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2009-540 Wall Sign Dusty's BBQ TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761.8256 E RT I F I CAT E F C 0 M P L I-A-N- E Pernut Number. P20090540 Date Issued: Tuesday, December 01, 2009 This is to certify that work requested to be done as shown by Permit Number P20090540 has been completed. Tax Map Number. 523400-296-013-000 1-011-000-0000 Location: 940 STATE ROUTE 9 Owner. BARCY ENTERPRISES, INC. Applicant: BARCY ENTERPRISES, INC. This structure maybe occupied as a: Sign By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DUES NOT relieve the owner of the responsibility for compliance with Site Plan 1 � property p t3' p � Variance,or other issues and conditions as a result of approvals by the t Director of Building& o • ent 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: P20090540 Application Number. A20090540 Tax Map No: 523400-296-013-0001-011-000-0000 Permission is hereby granted to: BARCY ENTERPRISES, INC. 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. Tyne of Construction Value Owner Address: BARCY ENTERPRISES, INC. 22 QUEENS Way sign Total value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-540 25 SQ FT WALL 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 To vn of nsb s cember O1, 2009 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement %- ...OFFICE USE................... ..... ;S. � � r � I lid TAX MAP NO. PERMIT NO.�RMIT FEE ; s t> Lb 4, i APPROVALS DEPOSIT FEE ; :... . ........................................................ OWO�CRY SIGN PERMIT APPLICATION: 6U I LD i 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. I C50(b E6kC —2 INSTALLERBUILDER: 1 61 G A) ADDRESS y 0 1Rn,.A6- I urel-5 +.al ADDRESS: 09, Cori Of d PHONE NOS.SI 8 -30"7^ lD SS^I PHONE NOS. !Z���G a Y/ LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 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 ILLU&NATED, PLEASE INDICATE: _Internal _External _Incandescent _Neon _Other DO SIGNS CURRENTLY EXIST ON THE PROPERTY? _Yes _No IF YES,LIST ALL EXISTING SIGNAGE:QUiroc, i i C La K S, W C J� S t Q/t The application creates a New change in the following _Change In number of signs from to existing site conditions(fill in _ setback for in setb for sign from to all applicable spaces): _Change In size of sign from to _Change in height of sign from to _Change of wording/copy from: n o: Sign Wording/Copy: + IDS i'Ot- Se Sign size: Length '�'x Width =Total Sq.ft.(5X Sign Height(freestanding sign): Color and Material to be used: Q wt L k v tt — L G K o✓4- 'Z K- 14 e — 6 ✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information: o Location of sign(walls signs: drawing of the fagade the sign will be located on,indicate sign on fagade) o Height of freestanding sign (QU:ESTIONSCALL 761.8256 OR EMAILo Depth of projecting sign -Queensburv.neto Distances from front and side property lines. TE FOR MORE INFORMATIOProvide 2 drawings or photos of sign design. aueensburv.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 co plied with,whether specified or noted,and that such work is authorized by the owner. APPLICANT SIGNATU DATE: 0'30 i' O5 I hereby authorize the applicant to place a sign on my property or building: 2 Q OWNER SIGNATURE:% ,.,�. DATE: if 13 B&LGL I VQZTown of Queensbury•Community Development Office• 742 Bay Road,Queensbury,NY 12804 . 9 � � o o � o 0 ti -, Vol TIA J G �- rr ' � * 4 } i C" J (r V UV �J Ole