2011-271 Ron's Auto Body 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: P20110271 Date Issued: Wednesday, June 22, 2011
This is to certify that work requested to be done as shown by Permit Number P20110271
has been completed.
Tax Map Number: 523400-309-009-0001-048-000-0000
Location: 203 'LUZERNE Rd
Owner: RONALD BACON
Applicant: RONALD BACON
This structure may be 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 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: P20110271 Application Number: A20110271
Tax Map No: 523400=309-009-0001-048=000-0000
Permission is hereby granted to: RONALD BACON
For property located at: 203 LUZERNE 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. Tyke of Construction Value .
Owner Address: RONALD BACON
73 JOHN St Sign
QUEENSBURY NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-271
48 sq ft wall sign to read"RON'S AUTO BODY"
$144.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 22,2012
(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 T7: ueen ry;� tesday;June 22,2011
SIGNED BY r d for the Town of Queensbury.
Director of Building&Code Enforcement
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� USF ONLY �� �. �
T0. �_�(VFFICEMIT NO. 1 ERMIT. E___FE2"` � ; ;
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APPROVALS """"""""DEPOSIT """""""""""-
' URY
SIGNPERzA�PPLICATlON / T BU DING•&CODES"
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must
be completed and must appear on the application form.-
OWNER: t�✓ldll�J�� /� LctiL INSTALLER/BUILDER: s?ut_Q_
ADDRESS: 0e) ADDRESS:
PHONE NOS. (rf7Gi� rZ�I — i�3 PHONE NOS.
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS)
BUSINESS COMPLEX/PLAZA/MALL NAME:_
NAME: 0dL5 -u 6`:)( ��Ct� I�Q D� ✓-
BUSINESS NAME: B i; t,UfZJ v he 31 d
CONTACT PERSON FOR SIGN CODE COMPLIANCE: 3 PHONE��kI 796-q 302-7 Czl<
Ja✓Gi
TYPE OF SIGN PROPOSED: wall _awning _projecting 7
L
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: `lntemal —External _Incandescent Neon Other
/�-
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? es _No
IF YES,LIST ALL EXISTING SIGNAGE
The application creates a change New
in the following existing site Change in number of signs from to
conditions(fill in all applicable. Change in.setbadc for sign from to
spaces): Change in size of sign from to
Change in-height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy:lf"117 U14.3 AnAl
_ S
Sign size: Len x Width Total S . ' Si n Height(freestanding sign):9 q 9 g ( g g )•
d
Color and Material to be used:
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
.o .Location of sign(walls signs: drawing of the fagade
the sign will be located on,indicate sign on fagade) QUESTIONS o Height of freestanding sign . ? CALL 761-8256 OR EMAIL
codes(_gueensbury.net
o Depth of projecting sign
o Distances from front and side property.lines. VISIT OUR WEBSITE FOR MORE INFORMATION
✓ Provide 2 drawings or photos of sign design. www.nueensbury.net
✓ Provide Applicant and Owner's signature(permission
for placement of sign on the property or building).
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 b e owner.
APPLICANT SIGNATURE: DATE: 8 7lJ/
I hereby authorize the applicant to place a sign on my property or building.
OWNER SIGNATURE: � �� DATE:
IN Town of Queensbury• Community Development Office• 742 Bay Road, Queensbury, NY 12804
r
DEC/09/2010/THU 01 :40 PM FAX No, P. 005
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