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2009-307 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. P20090307 Date Issued: Thursday, July 16, 2009 This is to certify that work requested to be done as shown by Permit Number P20090307 has been completed. Tax Map Number. 523400-309-013-0002-001-000-0000 Location: 191 CORINTH Rd Owner. BANTA REALTY 2001 Applicant: BANTA REALTY 2001 This structure maybe occupiesffftR 8 MOTEL Sign By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the r di 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: P20090307 Application Number. A20090307 Tax Map No: 523400-309-013-0002-001-000-0000 Permission is hereby granted to: SUPER 8 MOTEL BANTA REALTY 2001 For property located at: 191 CORINTH 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: BANTA REALTY 2001 842 MAIN St Sign POUGHKEEPSIE,NY 12603 Total value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2009-307 freestanding sign, change of copy to read "SUPER 8" $10.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,July 16, 2010 (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 wn of en(bury-, Thursday,July 16, 2009 t f SIGNED Y for the Town of Queensbury. Director of B ding de Enforcement ------_----------------'------•.--------_----. -�--� .---�- t _ / OFFICE USE ONLY �/� TAX MAP N ?G O. PERMIT NO. � "?PERMIT✓FEE `J ; -� JUL APPROVALS: DEPOSIT / __J ' + TOWN OF QU - 755.1� 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 appear on the application form. OWNER: &-miA (ti` 041a_Ae_ Je4n+- INSTALLER/BUILDER: 610eae_ nt17f1/-�� tC�fle7 ADDRESS: 840, Main _ 1ge- 1 ADDRESS: Ch o. r.N kgn),Ck� )Qk M)C, n'* PHONE NOS. S ly- 4`-t y-&a 35 PHONE NOS. -%A I-y LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 1211 COV_SnA'Ir1 oad BUSINESS COMPLEX/PLAZA/MALL NAME: BUSINESS NAME: CONTACT PERSON FOR SIGN CODS COMPLIANCE: PHONE: TYPE OF SIGN PROPOSED: _freestanding wall awning _projecting IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: Y Internal _External _Incandescent _Neon _Other DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes No IF YES,LIST ALL EXISTING SIGNAGE: i 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 t/Change of wording/copy from:Ste` g (n0��� to: nn2R 5 Sign Wording/Copy: t)DQl m1 Sign size: Length la x Width (0 =Total Sq.ft. `1 l- Sign Height(freestanding sign): v�5 Color and Material to be used: ✓ 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? CALL 761-8256 OR EMAIL o Height of freestanding sign codes0aueensburv.net o Depth of projecting sign o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION ✓ Provide 2 drawings or photos of sign design. www.aueensburv.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 s ch work is authorized by the owner. APPLICANT SIGNAT . DATE: I hereby authorize the applicant to place a sign on m property or building. OWNER SIGNATURE: P* CJYI ILL DATE: QTown of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804 k v a � ro vq+ S�wav, e s er > 72 3/4" —-- _ 1091, J 40 A i w ry t' s. r fmN � ■■ �m r a }■� l Customer: Date: Prepared By: NOS;cobrou0utmeynaMoWwhenvlewNorpdntlngddidmft uo*rsuuduoPMSordrebu#CMYI( SUPER 8 5/26/09 AH equy+kntRlMueobomincorrut,pNaepmvldeMecomclPHoutchudenvisiontolh6dnwingwMMordn /� � DISTRIBUTED BY SIGN UP COMPANY File Name: 1 70021atSTREETsoUTHWEST Location: ENG: 798 W Box210 QUEENSBURY, NY 63227.1X2 DIRECTIONAL AND 12X6 FACE REPLACEMENTS SignMakers//m3.9886 guilders yyATERTGWN,SD5T201-0210 X PhJ t-800-843-B888 fF,r t s � 41 � _ ,.,.�o► .--�� ....."">- \\\��������}�.A "sue �_ �,� r �' 1 i look. ` � y 7 �S • 1 yK ti } 2 y `i 14 + ,t l t x t s e i l � 4, Sa } E� t F x r CERTIFICATE OF LIABILITY INSURANCE 06/10/�"/20 0 PRODUCER (84S)647-9100 FAX (845)647-8660 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sprague & Killeen, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 116 Canal Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 506 El l envi l l e, NY 12428 INSURERS AFFORDING COVERAGE NAIC# INSURED Gloede Neon Signs, LTD INSURERA Selective Insurance 13730 97 North Clinton Street INSURERB: Charter Oak Fire 2S61S Poughkeepsie, NY 12601 INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION111L LIMBS GENERAL LIABILITY S1825807 07/22/2008 07/22/2009 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,001 CLAIMS MADE FX OCCUR MED EXP(Any one person) $ 10,00( A PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00( POLICY JPRO LOC AUTOMOBILE LIABIUrY S1825807 07/22/2008 07/22/2009 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 1,000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULEDAUTOS (Per person) A X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSAIMBRELLALIABILITY S1825807 07/22/2008 07/22/2009 EACH OCCURRENCE $ 5,000,000 OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 A $ DEDUCTIBLE $ X RETENTION $ 10,00 $ TH WORKERS COMPENSATION AND O STATURY T FR EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEd$ If Yr describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ Equipment T-660-5097L849-COF-08 07/22/2008 07/22/2009 Limit 100,000 B deductible 2500.00 DESCRIPTION OF OP TIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 009 Proof of Insurance ertificate Holder is listed as additional insured with respect to the General Liability policy above. ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of Queensbu ry BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 742 Bay Road OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Queensbury, NY 12804 AUTHOPLZEDREPRESENTATIVE Dwight Coombe CIC KEO (� ACORD 25(2001108) ©ACORD CORPORATION 1988 s J New York State Insurance Fund Workers'Compwsotiow&DisabiEily Beh fl&,S) cf r Nnm 1914 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 Phone:(888)997-M CERTIFICATE OF WORI EERS'COMPENSATION INSURANCE AAAAAA KEEVILY,SPERO-WHITELAW INC. 500 MAMARONECK AVENUE HARRISON NY 10528 POLICYHOLDER CERTIFICATE HOLDER GLOEDE NEON SIGNS LTD TOWN OF QUEENSBURY 97 N CLINTON ST 742 BAY ROAD POUGHKEEPSIE NY 12601 QUEENSBURY NY 12804 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE G 1370 886-2 675472 11/01/2008 TO 11/01/2010 6/10/2009 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO.1370 886-2 UNTIL 11/0112010, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 11/01/2010 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 30 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at httpsJ/www.nysif.com/cort/cortval.asp or by calling(888)875-5790 VALIDATION NUMBER:533981118 U-26.3 ,_� �� _� _� �� t i --- - I . � I �� r «l f --__ r..� l,w � i �� � ", ', �f j!1 j { i i �., ',.. -t~ l,J,r� ',..... ''......... c- '. Ii �� I I �' v i - _ . �. _ _._ .__,_�._�____ i 1 _. �. G ; , >