SIGN-000205-2017 Streaking Moose BBQ 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-000205-2017
Tax Map No: 279.4-8
Permission is hereby granted to: Streaking Moose BBQ,Inc.
For property located at: 990 State Rte 149
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.
Tyne of Construction
Owner Name: JHKSAK,LLC Sign-Freestanding $0.00
Owner Address: 8 Huntington CT Total Value $0.00
Saratoga Springs,NY 12866
Contractor or Builder's Name/ Address Electrical Inspection Agency
Mike Baird Signs
414 CORINTH RD
Queensbury,NY 12804
Plans&Specifications
Freestanding Sign 45 sq.ft.
Sign Copy: Streaking Moose BBQ(with Moose Head Logo)and Open
$135.00 PERMIT FEE PAID
Dated at the Town of Queen ury;_', Friday,May 12,2017
SIGNED BY: KNA— for the Town of Queensbury.
Zoning Administrator
SIGN PERMIT APPLICATION Office Use Only
ermit
742 Bay Road,Queensbf4y
2017 lb I t
L..d �ign Variance? Yes No
ENSSURY
tz I
Date: .]V\C\
Contact Person for Sign Code Compli nce: Phone:
Building Street Address: Ciqlb L� CA Vol->
Site Pan,Variance or Subdivision Approvals:
Location of proposed installation
Business Complex/Plaza/Mall name
Business name
If sign is to be illuminated,indicate internal eifernal —Incandescent neon
Do signs currently exist on property? es No(if yes, list all existing signage)
Change of word/copy From to
Sign Size Length x Width i:;P.65 Total sq.ft.
Sign Height(freestanding)
Color&Material to be used A61
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 all 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:
PR|NTNAN1E —�
SIGNATURE: DATE: J / /
Declaration: I hereby authorize the applicant to place a sign on my property or building:
OWNER:
PRINT NAME:
SIGNATURE: DATE:
Town of Queensburyum/ng Department Revised marcx20o