2015-397 Choice Coffee TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150397 Application Number: A20150397
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is hereby granted to: RAYMOND HIPPELE
For property located at: 959 STATE ROUTE 9
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: RAYMOND HIPPELE Sign
50 ACORN Dr Total Value
DIAMOND POINT,NY 12824-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2015-397 Choice Coffee
Wall Sign 20" x 193"
$80.01 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(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 own o uee t ay, September 08,2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Ilse Only
Town of Queensbury ': Pinae s o Received: _ __
Ai fi '" e . _ - Map ID: Vl b • \ —t—V6 —
SIGN PERMITA 20 15 — ' Cl--
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Fee: $ -® k _
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August 28,2015 eUl Q1NG&E N ... • Choice Coffee
Date C• t
Tax Map ID _.___ 959 Route 9 Suite M _
Zoning Queensbury,NY 12804
Property Ownerzirrt Development Contractor/Agent Daniels Signs, Inc.
Address U.S.°s° 9 Address 12 Noble Lane
Oucensbury,NY 12604 West Chazy,NY 12992
Phone 518-798-0026 Phone 518-493-2278
Contact Person for Sign Code Compliance:Jesse at Daniels Signs, Inc. Day pie: 518-493-2278
Building Street Address: ' _ , `, q5q ' —• t • c' c 4_,2_6L.
Site Plan,Variance,or Subdivision Approvals —
Location of proposed installation on building
Business Complex/Plaza/Mall name ML Royal Plaza _.- .
Business name Choice Coffee
Type of Sign proposed Channel letters on raceway
If sign is to be illuminated, indicate El internal external Incandescent neon psi other
Do signs currently exist on property? [Yes _No(if yes, list all existing signage)
Change of word/copy From to
Sign Wording 1 Copy Choice Coffee
Sign Size Length 20' x Width is:" =Total sq.ft. 26.66
Sign Height(freestanding) N/A
Color&Material to he used Yellow&black :Aluminum&Plastic
This application creates a change in the 0 New _.
following existing site conditions(fill in all Change in number of signs from to
applicable spaces) Change in setback for sign from rt to
Change in size from to
Change in height of sign from _ to
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.
APPUCANT-PRINT NAME Jesse Da—::iels
APPLICANT-SIGNATURE: _.. •_— Date
August 28,2015
Declaration: I hereby authorize the applicant to place a sign on my property or building:
OWNER-PRINT NAME cff• ---l`°' "c ,.-,., � .....,. .,
OWNER-SIGNATURE. -4— -- -- - Date: /01,,5-.0` Z'( :4Cr5
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p Mount Royal Plaza
1111 1 1959 State Route 9
stairway to 2nd floor"Suites"is shown Tax map No.296.13-1-18
on layout
between Store
0
and Store M
Layout shows "Stores"
1st floor or ground level