2009-516 Wall Sign Papa Johns TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development.- Building 8t Codes (518) 761-8256
%,-4E RTI F I CAT E OF COM P L I-A-N
Permit Number. P20090516 Date Issued: Tuesday, October 27, 2009
This is to certify that work requested to be done as shown by Permit Number P20090516
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 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&Codeknforcent
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: P20090516 Application Number. A20090516
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 Builder's Name/Address Electrical Inspection Agency
MIKE BAIRD SIGNS
Plans &Specifications
2009-516
60 sq ft wall sign to read "PaPa John's"
$120.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, October 27, 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 f Que b , October 27,2009
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
--- -- - - --------
USE ONLY
r!' 0 2 U 0 9
SIGN PE��II7�`APPLICA�7QN: _. _.__ ..._ --- ---- TI�WNOFQUEENSBURY
BUILDING&CODES
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: Yw t'� >Y�'t� INSTALLER/BUiLDER: / J^ LS Z&e_6
ADDRESS: ADDRESS:
PHONE NOS. 3� ►��Y, � � sYI>Lt,!i�kd PHONE NOS.
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) G�� 5� �` ' G�/
BUSINESS COMPLEX/PLAZA!MALL NAME: Zy_/� fflLG l i�} L
BUSINESS NAME:
CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE:
TYPE OF SiGN PROPOSED: `freestanding IKL wall `awning _projecting
IF SIGN iS TO BE ILLUMINATED,PLEASE INDICATE: _Internal _External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? KYes —No
IF YES,LIST ALL EXISTING SIGNAGE: X 1 +1 W ll_l
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: /- &_ CD
li el
size: Length /w x Width 4—,(
=Total Sq. ft. to / Sign Height(freestanding sign):
2-
Color and Material to be used: LJ K /
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
a Location of sign(walls signs: drawing of the fa+rade �, ---w----®--._
the sign will be located on,indicate sign on faVade)
o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign co iesl�?ciueens e� r, f
o Distances from front and side property lines. VISIT OUR WEBSiTE FOR MORE INFORMATION,/
✓ Provide 2 drawings or photos of sign design. =�,'viw ueensburv_net
✓ 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 m ptopeity or twikiirx7.
OWNER SIGNATURE: /� t�r_,l: �` rti�' 4� DATE:
�
It:.i'ft
Code Compliance and Informational Sheet for Permit Use
Queensbury Dept. of Community 8111111110111011110M .
Project for: Perrm Oft.
Applicant Name:
Tax Map No.
Lot # House # A �Qk,-�
road, street 27 2009
Lot Size:
Mobile Home Park:
Business Plaza: �-V(r r E- -h Pla z e
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 179-20-10,13
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
kit 1992 * of f
2fJ09, May 12
slarbalcits
Front 1
Front 2
� Side 1 s
-A
Side 2
Rear 1
Rear 2
Shoreline n
Travel C
Cooridor
OverlayZone D
MENNEM Buffer
I (�
Yes No
_ meets depth,width, &square footage requiremen
_, preexisting,nonconforming lot with proper setback
required frontage on public road
has required off-street parking v
permeable area is adequate (Requirement is
_ building does not exceed maximum height (Max.
_ Is lot in a Flood Zone?
Floor Area Ratio worksheet required?Zone: WR-lA
I
Town of Queensbury `
Code Compliance and Informational Sheet for Permit Use
Queensbury Dept. of Community Development
�3
C_1
NW
Z *Corner tot 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 T e File No. Action Resolution Date
Zoning Board of Appeals
Planning Board
Town Board
Check List Yes No
Recreation Fee Paid
En 'neeri ' Fee Paid
Site Plan Maps on File
Subdivision Mylar Signed and
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
I Reviewe by Staff Date Notes
Town of Queensbury
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