2007-765 NY Mattress 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. P20070765 Date Issued: Tuesday, January 08, 2008
This is to certify that work requested to be done as shown by Permit Number P20070765
has been completed.
Tax Map Number. 523400-296-017-0001-05 1-000-0000
Location: 870 STATE ROUTE 9
Owner. ALEXANDER POTENZA
Applicant: ALEXANDER POTENZA
This structure maybe occupied MATTRESS
Sign
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the r:
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,Qwensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070765 Application Number. A20070765
Tax Map No: 523400-296-017-0001-05 1-000-0000
Permission is hereby granted to: NY MATTRESS
ALEXANDER POTENZA
For property located at: 870 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: ALEXANDER POTENZA
FRANK BORK Sign
403 GLEN St Total value
GLENS FALLS, NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,January 08, 2009
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T try; e a January 08, 2008
rz__
ens
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
12/27/2007 TeU :01" PAX 5101474/1Qd .wnuuwj
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417,
TAX LIAP NO. 1 P�EMIT NG.l1.' PERNUT FE ' •: 1 f
' DEPOSIT
. APPROVALS. - ,.�.., ^-•.... ��;
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SIGN PERMIT A PPLICATIQN: w.>
A permit taus!be obtWod bs4o-iinstsl I*Wn oI your pam vwnt sign. All mppilcenM'sp`oss on We IIOw Irlrsst
ANP
be aomple OW nwrt appear an I application form ti
OWNER X' U 1 M IWTAL-E J"LDEPC ��
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LOCATION OF PRWOSEb INSTAt.LAT)ON:(4EOAL ADDRESS)
9U3jN:<'US COMCm EX i PLAZA I MALL NAME:
BUSINESS NAME: a9f.
If`� •yrvry_�L..G PHONE Wp - 2
CONTACT PERSON FOR SIGN COM COMPLANCE —
TYr'E Of"•S10N PROPOSED: - Trvm snaing /
IF SIGN 18 To 8E ILLUM!NATEU,PLEASE IN01CAT8:A L•dM _.E, &%o _hr ndesoenl -New► R()RW -
OO 513ms CURRENTLY EMT ON THE PROPS TY7 Yes _m
IF YES.LJST ALL EXZTIN0 SIONAOE:
The apph=6on rreatas a c horW _New
in the totiontng Q'Wing site _CrfY W In n4mber of signs from
=Wibwm(fM In eU applrabb C►1e fo eatbs*for Sion from 10
6pecos): Change In site of clan frvrn
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Sign Size: Lerwth L x Width 4L=-fatal sq,ft.�_ SigrT Hoigtlt(fr+eecb�ndiny sigrty= ``�
Cola ON Materiel to be TGfr
Frovide 2 owles of a scaled drawing or surMod plot plan with the following inform .
c L000on of sign(wds rlgns inwaV of ew o"a
tM 84n Moll be tmc on,e+di*W Wp an(*We) QUESTIONS? CALL 7M.�218F
rw !1
o Height of ReeMrldlrTg$IgPI
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QWUncos from front 8,V side prop"firTos. VISIT OUR vmasrm FOR M
i Provide 2 drawings or photos of sign design.
✓ Pttrvide Applicant tT W OwrWq sl"ture(permission
Far p18oarT14"of or on the property or-bulldiwl
To the beet of my KnowiadrQ.the statemenW mnteined in the eppri AUM,wgetrwrweh the piers and
bpeci8eaiime SuW ttted,sire a true and mrnplate st'Wre"t of all proposed work to be done on the deaail>'sd prardo"and OW �
all prov+slom of tte Zoning nam%and all Other laws pertaining to the proposed wort(shall be compilart wltft,41RTijw
ar noted end That s v4ork is hortnaa py ft owner. //�,
APPUCANT SIGNATURE; ��pq7�. ��^�1—V —
I hPrsoy a Ahorf:e the WE rTt PWW a sign on my property of building.
OWNER VGNM t1RE:
7o?I�c of QrrEeresbt�T-y• Comrttrinityt islu nre11�tcir • 7� 7 Bay Roali )rrnsbttr^y,Ny'T 28t�#
NY MATTRESS 1z "
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MINIM SIGNS Inc.
P.O.BOX 437 /T14 BEACH ST,
ROCKAWAY. Ni 07966 -
973-625-3315 FAX 973-625-39SS
I.. loam Call 073-610-6719
,� fi �1vs Tom.
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FRONT SIGN
QUEENSBURY STORE
EXISTING AWNINGS/SIGNS
SIDE SIGN
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