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2011-597 Metro Mattress glibk TOWN OFQ UEENSBURY I FON 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110597 Date Issued: Wednesday, December 14, 2011 This is to certify that work requested to be done as shown by Permit Number P20110597 has been completed. Tax Map Number: 523400-296-017-0001-051-000-0000 Location: 870 STATE ROUTE 9 Owner: ALEXANDER POTENZA Applicant: METRO MATTRESS CO. 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 �, ` I '" property owner of the responsibility for compliance with Site Plan, Wit' V 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 ` N 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110597 Application Number: A20110597 Tax Map No: 523400-296-017-0001-051-000-0000 Permission is hereby granted to: METRO MATTRESS CO. For property located at: 870 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: ALEXANDER POTENZA Sign FRANK BORK Total Value 403 GLEN St GLENS FALLS, NY 12801 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2011-597 8.3 sq ft freestanding sign $24.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, December 14,2012 (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 Town of Queensbury; 4 Wednesday, December 14, 2011 SIGNED BY , °' "' for the Town of Queensbury. Director of Building&Code Enforcement l FF ' �� / 27( /7-/_57 TAX MAP NO. PERMITICE NO.USE ONLY //7!) //PERMIT FEE DEC n 8 2011 APPROVALS: DEPOSIT ,' T©WN A 6.QUEENSBURY__. SIGN PERMIT APPLICATION: BUILDING & CODES A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must be completed and must ap ear on the application form. / ,/ OWNER: ila-h..c L�6e- �'' INSTALLER/BUILDER: 5/64)t4- e7gt<S /x/6)16 �p.C ADDRESS:�/ ��Ci,W) t74�y ADDRESS: -Z 7 CAR% L Q t iIS b' r PHONE NOS. J/ 7-7,3— tl,�s / I PHONE NOS. /S } 7N-07i." --) S70 ` d _ LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) S `0 �`i i- ME 9 BUSINESS COMPLEX/PLAZA/MALL NAME: ,M y�–�y BUSINESS NAME: +' `"r e-.0 t ` ,Y'C 1 �-�L"� . / CONTACT PERSON FOR SIGN CODE COMPLIANCE: At'oer f, ied.I(' ' PHONE: (c 3s) 7 I – -` � TYPE OF SIGN PROPOSED: freestanding wall iC awning _projecting IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: Internal _External _Incandescent _Neon _Other DO SIGNS CURRENTLY EXIST ON THE PROPERTY? es _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 spaces): Change in size of sign from to ` Change in height of sign from to 1� Change of wording/copy from: N y (1) T gE to: -rizf2 Y1 AT 1 TzEs . Sin Wording/Copy: I V O j j CCE �t C`"� T"SLEE 9 9 PY� S«-IPs<ie_.ST�� --- Sign size: Length l 7,0x Width',lb =Total Sq. ft. 8 S Sign Height(freestanding sign): Color and Material to be used: t - k C_ Lee - o/d ►`xi)6,zo o .A-CK6e_v 02-1(.1 ✓ Provide 2 copies of a scaled drawing or surveyed plot plan 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 codest 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.queensbury.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 Ordinanc and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that h wor s auth riz d by the owner.P APPLICANT SIGNATURE - 64Gs� V DATE: Q.cJLi l� 01( I hereby authorize the appJJcant t pace a sign orm�y roperty or building. li i / OWNER SIGNATURE///r� f • ✓ DATE: O/� L � Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 lJ v v L/ w :S (3.) cts o a C> Q (� tiD an co r- n, o g C�D co co 00 UD Lo txo co F. coW any\``� co co LLJ LLJ m o ZW N m Toc 1 K , d f ` Ld w o w U l �F- W x LL. @ n CIA Lli Ld W LLJ Lll _ Z U ,- m O W _Z F- W W Z C) LZ � m W LLL— W >ZD i ZW<— � Q D Z > C) I QZ m � C'CLLJ ) � W Z W � 0 Lu j x } / I �O m W O 1 w `� of I^ } \\\ \ zwo