2012-587 Community, Work, & Independence TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120587 Application Number: A20120587
Tax Map No: 523400-302-012-0001-044-000-0000
Permission is hereby granted to: COMMUNITY WORKSHOP RESOURCES CORP
For property located at. 37 EVERTS Ave
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. Tempe of Construction Value
Owner Address: COMMUNITY WORKSHOP RESOL
PO BOX 771 Sign
Total value
GLENS FALLS,NY 12801-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
WEST SIGNS
1100 DIX Ave
HUDSON FALLS.NY 12839-0000
Plans&Specifications
2012-587 Community, Work& Independence,Inc.
Wall Sign 1'6" x 28'
$126.00 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,January 07,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY (7,Z-16.'7q5-- -(--1 -14'7-71( 1)EC 2
41
TAX MAP NO.3 ). 11/-,"`' PE IT NO. I,)-S8?PERMIT FEE /6)-(,--- O 2012
6.
APPROVALS: DEPOSIT
SIGN PERMIT APPLICATION: DEC % 0 ry(� -
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application musk
be completed and must appear on the application form.
OWNER: J p j"{(: l c_ INSTALLER/BUILDER: �`GS 4 S17/?cx
ADDRESS: bd egra Sy
ADDRESS: I/oo 1 Ue - 44, Y
PHONE NOS. 51(c)— /`T c-- O( PHONE NOS. 519" 7(1'7- $Z '
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 37 E U eC 4ipt_ �', igen s b�r�, .12-I/-y�/
I
BUSINESS COMPLEX/PLAZA/MALL NAME: U
BUSINESS NAME: l ; ..),-)1_
(e--7-5 �J
CONTACT PERSON FOR SIGN CODE COMPLIANCE: f 4 CV w' G-)Y`-�'-) PHONE: 5/7- Z x-63
TYPE OF SIGN PROPOSED: freestanding wall awning projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _ • - a _External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? -Yes _No
IF YES,LIST ALL EXISTING SIGNAGE: (''e,e.f..S4n\-ti
The application creates a change .2C— 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: (OUThc)l N v v 4- 171 ,, 2(C.—
Sign size: Length l ? x Width =`Total Sq. ft. 1/Z SF Sign Height (freestanding sign):
Color and Material to be used: 4 - 0I at, --r rte,( )eAt rc
✓ 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 761-8256 OR EMAIL
o Height of freestanding sign codes0,queensbury.net
o Depth of projecting sign
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, nd all other laws pertaining to the proposed work shall be complied with,whether
specified or noted, and that such wor is authorized b the owner. /
APPLICANT SIGNATURE: 4,k pe, DATE: / Z- /OZ--
I
hereby authorize the applicant to plac� a sign on my property
ED building. / /
OWNER SIGNATURE: rOn ,�N 1 4) w DATE: ! Z l( !
is Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
I Queensbury Web Map
•
v5g �
DEC 2 (t 2012 PERMIT PLOT PLI�.N {
I HAVE PERSONALLY MEASURED THE DISTANCE
FROM.EE PROPERTY• E�S�OR SIES OTHE
GN(S)
PROPS
_ • p---ATE
• SIGNATURE
i I It
2-
-.
•
1
•, 'ic .
Map is for GENERAL REFERENCE ONLY.
2 Fee
(Printed 12/19/2012 1 : 1522 Page 1 / 1
Dimensions Materials Descri•tion of Work Colors
Circle'heigh"°""''Work&Independence,'�. Plastic Formed Letters Building to be drilled for Lettering
height width sq. ft.
18" 336" 42 Goudy Extra Bold letter style stud mount letters to be installed Navy Blue
(same as the sign out front) on to facia of building.
Overall Sq. Ft.
28, Job Information
Job Name:
(p CWIEVERTSBUILDING
TA ;
A t*_ +t.__I._ A e . ,._ •.. o l - I -. R r ce Inc. Location:
37 Everts Ave.
Queensbury, NY 12804
Contact Information:
0111101111.011041110. I
_.. Kevin Elms
518-745-808 x-13128
i
MOMMEM 10111,. •
•
Layouts and Designs by:
Mans point itirot
1100 Dix Avenue
Hudson Falls,NY 12839
518.747.5283
DEC 2 0 2O1•-; www.WestSigns.con7
0P0(
Sales Coniaci:
AaronWest
\ � � • aaron@westsigns.com
1 Fr�T
"WA owl
Tom NO:
co
1 No
yg
t24. 1kli
1 �
t Q
Q
_ o
t
2 �
alga � 1
r 1
t
- � ,
O y L
ism
moon too
3lou�uN 1f/ t
CIL
r
ri
I -- 1 .1 .1 —.._ _ate �. �.�1 .. _ - l . 1, 1 1 2
_.... ,'� d�j ,.ry � c � r Ate' 4?tV F! �� '�' ; v+►►+r+ '��J► JiE r�►�G ' �f4t�►
d .°G Wi t1;At H
IRA
_ �t ; Ms._- A�' . • `I-et"'Ar
�tv Gr.� M oa,�_r.. Z : r,u{"�.y+C�s • Fi a,va
s � �rt+•� , r-�1�M�► ! tt. - - t-� �
paTo►� ��Gsa �1aa'!
t
" ° 2iiGi IC-
'� � ��lh�1±.1t`,� �F''` '� __ � �,,,�• tt.i�.�{� f�'���iL► Gt0�Ma4�i
G,AOrf Age 1.41
r` t
py
d s' 1 I rGI+*1V`
I� �� � � ° �.,� � � c„ � ..per r�-'I #�°�i C.# E..1( �,1 �0 {Z{G� �U � , i �. � � � �►'� ° 5s-�"lip'
S� ar'���
Pilo
�1 fsll. r d1 v�
� _ . � � A'c�0�tt.t�'"> �iPM uta � � I "� �•, f i.,,,� s,,
et ,
10
�6, Z.0a
,
kk CA
t
Mu +
,
.m
f
. .� �• ,.....K..:,,..KK+,�,: �>,a-,. :ae,,. -...mn �+. -a.om. ::u„�s„.u.,aMv - _.. �+.m : - ,•�:..xe ,„. ... .:.: ..... .- .. - • a • � a ' .
i r
00�
i +l�
s
Lwo
I