2007-513 Freestanding "South Queensbury Vol. Fire Co" 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. P20070513 Date Issued: Friday, September 21, 2007
This is to certify that work requested to be done as shown by Permit Number P20070513
has been completed.
Tax Map Number. 523400-303-016-0001-006-000-0000
Location: 409 DIX Ave
Owner. SOUTH QUEENSBURY FIRE CO.
Applicant: SOUTH QUEENSBURY FIRE CO.
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
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: P20070513 Application Number. A20070513
Tax Map No: 523400-303-016-0001-006-000-0000
Permission is hereby granted to: SOUTH QUEENSBURY FIRE CO.
For property located at: 409 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: SOUTH QUEENSBURY FIRE CO.
409 DIX Ave Sign
QUEENSBURY,NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-513
24 SQ FT SIGN TO READ "SOUTH QUEENSBURY VOL. FIRE CO. INC.
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,August 23,2008
(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 Tr=z
sday,August 23,2007
SIGNED BY for the Town of Queensbury.
Director of Building Code nforcement
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TAX MAP NO. PERMIT NO. ERMIT FEE 0 i 01
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APPROVALS: DEPOSIT ; ' 0
SIGN PERMIT APPLICATION:
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: JoGI`H� Quee rSYJu✓a INSTALLER/BUILDER: �t � S/6w S
ADDRESS: 409 -2�iX Q z ADDRESS:
PHONE NOS. 792—8& PHONE NOS.
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) C% c.
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME:
CONTACT PERSON FOR SIGN CODE COMPLIANCE: [,/�i►-, . —PHONE:—"? e'4-
� xA
TYPE OF SIGN PROPOSED: K/freestanding 0 wall _awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: A Internal _External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes X No
IF YES,LIST ALL EXISTING SIGNAGE:
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
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy:
Sign size: Length � x Width =Total Sq.ft. 2V Sign Height(freestanding sign):
rAC
Color and Material to be used: A&"-7""'""" 'i'�c k PLAS-1`C-
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of sign(walls signs: drawing of the fagade
the sign will be located on,indicate sign on fagade)
o Height of freestanding sign C:QUESTIONS
56 OR EMAIL
o Depth of projecting sign cry.net
o Distances from front and side property lines. OUR INFORMATION
✓ Provide 2 drawings or photos of sign design. .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 othe laws pertaining to the proposed work shall be complied with,whether
specified or noted,and that such work is y the owner.
APPLICANT SIGNATURE: DATE:
I hereby authorize the applicant to pla sign on my property or building.
OWNER SIGNATURE: DATE:
Town of Queensbury - Community Development Office • 742 Bay Road, Queensbury, NY 12804
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