2012-567 (Sea Ray Smith Boys) TOWN OF QUEENSBURY
(EL 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120567 Application Number: A20120567
Tax Map No: 523400-296-013-0001-023-000-0000
Permission is hereby granted to: SMITH BOYS
For property located at: 1011 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: FRANK PARILLO Sign
215 BALLARD Rd Total value
WILTON,NY 12831-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-567 SEA RAY Smith Boys
SIGN freestanding 8'x 4' = 32 sq. ft.
$96.00 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 Town of Queensbury; Monday,December 17,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
i-,tk y. Lt 0 - 2" ‘-1 c.
' OFFICE USE ONLY f� .
TAX MAi40(. ' t� /1'a �"ERMITNO. I )✓ PERMIT FEE �t, : .� a.e Stamp
i APPROVALS: DEPOSIT
SIGN PERMIT APPLICATION: NOV 3 0 201t
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: Gr .k. P ire 1`. INSTALLER/BUILDER:
ADDRESS: ft\
5 Q b t‘� .d �P,,�. 0•fii:__ r` ADDRESS:
PHONE NOS. S1 O_1 `".bq9 Li PHONE NOS.
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) tD i RI. ` e- 5'Au J...)? 1-7._
BUSINESS COMPLEX I PLAZA I MALL!NAME:
BUSINESS NAME: Svvv+TN, t�1015
CONTACT PERSON FOR SIGN CODE COMPU NCE Cl' ], C :nic?[1 PHONE;S1 •94 SS--).:jOC)
TYPE OF SIGN PROPOSED: )t froestanding wail _awning _projecting
IF SIGN Is TO BE ILLUMINATED,PLEASE INDICATE ,,Internal _External _Incandescent Neon . Other
Do SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes Iso
IF YES,UST ALL EXIST1NG SIGNAGE: ..
The application creates a change X New
in the following existing site Change in number of signs from to
conditions(fill In all applicableChange in setback.for sign from to
spaces): Change in see of sign from to
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy: -
I � ,
Sign size: Length x Width q -,Total Sq.ft. 3-2.- Sign Height(freestanding11sign): 20
Color and Material to be used: TS)c,,41C 0\ - X•C." S.'S.I. ''^'�� t e'1 pd
✓ 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) QUESTIONS? CALL 7614256 OR EMAIL
o Height of freestanding sign esueerhsbu .net
o Depth of projecting sign
o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION
I Provide 2 drawings or photos of sign design. ".vw.goee''sburi,net
I 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 com ete statement of all proposed work to be done on the described premises and that
all provisions of the Zoning Ordin.•, and at\other laws pertaining to the proposed work shall be complied with•whether
specified or noted,and that su.' '•. ,is authJrued by the owner. 7
APPLICANT SIGNATURE: DATE: i1 12.'S 11l
I hereby authorize the applicant to place as�gnn on my property or building.
OWNER SIGNATURE: DATE: t ` 2- Li-- 1 2
mom .Town of Queensbury• Community Development Office- 742 Bay Road, Queensbury, NY 12804
Pi57 �-.
1Fr
,,
•
l
���u ►3o�?S 1
v�1 = 1011
Ibro »EIG1 13 3 2.
0
0
a. 1
1P0,..E t3Arn Sup S = y x H
1
14l
, f. , .,4-e
•\ .
Iii\ :
,,x, , 4., 41441111111111111111
yy55 �. P
, 1.111. "--.."-- 1\1-7: # , lc,c 4 ir ..,,
. ....„., x ,,,,,, . x;r,,,,, , it, .. 311,. , ..;
.11
•
♦ 44 11 '. ,�..
. , ,
- .. .,...‘ -:' ,'
. .... _
• ._ . • . ... .. .... , . . .
_ .
, - - 4 ki„-. ,
ito, !,,,, „, , , .
. , ._
4.,„ fiko,„ i . . . • .
. . .
1
......
101
Illid r
0
�w txR' \
b
iax'
» "
'a. rI S.
;. rand..
a