2010-306 411" TOWN OFQ UEENSBURY
Wiral 742 BayRoad,Queensbury,Qu ury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100306 Date Issued: Wednesday, June 30, 2010
This is to certify that work requested to be done as shown by Permit Number P20100306
has been completed.
Tax Map Number. 523400-279-000-0001-025-000-0000
Location: 201 JENKINSVILLE Rd
Owner. JENKINSVILLE SAND AND GRAVEL, LLC
Applicant: JENKINSVILLE SAND AND GRAVEL, 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, 1 "r
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.
4111h
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
0
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100306 Application Number. A20100306
Tax Map No: 523400-279-000-0001-025-000-0000
Permission is hereby granted to: JENKINSVILLE SAND AND GRAVEL, LLC
For property located at: 201 JENKINSVILLE Rd
in the Town of Queens bury,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: JENKINSVILLE SAND AND GRAVE
79 ELLSWORTH LANE EXT. Sign
LAKE GEORGE,NY 12845-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-306
12 sq ft freestanding sign to read "Jenkinsville Sand and Gravel 792-4102"
$24.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,June 30,2011
(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 een rry;i
a e 4 4.e_ ' •y,June 30, 2010
f
SIGNED BY ` ,/r,vn I ,7--- \ for the Town of Queensbury.
Director of Building&Code Enforcement
2: . c OFFICE USE ONLYj� ,
TAX MAP NO. / PERMIT NO. � PERMIT FEE 15'?"/-4'—''
•) Eii,
APPROVALS: DEPOSIT
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
�jJV1/appear
onthe application form.
[
OWNER: AA_ fit1W- _. �,,'I- INSTALLER/BUILDER:
ADDRESS:7b �jE t ' _ 14.1 El( • Iilitt. ADDRESS:
PHONE NOS. 79 - 'If/0.2 I V 125s PHONE NOS. �,7-_ -) G
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) aOi} Jenkinivtl)e I cart C Pirns 9 N agog/
BUSINESS COMPLEX/PLAZAf, /MALL) NAA'MEE:,j j J
BUSINESS NAME: JQv,kin5V 1 Ie&n AA d �ivoNe J /,LLC+ /_ I'/,,
CONTACT PERSON FOR SIGN CODE COMPLIANCE: �I tic& aIJYV{IY44t PHONE: -WI cal (2
TYPE OF SIGN PROPOSED: X freestanding _wall _awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal _External _Incandescent Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes XNo
IF YES,LIST ALL EXISTING SIGNAGE:
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
Change of wording/copy from: to:
Sign Wording/Copy:
Sign size: Length x Width 3 =Total Sq. ft. )ii� Sign Height(freestanding-sign): 5
Color and Material to be used: Bt k V.J4T-
✓ 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(a aueensbury.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 •- I •rk is authoriz" by the ower. rr
APPLICANT SIGNAT ' : �� DATE: b/1'_,. .,/!(:�
I hereby authorize the a to place a sign o m roperty or building. 111111
OWNER SIGNATURE: ( DATE: (I/2.3/((�
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
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MAP REFERENCES:
MAP OF A SURVEY
OF LANDS TO BE CONVEYED TO
JEFFREY CULLEN &
SUSAN DICKSON
DATED: AUGUST 23, 1990
REVISED: JUNE 17, 1992
BY. W.J. ROURKE, ASSOCIATES
MAP OF SURVEY
OF LANDS OF
VIRGINIA R. SCHIES
DATED: JANUARY 16, 1991
REVISED: JUNE 17, 1992
BY: W.J. ROURKE, ASSOCIATES
MAP OF SURVEY
OF LANDS OF
LOIS E. SULLIVAN & CLAIRE A. BENWARE
DATED: APRIL 11, 1995
BY.- W.J. ROURKE, ASSOCIATES
MAP OF LANDS OF
D. SCOTT MCLAUGHLIN
DATED: MAY 5, 2003
REVISED: FEBRUARY 17, 2006
BY.• JEFFREY G. MARTIN
TOPOGRAPHIC MAP
OF CLOSED CONSTRUCTION
& DEMOLITION DEBRIS LANDFILL
ON LANDS OF D. SCOTT MCLAUGHLIN
DATED: DECEMBER 24, 1999
BY.- JEFFREY G. MARTIN
DEED REFERENCE:
DORIS MASON, SARAH DICKINSON
& ANTHONY M. MASON
TO
D. SCOTT McLAUGHLIN
DATED: NOVEMBER 5, 1982
BOOK 651 PAGE 261
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SMALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO, JE"SVI.LE SAND AND GRAVEL. LLC
OLD REPUBLIC NA20M—TITLE INSURANCE COMPANY
CERTIFIED
DATEDs APRIL 14,
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TOWN OF QUEENSBURY
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IRS /
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O IRF = IRON ROD FOUND
O CIRF = CAPPED IRON ROD FOUND
o W.S. = WOOD STAKE FOUND
O IRS = IRON ROD SET/TO BE SET
® = WELL
= UTILITY POLE
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= GUARD RAIL
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O O � O D TED MARCH 8, 201 O A O
2. OQ' n1 ° O O 4a� 1 ° IN VOLUME 3982 PAGE 71 / / j IV
h77°59,52" SUSAN BRUNO tCO o �o N77°55'36.8, 5 1 o S N/F OF W z
N p s JEF EY & SUSAN
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Y DATED MARCH , O
oW
_ CLAIRE BEN1fARE IN VOLUME 3982 PAGE
67
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CIRF
H�8'04 , 42 p LANDS N/F OF V 1
LANDS N/F OF w VIRGINIA SHIES
TOWN OF QUEENSBURY
RECREATION DEPARTMENT at
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'd
�v 0 co
1""1 .� I
N
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Data DECD 12009
scilde T -1w
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SHMT 1 OF 1
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co
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08
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