2010-335 eak.4 TOWN OFQ UEENSBURY
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742 Ba RoadQueensbury,NY 12804-5902 (518)761-8201
Y Road,
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Pernvt Number: P20100335 Date Issued: Thursday, August 19, 2010
This is to certify that work requested to be done as shown by Permit Number P20100335
has been completed.
Tax Map Number: 523400-309-009-0001-080-000-0000
Location: 69 CONNECTICUT Ave
Owner. MARY JANE CANALE
Applicant: C & C TRANS & DETAILING
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 ( <^1 //ii
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.
4411111 ` TOWN OF QUEENSBURY
wifpo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100335 Application Number. A20100335
Tax Map No: 523400-309-009-0001-080-000-0000
Permission is hereby granted to: C &C TRANS & DETAILING
For property located at: 69 CONNECTICUT Ave
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 Queens bury Zoning
Ordinance. Type of Construction Value
Owner Address: MARY JANE CANALE
28 FOX HOLLOW Ln Sign
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-335
12 sq ft sign
$24.00 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 the expiration date.)
Dated at the wn o ee ury, /'th 'sday,August 19,2010
SIGNED BY Ak,,,Vfor the Town of Queensbury.
Director of Building&Code Enforcement
- r r
307_ 7- l Fo OFFICE USE ONLY
TAX MAP NO. PERMIT NO JO 'PERMIT FEE /i //V
DEPOSIT FEE i �f
APPROVALS -
SIGN PERMIT APPLICATION
➢ A separate application is required for each sign.
➢ A permit must be obtained before installation of your permanent sign.
• All spaces on this form must be completed.
APPLICANT: ago' ` Cts\P INSTALLER/BUILDER:
ADDRESS: l a v-,xvt,cf lc b90-e ADDRESS:
PHONE NOS. (5)11- SSS - �`} 2y PHONE NOS.
LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS)
5' a hAec�,C. � v �v"���g�o�� w�y, 12&-a `�
NAME OF BUSINESS COMPLEX/ PLAZA/ MALL: ii
NAME OF BUSINESS: C # C- 1-4 vv� c- 0-e--A va 1 t:n5
CONTACT PERSON FOR SIGN CODE COMPLIANCE: Ova -c PHONE: q 'S "2--q z q
TYPE OF SIGN PROPOSED: 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 X No
IF YES, LIST ALL EXISTING SIGNAGE:
The application creates a .>C New
change in the following Change in number of signs from to
existing site conditions (fill in _Change in setback for sign from ' to
all applicable spaces): _Change in size of sign from to
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy: C3 C. -1'J411)s 4- 0 e-t4a k , a et i7 i 25,23' ,red 3G l 6 9C (
r
Sign size: Length 4/ x Width 3 = Total Sq. ft. I z sy Sign Height(freestanding sign):
Color and Material to be used: — z
1. Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
a. Location of sign (walls signs: drawing of the facade the sign will be located on, indicate sign on
facade)
b. Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
c. Depth of projecting sign codes@_queensburv.net
d. Distances from front and side property lines.
VISIT OUR WEBSITE FOR MORE INFORMATION
2. Provide 2 drawings or photos of sign design. www•aueensburv.net
3. Provide Applicant & 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 authorized by the
rtlArnor �-�
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