2009-073 TOWN OF QUEENSBURY
742 Bay Road,Qwensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090073 Application Number. A20090073
Tax Map No: 523400-296-016-0001-002-001-0000
Permission is hereby granted to: PETER SHABAT
For property located at: 31 CRONIN Rd
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: PETER SHABAT
PO BOX 967 Sign
GLENS FALLS,NY 12801-0000 Total value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2009-073
10.3 SQ FT FREESTANDING SIGN TO READ " FITZY'S FANCIES"
$20.60 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, March 20,2010
(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 of F Quepnsb/rr,u , iday,March 20, 2009
SIGNED B ,� °� for the Town of Queensbury.
Director of Buil i g&Co e Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (3.1'r' COMPLIANCE
Permit Number. P20090073 Date Issued: Friday, March 20, 2009
This is to certify that work requested to be done as shown by Permit Number P20090073
has been completed.
Tax Map Number. 523400-296-016-0001-002-00 1-0000
Location: 31 CRONIN Rd
Owner. PETER SHABAT
Applicant: PETER SHABAT
This structure may be occupied as a:
Sign
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the ,q
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 Builds Enforcement
Planning Board or Zoning Board of Appeals.
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" _________._____r- ---_
OFFICE USF, Ly 621
TAX MAP ;. PERMIT NO. ERMIT FE R `
APPROVALS: DEPOSIT i r
SIGN PERMIT APPLICATION:
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must
be completed and must appear on the fapplication form. 1
OWNER: S1" "� �/`� [.�i')�. A za l \}C/L INSTALLERIBUILDER: ��'c.r`1 C, T'<
ADDRESS: I C'7 OOM N iZ D ADDRESS: G� 10 r� r-, A
PHONE NOS. 0 Y' C. PHON/E'NOS. `I L/�rJ C1� 1 �j L/
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) � I l L'rZ l� 12 C) L y--)U cl<— . + �i 'A(JA) 7
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME: 17—.�4 S yc',n Ci CCS (��
CONTACT PERSON FOR SIGN CODE COMPLIANCE: S c'c.� /�`� JI)L� PHONE: 7 7
TYPE OF SIGN PROPOSED: X freestanding _ _wall _awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal JExtemal _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? A Yes No i/ l'vl e c cick S ,LF c�-'�^`s c
IF YES,LIST ALL EXISTING SIGNAGE: 1S a., ����-a�`U`l� r�.� l't�e S ✓«��n;� 3 Puff-l-S Cov.15�
The application creates a change New
in the following existing site _Change in number of signs from to
conditions(fill in all applicable Change in setback for sign from to
spaces): Change in size of sign from to
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy:
Sign size: Length x Width Z_=Total Sq.ft. `[7� Sign Height(freestanding sign):
Color and Material to be used: �l' t E C Z -,r t!e� /131 h C-k- /Vim -L
o Location of sign was signs: drawing of the aga e
the sign will be located on,indicate sign on facade)
o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codes0ctueensburv.net
o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION
www.gueensbury.net
Declaration: 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 Zoning Ordinance/and all other Taws p fining tot proposed work shall be complied with,whether
specked or noted,and that such wgrf is auth5n by owner.
APPLICANT SIGNATURE: / DATE:
I hereby authorize licant.6 pla siooniny ope uilding.
OWNER SIGNATURE: ✓ DATE:
1'
Town of Queensburi/• ContmunNf Development Office • 742 Bay Road, Queensbury, NY 12804
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