2014-228 "State Farm Rita Hawkins" TOWN OF QUEENSBURY
`ors 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140228 Application Number: A20140228
Tax Map No: 523400-289-015-0001-003-000-0000
Permission is hereby granted to: STATE FARM INSURANCE
For property located at: 9 HUNTERBROOK Ln
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: RCILETTI, LLC
92 MASTERS COMMON NORTH Sgt
QUEENSBURY NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
SAXTON SIGN CORP.
518-732-7704 EXT 102
1320 STATE ROUTE 9
CASTLETON NY 12033-0000
Plans&Specifications
2014-228 STATE FARM Rita Hawkins
SIGN wall 27.21 sq. ft.
$81.63 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 ue bury d Moi t a ./J . • 30,2014
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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Town of Queensbury Buildii� \\ \\
4Rece O.�
SIGN PERMIT APPLICAAA }``��� 12 20/' Tsap ID: q, 1 �4 —3
QUEEN E N .: 1 pUS (,
jOauV pFNG&Gr�3e - ee: $ 1: (. 10 1/, ^,�(K
Date P-( SiI2.01 LI Applicant SAx��S� �, � dV
Tax Map ID Address 1320 . 4
Zoning 02450 c . LE k2033
Property Owner RC r t PTT1 t_t_G ContractorlAgent:S'-Ix_c ' ('nr.-r
Address CI
2. PLks}c.,-s&amnntldoz4-L Address \�3;�20�1-1 R6U,L ct ' /
l�V PPI 4T' trN IZN4 �ik-SA p- 1lp&Z
Phone 1 el $- So 49 Phone 932-1104
Contact Person for Sign Code Compliance:Sku.eets% L ar-.1-5 Day Phone: x132--1-f0 4
Building Street Address: Of i-ki un-kr &vit.-Ua3.0&
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation c98n4 E.-6}-1
Business Complex/Plaza/Mall name
Business name Size.�
Type of Sign proposed lw,rkll
If sign is to be illuminated,indicate internal _external _Incandescent _neon _other AbA X
Do signs currently exist on property? Yes VL No(if yes, list all existing signage) a,.“L
Change of word/copy From to as
Sign Wording/Copy SknkeTnerin h, k 1 ;os -alit, finC�
Sign Size Length x Width =Total sq.ft. ,).r",54:-
! ( �pU
a.
Sign Height(freestanding)
Color&Material to be used
as mmnum(l_Paui,._ 20.t r, Roc L
This application creates a change in the - New
following existing site conditions(fill in all Change in number of signs from to
applicable spaces) Change in setback for sign from to
Change in size from to
Change in height of sign from to
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. n
APPLICANT-PRINT NAME Stl�Po . raj ark
c
APPLICANT-SIGNATURE: �'(a. i. J a,_ ..., Date: 5-15-14
Declaration: I hereby authorize the applicant to place a sign on my property or building:
OWNER-PRINT NAME:_ -
OWNER-SIGNATURE: N at__P c-h-e Date:
- _
Town of Queensbury Building&Codes Sign Permit Application — 518-761-8256
•• • Office Use Only
Town of Queensbury Building &Codes Received
SIGN PERMIT APPUCATION Tax Map ID:
Permit No.:
Permit Fee: S
Date I-(A,.I is zc.r-f Applicant SAeism‘- Nets
Tax Map ID Address 1320 9
Zoning Ous1-Eo i..'1 1203.3
Properly Owner RC r t trim ContractodAgentC-, °ate
Address R Z L4 KLr s(t M.�er��'azr Address 13zz: t�isl..tp q
t tippi 4ni rt4 I 40 (±i snair. P4 12,263
Phone ricer- 4c4`1 Phone `732,11014
Contact Person for Sign Code Compliance:Slu.Ee jun.,a.-d3 Day Phone: 132-1-10 4
Building Street Address: fl l4ii.,ler e_
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation FPOnt
Business ComplexlPlaza&Mall name
Business name ,
Type of Sign proposed 124rtl
If sign is to be illuminated,indicate _internal _external Incandescent neon _other Aknot?..
Do signs currently exist on property? _Yes JENo(d yes,list all existing signage) �a,nice
Change of wordlcopy From to
Sign Wording I Copy .h krf C4 't L.- lok-Txvic,R S I<
Sign Size Length x Width r Total sq.it. .1L .40
Sign Height(freestanding) , t
Color&Material to be used _alum rurAllega,- P-ea .elan
This appficalion creates a change in the New
following existing site conditions(fill in all _Change in number of signs from to
applicable spaces) _Change hi setback for sign from to
Change in size from to
_Change in freight of sign tram to
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. n
APPLICANT-PRINT NAME Sly no .A r,'r ark
APPUCANT-SIGNATURE: -� +
Y LI a J Date: i-IS t
Declaration: I hereby authorize the applicant to places a sign on my property or building:
OWNER-PRINT NAME: 9_ Tr:TILu�ILLKP�
OWNERSIGNATt1REC= �` ' �� Date: C/1o/ly (
Town of Queensbury BuUdug&Codes SW Permit Application 518-761-6258
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Total Square Foot
22.21
11'•2.6•
134.6'
19.4" J5ta2Farm
18,FI„ „14.1""a”
4.54 sf 911 high space between lines - 1/2
. u°'° the height of the Logo
Iiirdita Ilk 54 sf i n s in
18" Red Cut Acrylic Logo
9" Black Cut Acrylic Letters
THIS ARTWORK IS TO BE USED FOR GRAPHIC REPRESENTATION ONLY
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9" Black Cut Acrylic Letters
THIS ARTWORK.ISTO BE USED FOR GRAPHIC REPRESENTATION ONLY
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