2011-211 (Five Star Golf Carts & Utility) 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: P20110211 Date Issued: Friday, May 27, 2011
This is to certify that work requested to be done as shown by Permit Number P20110211
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
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 Lnforcement
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: P20110211 Application Number: A20110211
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 Sign
215 BALLARD Rd Total Value
WILTON,NY 12831-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-211
64 sq ft wall sign to read "GOLF CART/EZ GO/www.fivestargolfcars.com"
$192.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,May 27,2012
(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 f Que b WFdaMay 27,2011
SIGNED BY ��' � for the Town of Queensbu
ry.
.
Director of Building&Code Enforcement
CAE LYS
i"21 OFFICE USE ONLY '
TAX MAP NO. PERMIT NO.�PERMIT FEE--- —I�.� ; F MAY, 18.. 2011 0
, 0
,
o APPROVALS: DEPOSIT , '
_______________________________ ;
�� � TII1LVN OF,QUEENS UTT
SIGN PERMIT APPLI CATION; BUILDING&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: -Fc.-e— INSTALLERIBUILDER: sf--',Zp
ADDRESS: 143 b tSG j�f 'f�i 1 ADDRESS: C t lf2i^S 17i+f` fU `j' Z f30 Y
PHONE NOS. SI 6—t{ I aJ i \ PHONE NOS. P-)6 Z— SS6—02 S'6 �y
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) IZa i2f ( Q%LeC-S 116%-
BUSINESS COMPLEX/PLAZA/MALL NAME:BUSINESS NAME: i'',JC_ SN,,nL� GGI�- Cc f S 1- U fir V e-AFde S
CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE:
TYPE OF SIGN PROPOSED: _freestanding -fl< wall _awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: Internal External Incandescent Neon Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? K Yes No
iF YES,LIST ALL EXISTING SIGNAGE: 1
The application creates a change X New Place
-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: (:;,UL G{'}jR-r C) 1,aww,t=NeS�,,ejb cczvs. Cep
Sign size: Length 9 x Width 1L =Total Sq.ft. 6-` Sign Height(freestanding sign):
Color and Material to be used: Wlnij2_J &lac, 'TV\' 5 V e-- f` eil c
✓ Provide 2 copies of a scaled drawing or surveyed plot pl n 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 ('�QUES�TIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codesCa7gueensburv.net
Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE.INFORMATION
✓ Provide 2 drawings or photos of sign design. www.gueensburv.net
✓ Provide Applicant and Owners 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: �e /� DATE: 5
I hereby authorize the aMI* t place sign on my property or building.
OWNER SIGNATURE: DATE:
Tozun of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
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