SIGN 2014-009 Liberty Pizza TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140009 Application Number: A20140009
Tax Map No: 523400-302-005-0001-090-000-0000
Permission is hereby granted to: LIBERTY PIZZA
For property located at: 845 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: 3A CHAMBERS, LLC Sign
7 TRINITY ROCK Rd Total Value
LAKE GEORGE,NY 12845-0000
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2014-009 Liberty Pizza
SIGN freestanding 7'x 3'
$63.00 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 f Que sbu ,i' M s • ./ . : . ary 27,2014
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes Received:
J.A 1 affair ID: `3 DBS-1 -g 0
SIGN PERMIT APPLICATION Permit No.: j/— bd?
00
Permit Fee: $ (�3
Date va- z9, d-01"/-017 Applicant L -'r'C'ful
Tax Map ID 30.),5--/ 90 Address 1 1).-1 3r - J" ` Zz e_
Zoning C T v
Property Owner Sik C k\Cc`v,b-rS1 L'--C— ContractorlAgent: 7 rdc L /op
Address %7'!',,, Rork ,. Address c11b/0-- 41 krt 2c Z z a_
1--e,le_ 6e_e /Aty 1.1eAs __,L,
Phone Phone - n ?'
Contact Person for Sign Code Compliance: Day Phone:
Building Street Address: Fs"4-7 SN--G•,V di.--) `i 6„ ,, E-,, .,h,u 7 1\1 'I 1 -1_,S7 04_
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation
Business Complex/Plaza/Mall name
Business name
Type of Sign proposed P eC hel ',,t
If sign is to be illuminated, indicate _internal exte al _Incandescent _neon other r- j 0.
Do signs currently exist on property? Yes _No(if yes, list all existing signage) 5 16 n iv,0-,Ited P:;,,,r 4,,�,,,m:t
Change of word/copy From to `l
Sign Wording 1 Copy L:,ker+ ?i zz& ct,L(p.� Sf0Z
Sign Size Length 7 Fi, x Width 3 F,_=Total sq.ft. ..) / SF
Sign Height(freestanding)
Color&Material to be used ,4(U vv) ✓rN-e-t-e-L c L ci c_
This application creates a change in the X New s.. A
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 1:::r01 L 1 Uc
APPLICANT-SIGNATURE: e-&'. Date: I /I 0 I Li--
Declaration:
i_Declaration: I herebyauthorize the olicant to place a sign bah m property or building:
Pr Y P P Y 9
OWNER-PRINT NAME: ••►' "Lit rs ISI . k
OWNER-SIGNATURE:
��• '� /MA Date: I / 1 b) /�-
. .:►�//� ,
Town of Queensbury Building : Codes Sign Permit Application 518-761-8256
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Site Statistics (Lot Area == 10;464 SF)
/ / ) Area Ezistin Conditions
1;440 SF = 15.8° 0
Building
Parkins. and \\7alks 7;144 SF = 68 o'2o
Green Space 1:880 SF =
srUo�J JF�N(tiUlF�d�
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30a ild
1100) -up
N5B*22'00"E
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9
1 STORY
CONCRETE BUILD!NG
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Flow, Space,
Retail
Warehouse
884 SF
4>6 SF
AREA
) \ EXIS'T'ING PARKING AREA
10,464 sq.ft. j
4v� 0.24 ocres
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s �tiCA 139.94
Pj
845 State Route 93 Queensbury, NY
I� 7 ax Map Parcel No. 72•-27-2U
30,-A 5 -1-
PERMIT PL U
I HAVE PERSONALLY h1EASURED THE DI$`ANCE
FROM THE PROPERTY UiINES TCII THE
PROPOSED STRUCTURES) OR Sh1'N(S)
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