SIGN-000385-2017 Phantom Fireworks ' TOWN OF QJEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-82001 1
Community Development-Zoning Department (518)761-8256
SIGN PERMIT
Permit Number: SIGN-000385-2017
Tax Map No: 278.-1-46
Permission is hereby granted to: Phantom Fireworks Eastern Region,LLC
For property located at: 663 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.
Type of Construction
Owner Name: Stranahan Industries,Inc. Sign-Temporary $0.00
Owner Address: 5010 Dawson Way Total Value $0.00
Fort Ann,NY 12827
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans&Specifications
Temporary Wall Sign 30 sq.ft. (on top of Tent)
Phantom Fireworks
June 29,2017 through July 4,2017
$60.00 PERMIT FEE PAID Tuesday,July 4,2017
Dated at the Town of Queens ry; Thursday,June 29,2017
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SIGNED BY: /� �' for the Town of Queensbury.
Zoning Administrator
Town of Queensbury R
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Fee Paid
TEMPORARY SIGN PERMIT D Deposit Paid�
Chapter 140 Signs;Section 140-4 Temporary Signs and Section 140-5 General Standar lations Request# I of 5 allowed
Sign Dates:
Filine Fees: $10 for up to and including 12 consecutive days with from*q-to ? 2�l
a refundable deposit of$50. Z lvtii C i a"U DE ��_ pV Office Notes:
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GENERAL INFORMATION: Only one active,temporary sign it per aPpl)ea _`UFN
Applicant Name(person responsible for placing and removing sign) Pro erty Owner Name
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Street/Road/PO Box (mailing address) Stre t/Road/PO Box (mailing address)
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Ci /State/Zip Code City/State/Zip Code
1/Sznav QF106-WoeKs CP*-k ;5 RAIVO 6f P
Email Address Phone Number Email Address Phone Number
IS PROPOSED SIGN"OFF PREMISFS'3 / No
LOCATION OF SIGN: TO:P 0 P- 7 C�u �� TA MAP NUMBER:
BUSINESS/EVENT NAME: PH'�tV710""t COPY/WORDING: c276' -f fo
TYPE OF SIGN REQUESTED: (check one) '
Freestanding Si (ground sign)-limit 16 s .ft. all Si -limit 32 s .ft.
Temporary, double-sided freestanding sign must be placed a minimum of Temporary wall sign must be placed flush against
I S 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 dis 1
AREA OF TEMPORARY SIGN: (feet and inches)
Height of Sign Surface 2- ; Width of Sign Surf e /S Total Square Footage: 3
Height from Grade to Top of Sign: (freestanding/ground sign only)
DATES OF USE: From: Z L3 To- ? - `1
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 totaf 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 si gn,the Zoning Administrator will issue a written notice directing
that the sig a removed within hours. Failure to comply with this notice within 4 hours shall result in forfeiture of the cash deposit.
Applicant's gignature Date Property Owner Signature Date