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2011-386 Comprehensive Neuropsychological Services
TOWN OFQUEENSBURY f� _ ro 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110386 Date Issued: Monday, August 08, 2011 This is to certify that work requested to be done as shown by Permit Number P20110386 has been completed. Tax Map Number: 523400-296-019-0001-002-000-0000 Location: 123 QUAKER Rd Owner: MRK COMMUNITY COLLEGE HOUSING, LLC Applicant: COMPREHENSIVE NEUROPSYCHOLOGICAL SERVICE 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 �; f 4/1,.4,..,1' a property owner of the responsibility for compliance with Site Plan, � ' r 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 ON Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110386 Application Number: A20110386 Tax Map No: 523400-296-019-0001-002-000-0000 Permission is hereby granted to: COMPREHENSIVE NEUROPSYCHOLOGICAL SEI For property located at: 123 QUAKER 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. Type of Construction Value Owner Address: MRK COMMUNITY COLLEGE HO1 6 CHELSEA P1 Sign CLIFTON PARK,NY 12065-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency MAC THE KNIFE 798-0872 310 OUAKER Rd OUEENSBURY NY 12804-0000 Plans&Specifications 2011-386 Tenant "D" panel to be placed in already established freestanding sign. 12.3 sq ft monument sign panel to read "COMPREHENSIVE NEUROPSYCHOLOGICAL SERVICES" $36.90 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 08,2012 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) 1 I/ Dated at the T o ueefur�j 1 I ay,August 08,2011 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 07/29/2011 16:43 5183738817 KAREN M GAZDA ((� ��aa (� n PAGE 01 01 :.,---),..---.,y f '' ? OFFICE USE ONLY �J / a ��•-•+. TAX MAP NO. _ PERMIT NO.�i,..,' .`,.,,'L/1 ERMIT FEE ? AUG Q 3 2011 1 , i APPROVALS' DEPOSIT ' TQ\AN OFUEENSBURY BUFLO1 & CUDES"'— S.IGN PERMITAPPLICA.TION: — A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must be completed and must appear on the application form. OWNER: V I _ C�-�C INSTALLERIBUILDER: M4 f__.k1n14Q,. ADDRESS: • L, ` auk ADDRESS: 'Z LAG% _ 1 • * . ' A A.. I#2-76 PHONE NOS. 48) 3`13-14% ‘O 2.0 . PHONE NQS, A$ -• 1'L r� t -41 LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) l 7 ©,LACkt,.n.0 N���✓Aslol..�r� T (-2-I5 i BUSINESS COMPLEX/PLAZA 1 MALL NAME: Sv GOA i.S i0( Suc---- l05 I �AS�eastik orn svc, i/1c,� MCX�1nt(►�.0 BUSINESS NAME: S` 1 •Z Qpm Si as4 S t ��L_ e CONTACT PERSON FOR SIGN CODE COMPLIANCE.t.Z ClniArcl DUr w k 1 {3-Net PHONE;(Gk )4%\Z"4 r(-3 TYPE OF SIGN PROPOSED: X_freestanding _wall _awning _projecting IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal _External _Incandescent Neon _Other 1\1'i\ DO SIGNS CURRENTLY EXIST ON THEE PROPERTY? EYes _No IF YES,LIST ALL EXISTING SIGNAGE: VVOSVAN'() ` 0ro ('k-3S\ vC ` C t stn S The application creates a change New in the following existing site x Change in number of signs from 3 to It 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: j Ovv,<pia, , 41416 ��c 4 S,;Gas 1 5-11* �iS i(� J �X1S.1A Sign size: Length x Wid =Total Sq. ft. I4...%3 Sign Height(freestanding sign). Color and Material to be used: _ c O..L . \f nye— it\GC' C- L __ 1-2.,TS ✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information: Location of sign(walls signs: drawing of the facade the sign will be located on,Indicate sign on facade) QUESTIONS 7 CALL 7614256 OR EMAIL o Height of freestanding sign c Depth of projecting sign bodes 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.gueenaburv.net V 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 al!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-.0 • Y -__ DATE:i (-L7711 I I hereby authorize the applicant place sig n y property or building. OWNER SIGNATURE: /7/ ?\ 7C i DATE: /2- 7/7 Town of Queensbury W Community I.)evelopment Office • 742 Bay Road, Queensbury, NY 12804 t ' ,' c' / i --- • / i 4 . •" ' • •,. ,. ...1 b . . ' •.. ,'!U g. 1 ir '...1,.. AP 1 ., • • L ... 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Scale Protect t FOLDED: FILENAME:WELLS FARGO ggicie ege Pap:OLE of OLE Dram by: RIB Dent Approvals: ❑Approved ❑Approved as noted 0 Resubmit with revisions BY: ONE 5'H X 10'W X 1'8"D DOUBLE SIDED Dei INTERNALLY ILLUMINATED MONUMENT SIGN °airserIngSwag Is to remain SAXTON'S ezchaive 50 SQUARE FEET property Doti approved and acct named ppted uueh purchase by (67741C' /5',Se-723,40 f a: Ow i I .., 4'_ ,r W Cit .,: at.i.;k , --,..._____ ____v_ter ilifir. r.f.,a 0._.L.lir., -1.—.. ......4.7" ,_:...„......,......,..._ . 1 3 , •=•�•_1 '- •-_Ay-,,V.-' i •t10,7..L.de- 1......• _ ri�.,, Ili . 1 "rte `� ., � .. , i' i k re i .- 1 , ° (,�' •� . �•. i„,, 14 �_ r , i g N i .2-7-s: ' li • 1 li ' 441 I: tk ' * 1 , ""g....4144;\ I. 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