SIGN-000354-2018 Phantom Fireworks TONVIN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Zoning Department (518) 761-8256
SIGN PERMIT
Permit Number: SIGN-0354-2018
Tax Map No: 296.9-1-7.2
Permission is hereby granted to: Phantom Fireworks Eastern Region,LLC
For property located at: 1110 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.
Tyne of Construction
Owner Name: Terre Majestic Holdings,LLC Sign-Temporary $0.00
Owner Address: PO Box 339 Total Value $0.00
Lake Luzeme,NY 12846
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans&Specifications
Temporary Freestanding Sign 16 sq.ft.
Time Period Sign to be displayed:
June 22,2018 thm July 4,2018
Applicant fee applies for 13 days
Sign Copy: Phantom Fireworks
Sign Deposit of$50 is refundable upon removal of the sign(in writing)
$ 70.00 PERMIT FEE PAID
Dated at the Town of Queensbury;
SIGNED BY: for the Town of Queensbury.
Zoning Administrator
Town of ueensbu -- Fee #_ l�
Q � °� �711274
i Fee PaidTEMPORARY SIGN PERMIT ! ° 511ii' Deposit Paid
Chapter 140 Signs;Section 140-4 Temporary Signs and Section 140-5 General Stand rds-&Regulations a Request# of 5 allowed
I Sign Dates:
Filing Fees: $10 for up to and including 12 consecutive days with w'� ' J�' ��� i from_ �i to ���
a refundable deposit of$50.
Office Notes:
r•. _ QUEENS!-,
GENERAL INFORMATION: Only one active,temporary si n pe '- e a C
AtolV TOI>yt !='/,t2�; re_,i-S 5 '7,e4 Lac/c
Applicant Name(person responsible for placing and removing sign) Property Owner Name
Street/Road/PO Box (mailing address) Street/Road/PO Box (mailing address)
G/4941NySr0U.)AJ odeews-B l,e'-/• Ny /i 90 f
City/State/Zip Code City/State/Zip Code
5ae,*Gnat C1 t/gNVD•Co/�1 �/8 �9� �'�1/
Email Address Phone Number Email Address Phone Number
IS PROPOSED SIGN"OFF PREMISES"? QYes / �No
LOCATION OF SIGN: //1d a g- / TAX MAP NUMBER:
BUSINESS/EVENT NAME: AWW7"'f =,1eeW0,e*S SIGN COPY/WORDING: 6P,0'1AN7z``t F1k<'4E'&y'
TYPE OF SIGN REQUESTED: (check one)
Freestanding Sign(ground sign)-limit 16 s . ft. Wall Sign—limit 32 s . ft.
Temporary, double-sided,freestanding sign must be placed a minimum of Temporary wall sign must be placedflush 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: F06 r (freestanding/ground sign only)
DATES OF USE: From: 6 - ZL To: 7 -q- \� )�
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 the sign removed v4 n 3419urs. Failure to comply with this notice within 24 hours shall result in forfeiture of the cash deposit.
Applicant's Signature Date Property Owner's Signature Date