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2013-210 1st Advantage Dental TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130210 Application Number: A20130210 Tax Map No: 523400-296-019-0001-002-000-0000 Permission is hereby granted to: AM. DENTAL PARTNERS For property located at: 123 QUAKER Rd 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: MRK COMMUNITY COLLEGE HOl Sign 6 CHELSEA PI Total value CLIFTON PARK,NY 12065-0000 Contractor or Builder's Name /Address Electrical Inspection Agency COMMERCIAL IMAGE ENHANCEMENT 792-3106 47 FAIRVIEW St SO. GLENS FALLS NY 12803-0000 Plans&Specifications 2013-210 1st Advantage Dental SIGN freestanding 12.6 sq ft $36.00 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 6,(6 f Quee bury We S y,May 29,2013 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement o Height of freestanding sign o Depth of projecting sign o Distances from front and side property lines. 0 Provide 2 drawings or photos of sign design. 0 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,and all other laws pertaining to the proposed work shall be complied with,whether specked or noted,and that such work is authorized by the owner. APPLICANT SIGNATURE:. DATE: ✓�'/cj��'f I hereby authorize the applicant to place a sign on my property or building. OWNER SIGNATURE: _ DATE: tv'`` l '5 Date Stamp The application creates a change in the following existing site conditions(fill in all applicable spaces): OFFICE USE ONLY TAX MAP NO. PERMIT NO. PERMIT FEE APPROVALS: DEPOSIT MIRY J_ FREE STANDING APPLICATION SIGN PERMIT APPLICATION: 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: 1' IY1 5 INSTALLER/BUILDER: )/U`b( t-� /1�1Ct/ [,' inn,Encir4C Sr+�la9S_ Eh�i,?vjcz�.�t:7`7 ADDRES • ( tl-'�t��f' _ (C4 0— . �Ulltf qi&DDDRESS: q 7 �,,,,,��w .SY PHONE NOS. g 3 b Off Ce PHONE �o ��✓� AlyNOS. (� 1. L! ! oWL _�Zke j LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) IV) AU P(y_fF L. FZo" BUSINESS COMPLEX/PLAZA/MALL NAME: BUSINESS NAME: It AVyANTIk ee WtJrA-1_ CONTACT PERSON FOR SIGN CODE COMPLIANCE: Q-FP Gt�f M AIZ4k5 PHONE: TYPE OF SIGN PROPOSED: X freestanding wall awning projecting tio#,JvMo,)%jr IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE:xInternal—External—Incandescent—Neon _Other DO SIGNS CURRENTLY EXIST ON THE PROPERTY? X'es No IF YES,LIST ALL EXISTING SIGNAGE: MaN U M EWr S!&A t VA Ltd ;FA-brD INA--U, X Change of wording/copy from: Cot. '.s ;=Ag t, (goo rirJo- to: I gT Aro✓�1?" tpevNir-c%_ Sign Wording/Copy: Sign size: Length (00 x Width �o = Total Sq. ft. 19-57 Sign Height (freestanding sign): Color and Material to be used: r�tfi►'t- Po!d e-&l ,\JA: T V*co W/ p up6wivy VJrJ yi_. copy 0 Provide 2 copies of a scaled drawing or surveyed plot plan with the following information: t o Location of sign (walls signs:drawing of the fagade the sign will be located on,indicate sign on 2013 D/F Tenant Panel Replacement 1st Advantage • Dental Prentiss 123 Quaker Road AI Face Queensbury,NY 2349BURGUNDYTRNSLUCENTVINYLM :­�Carlisle CH -`%``. hrnctltrv:unr.i7,;n.tr;rvnwrtd+uUimlMriandSr'nir�s Install 47966-01 ? - - REMOVE AND REPLACE EXISTING ` 04.22.13 ` Comprehensive 04.29.13 1st Advantage Neuropsychological 05.01.13 Services DENTAL vk QUAKERMEN 123 A `t9 archetype 59-1/2" --------------------------------------------- arcneryPas:q:,com I I I I I I Gary stemlcr 1 I 952 6419603 I garysaiarchetyl a ign.cam Ist AdvantageI IDENTAL I I I I I I I I I I I I _ I I d+ I I N I I I I I I I I I I I I I I I I I j I ---------------------------------------------------------------- I I ' I. Monument Sign Faces Elevation 1 Scale:1-1/2"-1'-0" 2.1 racsrai.�vn�s www,saxtonsign.com Cnent: Nr r. iMELLS FARGO TENANT A TE' 'NANT � Ad30 123 OUAKER ROAD QUSSNSBURY,NY SJoh Descdp80n: TENANT C TENAN' D to OM 12/14105 t 123 QUAKER ROAD Goals: gnaw. ®Dai: Scale: i Project FOLDER: FILENAME WELLS FAROO Page:ONE at ONE Dnwn by: Ri8 CllentApprovais: ❑Approved ❑Approved as noted ❑ResubrAt WRh revisions gXt.:........ ONE 51X 1 Q'W X 1'6"D DOUBLE SIDED ��.. H .. .............. INTERNALLY ILLUMINATED MONUMENT SIGN lurDesignlEnglaw"lldrefto Is to remain WMWS exclusive 56 SQUARE FEET propertyUng approvedand accepted through purchase by /!yi�-f/t/� /�^� �•��'��r w�.,,j� trereln nerdo-d cBeM. Notes: --7^' �' fLTIME- �•`v«'Y[�w Wim...... �: X{¢'.,rr .4k.�,����n�..f.::. :1 �%%� :ZT'. �.• t � �r..�rr , {.. :5 8 + /1 71995