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2004-811 Prospect Child & Family Center
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. P20040811 Date Issued: Friday, December 01, 2006 This is to certify that work requested to be done as shown.by Permit Number P20040811 has been completed. Tax Map Number. 523400-295-018-0001-075-000-0000 Location: 133 AVIATION Rd Owner. COUNTIES OF WARREN & WSHINGTON I.I .A. Applicant: COUNTIES OF WARREN & WSHINGTON I.D.A. This structure maybe 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 nforre ent Planning Board or Zoning Board of Appeals. TOWN Ok QUEEN SB UKY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040811 Application Number. ' A20040811 Tax Map No: 523400-295-018-0001-075-000-0000 Permission is hereby granted to: COUNTIES OF WARREN &WSHINGTON I.D.A. For property located at: 133 AVIATION 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. Type of Construction Value Owner Address: COUNTIES OF WARREN &WSHI 234 GLEN St Sign GLENS FALLS,NY 12801-0000 Total Value Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2004-811 24 SQ FT FREE STANDING SIGN(PROSPECT CHILD &FAMILY CENTER) $40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,December 01,2007 (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 Tb Fri 'a December 01,2006 SIGNED BYo o ens / for the Town of Queensbury. Director of Building&Code Enforcement Fee Paid: ' , TOWN OF QUEENSBURY Bay at Haviland Road,0~sbury, NY 12804-9725-518-792-5832 Approved By: Permit #: SIGN PERMIT APPLICATION THE FOLLOWING INFORMATION -IS REQUIRED: 1. Detailed drawing or photo of sign. Z. Plot plan of location of sign. 3. Written consent of the owner of the building. or land. OWNER OF PROPERTY _ ` ADDRESS 3 3 Arv ��C. -j`CIY�� ex� TEL. NAME OF APPLICANT i C 3 G;� Av� ADDRESS TEL. 00 BUSINESS NAME IF DIFFERENT: OS oy a� © L,. TYPE AND LOCATION Check What Applies: Existing : Permanent ✓" .Projecting :Sign Temporary Non-conformi ng lExi sting Free-Standing _�/ Wall New . Location: Tax Map Number a 5 -1�5 7S Address Proposed Setbacks from Property Line (front) se, (side) f If sign is to be illuminated, please check appropriate box: �v6iv - jt,4, 0t1 Internal { ), External ( ), Incadescent Neon- ( ), Other ( ) Size of Sign Width ! ft. Length ft. Total Square Footage: 7,04S Sign Copy: _5e . (Aru&,TTPROSPECT CHILD S FAMILY CENTER AQUATIC THERA y B ADMINISTRATI Color and Material To Be Used: V Sl eA4-eW �1iat-4L -- jo w Q�l Bu rtdti cg Signature: Circle One Applicant, owner, contractor or agent. I HEREBY AUTHORIZE APPLICANT TO PLA A SIGNON MY PROP E TY OR BUILDING. Signature of Property Owner: ORIGINAL-Office Copy COPY-Applicant , MAILING: SHOWROOM: P.O. Box 332 • Glens Falls, NY 12801 52 Main Street • Queensbury, NY 12804 ph. 518-792-4009 fx. 518-792-4476 elf U �Ap P0 J ILA L—'j � r �O �r �' r t A b ' is '? a �, k•� � AQUATIC THERAPY:: OA AND ADMIN ISTRATION M - r ' e