2009-319 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. P20090319 Date Issued: Wednesday, July 22, 2009
This is to certify that work requested to be done as shown by Permit Number P20090319
has been completed.
Tax Map Number. 523400-240-009-0001-008-000-0000
Location: 2660 STATE ROUTE 9L
Owner. PETER & CHERYL FRASER
Applicant: PETER & CHERYL FRASER
This structure maybe occupied as a:
Sign
By Omer 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&Nde EiMrcernent
Planning Board or Zoning Board of Appeals.
_.�.__..
+`OFFICE USE ONLY ______ Po
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TAX MAP NO. PERMIT NO.-0U7PERMIT FEE T nn
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APPROVALS: DEPOSIT , 0
------------------------ --------
TOWN OF Qillwt t�iS,BLJRY
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: INSTALLER/BUILDER: SI GM S i vt��O,TNC_
ADDRESS:- o�0 QL» C�UF�NSbur j ADDRESS: 1 TwiiP�i l f Ave- rOy), my i 2i coo
PHONE NOS. 51 8. 6 5 t7. / G S7 PHONE NOS. J T y, ?Jn�_ oA !7
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS)
Q ASS) �66o qc oveenS&A,(! , , �U J Zoo
BUSINESS COMPLEX/PLAZA/MALL NAME_: N
BUSINESS NAME: LPe a(UL
CONTACT PERSON FOR SIGN CODE COMPLIANCE:_RARJ I L LP-V4Z9Q(A2 PHONE: 5t8 .ZLL .0877
TYPE OF SIGN PROPOSED: ')( freestanding _wall _awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: )I(Intemal —External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? AYes _No
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IF YES,LIST ALL EXISTING SIGNAGE: 1 g611 S1 (j t4 (42�AC_Q- 06-0R1S ON
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
Chaln�ge in height of sign from to
"Change of wording/copy from: GU I>r to: A+ 3(
Sign Wording/Copy: CLe✓e2 ,AI-9- C_6%A4 " T1-6,t _
Sign size: Length 5 x Width s 1
=Total Sq. ft. 75 Sign Height(freestanding sign):
Color an Material to be used: 'Red OLA"c-Ic $U r���w!/l2. JAr�Q�►s 6QQQr%6 0��-'2
w Provide 2 copies of a scaled drawing or surveyed plot plan with the following information: r
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 CQU7ESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codesCa�aueensburv.net
o Distances from front and side property lines. OUR WEBSITE FOR MORE INFORMATION
✓ Provide 2 drawings or photos of sign design. www.gueensburv.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 rk is authorize by the owner.
APPLICANT SIGNATURE WL -A- DATE: ��� -7 0
I hereby authorize the applicant to pla5;e a sign n my prop Ay or building. ^�
OWNER SIGNATURE:Pz/�,� DATE: �U�-- t d
Town of Queensbury - Community Development Office • 742 Bay Road, Queensbury, NY 12804
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090319 Application Number. A20090319
Tax Map No: 523400-240-009-0001-008-000-0000
Permission is hereby granted to: PETER& CHERYL FRASER
For property located at: 2660 STATE ROUTE 9L
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: PETER& CHERYL FRASER
2660 ROUTE 9L Sign
QUEENSBURY,NY 12804 Total value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-319
CHANGE OF COPY 25 SQ FT SIGN TO READ "CLEVERDALE COUNTRY STORE"
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 22, 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 the To o eens7 Zday,July 22,2009
SIGNED BY a. for the Town of Queensbury.
Director of Building&Code Enforcement
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60" Replacement Sign Panels Only. Existing Sign:25 Sq. Ft.
Top Panel: 42" High x 60"Wide
Bottom Panel: 18" High x 60"Wide
Overall Sign Size: 5' high x 5'wide
25 Sq. Ft.
EXISTING INTERNALLY ILLUMINATED BOX SIGN ADDRESS OF PROPOSED SIGN: APPLICANT:
ALUMINUM EXTRUSION CONSTRUCTION
WHITE ACRYLIC FACES WITH CORPORATE IDENTITY CLEVERDALE COUNTRY STORE 514 M
HO COOL WHITE FLUORESCENT ILLUMINATION 2660 9L
REPLACE EXISTING SIGN PANELS ONLY WITH NEW IDENTIFY QUEENSBURY, NEW YORK 12804
518.656.9057 www.signstudiony.com
REPLACE CORPORATE IDENTITY ON PUMPS 1 Ingalls Ave.,Troy, NY 12180
COLORS OF RED, SUNFLOWER YELLOW, SHADES OF GREEN AND ORANGES ph: 518-266-0877
ko fax: 518-266-0010