BOTH-000211-2016 (Deliciously Different) TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
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Community Development - Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: BOTH-000211-2016
Tax Map No: 296.13-1-22.1
Permission is hereby granted to: Robin Getchell-Smith, 697JPPER GLEN STREET,LLC
For property located at: 989 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
bTe of Construction
Owner Name: 697 UPPER GLEN STREET,LLC Sign I $0.00
Owner Address: 989 State Route 9 Total Vale $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
20 s.f. freestanding panel sign for
Deliciously Different Specialty Items Catering
$ 60.00 PERMIT FEE PAID -THIS PERMIT EXPIRE : Monday,April 17, 2017
1
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ueen ida , p 22 2016
SIGNED BY: for thre Town of Queensbury.
Director of Building&Code Enforcement
I
4. Office Use Only
Town of Qu "`
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• n Received:
SIGN P , A�L'{�MIdA1fi ` Tax Map ID:
Permit No.: O� -����-���
TOWN OF QUEENS13URY Permit Fee: $ ('00. 0U
4/Z BUILDING& CODES
Date Applicant
Tax Map ID Address v�—
Zoning - sh(]l Z! D
`l V j>( Alen cc�reJ_
Property Owner Contractor/Agent:
Address J1 ? Address
f 2 0 i-(9Y
Phone �3 G Phone
Contact Person for Sign Code Compliance: Day Phone:
Building Street Address:
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation
Business Complex/Plaza/Mall name Ole
Business name r
Type of Sign proposed
If sign is to be illuminated, indicate k internal _ex1ffr al _Incandescent _neon _other
Do signs currently exist on property? _l Yes _No(if yes, list all existing signage)
Change of word/copy From to
Sign Wording/Copy Ddlc w 0,51 I ev'e Glad 5 ✓h
Sign Size Length f x Widtf Total sq.ft. D s
Sign Height(freestanding)
Color&Material to be used
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 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. 9
APPLICANT-PRINT NAME ,h ✓\
APPLICANT-SIGNATURE: Date: Z-
LG .
Declaration: I hereby authorize the ppTicant to place a si on my property or building:
OWNER-PRINT NAME:
OWNER-SIGNATURE: Date:
tion 518 761 8256
Town of Queensbury Building&Codes Sign Permit Appl