2007-734 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. P20070734 Date Issued: Tuesday, December 18, 2007
This is to certify that work requested to be done as shown by Permit Number P20070734
has been completed.
Tax Map Number. 523400-308-019-0001-066-000-0000
Location: 475 CORINTH Rd
Owner. BRIAN NELSON
Applicant: BRIAN NELSON
This structure may be occupiecf� FLAME GAS CO. INC.
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: P20070734 Application Number. A20070734
Tax Map No: 523400-308-019-0001-066-000-0000
Permission is hereby granted to: BRIAN NELSON
BLUE FLAME GAS CO. INC.
For property located at: 475 CORINTH 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: BRIAN NELSON
114 DIXON Rd Sign
QUEENSBURY,NY 12804-0000 Total value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2007-734
15 SQ FT WALL SIGN
$24.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, December 18, 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 To of =PrW es cember 18, 2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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APPROVALS
SIGN PERMIT APPLICATIO N:
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: i hLfVl (UU �S�n rr INSTALLER/BUILDER:�LjC�tj,S
ADDRESS: 475 Lorl n+h �C( �Y ) ef7S i�r� N- I
ADDRESS: co on N
PHONE NOS. �5'4_ / �' c��C�� PHONE NOS.
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LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS) {47'i d CO3f i n-fh A' , Q Je&-is bj,,r!j /V
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BUSINESS COMPLEX/PLAZA/MALL NAME: WC tz.(C IOCci. G� Il 'CLme_ ib Li iiAii't cS 6(, t�K-L� 1 �.<� 4
BUSINESS NAME:
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CONTACT PERSON FOR SIGN CODE COMPLIANCE: [�� + � ( - _—PHONE
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TYPE OF SIGN PROPOSED: X freestanding A wall _awning projecting
IF SIGN IS TO BE ILLUMINATED, PLEASE INDICATE: X Internal X_External _Incandescent _Neon __Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? X Yes No
es fao el is+) 1
IF YES,LIST ALL EXISTING SIGNAGE: - i') ,.t -�(z,A f C�- j)"i�C�iy)G -I(b( pt�,,,4Mb;tl t i4fo ii/11+, J 0+It
The application creates a change _,Y 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:
tCG�iI— f6's .Ff• FteeS4til'i; L, .. Jgy6 44-
Sign size: Length x Width = Total Sq. ft. Sign Height (freestanding sign): 0
Color and Material to be used: loe- feeS4al,161 ll L)J t 1 -- PUS 1:;Wl
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of Sign (walls signs drawing of the far ade — ---
the sign will be located on, indicate sign on facade)
o Height of freestanding sign "-—'QUESTIONS? CALL 761-8256 OR EMAIL_-,,
o Depth of projecting sign 131' ccatfes ue "L—s_6 s J`
o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION y/
✓ Provide 2 drawings or photos of sign design.0'"P-) �` .., w'Geer 12,`, u.rv,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 laws pertaining to the proposed work shall be complied with, whether
specified or noted, and that such wgfk is authorized by the owner.
APPLICANT SIGNATURE,,; �� % ` ; 4�� '� _ DATE:
I hereby authorize th nt to place a si n on n y or erty g.
OWNER SIGNATURE:
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