2013-510 01.4 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Vir
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130510 Application Number: A20130510
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 Sign
31200 NORTHWESTERN Hwy Total Value
FARMINGTON HILLS MI 48834-00
Contractor or Builder's Name /Address Electrical Inspection Agency
CHARLES SIGNS. INC.
315-652-4306
7856 GOGUEN Dr
LIVERPOOL NY 13090-0000
Plans&Specifications
2013 - 510 FOREST PARK
SIGN freestanding 26" x 37.37" =6.75 sq ft 2ND Entrance
$21.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow u nsbu ; t� Th ,November 07, 2013
SIGNED BYC•2'),"4/'' '' for the Town of Queensbury.
Director of Building&Code Enforcement
IOffice Use onh oc z 2 3
TOW)a Queensbury Building S Codes
Received
SIGN PERMIT APPLICATION T Io- ,� 8,
Permit Na: /3'0 /ID
Permit Fee: b
Date 161111 /.3 Car s res J c�.
Tax .ID Address L7
zoning V4 v N o
rTh . _ .__ ....,
PropettyiOwneg a - Pork '01\ C LLC. cont C h. r . St hs inc•
Address . IA , ► w ' g, , ,• . Address 15� Cl •
F u ii .12 1117 a. itL . v-.•5. 1 QctO
Phone Z.-t -5 F_ 5g7O Phone 5 . 1 2 �3J(P
Contact Person for sign Code Compliance:.6.'.I./11 i . • it . ; L,il Day Phoned I 1 arIP
Belding street Address: 0 / . et " r A • N 2, --Or
Site Plan,Variance,or Subcfrrision Approvals N f
Location of proposed inataBation 11 ROO r '
Bt�nees Corns rtsatrts r Q J � • I 2- � ���-
Business name rth "a rK
Type ofSign fr Sft;tnq Q1 � d t
If n Is to be gtrnlr>ated,indicate _isbrnai _�clerrsbt' neon otter �j�
Do signs currently exist on pnparty? Yes _Na lira, al g )MIQ in$.14 J2flfrdflCQ1
Change of wordkopy FromtSTpeiME CO ~ritINCOrapiatINI !!.i.•
Skin wordsg/Copy 41.:" 0I a t d (1" 14
Sign Size : r; : iA th 117:,. =Total sq.ft f: 21fdrIV 31.51`1D•
-7fr
Sign height f!reestanthng)
Color 5 Material b be used P01• . V 19 3M i 0. ,s . i 1 .!. f.' 0. i Q!' ,q
This spp6cabon creates a charge its the New `1 ,
Wowing existing site con fions(tilt in all Change in number of signs from b
appbicabte spaces) Charge Mooted for tip from b
Charge in size from b
(range in height of sign from b ' .
•
Declaration: To the best of my kno+tyiedge, the statements contained m the app canon.together with the plana and specifications
stbmittled,are a true and complete steamed of al proposed work b be done on the described premises and that a9 provisions of the
Zoning Ortfrance,and al other krws perti ing to the proposed work st al be corned with,whether specified or noted,and that such
work is authorized Iv the Cotner.
APPUCANT-PRINT NAME .'L zz, thoiSiy' C
APPilCANT-SEGMATURE: ' ft `.: ; ". .it t _ If t)I 4ei / : il0111I -_--
Deda -airs: I hereby authorize the applicant to place a sin on my property or building:
OMEXPRINT NAME: J061 K. EOM
�/1l�//�1 //�� Forest Park MHC,LLC,a Delaware limited liability company
OWNER-SIGNATURE: V By:Newbury Management Company,a Michigan corporation,its authorized agent
BY. Joel K.Brown,Vice President
OCT 15 2013
y
r
OCT 2 q 11113 5I)
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Matthews Paint
►6.75 in Marina Blue
J
waft m ,
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forest Park
live life. live it here. 26.00 in
I '
(518) 745-7776
183 Pitcher Road ; www.BayshoreHomeSoles.cam
64.00 in
37.37 in
I � f
:tom '
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QTY: (1) 26"x 37.375" 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.
a CLIENT LANDLORD
cbarles CLIENT: G&G Advertising DATE: 9_16_13 REVISED:
SO ` w
�'`� LOCATION:Forest Park DESIGNER: KL REVISED: APPROVED APPROVED
Ta7,1174...
Ph"Ln"o.r..1u. ars":128'97 JOB#: FILE:G&GAdertisIng/ForestPark/2ndEnt anceSlgn DRAWING#: SCALE:
Thle 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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