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2009-575 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 4z Community Development- Building i&Codes (518) 761-8256 C�E RTI F I CAT E CIF C 0M P L I XN C"NE Permit Number: P20090575 Date Issued: Monday, December 14, 2009 This is to certify that work requested to be done as shown by Permit Number P20090575 has been completed. Tax Map Number. 523400-296-009-0001-012-000-0000 Location: 1048 STATE ROUTE 9 Owner: GAM OF THE ADIRONDACKS, LLC Applicant: 1048 STATE ROUTE 9, LLC 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&Code Enforcement 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: P20090575 Application Number. A20090575 Tax Map No: 523400-296-009-0001-012-000-0000 Permission is hereby granted to: 1048 STATE ROUTE 9, LLC For property located at: 1048 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: GAM OF THE ADIRONDACKS, L Sign PO BOX 95 Total value KATTSKILL BAY, NY 12844-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-575 30 SQ FT SIGN TO READ "ADIRONDACK AUDIO & VIDEO" $60.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, December 14, 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 of Que J15/ buW,, E/ / nday, December 14, 2009 J 4g SIGNED BY s A. for the Town of Queensbury. Director of Building&Co e Enforcement ---------------------------OFFICE USE----------ONLY.............. _-__-__P _ -:M__ _ TAX MAPS O. PERMIT NO.S /✓PERMIT FEE___ i; d APPROVALS: DEPOSIT !------------------------------------------- --------------- SIGN PERMIT APPLICATION: t A permit must be obtained before installation of your permanent sign. All applicants's aces on t�ti�r ipp�tl tct!Crt�tiitiit be completed and must a r P appear on the application form. OWNER: /q/1f DF Abtf`L&. ACIC /.L(-INSTALLERJBUILDER: L(1 IEEL�7� CGt,S QPJ14r, 'S ADDRESS: STAA �l ��7 ADDRESS: j(P t Cyr 1 A��S d t� a�I f�PJ y PHONE NOS. A4 13 Sa p' 60©® PHONE NOS. 713-.2 6.M p� LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) i d 4 '1� STA T� �� • �t LY �Y BUSINESS COMPLEX/PLAZA/MALL NAME: BUSINESS NAME: �! ��i.J>A(y�` Ay pi o V1 l L� CONTACT PERSON FOR SIGN CODE COMPLIANCE: 1-,In L`f' EE LM PHONE: TYPE OF SIGN PROPOSED: X freestanding _wall ,awning _ projecting IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal k External _Incandescent _Neon _Other DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes kNo IF YES,LIST ALL EXISTING SIGNAGE: The application creates a change _A 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: l' ro 41 V1 DE-0 Sign size: Length Jr'�x Width Total Sq.ft.3' Sign Height(freestanding sign): // r Color and Material to be used: h)N iTE�),C' GeeE+J r tc ✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information: o Location of sign(walls signs: drawing of the fapade the sign will be located on,indicate sign on fagade) QUESTIONS? CALL 761-8266 OR EMAIL o Height of freestanding sign codes(aDaueensbury.net o Depth of projecting sign o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION ✓ Provide 2 drawings or photos of sign design. www.gueensburv.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 tha such ork is authorized by the owner. APPLICANT SIGNATURE: DATE: I hereby authorize the appli nt to pl_ a"sign p rty or building. OWNER SIGNATURE: DATE: Toum of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 1.94 1 Home Theater Whole House Audio Home Automation Networking Lighting Controls Surveillence/Security www.adkay.com 792-3528 42 ZI- W HE'tz Client: Adirondack Audio �� Drawing*:10/12/04 CUSTOM SIGNS Approved by: Date: A A alpnetun la raqulntl oft.any walk b.inihated. N ter Thle daelgn le copyrighted-d le the axdueiva property f The Wheeler Art Gi up,Inc. I!le ne!to be copied pr npnaduped in any way until approved and acwptad through purch— ay tM client er Melr apart. Ab !%Rli CC