2007-492 Temp Sign "Jack's American Bistro" 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. P20070492 Date Issued: Monday, August 20, 2007
This is to certify that work requested to be done as shown by Permit Number P20070492
has been completed.
Tax Map Number. 523400-302-006-0001-054-000-0000
Location: 730 GLEN St
Owner. DECOGLEN LP
Applicant: DECOGLEN LP
This structure maybe 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: P20070492 Application Number. A20070492
Tax Map No: 523400-302-006-0001-054-000-0000
Permission is hereby granted to: DECOGLEN LP
For property located at: 730 GLEN St
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: DECOGLEN LP
25 CORPORATE Cir Temporary Sign
ALBANY,NY 12203 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-492
30 SQ FT TEMPORARY SIGN TO RUN FOR 60 DAYS FROM 8/17/07 TO 10/16/07 TO READ "JACK'S
AMERICAN BISTRO"
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,August 20, 2008
(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 Vwi o ee u tay,August 20,2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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OFFICE USE ONLY ; ;r r
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TAX MAP NO. PERMIT NO. EPOSIT:
APPROVALS: ZONING: TOWN CLERK: PERMIT FEE: ;
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TEMPORARY SIGN PERMIT APPLICATION:
Applicant Information Business Information
Name: 4 li Contact Person:
Address: r7�6 �17 �'Q' � i T Ad ress:
Phone No. �1'I T5`I Ph ne No.
Specific Information about uour sign:
✓ What is the date for placement of your sign? 6_117/07
✓ What is the date for removal of your sign?
✓ How many days will your sign be displayed? l�70
✓ Indicate exact address for placement of sign:
✓ Indicate tax map number for your parcel:
✓ Indicate the type of sign you will display:
_Wall Sign (cannot exceed 32 square feet)
Freestanding Sign (cannot a Geed 16 square feet)
✓ What are the dimensions of the sign? X 16 e sq. ft.
✓ Indicate in words what your sign will say: -;
Note: Failure to Remove sign at expiration may result in forfeiture of deposit as per the Code
of the Town of Queensbury, Section 140, Subsection 140-4 (Local Law No. 11, 1993)
Declaration: To the best of my knowledge, the statements contained in the application, together with
the plans and specifications submitted, are a true and complejte 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, wheff er specified or noted, and that such work is
authorized by the ow r. C�
APPLICANT SIGNATUR g �' D TE:
I hereby authorize the applicant to place a sign on my property or building:
OWNER SIGNATURE: DATE: 31 Z 0
Along with your application, please submit:
QUESTIONS 7 CALL 761-8256 OR EMAIL
o Detailed drawing or photo of sign ccdesCaueensbumnet
VISIT OUR WESSITE FOR MORE INFORMATION
o Plot Plan of location of sign www•aueensburv.net
Town of Queensbury• Community Development Office - 742 Bay Road, Queensbury,NY 12804
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