2008-355 Temp Sign Body Relief & Spa TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20080355 Date Issued: Wednesday, July 23, 2008
This is to certify that work requested to be done as shown by Permit Number P20080355
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 occupiedfftY RELIEF
Temporary Sign
By Ogler of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the �T \ p
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: P20080355 Application Number. A20080355
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is herebygranted 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
2008-355
BODY RELIEF - TEMP SIGN TO READ "BODY RELIEF & SPA 792-6196" TO BE DISPLAYED FOR
12 DAYS FROM 12/1/08 TO 12/12/08
$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=avvd
4W e ay,July 02, 2008
SIGNED BYfor the Town of Queensbury.
Director of Building&Code E orcement
t- --- -y. _ ________________OFFICE USE fJNLY__,._____________________
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TAX MAP NO. PERMIT NO. DEPOSIT: , g.
_. s.
APPROVALS: '`' ;
PERM,I.TT FEE: �� � � t
,.____________________________v o_ S
TEMPORARY SIGN PERMIT APPLICATION: _
Applicant In ormation
f _Business Information
Name: �-
�-s1 Contact Person:
Address:
Address: lM�
Phone No. '7 a. - �p
Ph ne No. � �
�d!
S eci information kbbut o r
e u sign: ir
� �� � - Atong with uour applica ion
t i ,
! Whas a ate for placement of your sign? please submit: J
NOV
What the date for removal of your sign? ` ` 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
cicq �� 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
`7 Freestanding Sign(cannot exceed 16 square feet) 140-4(Local Law No. 11, 1993)
✓ What are the dimensions of the sign? X ___ sq. ft.
✓ Indicate in words what your sign will say. E�_1
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. /A
APPLICANT SIGNAT RE: 091tk(14DATE:
I hereby authorize the pplicatplacesio on my property or building:
OWNER SIGNATURE: DATE: G 144
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
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