2007-733 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. P20070733 Date Issued: Tuesday, December 18, 2007
This is to certify that work requested to be done as shown by Permit Number P20070733
has been completed.
Tax Map Number. 523400-308-019-0001-066-000-0000
Location: 475 CORINTH Rd
Owner. BRIAN NELSON
Applicant: BRIAN NELSON
This structure maybe occupiech s FLAME GAS CO. INC.
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: P20070733 Application Number. A20070733
Tax Map No: 523400-308-019-0001-066-000-0000
Permission is hereby granted to: BRIAN NELSON
BLUE FLAME GAS CO. INC.
For property located at: 475 CORINTH 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: BRIAN NELSON
114 DIXON Rd Sign
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-733
18 SQ FT FREESTANDING SIGN
$36.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,December 18,2008
(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 T eens ry; T e ay,December 18, 2007
SIGNED BY for the Town of Queensbury.
Director of Building Code nforcement
r� "__--_`..l.__NOFFICE USE ONLY_ .. ._..._.,_, .,__, __, n , .N_-+ _„__,_
TAX MAP NO.---PERMIT. ,9-RMIT LEE__.._. ;t== ;
APPROVALS: GEPOSIT � �_ ;
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: Br1(iV-) 16Sbn �" INSTALLER/BUILDER: I—mos frifi f.CoM-
ADDRESS: U7S COrinth Rct. l��QeI�SvJI�f�( ADDRESS: eolonl� 119�/
PHONE NOS. 7qa- a0 PHONE NOS.
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) glS-A Cori rl'1`6 Rd,, Cv ieeru baq NJ I Je6q
BUSINESS COMPLEX/PLAZA/MALL NAME:: We- a,(Z IC«�A in Same- buiOinA as 6•F. A-a-•+ing PLV*lbinl 4C1
BUSINESS NAME: RI Ue tcLmc 6 a S C_o(
CONTACT PERSON FOR SIGN CODE COMPLIANCE: C— LgLQ ( PHONE:
TYPE OF SIGN PROPOSED: X freestanding X wall _awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: X Internal ) External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? X Yes No
FreesFtind i n9
IF YES,LIST ALL EXISTING SIGNAGE: _ Fyn !� Fr0r1 F O (J �Gj irlgO r F Pi►1{l i lief I�[LL� /lCt .} ��
The application creates a change _CY 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: to:
Sign Wording/Copy:
Wall- J'§st.F+. FreeS4ndtn� -- 1$5%.4.
Sign size: Length x Width = Total Sq. ft. Sign Height(freestanding sign): I a �
Color and Material to be used: blue- A A G 0 t(ees-kndinjj- ptgs�,c (,t ll - PUC bt�-ru
✓ 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 facade)
o Height of freestanding sign CQUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign 3" codes cr ueer�sbury. et
o Distances from front and side property lines. R wEBSITE FOR MORE INFORMATION
✓ Provide 2 drawings or photos of sign Je`sigrl w�uw.clueensbury.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 wo k � #horized by the owner.
APPLICANT SIGNATURE;� /-6�1�=-� l/`�� �� r �`��1� DATE:
I hereby authorize th nt to pls�e a si non y pr erty g.
OWNER SIGNATURE: c �� 0r7
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