No preview available
2011-528 gjillkmpak TOWN OFQ UEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Q �Y, Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110528 Date Issued: Monday, November 07, 2011 This is to certify that work requested to be done as shown by Permit Number P20110528 has been completed. Tax Map Number: 523400-289-015-0001-001-001-0000 Location: 21 BLIND ROCK Rd Owner: MARYLEE GOSLINE Applicant: MARYLEE GOSLINE 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, , y4,.12 Variance, or other issuesand conditions as a result of approvals by the Director of Building&Code nforce ent Planning Board or Zoning Board of Appeals. 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110528 Application Number: A20110528 Tax Map No: 523400-289-015-0001-001-001-0000 Permission is hereby granted to: MARYLEE GOSLINE For property located at: 21 BLIND ROCK 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: MARYLEE GOSLINE 25 BLIND ROCK Rd Sign QUEENSBURY,NY 12804-0000 Tota Value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-528 12 sq ft sign to read "TAILS WAG INN" $36.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 07,2012 (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 To ofensb ; , ovember 07,2011 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 4EOFFICE USlE NLY RMIT NO. 0)-MIT APPROVALS: DEPOSIT 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 appear on the application form. OWNER:J GV_ 7L.e(7 t �^yr INSTALLER/BUILDER: Pes+ ADDRESS: l J I td JO c L /,i • ADDRESS: 1100 D�f /n 05,-.,.` c,Au-r/U`i(1/51PHONE NOS._5(8 C g - �/ TL '/- . PHONE NOS .✓ g 18"77'S z 3 LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) c I p t a ci Wor,IL (J- BUSINESS COMPLEX/PLAZA/MALL NAME: FF" — — — BUSINESS NAME: T/1/l S t-1/A h (QA/ CONTACT PERSON FOR SIGN CODE COMPLIANCE: /tN.4 Wes _PHONE:_7(0- 5-283 $ tit TYPE OF SIGN PROPOSED: cfreestanding _wall awning projecting IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal _External _Incandescent _Neon _Other DO SIGNS CURRENTLY EXIST ON THE PROPERTY? _Yes X' No IF YES,LIST ALL EXISTING SIGNAGE: The 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 spate __Change in size of sign from to Change in height of sign from to Changed WolnlingVeapy from: _-- ------to:_ -- Sign Wlydil opy: (A'c,S t-' 6 1 Nt-/ ---- - -- - Sign size: Lngth .3 x Width_ L/ e =Total Sq.ft. /Z Sign Height(freestanding sign): 6 Color find Material tirebe used: PUC /14A7�rc/"It r 6ree, cuC. ✓ Provide 2 Daisies of a scaled drawing or surveyed plot plan with the following information: o Location of sign(walls signs: drawing of the facade thit*n will be located on,indicate sign on facade) o }fight of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL o Depth of projecting sign codesCo?aueensburv.net o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION I 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 ptOVI$l ns of the Zoning Ordinance,and all other laws pertaining to the proposed work shall be complied with,whether spedlbd Ormoted,and that such work is authorized by the owner. APPLICANT SIGNATURE:�+— DATE: /D/6`// I hereby authorize the applicant to place a '-n on my property or building. OWNER SIGNATURE �� DATE: l U_ _ (( Town of:Queer sbu t/niunity Development Office • 742 Bary Road, Queensbury, NY 12804 oQ r r 4' 0" 21 Sign is made of 1/2" PVC material. Dark Green background w/vinyl letters. TAILS Single sided sign. INN M DAYCARE dait AND Layouts by: .,i BOARDING Otttgiis Point Iticst 1100 Dix Avenue Hudson Falls, NY 12839 518.747.5283 Tails Wag Inn sign placement for ,rN1 1 c 21 Blind Rock Rdvor F -(1) k\) Z © ' - \ 15 -TA- pli - . 1 T' <,..< ,,in 1- . BOCK RD 0-.1" Sign to be place just over 15' from from and side property lines.