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2009-539 Freestanding Sign Dusty's BBQ E)w TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 (C]"E R.TIFICATE J�I'LI��E Pennit Number. P20090539 Date Issued: Tuesday, December 01, 2009 This is to certify that work requested to be done as shown by Permit Number P20090539 has been completed. Tax Map Number. 523400-296-013-0001-011-000-0000 Location: 940 STATE ROUTE 9 Owner. BARCY ENTERPRISES, INC. Applicant: DUSTY'S BBQ This structure may be occupied as a: Sign By Order of Town Board TOWN OF QUEENSBURY psm Issuance of this Certificate of Compliance DUES 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& de E rrement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090539 Application Number. A20090539 Tax Map No: 523400-296-013-0001-011-000-0000 Permission is hereby granted to: DUSTY'S BBQ For property located at: 940 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: BARCY ENTERPRISES, INC. 22 QUEENS Way Sign Total Value QUEENSBURY,NY 12804-0000 Contractor or Builders Name/Address Electrical Inspection Agency Plans&Specifications 2009-539 25 SQ FT FREESTANDING SIGN TO READ "DUSTY'S BBQ" $50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,December 01, 2010 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the�wn of Qrens ury� ue ay,December 01,2009 SIGNED BY " for the Town of Queensbury. Director of Building&Code Enforcement ______________ _._-.__._.__Ft", 13_ OFFICE USE O LY T AP NO. ` PERMIT NO. r ��ZRMIT FEE � APPROVALS: DEPOSIT ----------------------------------------- Q{Jj�j_Ptl�$dR'Y�SIGN PERMITAPPLICATION: NG) & 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. t i OWNER: --�r ►14 AS `I Vt-f INSTALLER/BUILDER: ADDRESS: Yo �9,4 9 ilA�fte�S><+tQ�t.l�� ADDRESS: '10A C D11 SAA L Q fl PHONE NOS. -- 3 i 41 PHONE NOS.Q LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) (kA(J BUSINESS COMPLEX/PLAZA/MALL NAME: }}�� BUSINESS NAME: CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE: TYPE OF SIGN PROPOSED: freestanding _wall _awning _projecting IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _eIntemal —External _Incandescent _Neon _Other DO SIGNS CURRENTLY EXIST ON THE PROPERTY? erYes _No I 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 to (� Change in height of sign from to Change of wording/copy from: k t Vo o,,t!l 4 4!✓ to: 5A '5 Q� Q Sign Wording/Copy: Z)—,5A t �S ( Sign size: Length 5 x Width--Total Sq. ft. � Sign Height(freestanding sign): Color Material to be used: l\tc w.i ti„-w� —Z t ki 431/ !; . /I b 2 Provide 2 copies of a scaled drawing or surveyed plot plan with the following information: o Location of sign(walls signs: drawing of the facade the sign will be located on,indicate sign on facade) QUESTIONS? CALL 761-8256 OR EMAIL o Height of freestanding sign cactes(a?clueensburv.net o Depth of projecting sign o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION rovide 2 drawings or photos of sign design. www.yueensbury.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 speed or noted,and that sj rk is authorized byte e. APPLICANT SIGNATURE: i�h, /r ' DATE: f©/3;0 / hereby authorize the applicant to place a sign on my property or building. OWNER SIGNATURE: C 1, QS1 DATE: /0 /3 D /D Town of Queensbwry - Community Rent Office - 742 Bay Rana, Qlteensbui•y, NY 12804 v ? 1; «red, or believe t saw (_ 4 105 I I Faze CI a C r V�