2008-354 Temp Sign Body Relief & Spa TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLI-A-N- CE
Permit Number. P20080354 Date Issued: Wednesday, July 23, 2008
This is to certify that work requested to be done as shown by Permit Number P20080354
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 maybe occupieq3&3Y 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, t
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Vnforcement
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: P20080354 Application Number. A20080354
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 Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2008-354
BODY RELIEF - TEMP SIGN TO READ 'BODY RELIEF & SPA 792-6196" TO BE DISPLAYED FOR
12 DAYS FROM 10/14/08 TO 10/25/08
$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 To n�_
ensbJuly 02, 2008
7
SIGNED BYfor the Town of Queensbury.
Director of Building; de E orcement
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w OFFICE USE ONLY ;
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TAX MAP NO. PERMIT NO. DEPOSIT: G� �� ; - , _
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APPROVALS: PERMIT FEE: i,
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TEMPORARY SIGN PERMIT APPLICATION:
Applicant Information
' ff Business Information
Name:
Contact Person: ' r3 Q►,,UtC�
Address: �'/ �_��..( ��`_
Address:
Phone No. �"f�. (p�
V �— Ph ne No.c� 3libilut ("M ! mot
S eci icn ormation our si n:u �
�104 yam, "What
���- �- r H�-�- Along with your applica ion,
l _ a ate for placement of your sign? please submit:
��� What i theme date for removal of your sign? o Detailed drawing or photo
3 ✓ How many days will your sign be displayed? 1Z 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 Torn of
Wall Sign(cannot exceed 32 square feet) Oueensbury, 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 _ q. ft.
t i
✓ Indicate in words what your sign will say:
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. QQ,/�')
APPLICANT SIGNAT RE: ��DATE: �/D
I hereby authorize the pplica t t place si on my property or building:
OWNER SIGNATURE: I DATE: (1/44106
Town of Queensburi/• Community Development Office - 742 Bay Road, Queensbury, NY 12804
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