2007-497 Temp Sign Super Shoes 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. P20070497 Date Issued: Monday, August 20, 2007
This is to certify that work requested to be done as shown by Permit Number P20070497
has been completed.
Tax Map Number. 523400-288-012-0001-002-000-0000
Location: 1499 STATE ROUTE 9
Owner. OCSAP LTD. A MAINE CORP.
Applicant: OCSAP LTD. A MAINE CORP.
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: P20070497 Application Number. A20070497
Tax Map No: 523400-288-012-0001-002-000-0000
Permission is hereby granted to: OCSAP LTD. A MAINE CORP.
For property located at: 1499 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. Tyne of Construction Value
Owner Address: OCSAP LTD. A MAINE CORP.
SUPER SHOE STORES Temporary Sign
PO BOX 239 Total value
CUMBERLAND, MD 21502-0000
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2007-497
32 SQ FT SIGN TO RUN FOR 30 DAYS FROM 8/7/07 TO 9/5/07 TO READ 'BACK TO SCHOOL"
$30.00 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 Queens , „ ay,August 20, 2007
SIGNED BY for the Town of Queensbury.
Director of Building Code rnforcement
OFFICE USE ONLY ...r.r..................' ----------
� TAX MAP N0. PERMIT NO. 'J,�,,ly ,�`' '
EPOSIT:----�TkI 1' � ,
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i APPROVALS: ZONING: TOWN CLERK: PERMIT FEE: 0 '
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TEMPORARY SIGN PERMIT APPLI CATION:
Applicant Information Business information
Name: ( Contact Person �r Y- obi ns
Address: . Address:
605 'q, i Lde 6eoflo
Phone No. jq _ tt � Ph ne No. �7q2
Specific Information about your sio:
✓ What is the date for placement of your sign? Jt,+1 , Zc c
i
✓ What is the date for removal of your sign? q, 306)
✓ How many days will your sign be displayed? —
Indicate exact address for placement of sign:
L� � -2
✓ Indicate tax map number for your parcel:
✓ Indicate the type of sign you will display:
.JC._.Wall Sign (cannot exceed 32 square feet)
Freestanding Sign (cannot a ceed 16 square feet)
✓ What are the dimensions of the sign? X = 3 Z sq. ft.
✓ Indicate in words what your sign will say: -
_sod Le
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 compigte 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, wheff er specified or noted, and that such work is
authorized by the owner.
APPLICANT SIGNATURE_- D TE: 2—
I hereby authorize the applicant to place a sign on my property or building:
OWNER SIGNATURE: DATE:
Along;with your application, please submit.
QUESTIONS? CALL 761-8256 OR EMAIL
o Detailed drawing or photo of sign codesfaueensbumnet
VISIT OUR WESSITE FOR MORE INFORMATION
o Plot Plan of location of sign www.aueensaurv.net
Town of Queensbury- Community Development Office - 742 Bay Road, Queensbury,NY 12804
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