2015-419 Cedars TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
0-0.1r0
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150419 Application Number: A20150419
Tax Map No: 523400-289-019-0001-015-000-0000
Permission is hereby granted to: CEDARS I. L.P.
For property located at: 35 EVERGREEN Ln
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: CEDARS I, L.P. Sign
SEVEN ASPEN Dr Total Value
SOUTH BURLINGTON, VT 05403-(
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-419 CONDITION OF APPROVAL: Downlighting Only if sign is to be lit, per Craig Brown, ZA
Freestanding Sign 12 s.f.
'Cedars Senior Living Community-Evergreen Lane'
$36.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 23,2016
(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 n of eens el •ay, September 23,2015
SIGNED BY V for the Town of Queensbury.
Director of Building&Code Enforcement
�V 3?—()_.0 t5
Office Use Only
Town of Queensbury Building & CodR EC E I vii-L
Tax Map ID: .2-W9. i9-
SIGN PERMIT APPLICATION SEP 0 9 ? rmit No.: 2015"
TOWN OF QUEEtS e: $ I -
l / ZONING OFFICF
Date g1°I`�10(� Applicant _'• cs _
Tax Map ID 2,89, lel-/-/c' Address -'71 -
Zoning _^.;13 ��, �-P .
Property Owner 'e/SS L L. P Contractor/Agent:
Address 3 5- �U :/2 -?'4N C Address
f�Y Nom „ld'd V
Phone g / 70/ Phone ,�� - /74' a [head .
arcrf
Contact Person for Sign Code Compliance: -y Day Phone:
Building Stre- Address: 35 Ey/' f P'» /�?1 1 i-5,,QcW-L✓e'rrfl✓eer] 1eni &-
Site Pla ,or Subdivision Approvals SV_V4t (edeirS 41r-idj 6411,
Location of proposed installation t �
1 �v
Business Complex/Plaza/Mall name 6/e/3/-e'er).L�C�y�P � /lvr�,tl� Pvi �1��
Business nameh )/
.1'{,P�C215 .�v) lJ1� t vl�►9 �.D/ mu�°,t'7'�/
Type of Sign proposed Frees id1.� /
If sign is to be illuminated, indicate internal _external Incandescent _neon other
Do signs currently exist on property? Yes No(if yes, list all existing signage)
Change of word/copy From to
Sign Wording/Copy e c2r5 Flo'" Li Jin (*d/hvv ./1 c -Ft 1-(ree,-)
Sign Size Length Co x Width ,? =Total sq.ft. �d6( ,
Sign Height(freestanding) 4 if..
Color&Material to be used
This application creates a change in the XC New
following existing site conditions(fill in all Change in number of signs from to
applicable spaces) Change in setback for sign from 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.
APPLICANT-PRINT NAME &�q /)) '' 0..
APPLICANT-SIGNATURE: - �'C -/z. "'`s Date: / r/
Declaration: I hereby authorize the applicant to place a sign on my property or building:
OWNER-PRINT NAME: G`RR �.��'/"' ,DP e�
OWNER-SIGNATURE: Date: -
C ed o17 i,
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256
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