BOTH-000192-2015 Canterbury Woods TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
QL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000192-2015
Tax Map No: 296.7-1-8
Permission is hereby granted to: Patrick Barber
For property located at: 597 BAY 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
Tvce of Construction
Owner Address: 16 BEEKMAN PL Sign $0.00
Queensbury,NY 12804 Total Value $0.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Patrick Barber
Plans&Specifications
Freestanding sign
Change of copy&location
PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 3,2016
(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 ex/pnration date.)
Dated at the Town o �ueens Mo 9,2015
SIGNED BY: for the Town of Queensbury.
Director
wr of Building&Code Enforcement
Office Use Only
Town of Queensbury Building &,4desr�._.__.._.e�
1 E fro G .eceiy NW
SIGN PERMIT APPLICATIOf�j In ,A"'W1 ' r1b.-++
Vu QCT 2I 1Permith 00019L pis
Sdd&nit $ e /
/� i 1 ir,i r r.' ,fir_
° 770h
Date b. r A'pp11 6 t' �0S &Y1
Tax Map ID 9 - Address - r%
Zoning �\\ Qu ee.4-s ur4 , 4
Property Owner tjAa Contractor/Agent:
Address L& eel maw P1ac.e Address
aueeilsb--!7 !7y
Phone 6/g S5 SS lC 53 Z Phone
to
Contact Person for Sign Code Compliance: �l a r �4 3 a Pi- Day Phone:
Building Street Address: '597 2a" E oocp
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation
Business Complex/Plaza/Mall name
Business name 0A , Lrc LJ o sA parf„+e. 4s
Type of Sign proposed &A4 /
If sign is to be illuminated,indicate _internal _ al Incandescent _neon _other
Do signs currently exist on property? Yes _No(if yes,list all existing signage) r,
Change of word/copy From to r ur "'7
Sign Wording/Copy
Sign Size Lengthx Width�=Total sq.ft.
Sign Height(freestanding) 7 2 "„d'C6 u.ae s 1-5
Color&Material to be used
This application creates a change in the _New
folloWng existing site conditions(fill in all _Change in number of signs from to
applicable spaces) _Change In setback for sign from to
_Change in sae 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. -{-
APPLICANT-PRINT NAMEy VI'`9_
APPLICANT-SIGNATURE: JC Date: /0 A"//3
Declaration: I hereby authorize the applicant to place a sign on my property or building:
OWNER-PRINT NAME: Hongja Jung
yC OWNER-SIGNATURE: \ ' Date: 10/5/15
Town of Queensbury Building&Codes Sign Permit Application 518-761.8256
3000x96 " x3mm Alupanel faces mounted
over existing wood sign
96 "
30
. . 7200
EXISTING 4X4 POSTS
5 �