2013-509 Oeh` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8301
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130509 Application Number: A20130509
Tax Map No: 523400-308-014-0001-052-000-0000
Permission is hereby granted to: FOREST PARK MHC. LLC
For property located at: 183 PITCHER 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: FOREST PARK MHC, LLC
31200 NORTHWESTERN Hwy sign
FARMINGTON HILLS MI 48834-00 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013 - 509 FOREST PARK new logo
SIGN freestanding 4'x 8'=32 sq ft MAIN ENTRANCE
$96.00 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 uee bury ,fFh member 07,2013
/
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Onlyrc.l. `Z013
Town c f Queensbury 8i.ilding & CodesReceived
Tax Map ID: JO E,i41-/-So?
SIGN PERMIT APPUCATION r
Permit No.: l�./4.c I
Permit Fee: $
Date J o! l l 1 r3Appficeet gars n5 . c
Tex Map.ID Address g � Q
Zoning
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Phone 29! �- 53 - 5T10 Perone ' 2 n(.
Contact Person for Sign Code Cow: 6.,Ai O. I • EEL ? L4;� DayPeron .oto
Perone I 2•
Big Street Address: : P 7 . or .. ' ,' 1. v�,� j\,! �o•
Site Plan,Variance,or Subdivision Approvals N t� ,J
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Locafion of 8011 I r
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'Buaitess nam r•FA It iri f • a
Business name ref~ a M
. Type cS+4n p f-rf.f.Rfikki1 n tsi41. 1 a
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If sign is�be lltaninated,ire internal ,� ( �. ..�:..•.. neon _other ��
Do sib currently exist on properfyT Yes _No fa Y®e, al existing signet*Ma in . .y ill
Change of word/copy Frvma le.-9 'CO a --fFejilp(6typritriV a d.
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Color&Material dobe geed '01 V 1 (3 3M iv; s t 1 .i! g_ 04 r T a q
This application creates a change m the !demo "
following existing site coticktions(fill in all Change in number of signs from -_ to
app ie spaces) Change in:mac for sign front _ to
N f Charge in sage from to
' Change in height of sign from to_ '
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Declaration: To the best of my knoniedge, the statements contained in the appicabon,together with the plans end specifications
submitted,are a true and complete statement of el proposed work to be done on the described premises and that an provisions of the
Zoning Odfinerice,and al other kws pertein rg to the proposed work shat be comped with,whether specified or noted,and that such
work is authorized by the owner. bthtiti
J''APPUCAtifPRINT NAME & onctz C iar(Sj,Qr art,
APPLICANT-8 GNATUR: It . •,% 0 .Int' ' , /.i. I at j:di P : r4..Jlila_
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Dedt son: I hereby authorize the appricant is peace a sign on my property or building:
OIVIERPRINT NAME U O SI K. 1Mif .
r Forest Park MHC,LLC,a Delaware limited liability company
�1� R-8IGNAT�IRE: w/y 11 By:Newbury Management Company,a Michigan corporation,its authorized agent
BY, Joel K.Brown,Vice President
OCT 15 2013
183 Pitcher Rd Queensbury NY 12804 - Google Maps Page 1 of 1
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2013 Goocik lodge Date October 2007
OCT2 9 2013 (-
ID) V
Matthews Paint
4 ►6.75 in Marina Blue
4 96.00 in ►
mor lIi
forest Park
• I've life. (ive it here. 48.00 in
(518) 745 -7776
183 Pitcher Road www.BayshoreHomeSales.com
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' ► 6.00,in s
QTY: (1) 48" x 96" Single faced sign painted alu-panel with 3M vinyl graphics.
Sign will be mounted on (2) 6" aluminum painted post with decorative caps. Post will be set in 24" deep
caissons filled with concrete.
Charles CLIENT: G&G Advertising DATE: 9-16-13 REVISED: CLIENT 'LANDLORD
{gpw APPROVED APPROVED
�° LOCATION:Forest Park DESIGNER: KL REVISED:
oun suSINOSS
°"°""',,;;452-4'°° FQ"saa"'n JOB#: FILE:G&GAdertlsing(ForestPark(SingleFacedMainSlgn DRAWING#: SCALE:
This design Is the sole property of Charles Signs,Inc.and may not be reproduced without written permission by an authorized Charles Signs,Inc.representative.
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'0% ' '.— Forest Park MHC
ARC a 183 Pitcher Road
Queensbury New York 12804
AffordableResideniial Communities 518-745-7776/518-745-0808 fax
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