2011-013 11 ,, TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20110013 Date Issued: Thursday, February 24, 2011
This is to certify that work requested to be done as shown by Permit Number P20110013
has been completed.
Tax Map Number: 523400-296-016-0001-002-001-0000
Location: 31 CRONIN Rd
Owner. PETER SHABAT
Applicant: PETER SHABAT
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 (� i
property owner of the responsibility for compliance with Site Plan, c.4 at, �� tJ3j -
Variance,
or other issues and conditions as a result of approvals by the Dirctor of Build' &Codet
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
4111111kbaki
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110013 Application Number. A20110013
Tax Map No: 523400-296-016-0001-002-001-0000
Permission is hereby granted to: PETER SHABAT
For property located at: 31 CRONIN Rd
in the Town of Queens bury,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: PETER SHABAT
PO BOX 967 Sign
GLENS FALLS, NY 12801-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2011-013
18 sq ft freestanding sign to read "Uncle Vito's Pizzeria"
$36.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, February 24, 2012
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town'of Qt�eensb�ii�
; A Thursday, February 24,2011
SIGNED BY
`�' ? �''lj( `1for the Town of Queensbury.
,• �U.•
Director of Building&Code Enforcement
l OFFICE USE ONLY ��`i 1'
�� /6 -�� a/ERTNO �L si .
TAX MAP O ,i ERMIT FEE Ii �t A 18 all
APPROVALS: b[L'671&POSIT
SIGN PERMIT APPLICATION:
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must
be completedandmust appear on the application form.
OWNER: JG: me X'01 41J .1 INSTALLER/BUILDER:
ADDRESS: -z' I C-11 c‘‘fL (2i) ADDRESS:
eckt
PHONE NOS. 5-/f4- "1 Li-S--_ it Z 2_ 22 Z-- PHONE
�.�PHON/E NOS.
at
LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS) 3` 1 Cr-c)r\.\f- 14, / nl 4�n1.S(q `'
1 4 , /2-gr.") yBUSINESS COMPLEX/PLAZA/MALL NAME: -3,,k•-( r1esr,Jnt ALS <,)t I p k 7...q_7...q_BUSINESS NAME: vr\Cie_ VI 711-6 S Pi Z.Z.G\
CONTACT PERSON FOR SIGN CODE COMPLIANCE: Jp�iiNe s IJor 'bin PHONE: 5'8 7615:: i/ L2- zz2__6$b^�
TYPE OF SIGN PROPOSED: freestanding wall awning projecting `r
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: k Internal External _Incandescent Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Y.Yes No
IF YES,LIST ALL EXISTING SIGNAGE: ! Co1244wS Cw1 r COvis t---
The
LThe application creates a change New
in the following existing site Change in number of signs from to
conditions(fill in all applicable Change in setback for sign from to
spaces): Change in size of sign from to
Change in height of sign from to
Change of wording/copy from: n to:
Sign Wording/Copy: uncle V,4,ps (�,?1t er.6, (K-cp\r-tic(.r• 6 A--0y s 6 c�4v
Sign size: Length ��;Aix Width SC/bv=Total Sq. ft. 1 B Sign Height(freestanding sign):
`FF4 LS �/ vr.\1
Color and Material to be used:Sr3n e)co-crQ g' Vir
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of sign (walls signs: drawing of the facade
the sign will be located on,indicate sign on facade)
o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codes,a'�,queensbury.net
o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION
✓ Provide 2 drawings or photos of sign design. www.queensbury.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 k is authorized b the
owner.
APPLICANT SIGNATURE: ,Vy��,f,_ DATE: / Z - /3 /0
I hereby authorize the applicant t4lace a si n on my property or building.
OWNER SIGNATURE: _ DATE: (9-- r— - ( 0
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
31 Cronin Rd.Queensbury N,.Y. 12804-Google Maps http://maps.google.com/maps?q=31%20Cronin%20Rd.%20Queensbu...
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