SIGN 2014-010 Liberty Pizza 00k TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140010 Application Number: A20140010
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
7 TRINITY ROCK Rd Sign
LAKE GEORGE,NY 12845-0000 Total Value
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2014-010 Liberty Pizza
SIGN wall sign 6' x 3'
$54.00 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 ///Tuai' IA .
�S- . h 11,2014
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes ceived:
SIGN PERMIT APPLICATION Map ID: ,2 -l-9b
JAN er40f`-1 °D l d
Date ...1 c, `7 m(4- Applicant L[cI CL( / D p .
Tax Map ID 3Ua, �-( — 0 Address ayhfr
Zoning
Ci ) Vo-(0
Property Owner 34 CGvP. ers,G1 Contractor/Agent:
Address 77r;r,' Address
G(k-r C .J /AP-AS
Phone Phone
Contact Person for Sign Code Compliance: Day Phone:
Building Street Address: � � � I� (�T� / :cv,t�-�i Ja ry it/y 1 Ll^:'()-
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation
Business Complex/Plaza/Mall name
Business name
Type of Sign proposed LA)
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 Liber-fy PrZzGL 9x.67,7 kk?
Sign Size Length C.; x Width 3 P.=Total sq.ft. I ?,S F
Sign Height(freestanding)
Color&Material to be used al u_ rvtt
This application creates a change in the X 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. r
APPLICANT-PRINT NAME li cf (G
APPLICANT-SIGNATURE: / Date: t /10 )4-
Declaration:
Declaration: I herebyauthorize the applicant to place a sign on myproperty or building:
PSP � 9 P P Y 9
OWNER-PRINT NAME: �1 ��, CV aOiCi V
/ OWNER-SIGNATURE: I A Q � Date: 11,0,1) y-
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256
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I HAVE PERSQNALLY MEASURED THE DISTANCE • o ,0 F .;1.,..,-,,-4::.,f; '-v-'-••" � a '""°
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FROM THE PROPERTY LINES TO THE �� -�"„�ti� • x , ' ���• ` 'z'
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Site Statistics (Lot Area == 10;464 SF)
Area Existing Conditions
Building 1;440 SF — 11.89"0
Parking. and \Talks 7.144 SF = 68'_° o
Green Space 1,880 SF = 18%
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AREA
\ 10.464 sq.ft.
✓� ` 0.24 acres
1 STORY
CONCRETE BUILDING,'
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Sr t 1, F __ 139.94
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Floor Space:
Retail
Warehouse
EXISTING PARKING AREA
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884 SF
436 SF
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845 State Route 9, Queensbury, NY
Tax Map Parcel o 72.-27-2z)
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