2011-270 Ron's Auto Body Repair TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building & Codes (518) 761-8256
CERTIFICATE OFCOMPLIANCE
Permit Number: P20110270 Date Issued: Wednesday, June 22, 2011
This is to certify that work requested to be done as shown by Permit Number P20110270
has been completed.
Tax Map Number: 523400-309-009-0001-048-000-0000
Location: 203 LUZERNE Rd
Owner: RONALD BACON -
Applicant: RONALD BACON
This structure may be occupied as a:
Sign
By Order of Towa Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, , a
Variance, or other issues and conditions as a result of approvals by the Director of Building&node Enforc ment
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: P20110270 Application Number: A20110270
Tax Map No: 523400-309-009-0001-048-000-0000
Permission is hereby granted to:. . RONALD BACON
For property located`at: 203. LUZERNE 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: RONALD BACON Sign
73 JOHN St Total Value
QUEENSBURY NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-270
32 sq ft freestanding sign to read "RON'S AUTO BODY REPAIR"
$96.00 PERMIT FEE PAID-.THIS PERMIT EXPIRES:. Friday,June 22,2012
(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 Town of QU-1ensb e s June 22,2011
SIGNED BY % wv? for the Town of Queensbury.
Director of Building&Code Enforcement
. - C OFFICE USE ONLY
`f 4X M�P NO. PERMIT NO. PERMIT FEE ,
�v ffipp
APPROVALS: DEPOSIT , L___T______ _____________:_
6 UEENSBURY
SIGN PERAWTAPPLICATION BUILDING& CODES
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: e AA-ld' /�AL�1u INSTALLERBUILDER: �f9 btCQ_
ADDRESS: d 6 LGar2� LC, ADDRESS:
PHONE NOS. (,S �i� �cI?i' j3 rr�yP��''HONE NOS.
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS).r_CV 3 /XZ(2-e .2 tZ, c
-u ' k ,�.�
BUSINESS COMPLEX/PLAZA/MALL NAME:- ADOin S ) r sQ ✓�
BUSINESS NAME: & �i v hel;o i d
CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONEL. OA6 7y&-13a7 W(
TYPE OF SIGN PROPOSED: . _<freestan, wall _awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: ;Zintemal _Extemal _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes _No'1
IF YES,LIST ALL EXISTING SIGNAGE: f l_fe� Sr NE T
/ J
The application creates a change _X New
in the following existing site Change in number of signs from to
conditions(fill in all applicable. Change in,setbadc 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: Len; Width_ Total Sq.ft. � .Sign Height(freestanding-sign):
Color and Matenal to be used: ��zS
✓ 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 QUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codes(a)aueensburv.net
. o Distances.from front and side property.lines. VISIT OUR WEBSITE FOR MORE INFORMATION
c' ✓ . Provide 2 drawings or photos of sign design. www.aueensburv.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 work is authorized b e owner.
APPLICANT SIGNATURE: DATE: Zl1/
I hereby authorize the applicarit to place a sign on my property or building.
OWNER SIGNATURE: DATE:
Town of Queensbuiy• Community Development Office• 742 Bay Road, Queensbury,NY 12804
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