2010-400 1,1 TOWN OFQ UEENSBURY
10 Fa
742 Bay Road, NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100400 Date Issued: Thursday, August 19, 2010
This is to certify that work requested to be done as shown by Permit Number P20100400
has been completed.
Tax Map Number. 523400-302-014-0002-027-000-0000
Location: 123 DIXON Rd
Owner. BAYVIEW PROJECTS LLC
Applicant BAYVIEW PROJECTS 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 2 4 1
property owner of the responsibility for compliance with Site Plan, Lt,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enfottement
Planning Board or Zoning Board of Appeals.
lia TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 128045902 (518)761-8201
vteiire
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100400 Application Number. A20100400
Tax Map No: 523400-302-014-0002-027-000-0000
Permission is hereby granted to: BAYVIEW PROJECTS LLC
For property located at: 123 DIXON 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: BAYVIEW PROJECTS LLC
123 DIXON Rd Sign
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-400
24 sq ft wall sign
$48.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,August 19,2011
(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 p‘e expiration dite.)
Dated at the Town of eeris�u
,� � �f p ,�7I' �firsday,August 19,2010
n
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
7/2 .4-2 -2_?-- OFFICE USE ONLY
FEE "7' �_
TAX MAP NO. PERMIT NO. /40CLICOERMIT ;.:;
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 fore.
OWNER: 3 472/ i I'v) ( 1 .O ..1 I CZS INSTALLER/BUILDER:C--
ADDRESS: l 2 3 l X O41 '` adi ADDRESS:
PHONE NOS. 57 £ — 79 Z —/iii____ PHONE NOS.
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 1 2 /�3 b I X o Po f U
BUSINESS COMPLEX/PLAZA/MALL NAME: , . /'LJ
BUSINESS NAME: TYA i t. w V' f5 F7 bs4�n�
mv 7t J
CONTACT PERSON FOR SIGN CODE COMPLIANCE: /
PHONE:
TYPE OF SIGN PROPOSED: _freestanding !wall _awning ^projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _In}.emai _External _Incandescent _Neon _._Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes _No
IF YES,LIST ALL EXISTING SIGNAGE: W 4// S14 kidilG'f mCec S' ilMitAriej
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
Change of wording/copy from: to:
Sign Wording/Copy: P/2 IN s ►''2-Wt i4-,3 cos r►iI edit 4 4 vvi I iy de /1/2S/}vl
Sign size: Length io/ x Width 1 =Total Sq. ft. 2 Sign Height(freestanding sign)):
Color and Material to be used: Ko 0
✓ 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) QUESTIONS Z CALL 761-8256 OR EMAIL
o Height of freestanding sign codes(a.queensburv.net
o Depth of projecting sign
o Distances from front and side property lines. VISIT OUR wEesrrE FOR MORE INFORMATION
✓ 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 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 horized by the owner. J (( 0
APPLICANT SIGNATURE: 0-24---------- DATE: l 10
I hereby authorize the applicant to . -ce as _n on my property or building.
OWNER SIGNATURE: \ l li,
��.1►�I� DATE:
QTown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
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