2009-576 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. P20090576 Date Issued: Friday, December 04, 2009
This is to certify that work requested to be done as shown by Permit Number P20090576
has been completed.
Tax Map Number. 523400-296-015-0001-028-000-0000
Location: BAY Rd
Owner. LEGACY LAND HOLDINGS, L.L.C.
Appliicant- LEGACY LAND HOLDINGS, L.L.C.
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 e
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: P20090576 Application Number. A20090576
Tax Map No: 523400-296-015-0001-028-000-0000
Pennission is hereby granted to: LEGACY LANDHOLDINGS, L.L.C.
For property located at: 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 infonnation hereto filed
and approved and in compliance with the NYS Uniforrn Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: LEGACY LAND HOLDINGS, L.L Sign
50 COUNTRY CLUB Rd Total value
QUEENSBURY,NY 12804-0000
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-576
44 SQ FT SIGN TO READ "DR. DAVID C. PARSONS, DMD"
$88.00 PERMIT FEE PAID- THIS-PERMIT-EXPIRES: Saturday,December 04,2010 -
(If a longer period is required,an application for an extension mustbe made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)--
Dated at the own Que btt, ,December 04,2009
SIGNED BY � _for the Town of Queensbury.
Director of Building&Code Enforcement
+ ViA
OFFICE USE ONLY5
rrP N PERMIT NO. 4ERMIT FEE
! APPROVALS: DEPOSIT
SIGN PERMIT APPLICATION:
A permit must be obtained before installation of your permanent sign. All applicants'sprfi Mitt °
be completed and must appear on the application form.
OWNER: .{/ rib C.r S4l1S 2>X42> INSTALLER/BUILDER: 'T160 C" Kt �v'�-eMwz ti
ADDRESS: 0641> I lb ADDRESS: ?►f'.j�, � ��' [� yCi 6-1 T y 7 41 7
PHONE NOS. ��PH//jjON��E NOS._ J j
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 154mcur,
BUSINESS COMPLEX/PLAZA/MALL NAME: } I� ELA T
BUSINESS NAME: �U • F�5 2/1,0
CONTACT PERSON FOR SIGN CODE COMPLIANCE: VDU— i/Jt�W'^'ail��'' PHONE:
TYPE OF SIGN PROPOSED: - reestanding _wall _awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal temal _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? _Yes 160
IF YES,LIST ALL EXISTING SIGNAGE: /�
The application creates a change V 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
Change of wording/copy from: to:
Sign Wording/Copy: PA.- 0ev,Lw C.Pc�rs��s otltW � �� LA,
Sign size: Length S(
x Width Total Sq.ft. Sign�'N HeSVight reestanding sign):
Color nd Material to be used: rOJ-W- ate,, POST 4 -t
APELCO CO LUl4^0f,
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)
o Height of freestanding sign QUESTIONS? CALL 76141256 OR EMAIL
o Depth of projecting sign codesO-QueensburY.net
of o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION
rovide 2 drawings or photos of sign design. www.ciueensbury.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 la ertaining to the proposed work shall be complied with,whether
specified or noted,and that such k is autho e!.0 b owner.
APPLICANT SIGNATURE: f c DATE: A �7
hereby authorize the applica to place a ign n roperty or building.
` ��, P
OWNER SIGNATURE: DATE:
•� = Town of Queensburt/ - Community Development Office • 742 Bay Road, Queensbury, ill'12804
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MAILING: SHOWROOM:
P.O. Box 332 • Glens Falls, NY 12801 52 Main Street • Queensbury, NY 12804
ph. 518-792-4009 fx. 518-792-4476
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