2011-476 TOWN OFQ UEENSBURY
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742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110476 Date Issued: Wednesday, October 05, 2011
This is to certify that work requested to be done as shown by Permit Number P20110476
has been completed.
Tax Map Number: 523400-309-017-0001-018-003-0000
Location: 24 SILVER Cir
Owner:
Applicant: PARKER HAMMOND DEVELOPMENT LLC
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 i % ----�
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 Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
cow 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110476 Application Number: A20110476
Tax Map No: 523400-309-017-0001-018-003-0000
Permission is hereby granted to: PARKER HAMMOND DEVELOPMENT LLC
For property located at: 24 SILVER Cir
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: PARKER HAMMOND DEVELOPMI
715 UPPER GLEN St Sign
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-476
24 sq ft freestanding sign to read "PARKER HAMMOND CONSTRUCTION"
$72.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,October 05,2012
(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% 1fo1Queensbky; ,I "IV,eitiisdry,October 05,2011
SIGNED BY e, ;` for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONL•
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APPROVALS: DEPOSIT i
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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 appear on the
-a application form. ,� ,(� C (/ /
OWNER:p ctimmt tAtd(� FPYL INSTALLER/BUILDER: ( I IL, & '13i t A.. ) J(6- "cS
ADDRESS: i , (1'€&4 Le 1 . % I. Mt I, `�/ ADDRESS: �1f L( nG r l i '.4-tA_ I _r'\
PHONE NOS. sir 3.- l o / PHONE NOS. '7 Q a q/
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) dt{d�l 1p.e4ei/tete l duAinjburll,Kai
BUSINESS COMPLEX/PLAZA/MALL NAME: UQ
BUSINESS NAME:
CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE:_.
TYPE OF SIGN PROPOSED: Y�freestanding wall _awning projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal _External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes )4o
IF YES,LIST ALL EXISTING SIGNAGE:
The application creates a change X 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
spaces): Change in size of sign from to
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy: 1�a c IeY N ,M vv o n< (2IA.s-its or i o Yl
L/
Sign size: Length � x Width 3 =Total Sq.ft./ OZ LIS. Sign Height(freestandi sign): Ff
Color and Material to be used: P `t C s7f O� �� - �� !�
✓ Provide 2 copies of a scaled drawing or surveyed plot p 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 QUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codesequeensburv.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.aueensburv.net
I 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 -n all other I pertaining to the proposed work shall be complied with,whether
specified or noted,and that su« rizedy a owner.
APPLICANT SIGNAT L'� '' • DATE: 2)/1/
i
I hereby authorize the applicant .}J77- a i•n on m pro. or building.
OWNER SIGNATURE: ' ,__, DATE: '/ II
oft
`',„Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NI'12804
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:::..:.:.:. '.j.. _ _ .: :. 1 VAN DUSEN & STEI/ES L.L.S, DATED AUGUST 25, 1999, REVISED SEPT. 27, 1999.
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W • • ' ' . • ' ' ' ' ' ' ' 2. WARREN COUNTY, TOWN OF OUEENSBURY, TAX MAP NO. 309.17, BLOCK 1, PARCEL
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124.6' _ L 1216 A 243 I THAT THIS MAP HAS BEEN PREPARED IN ACCORDANCE WITH
: 5 s THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS
..._--.'.-.� 35.0' $ ADOPTED BY THE NEW YORK STATE' ASSOC. OF PROFESSIONAL
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�r CATCH eA MA A AM �yN ,N V V JJ�AUPDATED ON MARCH 23, 2011 FOR SITE AS—BUILT.
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ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY 1" # f i
MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S ylr ���� t� ��� E
EMBOSSED SEAL OR INKED STAMP SHALL BE
CONSIDERED TO BE VALID TRUE COPIES. FIRE HYtM 6 2 TOP STOP O ARK
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Unauthorized Alteration to this map is a fLANCE BO1LT
violation of Section 7209, Subdivision 2 ,
j of the New York State Education Low. WILLIAM J. ROURK , LICE SED
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* W. J. ROURKE, ASSOCIATES
Licensed Land Surveyors
1554 Saratoga Road, P.O. Box 1434
South Glens Falls, N. Y. 12803
OR NO. 49098
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