2009-515 Papa Johns �-- TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)7b1-8201
Community Development- Building &Codes (518) 761-8256
ID IV OF COMPLIAN"'"
Permit Number. P20090515 Date Issued: Friday, November 20, 2009
This is to certify that work requested to be done as shown by Pen-nit Number P20090515
has been completed.
Tax Map Number. 523400-296-017-0001-05 1-000-0000
Location: 870 STATE ROUTE 9
Owner: ALEXANDER POTENZA
Applicant: PAPA JOHN'S
This structure maybe occupied as a:
Sign
By Oder 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&CodY EnfoRtment
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: P20090515 Application Number. A20090515
Tax Map No: 523400-296-017-0001-05 1-000-0000
Permission is hereby granted to: PAPA JOHN'S
For property located at: 870 STATE ROUTE 9
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: ALEXANDER POTENZA
FRANK BORK sign
403 GLEN St Total value
GLENS FALLS,NY 12801
Contractor or Builders Name/Address Electrical Inspection Agency
MIKE BAIRD SIGNS
Plans &Specifications
2009-515
20 sq ft freestanding sign to read "PaPa John's"
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,November 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 T o ee7�
rr-Kovember 20,2009
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OCT 2 0 2009
----- -- -- - --- -- - -------- - -- ---
SIGN PERMIT APPLICATION: TOWN OF QUEENSBURY
A permit must be obtained before installation of your permanent sign. All applicants'spa
BUILD(N & CO ES
be completed and must appear on the application form.� c
OWNER- I'�i`f7R"�L Fl%l-z;,ye ^ INSTALLER/BUILDER.-
ADDRESS: �/G,�' 1`, C-LiCNS- la ADDRESS: i/-
PHONE NOS. :31E,L E/7 lVgAC 1191itt/C PHONE NOS.
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) �z' S�%`�{ 10 111/1§7-
BUSINESS COMPLEX I PLAZA I MALL NAME: A6xZgge I7YLL tV1144-
BUSINESS NAME:
CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE:
TYPE OF SiGN PROPOSED: 7K freestanding _wall _awning —projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: ,Internal _Eademal _incandescent _Neon Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? )Yes No l
IF YES,LIST ALL EXISTING SIGNAGE: 4
r�
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: ii (F to:
Sign Wording/Copy:P-Pa c-� V1 A S
Sign size: Length x Width c=Total Sq. ft. � Sign Height(freestanding sign):
Color and Material to be used:
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information-
* Location of sign(walls signs: drawing of the tag3de
the sign will be located on,indicate sign on fagade)
o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codes, osbum'-nee
o Distances from front and side property lines. VISIT OUR WESSiTE FOR MORE INFORMATION
✓ Provide 2 drawings or photos of sign design. rau� •queertsl3ul �•Sne�
✓ Provide Applicant and Owner's signature(permission
for placement of sign on the property or building).
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 such work is authorized by the owner,
APPLICANT SIGNATURE: DATE:
I hereby authorize the applicant to place a sign on my�roperty or building.
DATE:
�-
OWNER SIGNATURE � �°tIV1 c
ill
�z+f �t �+� i t:;S. ,i�;'t! �:;.'tirt.tfii!( .)i'�.'�t'�� ... ,.. _ irF'. - . .1._r ,`>IiIJ i':.,rr ', t tirCf':`i`+t�t' •i{, . , i r�t};J
Code Compliance and Informational Sheet for Permit Use
Queensbury Dept. of Community
Project for:
J - �l
Applicant Name: '-J
Tax Map No. 7r / _ Yy
# li
Lot# House#
road, street
5 NO V 2009
Lot Size: __.--j
{
... _
Mobile Home Park:
Business Plaza: A�1,'l(e F- (--;I t C-7-f
Planned Unit Dev,
Subdivision: Phase/Section
Effective Year Zoning Designation
Zoning Ordinance
Prior to 1967, July 10 Subject to current setback requirements at time of development.
Section 179-20-10,8
Subsequent. to Development of lots within subdivisions subsequent to July 10, 1967
July 10, 1967 shall use the setback requirements in place at the time of the
approval of the subdivision.
1967
1982, June 11
1988,September 19
CQMW t RAO 2t3, 1992 of.€
May 12 777 -
acto - - -
I Front i
Front 2
Side 1
Side 2
iil-Werlay
ear 1
Rear 2 d
horeline G ,
ravel U
Coondor
Zone
Buffer
Yes No 1
meets depth,width, &square footage require 'Ynl
preexisting,nonconforming lot with proper set
— required frontage on public road
has required off-street parking
permeable area is adequate (Requirement is
building does not exceed maximum height (M
Is lot in a Flood Zone?
Floor Area Ratio worksheet required?Zone: WR'.
Town of Queensbury
}
Code Compliance and Informational Sheet for Permit Use
Queensbury Dept, of Community Development
C�
O
*Corner Lot information for Subdivisions Approved Prior to November 23, 1992
Section 179-30.1 which requires front yard setbacks on both roads for a comer lot was not enacted
until November 23,1992. Therefore,prior to November 23, 1992 parcels within approved
subdivisions have one (1) front yard,two(2) side yards,and one (1) rear yard setback.
Review Type File No. Action Resolution Date
Zoning Board of Appeats
Planning Board
Town Board
Check list Yes No
Recreation Fee Paid
Engineering Fee Paid
Site Plan Maps on File
Subdivision Mylar Signed and
1 Filed with County
Application appears to conform to the requirements of Section(s) of the local
Town Code:
Application requires additional review for the following:
Zoning Board of Appeals
Planning Board
Town Board of Health
Town Board for Mobile Home Outside of a Mobile Home Park
Other
Revlej!kjd,4j Staff Datq Notes
l�
Town of Queensbury
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