SIGN-000206-2017 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-000206-2017
Tax Map No: 279.-1-8
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.
Tvve of Construction
Owner Name: JHKSAK,LLC Sign-Wall $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
wall sign 30 sq.ft.
Sign Copy: Streaking Moose BBQ
$90.00 PERMIT FEE PAID
Dated at the Town of Quee r,
ury;
SIGNED BY: for the Town of Queensbury.
Zoning Administrator
Use Only ►Z V Z(�
Town of Queensbury Bull i7) oSE a �'I y4�111ed:
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by ID:
SIGN PERMIT APPLI ftllNMAY 0 1 2017 J i
No..
TOWN OF QUEEIvSB `f�rmi�Fee: $
i BUILDING&c,()0E '
Date I r J 17 ��"` - APpl canf.. ~ -area Vlnq M nose [, Lnc
Tax Map ID Address q 9b I N
Zoning 0 UeC-0!5{jam s IJ V la$O
Property Owner "T- "A n Kn4e K (S)}y 50' u Jt)Contractor/Agent: j\ '\2�,_L_�
Address q (-+, Address Lj l W o <
Phone hone _�;-I S - �;iL 4 I
Contact Person for Sign Code Compliance: Vinu 1t1_ Day Phone:
Building Street Address: q go 14"
Site Plan,Variance,or Subdivision Approvals
Location of proposed installationIto +.
Business Complex/Plaza/Mall name .-1-; ct'Sf ,7Z yr
Business name Is+re_cc k1:1 M nose. C3 rio .
Type of Sign proposed ,J c. \ �^
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_ (D x Width =Total sq.ft.
Sign Height(freestanding)
Color&Material to be used 3,-A 0 a an- v r
This application creates a change in the X 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 specified or noted, and that such
work is authorized by the owner.
APPLICANT-PRINT NAME
APPLICANT-SIGNATURE: Date:
Declaration: I hereby authorize the applicant to place a sign on my``property or building:
�7 �
OWNER-PRINT NAME: " i,°`��`
OWNER-SIGNATURE: Date: S�I
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256