BOTH-000281-2015 Canine Design & Spa Office-lyse Onl
Town of Queensbury Building & Codes d'
SIGN PERMIT APPLIjAff N MAY 14 2ijp Pa D: z,1t5_tbq
TOWN O'= oi.�r-=rlg it F e: $ 9
Date 5'11.15 Applicant
Tax Map ID 1219-1-6 _;j Address
Zoning NC llYe,�'a�OQ�( jNq
Property Owner * DAAVUld LLO, Contractor/Agent: uhgj
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Address 4 AMU Poilk qL Address
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Phone Z Phone �g
Contact Person for Sign Code Compliance: Nhd iTrDM664 Day Phone: -(Sul-9-792
Building Street Address:
Site Plan,Variance,or Subdivision Approvals St
Location of proposed installation mg
Business ComplexlPlaza/Mall name
Business name Q,
Type of Sign proposed
If sign is to be illuminated,indicate4ntemal, xtemal Incandescent eon o erDo signs cunently exist on property? esNo(rf yes, ist all existing signage)
Change of word/copy to
Sign Wording/Copy pQsj h "j1 {QI AQ U t1UYd0 ' 7g2-Do95 1041
Sign Size L i ^-
Sign Height(freestanding) 5
Color&Material to be used
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 specked or noted,and that such
work is authorized by the owner. /� •_,� —�
APPLICANT-PRINT NAME lilfYlUrMAILI
APPLICANT-SIGNATURE: (h ' C Date: II' 15
Declaration: I hereby authorize the apWplicano place a sign on my property or building:
OWNER-PRINT NAME: �l a(P. Chos e
OWNER-SIGNATURE: /A eGGt. 14 l./ mus- c Date: SII 'l
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000281-2015
Tax Map No: 279.-1-63
Permission is hereby granted to: Canine Design&Spa
For property located at: 1212 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
Type of Construction
Owner Address: 2546 State Route 9L Sign $0.00
Queensbury,NY 12804 Total Value $0.00
Contractor or Builder's Name/Address Electrical Inspection Agency
West Signs
1100 Dix AVE
Hudson Falls,NY 12839
Plans&Specifications
Freestanding sign only FOR
Cindy Trombley
PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,October 30,2016
(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 expiration date.)
Dated at the Town of Quy�nebtj Thursd o tuber 5,2015
SIGNED BY: S.C /VJ// for the Town of Queensbury.
Director of Building&Code Enforcement
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