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SIGN BOTH-000427-2016 Tom Kubricky Company, Inc TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 pt -. Community Development- Building& Codes (518) 761-8256 BUILDING P RMIT Permit Number: BOTH-000427-2016 Tax Map No: 288.8-1-12 Permission is hereby granted to: Tom Kubricky Comapny Inc (TKQ For property located at: 1580 State Rte 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'a compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance T e of C nstruction Owner Name: Tom Kubricky Sign $0.00 Owner Address: 80 OAK VALLEY WAY Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Freestanding sign Sign copy:Unknown % $ 01J�D PERMIT FEE PAID -THIS PERMIT EXPIRE Saturday,July 1,2017 (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 Town of Ved a ,2016 SIGNED BY: r7;; for the Town of Queensbury. Director of Building&Code Enforcement Code Compliance and Informational Sheet for Permit Use Queensbury Dept. of Community Development Project for: S f '� EnerGov File No ll+ Applicant Name Zoning Administrator Tax Map No. i Application Lot Lot # House # 1C C 6 016 road,street Apartment Building No. oning Adrnini5tra;or Lot Size: TOWN OF Q'UEE _` 0 -, Mobile Home Park: Business Plaza: Planned Unit Dev. Subdivision: Phase / Section Effective Year Zoning Designation Zonina 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 shall use the July 10, 1967 setback requirements in place at the time of the approval of the subdivision. 1967 1982, June 11 1988, September 19 Corner lot rule Prior to Nov. 23, 1992 approved subdivisions *(see note on back of form) 2002, April 9 2009, May 12 Town of Queensbury no longer regulates docks & boathouses on waters of Lake Effective Year 2013 George. A Building Permit is still needed, but Planning and Zoning issues are not applicable unless the project is on "our side" of the Mean-High-Water-Mark ( MHWM ). Applications for construction are regulated by the Lake George Park Commission. 2� Road Name Setbacks Existing _ Req Pr op osed Difference T Front_1_ Front 2� Side l � �- _ Side 2 Rear 1 Rear 2 Shoreline Travel Cooridor Overly Zone Buffer Town of Queensbury