2011-090 (Five Star Golf Carts & Utility) TOWN OF QUEENSBURY
vrio742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110090 Date Issued: Thursday, April 21, 2011
This is to certify that work requested to be done as shown by Permit Number P20110090
has been completed.
Tax Map Number: 523400-296-013-0001-023-000-0000
Location: 1011 STATE ROUTE 9
Owner: FRANK PARILLO
Applicant: FIVE STAR GOLF CARTS &UTILITY
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 r
!r
property owner of the responsibility for compliance with Site Plan, ` G
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
0.1`
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110090 Application Number: A20110090
Tax Map No: 523400-296-013-0001-023-000-0000
Permission is hereby granted to: FIVE STAR GOLF CARTS & UTILITY
For property located at: 1011 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: FRANK PARILLO
215 BALLARD Rd Sign
WILTON,NY 12831-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-090
32 sq ft freestanding sign
$96.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 21, 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 ofNQueent; t urrii /Thu sday, April 21, 2011
/91
SIGNED
_
SIGNED BY r
' for the Town of Queensbury.
Director of Building&Code Enforcement
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II
' OFFICE USE ONLY 11 • e/ , III•
TAX MAP
6 .� J " 7� 1 � ; rib 2T:1 N / _PERMIT NO. // / RMIT FEE /i�
APPROVALS: DEPOSIT ; y
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SIGN PERMIT APPLICATION:
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must
be completed and must appearonthe application form. •
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OWNER: .ve Sa Q J GJ1 t (_c' F ��1 �r? INSTALLER/BUILDER: fi/' f '7,/S
ADDRESS: I$65 n l 0'�p J e ADDRESS: LaC ors(
PHONE NOS. aVs L SS S 0-75 G PHONE NOS. [�6 Z - ZZ S - ZOO Li
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 100 57 R-' - K6t `� 6,,k, evIcbt.I., ply abtq.
BUSINESS COMPLEX/PLAZA/MALL NAME: A! �( it
BUSINESS NAME: i')
CONTACT PERSON FOR SIGN CODE COMPLIANCE: V-A f J`1 k,`'ei,} PHONE:en/�55 'V�S 6
TYPE OF SIGN PROPOSED: h freestanding n wall l _awning _projecting
IF SIGN IS TO BE ILLUMINATED.PLEASE INDICATE: tx Internal External Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? _Yes &No
.F YES,LIST ALL EXISTING SIGNAGE:
The application creates a change New
n 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: to:
Sign Wording/Copy: F/ve Sia( 401.F' furs f04,1.A
Sign size: Length x Width =Total Sq. ft. 32- Sign Height(freestanding sign): /2 14' �=L f Y
Color and Material to be used: P/ u-(64.eA , Wad-44kfTteA, /6-1.4../3
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following Information:
o Location of sign(walls signs: drawing of the façade
the sign will be located on,indicate sign on façade)
o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codes a(�queensburv.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 ano
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 owner.
APPLICANT SIGNATURE: 2 C.2 DATE: 3/ 1 J Z O i t
I hereby authorize the ap•tplce a uroperty or building.
OWNER SIGNATURE: DATE: 3 I ( - 'Z o t
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
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Double sided internally lighted sign.
Sign mounted on 6" round steel pole.
Pole to be mounted to exisiting sign base.
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SALES - SERVICE - PARTS - RENTALS
www.FiveStarGolfCars.com
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Layouts by:
atr §bigns point 1ii,le5t
www.WestSigns.com
1100 Dix Avenue
Hudson Falls, NY 12839
518.747.5283