SIGN 2013-224 Reality Dance Studio TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130224 Application Number: A20130224
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is hereby granted to: REALITY DANCE STUDIO
RAYMOND HIPPELE
For property located at: 959 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: RAYMOND HIPPELE
50 ACORN Dr Sign
Total Value
DIAMOND POINT,NY 12824-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
MIKE BAIRD
792-6261
414 CORINTH Rd
OUEENSBURY NY 12804-0000
Plans&Specifications
2013-224 REALITY DANCE STUDIO
SIGN wall sign 35 sq ft
$105.00 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 To of ensb ; /�1 :i i da June 05,2013
1.1
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
I r
OFFICE USE ONLY
TAX MAP NO.o3q9'(p,I3"/r4ERMIT NO. 13 io !PERMIT FEE 0.5-D-- ;
APPROVALS DEPOSIT FEE ,
*AY''P'Z2r"2DIY
SIGN PERMIT APPLICATION
> A separate application is required for each sign.
> A permit must be obtained before installation of your permanent sign.
> All spaces on this form must be completed.
APPLICANT: C'a -40a 33 5i4 INSTALLER/BUILDER:
IGS /vt loon c c.-aKE C�cc e ,u MilAk BAI D SIGNS
:. -=, a , 414 Corinth goad
�::.,,., .,��
ADDRESS: .:,,i%-`„1t..:::: _)) /2..V.i ADDRESS: Queertblaury,NY 12804
PHONE NOS. 5 / - 7 % 7 c PHONE NOS. ttg02 ` 6.2 L//
LOCATION OF PROPOSED INSTALLATION:II (LEGAL ADDRESS)I
95`/ al el ri o Ct 9i�5,-sh,c /U /z7-C'�L( gtl/e4-A--
____—
NAME
OF BUSINESS COMPLEX/ PLAZA/ MALL: hoc) ,,,.-)a 1 76z:a
NAME OF BUSINESS: '�C�cO- t1,�� 7/--)0/'106_ 3 .)c(, c - d,4
CONTACT PERSON FOR SIGN
-el COMPLIANCE: / PHONE:
TYPE OF SIGN PROPOSED: freestanding X) wall awning projecting
IF SIGN IS TO BE ILLUMINATED, PLEASE INDICATE:
Internal External Incandescent Neon Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? X Yes No
IF YES, LIST ALL EXISTING SIGNAGE:
The application creates a X New
change in the following Change in number of signs from to
existing site conditions (fill in Change in setback for sign from ' to
all applicable spaces): Change in size of sign from to
Change in height of sign from to
Change of wording/copy from:oIto:
Sign Wording/Copy: 'Re0.`1 k--U, Jl.C to _ -kv Cc(0
i �j
Sign size: Length /6 x Width �//D = Total Sq. ft. 3 Sign Height (freestanding sign):
Color and Material to be used: 74!U //z i rt () vil -773/Q.-0I c - W A t 11-r_ + ( e__
1. Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
a. Location of sign (walls signs: drawing of the façade the sign will be located on, indicate sign on
facade)
b. Height of freestanding sign
QUESTIONS? CALL 761-8256 OR EMAIL
c. Depth of projecting sign
codes(a queensburv.net
d. Distances from front and side property lines.
VISIT OUR WEBSITE FOR MORE INFORMATION
2. Provide 2 drawings or photos of sign design. www.uueensburv.net
3. Provide Applicant & 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 specified or noted, and that such work is authorized by the
owner.
APPLICANT SIGNATURE: I ,a Z; _ 41.-r" DATE L._/7/ 7 / J
I hereby authorize the applicant to place a sign on my property or building:
OWNER SIGNATURE: X DATE:
Revised 02/18/2010
406 Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
OFFICE USE ONLY
TAX MAP NO. PERMIT NO. PERMIT FEE
APPROVALS DEPOSIT FEE ,
'141W'2'3"2I11J
SIGN PERMIT APPLICATION
> A separate application is required for each sign.
> A permit must be obtained before installation of your permanent sign.
• All spaces on this form must be completed.
APPLICANT: cro], et/a1, 4,1 4, INSTALLER/BUILDER:
IG Nt ton c �dKE+CicU e +v-v with.BAIRD SiaNS
ADDRESS: .''lli`',ter': '�rt ,+,r:^..�t�, ,•_'4:, ?E_ih !Z SNS ADDRESS:
414 Corinth Rced
��' = Quuunsbuty,NY 12804
PHONE NOS. 5z/ — 7 9 7 PHONE NOS. lqa — 6.2 1'!
LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS)
-
95c/ -�. gam C( Q 5-rShu(( p- /2_.<3.'nL4 stik,70-
NAME
OF BUSINESS COMPLEX/ PLAZA/ MALL: hoc) � v\ 23 ?/ z
�
NAME OF BUSINESS: ' t70 lily �o1cF 37C - O JgcAA-A
CONTACT PERSON FOR SIGN-CODE COMPLIANCE: / PHONE:
TYPE OF SIGN PROPOSED: freestanding wall awning projecting
IF SIGN IS TO BE ILLUMINATED, PLEASE INDICATE:
Internal External Incandescent Neon Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? X Yes No
IF YES, LIST ALL EXISTING SIGNAGE:
The application creates a X New
change in the following Change in number of signs from to
existing site conditions (fill in Change in setback for sign from ' to
all applicable spaces): Change in size of sign from to
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy: 2ea.A.4-(4 n ,A C. to cc.) A[0
i Iii
Sign size: Length /6 x Width (/O = Total Sq. ft. '3 5-----Sign eight (freestanding ign):
Color and Material to be used:! 11
U 141 ,rc o �1 a,5 I c -- i i ( f-e -1- (Ue____
1. Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
a. Location of sign (walls signs: drawing of the facade the sign will be located on, indicate sign on
facade)
b. Height of freestanding sign
QUESTIONS? CALL 761-8256 OR EMAIL
c. Depth of projecting sign codesqueensburv.net
d. Distances from front and side property lines.
VISIT OUR WEBSITE FOR MORE INFORMATION
2. Provide 2 drawings or photos of sign design. www.queensburv.net
3. Provide Applicant & 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 specified or noted, and that such work is authorized by the
owner.
APPLICANT SIGNATURE: 6111,4_ C1,_47 _._.. . DATE S//7//
ere.y aut onz- -_ ..plicant t•i place aI- 'no y oroperty or building:
OWNER SIGNATURE: 1 I A 4 /, -' DATE: 5-28//3
1 I
Revised 02/18/2010
fil Town of Queensbury • Contmunilij Development Office • 742 Bay Road, Queensbury, NY 12804
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