2007-456 Temp Sign TOVN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (31F COMPLIANCE
Permit Number. P20070456 Date Issued: Monday, August 20, 2007
This is to certify that work requested to be done as shown by Permit Number P20070456
has been completed.
Tax Map Number. 523400-288-012-0001-014-000-0000
Location: 6 STATE ROUTE 149
Owner. FIVEASIDE, LLC
Applicant: FIVEASIDE, LLC
This structure may be occupied as a:
Temporary 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: P20070456 Application Number. A20070456
Tax Map No: 523400-288-012-0001-014-000-0000
Permission is hereby granted to: FIVEASIDE, LLC
For property located at: 6 STATE ROUTE 149
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: FIVEASIDE, LLC Temporary Sign
C/O SILVER BUILDERS, INC. Total value
3109 STIRLING Rd Suite 200
FT. LAUDERDALE, FL 33312-0000
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2007-456
TEMPORARY SIGN TO RUN FOR 24 DAYS FROM 7/23/07 TO 8/15 /07 TO READ "NOW OPEN
LINDAR CEDAR HOMES MOOSE LOG HOMES 1-877-477-1127"
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,August 20,2008
(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 eensb d y,August 20,2007
SIGNED BY W for the Town of Queensbury.
Director of Building 8 de E#orcement
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O FICE USE ONLY r
TAX MAP NO. PERMIT NO. DEPOSIT._ if r
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APPROVALS: ZONING: TOWN CLERK: ► 1 �� ;
PERMIT FEE:
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TEMPORARY SIGN PERMIT APPLICATION:
Applicant information Business Information
Name: //1 6AA�/ Contact Person:
Address::/Q � iP/ � '�S � Ad ress:
Phone No. Ph ne No. 33 T
Specific Information about your sign:
✓ What is the date for placement of your sign? _�I�Ie 7
✓ What is the date for removal of your sign? O Zf_/0 7
✓ How many days will your sign be displayed? _ cR
✓ Indicate exact address for placement of sign: /- /46; /�I f
✓ Indicate tax map number for your parcel: 12'
✓ Indicate the type of sign you will display:
✓ Wall Sign (cannot exceed 32 square feet)
Freestanding Sign (cannot a Geed 16 square feet)
✓ What are the dimensions of the sign? X sq. ft.
✓ Indicate in words what your sign will say:
Note: Failure to Remove sign at expiration may result in forfeiture of deposit as per the Code
of the Town of Queensbury, Section 140, Subsection 140-4 (Local Law No. 11, 1993)
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 pro ' ns of the Zoning Ordinance, and all other laws
pertaining to the proposed wor co Ie ' , whet er specified or noted, and that such work is
authorized by the owner.
APPLICANT SIGNATURE: D TE: y
I hereby authoriz 27�
a sign on my property or building:
OWNER SIGN URE: DATE: � l 6
Al on 'th oation lease submit:
QUESTIONS? CALL 761-8256 OR EMAIL
o Detailed drawing or photo of sign coaes0aueensbury.net
VISIT OUR WESSITE FOR MORE INFORMATION
o Plot Plan of location of sign www.aueensbury.net
Town of Queensbury- Community Development Office- 742 Bay Road, Queensbury,NY 12804
Foundation Inspection Report
Office No.(518)761-8256 Date Injection u
Queensbury Building 8c Code Enforcement Arrive: m Depart: a p
742 Bay Rd.,Queensbury,NY 12804 Inspect 'ti :
NAME: A4 / P RMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
ID-
iers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report-doc
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PARCELS
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THIS MAP AND INFORMATION IS PROVIDED"AS IS"AND WARREN COUNTY MAKES NO WARRANTIES OR
' GUARANTEES,EXPRESSED OR IMPLIED,INCLUDING WARRANTIES OF TITLE,NON-INFRINGEMENT,
MERCHANTABILITY AND THAT OF FITNESS FOR A PARTICULAR PURPOSE CONCERNING THIS MAP AND THE
INFORMATION CONTAINED HEREIN USER ASSUMES ALL RISKS AND RESPONSIBILTTY FOR DETERMINING
WHETHER THIS MAP IS SUFFICIENT FOR PURPOSES INTENDED.
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