2008-387 Temp Sign "Nightly Tent Crusade..." TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
(zt Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20080387 Date Issued: Wednesday, August 20, 2008
This is to certify that work requested to be done as shown by Permit Number P20080387
has been completed.
Tax Map Number. 523400-303-016-0001-033-000-0000
Location: 487 DIX Ave
Owner. RANDY & DEBBIE GROSS
Applicant: RANDY & DEBBIE GROSS
This structure may be 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: P20080387 Application Number. A20080387
Tax Map No: 523400-303-016-0001-033-000-0000
Permission is hereby granted to: RANDY &DEBBIE GROSS
For property located at: 487 DIX Ave
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: RANDY&DEBBIE GROSS
5 Temporary Sign
8 LEONARD St
GLENS FALLS,NY 12801-0000 Total value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
$10.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,August 20, 2009
(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 of Queens ry;a Nye� ay,August 20, 2008
SIGNED BY �l ,Z I for the Town of Queensbury.
Director of Building&Codelnforcement
------------------------------------
OFFICE USE ONLY
TAX MAP NO. PERMIT NO. EPOSI :_s��
APPROVALS: PERMIT FEE:
, I ,
_
TEMPORARY SIGN PERMIT APPLICATION:
Applicant Information
/� Business Information
Name: I�`�(`f C�'rl'y s
Contact Person: �'9J
Address: ? D
Address:
Phone No.
Phone No.
Specific Information about your sign: 71 Along with your application,
✓ What is the date for placement of your sign? t D please submit:
✓ What is the date for removal of your sign? o
o Detailed drawing or photo
✓ How many days will your sign be displayed?
of sign
p�� o Plot Plan of location of
✓ Indicate exact address for placement of sign: sign
✓ Indicate tax map number for your parcel:
Note: Failure to Remove sign at
✓ Indicate the type of sign you will display: expiration may result in forfeiture of
deposit as per the Code of the Town of
Wall Sign(cannot exceed 32 square feet) Queensbury, Section 140, Subsection
Freestanding Sign(cannot exceed 16 square feet) 140-4(Local Law No. 11, 1993)
✓ What are the dimensions of the sign? X // —= sq.ft.
✓ Indicate in words what your sign will say: i �'C�yt�f C 4
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 such work is
authorized by the owner.! �N J
APPLICANT SIGNATURE: Y ` e DATE:
I hereby authorize the applicant to place a sign on my property or building:
OWNER SIGNATURE: DATE:
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Example of information required for Temporary Sign Permit Application:
SIGN TO BE DISPLAYED:
GRAND OPENING 0
JANUARY 1 OTH
P.
Show length
Plot Plan showing where sign will be displayed:
Building Wall Sign will be
c displayed here
01
o Freestanding Sign will
a`. be displayed here
i CD
�- Street right-of-way
- - - - - - - - - - - - - - - - -Main Street — — — — — — — — — — — — — — — -
0
NIGHTLY TENT CRUSADE 630 p . m .
COME - BRING THE SICK
DEPRESSED & ADDICTED
COME EXPECTING A MIRACLE
where life changing mi" racles happen "
PAGE 2/2
_ �Tev+V BCg�nnlrigs „JJ
July 18, 2008
Pastor Randy D. Gross
487 Dix Ave
Queensbury, N.Y. 12804
Craig Brown, Zoning Administrator/Code Compliance Ofc.
742 Bay Road
Queensbury, NY 12804
RE: Permission to Pastor Larry Deming to get permit for signage on my property
Dear Craig,
Pastor Larry Deming of Mt. Zion Worship Center requests of me to use the site at Dix Ave for a gathering of 7
churches for tent meetings from July 20-27th. Pastor Larry has my permission to place a sign on my property
thanks.
Sincerely,
Pastor Randy&Debbie Gross
Locatfon: 1523 Lower Oak Street,Fort.Edward
fling Address: P i3 BQx 42uens �xr ,NY i844 1~hurct�k'hone. i 30I-GS7 Rancid Cr�rss,Paster