2009-552 Temp Sign Papa Johns {
�- TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4E Community Development- Building &Codes (518) 761-8256
uE IiTIFI ATE %F COMPLIANC.1h
Pernik Number. P20090552 Date Issued: Friday, November 20, 2009
This is to certify that work requested to be done as shown by Permit Number P20090552
has been completed.
Tax Map Number. 523400-296-017-0001-05 1-000-0000
Location: 870 STATE ROUTE 9
Owner. ALEXANDER POTENZA
Applicant: PAPA JOHNS
This structure may be occupied as a;
Temporary 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& E xcenaent
Planning Board or Zoning Board of Appeals.
TOVN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090552 Application Number. A20090552
Tax Map No: 523400-296-017-0001-05 1-000-0000
Permission is hereby granted to: PAPA JOHNS
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 Temporary Sign
403 GLEN St Total value
GLENS FALLS,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-552
21 sq ft sign to read "PAPA JOHNS BETTER INGREDIENTS BETTER PIZZA GRAND OPENING" 31
DAYS 12/1/09 - 12/31/09
$30.00 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 ee ry, is y,November 20,2009
� .
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
_________________________OFFICE USE O �_.._.___ 0
NLY
2 /7 �� N V � EPOSIT: 'TAX MAP NO. 4RMITO I L % , i 200 i
APPROVALS: ZONING: TOWN CLERK: PERMIT FEE. 01
-------------------------,.---------_________�__._.__.___ __� VIiNOFO�fEE�JSEi�F=�-- '
' iftr&t' i
TEMPORARY SIGN PERMIT APPLI CATION:
Applicant Information Business Information
Name: LlcJ r�rLy- coo-. rc c o• ( L S) Contact Person:
Address: �5-K Address: Go-�(,OA
Phone No. C'2 Sr) :2 j� -72,7 Z Phone No. 9 5-- 9'52
Specific Information about your sign:
✓ What is the date for placement of your sign,? _j
✓ What is the date for removal of your sign?
✓ How many days will your sign be displayed? S.
✓ Indicate exact address for placement of sign: -7C > 9'
✓ Indicate tax map number for your parcel:
✓ Indicate the type of sign you will display:
y Wall Sign (cannot exceed 32 square feet)
Freestanding Sign (cannot exceed 16 square feet)
✓ What are the dimensions of the sign? X -7 _ _ ��sq. ft.
✓ Indicate in words what your sign will say: _ ���
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i
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Note: Failure to Remove sign at expiration may result in forfeiture of deposit as per the Code
of the Town of Queensbury, Section 140, Subsection 140-4 (Local Law No. 11, 1993)
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 works 'be complied with, whether specified or noted, and that such work is
authorized by the owner.
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