2008-580 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. P20080580 Date Issued: Tuesday, December 02, 2008
This is to certify that work requested to be done as shown by Permit Number P20080580
has been completed.
Tax Map Number. 523400-296-013-0001-024-000-0000
Location: 1025 STATE ROUTE 9 A-2000
Owner: WILLIAM T. CRIST
Applicant: WILLIAM T. CRIST
This structure may be 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: P20080580 Application Number: A20080580
Tax Map No: 523400-296-013-0001-024-000-0000
Permission is hereby granted to: WILLIAM T. CRIST
For property located at: 1025 STATE ROUTE 9 A-2000
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: WILLIAM T. CRIST
34 BONNER Dr Sign
QUEENSBURY, NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-580
60 SQ FT SIGN TO READ "ADIRONDACK TIRE CENTERS"
$120.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, November 05, 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 own Quee u nesday, November 05, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&a Enforcement
USE +_____________________% OFFICE ONLY
Z�
PERMIT NTAX MAP NO.� �,1� O. / PERMITA
+
FEE__ ,,�
APPROVALS: DEPOSIT 00
_----------_----------------------------------
-------------.-_---___-+ _-__-____-_-__-__
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 appear on the application form.
OWNER: ke h— CY-)i7 INSTALLER/BUILDER: -�^J/CT�/J� J J/D
ADDRESS: ILLS let"`l QL✓e ,-,,&"✓y ADDRESS: ,�lAlZGT/�L& 4V L�p`�/ c e /Y.f- Z/d0
PHONE NOS. 753`-8S7I PHONE NOS. Q� -/ b ` `Wb(O
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS)_ /D � Ll- q Illy(in 1
BUSINESS COMPLEX//PLAZA//MALL NAME:
BUSINESS NAME: A LA IJ I� t)(,�INAC K --T—(e-L
CONTACT PERSON FOR SIGN)15OD ,COMPLIANCE: �e P'L� t-'�''3 L PHONE:
TYPE OF SIGN PROPOSED: freestanding _wall _awning _projecting
IF SIGN IS TO BE ILLUMINA D,PLEASE CATE: )(Internal _External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? 'Yes _No
IF YES,LIST ALL EXISTING SIGNAGE: ��-£ S I L�" ) W�' S)&,J011ie ���
The application creates a change 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:
Sign Wording/Copy:
Sign size: Length _� x Width j=Total Sq. ft.� Sign Height(freestanding sign):_ZO '�-�IOROX
Color and Material to be used: -(�>C.ac- K 4 v ELL cx--) C-L"-"`I t-1
✓ 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 facade)
o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codes(a-)-gueensburv.net
o Distances from front and Side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION
✓ Provide 2 drawings or photos of sign design. www.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 pertai ' g to the proposed work shall be complied with,whether
specified or noted,and that such work is authorLz the Q
APPLICANT SIGNAT DATE: aZ ®D
I hereby authorize the applicant to place a sign on my property or building.
OWNER SIGNATURE: t-�'� DATE:
QToum of Queensbuiy • Community Development Dice • 742 Bay.Road, Queensbury, NY 12804
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