SIGN-000630-2017 TOV^T OF QUEENSBUR' T
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742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
,.r Community Development-Zoning Department (518)761-8256
SIGN PERMIT
Permit Number: SIGN-000630-2017
Tax Map No: 308.17-1-7.11
Permission is hereby granted to: Spencer Montgomery
For property located at: vacant land West Mountain RD
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: APEX CAPITAL LLC Sign-Freestanding $0.00
Owner Address: 59 W Mountain RD Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Spencer Montgomery
59 WEST MOUNTAIN RD
Queensbury,NY 12804
Plans&Specifications
Replacing 12 sq.ft.freestanding sign.(3 ft.across top and 4 ft.to the point) Sign Pole had deteriorated and needed to be
replaced;sign pole was moved closer to the road;setback from front yard 1 is 37 ft.(previous 45 ft.)and front yard 2 is 25
ft. Original Sign Permit File Number 1579 Year 1971 West Mountain Corp.
L), PERMIT FEE PAID .^ c t.7 SS��t
Dated at the Town of Queen sb ry; —�
1
SIGNED BY: for the Town of Queensbury.
Zoning Administrator
--�""c�"�1 Office Use Only
LgTrarlf UVA uilding & Codes
DReceived:
OCTION afflaMI LICATION Tax Map ID:
Permit No.: S�G�,t�- fob 2P,V+
TOWN OF QUEENS RY Permit Fee: $—fc
Dat BUILDING 7 L e c �/�J -/tf
Applicant ��� t�e
Tax Map ID .3 0/S • P7—• 7- 1 Address �'� sy//64 •s
Zoning / ''�, ��� � �i►a ri/1��
Property Owner Contractor/Agent:
Address Address
'jZ 41il
Phone Y Phone
Contact Person for Sign Code Compliance: e c 04 1 n/`✓4-'v Y' Day Phone:J_��,f—7IJ--
Building Street Address: CodG� off` ll/e s� 4 �afA 1c . ,tidy
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation G f/y ��ol /�/ ?z6a^ c,
Business Complex/Plaza/Mall name
Business name ox a Le 2Z,4 t.
Type of Sign proposed h ;'4 X /?-/74 457/, .
If sign is to be illuminated, indicate _internal Kternal _Incandescent _neon _other
Do signs currently exist on property? _Yes No(if yes, list all existing signage) D6,
Change of word/copy From :�,a ^en es kee,O -7z- to of
Sign Wording/Copy �" f 4�
Sign Size Length x Width =Total sq.ft. t"�M .S/�Ct c
10 Sign C�Sr�d/ &0%- V; Stt c i s 3 Ft"c.cro `o
Color& Material to be used —5 a 6 - � r pG✓
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 _ l (^/ 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. ,Swe 4 G��' 04 0
APPLICANT-PRINT NAME /� l� (/ /'/ZZC
APPLICANT-SIGNATURE: � Date: V l
Declaration: I hereby authorize the applicant to place a sign on my property or building::
OWNER-PRINT NAME:
OWNER-SIG NATURE:
! Date: O
l
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256