2011-049 , TOWN OF QUEENSBURY
vir,g14r 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CERTIFICATE OF COMI C PL E
Permit Number: P20110049 Date Issued: Thursday, March 31, 2011
This is to certify that work requested to be done as shown by Permit Number P20110049
has been completed.
Tax Map Number: 523400-296-019-0001-030-000-0000
Location: 365 BAY Rd
Owner: YI NONG LIU
Applicant: YI NONG LIU
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 � r �f
property owner of the responsibility for compliance with Site Plan, - /1‘
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
411111.
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110049 Application Number: A20110049
Tax Map No: 523400-296-019-0001-030-000-0000
Permission is hereby granted to: YI NONG LIU
For property located at: 365 BAY 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: YI NONG LIU
365 BAY Rd Sign
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-049
6 sq ft wall sign to read "JULIANO'S DELI"
$18.00 PERMIT FEE PMD-THIS PERMIT EXPIRES: Saturday, March 31,2012
(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 o€\Queen burn /Thursday, March 31,2011
SIGNED BY1
vv211 44s1( for the Town of Queensbury.
Director of Building Code Enforcement
c OFFICE USE ONLY. /0
TAX MAP NO. PERMIT NO. PERMIT FEE
•
APPROVALS DEPOSIT FEE
SIGN PERMIT APPLICATION
➢ A separate application is required for each sign.
➢ A permit must be obtained before installation of your permanent sign.
y All spaces on this form must be completed.
APPLICANT: A-Vv\ES Tibli av1 INSTALLER/BUILDER: We 5
ADDRESS: 3(0.5"- x34-4 120,-,..1 2 ADDRESS: / IOO D av e-•-• I Z 12435
PHONE NOS.15 2 79 - 0-7b9 PHONE NOS.(5/3) 1 3
7— `�a U
LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS)
3&: y La Q0zeNs6jry ,M1 ,i1-36y
NAME OF BUSINESS COMPLEX! PLAZA/ MALL: 36--C- 12oc Cku)Si-IcK
NAME OF BUSINESS: JO I 1 eLn 0\S \Q'1
CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE:
TYPE OF SIGN PROPOSED: freestanding wall awning projecting
IF SIGN IS TO BE IL,,LUMINATED, PLEASE INDICATE:
Internal ti/ External Incandescent Neon Other O
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes Y No
IF YES, LIST ALL EXISTING SIGNAGE:
The application creates a /New
change in the following Change in number of signs from to
existing site conditions (fill in Change in setback for sign from to
all applicable 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: Lengthy x Width 30 = Total Sq. ft. Ce Sign Height (freestanding sign): i\-/c)
Color and Material to be used: 7v C 1416-rE 2.i Au_
1. Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
a. Location of sign (walls signs: drawing of the facade the sign will be located on, indicate sign on
facade)
b. Height of freestanding sign
QUESTIONS? CALL 761-8256 OR EMAIL
c. Depth of projecting sign codes(a�queensbury.net
d. Distances from front and side property lines.
VISIT OUR WEBSITE FOR MORE INFORMATION
2. Provide 2 drawings or photos of sign design. www.queensburv.net
3. Provide Applicant & 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 by the
owner.
APPLICANT SIGNATURE: DATE
02/252p(
I hereby authorize the applicant to place a sign on my property or building:
�—
OWNER SIGNATURE: .� _- _ _ DATE: 71742oi.
Revised 02/18/2010
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
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