2009-311 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. P20090311 Date Issued: Wednesday, July 22, 2009
This is to certify that work requested to be done as shown by Permit Number P20090311
has been completed.
Tax Map Number. 523400-309-009-0001-08 1-000-0000
Location: 71 OHIO Ave
Owner. MARY JANE CANALE
Applicant: ADIRONDACK MARKET & DELI
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
property owner of the responsibility for compliance with Site Plan, 4vv �
Variance, or other issues and conditions as a result of approvals by the Director of Building& de E on ement
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: P20090311 Application Number. A20090311
Tax Map No: 523400-309-009-0001-08 1-000-0000
Permission is hereby granted to: ADIRONDACK MARKET & DELI
For property located at: 71 OHIO Ave
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: MARY JANE CANALE
28 FOX HOLLOW Ln Sign
QUEENSBURY, NY 12804-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-311
32 SQ FT CHANGE IN SIZE (48 SQ FT TOTAL) FREESTANDING SIGN TO READ "ADIRONDACK
MARKET&DELI" WITH SPACE FOR CHANGEABLE LETTERS
$64.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 22,2010
(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 To of ens Adt5"y,July 22, 2009
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
v q OFFICE USE ONLY D , f D 11`!• It1I V 11��
TAX MAP NO. ? PERMIT NO. //PERMIT FEE
JUL 2009
APPROVALS: DEPOSIT
_________s._..--------------_---------------___._ r
TOWN OF OUEENSRU_RY
SIGN PERMIT APPLICATION: BUILDiN � }v (-,,GDES
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 application form.
OWNER-Vl�_f 1 ,lpffig C.0-n4kA INSTALLER/BUILDER: `t► Q� .(`S
ADDRESS: &4 kA-U`k6 Un r'. 7-0 ADDRESS: - 0 k-h O
PHONE NOS. 7 13—S W a"9 PHONE NOS. Ot —33 S 4
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) C)(-�i t7 pu-Q
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME: N C1\'r 0 'n['L Q C L �f�Cl�-���Q(�� f�_
CONTACT PERSON FOR SIGN CODE COMPLIANCE: F-'��''%h C�.` S PHONE: Al
TYPE OF SIGN PROPOSED: >C freestanding _wall _awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: dInternal _External _Incandescent Neon _Other
`
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? 4es No
IF YES,LIST ALL EXISTING SIGNAGE:
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 I(o _ to
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy,
Sign size: Length I�—x Width =Total Sq.ft. _ Sign Height(freestanding sign): _
Color and Matenal t0 be u d
Location of sign(wans o g signs: drawing of the fayade
the sign will be located on,indicate sign on facade) QUESTIONS? CALL 761-13256 OR EMAIL
o Height of freestanding sign cadesCa�aueensburv.net
o Depth of projecting sign
o Distances from from and!soeyprctperty ines. VISIT OUR WEBSITE FOR MORE INFORMATION
der � - www.gueensbury.netMIMI
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 laws pertaining to the proposed work shall be complied with,whether
specified or noted,and that suo woLs
autho' by the owner. Q
APPLICANT SIGNATURE:' DATE: S f O 1
I hereby authorize the applicant to place a sign on my property or building. / 22
OWNER SIGNATURE /'/ DATE:
Town of Queenshury- Community Development Office• 742 Bay Road, Queensbury, NY 12804
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