2007-012 (zt TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20070012 Date Issued: Friday, January 26, 2007
This is to certify that work requested to be done as shown by Permit Number P20070012
has been completed.
Tax Map Number. 523400-296-011-0001-042-000-0000
Location: 543 BAY Rd
Owner. ARCANGELA BANNON
Applicant: ARCANGELA BANNON
This structure maybe occupied as a:
Temporary Sign
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070012 Application Number. A20070012
Tax Map No: 523400-296-011-0001-042-000-0000
Permission is hereby granted to: ARCANGELA BANNON
For property located at: 543 BAY 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. Tyne of Construction Value
Owner Address: ARCANGELA BANNON
Temporary Sign
543 BAY Rd
QUEENSBURY, NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-012
32 SQ FT TEMP SIGN TO READ "WELCOME DR. JEFFREY GUNDEL" to run from 1/23/07 to 3/24/07
$100.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, March 28, 2007
(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 T Queens urr, Thursday,January 25, 2007
SIGNED BY �7 ( ,y, for the Town of Queensbury.
Director of Building"Z Co nforcement
�/_ _____�_^_________________OFF ONLY ---
ICE USE ----�------"��-"""' --rio ----------- -
TAX MAP NO. 1 '
PERMIT NO.
i APPROVALS: ZONING: EPOSIT: ,
TOWN CLERK: ` RECEI VE,p
---PERMIT FE jj
JA
TEMPORARY SIGN PERMIT APPLIATOWN OF QUEENSBUR Y ILDINGAND C6nE
A_pnlicant Information
Business Information
Name:
Contact Person:
Address: ,
Adc ress:
Phone No. 71- C��
Ph ne No.
Specific Information about YQy siQnt'
✓ What is the date for placement of your sign?
✓ What is the date for removal of your sign?
� 7-
✓ How many days will your sign be displayed?
✓ Indicate exact address for placement of si n��
g
�C1�C� �y�i
`3
✓ Indicate tax map number for your parcel:_ L->2 g( , / —
✓ Indicate the type of sign you will display:
Wall Sign (cannot exceed 32 quare feet)
Freestanding Sign (cannot a ceed 16 square feet)
✓ What are the dimensions of the sign? X-- _ = .3 -
sq, ft.
✓ Indicate in words what your sign will say:
e cry m n l
Note: Failure to Remove sign at expiration may result in forfeiture of deposit as per the Code
of the Town of Queensbury, Section 140, Subsection 140-4 (Local Law No. 11, 1993)
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 premi d that all provisions of the Zoning Ordinance, and all other laws
pertaining to the propose tor sh II b mplied with, whet er specified or noted, and that such work is
authorized by the owne .
APPLICANT SIGNATURE: D TE: I q
I hereby authorize the ap Ic to a sign on my property or building:
OWNER SIGNATURE: DATE: I 0
Alongwith our a lic ion lease submit:
QUESTIONS? CALL 761.8256 OR EMAIL
o Detailed drawing or photo of sign codes Gaueensb ry ne+
VI SIT
o Plot Plan of location of sign www.aueensbury net
Town of Queensbury- Community Development Office - 742 Bay Road, Queensbury,NY 12804