2008-569 Progressive TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIIA►NCE
Pernut Number. P20080569 Date Issued: Monday, January 12, 2009
This is to certify that work requested to be done as shown by Permit Number P20080569
has been completed.
Tax Map Number: 523400-296-019-0001-002-000-0000
Location: 123 QUAKER Rd
Owner. MRK COMMUNITY COLLEGE HOUSING, LLC
Applicant: MRK COMMUNITY COLLEGE HOUSING, LLC
This structure maybe occupie+Vd&RESSIVE
Sign
By Omer 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: P20080569 Application Number. A20080569
Tax Map No: 523400-296-019-0001-002-000-0000
Permission is hereby granted to: PROGRESSIVE
MRK COMMUNITY COLLEGE HOUSING, LLC
For properly located at: 123 QUAKER Rd
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: MRK COMMUNITY COLLEGE HO
6 CHELSEA PI Sign
Total value
CLIFTON PARK,NY 12065-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-569
13.5 SQ FT WALL SIGN TO READ "PROGRESSIVE"
$26.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,November 04,2009
(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 Tc6of
eens ry/��,/� Ot,
ovember 04,2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY_____________- ___________ , r-------.____________ ;
TAX MAP NO. PERMIT NO.(/0 J PERMIT FEE 0
o APPROVALS: DEPOSIT
SIGN PERMIT APPLICATION:
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must
be completed and must ap ar on the application form.
OWNER: �I' INSTALLER/BUILDER:
ADDRESS: C ADDRESS: kv2 <G-/G/1�7� r
PHONE NOS. �7 3 — Z Z Z Z PHONE NOS. �� 7 !frill
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 1T 3 at,r,�&
BUSINESS COMPLEX I PLAZA I`MAALL NAME:
BUSINESS NAME:
CONTACT PERSON FOR SIGN CODE COMPLIANCE: Zlt" PHONE:
TYPE OF SIGN PROPOSED: ^freestandingwall ^awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: 4Intemal _External _Incandescent ,Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? X_Yes _No
IF YES,LIST ALL EXISTING SIGNAGE: "JG„1 (%GrrZ�
The application creates a change New 61
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: �V!! ,. SS,t/`2
J
Sign size: Length x Width =Total Sq.ft.--�=�— Sign Height(freestanding sign):
Color and Material to be used: Zfz�i
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of sign(walls signs: drawing of the facade
the sign will be located on,indicate sign on fagade)
o Height of freestanding sign CQUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign des(a�aueensburv.neto Distances from front and side property lines. ESSIT FFOR MORE INFORMATIONProvide 2 drawings or photos of sign design. ww.gueensbury.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 that such work is uthorize y the owner.
APPLICANT SIGNATURE: DATE:
I hereby authorize the applicant to pi ace a sign on my property or building.
OWNER SIGNATURE: y DATE: Id Z
Town of Queensbury • Community Development Office ■ 742 Bay Roam, Queensbury, NY 12804
E1595.plt 10/9/2008 9:48:58 AM Scale: 1:13.92 Height: 18.000 Length: 104.000 in
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