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2010-460 Restaurant TBD TOWN OF QUEENSBURY • 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 • • Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100460-37182 Date Issued: Tuesday, April 26, 2011 This is to certify that work requested to be done as shown by Permit Number P20100460-37182 has been completed. Tax Map Number: 301.8-1-17 Location: 340 AVIATION RD FIE Cop y Owner: Don Sokol Applicant: Don Sokol This structure may be occupied as a: By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy 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: P20100460 Application Number: A20100460 Tax Map No: 523400-301-008-0001-017-000-0000 Permission is hereby granted to: DONALD &LUCYNA SOKOL For property located at 340 AVIATION 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: DONALD &LUCYNA SOKOL ET AL Sign 340 AVIATION Rd Total Value QUEENSBURY NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2010-460 20 sq ft wall sign-TBD Food Service/Restaurant (property will require Site Plan Review for new business To Be Determined; see C. Brown,ZA letter dated: 9/16/2010 $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 26,2012 (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 ueenury; ues "d , pri126,2011 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement iJ 'o 3 D 1 ((— OFFICE USER' f�") TAX MAP NO. PERMIT NO. U PERMIT FEE ; r APPROVALS: DEPOSIT SIGN PERMIT APPLICATION: 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: Donald and Lucyna Sokol INSTALLER/BUILDER: TBD ADDRESS: 340 Aviation Road, Queensbury ADDRESS: PHONE NOS.792-3777 PHONE NOS. LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 340 Aviation Road BUSINESS COMPLEX/PLAZA/MALL NAME: Sokol's Plaza BUSINESS NAME: TBD-Name not yet final CONTACT PERSON FOR SIGN CODE COMPLIANCE: Matt Sokol PHONE:792-3777 TYPE OF SIGN PROPOSED: nfreestanding ✓ wall awning projecting IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: Intemal❑External nncandescent Neon_)ther DO SIGNS CURRENTLY EXIST ON THE PROPERTY? es LINo IF YES,LIST ALL EXISTING SIGNAGE: Photos attached-Sign will be the same as all other signs in the plaza The application creates a change 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 x Change of wording/copy from: None(old sign removed) to:TBD-restaurant/food service Sign Wording/Copy: Sign size: Length 2.5 x Width 8' =Total Sq. ft. 20 sq ft Sign Height(freestanding sign): Color and Material to be used: Similar/same as current plaza signs ✓ 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 7614256 OR EMAIL o Depth of projecting sign codes(caqueensburv.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, an- all other laws pert-'ning to the proposed work shall be complied with,whether specified or noted, and that such wo ' :uth. :i. . . /er. I_ � , ---"*.- APPLICANT APPLICANT SIGNATURE: �_Ia . I DATE: C.Q92:s-Iille !S1 2 of 0 I hereby authorize the applicant to I- - a sign on m property or building. OWNER SIGNATURE: ! 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