2009-330 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
CE R TIFICATE CCOMPLI-A-N- C-Tr
Pexxnit Number. P20090330 Date Issued; Monday, July 27, 2009
This is to certify that work requested to be done as shown by Permit Number P20090330
has been completed.
Tax Map Number. 523400-302-008-0001-010-000-0000
Location: 319 BAY Rd
Owner. MTM LLC
Applicant: MTM 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 f�
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&Cade 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: P20090330 Application Number. A20090330
Tax Map No: 523400-3 02-008-0001-010-000-0000
Permission is hereby granted to: MTM LLC
For property located at: 319 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. Type of Construction Value
Owner Address: MTM LLC
C/O CONVENIENT MEDICAL Sign
319 BAY Rd Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-330
50 sq ft freestanding sign to read "Convenient Medical Center, 319 Bay Road, &Names"
$100.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,July 27, 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 own Quek. b / ,July 27, 2009
SIGNED BY a'G for the Town of Queensbury.
Director of Building&Code Enforcement