SIGN-000657-2018 Adonis Hair Salon & Boutique TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
- Community Development- Zoning Department (518) 761-8256
SIGN PERMIT
Permit Number: SIGN-0657-2018
Tax Map No: 296.13-1-18
Permission is hereby granted to: Lisa dePalma
For property located at: 959 State Rte 9
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 Name: Mount Royal Plaza,LLC Sign-Wall $0.00
Owner Address: 959 State Route 9 Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
West Signs
1100 Dix AVE
Hudson Falls,NY 12839
Plans&Specifications
Wall Sign
Adonis Hair Salon&Boutique
$ 0.00 PERMIT FEE PAID
Dated at the Town of Queensbury; Friday, October 12,2018
SIGNED BY: L for the Town of Queensbury.
Zoning Administrator
Office Use Only
Town of Queensbury Building & Codes Received:
SIGN PERMIT APPLICATION Tax Map ID:
Permit No.:
Permit Fee: $ rJ.-
Date Applicant
Tax Map ID Address
Zoning
Property Owner Contractor/Agent: —
Address Address V *2
Phone A ] ���} G.53 Phone + _ —�,c
�l8-J1 -q1�C_ I
Contac Person for Sign Code o pliance: (I,�c .1 Day Phone:
Building Street Address:
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation
Business Complex/Plaza/Mall name
Business name
Type of Sign proposed
ALL—
If sign is to be illuminated, indicate internal _external _Incandescent _neon _other
Do signs currently exist on property? Yes _No(if yes, list all existing signage)
Change of word/copy From to
Sign Wording/Copy
Sign Size Length x Width =Total sq.ft. 1 It
Sign Height(freestanding)
Color&Material to be used
This application creates a change in the New
following existing s' n all Change in number of signs from to
fAh
applicable spaces) D OW
C ange in setback for sign from to
ange in size from to
C ange in height of sign from to
Declaration: To he
�a -the!state ents contained in the application, together with the plans and specifications
submitted, are a t ue an - ftrop sed work to be done on the described premises and that all provisions of the
Zoning Ordinance, the posed work shall be complied with,whether specified or noted,and that such
work is authorized by the owner.
APPLICANT-PRINT NAME T ALL
APPLICANT-SIGNATURE: ate:
pa t
Declaration: I hereby authorize the applicant to place a sign on my property or building:
OWNER-PRINT NAME:
OWNER-SIGNATURE: Date:
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256