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2008-353 Temp Sign Body Relief & Spa 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. P20080353 Date Issued: Wednesday, July 23, 2008 This is to certify that work requested to be done as shown by Permit Number P20080353 has been completed. Tax Map Number. 523400-296-013-0001-018-000-0000 Location: 959 STATE ROUTE 9 Owner. RAYMOND HIPPELE Applicant: RAYMOND HIPPELE This structure may be occupiebib& RELIEF Temporary 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: P20080353 Application Number. A20080353 Tax Map No: 523400-296-013-0001-018-000-0000 Permission is hereby granted to: RAYMOND HIPPELE BODY RELIEF For property located at: 959 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: RAYMOND HIPPELE 50 ACORN Dr Temporary Sign DIAMOND POINT,NY 12824-0000 Total value Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2008-3 53 BODY RELIEF-TEMP SIGN TO READ "BODY RELIEF & SPA 792-6196" TO BE DISPLAYED FOR 12 DAYS FROM 7/28/08 TO 8/8/08 $10.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 02, 2009 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T r7:PW r - a esday,July 02, 2008 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Jul 01 08 03:14p David & Alyssa (518) 798-4681 p.2 07/01/2008 TUB 12:45 FAX 5197454437 Community DeVelopmsnt ------------------------ �902/Q04 OFFICE USE ONLY ; TAX MAP NO. PERMIT NO. PosIT: ��� `�-� D d. o t MLP ; APPROVALS: PERMrr FP-E TEMPORARY SIGN PERAUT APPLIC4770N. Applicantln&rnwtiim Business rnfnrmation Name: t 1 �' ~� Contact Person: Address: •�t�� O� Address: 9::?y-3.l')1 A ZPhone No. Phone No. &w&i&& ormaMw about your sign: � AJ!o-Z with ymff application, ✓ What is the date for pl en ecemR of Your sign V please submit: 1 J ✓ What is the data for removal of your sign? 0 1?atat7ecl drawing or photo ✓ How� days W91 your sign be dispaymp of sign ✓ htdicate and add ms for o Pllot Plan of location of piacemertt of stg�t. ai$n T � f Indicate tax map number for yaw panes Rob., Failure to Remove sign at ✓ tndicsfe the type of sips you will dWplsy: e0ration may result in forfeiture or deposit as per the Cade of the Town of WON Sign(cannot emeed 32 square feet) Queembury,Section 140,Subsetaon -Peestanc$69 5+gn(tararot mmeed 18 square fed) 14G-4(Local Law No.11, 1993) ✓ what are tote diimermkm of fte sign? 2 x = sq.ft . 1 ktdirate in w�dstwftat you sari t say � , � _ 1`Q � . trftn To the best of my kitowkW99,the staterooms contallmd in the application,toget wwith - fhe plans and specificatbrls submitted.are a true and complete stalferrmrit of all proposed work to t)e done on the described premtses and that al provisions at the Zron ft Ordinance.and all other taws perbintng to the proposed 3mqfk shah tla pried with,Whether SpeCilfiled or noted,and that sU Mork is r authorized by the iopopoticant ��Y $ci r APPLICANT SIGNATU ( �i t hereby authorize to pucem sign a my p rty orbwlding: OMB SIGNATURE: � DATE: .rmpn of Queensbun,j- t:ommunify Dem&optirant Office-742 Bay Road, Qiuensbury,NY 12804 . OFFICE USE ONLY f « TAX MAP NO. © PERMIT NO. DEPOSIT: �� ` �t` - « -« is`' C d APPROVALS: PERMIT FEE:_ JT «;« s — , TEMPORARY SIGN PERMIT APPLICATION: Applicant Information Business Information Name: B . 1 Contact Person: nil- `JD,O Jd Address: 1,� f Address: 'GLM-Q Phone No. 2 a _ (o � �— Ph ne No.� 3 - 1�/ 61;11 Toc Hof S eci information about our s>! n: -k ►�- = 0 Alon with our a lica ion, r Wh t is e ate for placement of your sign? please submit: l �u '�� What is the date for removal of your sign? +` j( ` o Detailed drawing or photo ✓ How many days will your sign be displayed? of sign ✓ Indicate exact address for placement of sign: o Plot Plan of location of sign ✓ Indicate tax map number for your parcel: Note: Failure to Remove sign at ✓ Indicate the type of sign you will display: expiration may result in forfeiture of deposit as per the Code of the Town of Wall Sign(cannot exceed 32 square feet) Queensbury, Section 140, Subsection _Freestanding Sign(cannot exceed 16 square feet) 140-4(Local Law No. 11, 1993) ✓ What are the dimensions of the sign? _ X _ sq. ft. I ✓ Indicate in words what your sign will say: 1 a - �p SRO. 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 work is authorized by the o er. APPLICANT SIGNAT RE: ATE: I hereby authorize the pplica t t place si on my property or building: OWNER SIGNATURE: Al DATE: G Z- Town of Queensbury• Community Development Office • 742 Bay Road, Qtteensbury, INY 12804 �8 353 � �l F E T } f{ t� i t F i I vt gk- 13ilf 8 s .. ; pi jE F t