SIGN-0401-2018 Fireworks f
TOWN OF QUEENSBUkY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-82011
�.._ Community Development- Zoning Department (518)761-8256
SIGN PERMIT
Permit Number: SIGN-0401-2019
Tax Map No: 296.17-1-42
Permission is hereby granted to: Michael Seale
For property located at: 919 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: Kenneth Ermiger Sign-Temporary $0.00
Owner Address: 3494 Lake Shore DR Total Value $0.00
Lake George,NY 12845
Contractor or Builder's Name/ Address Electrical Inspection Agency
Michael Seale
919 State Route 9
Queensbury,NY 12804
Plans&Specifications
Temporary Freestanding Sign 16 sq.ft.
Sign Copy: Fireworks
Guaranteed Lowest Prices In Town.
Time Frame: June 27 thru July 5,2018
9 days(fee based on 12 days=$10)
$50 deposit refundable after sign removed
$ 60.00 PERMIT FEE PAID
Dated at the Town of Que¢nsbury; Tuesday,June 26, 2018
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SIGNED BY: for the Town of Queensbury.
Zoning Administrator
Town of Queensbury TSP#s tUN-ogol• zo 1,
TEMPORARY SIGN PERMIT E (� E Q W ( Fee Paid
.Sf'CI71),U Deposit Paid
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Chapter 140 Signs,Section 140-4 Temporary Signs and Section 140-5 G III 5tan ards&Regulations Request#_of 5 allowed
JUN 2 5 2018Sign Dates:
Filing Fees: $10 for up to and including 12 consecutivwith from to
a refundable deposit of$50.
TOWN OF QUEEN BURY office Notes:
GENERAL INFORMATION: Only one active,to porari
Applicant Name(person responsible for placing and removing sign) Property Owner Name
Street/Road/PO Box (mailing address) Street/Road/PO Box (mailing address)
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City/State/Zip Code City/State/Zip Code
361
Email Address Phone Number Email Address Phone Number
IS PROPOSED SIGN"OFF PREMISES"? _Yes /L No q1
9 1 -/_?�e 9
LOCATION OF SIGN: tk-r �� �� TAX MAP NUMBER:
BUSINESS/EVENT NAME: ! ' �^"' SIGN COPY/WORDING:
Gv flA .i3w�l7
TYPE OF SIGN REQUESTED: (check one) P,0Jtf.S I,, -To wnl
FXJ Freestanding Sign(ground sign)-limit 16 sq. ft. Wall Sign—limit 32 s . ft.
Temporary, double-sided,freestanding sign must be placed a minimum of Temporary wall sign must be placed flush against
15 feet from the front property line. If the front property line cannot be the wall of a building and may not project more than
determined, the following setbacks shall apply: four(4)inches from the surface of the wall to which
a.) Forty(40)feet from the center line of a two-lane road. they are attached.
b.) Forty-Five(45)feet from the center line of roads with 3 or more lanes.
Include a rendering of the sign. Include a site plan
Include a rendering of the sign; indicate dimension from grade to top of clearly showing the location of the sign in relation to
sign. Include a site plan clearly showing the location of the sign in relation property lines and roadway/driveways. Show sight
to property lines and roadway/driveways. Show sight distances. distances.
The installed sign must remain secure and taut while on display. The installed sign must remain secure and taut while
on display
AREA OF TEMPORARY SIGN: (feet and inches) /
Height of Sign Surface�_; Width of Sign Surface Total Square Footage:
Height from Grade to Top of Sign:�_(freestanding/ground sign only)
DATES OF USE: From: To:
NUMBER OF SIGNS PER CALENDAR YEAR: Temporary Sign Request No. of 5
Number of Temporary Sign Permits Allowed:
1.) Five (5) Temporary Sign Permits per applicant for a total of 60 days per calendar year.
2.) Only one active, temporary sign permit per applicant.
REFUND: The$50.00 Deposit will be processed upon receipt of a letter from the applicant stating that the sign been removed. The Sign must be
removed upon expiration of the permit. Failure of the permit holder to remove the sign,the Zoning Administrator will issue a written notice directing
that A enw-v in 2 hours. ailure to omply with this notice wit ' 24 hours shall result in forfeiture of the cash deposit.
6 �
Applicant's Signature Da a Prop Owner's Signature Date