2011-185 Freestanding "Looks by Lacey Full Service Salon" 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: P20110185 Date Issued: Friday, May 27, 2011
This is to certify that work requested to be done as shown by Permit Number P20110185
has been completed.
Tax Map Number: 523400-303-016-0001-062-000-0000
Location: 430 DIX Ave
Owner: WESLEY &VICKI VEYSEY
Applicant: LOOKS BY LACEY
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 f
property owner of the responsibility for compliance with Site Plan, lrv'
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: P20110185 Application Number: A20110185
Tax Map No: 523400-303-016-0001-062-000-0000
Permission is hereby granted to: LOOKS BY LACEY
For property located at: 430 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. Tne of Construction Value
Owner Address: WESLEY&VICKI-VEYSEY
61 MC ARTHUR Dr sign
Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-185
32 sq ft freestanding sign to read "Looks by Lacey Full Service Salon"
$96.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,May 27,2012
(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 Tow : 7,nsvbu VF c#ay..May 27, 2011
�SIGNED BY4A4
for the Town of Queensbury.
Director of Building&Code Enforcement
3,1
USE ONLY3? s cc7�/ -TAX MAP NO. /� � PERMIT NO.
PERMIT FEE__
APPROVALS DEPOSIT FEE MAY- d 2011
Y
SIGN PERMIT APPLICATION BUILDING&CODES
➢ A separate application is required for each sign.
➢ A permit must be obtained before installation of your permanent sign.
All spaces on this form must be completed.
APPLICANT: baU , Nti I INSTALLER/BUILDER: ey a� • V.1lr✓S�
ADDRESS: J_� ;, '"I`r� �S' 4 «Vv I ADDRESS: 11��C ftYC .r I�dSM IIS IVIU I��
----PHONE—NOS. //=G=��� U LQ` St=c Z c�- PHONE NOS— WL ::� 52 R 75 - - — -
LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS)
L13D t ix ffyi. . Q sWi N u 128D-4
NAME OF BUSINESS COMPLEX/ PLAZA/MALL:
NAME OF BUSINESS: 1OO 1615 b U 00f Q
CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE:
TYPE OF SIGN PROPOSED: freestanding wall awning projecting
X
GN IS TO BE ILLUMINATED, PLEASE INDICATE:
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 _X_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 ofwording/u9gpy-from:_- - --- -- --- - ----to:� --- --- —
Sign Wording/Copy: 5 hl1 Lee m i::IL l M (° R (I I (y1
Sign size: Length x Width = Total Sq. ft. 3a" Sign Height(freestanding sign): Tzy®�
Color and Material to be used: OL12X - Q to
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 fagade the sign will be located on, indicate sign on
fagade)
b. Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
C. Depth of projecting sign codes(a-aueensbury.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.gueensbury.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. n
APPLICANT SIGNATURE: 1/ DATE
I hereby authorize the applicant to plac a sign on m property or building: I
OWNER SIGNATURE: DATE:
Revised 02/18/2010
Town of Queensbury • Communihi Development Office • 742 Bay Road, Queensbury, NY 12804
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"I have seen or observed, or believe I saw evidence of,
all objects such as houses', we6ls, trees, ,zns, etc.,
shown on this document. I aiso represent t►iat I have
per rally measured the distances set {girth on the diagram."
� any
DATE
SIGNATURE
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