SIGN 2007-314 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 COMPLIANCE
Permit Number. P20070314 Date Issued: Friday, September 07, 2007
This is to certify that work requested to be done as shown by Permit Number P20070314
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 occupied as a:
Temporary Sign
By Oder 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: P20070314 Application Number. A20070314
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is hereby granted to: RAYMOND HIPPELE
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. Tie 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
2007-314
TEMP SIGN TO READ "BODY RELIEF & SPA 792-6196" TO BE DISPLAYED 10 DAYS 7/10/07 TO
7/19/07
$8.33 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,July 19, 2008
(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 of 0e7j, ry; on AhteA4 2007
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SIGNED BY E���. for the Town of Queensbury.
Director of Building&Code Enforcement
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OFFICE USE ONLY
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OF r_r_
TAX MAP NO. ;
PERMIT No. I ►
EPOSIT:
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► APPROVALS: ZONING: ► ' ►
TOWN CLERK: PERMIT FEE:
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M-- ORARY SIGN PERMIT APP
LIGATION:
Anblicant Information
Business Information
Name:
Contact Person: lsa
Address: 9s9 Lek 9
Add ress: Sane
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Phone No. 7�� -C�Iq(o
Ph ne No. 712- Q,glo
S eci 'c Information about uour si z•
✓ What is the date for placement of our sign.. 53U. Lt Iz '" �u�,, �
Y 9 29 " 2ts J�s� rye
✓ What is the date for removal of our sign? ; -j Dui w�
Y g ��. �,VV-s � A Ntov.
✓ How many days will your sign be displayed? _ U) ► i��a `
✓ Indicate exact address for placement of sign: 9 6
✓ Indicate tax map number for your parcel: i
✓ Indicate the type of sign you will display:
Wall Sign (cannot exceed 32 square feet)
X Freestanding Sign (cannot a ceed 16 square feet)
✓ What are the dimensions of the sign? X _ 1S
sq. ft.
✓ Indicate in words what your sign will say: , p ►;,�,� .� �„
Note: Failure to Remove sign at expiration may result in forfeiture of deposit as per the Code
of the Town of Queensbury, Section 140, Subsection 140-4 (Local Law No. 11, 1993)
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, whet er specified or noted, and that such work is
authorized by the owner
APPLICANT SIGNATUR . D TE:
I hereby authorize the pplica pl e a s' n on my property or building:
OWNER SIGNATURE: DATE:- f37
Along with your apv ication please submit:
QUESTIONS? CALL 761-8256 OR EMAIL
o Detailed drawing or photo of sign codesfoueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
o Plot Plan of location of sign www.a_ueensburmy net
Town of Queensbury• Community l)P71P1M7M0vif 7Q) Rm, n,,,,a %r,