SIGN 2011-158 Bull Hill Farm & Orchard 411% TOWN OFQ UEENSBURY
5 Road,
742 Ba QueensUury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110158 Date Issued: Thursday, May 12, 2011
This is to certify that work requested to be done as shown by Permit Number P20110158
has been completed.
Tax Map Number: 523400-296-013-0001-018-000-0000
Location: 959 STATE ROUTE 9
Owner: RAYMOND HIPPELE
Applicant: BULL HILL FARM & ORCHARD
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 bythe
pp Director of Building&Co a Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
S0
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110158 Application Number: A20110158
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is hereby granted to: BULL HILL FARM&ORCHARD
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 Sign
DIAMOND POINT,NY 12824-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-158
4 sq ft sign for various seasonal produce
$12.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,May 12,2012
(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 Tptvn o ruee s ur/ urs y,May 12,2011
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SIGNED BY �--' ��/ for the Town of Queensbury.
Director of Building&Code Enforcement
_ • OFFICE USE ONLYc. 1,_)I-E- [�." ' ' ,
TAX P PERMIT NO. 6-":4PERMIT FEE I3 r
f . -AA t[ ail
APPROVALS: DEPOSIT ' '•
SIGN PERMIT APPLICATION: Il_BUlL
DING r`e)I1ES
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must
be comp ted and musrt app@ar on tpe_application form.
OWNER: . tt K r'vyt 1L-. ...rtAAGck INSTALLER/BUILDER: 03((1'at i, (&ueo
ADDRESS: L-79- Co )A- Rt--(7 �1ru r11Ny 14DD ESS: 67).- .i7�i.+� L k���� i Fat-RNA
th oy 1 0`a c4' /
PHONE NOS. ( CC_� 7�` l\U PHONE NOS. 5'(0`� —D-°3b
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) CA 5 9 Kt1 ,fV`i(��_5`7vr'/ 0y
BUSINESS COMPLEX/PLAZA/MALL NAME: O.\ 1 g..0` Gi i i e lh \ter
e
BUSINESS NAME: Oat (�c o[ 5 Loo ia� 0.0A-ter . — �--vmo+vi ( e pP lid
CONTACT PERSON FOR SIGN CODE COMPLIANCE y�V t,t latl t1 (& A Z) PHONE:'5 3T4 ?-0b(6
TYPE OF SIGN PROPOSED: r(freestarkiing l wall _awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal _External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERT+Y��? AYes No
I /�� A
IF YES,LIST ALL EXISTING SIGNAGE: , hi 1. r�I �V t\¶'1 SkDQ 4 l 51� I1
The application creates a change K New JJ
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: to:
Sign Wording/Copy:iJJ((1 'C'.r( — &. OA e r �• LS in S�-SD's
l 3(f`�
Sign size: Length --..x Width =Total Sq.ft. 9- Sign Height(freestanding sign):
Color and Material to be used:otke._ i cree 14 astte-- c..�iti rocQ -e__" r vl<
,/ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information: J
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(@,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.queensburv.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 by the.owner.
APPLICANT SIGNATURE: ' • _ C_e_s_.!: 1 DATE: (*.____g...-
`r
i
I hereby authorize the applicant to place sig o , y pr+,.erty or building.
OWNER SIGNATURE: 141 A, l,\ , .. + DATE: 4'124 1 j
Ow
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
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