2004-493 Resnicks 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. P20040493 Date Issued: Friday, December 01, 2006
This is to certify that work requested to be done as shown by Permit Number P20040493
has been completed.
Tax Map Number. 523400-296-017-0001-051-000-0000
Location: 870 STATE ROUTE 9
Owner. ALEXANDER POTENZA
Applicant: ALEXANDER POTENZA
This structure maybe occupied as a:
Sign
By Omer 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, � l
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: P20040493 Application Number: A20040493
Tax Map No: 523400-296-017-0001-05 1-000-0000
Permission is hereby granted to: 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. Tvoe of Construction Value
Owner Address: ALEXANDER POTENZA
FRANK BORK . Sign
Total Value
403 GLEN St
GLENS FALLS,NY 12801
Contractor or Builder's Name /Address Electrical Inspection Agency.
Plans&Specifications
2004-493 RESNICKS MATTRESS
100 SQ FT WALL SIGN
$200.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, July 30, 2005
(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 Town Quee bury *ay-30, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OFQUEENSBURY Fee Paid: Owl
Bay at Naviland Road, Queensbury, NY 12804-9725-518-792-5832 Approved By:
Permit #: �_
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: RECEIVED .
1. Detailed drawing or photo of sign. J U N 2 5 Z004
2. Plot plan of location of sign. TOWN OF QUEENSBURY
3. Written consent of the owner of the building or land. BUILDING AND CODE
OWNER OF PROPERTY [ ,YjQ J I�bT7ZrJ�,�
ADDRESS _ A 0 3 61 r„ rT_���c� S 1►. ,`r (Z�SOI TEL.
NAME OF APPLICANT 50pj S,&L,) M ao OLSOrJ
ADDRESS 1 LELe Cap, f y-V i SCOT-1A t N,y. )230Z TEL. ti)g•3?a-2jl�
BUSINESS NAME IF DIFFERENT: S IIC�Z_S �M/4rYfLri�S
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign
Temporary Non-conforming Existing
Free-Standing Wall New
Location: Tax Map Number( 111-j�-
Address
Proposed Setbacks from Property Line (front) _ (side)
If sign is to be illuminated, please check appropriate box:
Internal (V�, External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width ft. Length ft.
Total Square Footage: I.oO SCE,
Sign Copy: �FJ_9 CTO SS `-C1210M�)
Color and Material s d: 1LWM(tiArf1'a AIn)NI►JG� - �dw0A (,n1MOCV-LrT (�
Signature: 00J -a-SOAJ 26A 1Iso,
Cir le 0 pplicant ner, contractor or agent.
I HEREBY AUTHORIZE APPLICANTiiTO PLACE A SIGN ON MY PROPERTY/OR BUILDING.
Signature of Property Owner: 11)7 .L� «—
i
1 `
ORIGINAL-Office Copy COPY-Applicant \
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REPLACE'W/ ASPHALT 1 " { l� ¢1. 60
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Q LANDS RETAINEDBY BORK & P DOOR - --- _i
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ELDRiDGE M, MOORE
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- _\ _ � •. / / i i �� EASEMENT AREA TO BE CONVEYED
FOR CONSTRUCTION AND Mq)NTENANCE
OF RETAINING WALL
` { 3,122.46 sq.ft.
0.07 acres
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PARCEL BEING CoNvi - n rwnx,r