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2010-419 TOWN OFQ UEENSBURY 742 Ba y Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20100419 Date Issued: Friday, September 03, 2010 This is to certify that work requested to be done as shown by Permit Number P20100419 has been completed. Tax Map Number. 523400-302-014-0002-027-000-0000 Location: 123 DIXON Rd Owner. BAYVIEW PROJECTS LLC Applicant: BAYVIEW PROJECTS LLC 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 Di r uildmg& •' ircement Planning Board or Zoning Board of Appeals. M` TOWN OF QUEENSBURY Fos 742 Bay Road Queensbury NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100419 Application Number: A20100419 Tax Map No: 523400-302-014-0002-027-000-0000 Permission is hereby granted to: BAYVIEW PROJECTS LLC For property located at: 123 DIXON 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: BAYVIEW PROJECTS LLC Sign 123 DIXON Rd QUEENSBURY, NY 12804-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-419 16 sq ft freestanding sign to read "ADIRONDACK CROSS ROADS COUNSELING PLLC" $32.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, September 03, 2011 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To Bens , d,, , September 03, 2010 SIGNED BY ` f for the Town of Queensbury. Director of Building&Code nforcement OFFICE USE ONLY MAP NO. J4-2p-4ici PERMIT FEE 7 1 {4/'' ''''-„. TAX NO. PERMIT NO. APPROVALS: DEPOSIT J SIGN PERMIT APPLICATION: A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must be com ted and must appearC� on a application form.(( L u ' c OWNE : A Jai$ctn4ia N ) Vi . (LTJ INSTALLER/BUILDER: a. " Z� L Se ADDRESS: i(2- 7.)j$014 Ad rYV ADDRESS: ( 23 bPam Ad PHONE NOS' 712..(//2. h 7 13 3 5.55 PHONE NOS.S. 7�g son LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) [x3 1✓L 11 S.d BUSINESS COMPLEX/PLAZA/MALL NAME: eve BUSINESS NAME: ,JJ,'Ot4de,Gk Toll p.Oa,tS ✓asci CONTACT PERSON FOR SIGN CODE COMPLIANCE:) 141445411"/f Aft(Cc-11414110117 '' a 6oVe. TYPE OF SIGN PROPOSED: ✓freestanding wall awning projecting IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal i xternal _Incandescent _Neon _Other DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes IF YES,LIST ALL EXISTING SIGNAGE: +0 be. a c iti or The application creates a change 1/ New - terg wall leaf-- , a v' in the following existing site Change in number of signs from to U 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: Adt>r'OfridaGg- CeOSS goad S Gou44stl,vt NJ-C. / / // Sign size: Length l =Total Sq. ft.x Width ti 1/!7 Sign Height(freestanding sign): b Color and Material to be used: f rtC-V1 , We" st l) ✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information: o Location of sign (walls signs: drawing of the facade 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 codes a(�queensbury.net o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION ✓ Provide 2 drawings or photos of sign design. www.queensbury.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 suc ork is autho ' y the owner. / APPLICANT SIGNATURE: DATE: v • t e�{ • 1 0 I hereby authorize the appli .nt t,, place a -ign on my property or building. Ili OWNER SIGNATURE: / " DATE: / r Qw Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 ,, ' i ,, ,'. 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