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
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? - - REMOVE AND REPLACE EXISTING `
04.22.13
` Comprehensive 04.29.13
1st Advantage Neuropsychological 05.01.13
Services
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Page:ONE at ONE
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❑Approved as noted
❑ResubrAt WRh revisions
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INTERNALLY ILLUMINATED MONUMENT SIGN lurDesignlEnglaw"lldrefto
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