2007-562 Freestanding Sign Champlain Stone/Meadow Run TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4E Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20070562 Date Issued: Tuesday, April 12, 2011
This is to certify that work requested to be done as shown by Permit Number P20070562
has been completed.
Tax Map Number: 523400-296-009-0001-008-000-0000
Location: 1088 STATE ROUTE 9
Owner: RUBY GORMAN
Applicant: RUBY GORMAN
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
(Et 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20070562 Application Number: A20070562
Tax Map No: 523400-296-009-0001-008-000-0000
Permission is hereby granted to: RUBY GORMAN
For property located at: 1088 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: RUBY GORMAN
C/O THOMAS MC DONOUGH Sign
Total value
28 TWICWOOD Dr
QUEENSBURY,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2007-562
Champlain Stone
$64.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 12,2012
(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 QueenZ u ,April 12,2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
_._..j.................. 'C3FFICEUSEONLY .__.__.___.___._._._ '..._..._ __.._ ..'
�_X4MAP NO._ PERMIT NO.Q-?J6�ERMiT FEE__v_—1 �� 3
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 appear on the application form. o
OWNER: '445A/1A5 J r>ncbzl n.0 JG I-) j/ INSTALLER/BUILDER: Z1/7 �L/✓' CJ�—�/�%f��� S✓C S_
ADDRESS: "Lv/Cts,4C/ IUJSU�/ ADDRESS:. P ��dX ���, l/✓Jo �JS�L� �
PHONE NOS. 7 3 13 I PHONE NOS. S/CFI 23 Z l
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) /08 8 11-07�f ( 7L%��r✓S6i�'�
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME:Z1,14 4V _AIA1 5' U A/�E 5,4&ET d �ZG—,= lPZW/3 IN O) ICUA
i'
CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE: Z 1 t✓ 71
TYPE OF SIGN PROPOSED: freestanding _wall _awning projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal \. External _Incandescent _Neon ,Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? /Yes _No
IF YES,LIST ALL EXISTING SIGNAGE:
The application creates a change ew
in the following existing site hange 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 o sign from to
hange of wording/copy from: Pcz ;.t1C�'I( 7 i c1 to: 71JyW
Sign Wording/Copy:
Sign size: Length x Width__e_=Total Sq.ft. Sign Height(freestanding sign):
Color and Material to be used: FlLsL ~C,62,0P, 5Cb-1T_# /oil/v✓ QtJ A;,thy,"71LIT
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of sign(walls signs: drawing of the fagade
the sign will be located on,indicate sign on fagade) QUESTIONS? CALL 761-8256DEMAILo Height of freestanding signo Depth of projecting signcodes(a�aueensburyo Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE Provide 2 drawings or photos of sign design. www.gueensbury.
✓ 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 s h work is authori d by the owner.
t
APPLICANT SIGNATURE: DATE: 031/0J
1 hereby authorize the ap ica t la e a sign operty or building.
OWNER SIGNATURE: DATE:
Town of Queensburtll - Conimmilti/ Developmeot Office - 742 Bay Road, Queenshuri/, NY 12804
5tt 1 c-'3 l/ ?� `
Commercial Final InspectiorYReport
r
Once No.: (518) 761-8256 Date Inspect request received:
Qbeensbury Building &Code Enforcement Arrive: ?2'.5 am/p� Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: _0� PERMIT#:
5
LOCATION: DATE:
COMMENTS:
Y N NA
Chimney/'B'Vent/Direct Vbfit Location
Plumbing Vent Through Roof 6"/Roof Com late
Exterior Finish/Grade Com to 6'in IV or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior I Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Stop Risers 7-I Treads 11
Vestibules For Exit doors>3000 sq.ft.
All Doors 36 in.w/l.ever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36 w x 44'(IYC&nopy or Equiv. Cad cc'L;- `6
Gas Valve Shut-off Exposed&Regulator 18' Above Grade
Floor Bathroom Watertight/Other Floors Oka
Relief Valve,Heat TrapI Water Temp.110 tees Maximum k ,
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Su for 2ccuency/Ventilation Combustion
Low Water Shut Off For Boilers �,(� j�cr,�,t p�/jJ Ec 'j
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors R ��
> 10%> 1000 N.ft.
%Hour Corridor Doors&Closers
Fir+ewalls/fire Separation,2 Hour, 3 Hour Complete/Fine
Dam /Fire Doors
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame
Attic Access 30"x 20'x 3(r h , Crawl Spam Access 18"x 24'
Smoke Vents Or Fan, if required
Elevator Operation and Si /Shaft Sealed
Hand' Bathroom Grab Bars 1 Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in.,Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond[Both
sides
Active Listening System and Signage Assembly Space
Final Electrical I Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure/Flood Plain cerdHasdion,if
reg-
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4'
Water Fountain or Cooler
Building Access AN Sides PY 20'/Driveable Surface 20'wide
Okay To Issue Temp. or Pennanent CIO
Okay To Issue C/C
LABuilding&Codes FormslBtAding&Codes\lrwpecbm Forms\Commercial Final Inspection Report.doc Revised January 7,2008
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