2012-160 Starla's Shoppe TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FON
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120160 Application Number: A20120160
Tax Map No: 523400-288-012-0001-014-000-0000
Permission is hereby granted to: CATHERINE MC CLURE
For property located at: 6 STATE ROUTE 149
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: FIVEASIDE, LLC Sign
C/O SILVER BUILDERS, INC. Total Value
3109 STIRLING Rd Suite 200
FT. LAUDERDALE, FL 33312-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
MICHAEL BAIRD
414 CORINTH Rd
QUEENSBURY, NY 12804
Plans&Specifications
2012-160
4'x 4' 16 sf wall sign Starla's Shoppe
$48.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 16, 2013
(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 een ury; fond, • ril 16, 2012
SIGNED BY for the Town ofueensb
Q ury•
Director of Building&Code Enforcement
1�.144 OFFICE USE ONLY
TAX MAP NO. PERMIT NO. j,,91-460 PERMIT FEE
A.,4•11-,„
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APPROVALS DEPOSIT FEE ; '' F 4
F : APR 1 3 2012 ! _,
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SIGN PERMIT APPLICATION TOBUILDING & CODES\Y
➢ A separate application is required for each sign.
> A permit must be obtained before installation of your permanent sign.
> All spaces on this form must be completed.
APPLICANT: l a ,r1E r 1 he 111 c (- t-Ly-f- INSTALLER/BUILDER: 1011;=i,; ;!:=;;:;-ii;145
414 Corinth Road
ADDRESS: 1 D Stt fie ou-t e )' 01],S1)) ADDRESS: Queensbury,NY 12804
PHONE NOS. .51' (i) 31�) - �3 '3 1 PHONE NOS. \-19 ,2-_—L:, :9-LA
(-e1( 3c.7- o3&
LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS)
- :Mole —
NAME OF BUSINESS COMPLEX/ PLAZA/ MALL: 10 J ``'� C. / / 6&cf .D I -ftgy6
t ()_
INAME OF BUSINESS: 6tc.7k_,�' C� . :--)y\ C, pe
CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE:
TYPE OF SIGN PROPOSED: freestanding wall awning projecting
IF SIGN IS TO BE ILLUMINATED, PLEASE INDICATE:
Internal External Incandescent Neon '(Other ;V _, � l� �� `)
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes i< No
IF YES, LIST ALL EXISTING SIGNAGE:
The application creates a \ New
change in the following Change in number of signs from_ to
existing site conditions (fill in Change in setback for sign from ' to
all applicable spaces): Change in size of sign from to
Change in height of sign from to
Change of wording/copy from: /� to:
Sign Wording/Copy: cxr• rt,'� Sl/kOr 10 5 '''AAk ti(u •-' S ,'1 i.Jc,-C11
, ,
r `/ r
Sign size: Length 1 x Width 1 = Total Sq. ft. /(0 Sign Height (freestanding sign):
Color and Material to be use -1-7----)- 1f C- ,_.) iZ.__ -i- I'�-) U C'
1. Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
a. Location of sign (walls signs: drawing of the facade the sign will be located on, indicate sign on
facade)
b. Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
c. Depth of projecting sign codes(a)queensbury.net
d. Distances from front and side property lines.
VISIT OUR WEBSITE FOR MORE INFORMATION
2. Provide 2 drawings or photos of sign design. www•aueensbury.net
3. Provide Applicant & 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 such work is authorized by the
owner. (L
APPLICANT SIGNATURE: �� C l t `.<< (��� DATE �/ /
1
L )
I hereby authorize the applicant to • ace a si!n • y property or building:
y//3/ 2—
OWNER SIGNATURE: DATE:
AO
of —re -
Revised 02/18/2010
ftTown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
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