2008-218 Temp Sign Radio Shack Clearance Event TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20080218 Date Issued: Monday, May 19, 2008
This is to certify that work requested to be done as shown by Permit Number P20080218
has been completed.
Tax Map Number. 523400-302-006-0001-043-000-0000
Location: 797 STATE ROUTE 9
Owner: NORTHGATE ENTERPRISES INC
Applicant: NORTHGATE ENTERPRISES INC
This structure may be occupie+%3iO SHACK
Temporary Sign
By Order of Town Boatel
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: P20080218 Application Number. A20080218
Tax Map No: 523400-302-006-0001-043-000-0000
Permission is hereby granted to: RADIO SHACK
NORTHGATE ENTERPRISES INC
For property located at: 797 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: NORTHGATE ENTERPRISES INC
PO BOX 4514 Temporary Sign
QUEENSBURY, NY 12804-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
$10.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, May 19,2009
(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 of nsb Olt-ftay 19, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement - -
______________________________________________________________
OFFICE USE ONLY
TAX MAP NO. PERMIT NO. DEPOSIT: ,
APPROVALS: PERMIT FEE: j0 QWN OF QUEENSBURY
,BUILDING & CODES------------------------
TEMPORARY SIGN PERMIT APPLICATION:
Applicant Information Business Information
Name: Contact Person: �
Address:
Address: ���
Phone No. � � �� Z —��� O
Phone No. -!�'l Z
Specific Information about your sign:
l Along with your application,
✓ What is the date for placement of your sign? (�T� please submit:
✓ What is the date for removal of your sign? Z 1
o Detailed drawing or photo
✓ i of sign
How many days will your sign be displayed?.. 1
✓ Indicate exact address for placement of sign: o Plot Plan of location of
sign
✓ Indicate tax map number for your parcel:
Note:. Failure to Remove sign at
✓ Indicate the type of sign you will display: expiration may result in forfeiture of
deposit as per the Code of the Town of
Wall Sign(cannot exceed 32 square feet) Queensbury, Section 140, Subsection
Freestanding Sign(cannot exceed 16 square feet) 140-4(Local Law No. 11, 1993)
✓ What are the dimensions of the sign? X S = i-5 sq.ft.a'--4-1z11C-
Indicate in words what your sign will say: '=Piim t"iC L
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 that such work is
authorized by the owner
APPLICANT SIGNATURE: DATE: /% 6✓� �`_c /
1 hereby authorize the app0carlt_ta ce a sign on my property or building:
OWNER SIGNATURE r i DATE:
Town of Queensbiiiy• Commitnity Development Office • 742 Bay Road, Qiteensbury, NY 12804
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