax Map No: 523400-301-005-0001-067-000-0000
Permission is hereby granted to: GAIVIAL KHALIFA
For property located at: 14 NOBLE Way
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: GANIAL KHALIFA
HAIDY GOUNY Shed/Storage Sheds $7,500.00
14 NOBLE Way Total Value $7,500.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-234
170 sq ft shed
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 02,2012
(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 To of Queen ur Thursday,June 02,2011
SIGNED BY r! V 'e �! for the Town of Queensbury.
urY•
r'
Director of Buildin Co nforcement
`.......... .... .-.-... -...... ..........-..--............./ -E-C-2-�T'S /
/ / USE ONLY30 '
TAX MAP NO. PERMIT NO.
FEE PAID BLDG. &CODES APPROVAL ' '
TOWN OF QUEENSBURY ;
- IU4kDIPFG-&-C-ODES---'
-...
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal .Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
EW
A PERMIT MUST BE
VALIDTAINED BEFORE NO IINSPECORK BEGINS.TIIONS WILL BEPPLICATION IS SUBJECT MADE UNTIL THE APPLICAONT HAS BEFORE
ISSUANCE OF A V S RECEIVED
A VALID BUILDING PERMIT. r _
OWNER: INSTALLER/BUILDER:
ADDRESS: ADDRESS:
PHONE NOS. I g 2 1 PHONE NOS..
LOCATION OF PROPERTY: 11,L, .e,, &ff UBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 1 L6 N-o iota `f 2"<13L,� NY
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑YES ❑ NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: �i�, ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? !�
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
PROPOSED
PROPOSED CONSTRUCTION 1st FLOOR 2ND FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH-
BOATHOUSE
BOATHOUSE WITH SUNDE'CK
DOCK
(S—g3e L-D SHED 1 1 0
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA & MUST COMPLY WITH
FA RESIDENTIAL ZONE.
AREA RATIO].REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT
To the best of my knowledge, the statements contained in the 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 Codes, 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, as requested
by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed
surveyor, drawn to scale, showing actual location of all new
rtnnctn r. inn_ Al 1FCT1nNs? CALL 761-8256 OR EMAIL
CS , t�`l U -1_1�
Queensbury Building & Code Enforcement - Residential F' pection
Office No. (618)761-8256 Arrive: '� 8 a part:
Date Inspection request received: Inspector's Initials-
NAME: hoj r -�,�Z) P RMIT
LOCATION: b LJ ATE: 1Z__
TYPE OF STRUCTURE: \n e,4
Comments:
Yes No NIA
4" Building Number Address visible from road
Chimney Height/"B"VentlDirect Vent Location
Fresh Air Intake —�--
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish'-Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in.accessible area
Crawl Spaces 18 inch x 24 inch access,1 s .tt:150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
EmeMency egress below grade
Gas Furnace shut-off within 30 feet or within'line of site
Oil Furnace shut-off at entrance to furnace-area
Furnace/Hot Water Heater operating
<:
Low water shut-off boiler ,;;
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside,'rninimurn W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical;Energy Savin -Li ht Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
-Okay to issue C/C or C 10 Tem ora /'Permanent
L:16uilding&Codes FormslBuilding&Codesllnspection FormslResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12122/10,Revised 04/13/11
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