BOTH-000284-2015 Canine Design & Spa TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building& Codes (518)761-8256
BUILDING PERMIT
Penn it Number: BOTH-000284-2015
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
Sign only 12 sq.ft.for
Cindy Trembley
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 ofQyeCR3�Oqursd y in ,2015
SIGNED BY: l(\ ' Y for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes Received:
SIGN PERMIT APPLICATION Tax Map ID:
HAY I4 2D , Permit No.: 2n\rD
Permit Fee: $ 510 - t c1
1 C 1-�'IdN OF OLIFF'
Date 5-11 -I✓ d!11LD!' Applicant
Tax Map ID ai,T�,� � Address E%ulboh ULA
Zoning NC I1LIlt?,C�,? 0 .NU
Property Owner bAAi1rLKd LLC Contractor/Agent: 5
Address L Address
12M4 -Hudcbi;�-fAk
Phone ;i 8. toV V 52VI Phone 52T3
Contact Person for Sign Code Compliance: GhCI TM W1664 Day Phone: SUI-q-112
Building Street Address: IMA Idu VDad
Site Plan,Variance,or Subdivision Approvals $i
Location of proposed installation
Business Complex/Plaza/Mall name t
Business name Q,
Type of Sign proposed
If sign is to be illuminated, indicate _interna xternal _Incandescent _'Yieon _other
Do signs currently exist on property? Yes No(if yes, list all existing signage)
Change of word/copy -From to
Sign Wording lCopy � ,1 ?51 °itiiti�iPl al( 0. al OtU�0. ' 1j2.-D0q, (9q1�
Sign Size Length W x Width =Total sq.ft.
Sign Height(freestanding)
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 a'iMUrmmau
APPLICANT-SIGNATURE: c�� L�QQ _ Date: J-II' IS
Declaration: I hereby authorize the applican to(pl�ace a sign on my property or building:
OWNER-PRINT NAME: I I IO I Gl tChose
OWNER-SIGNATURE: Date: 5-11
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256
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